Inhlangano Yokufakwa Kwekhemisi Yesibhedlela
I-Hospital Pharmacy Unit (IFRS) iyiyunithi eqondisayo ekuhlinzekeni ngezinsizakalo zokunakekelwa kwempilo ezibhedlela. Indima yayo idlulela ngale kokuthengwa nokusatshalaliswa kwemithi, kodwa futhi ihlanganisa ukuphathwa okuphelele kwemithi, amadivayisi ezokwelapha, kanye nezinto ezisetshenziswayo. I-IFRS ehlelwe kahle iqinisekisa ukutholakala, ukuphepha, ikhwalithi, kanye nokusetshenziswa okunengqondo kwemithi, ngenkathi isekela ukusebenza kahle kwezindleko kanye nokuphepha kweziguli. Ngakho-ke, ingxoxo ngokuhleleka kweyunithi yekhemisi yesibhedlela ibalulekile ekuqondeni ukuthi izinhlelo nezinsizakusebenza ziphathwa kanjani ukuze kuthuthukiswe izinsizakalo zemithi.
Incazelo kanye nobubanzi be-IFRS
Iyunithi Yekhemisi Yesibhedlela iyiyunithi esebenzayo ephethe zonke izinsizakalo zemithi ngaphakathi esibhedlela. Ububanzi bayo buhlanganisa imisebenzi yokuphatha (njengokuhlela izidingo, ukuthengwa, ukugcinwa, kanye nokusabalalisa) kanye nemisebenzi yezokwelapha (njengezinsizakalo zolwazi ngemithi, ukuqapha ukwelashwa ngemithi, kanye nokwelulekwa kweziguli). Ngokuthuthukiswa kwezindinganiso zokugunyazwa kanye nemithethonqubo yesevisi yemithi, i-IFRS iphinde igcizelele kakhulu imikhuba yekhemisi yezokwelapha egxile esigulini.
Empeleni, i-IFRS iphatha izinhlobo ezahlukene zemithi yokwelapha: imithi ejwayelekile neyophawu, imithi kadokotela, izidakamizwa kanye nemithi ye-psychotropic, imithi eqaphile kakhulu , ngisho namadivayisi athile ezokwelapha afana namasethi okufakwa, ama-catheter, kanye nama-reagent athile uma ephethwe yikhemisi. Lo mkhakha udinga ukuhleleka okucacile, ukuhamba komsebenzi okucacile, kanye nokuxhumana okuqinile kwamayunithi ahlukahlukene.
Izinhloso zeNhlangano Yokufakwa Kwekhemisi Yesibhedlela
Inhlangano ye-IFRS yasungulwa ukuze ifeze imigomo eminingana eyinhloko. Okokuqala, iqinisekisa ukutholakala kwezinsiza zemithi ngokwezidingo zezokwelapha kanye namaphethini ezifo zesiguli. Okwesibili, iqinisekisa ikhwalithi, ukuphepha, kanye nokuba semthethweni kwemithi ngokuphathwa okujwayelekile. Okwesithathu, isekela ukusetshenziswa okunengqondo kwemithi ngezinsizakalo zemithi yezokwelapha kanye nemfundo. Okwesine, ilawula izindleko ngohlelo lokuhlela olusebenzayo, ukuthengwa, kanye nokuqapha. Okwesihlanu, ithuthukisa ukuphepha kwesiguli ngokuvimbela amaphutha emithi kuzo zonke izigaba zenqubo yenkonzo.
Lezi zinhloso azikwazi ukufezwa ngomsebenzi womuntu ngamunye kuphela, kodwa ngohlelo lwenhlangano oluhlelekile, ukwahlukaniswa kwemisebenzi okufanele, kanye nezindlela zokulawula ikhwalithi ezihambisanayo.
Isakhiwo Senhlangano se-IFRS
Izakhiwo zenhlangano ze-IFRS zingahluka kuye ngohlobo lwesibhedlela, amandla esevisi, kanye nezinqubomgomo zokuphatha. Kodwa-ke, iphethini evamile iyafana: inhloko yeyunithi yekhemisi njengomuntu oyinhloko ophethe, esizwa abaxhumanisi abaningana noma izinhloko zamayunithi ngokusekelwe ezindaweni zabo zomthwalo wemfanelo.
1. Ikhanda Ukufakwa Kwekhemisi Lesibhedlela
Inhloko ye-IFRS ngokuvamile ingusokhemisi onekhono lokuphatha kanye nelokwelapha kanye nokuqonda imithethonqubo yezokwelapha. Unesibopho sokuthuthukisa izinhlelo zomsebenzi, ukudala izinqubomgomo zangaphakathi, ukuqondisa ukusebenza, kanye nokuqinisekisa ukusebenzisana ne-IFRS. ukuphathwa kwesibhedlela kanye namanye amayunithi enkonzo. INhloko ye-IFRS idlala indima ekuhlolweni kokusebenza, ekuthuthukisweni kwezinsizakusebenza zabantu, nasekuqiniseni isiko lokuphepha kweziguli.
