Chapter II
SPECIALIZED TASKS OF PATIENT CARE
Article 4. Consultancy, guiding, education of health
1. Hospitals may provide and organize appropriate forms of health consultancy, guiding, education.
2. Patients in hospital shall be consulted, educated on health, guided to self care, monitor and prevent disease by nursing officers and midwives during time in hospital and after leaving from hospital.
Article 5. Spirit care
1. Patients are cared by, communicated with thoughtful and sympathy attitude from nursing officers, midwives and other persons who practice medical examination and treatment.
2. Patients and their relatives are advised to feel assured in medical treatment and coordination with persons who practice medical examination and treatment during the course of medical treatment and care.
3. Patients and their relatives are answered timely all problems, questions during the course of medical treatment and care.
4. To ensure security, safety and quietness, avoid effect to psychology and spirit of patients.
Article 6. Care of personal hygiene
1. Care of personal hygiene for patient daily includes doing hygiene for teeth and mouth, body, assisting in defecation, urination and changing cloth utensils.
2. Responsibilities in caring personal hygiene:
a) For patients of level-I care; nursing officers, midwives and nursing assistants shall take care
b) For patients of level-II and level-III care, they self perform under guideline of nursing officers, midwives and they may be assisted in care as necessary.
Article 7. Nutritional care
1. Nursing officers and midwives shall coordinate with doctor to assess nutritional conditions and demands of patient.
2. Every day, doctor will determine feeding regime for patient within a meal regime suitable with his/her pathology.
3. Patient with a meal regime will be supplied pathological meals at department and result of implementing the pathological meal regime will be monitored and recorded in care report.
4. Patient will be assisted in eating and drinking as necessary. For patients who are directed to eat through cannula, nursing officers, midwives will directly perform.
Article 8. Care for rehabilitation
1. Patients will be guided, assisted by nursing officers, midwives, in exercising and rehabilitation early to prevent complications and rehabilitate functions of body.
2. To coordinate clinical department and Physiotherapy – rehabilitation department so as to assessing, consulting, guiding, and performing exercise, rehabilitation for patient.
Article 9. Case for patients with direction of surgery, operation
1. Patients will be guided and assisted by nursing officers, midwives to perform preparations before surgery, operation at the request of specialized department and of doctor.
2. Before bringing patient to place of surgery, operation, nursing officers, midwives must:
a) Complete administrative procedures;
b) Check again the preparation work performed by patient at the request of surgery, operation;
c) Assess vital signs, status of patients and report to doctor if patient have abnormal changes.
3. Nursing officers, midwives or nursing assistants bring patient to place to make surgery, operation and hand over patient, medical record to persons who is assigned to receive by unit implementing surgery, operation.
Article 10. Usage of medicine and monitoring usage of medicine for patient
When use medicine for patient, nursing officers, midwives, nursing assistants must:
1. Use medicine under directions of doctor.
2. Prepare fully and consistently means for patient to use medicine; case of using medicine through injection, they must prepare availably fist-aid box and anti-shock therapy, prepare properly and fully solvent as prescribed by producers.
3. Check medicines (name of medicines, concentration/content, dosage, number of medicine usage within 24 hours, duration between times of medicine usage, time of medicine usage and route of administration in comparison with medical treatment command). Visually check the expiry and quality of medicine: color, smell, intactness of tablets, tubes and vials.
4. Guide and explain for patient to abide by medical treatment.
5. Implement 5 correct issues when using medicine for patient: correct patient, correct medicine, correct dosage, correct route of administration, correct time of medicine usage.
6. Ensure that patient will drink medicine at hospital bed before the witness of nursing officers, midwives.
7. Monitor, detect unexpected effects of medicine, complication after using medicine and report timely to doctor
8. Record or mark medicines used for patient and perform appropriate forms of medicine publicity under regulations of hospital.
9. Coordinate among doctors, pharmacist, nursing officers and midwives in using medicine aiming to increase effectiveness of treatment by medicine and limit mistakes in medicine direction and usage for patient.
Article 11. Patient care at stages of moribund and mortality
1. Patient at stage of moribund will be arranged an appropriate room convenient for care and medical treatment to avoid effect to other patients.
2. Notify and explain with their relatives about their status and facilitate for their relatives to stay at beside of them.
3. Advise and comfort patients and their relatives.
4. When patient dies, nursing officers or midwives will coordinate with nursing assistants to do hygiene for corpse and do necessary procedures such as management of personal utensils and assets of died patient, hand over corpse for staff of morgue.
Article 12. Implementation of nursing techniques
1. Hospitals have regulations and procedures on nursing techniques which are appropriate and updated on the basis of regulations and guideline of the Ministry of Health.
2. Nursing officers and midwives must abide by procedures on specialized technique and aseptic technique.
3. Nursing officers and midwives implement preventive measures, monitor, detect and report timely complications to doctor to settle timely.
4. Medical equipment used in the invasiveness techniques, operation must ensure aseptic and be processed according to Article 2 and Article 3 of Circular 18/2009/TT-BYT dated 14/10/2009 of the Ministry of Health on guiding organizations to implement the work of bacterial infection control in medical examination and treatment establishments and other regulations on bacterial infection control.
Article 13. Monitoring and assessment on patient
1. Patient going to hospital will be assessed initially by nursing officers or midwives of medical examination department to arrange medical examination under level of priority and order.
2. Nursing officers and midwives shall coordinate with doctor to assess and grade patients in care and implement care and monitoring appropriately for each patient.
3. Patients of level-I care shall be identified demand of care by doctor, nursing officers, midwives to perform appropriate nursing interventions.
4. Hospitals have specific provisions on monitoring, recording result of monitoring vital signs and nursing interventions in line with specialized nature and requirements of each specialized departments.
5. Patient will be assessed and monitored changes of disease, when detecting abnormal signs of patient, nursing officer, midwives and technicians must immediately have acts to handle appropriately within scope of functional operation and report to doctor for timely handle.
Article 14. Ensuring safety and preventing mistakes on specialized operations and technique in patient care
1. Hospitals elaborate and implement specific provisions on safety for patient in line with disease model of each specialized department.
2. Nursing officers and midwives implement measures to prevent bacterial infection in hospital, ensure safety, and prevent mistakes for patient in medicine use, surgery and operation.
3. Hospitals set up system of collection and report accidents, mistakes, errors on specialized operation and technique at departments and entire hospital. Periodically analyze, report accidents, mistakes on specialized operations and technique during care and have effective measures to prevent.
Article 15. Making and writing in medical record
1. Documents of patient care in a medical record include: Report on monitoring vital functions, report on nursing and some other forms according to Decision No. 4069/QD-BYT dated 28/9/2001, on promulgating form of medical record of the Ministry of Health and nature of specialized department specified by hospital.
2. Documents of patient care in a medical record must ensure the following requirements:
a) Information of patient is written exactly and objectively.
b) Information of patient care made by nursing officers, midwives and doctors must be unified. Differences in identification, monitoring and assessment of patient’s status must be exchanged and unified timely among persons directly caring and treating medically for patient;
c) Changes of diseases and nursing intervenes must be written fully and timely.
3. Medical record must be kept as prescribed at Clause 3 Article 59 of Law on medical examination and treatment.
Tìm kiếm
Thông tư 07/2011/TT-BYT (Bản Word)
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