Ukusatshalaliswa Kwezidakamizwa Ezinsizeni Zezibhedlela
Ukusatshalaliswa kwemithi kungenye yezixhumanisi ezibaluleke kakhulu ezinsizakalweni zemithi zasesibhedlela. Le nqubo idlula nje ukuhambisa imithi isuka endaweni yokugcina impahla iye ewadini, kodwa ihlanganisa uchungechunge lwemisebenzi ehleliwe ukuqinisekisa ukuthi iziguli zithola imithi efanele, ngomthamo ofanele, ngesikhathi esifanele, ngendlela efanele, kanye namadokhumenti afanele. Phakathi kobunzima bezinsizakalo zasesibhedlela—ezinezifo ezahlukahlukene, izindlela zokwelapha ezahlukahlukene, izimo zeziguli ezishintshashintshayo, kanye nokubandakanyeka kwemisebenzi eminingi—ukusatshalaliswa kwemithi okuphumelelayo kuyisihluthulelo kokubili ukuphepha kwesiguli kanye nokusebenza kahle.
Incazelo kanye nenhloso yokusatshalaliswa kwezidakamizwa
Ukusatshalaliswa kwezidakamizwa esibhedlela uhlelo lokusabalalisa nokuletha izidakamizwa ezivela ekhemisi kuya kumayunithi okunikeza usizo (iziguli ezilaliswe esibhedlela, iziguli ezingalaliswa esibhedlela, igumbi lezimo eziphuthumayo, iyunithi yokunakekelwa okujulile, igumbi lokuhlinza, namanye amayunithi) noma ngqo ezigulini, okuhambisana nokulawulwa kwekhwalithi, ukulawulwa kwesitoko, kanye nokugcinwa kwamarekhodi okunembile. Izinhloso zayo eziyinhloko zifaka:
1. Qinisekisa ukuthi imithi iyatholakala ngokwezidingo zeziguli kanye namayunithi ezinsizakalo.
2. Vimbela amaphutha emithi ngezinqubo ezijwayelekile.
3. Gcina ikhwalithi yemithi, okuhlanganisa ukuqina, ukuphepha, kanye nokugcinwa okufanele ngesikhathi sokusatshalaliswa.
4. Lungiselela izindleko ngokunciphisa imfucuza, ukuphelelwa yisikhathi, kanye nokulahlekelwa yisitoko.
5. Isekela ukuthobela imithetho futhi yenza kube lula ukuhlolwa kwezimali kanye nokulandelelwa kwazo.
Uhlelo lokusabalalisa izidakamizwa ezibhedlela
Izibhedlela ezahlukene zingasebenzisa uhlelo olulodwa noma inhlanganisela yalezi zinhlelo zokusabalalisa ezilandelayo, kuye ngokuthi abasebenzi bayakwazi yini, ubuchwepheshe, kanye nezinga lobunzima benkonzo.
1. Uhlelo loku-oda ngemithi yomuntu ngamunye
Kulolu hlelo, imithi ilungiselelwa ngokusekelwe ku-oda likadokotela noma likadokotela wesiguli esithile. Ikhemisi lilungisa imithi njengoba iceliwe bese liyidlulisela kumhlengikazi/eyunithi noma ngqo esigulini (isb., seziguli ezingalaliswa esibhedlela). Inzuzo yalolu hlelo ukulawula okungcono ngoba imithi ngayinye ihlotshaniswa nobunikazi besiguli. Kodwa-ke, umthwalo womsebenzi wekhemisi ungaba mkhulu, ikakhulukazi ngezikhathi zomsebenzi omatasa, okudinga umsebenzi osebenzayo.
2. Uhlelo lokufaka impahla egumbini (isitokwe esiphansi)
Amayunithi abahlengikazi agcina inani elilinganiselwe lemithi njengesitokwe saphansi ukuze isetshenziswe ngokushesha. Lolu hlelo luvame kakhulu emithini ephuthumayo noma emithini esetshenziswa njalo. Inzuzo ukufinyelela ngokushesha, ikakhulukazi egumbini lezimo eziphuthumayo kanye neyunithi yokunakekelwa okujulile. Kodwa-ke, lunengozi enkulu yamaphutha ekuqoqweni, ukugcinwa okungafanele, kanye nokuphelelwa yisikhathi okungenzeka uma ukulawulwa kwesitokwe kungaqinile. Ngakho-ke, isitokwe saphansi kumele sihambisane nohlu lwemithi olunqunyelwe, ukubhekwa kwemithi, kanye nokugcinwa kwamarekhodi okusetshenziswa okuqinile.
