Directive No. 05/2003/CT-BYT requires strengthening comprehensive patient care work in hospitals through improving the nursing supervisor network, establishing a Steering Committee, and training staff. The goal is to enhance diagnostic, treatment, and patient care quality.
적용 범위
Officials, civil servants, employees, and staff in all hospitals
핵심 사항
- Hospital directors must improve the nursing supervisor network and ensure a ratio of 1 doctor to 2.5 nurses - nursing supervisors, midwives.
- Establish a Comprehensive Patient Care Steering Committee in hospitals with the hospital director as the head.
- Hospital directors organize training and update knowledge and skills for staff on comprehensive patient care, infection prevention, and communication skills.
- Department heads of the hospital must organize comprehensive care teams with full doctors, nurses - nursing supervisors, and attendants to implement comprehensive care activities.
- Laboratory, pharmacy, infection control, and nutrition departments must provide services to clinical departments to allow nurses - nursing supervisors more time to directly care for and serve patients.
🌐 이 문서의 사회적 영향
- Positive impact: Enhance diagnostic, treatment, and patient care quality, increase public trust in the healthcare system.
- Negative impact: Labor costs and equipment expenses may rise due to requirements for nurse - nursing supervisor numbers and equipment.
❓ 자주 묻는 질문
What nurse - nursing supervisor ratio must the hospital director ensure for each doctor?
The hospital director must ensure a ratio of 1 doctor to 2.5 nurses - nursing supervisors, midwives.
Who serves as the head of the Comprehensive Patient Care Steering Committee?
The Comprehensive Patient Care Steering Committee in hospitals is headed by the hospital director.
What responsibilities does the department head have in organizing comprehensive care teams?
Department heads of the hospital must organize comprehensive care teams with full doctors, nurses - nursing supervisors, and attendants to implement comprehensive care activities.
What responsibilities do laboratory, pharmacy, infection control, and nutrition departments have?
Laboratory, pharmacy, infection control, and nutrition departments must provide services to clinical departments to allow nurses - nursing supervisors more time to directly care for and serve patients.
What actions should the hospital director take to effectively organize the movement to promote comprehensive patient care?
Hospital directors must organize services to meet both material and spiritual needs of patients, organize movements to promote comprehensive patient care, and periodically evaluate implementation results.
전문
DIRECTIVE
On strengthening comprehensive patient care work in hospitals
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Comprehensive patient care is the responsibility of medical staff, civil servants, officials, and employees throughout the hospital to ensure the quality of diagnosis, treatment, and patient care. To enhance the quality of care services and patient trust, the Ministry of Health has issued the Regulation on Comprehensive Patient Care in the Hospital Regulations, pursuant to Decision No. 1895/1997/QĐ-BYT dated September 19, 1997, and the Plan to Strengthen Nursing Services until 2010, pursuant to Decision No. 1613/2002/QĐ-BYT dated May 3, 2002. After six years of implementation, the work of examination, treatment, and comprehensive care has achieved initial results: establishing technical procedures for treatment, care, and infection control; applying many new scientific and technological advances in diagnosis, treatment, and patient care; many hospitals have established specialized departments for comprehensive patient care, significantly contributing to improving the quality of examination and treatment.
However, comprehensive patient care has not been widely implemented; health education, counseling, guidance, and communication between healthcare workers and patients have not received adequate attention; patient nutrition and care still face many challenges. The reasons for these challenges are that hospital leadership has insufficient understanding of comprehensive patient care, has not adequately focused on building and reinforcing the nursing system, lacks nurses and nursing assistants, lacks care equipment, and at a macro level, lacks a coordinated policy system for nurses and nursing assistants. To improve the quality of patient care and treatment, the Minister of Health instructs the Directors of Provincial Health Departments, Heads of Health Departments of various sectors, and Directors of all national hospitals to implement the following tasks:
1. Must establish a network of head nurses and head nursing assistants at the Ministry of Health, provincial health departments, hospitals under the Ministry of Health, provincial hospitals, city hospitals directly under the central government, sector hospitals, district health centers, and county health centers (hereinafter referred to as district health centers). Ensure a ratio of 1 doctor to 2.5 nurses, nursing assistants, and midwives. Hospital Directors, District Health Center Directors, and Sector Health Center Directors with beds (hereinafter collectively referred to as hospitals) must assign nurses and nursing assistants to their trained professions and delegate responsibilities to head nurses and head nursing assistants according to the regulations of the Ministry of Health. Head nurses and head nursing assistants are responsible for performing their assigned duties effectively.
2. Establish a Steering Committee for Comprehensive Patient Care in Hospitals. The Hospital Director serves as the Chair, the Head of the Nursing Department serves as the Secretary; the Heads of functional departments, the Head of the Nutrition Department, the Head of the Infection Control Department, the Head of the Pharmacy Department, and a representative from the Clinical Department (selected by the Hospital Director) serve as members. The Steering Committee is responsible for developing plans and organizing the implementation of comprehensive patient care throughout the hospital.
3. The Hospital Director is responsible for organizing training and updating knowledge and skills for doctors, nurses, nursing assistants, and attendants on comprehensive patient care, infection control, communication skills; ensuring human resources and equipment to implement comprehensive care; organizing services to meet the material and spiritual needs of patients. Organize good campaigns for comprehensive patient care and periodically evaluate the results of implementation.
4. The Department Heads of the hospital are responsible for organizing comprehensive care teams. Each team must include doctors, nurses, nursing assistants, and attendants and must be responsible for implementing comprehensive care contents regarding diagnosis, treatment, monitoring, care, health education, safe and rational drug use, ensuring patient nutrition according to disease conditions; providing sufficient clothing and bedding for patients; having daily rounds to monitor and interact with patients.
5. The laboratories, pharmacy, infection control, and nutrition departments must provide services to clinical departments to create conditions for nurses and nursing assistants to have more time to directly care for and serve patients.
Upon receipt of this Directive, the Directors of Provincial Health Departments, Heads of Health Departments of various sectors, and Directors of all hospitals are responsible for implementing it and reporting the results annually to the Ministry of Health. The Treatment Department is the coordinating body working with the Organization and Cadre Department to direct the establishment of the network of head nurses and head nursing assistants at all levels and coordinate with the Traditional Medicine Department, the Reproductive Health Department, and the Inspectorate of the Ministry of Health to inspect and evaluate the implementation of the Directive.
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