Technological card for paid medical service. Approval of technological charts for consultation with specialist doctors. Technological card for a consultation with a doctor surgeon

MINISTRY OF HEALTH OF THE RYAZAN REGION

ORDER

ON APPROVAL OF TECHNOLOGICAL CARD FOR MEDICAL SERVICE ON THE SPECIALTY "CARDIOLOGY"

In order to equalize the cost of paid medical services of the same name, provided by public health care institutions of the Ryazan region, I order:

1. To approve the technological map:

Consultation with a cardiologist in accordance with the appendix to this order.

2. The chief doctors of medical organizations of the state health care system of the Ryazan region shall provide paid medical services in the specialty "cardiology" in accordance with the approved technological map.

3. Control over the execution of this order shall be entrusted to the Deputy Minister OV Mitin.

The minister
A.A. PRILUTSKY

Application. ROUTING

Consultation with a cardiologist (name of procedure, service)

Discipline / MDK

.

1. Theme:

Download:

Preview:

Technological class map

Discipline / MDK

PM. 04 Performance of work in one or more occupations of workers and positions of employees,

MDK 04.03. Technology for the provision of medical services.

Specialty: ____ Nursing ______

1. Theme: Intramuscular injection technique.
2. Lesson no. 16 (Section 4)
3. Place of the lesson: office of preclinical practice "Technologies for the provision of medical services"
4. Form and type of lesson:

Practical lesson. Combined lesson

1. Lesson objectives:

Common goal: The student has mastered the technique of intramuscular injection on a phantom.

Specific goals:

The student should be able to:

• choose a site for the i / m injection and create the most comfortable position for the patient during injection
• treat the patient's skin during injection
• draw from the ampoule of the vial a given dose of the drug
• perform an i / m injection
• evaluate the complications that the patient has during the injection
• teach the patient and their family members how to perform an i / m injection
• apply deontological skills of communication with the patient during the injection

The student should know:

Anatomical areas for i / m injection

• places for i / m injections
• possible complications of i / m injections, measures to prevent them
• universal precautions when working with syringes, needles, contact with blood
• rules for handling syringes, needles, trays, cotton balls

Contribute to the formation of OK and PC

general competences:

OK. 2 Organize their own activities, choose standard methods and ways of performing professional tasks, evaluate their performance and quality.

professional:

PC 4. Provide medical services within the limits of their authority. Carry out the nursing process.

1. Resources:

methodical: flow chart of the lesson, supporting synopsis, slide accompaniment; control materials, handouts.

TSO

computer, TV;

Tools and equipment :. Manipulation tables. trays, syringes, cotton balls, antiseptics, gloves, waste containers, injection simulator

1. Sources of information:

The main

Additional

Internet resources

http://dezsredstva.ru/ - guidelines for disinfectants, regulatory documents;

http://www.consultant.ru/- regulations;

http://www.recipe.ru/ - regulations;

www.med-pravo.ru - regulations.

www.rosmedlib.ru - medical student library

http://www.fcior.edu.ru/ - FCIOR - Federal Center for Information and Educational Resources.

Catalog of training modules on disciplines.

1. Course of the lesson:

1. Lesson content

Technique for performing intradermal and subcutaneous injections.

Possible complications associated with the use of drugs. Nurse tactics.

1. Forms and methods of monitoring the development of OK and PC (assessment of knowledge and skills included in the competence):

1. Homework (indicating extracurricular independent work)

... * Educational literature:

L1 Mukhina S.A., Tarnovskaya I.I., Theoretical foundations of nursing: Textbook. - 2nd ed., Rev. and add. - Moscow, Geotar-Media Publishing Group, 2010 (2011).

L2 Mukhina S. A., Tarnovskaya I. I., “A Practical Guide to the Subject“ Fundamentals of Nursing ”Moscow, Geotar-Media Publishing Group, 2010 (2011).

L1. p. 355-361

L2. p. 500-510

Extracurricular independent work- Theoretical substantiation of each stage of the manipulation algorithm, development of the implementation technology.

MINISTRY OF HEALTH OF THE RYAZAN REGION

ORDER

ABOUT APPROVAL OF TECHNOLOGICAL CARDS AT THE CONSULTATION OF DOCTORS SPECIALISTS

In order to equalize the cost of paid medical services of the same name, provided by state medical organizations of the Ryazan region, I order:

1. To approve technological maps:

For a consultation with a physician;

For a consultation with a surgeon;

For a consultation with a gynecologist in accordance with the appendix to this order.

2. The chief doctors of state medical organizations of the Ryazan region shall provide paid medical services on the advice of specialist doctors in accordance with the approved technological charts.

3. Control over the execution of this order shall be entrusted to the Deputy Minister Mitin OV. regarding the organization of medical care for adults and on the Deputy Minister of Health Bolshakova E.E. in terms of the organization of obstetric and gynecological care.

