B Y T S: 22 /2011/TT-BYT

CNG HO X HI CH NGHA VIT NAM c lp T do Hnh phc H Ni, ngy 10 thng 6 nm 2011

THNG T Quy nh t chc v hot ng ca khoa Dc bnh vin Cn c Lut Khm bnh, cha bnh s 40/2009/QH12 ngy 23 thng 11 nm 2009; Cn c Lut Dc s 34/2005/QH11 ngy 14 thng 6 nm 2005; Cn c Ngh nh s 188/2007/N-CP ngy 27 thng 12 nm 2007 ca Chnh ph quy nh chc nng, nhim v, quyn hn v c cu t chc b my ca B Y t; B Y t quy nh t chc v hot ng ca khoa Dc bnh vin nh sau: Chng I QUY NH CHUNG iu 1. Phm vi iu chnh Thng t ny quy nh t chc v hot ng ca khoa Dc bnh vin, chc trch, nhim v ca cc chc danh trong khoa Dc bnh vin. iu 2. Chc nng ca khoa Dc Khoa Dc l khoa chuyn mn chu s lnh o trc tip ca Gim c bnh vin. Khoa Dc c chc nng qun l v tham mu cho Gim c bnh vin v ton b cng tc dc trong bnh vin nhm m bo cung cp y , kp thi thuc c cht lng v t vn, gim st vic thc hin s dng thuc an ton, hp l. iu 3. Nhim v ca khoa Dc 1. Lp k hoch, cung ng thuc bo m s lng, cht lng cho nhu cu iu tr v th nghim lm sng nhm p ng yu cu chn on, iu tr v cc yu cu cha bnh khc (phng chng dch bnh, thin tai, thm ha). 2. Qun l, theo di vic nhp thuc, cp pht thuc cho nhu cu iu tr v cc nhu cu t xut khc khi c yu cu. 3. u mi t chc, trin khai hot ng ca Hi ng thuc v iu tr. 4. Bo qun thuc theo ng nguyn tc Thc hnh tt bo qun thuc. 5. T chc pha ch thuc, ha cht st khun, bo ch thuc ng y, sn xut thuc t dc liu s dng trong bnh vin. 1

6. Thc hin cng tc dc lm sng, thng tin, t vn v s dng thuc, tham gia cng tc cnh gic dc, theo di, bo co thng tin lin quan n tc dng khng mong mun ca thuc. 7. Qun l, theo di vic thc hin cc quy nh chuyn mn v dc ti cc khoa trong bnh vin. 8. Nghin cu khoa hc v o to; l c s thc hnh ca cc trng i hc, Cao ng v Trung hc v dc. 9. Phi hp vi khoa cn lm sng v lm sng theo di, kim tra, nh gi, gim st vic s dng thuc an ton, hp l c bit l s dng khng sinh v theo di tnh hnh khng khng sinh trong bnh vin. 10. Tham gia ch o tuyn. 11. Tham gia hi chn khi c yu cu. 12. Tham gia theo di, qun l kinh ph s dng thuc. 13. Qun l hot ng ca Nh thuc bnh vin theo ng quy nh. 14. Thc hin nhim v cung ng, theo di, qun l, gim st, kim tra, bo co v vt t y t tiu hao (bng, bng, cn, gc) kh y t i vi cc c s y t cha c phng Vt t - Trang thit b y t v c ngi ng u cc c s giao nhim v. Chng II IU KIN VT CHT; CHC TRCH, NHIM V CA CC CHC DANH TRONG KHOA DC iu 4. a im - c s vt cht ca khoa Dc 1. Khoa Dc cn c b tr a im thun tin, c iu kin lm vic cho cn b, nhn vin khoa Dc (h thng my vi tnh; my in; in thoi; internet; fax; phn mm qun l s dng thuc, ha cht pha ch; ti liu lin quan v thuc, v nghip v dc) v to iu kin y h tr cng tc thng tin, t vn v qun l s dng thuc. 2. H thng kho, phng pha ch, ni sn xut, ch bin thuc ng y v thuc t dc liu, bung cp pht cn b tr v tr thun tin cho vic vn chuyn v cp pht theo yu cu ca thc hnh tt phn phi thuc. iu kin ca kho thuc phi m bo v nh sng; nhit ; m; thng thong; phng trnh cn trng, mi mt; phng chng chy, n; bo m kim sot nhim khun theo nguyn tc Thc hnh tt bo qun thuc. 3. Phng pha ch thuc v cc dch truyn cn b tr v tr ph hp v bo m theo nguyn tc Thc hnh tt sn xut thuc. i vi cc thuc phng x, ha cht ung th c pha ch cc phng pha ch c bit ti cc khoa hoc cc n v, trung tm Y hc ht nhn v Ung bu, tun th cc quy nh v an ton bc x v cht thi c hi c bit nhm m bo an ton cho ngi pha ch v an ton cho mi trng. 2

4. Kho ha cht, cn phi tch bit vi kho thuc. 5. Ty theo tng iu kin ca bnh vin, Lnh o bnh vin quyt nh phng bo ch sao tm thuc v kho thuc ng y b tr ti khoa Y hc c truyn hoc khoa Dc. Vic d tr, nhp thuc, cp pht thuc, kim k v bo co theo ng quy nh ca cng tc khoa Dc. iu 5. Bin ch khoa Dc Thc hin theo hng dn nh mc bin ch s nghip trong cc c s y t nh nc. iu 6. C cu t chc ca khoa Dc Ty thuc hng bnh vin: bnh vin a khoa, chuyn khoa; s lng cn b; trang thit b; c s vt cht m b tr nhn lc khoa Dc cho ph hp. Khoa Dc bao gm cc b phn chnh sau: 1. Nghip v dc; 2. Kho v cp pht; 3. Thng k dc; 4. Dc lm sng, thng tin thuc; 5. Pha ch thuc, kim nghim, kim sot cht lng thuc; 6. Qun l hot ng chuyn mn ca Nh thuc bnh vin. iu 7. Yu cu, chc trch, nhim v ca Trng khoa Dc 1. Yu cu v trnh : ti thiu phi l dc s i hc. i vi bnh vin hng 3 v khng phn hng cha c dc s i hc th Gim c bnh vin y quyn bng vn bn cho dc s trung hc ph trch khoa. 2. Chc trch, nhim v: a) Thc hin nhim v, quyn hn chung ca Trng khoa trong bnh vin. b) T chc hot ng ca khoa theo quy nh ca Thng t ny. c) Chu trch nhim trc Gim c bnh vin v mi hot ng ca khoa v cng tc chuyn mn v dc ti cc khoa lm sng, nh thuc trong bnh vin. d) L Ph Ch tch thng trc Hi ng thuc v iu tr, tham mu cho Gim c bnh vin, Ch tch Hi ng thuc v iu tr v la chn thuc s dng trong bnh vin; lm u mi trong cng tc u thu thuc; kim tra, gim st vic k n, s dng thuc nhm tng cng hiu qu s dng thuc v nng cao cht lng iu tr. ) Cn c vo k hoch chung ca bnh vin, lp k hoch v t chc thc hin vic cung ng, bo qun v s dng thuc, ha cht (pha ch, st khun). e) T chc thc hin vic nhp, xut, thng k, kim k, bo co; phi hp vi phng Ti chnh - k ton thanh quyt ton; theo di, qun l kinh ph s dng thuc m bo chnh xc, theo ng cc quy nh hin hnh. g) Theo di, kim tra vic bo qun thuc; nhp, xut thuc, ha cht (pha ch, st khun) m bo cht lng theo ng quy nh hin hnh. 3

