cập nhật các văn bản về phòng chống covid19 trong giai đoạn mới

sung dinh mire su dung thee quy dinh va bao dam du phong trang thiSt bi, V?t tir tieu hao, thuoc thiSt ySu dap irng voi nhu c:1u diSu tri va diSn bien tinh hinh dich benh COVID-19.. S6 h[r]

BQYTE CONG HOA. xAHOI CHU NGHiA VIET NAM. . S6: ~1d/Qf)-BYT

DQc lip - Tv do - H,nh phiic Ha N(>i,ngay lhhimg 3ndm 2020

QUYETDINH

v~vi~c ban hanh Danh muc trang thi~t b], v~t nr tieu hao va thuBc thi~t y~u ciia 01 Khu vl}'cdi~u tr] each ly ngmri b~nh COVID-19

BQ TRUONG BQ Y TE Can ctr Ludt Phong chong benh truyen nhiim ndm 2007; Can ctsLudt Kham benh, chua benh ndm 2009;

Can cu Nghi dinh s6 75/2017/ND-CP 20/6/2017 cua Chinh phu quy dinh chuc nang, nhiem v¥, quyen han v~co cdu t6 chtrc cua B(>Yti;

Can cu Quyet dinh s6170/QD-TTg 30/01/2020 cua Thu tuong Chinh phu v~viec 19p Ban chi ago Qu6c giaphong, chong dich benh viem duong h6 hdp cdp chung moi cua vi rut Corona gay ra;

Xet a~ nghi cua Cue truong Cue QuemIy Khdm, chua benh, B(>Y ti. QUYETDINH:

Di~u 1.Ban hanh kern thea Quyet dinh Danh fi\lC trang thiSt bi, v~t tu tieu hao va thu6c thiSt ySu cua 01 Khu VlJCdiSu tri cach ly nguai b~nh COVID-19:

1) Khu VlJCdiSu tri cach ly nguai b~nh COVID-19 v6i co s6 20 giuang b~nh t;;tiB~nh vi~n tuySn Trung uang, tuySn Tinh, ph6 tflJc thuQc Trung uang duQ'c phan cong la b~nh vi~n tuySn cu6i cua Trung uang; cua tinh, ph6 tflJCthuQc trung uang thu dung diSu tri nguai b~nh n?ng, nguy kich tiTtuySn du6i

- Danh fi\lC trang thiSt bi thiSt ySu (Ph\ll\lc s6 1.1) - Danh fi\lC v~t tu tieu hao thiSt ySu (Ph\ll\lc s6 1.2) - Danh fi\lC thu6c thiSt ySu (Ph\ll\lc s6 1.3)

2) Cac b~nh vi~n khac tiSp nh~n, quan ly diSu tri nguai b~nh COVID-19 (danh fi\lC va co s6 sir d\lng cho b~nh vi~n):

- Danh fi\lC trang thiSt bi thiSt ySu (Ph\ll\lc s6 2.1) - Danh fi\lC v~t tu tieu hao thiSt ySu (Ph\ll\lc s6 2.2) - Danh fi\lC thu6c thiSt ySu (Ph\ll\lc s6 2.3)

Di~u 2. Giani d6c cac B~nh vi~n tflJc thuQc BQ Y tS, Giafi d6c Sa Y tS cac tinh, ph6 trlJc thuQc Trung uang, Thu twang Y tS nganh, din cu vao Danh fi\lC trang thiSt bi, v~t tu tieu hao, thu6c thiSt ySu quy dinh t;;tif)iSu dS soM, b6 Đơn vị ban hành:Bộ Y tế

