Kweliso Clinical. Umbutho lokuqaphela lemithi. Imihla lemithi ngokuzibonela. Group kweliso clinical

kuxilonga okanye mkhanya yinto indlela esweni imeko impilo kumaqela athile abantu. Le misebenzi luphawulwa rhoqo kunye nokuchaneka. Kufuneka uhlaziye elebhu, radiology kunye nezinye iziphumo uphando olwenziwe abantu eyenziwa phezu lemithi.

kuxilonga yabantu impilo

Yinto embi ukuba kweemviwo lwezonyango kuphela kubantu abagulayo. Abo engazivumeli nasiphi na isifo, kukho kwakhona iingcaphephe rhoqo.

Phakathi kubantu abasempilweni kuyajongwa emayezeni aba bantu balandelayo:

• bonke abantwana bade bafikelele kwiminyaka eli-14 ubudala;
• conscripts emkhosini;
• abafundi kwizikolo, iikholeji, namaziko emfundo ephakamileyo;
• ukusebenza amaziko boonyana;
• abasebenzi ukutya okanye amaziko oluntu;
• abaqeshiweyo kwaye nabafazi abangaphangeliyo kweminyaka engama-30 ubudala;
• abasebenzi bezempilo;
• invalids kweMfazwe Enkulu Patriotic, amagqala yabasebenzi.

Injongo esweni ngabantu abaphile kukugcina ukukwazi ukusebenza kwinqanaba eliphezulu, ukulungiswa impilo, ozibonayo kwezifo kusekwangoko kwaye amathuba kuthathwa amanyathelo othintelo.

Landela-up lwezigulane

Eli qela labantu phantsi kweliso, ezifana izigulane sisifo esingapheliyo, izigulane yokuchachela emva izifo ezihlasela zosulele nabantu ezingaqhelekanga yemfuza kwasekuzalweni.

Umbutho lokuqaphela lemithi lwezigulane isekelwe ziganeko zilandelayo:

• Ubhaqo kwezifo kunye neemeko zazo causative;
• ukuthintelwa exacerbations, likakade kwakunye nezigulo;
• nokugcina inqanaba yokukhubazeka kunye ubomi;
• kunciphise ukufa nokukhubazeka.

Landela-up emva nokunyangwa nqanaba nokoyika esi sifo kufuna ukuphunyezwa amanyathelo ukwandisa ixesha kuxolelwe, kwakunye namanyathelo kwimo ukubuyisela ukusebenza amalungu ezinkulu kunye neenkqubo zomzimba.

imisebenzi ephambili

Landela-up lwezigulane uye imisebenzi ethile ukuze ukuchonga abantu abasemngciphekweni, kwakunye kwizigulane unaso esi sifo kwibakala yalo yokuqala.

Ukubonisa lokuqaphela amanyathelo asebenzayo ukuphucula, iimviwo izigulane, unyango kunye nokufunyanwa yokugula. Ukongeza, loo nto idala database equlethe ulwazi kwanombolo bonke abantu kugadwe.

Ziziphi iintlobo kwiimviwo zokuthintela?

1. zoviwo lokulungiselela nezoviwo - abantu abeza ukufunda okanye umsebenzi. Eyona njongo ephambili - ukumisela ukukwazi kwabo ukujongana umsebenzi okhethiweyo. Ngexesha uhlolo uchonga Izimo kunokwenzeka ukuba umsebenzi okhethiweyo zabo, kwaye kukho naziphi na iinkqubo zophendlo lwezifo emzimbeni.
2. Ukuhlolwa Periodic - bonke abantu rhoqo rhoqo. Nayiphi abanaluncedo ukuya kwindawo yonyango zinokusetyenziswa ngugqirha basekuhlaleni ukuze athumele umguli kwiskeni okulindeleke ukuba kwiingcali.
3. ukuhlolwa Target - uye imisebenzi ethile kunye focus elimxinwa. Umzekelo, ngethuba iziganeko ezinjalo ibonisa izigulane abaphethwe sisifo ethile.

