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BO CO TH C T P HI U THU C NH THU C H v tn sinh vin: Nguyn Quang Tin Lp M hc sinh Ni thc tp 11 , TP.

. HCM : 10TDS10 : 3110005973 : Nh thuc Minh Phc 144 i Cung, P.9, Qun

Cn B trc tip hng dn ti c s: Gao vin b mn PT thc tp: Trn Thi gian thc tp: T ngy n ngy 19 thng 12 thng nm 2011

nm 2012 L i m u

Thuc l mt sn phm thit yu trong cuc sng con ngi, thuc l phng tin phng bnh v cha bnh khng th thiu trong cng tc y t. Thuc tt v s dng ng cch s gip lm bnh mau khi, nu thuc khng m bo cht lng, s dng sai s lm cho ta khng khi bnh m cn c th gy nhng tc hi cho ngi s dng, thm ch c th gy t vong cho ngi s dng thuc. V vy ta nn cn nhng quy nh, ni qun l, bo qun, phn phi m bo cht lng thuc tt nht khi n tay ngi s dng. Nh thuc Hiu thuc l mt trong nhng phng tin bo qun, bn l thuc, a thuc ti tay ngi dn. V ngi dc s c vai tr quan trng trong vic t vn hng dn cho ngi s dng thuc v gip a thuc ti tay ngi dn. Thi gian thc tp nh thuc l khong thi gian gip em hiu c vai tr ca ngi dc s trung cp trong nh thuc. Mt phn hiu c cch b tr sp xp thuc nh thuc, bit c cch bo qun

thuc v pht trin c kh nng giao tip t vn hng dn cho nhng ngi s dng bit c cch s dng thuc mt cch an ton v hp l, nm r c cc quy nh, nguyn tc tiu chun trong ngnh. Qua bi bo co em mun trnh by nhng hiu bit, kt qu m em c hc hi trong sut qu trnh c nh trng sp xp cho i thc tp thc t ti c s nh thuc.

w I. T ng quan v c s th c t p: 1. T ng quan v Nh thu c Hi u thu c: -Nh thuc Minh Phc 144 i Cung, P.9, Qun 11 , TP. HCM - Tng s nhn vin trong nh thuc l: 2 - Giy php kinh doanh s GPS: - Dc s ph trch: 2. Vai tr c a D c s trung c p t i Nh thu c Hiu thu c: - Bn l v phn phi thuc theo s ch dn ca dc s i hc. - Sp xp cc loi thuc theo nhm dc l. - T vn hng dn ngi mua s dng thuc ng cch v hp l. II. K t qu th c t p: 1. Cc hnh th c bn l thu c, a bn m c s bn l thu c, ph m vi ho t ng: - Nh thu c c m ti tt c a phng trn c nc. Phm vi hot ng ca nh thuc c bn l thuc thnh phm, pha ch thuc theo n. - Qu y thu c c m ti a bn huyn x ca cc huyn ngoi thnh, ngoi th i vi cc tnh, thnh ph trc thuc trung ng. i vi a bn qun, phng ca thnh ph, th x cha c 1 nh