h) Thng tin, t vn, hng dn s dng thuc cho cn b y t. i) Chu trch nhim tham gia hi chn hoc phn cng dc s trong khoa tham gia hi chn khi c yu cu ca Lnh o bnh vin. k) Qun l hot ng chuyn mn ca Nh thuc bnh vin. l) Tham gia nghin cu khoa hc, ging dy, o to chuyn mn dc cho ng nghip v cn b tuyn di. m) Thc hin cc nhim v khc khi c Gim c bnh vin giao. iu 8. Yu cu, chc trch, nhim v ca dc s lm cng tc nghip v dc 1. Yu cu v trnh : ti thiu l dc s i hc i vi bnh vin hng c bit, hng 1 v 2. Bnh vin hng 3 v khng phn hng, yu cu ti thiu l dc s trung hc. 2. Chc trch, nhim v: a) Thc hin cng tc kim tra quy nh chuyn mn dc ti khoa Dc, cc khoa lm sng v Nh thuc trong bnh vin. b) Cp nht thng xuyn cc vn bn quy nh v qun l chuyn mn, tham mu cho Trng khoa trnh Gim c bnh vin k hoch ph bin, trin khai thc hin cc quy nh ny ti cc khoa trong bnh vin. c) m nhim vic cung ng thuc. d) nh k kim tra vic bo qun, qun l, cp pht thuc ti khoa Dc. ) Kim tra vic s dng v bo qun thuc trong t trc ti cc khoa lm sng. e) m nhim vic kim nghim, kim sot cht lng thuc (nu bnh vin khng t chc b phn kim nghim th sau khi pha ch phi gi mu cho cc c quan c chc nng kim nghim thc hin). g) Thc hin mt s nhim v khc khi c Trng khoa Dc giao. h) Chu trch nhim trc Trng khoa Dc v nhim v c phn cng. iu 9. Yu cu, chc trch, nhim v ca dc s ph trch kho cp pht thuc 1. Yu cu v trnh : Th kho gi thuc gy nghin l dc s i hc hoc dc s trung hc c giy y quyn theo quy nh; Th kho gi cc thuc khc c trnh ti thiu l dc s trung hc. 2. Chc trch, nhim v: a) C trch nhim thc hin y nguyn tc v Thc hnh tt bo qun thuc, m bo an ton ca kho. b) Hng dn, phn cng cc thnh vin lm vic ti kho thc hin tt ni quy ca kho thuc, khoa Dc. c) Kim tra, gim st cht ch vic xut, nhp thuc theo quy nh ca cng tc khoa Dc v bo co thng xuyn hoc t xut cho Trng khoa v cng tc kho v cp pht. 4

d) Tham gia nghin cu khoa hc, hng dn v bi dng nghip v chuyn mn cho cc thnh vin trong khoa v hc vin khc theo s phn cng. ) Thc hin mt s nhim v khc khi c Trng khoa Dc giao. e) Chu trch nhim trc Trng khoa Dc v nhim v c phn cng. iu 10. Yu cu, chc trch, nhim v ca cn b thng k dc 1. Yu cu v trnh c nghip v thng k v dc. 2. Chc trch, nhim v: a) Theo di, thng k chnh xc s liu thuc nhp v kho Dc, s liu thuc cp pht cho ni tr, ngoi tr v cho cc nhu cu t xut khc. b) Bo co s liu thng k khi nhn c yu cu ca Gim c bnh vin hoc Trng khoa Dc. Chu trch nhim trc Trng khoa Dc v nhim v c phn cng. c) Thc hin bo co cng tc khoa Dc, tnh hnh s dng thuc, ha cht (pha ch, st khun), vt t y t tiu hao (nu c) trong bnh vin nh k hng nm (theo mu Ph lc 3, 4, 5, 6) gi v S Y t, B Y t (Cc Qun l khm, cha bnh; V Y Dc c truyn i vi cc bnh vin Y hc c truyn) vo trc ngy 15/10 hng nm (s liu 1 nm c tnh t 01/10 n ht ngy 30/9 ca nm k tip) v bo co t xut khi c yu cu. d) Thc hin mt s nhim v khc khi c Trng khoa Dc giao. iu 11. Yu cu, chc trch, nhim v ca dc s lm cng tc dc lm sng 1. Yu cu v trnh ti thiu l dc s i hc. 2. Chc trch, nhim v: a) Chu trch nhim v thng tin thuc trong bnh vin, trin khai mng li theo di, gim st, bo co tc dng khng mong muc ca thuc v cng tc cnh gic dc. b) T vn v s dng thuc an ton, hp l cho Hi ng thuc v iu tr, cn b y t v ngi bnh. c) Tham gia theo di, kim tra, gim st vic k n thuc ni tr v ngoi tr nhm y mnh vic s dng thuc an ton, hp l v hiu qu. d) Hng dn v kim tra vic s dng thuc trong bnh vin; chu trch nhim tnh ton hiu chnh liu i vi ngi bnh cn iu chnh liu; c quyn xem x t thay th thuc (nu pht hin thy c tng tc trong k n, k n cng hot cht, thuc trong kho ca khoa Dc ht) bng thuc tng ng ng thi thng tin li cho khoa lm sng bit v thng nht vic thay th thuc. 5