Ngaphezu koko, kuxilonga inokuba ngamnye kunye nobunzima. Ngamnye wenza ukuba umntu othile wacela uncedo kugqirha wakho, okanye yaveliswa kutyelelo ekhaya xa isigulane weza ukuba unyango kwisibhedlele okanye ukuqhagamshelana kunye isigulane esosulelayo.

Uhlolo Kuku kwenziwa kumaziko emfundo, ii-ofisi zomkhosi isosha, mveliso. Ezi zophando adla zintsonkothile kwaye sidibanisa Uhlolo ngamaxesha athile ekujoliswe kuzo.

Unit ubonwa

Emva kokuba leemviwo neemvavanyo le imeko yokugqibela yabantu libhekisela kwiqela elithile imigqaliselo:

• D1 "onempilo" - musa ukuba izikhalazo kunye ukutenxa zempilo;
• D2 "ngokuyenza uphilile" - izigulana abanezifo ezingapheliyo ngaphambili ngaphandle exacerbations, abantu yokuchachela emva uphuhliso zale sifo, abantu emdeni ithi ;
• D3 "onokugula" - izigulana kunye nokuphungulwa umthamo umsebenzi kunye exacerbations rhoqo zesi sifo, ngokunjalo abantu abaye iinkqubo elimandundu ezakhokelela ukuphuhliswa yokukhubazeka.

Yintoni kuxilonga?

kweliso lwezonyango iqulathe izigaba ezininzi. Eyokuqala kwezi nkalo ingqalelo iimviwo ze-izigulane, kunye nokusekwa kwamaqela ezifuna zokulawula. umsebenzi Nursing echitha uluhlu kwirejista labemi, ukubhalwa data isiguli ngasinye.

Inqanaba lesibini ibandakanya esweni impilo abo bafuna unyango kunye amanyathelo othintelo. I dispanserizuemyh Iqela lokuqala liya kuvavanywa kanye ngonyaka ngexesha pre-ihleliwe. Ezinye izigulane, weprakthishina okanye usapho ugqirha kufuneka asebenzise onke amathuba ukuthumela ukuba ukuhlela scan.

Iqela D2 waphawula ukunciphisa izinto umngcipheko sifo, kulungise ukuziphatha nesempilweni. Kufuneka kugxininiswa izigulane owayenesifo izifo ezihlasela zosulele, ukwenzela ukuthintela uphuhliso inkqubo ezigulo ezondeleyo.

Kuba iqela lesithathu of specialist kujongwa emayezeni sisicwangciso ukuba kukhethwe lo mgaqo yonyango ngamnye kunye nempilo amanyathelo, iingcali iingcebiso, ngokusebenzisa amayeza, izinto impilo yomzimba, amanyathelo othintelo kanye nokuhlenga.

Kulo nyaka, emva kokuba uhlolo ngalunye, kwenziwe uhlengahlengiso kwisicwangciso lemithi. Ekupheleni konyaka ozayo, ulawulo emayezeni uzaliswe imbali mzekelo, neya kubandakanya imizuzwana ezinjalo:

• imeko yokuqala isigulana;
• Dynamics iziphumo zophando;
• imisebenzi eyenziwa ngaphandle ngenjongo unyango, ukulungiswa kunye nokuthintela iingxaki;
• uvavanyo lokugqibela yempilo yomguli.

Xa ezininzi amaziko ononophelo lwempilo kwitshati yomguli yodwa-epicrisis isicwangciso ikuvumela ukugcina ixesha ngokugcwalisa amaxwebhu yokugqibela kunye neziphakathi.

Isigaba sesithathu kuxilonga isekelwe uhlolo ngesiphumo kwiziko lonyango yonyaka, ngokuqwalasela iziphumo ezintle nezimbi. Uhlaziyo wenziwe imisebenzi waza wenza uhlengahlengiso ukuphucula.

