Kugoverwa Kwemishonga Mumabasa Ezvipatara
Kugoverwa kwemishonga ndeimwe yenzira dzakakosha mumabasa ekurapa muzvipatara. Maitiro aya anopfuura kungotamisa mishonga kubva mudura kuenda kuchipatara, asi anosanganisira mabasa akarongwa ekuona kuti varwere vanogamuchira mishonga chaiyo, nechiyero chakakodzera, panguva chaiyo, nenzira chaiyo, uye nemagwaro akakodzera. Pakati pekuoma kwebasa rezvipatara—nezvirwere zvakasiyana-siyana, marapirwo akasiyana-siyana, mamiriro evarwere anochinja-chinja, uye kubatanidzwa kwemabasa akasiyana-siyana—kugoverwa kwemishonga zvinobudirira kwakakosha pakuchengetedza kwevarwere uye kushanda zvakanaka.
Tsanangudzo nechinangwa chekugoverwa kwemishonga
Kugoverwa kwemishonga muchipatara inzira yekuparadzira nekuendesa mishonga kubva ku pharmacy kuenda kumakamuri ekurapa (muchipatara, kunze kwechipatara, mukamuri rekukurumidzira, mukamuri revanorwara zvakanyanya, mukamuri rekuvhiyira, nedzimwe nzvimbo) kana zvakananga kuvarwere, zvichiperekedzwa nekudzora mhando, kudzora stock, uye kuchengetedza zvinyorwa nemazvo. Zvinangwa zvayo zvikuru zvinosanganisira:
1. Kuve nechokwadi chekuti mishonga iripo zvichienderana nezvinodiwa nevarwere nemapoka evanopa rubatsiro.
2. Kudzivirira zvikanganiso zvemishonga kuburikidza nemaitiro akajairwa.
3. Kuchengetedza mhando yemushonga, kusanganisira kugadzikana, kuchengetedzeka, uye kuchengetwa kwakakodzera panguva yekugoverwa.
4. Wedzera mari inoshandiswa nekuderedza marara, kupera kwemari, uye kurasikirwa kwezvinhu.
5. Inotsigira kutevedzera mitemo uye inobatsira kuongororwa kwemabhuku uye kuteverwa kwemabhuku.
Sisitimu yekugovera mishonga muzvipatara
Zvipatara zvakasiyana-siyana zvinogona kushandisa imwe kana musanganiswa wenzira dzekugovera dzinotevera, zvichienderana nekugona kwevanhu, tekinoroji, uye kuoma kwebasa.
1. Sisitimu yekutenga mishonga yemunhu wega wega
Muchirongwa ichi, mishonga inogadzirwa zvichibva pane zvakanyorerwa nachiremba kana kuti zvakarairwa nachiremba wemurwere. Murapi wemishonga anogadzirira mushonga sezvaakumbirwa uye obva aupa mukoti/yuniti kana zvakananga kumurwere (semuenzaniso, kune varwere vasiri kuchipatara). Chinhu chakanaka chechirongwa ichi ndechekudzora zviri nani nekuti mushonga wega wega unobatanidzwa nekuzivikanwa kwemurwere. Zvisinei, basa remurapi wemishonga rinogona kunge rakawanda, kunyanya panguva dzekushanda zvakanyanya, zvichiita kuti basa rifambe zvakanaka.
2. Sisitimu yezvinhu zviri mukamuri (pasi)
Mayuniti evanamukoti ane huwandu hushoma hwemishonga semushonga wepasi wekushandiswa nekukurumidza. Iyi sisitimu yakajairika yemishonga yekukurumidzira kana mishonga inoshandiswa kakawanda. Zvakanakira ndeyekusvika nekukurumidza, kunyanya mukamuri rekukurumidzira neyuniti yevanorwara zvakanyanya. Zvisinei, ine njodzi huru yekukanganisa mukuunganidza, kuchengetwa kusina kunaka, uye mhedzisiro yekupera kwemishonga kana kudzora mishonga kusina kuomarara. Saka, mishonga yepasi inofanira kuperekedzwa nerondedzero yemishonga yakaganhurirwa, kutarisa mishonga, uye kuchengetedza zvinyorwa zvekushandiswa kwakasimba.