thuc phc v 2000 dn, trong nm 2007 S y t tnh xem xt vic t chc mi quy thuc, sau ty tnh hnh a phng c vn bn bo co B y t xem xt, quyt nh vic tip tc gia hn hoc m thm cc quy thuc. Cc c s bn l thuc do dc s trung hc l ngi qun l chuyn mn c trc ngy 01/06/2003 ang hot ng cc qun, phng ca thnh ph, th x, nu cha dc s i hc chuyn thnh nh thuc nhng p ng cc iu kin v c s thit b theo quy nh v iu kin i vi c s bn l th c tip tc gia hn ti ht ngy 31/12/2010 Phm vi hot ng ca quy thuc l c bn l thuc thnh phm. - i l bn thu c c a doanh nghi p c bn ti a bn huyn x ca cc huyn ngoi thnh, ngoi th i vi cc tnh, thnh ph trc thuc trung ng. Cc c s bn l thuc thuc doanh nghip thuc cc tnh vng cao, vng su, c gia hn n ht ngy 31/12/2005 theo thng t s 09/2004/TT-BYT, nu cha dc s i hc, dc s trung hc chuyn thnh nh thuc hoc quy thuc nhng p ng cc iu kin v c s thit b theo quy nh v iu kin i vi c s bn l thuc th c tip tc gia hn ti ht ngy 31/12/2010. Phm vi hot ng ca i l bn thuc l c bn l thuc thnh phm theo danh mc thuc thit yu. - T thu c c a tr m y t c m ti a bn cc x ca cc huyn ngoi thnh ph, ngoi th x i vi cc tnh, thnh ph trc thuc trung ng. Phm vi hot .ng ca t thuc ca trm y t c bn l thuc thnh phm theo danh mc thuc thit yu s dng cho tuyn y t cp x. Lu : cc c s bn l thuc khng c bn nguyn liu lm thuc. 2. i u ki n kinh doanh thu c : - i u ki n c p gi y ch ng nh n i u ki n kinh doanh thu c: c s vt cht k thut v nhn s phi c trnh chuyn mn cn thit cho hnh thc hiu thuc nh thuc. Ngi qun l chuyn mn v dc c cp chng ch hnh ngh dc ph hp vi hnh thc kinh doanh nh thuc.

- i u ki n c p ch ng ch hnh ngh d c: c vn bng, chng ch chuyn mn ph hp vi tng hnh thc kinh doanh thuc. qua thc hnh t nht 2 nm n 5 nm ti c s dc hp php i vi tng hnh thc kinh doanh. C o c ngh nghip v sc khe hnh ngh dc. - Gi y ch ng nh n i u ki n kinh doanh thu c c thi hn hiu lc l 5 nm k t ngy cp. Thi gian gia hn ti a c php ca giy l 5 nm. - Gi y ch ng nh n hnh ngh dc c thi hn hiu lc l 5 nm k t ngy cp, thi gian gia hn ca giy c php ti a l 5 nm,khng hn ch s ln gia hn.

3. Cc tiu chu n c a nh thu c ch a t chu n GPP v t chu n GPP

Nh thuc Tiu chun

Cha t chun GPP

t chun GPP

Nhn - Ngi ph trch hoc ch c - Ngi ph trch hoc ch c s s bn l thuc phi c chng s bn l thuc phi c chng ch hnh ngh dc.( phi l ch hnh ngh dc.( phi l dc s i hc ) dc s i hc ) - Nhn vin phi c vn bng chuyn mn v dc v thi - Nhn lc phi thch hp v p gian thc hnh ngh nghip ng quy m hot ng. ph hp, sc khe khng bi bnh truyn nhim, khng b k - Nhn vin phi c vn bng chuyn mn v dc v thi lut cnh co tr ln c lin quan n chuyn mn y dc. gian thc hnh ngh nghip ph hp, sc khe khng bi bnh

truyn nhim, khng b k lut cnh co tr ln c lin quan n chuyn mn y dc. - Ring bit, cao ro, thong Xy - Ring bit, cao ro, thong mt, an ton, cch xa ngun dng mt, an ton, cch xa ngun nhim, xy dng chc chn c v thit nhim, xy dng chc chn c trn v tng, nn d lm v k trn v tng, nn nh sng sinh v nh sng

Din tch ni bn thuc ph hp vi quy m kinh doanh, c khu vc trng by bo qun, giao tip khch hng. Ni ra tay dnh cho ngi bn thuc, Din tch khu vc dnh cho t vn khch hng v gh ngi ch. C khu vc dnh ring cho nhng sn phm khng phi l thuc.

Din tch ni bn thuc t 10m2tr ln, ph hp vi quy m kinh doanh, c khu vc trng by bo qun, giao tip khch hng. C phng ra l thuc, phng pha ch thuc theo n (nu c) phi t chun quy nh, ni ra tay dnh cho ngi bn thuc, khu vc dnh cho t vn khch hng v gh ngi ch. C khu vc dnh ring cho nhng sn phm khng phi l thuc.

