so Y TE TiNH BA RIA- VUNG TAuTTYT QUAN DAN Y CON I>Ao

s6: .201KH-TTYT

CONG HOA xA. HOI CHiT NGHiA VI~T NAMDQc I~p - TV do -H~n'b phuc

Con Dao, ngay 28 thdng 7 ndm 2021

KEHO~CHtri~n khai tiem vic xin phong COVID-19

dQ13 tren dja ban buy~nCon Dao nam 2021

Thirc hien K8 hoach s61341KH-SYTngay 21107/2021cua SaY t8 tinh BaRia - Vilng Tau viec trien khai tiem chung vAcxin phong covid-19 tinh Ba Ria _Vilng Tau dot 4.

Trung tam Y t8 Quan dan Y huyen Con Dao xay dung k8 hoach tiem vAcxin phong Covid 19 dot 3 tren dia ban huyen Con Dao nam 2021 nhu sau:

I. Muc tieu.- Ph~n d~u 95% d6i tuong nguy co diroc tiem vAcxin phong COVID-19

tren dia ban huyen Con Dao,

- Bam bao an toan va ch~t hrong tiem chung thea Nghi dinh s6104/2016IND-CP ngay 01/7/2016 cua Chinh phu quy dinh vS hoat d9ng tiemchung va cac quydinh cua B9 Y tS vS tiem chung ,

II. D8i nreng, thiri gian, pham vi, hinh thirc tri~n khai,1.Nguyen tic

- Su dung d6ng thai t~t ca cac lo~i vAcxin du diSu ki~n duqc B9 Y tSphan b6.

- Bam bao tiem h8t s6 luqng vAc'xin truac khi hSt h~n su d\lng dS tninhlang phi.

- Bam bao t6i da an toan tiem chung.2. D8i tU'Q'ng

- 706 nguai da duqc tiem mili 01 til ngay 07/05 d8n 12/05/2021.- 754 ngum tiem mili 01 (danh sach va s61u(1flgdo Phong Y ti huyen cung

cap) t~i huy~n Con ~ao trong d9 tU6i co chi ~inh sir d\lng vAcxin thea khuyS?cao cua nha san xuat, trong do Uti tien cac doi tuqng duqc quy dinh t~i Quyetdinh s6 3355/QB-BYT ngay 8/7/2021 cua B9 Y tS.

- Nhfmg a6i tU(1flgail au9'c tiem mui 01 tit ngay 07105 ain 12105/2021 tqiITYQDY huy¢n ConDao ain ngay triin khai ki ~oqch khong c6 mgt tqi huy¢nConDao do ai cong tac hogc co cong vi¢c a(Jtxuat... luu tru tqi cac aiaphuangkhac tren aia ban tinh Ba Ria - Vung Tau. DJ xuat Sa Y ti cho phep au9'c tiemmUi02 tqi aiim tiem thu(JcTrung tam kiim soat b¢nh tat tinh.

3. sA lU'Q'ngva thOi gian

- T6ng s6 d6i tirong c~n tiem v~c xin COVID-19: 1460 ngiroi4. Thai gian triSn khai.tir ngay 02/8/2021 d~n ngay 1118/2021(dV kien)

- Miii 2: tir ngay 02/8/2021 d8n ngay 06/8/2021 (tiem cho nhtrng d6i tuongdffdiroc tiem rmii 1, d8n nay dffdu diSu kien tiem miii 2).

- Mfii 1:.tir ngay 07/8/2021 d8n ngay 11/8/20215. Boonvi tA chirc tiern chiing

- DQi tiem chung cua Trung HimY t8 Quan dan Y huyen Con Dao

III. NQi dung hoat dQng1.Chuftn b] trmrc buAi tiem chung

- L~p danh sach <fAitU'Q'ngd~n tiem chung:

+ Khoa KSBT - ATTP t6ng hop danh sach d6i nrong theo tung co quandan vi, t6 - khu dan cu, chia khung gio phil hop dS dam bao tranh t~p trungdong nguoi vira dat chi tieu 50 ngiroi/Ol ban/Ol buoi; tren ca'sa danh sach 706nguoi dff tiem mfii 01 trong dot 01 d6i vai mlii 2 va 754 nguai (danh sach va s6/U9'flgdo Phong Y ti huyen cung cdp) d6i vai mlii 01. t

- V~c xin 125 lQ,BKT 1500 hQP,HAT 15 hQp khoa Dugc cua TTYTQDY

ti8p nh~n tir Trung Tam kiSm soat benh t~t tinh Ba Rja - Vling Tau v~n chuySnb~ng tau va bao quan v~c xin, v~t tu, bam kim tiem, hQp an toan, truac ngaytriSn khai tiem chung va c~p phat cho dQitiem chung truac bu6i tiem.

- Chuftn bi dyng cy c~n thi~t cho buAi tiem chung+ Thi8t bi bao quan v~c xin: 02 phich v~c xin

+Nhi~t k8 theo d5i nhi~t dQbao quan v~c xin: 02 cai

+ Cac d\lng C\lkhac (bong, panh, khay men, khan trffi ban ...)

+Thilng dvng rac, tui ho~c hQp dvng vo lQv~c xin rieng.+ 01 xe tiem.

+Gi~y but, ban, gh8, biSn chi d~n dS triSn khai 2 ban tiem+Nhi~t k8 do than nhi~t: 04- 6 cai

+Ong nghe, may do huy8t ap(huyit ap ki co): 02 bQ

+ Thilng rac thai y t8 va rac thai sinh ho~t: 05 cai cho m6i lo~i

+ Phi8u kham sang lQc truac tiem chung v~c xin phong COVID-19; Phi8ud6ng y tham gia tiem v~c xin phong COVID-19; Gi~y xac nh~n tiem chung v~cxin phong COVID-19 (khofmg 1.500 to')

+Xa phong, nuac rua tay, dung dich sat khuAn.

+ 60 gh8 ng6i dS lam thu t\lc, cha truac va sau tiem chung

+ 02 h9P chong s6c co dfiy du co s6 thuoc con han sir dung, dung cu 'cfinthiSt thea Thong tu 5112017/TT-BYT ngay 29/1212017 v@Huang dfin phong,chAndoan, xu tri phan v~.

- Phfin cong nhan It}.'c:+ Ban khai bao y tS (01 nguoi)

+Ban tiSp don huong dfin lam thu tuc (02 nguoi)

+ 02 ban do than nhiet, huang dfin va s~p xSp d6i tUQTIgtai diSm tiem, ghichep vao danh sach d6i tUQTIg,gifiy xac nhan da tiem chung v~c xin phongCOVID-19: 02 DD (02 nguoi)

+ Ban kham sang 1Qc,tu vfin tnroc tiem chung: 2 BS+ Xe tiem chung v~c xin: 02 DD

+ Theo d5i d6i tUQTIgsau tiem chung: 01 BS, 01 DD

+Xu ly tai bien nang sau tiem chung: 01 BS; 01 DD- B6 tri diSm tiem chung: .

+ B6 tri diSm tiem chung thea quy t~c 1 chieu, dam bao gian each gifta cacban/vi tri tiem chung,

+ B6 tri du dien tich a khu V\l'Ccho tnroc tiem chung va khu V\l'Ca lai thead5i sau tiem chung dS dam bao gian cach gifra cac d6i tUQTIg.

+ Co sa d6 huang dfin dS nguai dSn tiem chung dS dang th\Ic hi~n.

Don ti~p, huang d§n khai bao y t~ ~Khn vllc chit truac tiem chung ~Ban huang d§n ~Ban kham sang IQcva tu v~n tru6'c tiem chung ~ Bantiem chung, ghi chep, vao s8 tiem chung ~Khn vllc if I~i theo doi san tiemchung.

+ Co tai 1i~u huang dfin chuyen mon vS huang dfin th\Ic hanh tiem chungv~c xin phong COVID-19, cac tai li~u truy@nthong cho nguai dan.