) Tham gia nghin cu khoa hc v bi dng nghip v chuyn mn cho cc thnh vin trong khoa v hc vin khc theo s phn cng. e) Thc hin mt s nhim v khc khi c Trng khoa Dc yu cu. g) Chu trch nhim trc Trng khoa Dc v nhim v c phn cng. iu 12. Yu cu, chc trch, nhim v ca dc s ph trch pha ch thuc (nu c thc hin pha ch thuc) 1. Yu cu v trnh : ti thiu l dc s i hc i vi bnh vin c pha ch thuc cho chuyn khoa nhi, khoa ung bu v cc thuc gy nghin; Pha ch thuc cho chuyn khoa khc yu cu ti thiu l dc s trung hc; dc s tham gia pha ch thuc c cha yu t phng x cn c chng ch v thc hnh an ton bc x trong y t. 2. Chc trch, nhim v: a) Thc hin quy nh ca cng tc dc, cng tc chng nhim khun. b) Thc hin pha ch theo ng quy trnh k thut c ph duyt, danh mc thuc c pha ch bnh vin. c) Pha ch kp thi v m bo cht lng cc thuc cp cu v c bit ch khi pha ch thuc cho tr em (chia nh liu, pha thuc tim truyn), thuc iu tr ung th. d) Kim sot, tham gia phi hp vi cc cn b c phn cng cc n v, khoa hoc trung tm Y hc ht nhn, ung bu trong vic pha ch, s dng cc thuc phng x, ha cht ung th bo m an ton cho ngi bnh, nhn vin y t v mi trng. ) Tham gia nghin cu khoa hc, hng dn v bi dng nghip v chuyn mn cho cc thnh vin trong khoa v hc vin khc theo s phn cng. e) Thc hin mt s nhim v khc khi c Trng khoa Dc giao. g) Chu trch nhim trc Trng khoa Dc v nhim v c phn cng. iu 13. Chc trch, nhim v ca cn b khc Thc hin theo s phn cng v chu trch nhim trc Trng khoa Dc. Chng III HOT NG CHNH CA KHOA DC iu 14. Lp k hoch v t chc cung ng thuc 1. Lp k hoch

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a) Xy dng Danh mc thuc s dng ti bnh vin hng nm theo nhu cu iu tr hp l ca cc khoa lm sng. Khi xy dng danh mc thuc ny cn cn c vo: - M hnh bnh tt ca a phng, c cu bnh tt do bnh vin thng k hng nm; - Trnh cn b v theo Danh mc k thut m bnh vin c thc hin; - iu kin c th ca bnh vin: quy m v trang thit b phc v chn on v iu tr hin c ca bnh vin; - Kh nng kinh ph: Ngn sch nh nc cp, ngn sch bo him y t, kh nng kinh t ca a phng; - Danh mc thuc ch yu s dng ti cc c s khm bnh, cha bnh do B Y t ban hnh. - Danh mc thuc s dng ti bnh vin phi c r sot, b sung, hiu chnh hng nm cho ph hp vi tnh hnh thc t iu tr. b) Tham gia xy dng Danh mc thuc v c s thuc ca t trc ti khoa lm sng. Danh mc ny do bc s Trng khoa ngh cn c vo yu cu, nhim v iu tr ca khoa v trnh Gim c ph duyt. c) Lp k hoch v cung ng thuc trnh cp c thm quyn ph duyt nhm bo m cung ng thuc v c cht lng cho nhu cu chn on v iu tr ni tr, ngoi tr, bo him y t v ph hp vi kinh ph ca bnh vin. Lm d tr b sung (theo mu Ph lc 2) khi nhu cu thuc tng vt k hoch, thuc khng c nh thu tham gia, khng c trong danh mc thuc nhng c nhu cu t xut. d) Ty thuc vo iu kin c th ca n v, khoa Dc hoc khoa, phng khc lp k hoch v cung ng trang thit b y t (do Gim c bnh vin quy nh). 2. T chc cung ng thuc a) m bo cung ng thuc cho nhu cu iu tr v nhu cu t xut khc. b) u mi t chc u thu (hoc tng hp nhu cu s dng thuc ca n v trnh cp c thm quyn) mua thuc theo Lut u thu v cc quy nh hin hnh lin quan. c) Cung ng cc thuc thuc din kim sot c bit (thuc gy nghin, thuc hng tm thn v tin cht dng lm thuc, thuc phng x) theo ng quy nh hin hnh. iu 15. Theo di v qun l nhp, xut thuc 1. Nhp thuc: 7

a) Tt c cc loi thuc, ho cht (pha ch, st khun) phi c kim nhp trc khi nhp kho. b) Hi ng kim nhp do Gim c bnh vin quyt nh. Thnh phn Hi ng kim nhp gm: Trng khoa Dc, Trng phng Ti chnh - K ton, th kho, thng k dc, cn b cung ng. c) Ni dung kim nhp: kim tra v chng loi, s lng, cht lng thuc, ha cht i vi mi ngun thuc (mua, vin tr, d n, chng trnh) trong bnh vin theo yu cu sau: - Khi kim nhp cn tin hnh i chiu gia ha n vi thc t v kt qu thu v cc chi tit ca tng mt hng nh: tn thuc, tn ha cht, nng (hm lng), n v tnh, quy cch ng gi, s lng, s l, n gi, hn dng, hng sn xut, nc sn xut; - Thuc nguyn ai nguyn kin c kim nhp trc, ton b thuc c kim nhp trong thi gian ti a l mt tun t khi nhn v kho; - Lp bin bn khi hng b h hao, tha, thiu v thng bo cho c s cung cp b sung, gii quyt; - Khi nhn hng kim tra iu kin bo qun i vi cc thuc c yu cu bo qun c bit hoc theo yu cu trn nhn hng ha; - Thuc c yu cu kim sot c bit (thuc gy nghin, thuc hng tm thn v tin cht dng lm thuc, thuc phng x) lm bin bn kim nhp ring; d) Bin bn kim nhp c ch k ca thnh vin hi ng kim nhp. ) Vo s kim nhp thuc (theo mu Ph lc 14). 2. Kim sot cht lng thuc s dng ti c s: a) Kim sot 100% cht lng cm quan thuc nhp vo khoa Dc. b) Kim sot cht lng cm quan thuc nh k v t xut ti kho, ni pha ch v ni cp pht ca khoa Dc. c) Kim sot cht lng cm quan thuc nh k v t xut thuc ti cc khoa lm sng. 3. Cp pht thuc, ho cht (pha ch, st khun): a) Khoa Dc duyt thuc trc khi cp pht. b) Cp pht thuc cho khoa lm sng: - Trng khoa Dc hoc dc s c y quyn duyt Phiu lnh thuc trong gi hnh chnh; - Khoa Dc bo m vic cp pht thuc, ha cht (pha ch, st khun) y v kp thi theo Phiu lnh thuc, ha cht ca khoa lm sng, cn lm sng; 8