Thit b - trang thit b bo qun - thit b bo qun thuc, bo qunthuc, trnh nhng nh hng trnh c nhng nh hng thuc bt li. bt li i vi thuc. - Cng phi c t, quy, k - T, quy, gi, k chc chn, chc chn, tr nhn, d v trn nhn, d v sinh, thun sinh, thun tin cho by bn, tin cho by bn, bo qun v

bo qun v m bo thm m.

m bo thm m. Phi c nhit m k, c h thng thng - Ni bn thuc phi thong gi v chiu sng. mt. - Phi c ti liu hng dn s dng thuc, cc quy ch - Phi c ti liu hng dc hin hnh. dn s dng thuc, cc quy ch dc hin hnh. - Phi c h s, s sch v hot

- Phi c h s, s sch v ng kinh doanh thuc, gm s sch hoc my tnh c phn H s, s hot ng kinh doanh mua mm qun l thuc tn tr, h bn thuc. sch, ti liu Xy dng v thc hin cc quy s, s sch lu d liu v bnh chuyn trnh thao tc chun cho tt c nhn,v hot ng mua bn thuc, pha ch thuc. Cc h mn quy trnh chuyn mn s, s sch phi lu tr trong - Cc h s, s sch phi lu thi gian t nht l 1 nm k t tr trong thi gian t nht l 1 khi thuc ht hn dng. Xy nm k t khi thuc ht hn dng v thc hin cc quy trnh dng. thao tc chun cho tt c quy trnh chuyn mn.

4. Ho t ng ch y u c a c s bn l thu c: a. Mua thu c: - Ngun mua phi l c s kinh doanh thuc hp php. - Thuc phi c php lu hnh, bao b cn nguyn vn v c ha n chng t hp l chng minh ngun gc thuc. - Khi nhp thuc phi kim tra hn dng, thng tin trn nhn, cht lng thuc v kim sot thng xuyn trong qu trnh bo qun.

- thuc trong danh mc thuc thit yu dng cho tuyn C. b. Bn thu c: - Bn ng thuc, ng gi. - Bn ng toa, ng s lng m ngi mua cn. - T vn v cch s dng thuc, cc loi thuc cho ngi mua thuc. c. Cc b c c b n c a bn thu c: - Hi ngi mua v bnh v thuc m ngi mua yu cu. - T vn v la chn thuc, cch dng thuc, hng dn cch s dng thuc bng li v vit lrn6 bao b ng gi thuc trong trng hp khng c n thuc km theo. - Cung cp cc thuc ph hp. Kim tra i chiu thuc bn ra vi toa thuc khi giao thuc cho bnh nhn v tn thuc, hm lng, s lng, chng loi, cht lng thuc bng cm quan. d. Cc quy nh v t v n cho ng i mua thu c: - T vn ng n, m bo hiu qu iu tr. - Ch t vn, cung cp thng tin v loi thuc khng bn theo n. - Trng hp cn c s chn on ca bc s, phi t vn cho bnh nhn i khm bc s vi chuyn khoa thch hp hoc vi bc s iu tr. - T vn bnh nhn chn loi thuc c gi tr hp l, nht l ngi ngho. - Khng thng tin, qung co thuc tri quy nh, khng khuyn khch mua thuc nhiu hn mc cn thit. e. Bn thu c theo n: - Ngi bn thuc theo on phi c trnh chuyn mn ph hp vi quy nh ca B Y T. - Phi bn ng thuc ghi trong n. Khi pht hin c sai phm hoc nh hng n sc khe ngi bnh, ngi bn l phi thng bo li cho ngi k n bit.