Chứng thư: Bộ Y tế

sung dinh mire su dung thee quy dinh va bao dam du phong trang thiSt bi, V?t tir tieu hao, thuoc thiSt ySu dap irng voi nhu c:1u diSu tri va diSn bien tinh hinh dich benh COVID-19 S6 hrong su dung thuc tS thee s6 hrong ngiroi benh COVID-19

lli~u 3. Quyet dinh co hieu hrc kS nr ky, ban hanh Tnroc thai diem Quyet dinh co hieu lire, cac don vi da: thuc hien thu tuc d:1u tu phuong tien phong hQ ca nhan, trang thiet bi, V?ttir tieu hao, thu6c cua don vi each Iy diSu tri Covid-19 thee Cong van s6 1041KCB-NV 01/02/2020 cua C\lC quan ly kham, chua benh - BQ Y tS, diroc phep tiSp tuc triSn khai thuc hien va t6 chirc quan Iy thee quy dinh

lli~u 4. Cac ong, ba: Chanh Van phong BQ, Chanb Thanh tra BQ, V\l tru6ng, C\lC tru6ng cac V\l, C\lC thuQC BQ Y tS, Tru6ng Ban chi d(;lophong, ch6ng dich b~nh COVID-19 cua cac tinh, ph6, Giam d6c cac B~nh vi~n, Vi~n trvc thuQc BQ Y tS, Giam d6c So' Y tS cac tinh, ph6 trvc thuQc Trung uong, Thu tru6ng Y tS cac nganh chiu trach nhi~m thi hanh QuySt dinh nay.!

Nui nh~n: - NhuDi~u4;

- PTTg Vii Duc Dam, TBCDQGPCD COVID19 (d~ b/cao);

- Cac Thu trm'mg(d~ ph6i hqp); - C6ng thong tin di~ntlrBOY t~;

Website Cvc KCB; - Luu: VT, KCB

KT. BQ TRUONG ~ . -~U TRUONG

N rU'iYngSoon

TrU'O'ng Tieu ban di~u tri - Ban chi

Phu Inc s& 1.1

DANH MVC TRANG °THIET BITHIET YEU

STT Ten trang thi~t b] S61U'Q'llg

1 May tho chirc nang eao

2 May tho khong xam nhap

3 May tho xach tay kern van PEEP, bQday

4 May19C mau lientuc (cho don vi dacodu nanglire thirc hien) H~ thong ECMO (cho don vi da c6 du nang hrc thuc hien)

6 Mayxquang di dQng

7 May sieu am pOPl?lermau 2: dau (may phai c6 dau va tinh nang, phan mem chirc nang tim)

8 May mau (do duoc dien giai do, lactat,hematocrite)

9 May thea d5i benh nhan 2: thong so 15

10 May thea doi benh nhan 2: thong so (Sp02 va nhip mach) 11 H~ thong oxy (c6 the thay the bang binh xy hoac xy hoa

long)

12 Bam tiem dien 28

13 May truyendich 22

14 May hut dam 20

15 May hutdich lien tuc ap hrc thap

16 May hut dfinhrumang phoi kin

17 BQdat nQikhi quan thuong

18 BQd~t nQikhi quan c6 camera

19 BQkhi dung ket noi may tho

20 May dung

21 May pha rung tim c6 tao nhip

22 May di~n tim 2: kenh

23 BQrnakhi quan

24 Den thu thu~t

25 May19C va klnr khuan khong (so hrong thea dien tich phong to hay nho)

26 May phun dung dichklnr khuan: khir khuan be mat cac phong each ly

27 DenCl,l'Ctim

28 Xe to CUu thuong Can doi giira so

Phu Inc sA 1.2

DANH MVC V~ T TV·TIEU HAO THIET YEU (Casa cho di~utri trong3tuan)

STT Ten thi~t hi Don vi SfiIU'Q1lg

1 Hop dung m~u benh pham h(>p 10

2 Tupe dung moi tnrong v~n chuyen benh pham cai (hop 50 cai) 200 Tam bong mern 1frybenh pham mlii cai (hop 100 cai) 200

4 Day hut dorn kin chiec 20

5 Day hut dam thuong chiec 1000

6 Mask co tui chiec 60

7 Mask tho may khong xam nhap chiec 70

8 RAM tho khong xam nhap (NCP AP) chiec 70

9 B(>day va mask dung dung 1fin chiec 450

10 Day tho oxy chiec 450

11 Qua 1QCmau lien tuc (1 qua/ngay/bn x bn 1QC qua 24 mau x 12 ngay)

12 Catheter loc man cai

13 Qua ECMO (cho don vi dff co du nang luc thuc qua

.hien)