- Ty thuc vo iu kin nhn lc ca n v, Khoa Dc a thuc n cc khoa lm sng hoc khoa lm sng nhn thuc ti khoa Dc theo quy nh ca Gim c bnh vin. c) Pht thuc theo n cho ngi bnh ngoi tr c th bo him y t. d) T chi pht thuc nu pht hin sai st trong n thuc hoc Phiu lnh thuc, thng bo li vi bc s k n v bc s k duyt; phi hp vi bc s lm sng trong vic iu chnh n thuc hoc thay th thuc. ) Kim tra, i chiu khi cp pht thuc: - Th thc phiu lnh thuc hoc n thuc; - Kim tra tn thuc, nng (hm lng), dng bo ch, liu dng, ng dng, khong cch dng thuc trn n thuc vi thuc s giao; - Nhn thuc; - Cht lng thuc; - S lng, s khon thuc trong n thuc, phiu lnh thuc vi s thuc s giao. e) Sau khi cp pht phi vo th kho theo di thuc hng ngy. g) Cp pht thuc theo nguyn tc thuc nhp trc xut trc, thuc c hn dng ngn hn xut trc. Ch c cp pht cc thuc cn hn s dng v t tiu chun cht lng. h) Vo s theo di xut, nhp hoc th kho (theo mu Ph lc 1). 4. Lu tr chng t xut, nhp, n thuc ngoi tr thc hin theo quy nh v lu tr h s bnh n. 5. Bn giao (khi th kho thay i nhim v khc) a) Trc khi bn giao, th kho phi vo s y v ghi li s liu bn giao; i chiu s liu thc t vi chng t xut, nhp; ghi r nguyn nhn cc khon tha, thiu, h hao; b) Ni dung bn giao bao gm s sch, giy t, chng t, i chiu vi thc t v s lng v cht lng, nhng vic cn theo di v hon thnh tip (ghi r chc trch, nhim v c th); c) Bin bn bn giao ghi r rng, c s chng kin v k duyt ca Lnh o cp trn trc tip ca ngi bn giao, ngi nhn, lu tr chng t theo quy nh. iu 16. Theo di, qun l s dng thuc, ha cht (pha ch, st khun), vt t y t tiu hao (nu c) 1. Thng k, bo co, thanh ton tin thuc, ho cht (pha ch, st khun) a) Thng k, bo co:

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- Xy dng h thng s theo di xut, nhp thuc, ho cht (pha ch, st khun) v lu tr chng t, n thuc theo quy nh hoc c h thng phn mm theo di, thng k thuc. Nu c s c phn mm theo di, qun l xut, nhp th hng thng in th kho ra, k xc nhn v lu tr li theo quy nh; - Thng k dc: cp nht s lng xut, nhp thuc, ho cht (pha ch, st khun) v i chiu nh k hoc t xut vi th kho; - Thng k, bo co s liu v nhm ln, tha, thiu, h hao nh k v t xut. - Phi hp vi phng Ti chnh - K ton thc hin vic bo co theo quy nh ti im c iu 10 ca Thng t ny. b) Thanh ton: Khoa Dc thng k v tng hp s lng cp pht i chiu vi cc chng t xut, nhp v chuyn phng Ti chnh - K ton thanh quyt ton. c) X l thuc tha, thiu, h hao, thuc ht hn dng. d) Thuc ht hn dng phi tin hnh hy theo quy nh v qun l cht lng thuc. ) Thuc do khoa lm sng tr li c kim tra v ti nhp theo quy trnh k ton xut, nhp. e) Thuc vin tr, thuc phng chng dch bnh, thin tai thc hin theo hng dn ca B Y t. 2. Kim k thuc, ho cht (pha ch, st khun) a) Thi gian kim k: - Kim k thuc, ha cht (pha ch, st khun) ti khoa Dc 1 thng/ln. Cc c s thuc t v, chng bo lt v cc c s khc kim k theo tng qu v c quy nh v lun chuyn c s thuc ny; - Kim k thuc t trc ti cc khoa lm sng 3 thng/ln; b) Quy nh v Hi ng kim k: - Hi ng kim k ti kho ca khoa Dc hng thng gm: Trng khoa Dc, k ton (thng k) dc, th kho dc v cn b phng Ti chnh - K ton. - Hi ng kim k ti khoa lm sng: thnh lp t kim k, t nht c 3 ngi do i din khoa Dc lm t trng, iu dng trng ca khoa v iu dng vin l thnh vin; - Hi ng kim k ca bnh vin cui nm gm: lnh o bnh vin l Ch tch hi ng; trng khoa Dc l th k hi ng, trng phng K hoch tng hp, trng phng Ti chnh - K ton, trng phng iu dng, k ton dc, th kho dc l u vin. 10