- Phi gii thch r cho ngi mua v c quyn t chi bn thuc theo n trong cc trng hp n thuc khng hp l, n thuc c sai st hoc nghi vn, n thuc k khng nhm mc ch cha bnh. - Dc s i hc c quyn thay th thuc bng mt thuc khc c cng hot cht, dng bo ch, cng liu lng khi c s ng ca ngi mua. -Hng dn ngi mua v cch s dng thuc v nhc nh thc hin ng n thuc. - Bn thuc gy nghin, phi vo s, lu n thuc bn chnh. f. B o qu n thu c: - Thuc c sp xp theo nhm tc dng dc l. - Bo qun thuc theo yu cu ghi trn nhn thuc. - Thuc k n c by bn v bo qun ti khu vc ring c ghi r Thuc k n hoc trong cng mt khu vc phi sp xp ring cc thuc bn theo n, trnh gy nhm ln 5. Yu c u i v i ng i bn l trong ngnh d c: a. i v i ng i lm vi c trong c s bn l thu c: - C thi ha nh, lch s khi tip xc vi ngi mua thuc, bnh nhn. - T vn thng tin cn thit v cch dng thuc cho ngi mua hoc bnh nhn nhm m bo s dng thuc hp l, an ton v hiu qu. - Gi b mt cc thng tin ca ngi bnh. - Trang phc o blu trng, sch s, gn gng, c eo bin ghi r h tn, chc nh. - Thc hin ng cc quy ch dc, t nguyn tun th o c hnh ngh dc. - Tham gia cc lp o to, cp nhn kin thc chuyn mn v php lut y t.

b. i v i ng i qu n l chuyn mn ho c ch c s bn l : - Phi thng xuyn c mt trong thi gian hot ng v chu trch nhim trc ph lut v mi mt hot ng ca c s, khi vng mt phi y quyn cho nhn vin c trnh chuyn mn tng ng tr ln iu hnh theo quy nh. - Trc tip tham gia vic bn cc thuc phi k toa, t vn cho ngi mua. - Lin h vi bc s k n trong cc trng hp cn thit. - Thng xuyn cp nht cc kin thc chuyn mn, vn bn quy phm php lut v hnh ngh dc v khng ngng nng cao cht lng dch v cung ng thuc. - o to, hng dn cc nhn vin v chuyn mn cng nh o c hnh ngh dc. - Cng tc vi y t c s, cung cp thuc thit yu, tham gia truyn thng gio dc v thuc cho cng ng v cc hot ng khc. - Theo di v thng bo cho c quan y t v cc tc dng khng mong mun ca thuc. c. Cc ho t ng i v i thu c b khi u n i ho c thu h i: - Phi c h thng lu gi cc thng tin, thng bo v thuc khiu ni, thuc khng c php lu hnh, thuc phi thu hi. - C thng bo thu hi cho khch hng. Kim tra v trc tip thu hi, bit tr cc thuc phi thu hi ch x l. - C h s ghi r v vic khiu ni v bin php gii quyt. - Nu hy thuc phi c bin bn theo quy ch qun l cht lng thuc. - C bo co cc cp theo quy nh. 6. Danh m c thu c c php kinh doanh t i Hi u thu c Nh thu c.

- Kem bi da Pesancort. - Hm lng betamethason valerat.. 1mg, acid fusidic20mg. - Kem bi ngoi da c tc dng khng khun. - Kem bi ngoi da Gentri-sone. - Hm lng betamethasone 0.64mg, Clotrimazole 10mg, Gentamicin sulfate 1mg. - Kem bi ngoi da c tc dng khng khun - Thuc nh mt, mi Efticol - Hm lng natri clorid 0.9%. - Thuc nh mt mi c tc dng ra mt mi hng ngy. - Vin nn bao phim Cefucap 250 - Hm lng cefuroxim 250mg. - Thuc c tc dng khng sinh iu tr vim h hp, vim tai mi hng, vim tit niu. - Vim si EFFERALGAN 500mg. - Hm lng paracetamol 500mg. - Thuc c tc dng gim au, h st. - Thuc aulakan. - Hm lng Ginkgo biloba 40mg. - Thuc c tc dng iu tr ri lon tr nh ngi gi, iu tr tr. - Thuc Panadol Extra. - Hm lng Paracetamol 500mg, Codein 65mg. - Thuc c tc dng gim au, h st khng gy bun ng. - Vin nn Youngil Captopril - Hm lng Captoril 25mg. - Thuc c tc dng iu tr cao huyt p, suy tim.