3. Uhlelo lomthamo weyunithi
Uhlelo lomthamo weyunithi lunikeza imithi ezitsheni zomthamo owodwa ezilungiselelwe ukuphathwa kanye, ngokuvamile amahora angama-24 okwelashwa. Lubhekwa njengolunye lwezinhlelo eziphephile ngoba lunciphisa amaphutha okulungiselela futhi lwenza kube lula ukuqinisekiswa. Izinhlelo zomthamo weyunithi ziphinde zikhuthaze imibhalo enembile futhi zinciphise imfucuza. Izinselele zifaka phakathi isidingo sezinsiza ezanele (abasebenzi, isikhala, imishini yokupakisha) kanye nohlelo lolwazi olwanele.
4. Uhlelo oluzenzakalelayo (Ikhabhinethi Yokukhipha Ezenzakalelayo/i-ADC)
Ubuchwepheshe obufana namakhabethe okusabalalisa okuzenzakalelayo buvumela amayunithi abahlengikazi ukuthi athole imithi emishinini enokulawula ukufinyelela, ukurekhoda nge-elekthronikhi, kanye nokulandelela isitoko ngesikhathi sangempela. Ama-ADC angathuthukisa isivinini sesevisi kanye nokuphepha, ikakhulukazi emithini eqaphile kakhulu. Kodwa-ke, ukusetshenziswa kwawo kudinga ukutshalwa kwezimali okukhulu, ukulungiswa, kanye namalungelo okufinyelela aqinile kanye nezinqubo zokugwema ukudala izikhala ezintsha zokuphepha.
Ukugeleza kokusatshalaliswa kwezidakamizwa: kusukela ekuhleleni kuya ekulethweni
Ukusatshalaliswa kwemithi okuphumelelayo akuzimeleli wedwa, kodwa kunalokho kuhlanganisa ezinye izigaba: ukuhlela, ukuthenga, ukwamukela, ukugcina, kanye nokusabalalisa. Empeleni, inqubo yokusabalalisa ivame ukufaka:
1. Ukuthola izicelo/ama-oda ezidakamizwa
Ama-oda avela emithini kadokotela yangaphandle, ama-oda e-elekthronikhi (i-CPOE), noma izicelo zeyunithi zesitoko esithile. Kulesi sigaba, ukuqinisekiswa kokuphatha kanye nokwelashwa kubalulekile, okuhlanganisa ukuhlonza isiguli, ukungezwani komzimba, ukusebenzisana, umthamo, kanye nendlela yokuphatha.
2. Ukulungiselela (ukukha) nokuxuba uma kudingeka
Imithi ikhishwa ngokwesimiso se-FEFO (First Expired First Out) ukuvimbela ukuphelelwa yisikhathi. Ngemithi ehlanganisiwe, inqubo kumele ilandele amazinga okuhlanzeka kanye nokubala okunembile. Ngemithi ehlanzekile (njengemijovo ethile), lokhu kufanele kwenziwe endaweni ehlangabezana nezidingo ze-aseptic.
3. Ukulebula nokuhlola kabili
Ilebula kumele lisho ngokucacile igama lesiguli (uma liqondene nesiguli esithile), igama lomuthi, amandla, umthamo, imiyalelo yokusebenzisa, isikhathi sokusetshenziswa, kanye nanoma yiziphi izixwayiso ezikhethekile (isb., "umuthi oqaphile kakhulu," "gcina efrijini"). Ukuhlola kabili ngabasebenzi abahlukene kunganciphisa ingozi yamaphutha.
4. Ukulethwa/ukusatshalaliswa kumayunithi
Ukulethwa kwemithi kumele kuqinisekise ukuzinza—isibonelo, uchungechunge olubandayo lwemithi yokugoma noma i-insulin. Ukusetshenziswa kwezitsha ezinikezelwe, ukugcinwa kwamarekhodi, kanye nemizila yokusabalalisa ejwayelekile kusiza ukuqinisekisa ukulethwa kwemithi ngesikhathi.
5. Ukubhalwa kwamadokhumenti esitokwe kanye nokubuyisana
Zonke izinkokhelo kudingeka zirekhodwe ukuqinisekisa amazinga esitokwe anembile, kube lula ukulandelela uma kwenzeka isigameko, kanye nokusekela ukubika kokusetshenziswa kwezidakamizwa.