c) Ni dung kim k: - i chiu s theo di xut, nhp vi chng t; - i chiu s sch vi thc t v s lng v cht lng; - Xc nh li s lng, cht lng thuc, ho cht (pha ch, st khun), tm nguyn nhn tha, thiu, h hao; - Lp bin bn kim k thuc, ha cht (pha ch, st khun), vt t y t tiu hao (theo mu Ph lc 8, 9, 10); - Nu cht lng khng t yu cu, Hi ng kim k lm bin bn xc nhn v ngh cho x l (theo mu Ph lc 11, 12). iu 17. Quy nh v bo qun thuc 1. Yu cu v kho thuc cn m bo nguyn tc thc hnh tt bo qun thuc a) Yu cu v v tr, thit k: - Kho thuc c b tr ni cao ro, an ton, thun tin cho vic xut, nhp, vn chuyn v bo v; - m bo v sinh chng nhim khun; - Din tch kho cn rng bo m vic bo qun thuc p ng vi yu cu ca tng mt hng thuc; - Kho ha cht (pha ch, st khun) b tr khu vc ring; b) Yu cu v trang thit b: - Trang b t lnh bo qun thuc c yu cu nhit thp - Kho c qut thng gi, iu ha nhit , nhit k, m k, my ht m; - Cc thit b dng theo di iu kin bo qun phi c hiu chun nh k; - C gi, k, t xp thuc; khong cch gia cc gi, k rng v sinh v xp d hng; - trang thit b cho phng chy, cha chy (bnh cu ha, thng ct, vi nc). 2. Quy nh v bo qun a) C s theo di cng tc bo qun, kim sot, s theo di nhit , m ti thiu 2 ln (sng, chiu) trong ngy v theo di xut, nhp sn phm. b) Trnh nh sng trc tip v cc tc ng khc t bn ngoi. c) Thuc, ho cht, vc xin, sinh phm c bo qun ng yu cu iu kin bo qun do nh sn xut ghi trn nhn hoc theo yu cu ca hot cht (vi cc nh sn xut khng ghi trn nhn) m bo cht lng ca sn phm. d) Thuc cn kim sot c bit (thuc gy nghin, thuc hng tm thn v tin cht dng lm thuc, thuc phng x) v thuc bo qun iu kin nhit c bit th bo qun theo quy nh hin hnh v yu cu ca nh sn xut. 11

) Theo di hn dng ca thuc thng xuyn. Khi pht hin thuc gn ht hn s dng hoc thuc cn hn s dng nhng c du hiu nt, v, bin mu, vn c phi khu vc ring ch x l. e) Thuc, ho cht d chy n, vc xin, sinh phm bo qun ti kho ring. g) Kim tra sc khe i vi th kho thuc, ha cht: 6 thng/ln. iu 18. T chc pha ch thuc, sn xut, ch bin thuc dng trong bnh vin 1. Yu cu v trang thit b, phng, khu vc pha ch thuc tn dc, thuc phng x, phng bo ch thuc ng y v thuc t dc liu: a) Phng pha ch thuc tn dc, thuc phng x, phng bo ch thuc ng y theo quy trnh mt chiu, m bo an ton, v sinh chng nhim khun, m bo cc tiu chun k thut v cc iu kin cn thit khc p ng vi yu cu ca k thut pha ch; phng thit k ng yu cu ca mi sn phm (thuc dng ngoi, thuc tim, thuc nh mt, thuc ung th, thuc phng x, thuc ng y). b) y cc trang thit b cn thit cho pha ch v bo ch. 2. Yu cu ngi lm vic ti phng pha ch, bo ch thuc: phi bo m tiu chun v chuyn mn, sc khe theo quy nh (c giy chng nhn v thc hnh an ton bc x trong y t nu pha ch thuc phng x) 3. Yu cu v nguyn liu (tn dc, thuc ng y v thuc t dc liu, thuc phng x) a) Nguyn liu, ho cht dng pha ch phi bo m cht lng theo tiu chun c s hoc tiu chun dc in, cn hn s dng v c phiu kim nghim km theo; b) Dc liu bo m cht lng. 4. Phm vi pha ch thuc tn dc, thuc phng x, thuc ng y v thuc t dc liu a) Phm vi pha ch thuc tn dc: - Pha ch thuc theo n cho ngi bnh, pha ch thuc chuyn khoa c tr. - Chun b thuc iu tr ung th: khoa Dc m nhim vic pha ch thuc iu tr ung th vo trong dch truyn hoc trong dung dch tim cho khoa lm sng. Ni cha c iu kin th khoa Dc phi xy dng quy trnh pha ch, hng dn v kim sot vic pha thuc ung th cho ngi bnh ti khoa lm sng. Phng chun b thuc ung th phi m bo an ton cho ngi chun b v an ton cho mi trng. - Chia nh liu thuc cho bnh nhi: khoa Dc chu trch nhim chia nh liu thuc cho chuyn khoa nhi hoc hng dn cho iu dng thc hin quy trnh pha ch thuc theo ng yu cu ca nh sn xut. b) Phm vi pha ch thuc phng x: 12

- Phi hp vi khoa Y hc ht nhn xy dng quy trnh pha ch thuc phng x - Pha ch, chia nh liu i vi cc thuc phng x trong danh mc cho ph p s dng ti bnh vin, trong khu vc c cch ly, m bo an ton v bc x - Ton b bao b, dng c, cht thi, nc ra trong qu trnh pha ch thuc phng x phi c thu gom, x l theo ng qui nh v qun l cht lng phng x; - S lng pha ch, th tch pha ch, s lng cp pht, a ch cp pht phi c theo di chi tit, cp nht sau mi ln pha ch, cp pht. c) Phm vi bo ch thuc ng y v thuc t dc liu: - Bo ch, sao tm thuc phin dng trong bnh vin; - Sc thuc thang cho ngi bnh; - Sn xut mt s dng thuc t dc liu dng trong bnh vin; - Ty iu kin ca tng bnh vin a khoa, Lnh o bnh vin quyt nh vic bo ch thuc ng y v thuc t dc liu trc thuc khoa Y hc c truyn hoc khoa Dc. 5. Quy trnh pha ch a) Xy dng quy trnh pha ch cho mi thuc, xin kin ca Hi ng khoa hc bnh vin v trnh Gim c ph duyt. Quy trnh pha ch bao gm: - Tiu chun chuyn mn (tiu chun c s, tiu chun Vit Nam); - Cng thc pha ch; - Quy trnh pha; - Tiu chun v yu cu v nguyn liu, ph liu; - Tiu chun thnh phm. b) Kim sot bn thnh phm hoc thnh phm theo yu cu ca mi loi thuc pha ch, bo ch thuc ng y v thuc t dc liu. c) Sau khi pha ch vo s theo di pha ch (theo mu Ph lc 15), i chiu li n, kim tra tn ha cht, liu lng dng pha v dn nhn thnh phm ngay. d) Kim tra thnh phm trc khi pht thuc cho ngi bnh (t kim tra hoc gi thnh phm kim tra ti cc c s hp php khc). ) n thuc cp cu phi pha ngay, ghi thi gian pha ch vo n v giao thuc ngay. 6. Thc hin kim sot, kim nghim cht ch cc thuc pha ch v lu mu theo quy nh. 7. Kim tra sc khe i vi dc s pha ch thuc: 6 thng/ln. iu 19. Thng tin thuc, t vn s dng thuc 1. Cng tc thng tin thuc v t vn v s dng thuc 13

