BO Y TE CONG HOA XA HOI CHU NGHIA VIET NAM VIEN HUYET HOC - TRUYEN MAU TW Doc lap - Ty do - Hanh phuc

Hd Noi, ngay 01 thdng 7 nam 2021

H I / O N G D A N

T R I E N K H A I X E T N G H I E M S A N G L O G C O V I D - 1 9

Can cij Quyat dinh so 2008/QD-BYT ngay 26/4/2021 cua Bo Y te \h viec ban hanh huong dan chan doan va dieu tri COVID-19 do chung vo nit Corona moi;

Can cii cong van s6 3848/BYT-DP ngay 10/5/2021 ve viec trien khai xet nghiem SARS-CoV-2 trong tinh hinh moi;

Can cu cong van s6 4356/BYT-KHTC ngay 28/5/2021 ve viec huong dan muc gia thanh toan chi phi thuc hien xet nghiem COVID-19;

Can cu cong van s6 5028/BYT-KHTC ngay 23/6/2021 ve viec huong dan nguon kinh phi chi tra chi phi xet nghiem SARS-CoV-2 khi tang cuong thuc hien xet H nghiem tai cac co so kham benh, chua benh; [o

Nham tang cucmg cong tac phong chOng dich COVID-19, Ban Lanh dao Vien \ de nghi cac khoa/ phong thuc hien theo cac quy dinh sau:

I . CHi D I N H V A THlTC H I E N L A M X E T N G H I E M • • • •

1. Doi voi can bo, nhan vien y te, nguroi lao dong lam viec tai Vien - Chi dinh xet nghiem: Real-time PCR (mau gop 5). - Tan xuat chi dinh: Thuc hien xet nghiem dinh ky 07 ngay/lan. - Doi tuqng va so lucmg can bo (theo de xuat cua phong To chiic can bo): + Can bo nhan vien thuoc cac khoa lam sang, khoa Hien mau va cac thanh phan

mau, khoa Chan doan hinh anh, khoa Di truyen - Sinh hoc phan tu, khoa Vi sinh, phong Cong tac xa hoi, phong Tai chinh kd toan: 100%;

+ Cac khoa/ phong con lai: 50%. 2. Doi voi ngiroi benh den kham benh 2.1. Doi voi nguoi benh c6 1 trong 2 tieu chuan sau: A. Nguai benh co sot vd/hogc viem duang ho hap cap tinh khong ly giai duqc

bang cac nguyen nhan khac; B. Nguai benh co bat ky trieu chung ho hap ndo V A c6 tien su den/qua/'o/ve tu

vung xl CO benh COVID-19 trong khoang 14 ngay truoc khi khoi phat cac trieu chung HOAC tiep xuc gdn voi trucmg hop benh nghi ngo hoac xac dinh COVID-19 trong khoang 14 ngay truoc khi khoi phat cac trieu chung.

(Theo Quyit dinh so 2008/QD-BYT ngay 26/4/2021 cua Bo Yte) - Chi dinh xet nghiem: Real-time PCR (mlu dcm). - Don vi chi dinh va lay mau: Khoa Kham benh va Dieu tri ngoai tni. 2.2. Doi voi nguoi benh CO tien su den/qua/o/ve tir vung te co benh COVID-

19 trong vong 14 ngay HOAC tiep xuc gdn voi trudng hop benh nghi ngo hoac xac 1

dinh COVID-19 trong khoang 14 ngay truoc khi khoi phat cac trieu chiing, nhung khong CO trieu chiing ho hap.

- Chi dinh xet nghiem: Test nhanh Sars-CoV-2. - Trong truong hop phai vao dieu tri noi tni, bac sT khoa Kham benh va Dieu tri

ngoai tni se chi dinh lam tiep xet nghiem Sars-CoV-2 bang phuong phap Real-time PCR (mau gop 5) truoc khi len cac khoa lam sang.

2.3. Doi voi nguoi benh K H O N G C O cac yen t6 nguy co nhu: tien sii dgn/qua/o/ve tu vung t l co benh COVID-19 H O A C tiep xuc gdn voi trucmg hop benh nghi ngo hoac xac dinh COVID-19 trong khoang 14 ngay truoc khi khoi phat cac trieu chiing, K H O N G C O trieu chiing ho hdp thi khong cm thuc hien xet nghiem Sars-CoV-2. Trong truong hop phai vao dilu tri noi tni, nguoi benh se dugc chi dinh lam xet nghiem Sars-CoV-2 bang phuong phap Real-time PCR (mau gop 5) tai cac khoa lam sang.

3. Doi voi ngiroi benh vao dieu tri noi tru va ngoai tni theo hen 3.1. D6i voi nguoi benh co 1 trong 2 tieu chuan sau: A . Nguai benh c6 sot vd/hogc viem duang ho hdp cdp tinh khong ly giai dugc

bang cac nguyen nhan khac; B. Nguai benh c6 bat ky trieu chung ho hdp ndo V A c6 tien su den/qua/d/ve tir

vimg te CO benh COVID-19 trong klioang 14 ngay truoc khi khoi phat cac trieu chiing H O A C tiep xuc gdn voi trudng hgp benh nghi ngo hoac xac dinh COVID-19 trong khoang 14 ngay trudc khi khdi phat cac trieu chiing.