Esi sifo kulawulwe lemithi

ubonwa lemithi izigulane ezingapheliyo lwenziwa ukuba miqathango ilandelayo:

• ezimbi ye phecana zesisu - isilonda Peptic, gastritis ezingapheliyo kunye secretion lehla, ukuqina hepatic, kohlobo, pancreatitis, okwenziwa sisilonda ezondeleyo sisilonda, kunye enterocolitis;
• izifo zemiphunga - isifuba, ithumba lung, bronchiectasis, iphika esinganyangekiyo, emphysema;
• izifo nemithambo yegazi - lwegazi, isifo sentliziyo, ukusilela intliziyo;
• isifo wokuchama inkqubo - pyelonephritis, glomerulonephritis, urolithiasis;
• ngezifo reference izixhobo - kwamathambo, osteoarthritis, isifo samathambo.

Phantsi kweliso ugqirha abo ukubandezeleka emithanjeni varicose, endarteritis, phlebitis, thrombophlebitis, imiphumo post-resection.

Ukuba ekliniki kukho iingcali elimxinwa zonke iindawo, isigulana engabhaliswanga ingcali wendawo yakho kwaye ugqirha ophetheyo lwetyala ngqo clinical.

oda enkulu

kweliso lwezonyango onke amaqela ngokwesiseko Ministry of Health odolo.

1. Order inombolo 1006n ukusuka 12.03.12 "Ukwamkelwa inkqubo yovavanyo lonyango yabantu abadala."
2. Order № 87n of 06.03.15 On kwemvume iintlobo amaxwebhu, esetyenziswa ukwenza imisebenzi efana kweliso clinical.
3. Umyalelo № 800 ukusuka 18.06.11 kwi indlela yokuqhuba uhlolo yamajoni kunye waphawula lemithi. Umyalelo ekhutshwe kwiSebe lezoKhuselo.

accounting dispanserizuemyh

Ukuze sihlale phantsi kolawulo, efuna ukuqwalaselwa emayezeni abantu, uze ungaphoswa nto ibalulekileyo, kukho okhethekileyo amaxwebhu zonyango.

1. Le fom Inombolo 278 kwenziwa kumaziko amashishini, ezemfundo kunye kokuya esikolweni kwangaphambili. Le datha kuya kwenziwa zomntu ngamnye odlulayo bahlole njalo: Igama elipheleleyo, umhla uhlolo kwaye iziphumo zokugqibela.

Medical Card ambulatory isigulane luthathwa njengoxwebhu oluphambili. Onke amakhadi zigcinwa polyclinic weKhabhinethi ifayile. Kwikona ephezulu ngasekunene umbala obomvu eboniswe unobumba "D". Kwakhona uchaza unobangela kunye nomhla yobhaliso. Emva nokucinywa apha kubhiyozela umhla ekupheleni. Imephu Idatha irekhodwa zonke iimviwo nomonde ziingcali, iziphumo zophando, ukuqeshwa kwabo unyango. Oku kwenza i igqirha yesithili ukuvavanya ukuphelela uviwo kunye nemeko ngokubanzi yesigulana.

3. Epicrisis ukuba kuzaliswa ekupheleni konyaka ngamnye, kwenziwa in duplicate. Enye into ethe card kwezigulane omnye ithunyelwe manani kwiSebe. Epicrisis zonke iitsheki nemiqondiso intloko yesebe.

4. Ifomu ZH30 - ikhadi ulawulo ibanjelwe "D" -Accounting. Imephu ulawulo wadala kuphela lula. Enye uxwebhu sithobela audio uhlobo nosological ngayo esi sifo. Bona akhiwe kwiibhokisi ezahlukeneyo, ngokuxhomekeke nyanga, xa isigulane kufuneka ngexesha elilandelayo ukuza uhlolo kunye neemviwo. komndilili zonyango yenyanga iincwadi isalathiso khadi, khetha izigulane kufuneka umana usiya kule nyanga, bawathume kwa-mngeni imfuneko beze ekliniki.

