Analysis of selected technical and technological options

Một phần của tài liệu Dự án Bệnh viện Đa khoa Quốc tế Phương Đông tỉnh Bạc Liêu Bản dịch tiếng anh 0918755356 (Trang 22 - 31)

1. Technical process of prescribing and outpatient treatment.

To implement the new regulations on outpatient prescription issued by the Ministry of Health. The contents are as follows:

 Doctors must prescribe and sell drugs according to the list of 30 types of drugs as follows: addictive drugs, anesthetics, antibiotics, helminthic drugs, drugs for TB treatment, drugs for cancer treatment and impact In the immune system, drugs used in diagnosis, blood- preparations from blood, drugs that affect blood clotting, cardiovascular drugs, diuretics, medicines to elastic pupils, asthma medications, dyslipidemic drugs, intravenous fluids, diuretics, stomach ulcers ....

For drug-addictive groups, the prescriber must also comply with the following regulations: the first name of the drug must be capitalized, the number 0 in front of the drug quantity. Particularly functional foods because they are not considered medicinal so they will not be listed in these prescriptions.

 In order to get rid of sloppy prescriptions, the new regulation requires the prescriber to write the name clearly so that the patient and the seller can read it.

The name of the medicine must be written according to the international name, with the correct content, dosage and quantity, including the address of the patient and prescriptions in this new way are only valid for 5 days, less than 5 days in comparison with previous regulations. In particular, for prescriptions for children under 6 or under 72 months of age, must to write their old and the name of mother and farther should be written.

2. Overview of the application of technical services

PHACO cataract surgery: This is a surgical replacement of the vitreous by ultrasound of the ophthalmic ophthalmic emulsion and implanted artificial glass in the eye, the time taken in the ring 30 minutes, after surgery, the patient only need hospitalization 1 day instead of previously hospitalized from 7-10 days. The ability to restore the eyes and function is very good. This is the most modern technique of the world and has been widely applied in the Eye Hospital.

Laparoscopic surgery includes the technique of surgery for gastrointestinal endoscopy, urology, obstetric and sinus surgery .... This is a surgical technique with instructions of the screen, the surgeon needs to have the hand level The

surgery and the very sensitive to perform, the incision is very small, not as much damage as conventional surgery techniques, so the patient early recovery.

Craniofacial Neurosurgery: Cases of brain tumors, neuroma, traumatic brain injury that can not be treated through the use of modern advanced surgical techniques.

Plastic surgery: Using micro surgical techniques to solve the cases of pathological deformation of parts of the body to return function and bring beauty to people with cleft palate cleft lips. congenital malformations, scars and scars ... or using this technique to enhance the beauty of the human body, such as lip, face, nose, chest, lip treatment, and so on. is a potential service in the coming years.  Diagnostic imaging: Using equipment such as color ultrasound, Doppler, CT Scancer for accurate diagnosis, increased efficiency and quality of treatment.  Artificial Insemination: Using sperm filtration techniques, hormone quantitative techniques, in vitro embryo culture techniques to assist in infertility cases, contributing to improving the quality of health care delivery. Products. In addition, some other applications such as high-tech testing, bone marrow biology, microbiology; Application of information technology in hospital management, pharmaceutical management; emergency medical and surgical resuscitation techniques, and a number of hospital support services, contributing to a significant improvement in the quality of health care for the population.

3. CT scanner systems

 According to the structure of disease is increasingly complicated, patients need to be diagnosed early and timely treatment such as diseases such as cardiovascular, joint, neurological, traumatic injuries, traffic accidents, labor accidents ... ..

 Particularly in Vietnam, the rate of traffic accidents and occupational accidents is very high, so locating the injuries is very necessary.

 The introduction of CT scanners is a new step in the diagnosis of common diseases of the internal organs of the body.

 Although the cost for a CT scan is 20 times higher than routine X-rays, people are willing to meet the need for diagnostic due to the high diagnostic results of this service.

 The morbidity and mortality in the society is becoming more complicated. The patients need to be diagnosed early and timely treatment will bring high economic effect to the society as well as the patient in particular.