a) T chc n v thng tin thuc ph bin, theo di, tuyn truyn s dng thuc an ton, hp l v hiu qu. b) Thng tin v thuc: tn thuc, hot cht, liu dng, liu c, qu liu; hiu chnh liu cho cc i tng ngi bnh c bit; ch nh, chng ch nh, tc dng khng mong mun ca thuc, tng tc thuc, tng hp, tng k ca thuc; la chn thuc trong iu tr; s dng thuc cho ph n c thai/cho con b, cc lu khi s dng thuc. c) Thng bo kp thi nhng thng tin v thuc mi: tn thuc, thnh phn; tc dng dc l, tc dng khng mong mun, ch nh, chng ch nh, liu dng n cc khoa lm sng. d) T vn cho Hi ng thuc v iu tr trong vic la chn thuc a vo Danh mc thuc dng trong bnh vin, trong vic xy dng tiu ch la chn thuc trong u thu. ) T vn v s dng thuc cho bc s k n la chn thuc trong iu tr. e) Hng dn v s dng thuc cho iu dng, ngi bnh nhm tng cng s dng thuc an ton, hp l; hng dn cch dng, ng dng, khong cch dng, thi im dng thuc; hng dn, theo di, gim st iu tr. g) Tham gia ph bin, cp nht cc kin thc chuyn mn lin quan n thuc v s dng thuc cho cn b y t. h) Tham gia cng tc cnh gic dc; theo di, tp hp cc bo co v tc dng khng mong mun ca thuc trong n v v bo co v Trung tm Quc gia v Thng tin thuc v theo di phn ng c hi ca thuc. xut bin php gii quyt v kin ngh v s dng thuc hp l, an ton. i) Tham gia nghin cu khoa hc v s dng thuc, v th nghim thuc trn lm sng, nh gi hiu qu kinh t y t trong bnh vin. k) Tham gia ch o tuyn trc i vi bnh vin tuyn trung ng v tuyn tnh. 2. S dng thuc a) Xy dng hng dn s dng danh mc thuc bnh vin. b) Xy dng cc tiu ch la chn thuc, ho cht (pha ch, st khun) cung cp cho Hi ng thuc v iu tr v Hi ng u thu la chn thuc, ha cht (pha ch, st khun) s dng trong bnh vin. c) Kim tra, gim st vic s dng thuc hp l, an ton trong bnh vin. d) nh gi s dng thuc v ch nh (s ph hp vi hng dn iu tr, vi danh mc thuc bnh vin), chng ch nh, liu dng, tng tc thuc thng qua vic duyt thuc cho cc khoa lm sng v tham gia phn tch s dng thuc trong cc trng hp lm sng v nh gi qu trnh s dng thuc. ) Kim sot vic s dng ho cht ti cc khoa, phng. 14

iu 20. Qun l, theo di vic thc hin cc quy nh chuyn mn v dc ti cc khoa v Nh thuc trong bnh vin 1. Theo di, qun l vic s dng thuc trong cc t trc ti cc khoa lm sng trong bnh vin 2. Theo di v tham mu cho Gim c bnh vin vic thc hin cc quy nh chuyn mn v dc i vi cc khoa lm sng, cn lm sng v nh thuc bnh vin. Chng IV IU KHON THI HNH iu 21. Hiu lc thi hnh Thng t ny c hiu lc t ngy 25/7/2011 v thay th quy nh v Quy ch cng tc khoa Dc, Dc s ph trch kho v cp pht, Dc s pha ch thuc v Trng khoa Dc trong Quyt nh s 1895/1997/BYT-Q ngy 19 thng 9 nm 1997 ca B trng B Y t v vic ban hnh Quy ch bnh vin. iu 22. Trch nhim thi hnh Cc ng, b: Chnh Vn phng B, Cc trng Cc Qun l khm, cha bnh, Chnh Thanh tra B, Tng Cc trng, Cc trng cc Cc, V trng cc V thuc B Y t, Gim c bnh vin, Vin c ging bnh trc thuc B Y t, Gim c S Y t tnh, thnh ph trc thuc Trung ng v Th trng y t cc B, ngnh chu trch nhim t chc thc hin Thng t ny. Trong qu trnh thc hin nu c kh khn, vng mc cc n v, cc a phng cn phn nh kp thi v B Y t (Cc Qun l khm, cha bnh) c hng dn, xem x t v gii quyt./.Ni nhn:- Vn phng Chnh ph (Cng bo, Cng thng tin in t Chnh ph); - B T php (Cc Kim tra vn bn QPPL); - B, c quan ngang B, c quan thuc Chnh ph; - B trng ( b/c); - Cc Th trng BYT; - Cc V, Cc, Tng cc, Vn phng B, Thanh tra B thuc B Y t; - UBND cc tnh, thnh ph trc thuc trung ng; - S Y t tnh, thnh ph trc thuc trung ng; - Cc n v trc thuc B Y t; - Y t cc B, Ngnh; - Cng Thng tin in t ca B Y t, Website Cc QLKCB; - Lu: VT, PC, KCB.

KT. B TRNG TH TRNG

Nguyn Th Xuyn

15

PH LC (ban hnh km theo Thng t s 22/2011/TT-BYT ngy 10/6/2011 ca B trng B Y t) 1. Th kho ................................................................................................ 17 2. D tr thuc ......................................................................................... 18 3. Bo co cng tc khoa Dc bnh vin ............................................... 19 4. Bo co s dng thuc ......................................................................... 20 5. Bo co s dng khng sinh ................................................................. 21 6. Bo co s dng ha cht .................................................................... 30 7. Bo co s dng vt t y t tiu hao ..................................................... 31 8. Bin bn kim k thuc ........................................................................ 32 9. Bin bn kim k ha cht ................................................................... 33 10. Bin bn kim k vt t y t tiu hao ................................................. 34 11. Bin bn xc nhn thuc/ha cht/vt t y t tiu hao mt/hng/v ... 35 12. Bin bn thanh l thuc ...................................................................... 36 13. S hp Hi ng thuc v iu tr ...................................................... 37 14. S kim nhp thuc/ha cht/vt t y t tiu hao ............................... 39 15. S pha ch thuc ................................................................................. 41

16

PH LC 1 B Y t (S Y t):.. Bnh vin: .

