nr. 008e spital

DOCUMENTAŢIE MEDICALĂ Formular Форма nr. 008/e Ministerul Sănătăţii al Republicii Moldova Министерство здравоохранения Республики Молдова _________________________________________________________________ denumirea instituţiei наименование учреждения Aprobat de MS al RM Утверждена МЗ РМ nr. 828 din 31.10. 2011 REGISTRUL DE ÎNREGISTRARE A INTERVENŢIILOR CHIRURGICALE ÎN STAŢIONAR ЖУРНАЛ ЗАПИСИ ОПЕРАТИВНЫХ ВМЕШАТЕЛЬСТВ В СТАЦИОНАРЕ Început " _______ " _______________________ 20 _____ Terminat " _______ " ______________________ 20_____ Начат Окончен Intervenţia Nr.______________ Fişa medicală a bolnavului de staţionar Nr.__________ Операция Медицинская карта стационарного больного Numele, prenumele bolnavului _________________________________________________________________________ Фамилия, имя, отчество больного Codul personal (IDNP)___________________________________ Data naşterii _________________________________ Персональный код (IDNP) Дата рождения Adresa la domiciliu a bolnavului ________________________________________________________________________ Адрес местожительства больного _______________________________________ Data intervenţiei " _____ " _____________________ 20 ____ Дата операции Diagnosticul pînă la intervenţie ___________________________________ Chirurg_____________________________ Диагноз до операции Хирург ___________________________________________________________ Asistenţi ____________________________ Ассистенты Diagnosticul după intervenţie____________________________________ ___________________________________ Диагноз после операции ___________________________________ Anestezie ___________________________________________________ Anesteziolog ________________________ Обезболивание Анестезиолог Intervenţie contra plată: da, nu (de specificat): _____________________________________________________________ Платная операция: да, нет (подчеркнуть): dacă da - suma, Nr. bonului de plată если да - сумма, № квитанции Descrierea intervenţiei Описание операции __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Descrierea preparatului (organului eliminat, părţii organului) Описание препарата (удаленного органа, части органа) __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Rezultatul intervenţiei ____________________________________________________________________________________________ Результат операции __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________

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DOCUMENTAIE MEDICALFormular nr. 008/e

Ministerul Sntii al Republicii Moldova

_________________________________________________________________ denumirea instituiei

Aprobat de MS al RM nr. 828 din 31.10. 2011

REGISTRUL DE NREGISTRARE A INTERVENIILOR

CHIRURGICALE N STAIONAR

nceput "_______ " _______________________20 _____ Terminat " _______ " ______________________ 20_____

Intervenia Nr.______________ Fia medical a bolnavului de staionar Nr.__________

Numele, prenumele bolnavului _________________________________________________________________________ , , Codul personal (IDNP)___________________________________ Data naterii _________________________________ (IDNP) Adresa la domiciliu a bolnavului ________________________________________________________________________ _______________________________________ Data interveniei " _____ " _____________________ 20 ____

Diagnosticul pn la intervenie ___________________________________ Chirurg_____________________________ ___________________________________________________________ Asisteni____________________________

Diagnosticul dup intervenie____________________________________ ___________________________________ ___________________________________ Anestezie ___________________________________________________ Anesteziolog ________________________ Intervenie contra plat: da, nu (de specificat): _____________________________________________________________ : , (): dac da - suma, Nr. bonului de plat

- , Descrierea interveniei __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________

Descrierea preparatului (organului eliminat, prii organului) ( , ) __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________

Rezultatul interveniei ____________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________
n prezentul registru snt numerotate, nuruite i parafate , ................................................................... pagini

n litere / Conductor _____________________________________________ semntura / L.. _____ _____________________ 20___ ..