4. For 3D color ultrasound

Every year, deaths from heart disease, vascular disease and obstetrics and gynecology in hospitals across the country are huge. Patients come to ultrasound

in medical facilities a lot, but the success rate is not high because the ultrasound machine is difficult to detect cardiovascular disease, because it is only one- dimensional ultrasound.

- With three-dimensional color ultrasound machine is the latest generation today, using 3D imaging technology, the ability to create 18 images/s, using 3- dimensional ultrasound technology expansion.

• Ultrasound at the request of all specialties.

• Pregnancy ultrasound, gynecological ultrasound;

• Color Doppler ultrasound for both heart and circuits.

To successfully diagnose and treat the above diseases, investing in three- dimensional color ultrasound is very necessary and urgent because it:

• Helps patients with a history of cardiovascular disease to avoid direct effects on their disease (because they have cardiovascular doppler).

• Helps patients with gynecologic and cervical cancer and ovarian cancer to cope with the disease and affects the following generations (because the device has a common probe for obstetric and gynecological);

• Help the woman to know how the fetus develops and prepare to pick up her baby when she is born.

5. Technology of the major departments and departments of the hospital.

 Personnel Department.

+ Planning on organizing and arranging human resources, training human resources, organizing recruitment exams for staff.

+ Manpower management, staff records.

+ Establish working regulations, working relationships between departments, mass organizations.

+ Protecting internal politics, close relations with party organizations and local governments.

+ Recruitment, appointment, emulation, discipline, labor safety and other policies and regimes.  General Planning Department.

+ Make plans to help the Directorate to direct, monitor and summarize all major programs and projects of the hospital such as investment plans for equipment, machinery, medicine. upgrading hospitals, foreign projects ... science and technology research programs at grassroots level, Ministry of Health and State level. Develop a plan for professional development in the hospital as well as the treatment and care of patients.

+ Foreign relations: Focal points of foreign relations, aid reception, scientific and technical exchange and training.

+ Scientific research: To monitor the implementation of the State-level scientific research projects, the Ministry of Health and hospitals. Organizing national scientific seminars and international conferences. Organizing the implementation of organ transplant surgery organ transplantation.

+ Manage and monitor training programs for students studying in hospitals.

+ Library: Managing and operating a specialized library (Surgical) in large categories with medical books, hospital management, nursing are always updated and added.

+ Health care administrative work: Organizing the work of directing the whole hospital. To harmonize the work between hospital departments, between hospitals and relevant agencies to improve the effectiveness of medical examination and treatment and treatment of patients.

+ To archive medical records: To serve the treatment, training, scientific research, certificate and forensic medicine.

+ Information technology: setting up a hospital-wide LAN for patient management and scientific research, Internet information exchange ...

 Medical Equipment and Supplies Division.

+ Supply of equipment, tools, medical supplies, statistics and management of all medical equipment - machines ... of the hospital.

+ Participating in the project to aid and improve the hospital. + Monitor the management of maintenance contracts, repair ... the equipment of the hospital.

+ Make plans to purchase, repair equipment, medical supplies for professional services. Repairing medical equipment and machines in hospitals.

+ Management of liquid oxygen supply system, compressed air station, vacuum.

Emergency medical gas supply (oxygen, compressed air, suction center) 24 / 24h.

+ Power system management, distribution room of high voltage power cutter, transformer station ... Direct electric power: high voltage, voltage generator, voltage stabilizer ... 24 / 24h + repair Small and medium power in the hospital.

Participating in the "Hospital Labor Protection Council" examines labor safety, periodically inspects safety equipment according to state regulations.

 Administration Administration Department.

+ Management of archives, seals, official dispatch to the hospital.

+ Supply of common materials: stationery, clothes, cloth for the whole hospital.

Associate relevant departments to formulate norms. Ensure the supply of norms, the right type and assurance of economic management procedures. Ensure communication in the hospital, ensure the transportation of emergency patients, pick up the professor, doctor to consult and participate in emergency

management. Managing the maintenance of bicycles and motorcycles for employees.

+ Management, maintenance, and minor repairs of infrastructure. Management and distribution of administrative goods.