- S~p x~p ban tiem chung:+ S~p xSp cac d\lng C\ltrong tfim tay va thu~n ti~n cho can b9 y tS khi thao

taco

+ Tren bAn tiem chung g6m co cac thiSt bi cfin thiSt: Phich bao quan v~cxin, bam kim ti~m, khay d\l'llg panh, panh, 1QdlJ1lgbong kho va 1Qd\l'llg bong coc6n, h9P ch6ng s6c .....

+ H9P an toan, tui ho~c h9P d\l'llg vo 1Qv~c xin d~t phia duai ban.

+ Thimg rac d~t phfa duai ban

2. T8 chuc tiem chunga. Khu vvc ngai chi! trude khi din ban hU'dngdan:

- B6 tri 01 ban huang dfin va khoang 20 ghS ng6i cho lam thu tuc tai khuV\lCnha xe nhan vien (c6ng s6 02); 20 ghS phia sau khoa KSBT-ATTP chotnroc tiem.

h. Khu vvc tiem chung:

- 02 ban do huyet ap, sinh hieu- 02 ban tu v~n va kham sang loc- 02 ban xe tiem tai Khoa KSBT-ATTP

,.\.

c. Phiin cong nhijm Vfl tiem chung: (Chi tiitphu luc 1)d. rJ chtrc huJi tiem chung .Don ti~p va huong din khai bao y t~

- Ngiroi dSn tiem chung thirc hien khai bao y tS ngay cong sau.

- Yeu c~u ngiroi khi dSn tiem chung dSu phai den khau trang.

- Sau do diroc huang dfin toi ban huang dfin thirc hien sat khuan tay, ghithong tin, huang dfin, quet rna QR CODE

- TiSp dSn dtroc nhan vien huang dfin dSn khu V\lCng6i cho tnroc khi dSnban huang dfin,dam bao khoang each ng6i cho t6i thieu 1m, thirc hien SK.

- Nguoi dSn tiem duqc huang dfin dSn ban do huySt ap, sinh hi~u th\lc hi~ndo hUYStap, nhi~t dQ, diSn va kY van PhiSu d6ng y tham gia tiem v~c xin phongCOVID-19; NVYT ghi thong tin trao PhiSu kham sang 19Ctruac tiem chung v~cxin phong COVID-19;Gi~y xac nIi~n tiem chUng v~c xin phong COVID-19 chonguai dSn tiem chung dSn ban Kham sang 19C

Kham sang IQctrO'O'ctiem chung

-Ban kham sang 19c duqc chuAn bi trang thiSt bi bao g6m nhi~t kS, 6ngnghe, may do huySt ap, phiSu sang 19Ctruac tiem chung v~c xin phong COVID-19.

- Bac sy kham sang 19c truac tiem chung cho m6i nguai dSn tiem chung dSdam bao chi dinh dUng d6i tuqng va an toan tiem chung.

TO'vAn trO'ac tiem chung

Bac sykham sang 19Cth\lc hi~n tu v~n.cho d6i tuqng tiem chung d9c thongtin va kY PhiSu d6ng y tham gia tiem chung v~c xin phong COVID-19.

Cac nQi dung c~n tu v~n g6m:

- Thong bao vS lo~i v~c xin phong COVID-19 duqc tiem chung l~n nay.

- Thong bao vS nhilng phan (mg co thS xay ra sau tiem v~c xin bao g6m:

+ Phan (mg thong thuang r~t ph6 biSn (2:10%): Dau d~u, bu6n non, dau co,dau khap, nh~y cam dau, dau, nong t~i vi tri tieI11,ngua, m~t moi, b6n ch6n, s6t

' (s6t nh~ - r~t thuang g~p va s6t 2:38°C -thuang g~p), On l~nh~

+MQt s6 phan irng thong thuong khac (til' 1% dSn 10%): sung va do tai vitri tiem,

+ Cling nhu khi sir dung thuoc va cac v~c xin khac, cac tnrong hQ'Ptai biennang nhu di irng, s6c phan v~·cling co thS g~p, cac tnrong hQ'Pnay cAn dtrocphat hien som va xir tri tai co ca y tS.