3. Sisitimu yemuyero weyuniti
Sisitimu yemushonga weyuniti inopa mishonga mumidziyo yemushonga mumwe chete yakagadzirirwa kupiwa kamwe chete, kazhinji kwemaawa makumi maviri nemana ekurapwa. Inoonekwa seimwe yenzira dzakachengeteka nekuti inoderedza zvikanganiso zvekugadzirira uye inoita kuti kuongororwa kuve nyore. Sisitimu yemushonga weyuniti inokurudzirawo magwaro akarurama uye inoderedza marara. Matambudziko anosanganisira kudiwa kwezviwanikwa zvakakwana (vashandi, nzvimbo, midziyo yekurongedza) uye sisitimu yeruzivo yakakwana.
4. Sisitimu inoshanda otomatiki (Kabhineti Yekugovera Otomatiki/ADC)
Matekinoroji akadai semakabati ekupa mishonga otomatiki anobvumira mayunitsi ekurera varwere kutora mishonga kubva kumichina ine simba rekutonga kupinda, kunyora magwaro emagetsi, uye kutevedza stock panguva chaiyo. MaADC anogona kuvandudza kumhanya kwebasa uye kuchengetedzeka, kunyanya mishonga ine hunyanzvi hwepamusoro. Zvisinei, kushandiswa kwawo kunoda mari yakawanda, kugadziriswa, uye kodzero dzakasimba dzekupinda uye maitiro ekudzivirira kugadzira mipata mitsva yekuchengetedza.
Kuyerera kwekugoverwa kwemishonga: kubva pakuronga kusvika pakuendesa
Kugoverwa kwemishonga zvinobudirira hakungomiriri kwega, asi kunobatanidza mamwe matanho: kuronga, kutenga, kugamuchira, kuchengeta, uye kugovera. Muchokwadi, maitiro ekugovera anowanzo sanganisira:
1. Kugamuchira zvikumbiro/maodha emishonga
Maodha anobva pamishonga inonyorerwa varwere vasiri muchipatara, maodha emagetsi (CPOE), kana zvikumbiro zvezvikamu zvemushonga chaiwo. Padanho rino, kuongororwa kwemushonga nekiriniki kwakakosha, kusanganisira kuzivikanwa kwemurwere, allergies, kusangana kwemurwere, huwandu hwemushonga, uye nzira yekupa mushonga.
2. Kugadzirira (kusvuura) uye kusanganisa kana zvichidikanwa
Mishonga inopihwa zvichienderana nemutemo weFEFO (First Expired First Out) kudzivirira kupera kwemvura. Pamishonga yakasanganiswa, maitiro acho anofanira kutevedzera mitemo yehutsanana uye kuverenga kwakarurama. Pamishonga isina utachiona (yakadai semajekiseni), izvi zvinofanirwa kuitwa munzvimbo inosangana nezvinodiwa zveaseptic.
3. Kunyora mazita uye kuongorora kaviri
Chinyorwa chinofanira kutsanangura zvakajeka zita remurwere (kana riri remurwere chaiye), zita remushonga, simba rawo, chiyero chawo, mirairo yekushandiswa, nguva yekushandiswa, uye chero yambiro dzinokosha (semuenzaniso, "mushonga unochenjerera zvakanyanya," "chengeta mufiriji"). Kuongorora kaviri kwevashandi vakasiyana kunogona kuderedza njodzi yekukanganisa.
4. Kuendesa/kugovera kumayuniti
Kutumirwa kwemishonga kunofanirwa kuve nechokwadi chekuti mishonga yacho yagadzikana—semuenzaniso, kuchengetedzwa kwemishonga yekudzivirira kana insulin. Kushandiswa kwemidziyo yakatsaurirwa, kuchengetwa kwezvinyorwa, uye nzira dzekugovera mishonga nguva nenguva zvinobatsira kuona kuti mishonga yacho yasvika panguva yakakodzera.
5. Magwaro ezvekutengeswa kwezvinhu uye kuyananisa
Zvese zvinofanirwa kunyorwa pasi kuti zvive nechokwadi chekuti masheya anowanikwa akarurama, kuti zvive nyore kuteverwa kana paine chiitiko, uye kutsigira kuburitswa kwekushandiswa kwezvinodhaka.