+ Provide clean water in the hospital. To ensure the external hygiene and treatment of daily-life wastes and medical wastes according to regulations.

+ Ensuring the reception of domestic and international delegations to work with the hospital, serving the large conferences and meetings of the hospital.

 Accounting Department.

Collect, reflect, process and synthesize information on the funding sources to be allocated, financed, formed and the use of funds. Use of revenues arising in the units.

+ Inspecting and controlling the execution of revenue and expenditure estimates in the implementation of economic and financial criteria on the basis of standards and norms. To inspect the management and use of various kinds of supplies and assets in the units. To inspect the implementation of the discipline of budget collection and remittance, the observance of the payment discipline and the financial regimes and policies for the State.

+ Prepare and submit timely financial statements to the upper management agencies and financial agencies as prescribed. Providing necessary information and materials for the preparation of cost estimates, development of cost norms.

Analyzing and evaluating the effectiveness of the use of capital sources and funds in the units.

+ To organize the collection of hospital fees with the guideline of ensuring that the revenues are collected in a proper and sufficient manner and control the use of revenues according to the current policies and regimes so as to meet the requirements for professional operation and high efficiency.

 Line Guidance Room.

+ Planning to direct the route to the hospital director for approval to organize the implementation.

+ Monitoring, examining and evaluating the professional and technical performance of lower levels.

+ Coordinate with specialists to organize the support activities, training staff lower.

+ Maintain 2-way information with downline.

+ Periodically reviewing, summing up, drawing experience on the direction of the route to the Board of Directors and report to the higher level.

 Traditional Medicine.

The Department is responsible for the application of traditional medicine treatment to patients, such as acupuncture, acupuncture, research and verification of treatment and treatment of traditional drugs on chronic muscular diseases.

Modern medicine, the bridge between Western and Western medicine.

 Microbiology Department. + Testing on germs and parasites.

+ Training on micro-parasite testing. Support some tests for lower levels.

+ Guidelines for the deployment of micro-organism testing techniques for lower levels.

+ Participate in the infection control in the hospital.

 Ear, nose and throat department.

+ Examination and treatment of ENT in adults and children such as: wall scabs;

Laryngitis; Middle ear infection; Sinusitis ...

+ ENT surgery such as Amygdales; Sinusitis surgery; Rectangular partition;

Laryngoscope; Dancing VA ... Full laryngectomy, partial laryngectomy, surgical laryngectomy, retrograde rhinoplasty. Endoscopic sinus surgery, laryngectomy surgery, atrial surgery.

 facial teeth surgery.

+ Examination and treatment of dental diseases:

 To fill teeth such as amalgam, glassionomer, cosmetic fillings of broken teeth, chipped composite photosensitive composite, put sealant prevent tooth decay for children.

 Endodontic treatment: cases of tooth pain due to myelitis, necrosis.

Complications caused by pulp pathology, treatment of the root canal treatment is not good.

 Extraction of large broken teeth, wide shaking.

 Sub-surgery of the teeth deviated, underground, cystic surgery, dental granuloma. Periodontal: Tooth extraction, polishing, periodontal treatment, periodontal treatment for cases of gingivitis, periodontitis ...

 Treatment of bad breath is successful in some cases.

- Tooth for children: Tooth filling, tooth decay, orthodontic ...

 Teeth whitening: In cases of tooth decay color change, teeth sharp ...

+ Restorations:

 Plastic restraint, plastic frame, biosoft jaw, soft rubber cushion with teeth such as plastic teeth, composite teeth, porcelain teeth. Fixed fixation with plastic pins, ceramic pins, metal crowns, composite crowns, porcelain crowns, metal surface bridges, plastic porcelain, porcelain bridges, plastic bridge, porcelain bridge.

 Obstetrics and Gynecology.

+ Examination and treatment.

 Examination and treatment of obstetric and gynecological diseases:

Endometritis, uterine inflammation, uterine endometrium, uterine cancer, ectopic pregnancy, uterine cysts, unexplained Early ovaries...

 Antenatal care.  Perform the following procedures:

* Pap'smear (Pap smear for early detection of cervical cancer). Cervical lavage in case of widespread inflammation.