- Huang d~n each theo d5i sau khi tiem chung:

+ o lai 30 phut tai diem tiem chung dS diroc can bQ y tS theo d5i va kipthai xir tri nSu co nhtrng phan irng bfit thirong xay ra.

+ TiSp tuc theo d5i sire khoe sau tiem chung tai nha sau tiem chung,+Khong d~p bfit cir thir gi vao vi tri tiem.

+ Theo d5i than nhiet: nSu s6t c~n c~p nhiet dQ, sir dung thuoc ha s6t dungliSu hrong va theo d5i dap lIng v6i thu6c h~ s6t. NSu phat hi~n b~t thuOng gi vSsuc khoe thi phai bao ngay cho nhan vien y tS.dS dugc tu vfin va kip thai xir tri.

+DSn ngay cO'sa y tS khi ~o cac dfiu hi~u nghiem tr9ng:Mi~ng (ngua, sung moi vaJho~c lucri)

Da (phat ban, sung, tim tcii)

Tieu hoa (non, tieu chay, cam giac co th~t dUOngruQt)

H9ng (ngua, cang clIng, t~c nghyn, khan d~c)

Ho hfip (tha d6c, ho, tha kho khe, kho tha, cam giac nghyt tha)

Tim m~ch (m~ch ySu, chong m~t, choang, cam giac mU6n ngff), chan tay co,quap.

+ Huang d~n cac d6i tugng tiem chung sau khi tiem v~c xiIi v~n phai thvchi~n cac bi~n phap phong ch6ng dich COVID-19 (Thong di~p SK).

+ Nh~c d6i tugng tiem chung gift phiSu xac nh~ dff tiem chung, tai ph~nmSm S6 suc khoe di~n tir va dang Icy tai khoan tren lIng d\lng dS theo d5i lich sirtiem chung v~c xin COVID-19 va chu dQng khai bao vS sv c6 bfit 19i sau tiemchung.

* Th lfC hien tiem vic xin. .- v~c xin'dugc bao quan trong day chuySn l~ (phich v~c xin) a nhi~t dQ

tu 2°C -8°C. T~i ban tiem chung bao quan v~c xin trong phich v~c xin. L9v~cxin dffrna chi sir d\lng trong vong 6 gia.

Nhan vien y ts tiem thvc hi~n tiem chung theo dung chi dinh, bao dam antoan theo quy dinh DiSu 11 Thong tu s6 34/20 18/TT-BYT ngay 12/1112018/TT­BYT ngay 12/1112018 cua BQY tS.

Nhan vien y ts tiem ghi chep thong tin sau khi tiem v~c xin gAm:

+ Glii cac thong tin (s6 lieu, ngay gia tiem, kY ghi ho ten) vito phieu sangloc tnroc tiem chung v~c xin phong COVID-19.

+ Ghi dfiy du cac thong tin vao Gi~y xac nhan da: tiem v~c xin phongCOVID-19 tra lai cho d6i tUQ11gtiem chung va hen lfin tiem chung sau. .

*Theo doi sao tiem chimg sao

Tai day NVYT theo doi sau tiem thu lai Gi~y xac nhan tiem chung v~c xinphong COVID-19 til ngiroi den tiem chung va tra sau khi ngiroi duoc tiem chungchir sao tiem 30 phiit. Nguoi diroc tiem chung di theo 16i co bang chi dfut dSnPhong TCHC dong moe gi~y xac nhan ti~m·chung sau do ra vS.

* K~t thuc boBi tiem chiing

+ Bao quan nhirng lo v~c xin chua rna trong hQp rieng trong day chuyenIanh a nhiet dQ2°C- goC, uu tien sir dung tnroc trong bu6i tiem chung sau.

+ NhUng bam kim tiem chua su dVng bao quan theo qui dinh dS dimg lfinsau.

+ Cac lQv~c xin da:rna khong duQ'c su dVng nua va d~ trong tuilhQp d\l'I1grac rieng.