Basa revashandi vemishonga pamwe nekushandira pamwe kwechikwata
Kugoverwa kwemishonga kwakachengeteka kunoda kushanda pamwe chete kwevashandi vepamusoro. Nyanzvi dzemishonga nenyanzvi dzemishonga dzine basa rekusimbisa, kugadzirira, uye kudzidzisa varwere nezvemishonga. Vanamukoti vanoita basa rekuchengetera varwere muwadhi, kusimbisa hunhu hwemurwere, uye kupa mishonga zvichienderana ne "nheyo dzakarurama" (murwere akakodzera, mushonga wakakodzera, dose rakakodzera, nguva yakakodzera, nzira yakarurama, uye magwaro akakodzera). Vanachiremba vanovimbisa kururama kwezviratidzo uye nzira yekurapa. Kushanda pamwe chete kwakanaka kunoderedza mukana wezvikanganiso zvemishonga, kunyanya muvarwere vari kurapwa zvakaoma, vakwegura, nevarwere vanorwara zvakanyanya.
Njodzi nematambudziko mukuparadzirwa kwemishonga
Kunyangwe hazvo paine nzira dzekushandisa mishonga, kugoverwa kwemishonga kuchiri kusangana nematambudziko, anosanganisira:
- Kuzivikanwa kwemurwere zvisirizvo nekuda kwemazita asina kujeka kana kuti kuendeswa kwake nekukurumidza.
– Kupera kwemishonga kana kunonoka kunovhiringidza kuenderera mberi kwekurapwa.
– Mishonga ine njodzi huru (semuenzaniso insulin, anticoagulants, ma electrolytes akawandisa) ayo ane njodzi huru kana akapihwa dose isiriyo kana kugadzirira.
- Zvikumbiro zvinokasira kubva kumakamuri ekukurumidzira zvinoda mhinduro nekukurumidza asi yakachengeteka.
- Kutarisira mishonga inodhaka uye yepfungwa inoda kuchengetedzeka, kurekodha kwakakosha, uye kuongororwa nguva nenguva.
– Zvirambidzo zvechando uye nzvimbo yekuchengetedza (semuenzaniso mishonga inouraya utachiona) inoda nzvimbo nekudzidziswa.
Matanho ekuvandudza hunhu uye kuchengetedzeka
Kuti zvisimbise kugoverwa kwemishonga, zvipatara zvinogona kushandisa nzira dzinotevera:
1. Kugadziriswa kwemaitiro ekushanda kwevashandi vepamusoro uye kudzidziswa kwakajairika kwevashandi vese vane chekuita nazvo.
2. Kushandiswa kwehurongwa hweruzivo rwemishonga hwakabatana hune zvinyorwa zvekurapa zvemagetsi kuderedza zvikanganiso zvekunyora.
3. Kupiwa kwemishonga yeBarcode (BCMA) kuitira kuti kuongororwa kwemishonga yemurwere kuitwe nemagetsi.
4. Kuongororwa kwekushandiswa kwemishonga uye kutariswa kwehuwandu hwemishonga kusanganisira kuongororwa kwemishonga yapera uye yakakuvara.
5. Kurongeka kwemishonga yakangwara ine nzvimbo yekuchengetera yakasiyana, mavara akajeka, uye mukana wekupinda wakaganhurirwa.
6. Kuvandudzwa kwehurongwa hwezvinhu zvakaita sekuronga nguva yekugovera, kuronga zvinhu zvinokosha, uye nzira dzekuzadzisa zvikumbiro zvekukurumidza.
Penutup
Kugoverwa kwemishonga muzvipatara inzira inosarudza mhando yekurapa uye kuchengetedzeka kwemurwere. Sisitimu yakanaka yekugovera inoita kuti mishonga iwanikwe, igoverwe nemazvo, uye idzorwe zvichienderana nemhando uye mutengo. Nekusarudza sisitimu yakakodzera (yemunhu mumwe nemumwe, stock yepasi, dose yeyuniti, kana otomatiki), kusimbisa kushandira pamwe kwevashandi pamwe chete, uye kushandisa tekinoroji uye kuongororwa kwemhando, zvipatara zvinogona kuderedza zvikanganiso uye kuvandudza kushanda kwebasa. Pakupedzisira, kugoverwa kwemishonga kwakavimbika hakusi nyaya yekungotakura zvinhu chete, asi chikamu chikuru chehutano hwemhando yepamusoro hunoisa kuchengetedzeka kwemurwere pakutanga.