* IUD.

* Endometrial biopsy.

* Erotic beauty salon.

* Colposcopy, biopsy if abnormal.

 Pregnancy check up, periodic gynecological examination.

 Screening and detection of cervical disease.

+ Surgery:

 Laparoscopy: Cystic ovary (large, u).

 Infertility in the treatment of infertility.

 Ovarian tumors

 Open surgery: Partial uterine cleft may be accompanied by 2 sub-sections. A total uterine cyst can be attached to 2 extra parts.

- Emergency surgery: cystic ovaries break; Cystic ovary cyst; GEU rupture (ectoplasmal rupture); Uterus after insertion ...

+ Medical therapy for uterine fibroids: Uterine artery embolization (UAE) for uterine artery emboli in treating uterine fibroids.

+ Counseling on contraception, sexually transmitted diseases on prevention and treatment; Counseling treatment of infertility; Consultation on maternal and child health care.

 Resuscitation Department.

+ Infertility in surgery and postoperative analgesia.

+ Resuscitation in postoperative Claes for severe patients.

+ Scientific research and training.

+ Being an internship and rehearsal center of technicians and anesthetists in the whole province.

 Pediatrics.

+ All internal diseases from birth to 15 years old, including diseases such as:

Dengue from level I to level IV, respiratory disease, cardiovascular disease, neuropathy, urinary tract, neonatal pathology, pediatric diseases such as:

poisoning, asphyxia, shock Application of cage ventilation, and respiratory

support measures such as continuous positive pressure ventilation, mechanical ventilation.

 Foreign Studies.

The Department has specialized clinics, timely medical examination and treatment for patients. In addition to gastrointestinal surgery, the department also performed thoracic surgery, urology, intraperitoneal and peritoneal dialysis, and blood vessel surgery.

 Internal Medicine.

Medical examination and treatment of liver and gallbladder diseases, respiratory diseases, blood clots, otorhinolaryngology and some other diseases such as hepatitis, dengue fever .... In the diagnosis and treatment of gastrointestinal disorders. Examination and treatment for patients under the specialty: Neurology, Endocrinology, Dermatology.

 Medical and outpatient clinics.

+ General examination for the detection and treatment of diseases of the internal system: cardiovascular, endocrine, digestive, dermatological, Eye, Ear-Nose- Throat, Tooth-Facial, Traditional Medicine, Foreign , Orthopedic Trauma, Obstetrics and Gynecology, Pediatrics, Psychiatric...

+ Medical examination for subjects wishing to recruit labor, registration of marriages with foreigners, labor export, driver's license examinations.

+ Periodical health examinations and classification of health for officials and employees of companies, enterprises, foreign experts...

 Biochemistry

+ Perform biochemical tests in blood, urine and body fluids.

+ Assess the functions of organs such as liver, kidney, cardiovascular, pancreas...

 Pathological surgery

+ General: receiving, preservation, surgery, autopsy and funeral services as prescribed.

+ Microcirculation: receiving biopsies, deaths, surgical specimens from clinical departments to assess lesions, biopsy and death. Diagnose vaginal laminae.

Diagnostic tests of the lung, peritoneal, pericardial, synovial fluid, follicular (malignant, cystic), lymph node aspiration, lymph node aspiration, and lymph node test. Laboratory tests and diagnostic microscopy of deaths, forensic.

+ Forensic work:

 Forensic medicine: percentage of injuries.

 With corpses: combined with the provincial, district and township procuratorates; provincial police office, district, town; Provincial criminal psychology examinations for medical examinations.

 Pharmaceutical science

+ Make plans to provide and ensure the quantity and quality of common and specialty medicines, chemicals and medical supplies: gauze cotton bandage for inpatient and outpatient treatment, reasonable treatment.

+ Prepare some medicines for use in the hospital. To monitor the use of safe, reasonable drugs throughout the hospital. + To participate in the management of drug costs, to achieve high efficiency in the service of patients.

Một phần của tài liệu Dự án Bệnh viện Đa khoa Quốc tế Phương Đông tỉnh Bạc Liêu Bản dịch tiếng anh 0918755356 (Trang 22 - 31)

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