Ngokusekelwe kwiziphumo zophando, oogqirha isabelo zonke izigulane maqela alandelayo lokuqaphela lemithi:

• 1 iqela - kubonakala uphilile;
• Group 2 - Izigulane abanezifo ezingapheliyo ngaphandle kokuphazamisa isakhono ukusebenza;
• 3 iqela - izigulana kunye nokukwazi kakuhle ukusebenza iifom amancinci;
• Group 4 - Izigulane abakhubazekileyo ezinzileyo;
• Group 5 - ngokupheleleyo abantu abakhubazekileyo efuna unakekelo unyango rhoqo.

Ukuqulunqwa kwesicwangciso ngamnye

Ekuqaleni isicwangciso nganye lubonisa umsebenzi oyingcaphephe ukuba isigulana ethile, ekubeni umthwalo oogqirha wobulali inkulu kakhulu: ngokusebenzisa kwabo inani elikhulu labantu, kwaye therapist akanako ukukhumbula iinkcukacha amancinane kwinqanaba impilo umntu othile.

Kwinxalenye yesibini yesicwangciso ngamnye wenza amacebo kunye neengcebiso malunga nokukhubazeka kunye neemeko kunokwenzeka yokusebenza. Ukuba isigulana unezinga elithile yokukhubazeka, imiqathango abonisiweyo lokuqaphela emayezeni kunye nomhla kwakhona yoviwo-.

Le ndima zilandelayo kubandakanya iingcebiso ngokutya ukutya kunye axa isigulane kufuneka ngqo kulo. Kwakhona kubonisa inqanaba lokuzilolonga kunye nomsebenzi kunokwenzeka.

Iimpawu ze amanyathelo olungiso kunye nothintelo ibandakanya kungekuphela nje ebonisa ngqo iziyobisi, iingedosi, kunye nexesha isicelo sabo, kodwa ichaza indlela yonyango (ngohlobo ukuyifundisa unyango Spa). umhla oluthile lokubhala uviwo iingcali nomonde kubonisiwe kwaye, ukuba kuyimfuneko, kwaye ukufika yeengcali zonyango ekhaya.

kuxilonga abantwana

kweliso lwezonyango zeentsana yabanjwa endle. Sezifo bahlola umntwana nyanga zonke. Uqikelelo yakhe data anthropometric, ngokubanzi, umsebenzi amalungu abalulekileyo kunye neenkqubo. Oku kuyimfuneko hayi kuphela ekufunyanisweni kwe-ezingaqhelekanga, kodwa ukunqanda nokubonakala kwazo nokumisela loluthando izifo ezithile.

ubonwa lemithi udokotela yesithili abantwana iboniswa kuphela ukuba ezisanda kuzalwa kunye nabantwana, kodwa kwizigulane emngciphekweni, abantu abanezifo ezingapheliyo kunye nabantwana bengafundi epriskuli.

Indima umongikazi kwi "D" -Accounting

Landela-up lwezigulane zifuna iinkcitho elikhulu ixesha kunye nomgudu. ngendima enkulu edlalwa abongikazi kuviwo clinical. Imisebenzi ye umongikazi iquka:

• nokugcina filing dispanserizuemyh;
• ngokuthumela iindaba izigulane ngemfuneko ukundwendwela ikliniki okanye ingcali ethile;
• ulawulo yokubasemsebenzini;
• ukulungiselela amaxwebhu phambi kokuba lokuhlolwa elandelayo;
• ukuphunyezwa ngokuqeshwa zikagqirha;
• ukwenza ulawulo echaza isigulana;
• ukunakekelwa ekhaya;
• iirekhodi zigcinwa.

Okokuqala Utyelelo dispanserizuemogo ekhaya kubhetele ukuba bachithe kunye nogqirha wakho. Ukuba sinikele ingqalelo iimeko zobomi mimiselo yomguli kunye nococeko kuloo ndawo ahlala kuyo, funani lowo unokuthi uyakwazi ukunika kuyo yonke kuyimfuneko, kunye uphila ngaye.