14 Catheter ECMO dong mach va tinh mach (cho b(>

don vi dff co du nang hrc thuc hien)

15 Day may tho dung mot lfin b(> 12

16 B(>do huyet ap d(>ngmach xam nhap b(>

17 Catheter d(>ngmach (theo doi HA xam 1frn) chiec

18 Tui dung dich thai IQCmau mi 24

19 Ong n(>ikhi quan hut tren cuff (Hi-Lo EVAC) cai 12

20 Catheter d~t tInh m~ch trung tam nang cM 10

21 Catheter d~n luu mang ph6i cai

22 Tui nu6c ti€u tui 25

23 Sonde foley cai 10

24 f)i~n ClJCdinh cai 400

25 Ph in IQckhuAn va vi rut day may tha cM 50

26 B(>di~n cvc may t~o nhip ngoai b(>

27 Day nbi may tha chi€c 12

Phu luc sA 1.3

DANHM1)C THUDC THItT YEU (Cosa cho ili€u trj trong3tufzn)

STT Ten thoAe, n6ng dQ - ham hrQ'llg Duong dung Th~ tieh ciia Don sA hrong don vi dong vi

goi nho nhAt (d6i vo; tho6e dang long)

1 Immunoglobulin S% Tiern/Truyen SOml 1<;> 100

hoac Immunoglobulin 10% Tiem/Truyen SOml 1<;>

2 Vancomycin SOOmg TiemlTruyen 1<;> 180

3 Meropenem SOOmg TiemlTruyen 1<;> 1000

4 ImipenemlCilastatin SOOmg Tiem/Truyen 1<;> 1000

+SOOmg

S Ceftriaxon 1g TiemlTruyen 1<;> 1000

hoac Cefotaxime 1g Tiem/Truyen 1<;>

6 Levofloxacin 2S0mg/SOml Tiem/Truyen SOml 1<;> 1000

7 Ceftazidime 1g Tiem/Truyen 1<;> 800

8 Cefoperazol 1g TiemlTruyen 1<;> 800

9 Amikacin S00mg/2ml Tiern/Truyen 1<;> 1000

Amikacin SOOmg/1OOml TiemlTruyen 1<;>

10 Azithromycin SOOmg Uang Vien 240

Azithromycin siro 200mg/Sml Uong l Sml 1<;>

11 Adrenalin 1mg/ml Tiem/Truyen lrnl

,

ang SOO

12 Nor-adrenalin l mg/ml Tiem/Truyen lrnl

,

ang SOO

13 Milrinon 1mg/ml Tiem/Truyen 10ml 1<;> 220

14 Dopamin 200mg/Sml Tiem/Truyen Sml 6ng 120

IS Dobutamin 2S0mg/20ml TiemlTruyen 20ml 6ng 120

Dobutamin 2S0mg/SOml Tiem/Truyen SOml

,

ang

16 Midazolam Smg/ml Tiem/Truyen 1ml

,

ang 600

17 Morphin 10mgllml Ticrn/Truyen 1ml

,

ang 120

18 FentanylO,lmg/2ml Tiem/Truyen 2ml

,

ang 120

19 Vecuronium 4mg TiemlTruyen 1<;> 350

20 Atracurium 10mg/ml Tiern/Truyen 2,5ml

,

ang 350

21 Heparin S.OOOUI/ml TiemlTruyen Sml 1<;> 50

22 Phenobarbital 1OOmg/1ml Tiem/Truyen l ml

,

ang 300

STT Ten tbu6c, nang dt} - bam IU'Q1lg Duongdung Tb~ ticb ella Don S61U'Q1lg don vi dong vi

goi nho nbAt (d6i v6i tbu6c dang long)