2. Iyunithi Engaphansi Yokuphatha (I-Pharmaceutical Logistics)
Le yunithi encane iphatha yonke inqubo yokuphathwa kokuhlinzekwa kwemithi, kusukela ekuhleleni kuya ekusatshalalisweni. Imisebenzi yayo eyinhloko ihlanganisa: ukuhlela izidingo zemithi, ukukhethwa nokuhlolwa kwabaphakeli, ukuthengwa ngokwezinqubo, ukwamukelwa nokuhlolwa kwezimpahla, ukugcinwa ngokwezidingo zokushisa nokuphepha, kanye nokusabalalisa ezindaweni zokugcina imithi noma emayunithi abahlengikazi. Ukuthunyelwa kwemithi kuyinsika ye-IFRS, okuqinisekisa ukulethwa kwezinsizakalo okubushelelezi.
3. Iyunithi Yezinsizakalo Zekhemisi Yezokwelapha
Ikhemisi lezokwelapha ligxile ezigulini kanye nokwelashwa ngemithi. Osokhemisi bezokwelapha bangase bahileleke ekuvakasheni odokotela, ekuqapheni imiphumela emibi yezidakamizwa, ukukhethwa kokwelashwa okusekelwe ebufakazini, ukuhlolwa kokusetshenziswa kwama-antibiotic (ukuphathwa kwama-antimicrobial), kanye nokufundiswa kweziguli kanye nokwelulekwa. Ukuhlela kwale yunithi encane kuvame ukufaka ukwabelwa kwabezokwelapha ngokwewadi (i-ICU, imithi yangaphakathi, odokotela bezingane, ukuhlinzwa) noma ngohlelo (ama-antibiotic, i-chemotherapy, ukunakekelwa okubucayi).
4. Isitolo Sekhemisi Sangaphandle Nesesibhedlela Esilalisiwe
Ama-depot ekhemisi asebenza njengezindawo zesevisi eqondile yeziguli noma amayunithi okunakekelwa. Ama-depot eziguli zangaphandle aphatha imithi kadokotela yeziguli zangaphandle, kuyilapho ama-depot eziguli zangaphakathi ehlinzeka ngezidingo zemithi yeziguli ezilaliswe emagumbini. Ezinhlanganweni ze-IFRS, ama-depot avame ukuba nabaxhumanisi abaqinisekisa isevisi esheshayo, enembile, neyenqubo, okuhlanganisa ukuhlolwa kwemithi kadokotela, ukuhlanganiswa kwemithi, ukukhishwa kwemithi, kanye nokufundiswa kweziguli okufushane.
5. Iyunithi Yokukhiqiza/Yokuhlanganisa Ekhethekile (Uma Ikhona)
Ezinye izibhedlela zinezindawo zokukhiqiza, njengokuhlanganiswa okungesilo igciwane (isb., amalungiselelo e-cytostatic/chemotherapy, ukudla okunempilo okuphelele/i-TPN) noma ukuhlanganiswa okungesilo igciwane. Lawa mayunithi adinga amazinga aqinile, izindawo ezizinikele (amakamelo ahlanzekile), kanye nezinqubo zokusebenza ezijwayelekile ezinemininingwane (ama-SOP). Inhlangano kumele iqinisekise ukuphepha kwabasebenzi neziguli, okuhlanganisa nokulawulwa kokungcola kanye nokuqinisekiswa kwenqubo.
6. Iyunithi Yokulawula Ikhwalithi Nokubika
Nakuba ngezinye izikhathi kuhlanganiswe nomsebenzi wenhloko yokufaka noma umxhumanisi, ukulawulwa kwekhwalithi kufanele kube umsebenzi ohlukile. Imisebenzi yayo ifaka phakathi ukuhlolwa kwangaphakathi, ukuqapha izinkomba zokusebenza (ama-KPI), ukubika izehlakalo zamaphutha emithi, ukuhlola ukuhambisana nefomula, kanye nokusebenzisa izinhlelo zokuphepha kwemithi njengokulebula imithi okuqaphile kakhulu kanye nokulebula okufana nomsindo (i-LASA).
Izinsiza Zabantu ku-IFRS
Impumelelo yenhlangano ye-IFRS ithonywa kakhulu ikhono kanye nenani lezinsizakusebenza zayo. Ukwakheka kwezinsizakusebenza zabantu ngokuvamile kuqukethe osokhemisi, abasebenzi bezobuchwepheshe bemithi (TTK), kanye nabasebenzi bokuphatha/bokusekela. Osokhemisi badlala indima eyinhloko ezicini zezokwelapha kanye nokuqinisekiswa kwekhwalithi, kuyilapho i-TTK ihileleke kakhulu ekusatshalalisweni, ekuhlanganisweni, kanye nasenkonzweni kadokotela ngaphansi kokuqondisa kosokhemisi ngokuhambisana nemithethonqubo. Abasebenzi bokuphatha basiza ngemibhalo, ukugcinwa kwemibhalo, ukukhokhisa, kanye nokuphathwa kohlelo lolwazi.
