Bai 11
CHUAN BI DUNG CU CHO THAY THUOC KHAM BENH
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p . iVew cf«yc nhUng noi dung cdn phdi lam cua ngiidi Dieu dudng trong viec
'*§& chuan bi dung cu vd ngiidi binh d i thay thuoc kham benh.
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Steal™
1. DAI ClTONG
Tai khoa kham benh cung nhtf khoa dieu tri ngtfdi dieu dtfdng co nhiem vu
phu giup thay thuoc trong qua trinh kham, dieu tri: cung cap cac chi so' sinh ton
va tinh hinh ngtfdi benh sau qua trinh tiep xuc, theo doi, chuan bi dung cu can
thiet cho yeu cau kham benh, ghi phieu theo doi va phieu ch&m soc...
Doi vdi ngtfdi dieu dtfdng lam viec tai cac buong cap ctfu co nhiem vu
chuan bi cac dung cu, thuoc va phtfdng tien cap ctfu sin sang theo qui dinh:
Gitfdng chieu, chan man sach se, ao quan, do dung cho ngtfdi benh cap ctfu sii
dung. Sip xep tu thuoc theo ttfng loai de de thay, de lay, thuoc phai ghi ro ten
thuoc, ham ltfdng, so ltfdng.
2. TAI KHOA KHAM BENH
• •
2.1. Chuan bi phong kham
- Phong, gitfdng benh phai gon gang sach se.
- Phong benh du anh sang, du am tranh gio lua.
- Chuan bi binh phong khi can kham am dao, trtfc trang.
- Chuan bi cac phtfdng tien khac: ban de dung cu, ghe cho thay thuoc va
ngtfdi benh ngoi kham benh, video, may tinh, ti vi...
2.2. Chuan bi dung cu
- Ho sd benh an, giay xet nghiem, giay kham chuyen khoa bang theo doi
d&u hi$u song (m$ch, nhi$t do, huyet ap, nhip thd).
- Cac ket qua da x6t nghiem (neu c6).
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- Mot so' dung cu thong dung:
+ Xe day, cang.
+ Hop bong gac, con, kim Kocher, keo, khay qua dau, de ltfdi.
+ Huyet ap, ong nghe, nhiet ke, dong ho bam giay.
+ Can, thudc day, gang tay, ong nghiem.
+ Den soi, bua phan xa, loa soi tai, loa soi mui, mo vit, bo, ong nho, chau.
- Tat ca cac dung cu tren dtfdc s&p xep theo thti ttf gon gang tren b&n de
dung cu de thuan tien khi sii dung.
2.3. Chuan bi ngtfdi benh
- Khi ngtfdi benh den kham benh, ngtfdi dieu dtfdng phu trach phong kham
co trach nhiem htfdng din ngtfdi benh noi quy kham chtfa benh cua benh
vien va nhtfng thu tuc can thiet phai lam trtfdc khi kham.
- Sip xep cho ngoi, mdi ngtfdi benh vao kham theo thtf ttf, tfu tien nhtfng
ngtfdi benh thuoc dien: cap ctfu, benh n&ng, ngtfdi gia va tre em kham trtfdc.
3. TAI PHONG BENH
3.1. Chuan bi rtgtfdi benh
- Den gid kham benh tai cac khoa dieu tri dieu dtfdng phu trach tting
phong benh tien hanh on dinh trat ttf, nh&c ngtfdi benh dai tieu tien (neu
can thiet) va n&m nghi tai gitfdng.
- Tuy theo tting loai benh ma ltfa chon ttf the kham benh cho ngtfdi b$nh
thich hdp.
+ Kham ngtfc bung: ngtfdi benh n&m ngtfa thing, hai chan co, dui hdi dang.
+ Kham ho hap: de ngtfdi benh ttf the n&m ngtia thing ho&c ngoi.
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+ Kham trtfc trang, hau mon: de ngtfdi benh n&m chong mong (hai d&u
goi qui xuong gitfdng, ngtfc ti vao goi, dau nghieng sang mot ben, phin
ngtfc dui va cang chan vuong goc vdi nhau).
+ Neu ngtfdi benh la tre nho: dieu dtfdng htfdng din cho b& me ho&c trtfc
tiep be tre ngoi va co dinh tre bdng cach mot tay quang qua than tre,
mot tay giti dau tre, hai dui kep l&y chan tre (neu cin thiet).
+ Kham gay, ltfng, cot song: ngtfdi benh nSm s&'p, hai tay co lad v i de len
phia dau, dau nghieng ve mot ben. Ngtfdi bdnh c6 the ng6i hoftc dtfng
quay ltfng ve phia thay thuoc.
3.2. Chuan bi dung cu
Khi thay thuoc di buong de kham benh cho ngtfdi b$nh, ngtfdi dieu dtfdng
phu trach buong benh can chuan bi: , • * i • .«■
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- Ho sd benh an theo thti tu.
- Khay diing dung cu kham benh cua tting ngUdi benh.
- Bao cao diin bien benh cu the cua tting ngUdi benh vdi thay thuoc.
4. MOT SO TRlTdNG HOP KHAM BENH DAC BIET
4.1. Kham am dao
• Chuan bi. dung cu
- Chuan bi ho sd, cac giay td xet nghiem can thiet theo chi dinh.
- Gang tay cao su, nUdc xa phong loang, khay qua dau.
- Mot so dung cu khac: mo vit, den soi, dung cu lay benh pham xet nghiem
(neu can thiet).'