+ Bo bam tiem va kim tiem vao hQp an toan ngay sau khi tiem, huy hQp antoan sau khi dfiy.

+ Qmin ly ch~t thai y tS trong tiem phong v~c xin phong COVID-19 theoqui dinh t~i Van ban s6 102IMT -YT ngay 04/3/2021 cua Cvc Quan ly Moitruang YtS.

d) Theo doi, xu trl phiin ungsIf c6 btu /!fi sau tiem chung

- T6 c~p Clm chiu trach nhi~m theo doi, xu tri cac truang hQ'Pphan (mg sautiem chung (nSu co) s~n sang cacphuang ti~n c~p Clm t~i ch6, hQP thu6c phongch6ng s6c.

- Theo doi nguai duQ'c tiem chung 30 phut sau tiem chung va huang d~nnguai duQ'ctiem chung tiSp tvc theo doi suc khoe it nh~t 7 ngay sau tiem chung.Thong bao ngay cho nhan vien y tS nSu co d~u hi~u b~t thuang.

"

- Xu tri phan v~ trong qua trinh su dVng v~c xin theo quy trinh chfin doanva xu tri phan v~ theo Thong tu 5112017/TT-BYT ngay 29/[212017 cua BQY tSvS Huang d~n phong, chfin doan va xu tri phan v~.

- Cung c~p s6 di~n tho~i cua can bQy tS theo doi phan (mg sau tiem chungt~i nha cho nhUng nguai sau tiem v~c xin phong COVID-19.

Ghi nh?n, bao cao phan (mg sau tiem chUng:

+ Ghi nh~n phan (mg sau tiem chung thong qua thong tin phan h6i til d6itUQ11gtiem chung ho~c khi d6i tUQ11gdSn co sa tiern chung, kharn chua b~nh.

·....+ :6ng hop ,th\lc hi~n bao cao hang ngay vS s6 tnrong hop phan lmg'saubern chung bao gom phan img thong thirong va cac tnrong hop tai bien nang.

+ Cac tnrong hop tai bien nang bao cao va diSu tra ngay trong vong 24gia.+ Thirc hien bao cao "0" ngay ca khong ghi nhan phan irng sau tiem chung.4. Cong tac ki~m tra, giam sat

- Thanh l~p doan giam sat h6 tro: Bs. Trfut Van Thanh - Lanh dao don vi .TTYT Quan Dan Y; CN.NguySn Hung Long - Truong Khoa KSBT-ATTP.

- Can bQ giam sat theo d5i giam sat va h6 tro diSm tiem chung thirc hiendung cac quy dinh cua BQY tS, dam bao ch~t Iuong va an toan tiem chung.

5. Cdng tac th8ng ke, bao cao

- CN Nguyen Thi Thuy Hang ph6i hop Bs Phan Van Thuyen thong ke,bao cao hang ngay kSt qua tiem chung, s6 d6i tugng da dugc tiem va s6 v~c xinsir d\lng cho Trung tam KiSm soat b~nh' t~t tinh theo mfiu s6 1 Ph\l l\lc 4 Congvan 17341BYT-DP ngay 17/03/2021 cua BQY tS.

-- '>- •

- Sau kh'/~~f;t[~~~¢tiem chung, CN NguySn Thi Thuy H~ng ph6i hgpBs Phan Van ~h\lx~li,A\Ji p~pcao h~~t dQng triSn khai va kSt qua tiem b6 s~ngtheo dung qUY\.~~~:~~~r.l~¢ ta~ Kiem soat b~nh t~t.IV. KINHPI{I!IJtrc Hl~N

Ngu6n kinh phi th\lc hi~n theo KS ho~ch s61341KH-SYT ngay 21107/2021cua Sa y ts tinh Ba Ria - Vung Tau vS vi~c triSn khai tiem chung v~c xin phongcovid-19 tinh Ba Ria - Vung Tau dgt 4.

V. TB chtfc thuc hien. .1. Khoa Ki~m soat b~nh t~t - An toim thl}'c phim

- T6ng hgp danh sach cac d6i tugng tiem chung tir Phong Y tS huy~nchuySn.