Minister of Health
L. N. Tyurina

Application. TECHNOLOGICAL CARD FOR THE CONSULTATION OF A DOCTOR THERAPIST

Application
to order
ministries of health
Ryazan region
dated September 30, 2014 N 1551

TECHNOLOGICAL CARD FOR CONSULTATION OF DOCTOR SURGEON

(name of procedure, service)

TECHNOLOGICAL CARD FOR THE CONSULTATION OF A DOCTOR-GYNECOLOGIST

(name of procedure, service)

At the Bank of Russia Medical Center, the solution to this problem was facilitated by the creation and use of a patient management flow chart in medical and diagnostic work - a methodological manual for doctors, which defines an algorithm for providing medical care for certain diseases.

Stage 12. In the "Patient education" section, the main tasks of patient education at each stage are listed, the necessary activities are indicated.

Step 13. The criteria for discharge from the hospital are listed, that is, the expected results of treatment.

Stage 14. The time, place and method of assessing the correctness of the flow of the technological process are indicated, that is, the control points of the process are set.

Checkpoints are characteristic areas of the process in which systemic (associated with improper organization of work) deviations of the process from the project most reliably occur. Measuring the process at these points allows you to monitor it most effectively. The checkpoint includes place, time, object of assessment.

Step 15. The quality indicators are listed.

If accurate information about the characteristic system deviations of the process or its stage is not available, it is difficult to establish control points. Then, to assess the process, they resort to building a hypothesis that assumes the most likely deviations. To denote these hypothetical deviations in medical technological processes, American researchers suggested using the term "quality indicators".

Quality indicators are quantitative or qualitative indicators aimed at searching for possible deviations, the presence of which is assumed by an expert, but the significance of which for assessing the correctness of the course of the process has not been proven.

Quality indicators for the flow chart for the management of somatic patients suffering from depressive disorders

Indicator 1

Indicator 2

Calculation of the quality indicator The numerator is the number of patients for whom the quality indicator is performed (in a controlled period of time).

The denominator is the number of patients receiving treatment for depression (in a controlled period of time).

Stage 16. Typical technological violations are indicated.

Step 17. The appendix contains the protocols of the main activities (for example, psychopharmacotherapy, risk assessment, physical rehabilitation, etc.).

Stage 18. A list of references is submitted (attached).

Stage 20. A draft order is being prepared for the introduction of a technological map in a medical institution.

After the development of the technological map at the final meeting of the working group, the final approval procedure is carried out and the corresponding protocol is drawn up.

Flow chart of an inpatient patient

Name of nosological form _______________________________________

Duration of hospitalization ________ days + _______ days in the rehabilitation department

The provision of medical care based on the developed technological map allows coordinating the actions of all participants in the process of providing medical care. The information presented in it is advisory in nature and is intended to help practitioners in making correct clinical decisions. Routine is not a substitute for professional clinical thinking.

In the Medical Center, all technological charts are drawn up in electronic format, which greatly facilitates work with them, and makes it possible to make changes and additions without unnecessary difficulties.

Quality management of medical care using technological charts for managing patients

On the basis of the information and analytical knowledge base, a patient management project is created and its management is organized according to the developed technological map. The implementation of the medical technological process is monitored during the current and final examination, the completeness, timeliness and effectiveness of medical care are monitored, as well as the degree of adherence to technological discipline and the patient's opinion. The examination is carried out by leading specialists, heads of departments.

In inpatient treatment, the ongoing examination is performed while the patient is in the hospital. This is done in order to be able to adjust the treatment in the presence of disorders. After the patient is discharged, the medical history together with the flow chart is transferred to the specialist for the final expert assessment of how the treatment and diagnostic process for a particular patient corresponded to the technological process developed in this medical institution, quality indicators for this somatic nosology.

One of the differences between the modern model of the quality of medical care is an orientation towards the needs and expectations of consumers, in particular, the focus of interest on an objective study of the opinion of the patients themselves.

The Medical Center analyzes the opinions of patients about the achieved results of treatment, which is one of the most important final stages of quality control of the treatment and diagnostic process. At the final stage of the hospital stay, the patient is asked to answer the questionnaire.

The final stage of quality management is making changes to the flow chart based on the analysis of technological deviations - improving the process, its reengineering. Thus, the quality management process is continuous and self-contained.

The introduction of technological charts for managing patients in the Medical Center made it possible to improve the quality of care: to reduce the number of technological deviations by 3 times, to achieve the desired treatment result for individual nosologies in 70% of patients, to increase patient satisfaction several times (currently it is 95-98% ).

The technological approach to the provision of medical care is universal: the flow chart can be used for any nosology and in any medical institution at various stages of medical care.