TH KHONgy.thng.nm

MS: 04D/BV-01 S:

Tn thuc, ha cht, vt t y t tiu hao:..M s:............... Hm lng, nng , quy cch ng gi:..M vch:.. n v:

S chng t Ngy thng Nhp Xut

L sn xut

Hn dng

Din gii

S lng S lng Tn tn Nhp Xut cui u k k

Ghi ch

17

PH LC 2 B Y t (S Y t): Bnh vin:

D TR THUCKnh gi: .

MS: 06D/BV01 S: .

S TT

Tn thuc Nng , hm lng

n v

Hng, nc SX

S lng

n gi

Thnh tin

Ghi ch

NGI LP BNG

TRNG KHOA DC

Ngy thng nm GIM C (K tn v ng du)

H tn:

H tn:

H tn:

18

PH LC 3 B Y t (S Y t):..... BV: ...........................

BO CO CNG TC KHOA DC BNH VINNm n v 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 S lng

MS: 10D/BV-01 S:...................

TT Ni dung 1 Tng s tin mua thuc Trong : - Tin thuc ngoi nhp - Tin thuc trong nc sn xut 2 Tin mua ha cht xt nghim, thuc th (HC,TT) 3 Tin mua vc xin, sinh phm, vt t y t tiu hao (VT) Trong : - Tin mua vc xin, sinh phm (VX, SP) 4 Tng tin thuc s dng (SD) Trong : - Tin thuc khng sinh (KS) - Tin thuc Vitamin (Vit.) - Tin Dch truyn (DT) - Tin thuc Corticoid (Cor.) - Tin thuc khc 5 Tin mu s dng 6 Cc ngun tin thuc s dng Trong : - Tin thuc BHYT

T l (%) tin mua thuc/vin ph

tin HC, TT/vin ph (VP) tin VX, SP, VT/VP tin vc xin, SP/VP tin thuc SD/vin ph tin KS/tin thuc SD tin Vit./tin thuc SD tin DT/tin thuc SD tin Cor./tin thuc SD tin t.khc/tin thuc SD

- Tin thuc tr em 6 tui c th BHYT - Tin thuc ngi ngho c th BHYT 1.000 tin thuc ngi ngho/VP - Tin thuc khc 1.000 tin thuc khc/VP 7 Tai bin trong s dng thuc - Do nhm ln, sai st k thut ln - Do tc dng khng mong mun ca thuc ln 8 Bo co v tc dng khng mong mun ca thuc n c quan qun l cp trn - T nhn x t vic thc hin cc quy nh v cng tc khoa Dc: ................................... .. - T nh gi v s dng thuc hp l trong iu tr:............................................................................................... - Kin ngh vi S Y t, B Y t: .............................................................................................................................. Ngy ....... thng...... nm .............. TRNG KHOA DC TP. TI CHNH-K TON GIM C

tin thuc BHYT/VP tin thuc TE/VP

H tn:.....................................

H tn:.....................................

H tn:...................................

Hng dn: - Khoa Dc v Phng Ti chnh - K ton phi hp lm bo co theo quy nh

19

PH LC 4 B Y t (S Y t).............. BV: ...................................

BO CO S DNG THUCthng......./..............

MS: 05D/BV-01 S:.....................

S TT 1

M 2

Tn thuc, nng , hm lng 3

n v 4

n gi 5

Ni tr S Tin lng 6 7

Ngoi tr S Tin lng 8 9

n v: 1.000 Khc Hu Tng cng S Tin S Tin S Tin lng lng lng 10 11 12 13 14 15

Cng khon: Ngy thng nm GIM C (K tn, ng du)

NGI LP BO CO

TRNG PHNG TCKT

TRNG KHOA DC

H tn.................................

H tn...................................

H tn: .......

H tn.................................

Hng dn: Khoa Dc v phng Ti chnh - K ton phi hp lm bo co 20

PH LC 6 B Y t (S Y t).............. BV: ................................... S TT 1 Tn ho cht nc sn xut 3

BO CO S DNG HO CHTthng........../................. n v n gi 5 Lm sng S Tin lng 6 7 Cn lm sng S Tin lng 8 9 Khc S Ti lng n 10 11

MS: 08D/BV-01 S:..................... n v: 1.000 Hu Tng cng S Tin S Tin lng lng 12 13 14 15

M 2

4

Cng khon: Ngy ...... thng ..... nm .......... GIM C (K tn, ng du)

NGI LP BO CO

TRNG PHNG TCKT

TRNG KHOA DC

H tn...................................

H tn....................................

H tn....................................

H tn......................................

Hng dn: Khoa Dc v phng Ti chnh - K ton phi hp lm bo co theo quy nh. 30

PH LC 7 B Y t (S Y t).............. BV: ................................... S TT 1

BO CO S DNG VT T Y T TIU HAOThng........../................. n v 4 n gi 5 Ni tr S Tin lng 6 7 Ngoi tr S Tin lng 8 9

MS: 09D/BV-01 S:.....................

M 2

Tn vt t y t tiu hao 3

n v: 1.000 Khc Hu Tng cng S Tin S Tin S Tin lng lng lng 10 11 12 13 14 15

Cng khon: Ngy...... thng .... nm ......... GIM C (K tn, ng du)

NGI LP BO CO

TRNG PHNG TCKT

TRNG KHOA DC

H tn................................

H tn...................................

H tn...................................

H tn..................................

Hng dn: Khoa Dc v phng Ti chnh - K ton phi hp lm bo co theo quy nh. 31

PH LC 8 B Y t (S y t):... MS: 11D/BV-01 BIN BN KIM K THUC Bnh vin:.. S Thngnm. Khoa:. - T kim k gm c: 1. Chc danh 2. Chc danh 3. Chc danh 4. Chc danh 5. Chc danh - kim k ti:.........t gi.ngy..thng nmn..gi.ngy..thng.nm - Kt qu nh sau: S TT 1 Tn thuc, nng , hm lng 2 n v 3 S kim sot 4 Nc sn xut 5 Hn dng 6 S lng S sch 7 Thc t 8 9 10 Hng, v Ghi ch

Cng khon kin xut: ..... ...THNH VIN(k v ghi r h tn)

TH K

CH TCH HI NG KIM K

-

H v tn:

H v tn:

32

PH LC 9B Y t (S y t):.. Bnh vin:. Khoa:

BIN BN KIM K HA CHTThngnm.

MS: 12D/BV-01 S:.