• Chuan bi ngitcfi benh vd cung thay thuoc kham benh
- TrU6c khi kham benh hti6ng din ngtidi benh di dai, tieu tien trtidc.
- Ve sinh bo phan sinh due ngoai.
- De ngtidi benh nlm theo tti the san khoa (tti the nlm ngtia thing hai
chan co dtii hdi dang).
- Sau khi thay thuoc kham benh cho ngtidi benh xong dieu dtidng de ngUdi
benh cl tti the thoai mai va thu don dung cu, gtii benh pham len phong
xet nghiem (neu co).
4.2. Kham trtfc trang
• Chuan bi dung cu
- Ho sd ngtidi benh va cac giay td can thiet khac.
- Gang tay vo khuan, bong, gac, con, dau Parafin.
- Den soi trtic trang.
• Chuan bi ngitcfi benh
- Htidng din ngtidi benh di dai, tieu tien trtidc.
- Rtia sach bo ph&n M u mon, sinh due.
- Tti the ngtidi benh: de ngtidi benh nlm cl tti the nlm nghieng (ngtidi benh
nlm nghieng, hong ngtidi benh gan ve phia thanh gitidng hdn la phan
vai, dau goi gap lai) ho&c chong mong.
- Sau khi thiy thudic kham benh cho ngtidi benh xong, giup ngtidi benh trd
ve tti the nlm thoai mai, v& thu don dung cu theo qui dinh
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Bdng 11. Bang kiem chuan bi dung cu va ngudi benh cho thay thuoc kham b6nh
TT Noi dung Co Khong
* Chuan bj dung cu
1Ho so benh an, giay xet nghiem, giay kham chuyen khoa.
2Bang theo doi chifc nang song.
3Xe day, hop bong gac vo khuan.
4Huyet ap tfng nghe, nhiet ke, dong ho blm giay.
5Kim Kocher, bua phan xa, keo, ong nghiem.
6CSn, thudc day, gang tay.
7Bo chau, khay qua dau.
8D&n soi, loa soi tai, loa soi mui, mo vjt.
* Chuan bj ngtfdi benh (kham tdng q u it)
9Kham tim phdi: dat ngtfdi benh ng6i hodc nam, ven ao l£n qua vai.
10 Kham tieu hoa: dat ngtfdi benh nam ngtra thang, hai goi co l&n chum
lai, ban chan thang tren gitfdng.
11 Kham trtfc trang: dat ngtfdi b§nh nlm chtfng mfing hoac nghifing trai
12 Kham am dao: dat ngtfdi benh nlm ngCra hai gtfi co I6n, dui hdi dang
13 Kham gay, ltfng va cot stfng: ngtfdi btfnh nlm sap hai tay dtf Itfn phia
dlu, dlu nghieng mot ben.
14 Kham tai mui hong, mat, rang ham mat: dat ngtfdi bfinh nlm hoac ngtfi
tren ghtf ttfa.
15 Khtfm tre nho: ditfu dtfdng btf tre trong ldng, mtft tay qutfng qua thdn
tre, mtft tay giur dau tre, chan ditfu dtfdng kep liy chan tre, boc Itf vung
cln kham.
CAU HOI TU LlfpNG GIA
Hoan thien cac cau sau bang cach chon tii, cum tit thich hdp dien vao cho
trong.
1. Phu giup thay thuoc kham benh tai khoa kham benh, dieu dudng c&n
phai chuan bi:
A: Phong de kham.
B :...........................
C :...........................
2. Phu giup thay thuoc kham benh tai khoa phdng, diSu dudng phu
trach phong benh c&n phai 6n dinh trftt til, nhftc ngtfdi b$nh
__
A
__
va n&m nghi....B
......
'«
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3. Phong kham benh tai khoa kham benh phai du ....A
......
du am va
tranh....B
....
4. Cac dung dUdc chuan bi cho thay thuoc kham benh tai khoa kham
benh can phai sap xep theo thii tu ....A
....
thuan tien khi sU dung.
5. Ngiidi benh den kham benh phai dUdc hudng d a n
....
A
.....
kham, chua
benh cua benh vien va nhufng......B
.....
can thiet khac.
Chon y dung nhat de tra ldi cho cac cau hoi sau.
6. Viec dau tien ngiidi dieu dUdng phai lam khi phu giup thay thuoc
kham benh tai khoa dieu tri:
A: Chuan bi ho sd theo th\i tu.
B: Khay dung cu thudng dung.
C: On dinh trat tu phdng benh.
D: Bao cao diin bien benh cua ngtfdi benh.
7. Tti the dung nhat cua ngUdi benh khi kham bung la: nam ngUa thang:
A: Dau thap.
B: Dau cao.
C: Hai chan co.
D: Hai chan duoi.
8. Phu giup thay thuoc kham am dao, ngtfdi dieu dtfdng can hiidng din
ngtfdi benh:
A: Dai tien.
B: Tieu tien.
D: Nam ttf the san khoa.
C: Ve sinh vung day chau.
Phan biet dung, sai cac cau sau bang cach dien da'u (V) vao cot A cho
dung, cot B cho cau sai.
TT Npi dung AB
9 Tai khoa kham btfnh phai btf tri cdc phirang titfn can thitft de giao due sCrc
khoi cho ngudi benh.
10 Tai khoa khdm bdnh ngudi bdnh ctfp cdru, ngudi gid, tre em ph&i duoc
khdm theo thtir tu.
.11 Tuthtf chtfng mtfng dtf kham true trang cho ngudi btfnh.
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