- Xay d\l'DgkS ho~ch t6 chuc bu6i tiem chung.

- Tham muu Van ban va l~p danh sach nhUng d6i tugng da dugc tiem mlii01 tir ngay 07/05 dSn 12/05/2021 t~i TTYQDY huy~n Con Dao dSn ngay ngaytriSn khai k8 ho~ch khong co m~t t~i huy~n Con Dao do di cong tac ho~c cocong vi~c dQt xu~t. .. luu tro t~i cac dia phuong khac tren dia ban tinh Ba Ria­Vung Tau. DS xu~t Sa Y t8 cho phep dugc tiem mlii 02 t~i diSm tiem thuQcTrung tam kiSm smit b~nh tat tinh.

- B6 tri va t6 chuc cac khu V\lCtiem dam bao du cac diSu kl~n tiem chung:phan cong va h6 trg nhan l\lc, cO'sa v~t ch~t, diSu ki~n an toan, trang thi8t bi,phuong ti~n va v~t tu tiem chung.

- Chu~n bi dAy.du thu6c c~p CUuva khu V\l'Cxu tri phan v~.

- Bao cao ngay cac diem tiem va bao cao kSt thuc tirng dot tiem giri vSTrung tam KiSm soat benh t~t thea quy dinh,

2. Phong TC-HC ph8i hQ'pvOiKhoa NTH:- Thanh l~p DQi C~p ciru: tiSp nh~n va xu tri phan v~ tai dan vi.3. Phong KHNV ph8i hop vOiKhoa NQiTAng hQ'p: '- Be, tri s~p sSp nhan sir s~p xSp phil hop vira dam bao cong tac chuyen

mon cua Khoa va h6 tro nhan sir cho Khoa KSBT -ATTPtheo KS hoach.. . .4. Phong KTTC:

- Thanh quyet toan kinh phi thea quy dinh nSu co phan b6.Tren day Ia KS hoach trien khai tiem v~c xin phong COVID-19 dot 3 tren

dia ban huyen Con Dao nam 2021.1.

Ndi nh~n:- SaY te (bao cao);

, - UBND huyen (bao cao);- TT KSBT tinh (bao cao);- Cac Khoa.Phong (thirc hien);- Liru VT.

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sa di~n thoai Ghi chuTT Khoa

2 Nguyen Hung Long Giam sat chung, tu v~n sau tiem

Nhi~m VI}, th l}'C hi~n. 1 Tr~n Van Thanh Giam sat chung, tu v~n sau tiem .

3 Vo Minh Thuong Hirong dfin, ghi thong tin, h6 tro quet rna QR CODE~4~~N-g-u-y~S-n-M-i-nh--T~u=n-g-.~----~r-----rH-u-on-'~g~d~fi~n~,~g~h-i-th-o-n~g~t-in~,-h~6~t-ro~.~q~ue-'t-m--a-Q~R--C-O-D-E-------r----------r---==~--~'~5 ve Thi KiSu Nhan f)iSu phoi, huong dfin lam thu tuc, ky gi~y xac nhan tiem6 VOThanh Thuy Huong dfin lam thu tuc, ky gi~y xac nhan tiem .7 Truong Thi Thanh HiSn Do huyet ap, sinh hieu8 Nguyen Thi Lien Do huyet ap, sinh hieu9 Bui Van Quyen Kham sang loc, tu v~n sau tiem10 Nguyen Thi My Tien Kham sang IQc11 Pham Van Bay Can b9 tiem12 Ong Thi NgQc Anh Can b9 tiem13 Cao Van Thai Theo doi sau tiem14 Nguyen Duy Quyen Theo doi sau tiem15 Phan Van Thuyen T6ng hop, tra phieu xac nhan tiem chung, bao cao 098991024116 Nguyen Thi Thuy HAng T6ng hop, tra phiSu xac nh~n tiem chung, bao cao17 NguySn Thi Tho f)ong d~u phiSu tiem chung