24 Calcigluconat 10% Tiem/Truyen 10ml ong 200

Calciclorua (Calciclorid) 10% Tiem/Truyen Sml

,

ong

2S Natribicacbonat 8,4%, Tiem/Iruyen 10ml

,

300 ong

26 Magiesulphat lS% Tiern/Truyen Sml

,

ong 200

27 Albumin 20% Tiem/Truyen SOml lQ 100

28 Dich loc mau lien tuc thea may Dung dich loc S lit tui 400

29 Natri clorid 0,9% Tiem/Truyen 100ml chai 1000

30 Glucose S% Tiem/Truyen 2S0ml chai 1000

31 Glucose 10% Tiem/Truyen 2S0ml chai SO

32 Ringer lactat Tiem/Truyen SOOml chai 1000

33 Ringer lactat +Glucose S% Tiern/Truyen SOOml chai 1000

34 Hydrocortisol 100mg TiemlTruyen lQ 70

3S Methyl Presnisolon 12Smg Tiem/Truyen lQ 70

36 Thuoc khac din thiet, se sir dung ill nguon thuoc s~n co cua benh vien

/

Phu Inc so 2.1

DANH MVC TRANG·THIET Bl THIET YEU

STT Ten trang thi~t b] sA hrong

1 May tho xach tay kern van PEEP, b(>day

2 May xquang di dong

3 May theo doi benh nhan ?; thong s6

4 May theo d5i benh nhan ?; thong s6 (Sp02 va nhip

mach)

5 May d(>bao hoa 0xy keptay

6 H~ thong oxy (co the thay the bang binh 0xy hoac xy hoa long)

7 Bam tiem dien

8 May truyen dich

9 May hut dam

10 May hut d~n luu mang phoi kin di dong

11 B(>d(tt noi quan thuong

12 Den thu thuat

13 May IQCva klnr khuan khong (so IUQl1gtuy theo

dien tich phong to hay nho)

14 May phun dung dich khir khuan: khir khuan be mat

Phu Inc s62.2

DANH MVC V~ T TU·TIEU HAO TIDET YEU (CO's6 cho di~u trj trong 3tulin)

STT Ten thi~t hi Don vi S61U'Q11g

1 Hop dung mfiu benh pham h(>p 10

2. Tupe dung moi tnrong v~n chuyen benh pham hop 50 cai 100

3 Tam bong mem lfty benh pham miii hop 100 cai 100

4. Mask cotui chiec 20

5. Day tho oxy chiec 50

6 Sonde foley

,.

cal 5

7 Dien cue dinh cai 50

8 V~ttu tieu hao khac n~u d.n thiet, se su dung til

,

Phu luc sA 2.3

DANH M1)C THUDC THIET YEU (CO's6 cho ili~u trj trong3tulin)

STT Ten thu6e, nAng dQ - ham hrong DU'O'ng Th~ tich ciia don Don S6

dung vidong goi nho vi IU'Q'Dg

nh§t (d6i vrri thu6e dang long)

1 Ceftriaxon 1g Tiem/Truyen 19 SO

hoac Cefotaxime 1g Tiem/Truyen 19

2 Levofloxacin 2S0mg/SOml TiemlTruyen SOml 19 20

3 Ceftazidime 1g Tiem/Truyen 19 30

Cefoperazo11g Tiem/Truyen 19

4 Amikacin SOOmg/2m1 Tiem/Truyen 19 20

Amikacin SOOmg/100m1 Tiem/Truyen 19

S Azithromycin SOOmg Uong Vi en SO

6 Azithromycin siro 200mg/Sml Uong l Sml 19 20

7 Adrenalin 1mg/ml Tiem/Truyen 1ml

,

ong 70

8 Nor-adrenalin 1mg/ml Tiem/Truyen 1ml

,

ong 70

9 Midazolam Smg/ml Tiem/Truyen 1m1

,

ong SO

10 Natri clorid 0,9% Tiem/Truyen 100ml chai ISO

11 Glucose S% TiemlTruyen 2S0ml chai ISO

12 Glucose 10% Tiem/Truyen 2S0ml chai 70

13 Ringer lactat Tiem/Truyen SOOml chai ISO

14 Ringer lactat +Glucose S% Tiem/Truyen SOOml chai ISO

IS Hydrocortisol 100mg Tiem/Truyen 19 ISO

16 Methyl Presnisolon 12Smg Tiem/Truyen 19 SO

17 Thuoc khac can thiet, se su dung tilnguon thuoc s~n co cua benh vien