Chapter III
CONDITIONS FOR ENSURING THE WORK OF PATIENT CARE IN HOSPITAL
Article 16. Original system for patient care
1. Management organization of nursing officers at hospital levels
Public hospitals of level III or higher shall establish Nursing council and Nursing department.
b) Other hospitals shall establish Nursing council and Department or team of nursing officers.
c) Organization, tasks and operation of nursing council are defined in Annex I promulgated together with this Circular.
d) Nursing department has chief of department, Deputy Chiefs in charge of groups. Organization and tasks of nursing department are defined in Annex II promulgated together with this Circular.
e) Tasks and powers of chief of nursing department are defined in Annex III promulgated together with this Circular.
2. Management organization of nursing officers at department level
a) Each department has the nursing officer, midwife or technician as head of nursing department. Director of a hospital will appoint the nursing officer, midwife or technician as head of its nursing department.
b) Tasks, powers of the nursing officer, midwife as head of nursing department are defined in Annex IV promulgated together with this Circular.
c) Tasks and powers of technician as chief of nursing department are defined in Annex V promulgated together with this Circular.
d) The practice scope of nursing officer according to the specialized standard of the nursing medical public employee grades at Decision No. 41/2005/QD-BNV dated 22/4/2005 of Minister of Internal Affairs and relevant regulations of Minister of Health.
Article 17. Human force for patient care
1. Hospitals must ensure sufficient human force of nursing officers, midwives as prescribed in the Joint Circular No. 08/2007/TTLT-BYT-BNV dated 5/6/2007 of Minister of Health and Minister of Internal Affairs on guiding non-business payroll norm in state medical establishments to ensure continuous care of patient.
2. Hospitals elaborate the qualification structure of nursing officers, midwives in line with specialized nature and grading of hospital. Ensuring rate of nursing officers, midwives with college and university degree satisfying requirements of agreement on recognizing care service already been signed by the Government and Asian countries on 8/12/2006.
3. Hospitals arrange daily human force of nursing officers, midwives rationally at departments and in each working shift.
4. Nursing department will coordinate with department of organization and personnel in proposing director of hospital to move, supplement nursing officers and midwives, technicians, nursing assistants and medical workers timely to department as required to ensure quality of patient care and service.
Article 18. Organization for working
1. Hospitals will base on specialized characteristics of each department to apply one of model of assigning care as follows:
a) Model of assigning nursing officer for main care: A nursing officer or a midwife will take main responsibility in identification, making plan on care, implementation organization with assistance of other nursing officers or midwives and monitor, assess for some patients during staying at hospital.
b) Model of care under group: A group with 2-3 nursing officers or midwives shall be responsible for caring some patients at a unit or some medical rooms.
c) Model of care under team: A team including doctors, nursing officers or midwives and other persons practicing medical examination and treatment shall be responsible for medically treating, caring some patients at an unit or some medical rooms.
d) Model of assigning care under work: This model is applied in cases of disaster first-aid or specialty requesting specialized nursing officers to perform technique in special care on patient.
2. Hospitals organize nursing officers, midwives to work on shift at departments, especially at first-aid department, surgery department, and intensive recovery department, maternity department of obstetrics and neonatal department. Each shift, to apply model assignment in line with specialized characteristics of each department.
Article 19. Equipment in serve of patient care
Hospitals have full equipment and means below to ensure requirements on patient care:
1. Equipment, means, specialized instruments, medical consumable supplies and protective means in serve the specialized work of nursing officers, midwives.
2. Means in serve of daily-life activities of patients.
3. Each clinical department has at least a surgical room, an isolation room and a room to process instruments which are designed in proper specification and have sufficient equipment satisfying requirements on bacterial infection control as prescribed by Law on prevention and control of infectious diseases and Circular No. 18/2009/TT-BYT dated 14/10/2009 of the Ministry of Health, on guiding implementation organization of bacterial infection control in medical examination and treatment establishments
4. Rooms for employees, rooms for operator, rest rooms and conditions for working, in serve of other daily-life activities for nursing officers, midwives.
Article 20. Financial source for care
Annually, hospitals allocate regular funding for the following activities:
1. Procurement of equipment, instruments for patient care and serve.
2. To implement, maintain and improve quality of patient care.
3. To conduct continuous training to improve practice skill for nursing officers, midwives and technicians.
4. To commend units and individuals which implement well the work of patient care.
Article 21. Continuous training and update of medical knowledge
1. Hospitals have training programs and organize training to orientate for nursing officers and midwives who have just been recruited.
2. Nursing officers and midwives are trained to update specialized knowledge and operations continuously, ensuring time of learning not less than 24 hours as prescribed at Circular No. 07/2008/TT-BYT dated 28/5/2008 of Minister of Health, on guiding the work of continuous training for medical officers.
3. Hospitals organize the training, provide the practice guideline and certify the course of practice for nursing officers, midwives and technicians who had practiced at their establishments as prescribed in Article 24 of Law on medical examination and treatment.
4. Hospitals operate for nursing officers, midwives and technicians to participate in scientific study and apply results of study, inventions of technical innovation in care.
5. Hospitals organize examinations to assess knowledge and skills of nursing officers and midwives on a basis of twice per year.
Article 22. The work of nursing assistant
1. Base on reality, hospitals will allocate the nursing assistants to implement normal care activities for patient.
2. The nursing assistants must:
a) Possess training certificate according to program on training nursing assistant promulgated by the Ministry of Health;
b) Absolutely not do special operations of nursing officers and midwives.
Tìm kiếm
Thông tư 07/2011/TT-BYT (Bản Word)
Thông tư 07/2011/TT-BYT (Bản Pdf)