- Vin bao ng Neurobion - Hm lng vitamin B6 200mg, vitamin B1 100mg, vitamin B12 200mcg. - Thuc c tc dng iu tr ri lon thn kinh ngoi vi, diue962 tr ri lon thiu ht vitamin B1, B6, B12. - Thuc Cadifixim. - Hm lng Cefixim 100mg. - Thuc c tc dng khng sinh - Thuc Glucofine 500mg. - Hm lng Metformin hydroclorid 500mg. - Thuc c tc dng iu tiu ng type II.. - Vin bao ng NEO-CODION - Hm lng Codein camphosulphonate 25mg, Sulfogaiacol 100mg, cao mm Grindelia 20mg. - Thuc c tc dng iu tr ho khan kch thch. - Vin nn NifeHEXAL retard - Hm lng Nifedipine 20mg. - Thuc c tc dng iu tr tng huyt p, au tht ngc - Thuc Paracetamol codein. - Hm lng paracetamol 500mg, codein 30mg. - Thuc c tc dng gim au h st, khng gy bun ng - Thuc bt Acemuc. - Hm lng Acetylcysteine 100mg - Thuc c tc dng iu tr ri lon v dch tit h hp, vim ph qun. - Thuc nh mt MAXITROL

- Hm lng Neomycin sulfate 3500I.U./ml, polymyxin B Sulfate 6000I.U./ml, Dexamethasone 0.1%. - Thuc c tc dng khng sinh iu tr vim kt mc cp. - Thuc Tragutan. - Hm lng Eucalyptol 100mg, tinh du gng 0.5mg, tinh du tn 0.18mg, mentol 0.5mg. - Thuc c tc dng iu tr cc chng ho, lm du cn au khi ho. - Vin nn Bisolvon - Hm lng Bromhexine 8mg. - Thuc c tc dng iu tr lm long m trong cc bnh ph qun. - Thuc Caditadin. - Hm lng Loratadin 10mg. - Thuc c tc dng khng d ng khng gy bun ng. - Vin bao phim Diclofen. - Hm lng Diclofenac natri 50mg. - Thuc c tc dng khng vim. 7. Toa thu c: - Vim h ng: + Vercef 350mg, 10 vin. Ngy 2 ln, mi ln 1 vin. + Efferalgan 500mg, 15 vin. Ngy 3 ln, mi ln 1 vin. + Rebacord, 15 vin. Ngy 3 ln, mi ln 1 vin. + Dextromethorphan, 10 vin. Ngy 2 ln, mi ln 1 vin. + Polaramin 2mg, 10 vin. Ngy 2 ln, mi ln 1 vin. + Pecaldex 10ml. Ngy 1 ln, mi ln 1 ng. - Vim xoang: + Voltaren 75mg.

+ Lenmital 100mg, 14 vin. Ngy ung 2 ln, mi ln 1 vin. + Anflamin, 21 vin. Ngy 3 ln, mi ln 1 vin. + Mg B6, 21 vin. Ngy 3 ln, mi ln 1 vin. - Vim da do cn trng: + Pesancort, 1 tup. Ngy bi 2 ln, sng 1 ln, chiu 1 ln. + B.B.Cin 500mg, 14 vin. Ngy 2 ln, mi ln 1 vin. + Elcet, 10 vin. Ngy 1 ln, mi ln 1 vin vo bui sng.

- Vim k t m c c p: + Maxitrol coll 5ml, 1 chai. Ngy nh 8 ln, mi ln 2 git. + Diclofenac 50mg, 10 vin. Ngy 2 ln, mi ln 1 vin. - Vim ph qu n mn n thu n: + Canoxine 200mg, 14 vin. Ngy 2 ln, mi ln 1 vin. + Flenlaxo 60mg, 14 vin. Ngy 2 ln, mi ln 1 vin. + Eramux 50mg, 14 vin. Ngy 2 ln, mi ln 1 vin. - Ch n th ng s ng ti: + a Choay, 12 vin. Ngy 3ln, mi ln 2 vin. + Pamesic, 6 vin. Ngy 3 ln, mi ln 1 vin. + Ospexin, 6 vin. Ngy 3 ln, mi ln 1 vin. - Nh c m i: + Diclofenac 50mg, 6 vin. Ngy 3 ln, mi ln 1 vin. + Decontractyl, 6 vin. Ngy 3 ln, mi ln 1 vin. + Diantavic, 6 vin. Ngy 3 ln, mi ln 1 vin. + 3B, 6 vin. Ngy 3 ln, mi ln 1 vin. - C m s mi, ho m:

+ Ciprofloxacin, 6 vin. Ngy 3 ln, mi ln 1 vin. + Pamesic, 6 vin. Ngy 3 ln, mi ln 1 vin. + Terpincodein-F. Ngy 3 ln, mi ln 1 vin. + Geribon, 6 vin. Ngy 3 ln, mi ln 1 vin. - Ho m ng i l n: + Lincomycin, 6 vin. Ngy 3 ln, mi ln 1 vin. + Metronidazol, 6 vin. Ngy 3 ln, mi ln 1 vin. + Prednisone, 6 vin. Ngy 3 ln, mi ln 1 vin. + Terpincodein-F, 6 vin. Ngy 3 ln, mi ln 1 vin. + Shinosol, 6 vin. Ngy 3 ln, mi ln 1 vin. - D ng: + Prednisone, 6 vin. Ngy 3 ln, mi ln 1 vin. + Sagofen, 12 vin. Ngy 3 ln, mi ln 2 vin. + Tendigama, 12 vin. Ngy 3 ln, mi ln 2 vin. + Cezil, 4 vin. Ngy 2 ln, mi ln 2 vin. 8. H ng d n s d ng thu c: - Nguyn Vn An, 17 tui Nam Hc sinh Vim kt mc. + Maxitrol coll 5ml c tc dng phi hp khng sinh v khng vim. Cch dng: ngy nh 8 ln, mi ln 3 n 5 git. + Diclofenac 50 c tc dng khng vim. Cch dng: ngy 2 ln, mi ln 1 vin. - Trng, 28 tui Nam Cng nhn Vim da do cn trng. + Kem bi Pesancort c tc dng khng khun (c corticoid ti ch) iu tr vim khun ngoi da. Ngy bi 2 ln, trnh s dng lu di trn vng da mt. + B.B.CIN 500mg c tc dng khng sinh. Ngy ung 2 ln, mi ln 1 vin.

+ Elcet c tc dng chng d ng, gim nga. Ngy dng 1 ln vo bui sng. III. K t lu n: - Thi gian i thc tp gip em nm r c tc dng ca cc hot cht, cch sp xp thuc theo nhm dc l, tc dng ca cc loi thuc v cch phi hp cc dng thuc vi nhau trong vic iu tr bnh. ng thi em cng c hiu thm v cch bn thuc, cch giao tip vi ngi mua, bit thm nhiu bit dc ang lu hnh ngoi th trng, qua em c trang b thm nhiu kin thc v thuc, bit dc, cc hot cht, cc dng bo ch ca thuc v cch ng x vi mi ngi. Vn cn tn ti l sinh vin khng c tip xc vi thuc nhiu hn, vn cn mt s thc mc v vic phi hp thuc v bn thuc. Nh n xt c a c s th c t p: T t r t chm ch va thng minh .................................................................................... .................................... .................................................................................... ...................................... Nh n xt c a ng i ph n bi n:Duy t M C L C

I. T ng quan v c s th c t p .. 3 1. T ng quan v Nh thu c Hi u thu c 2. Vai tr c a D c s trung c p t i Nh thu c Hiu thu c II. K t qu th c t p . 3

1. Cc hnh th c bn l thu c, a bn m c s bn l thu c, ph m vi ho t ng 2. i u ki n kinh doanh thu c 3. Cc tiu chu n c a nh thu c ch a t chu n GPP v t chu n GPP 4. Ho t ng ch y u c a c s bn l thu c 5. Yu c u i v i ng i bn l trong ngnh d c 6. Danh m c thu c c php kinh doanh t i Hi u thu c Nh thu c 7. Toa thu c 8. H ng d n s d ng thu c III. K t lu n .. 21 20 n xt c a c s th c Nh t p n xt c a gio vin h ng Nh d n 22 n xt c a ng i ph n Nh bi n 23