(Theo Quyet dinh sS 2008/QD-BYT ngdy 26/4/2021 cua Bo Y te) - Chi dinh xet nghiem: Real-time PCR (mau don). - Don vi chi dinh va lay mau: Khoa Kham benh va Dieu tri ngoai tni. 3.2. Doi vdi nguoi benh C O tien sir den/qua/d/ve tir vung te co benh COVID-

19 trong vong 14 ngay, nhung K H O N G C O trieu chung hd hap. - Chi dinh xet nghiem: Real-time PCR (mau ggp 5). Ddi vdi nguoi benh

Hemophilia dieu tri ngoai tni thi lam test nhanh Sars-CoV-2. - Don vi chi dinh va lay mau: Khoa Kham benh va Dieu tri ngoai tni. 3.3. Doi vdi nguoi benh K H O N G C O yeu to nguy co nhu: tien sir

din/qua/d/vl tir vimg te cd benh COVID-19 H O A C tiep xuc gdn vdi trudng hgp benh nghi ngo hoac xac dinh COVID-19 trong khoang 14 ngay trudc khi khdi phat cac trieu chiimg, K H O N G C O trieu chiing hd hip.

- Chi dinh xet nghiem: Real-time PCR (mau ggp 5). - Don vi chi dinh va lay mau: Cac khoa lam sang. Lim y: Khong thuc hien xet nghiem sdng loc Covid-19 vai nguai benh dieu tri

ngogi tru thuoc nhom doi tuang ndy. 4. Doi vdi ngiroi benh dang dieu tri noi tru tai cac khoa lam sang - Tan xuat chi dinh: Thuc hien xet nghiem dinh ky 07 ngay/lin. - Phuong phap thuc hien: Real-time PCR (miu don ddi vdi nguoi benh dii dieu

kien theo Quylt dinh sd 2008/QD-BYT ngay 26/4/2021 ciia Bd Y te; nhimg trudng hgp con lai mdu ggp 5).

- Don vi chi dinh va lay mau: Cac khoa lam sang. 2

5. Doi voi ngiroi benh noi tru can chuyen tuyen 5.1. Chuyen tuyen co ke hoach (voi thai gian chuan hi > 4 gid): - Chi dinh xet nghiem: Real-time PCR (mau gop 5). - Don vi chi dinh va lay mau: Cac khoa lam sang. 5.2. Chuyen tuyen cap cmi:

• - Chi dinh xet nghiem: Test nhanh Sars-CoV-2. - Don vi chi dinh va lay mau: Cac khoa lam sang. - Don vi thuc hien xet nghiem test nhanh: + Trong gid hanh chinh: Khoa Vi sinh; + Ngoai gid hanh chinh: Tai cac khoa lam sang. 6. Doi vdi ngirdi nha ngirdi benh d lai cham sdc - Truong hgp ngudi benh dilu tri noi tni dudi 07 ngay thi dugc 01 Ian xet

nghiem SARS-CoV-2. - Trudng hgp ngudi benh dilu tri noi tni tu 07 ngay trd len thi dugc 02 Ian

xet nghiem SARS-CoV-2. - Phuong phap thuc hien: Real-time PCR (mau ggp 5). Trong trir&ng hgp ddi ngir&i nha cham sdc ngudi benh: > - Neu ngudi nha den tu vung dich te trong vong 14 ngay: Cac khoa larp strife

lam thii tuc hanh chinh, khoa Kham benh va Dieu tri ngoai tni chiu trach nhiem mau, gui mau. y /

- Neu ngudi nha khong den tu vung dich te: Cac khoa lam sang cbhftrach lam thii tuc hanh chinh, lay mau va gui mau.

- Phuong phap thuc hien: Real-time PCR (mau ggp 5). I I . T H A N H T O A N

- Quy bao hiem thanh toan theo quy dinh ciia luat Bao hiem, phan cung chi tra (neu cd) do Ngan sach Nha nude chi tra vdi cac trudng hgp tai muc 2.1 muc 3.1 va nhimg ngudi benh dang dieu tri ndi tni tai muc 4, 5 cd day dii cac tieu chuan ve lam sang va dich te nhu muc 2.1 hoac 3.1.

- Nhung trudng hgp con lai thanh toan: Tir ngudn ngan sach Nha nude. - Ddi vdi ngudi nha d lai cham sdc ngudi benh dugc thanh toan tdi da khdng

qua 02 Ian/ dgt dilu tri. Tir l ln thii 3 trd di, thanh toan thu phi. H I . M O T S O LlTUY - Khdng ap dung chi dinh xet nghiem SARS-CoV-2 doi vdi ngudi benh

trudc khi ra Vien. - Ket qua xet nghiem sang Igc Covid-19 tai cac dan vi khac cd gia tri trong

vong 72 gid. - De nghi cac khoa lam sang chi dinh xet nghiem phu hgp cho timg ddi

tugng (mau dan, mau ggp 5); len ke hoach chi dinh, l4y mau cho ngudi benh, ngudi nha ngudi benh cua dan vi minh de tranh qua tai cho khoa Di truyln-SHPT.

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- Doi vdi ngudi benh du tieu chuan ve lam sang va dich te de thanh toan hanh toan BHYT, de nghi cac bac sy lam sang trudc khi chi dinh xet nghiem sang loc Covid-19 can ghi ro trieu chung lam sang va dich te cua ngudi benh vao benh an hoac phieu kham benh.

- Phong Tai chinh ke toan chiu trach nhiem hudng dan cac khoa lam sang hoan thien thu tuc lam co sd can cu thanh toan chi phi xet nghiem Sars-CoV-2 tu ngudn ngan sach Nha nude.

- Moi vudng mac xin lien he: + Ve cdng tac chuyen mdn: TS. Nguyen Hiiu Chien, Trudng phong Ke

hoach tdng hgp; + Ve thanh toan chi phi dich vu xet nghiem: ThS. Nguyen Chi Thang, Phd

trudng phong Tai chinh ke toan. Quy dinh nay thay the cho cac quy dinh da dugc Vien ban hanh trudc day va

cd hieu luc tir ngay ky. (T^jy IIy^

\-pyy^ y

^VJ|:NTRiraNG'

rBach Quoc Khanh

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