Ukuthuthukiswa kwezinsizakusebenza zabantu kwenziwa ngokuqeqeshwa okuvamile, ukufundiswa kwabasebenzi abasha, ukuhlolwa kwamakhono, kanye nokwabiwa kwemisebenzi ngokwemisebenzi. Ngaphezu kwalokho, izibhedlela zidinga ukuqinisekisa isimiso somsebenzi esisekela isevisi yamahora angama-24 uma zihlinzeka ngezinsizakalo eziphuthumayo kanye nezinsizakalo zokulaliswa esibhedlela.
Ukuphathwa Nokuhlanganiswa Kwamayunithi Ahlukene
Inhlangano ye-IFRS ayikho yodwa. Ukuxhumana nekomidi le-pharmacy and therapeutics (PFT) kubalulekile, ikakhulukazi ekusunguleni amafomula ezibhedlela , izinqubomgomo zokusetshenziswa kwama-antibiotic, izinqubo zokwelapha, kanye nokubuyekezwa kokusetshenziswa kwezidakamizwa. I-IFRS kumele futhi ixhumane neyunithi yezezimali yokulawula izindleko, iyunithi yokuthenga yokucubungula izinkontileka, kanye nekomidi lekhwalithi kanye nokuphepha kweziguli ukuze kubike futhi kuthuthukiswe uhlelo.
Ezingeni lokusebenza, ukusebenzisana nodokotela nabahlengikazi kunquma ukusetshenziswa kwemithi okushelelayo: kusukela ekuyinikeni imithi nokuqinisekisa, ukuyilungiselela, kuya ekuyinikeni iziguli. Uhlelo lokuxhumana olucacile—kungakhathaliseki ukuthi luqhutshwa imihlangano evamile noma izinhlelo zolwazi lwe-elekthronikhi—luzonciphisa amaphutha futhi lusheshise ukulethwa kwezinsizakalo.
Izinhlelo Zolwazi Ezinhlanganweni ze-IFRS
Njengamanje, i-IFRS isekelwa kahle uhlelo lolwazi lokuphathwa kwekhemisi oluhlanganiswe namarekhodi ezokwelapha kagesi kanye nezinhlelo zezimangalo. Lolu hlelo lusiza ekuqopheni isitoko ngesikhathi sangempela, ukuqapha ukuphelelwa yisikhathi, ukuhlela izidingo ezisekelwe ekusetshenzisweni, futhi kwenza kube lula ukubika. Ukuhlanganiswa kusekela nokuqinisekiswa kwemithi kadokotela, ukutholwa kokuxhumana kwezidakamizwa, kanye nokubhalwa kwemithi yekhemisi yezokwelapha. Ngohlelo oluqinile, izinhlangano ze-IFRS ziba sobala kakhudlwana, ziphendule, futhi zisebenza kahle.
Izinselele kanye namasu okuqinisa inhlangano
Ezinye izinselelo ezivamile ezinhlanganweni ze-IFRS zifaka phakathi izinsizakusebenza zabantu ezilinganiselwe, umthwalo wemisebenzi omningi, ingozi yokushoda kwemithi, izinguquko zomthetho, kanye nezidingo zokugunyazwa eziqinile. Ngaphezu kwalokho, ukushintsha kwamaphethini ezifo kanye nokuvela kwemithi emisha kudinga ukuvuselelwa kolwazi okuqhubekayo.
Ukuze kuqiniswe inhlangano yazo, izibhedlela zingasebenzisa amasu afana nokucacisa izinqubo zokusebenza ezijwayelekile (ama-SOP) kanye nemisebenzi, ukusungula izinkomba zokusebenza, ukuqhuba ukuhlela izidingo ezisekelwe kudatha, ukuqinisa indima yekhemisi yezokwelapha egumbini lokwelashwa, kanye nokukhuthaza isiko lokubika izehlakalo ezingenacala. Ukuthuthukiswa kobuchwepheshe kosokhemisi kanye ne-TTK nakho kuyinto eza kuqala, okuhlanganisa ukuqeqeshwa ekuphathweni kwempahla kanye nokuphepha kwemithi.
I-Penutup
Ukuhlela Ukufakwa Kwekhemisi Lesibhedlela kuyisisekelo esibalulekile sokulethwa kwezinsizakalo zemithi ezisezingeni eliphezulu neziphephile. Ngohlaka olucacile lwenhlangano, ukwahlukaniswa kwemisebenzi okufanele, ukwesekwa kwezisebenzi okunekhono, ukuhlanganiswa kwamayunithi ahlukahlukene, kanye nohlelo lolwazi olwanele, i-IFRS ingenza imisebenzi yokuphatha neyezokwelapha ngendlela elinganiselayo. Ekugcineni, inhlangano enamandla ye-IFRS izonikela ngqo ekuphepheni kwesiguli, ukusebenza kahle kokwelapha, kanye nokusebenza kahle kwenkonzo yesibhedlela iyonke .