Indima yabasebenzi bezokwelapha kanye nokubambisana kweqembu
Ukusatshalaliswa kwemithi okuphephile kudinga ukubambisana kochwepheshe abahlukahlukene. Osokhemisi kanye nochwepheshe bemithi banesibopho sokuqinisekisa, ukulungiselela, nokufundisa iziguli ngemithi. Abahlengikazi badlala indima ekugcinweni kwegumbi, ukuqinisekiswa kobunikazi besiguli, kanye nokunikeza imithi ngokwemigomo "efanele" (isiguli esifanele, umuthi ofanele, umthamo ofanele, isikhathi esifanele, umzila ofanele, kanye nemibhalo efanele). Odokotela baqinisekisa ukunemba kwezinkomba kanye nohlelo lokwelapha. Ukubambisana okuhle kunciphisa amathuba okuba namaphutha emithi, ikakhulukazi ezigulini ezithola ukwelashwa okuyinkimbinkimbi, asebekhulile, kanye neziguli ezigula kakhulu.
Izingozi nezinselele ekusabalalisweni kwezidakamizwa
Ngisho noma kunezinqubo ezikhona, ukusatshalaliswa kwezidakamizwa kusabhekene nezinselele, okuhlanganisa:
– Ukungahlonzwa kahle kwesiguli ngenxa yamalebula angacacile noma inqubo yokudlulisela ngokushesha.
– Kuphelile noma ukubambezeleka okuphazamisa ukuqhubeka kokwelashwa.
– Imithi eqaphile kakhulu (isib. i-insulin, ama-anticoagulant, ama-electrolyte aqinile) anobungozi obukhulu uma enikezwa umthamo noma ukulungiswa okungalungile.
– Izicelo ezingazelelwe ezivela kumayunithi ezimo eziphuthumayo ezidinga impendulo esheshayo kodwa ephephile.
– Ukuphathwa kwezidakamizwa ezidakisayo nezithinta ingqondo ezidinga ukuphepha, ukuqoshwa okukhethekile, kanye nokuhlolwa njalo.
– Imikhawulo yochungechunge lomkhuhlane kanye nokugcinwa okukhethekile (isib. izidakamizwa ezinobuthi) ezidinga izikhungo nokuqeqeshwa.
Amasu okuthuthukisa ikhwalithi nokuphepha
Ukuze kuqiniswe ukusatshalaliswa kwemithi, izibhedlela zingasebenzisa amasu alandelayo:
1. Ukwenziwa kwezimiso ze-SOP kanye nokuqeqeshwa okuvamile kwazo zonke izikhulu ezihlobene.
2. Ukuqaliswa kohlelo lolwazi lwezokwelapha oluhlanganisiwe olunamarekhodi ezokwelapha kagesi ukuze kuncishiswe amaphutha okubhalwa kwemibhalo.
3. Ukunikezwa kwemithi ye-Barcode (BCMA) ukuze ukuqinisekiswa kwemithi yesiguli kwenziwe nge-elekthronikhi.
4. Ukuhlolwa kokusetshenziswa kwezidakamizwa kanye nokuqapha isitokwe okuhlanganisa nokuhlolwa kwezidakamizwa eziphelelwe yisikhathi kanye nezonakele.
5. Ukuhlelwa kwemithi eqaphile kakhulu enesitoreji esihlukile, amalebula avelele, kanye nokufinyelela okulinganiselwe.
6. Ukuthuthukiswa kwezinhlelo zokuthutha ezifana nokuhlela ukusatshalaliswa, ukusetha izinto eziza kuqala, kanye nezindlela zokugcwalisa izicelo eziphuthumayo.
I-Penutup
Ukusatshalaliswa kwezidakamizwa ekunakekelweni kwesibhedlela kuyinqubo eqondisayo enquma ikhwalithi yokwelashwa kanye nokuphepha kwesiguli. Uhlelo oluhle lokusabalalisa luqinisekisa ukuthi imithi iyatholakala, isatshalaliswa ngendlela efanele, futhi ilawulwa ngekhwalithi kanye nezindleko. Ngokukhetha uhlelo olufanele (imithi yomuntu ngamunye, isitokwe saphansi, umthamo weyunithi, noma okuzenzakalelayo), ukuqinisa ukubambisana phakathi kochwepheshe, kanye nokusebenzisa ubuchwepheshe kanye nokuhlolwa kwekhwalithi, izibhedlela zinganciphisa amaphutha futhi zithuthukise ukusebenza kahle kwensizakalo. Ekugcineni, ukusatshalaliswa kwemithi okuthembekile akuyona nje indaba yezokuthutha, kodwa kuyingxenye eyinhloko yezinsizakalo zezempilo ezisezingeni eliphezulu ezibeka phambili ukuphepha kwesiguli.