- T kim k gm c: 1. 2. 3. 4. 5. Chc danh Chc danh Chc danh Chc danh Chc danh - kim k ti:.........t gi..ngy..thng nmn..gi.ngy..thng.nm - Kt qu nh sau: Tn ha cht, quy cch ng gi2

S TT1

n v3

S kim sot4

Nc sn xut5

S lng S sch6

Hng v7 8

Ghi ch9

Thc t

Cng khon

kin xut: .. . THNH VIN TH K CH TCH HI NG KIM K(k v ghi r h tn)

H v tn: H v tn: ..

33

PH LC 10B Y t (S y t):. Bnh vin:. Khoa:.

BIN BN KIM K VT T Y T TIU HAOThngnm.

MS: 13D/BV-01 S:.

1. 2. 3. 4. 5. -

T kim k gm c: Chc danh Chc danh Chc danh Chc danh Chc danh kim k ti:.........t gi..ngy..thng nmn..gi.ngy..thng.nm Kt qu nh sau:

S TT1

Tn vt t y t tiu hao2

n v3

S kim sot4

Nc sn xut5

S lng S sch6

Hng v7 8

Ghi ch9

Thc t

Cng khon

kin xut: .............. . THNH VIN TH K CH TCH HI NG KIM K(k v ghi r h tn)

-

H v tn:

H v tn:

34

PH LC 11B Y t (S y t): Bnh vin:. Khoa:.

BIN BN XC NHN THUC/HA CHT/VT T Y T MT/HNG/V

MS: 14D/BV-01 S .

- Hi:gi., ngy .thng.nm - Chng ti gm: 1. 2. 3. 4. 5. Chc v Chc v Chc v Chc v Chc v

- tin hnh ti ch v xc nh tnh trng.b.di y: S TT1

Tn thuc/ha cht/vt t y t tiu hao2

n v3

S kim sot4

Nc sn xut5

Hn dng6

S lng7

Kt lun/ghi ch8

Cng khon: Ngy .thng .nm 20 CH TCH HI NG

THNH VIN(k v ghi r h tn)

TH K

-

H tn:

H tn: 35

PH LC 12B Y t (S y t): Bnh vin: Khoa:

BIN BN THANH L THUC, HA CHT, VT T Y T TIU HAOThngnm.

MS: 15D/BV-01 S .

-

Hi ng thanh l gm c:

1. Ch tch Hi ng: 2. Th k: 3. Trng khoa Dc: 4.Trng phng Ti chnh - K ton 5.Thng k dc: tin hnh hp x t thanh l ti:t ..gi., ngy// n..gi., ngy.// Kt qu nh sau: S TT1

Tn thuc, ha cht, vt t y t tiu hao2

n v3

S kim sot4

Nc sn xut5

Hn dng6

n gi7

Xin thanh l S lng8

Thnh tin9

Kt lun, ghi ch10

Cng khon:

kin xut: Ngy . thng nm 20 THNH VIN TH K CH TCH HI NG(k v ghi r h tn)

H tn: H tn 36

PH LC 13 MS: 31/BV-01B Y T (S Y T)

BNH VIN

S HP HI NG THUC V IU TR

Hng dn: - In kh A3 gp i, trang u in nh trang ba, hng dn in ba 2. - Bn trong: ni dung hp in vo ba 2, cc trang k dng.

-

-

Bt u s dng ngy: ......../......../........... Ht s, np lu tr ngy: ......../......../...........

37

HNG DN HP HI NG THUC V IU TRA. PHN HNH CHNH - Ngy .././. - Thnh phn: Ghi r h tn, chc danh, chc v (nu c). - Ch ta: Gim c hoc Ph Gim c chuyn mn - Th k: Trng phng K hoch tng hp B. THNG TRC HI NG 1. Bo co cng tc thng qua, c nhn x t u, khuyt im, kinh nghim v b sung v cc mt: - Cung ng thuc ca bnh vin; - Danh mc thuc ca bnh vin; - S dng thuc an ton, hp l v hiu qu cc khoa; - Thc hin cc quy ch lm h s bnh n, khm bnh, k n, s dng thuc, cng tc khoa Dc; - Thc hin cc hng dn iu tr; - Tc dng khng mong mun nu c; - Thng tin v thuc. 2. Nhng vic lm trong thng ti ca Hi ng (nu c th). C. THO LUN TNG NI DUNG V NHNG KIN T VN CHO GIM C BNH VIN - Tho lun b sung v xc nh; - xut. D. KT LUN CA CH TA - nh gi cng tc thng qua; - Xc nh nhng vic lm trong thng ti; - Phn cng cc cng vic cho thnh vin trong Hi ng; - Nhng kin xu.

38

PH LC 14 MS: 01D/BV-01B Y T (S Y T)

BNH VIN..................................................

S KIM NHP THUC, HA CHT, VT T Y T TIU HAO

Hng dn: - In kh A3 gp i, trang u in nh trang ba. - Bn trong, t trang 2 v 3, c 2 trang mt, in ni dung mu trang sau.

-

-

Bt u s dng ngy: ......../......../........... Ht s, np lu tr ngy: ......../......../...........

39

T T 1

S chng t 2

Tn thuc, ha cht, vt t y t tiu hao 3

n v 4

S Nc Hn kim sn dng sot xut 5 6 7

n gi 8

S lng 9

Thnh tin 10

Ghi ch 11

Hng dn:- Hi ng kim nhp theo Thng t quy nh t chc v hot ng khoa Dc bnh vin; - Ngy, thng, l do nhp ghi gia trang, sau ghi thnh vin Hi ng; - Kim nhp theo trnh t thuc, ha cht v vt t y t tiu hao; - Cui cng cc thnh vin Hi ng k; - Vit tt ghi vo ct s chng t (6): Ha n: H.

40

PH LC 15 MS: 01D/BV-01B Y T (S Y T)

BNH VIN..................................................

S PHA CH

Hng dn: - In kh A3 gp i, trang u in nh trang ba. - Bn trong, t trang 2 v 3, c 2 trang mt, in ni dung mu trang sau.

-

-

Bt u s dng ngy: ......../......../........... Ht s, np lu tr ngy: ......../......../...........

41

TT 1

H tn, tui, a ch ngi bnh 2

Khoa, bung 3

Tn thnh phm 4

S lng 5

Hng dn: - Ngy, thng ghi gia trang, ht ngy k ngang ghi tip; - Ht thng tng kt ngay, vo s, lm bo co.

Cng thc pha 1

S lng pha 2

H tn, chc danh, ch k ngi pha ch 3

Ngi kim sot 4

Ghi ch 5

42

43

44

32

30

30

30

30