M58_BB Tham Dinh Phong Kham Chuyen Khoa

7/28/2019 M58_BB Tham Dinh Phong Kham Chuyen Khoa

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M u 58(Ban hnh km theo Quy t nh s 617/Q-UBND-HC

ngy 28 thng 6 nm 2013 caCh tchUBND t nh ng Thp)

...

Nhn xt:..........2. T chc b my:

C s khm bnh, cha bnh c qui m........................c t chc nh sa a. B phn qun l:

- Ban gim c Ch c s - Cc phng: ...

b. B phn chuyn mn: ( Bao g m cc khoa/ phng chuyn khoa )- .......

- ... Nhn xt:.....3. T chc, nhn s:

a. C s c tng s nhn vin: ...... ngi; trong nhn vin lm cng vi cchuyn mn: ....... ngi. TT Ch c danh Phng ti p nhn Phng khm b nh Phng k thut 1234

Tng s

TT Chc danh Hp ng lm vic

thng xuyn (ton th igian)

Hp ng lm vickhng thng xuyn(mt phn thi gian)

Tng s

1234

Tng s b. Ngi chu trchnhim chuyn mn k thut phi c chng ch hnh ngh

v thc hin vic khm bnh, cha bnh trong phm vi phn cngt Khng t

4. C s vt cht:- Din tch chungm2, (di.m. x r ngm.......); - K t cu nh ................................................................- Tr n nh chng bi t Khng t - Tng v nn s dng vt liu d ty ra lm v sinh

t Khng t


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- nh sng t Khng t - Tch bi t vi ni sinh hot gia nh t Khng t - C s ng k .phng, trong :

+ Phng .+ Phng ..+ Phng +Phng ..

- C s c bin hiu ng qui nh(tn c s, a ch, gi l m vic, ngi phtrch, in thoi..) t Khng t

4.1. Phng ti p nhn: - C ni tip n ngi bnh t Khng t - C ni ngi bnh ngi ch t Khng t

4.2. Phng khm:- Miphng khm chuyn khoa c di n tch 10m2- Mi bungththut/ tiu phu (i vic din tch 10m 2- Bung vn ng tr liu (nu c) din tch 40m 2

TT Tn Phng khm, bung th thut Din tch t Khngt

4.3. Phng Siu m:- Phng siu m ph i rng 10 m 2, c mn che nh sng, iu ha

nhit , ging, gh ch,... t Khng t - C b ng quy nh v s dng v bo qun my, trang thit b.

t K hng t 5. in, nc, vsinh, v sinh mi trng, phng chy cha chy:

- H thng in, h thng nc m bo; c trang b labo ra tay, ra dn t Khng t

- m bo cc iu kin x l cht thi v v sinh mi trngt Khng t

- H thng PCCC t Khng t - Phng v sinh t Khng t

6. Trang thit b dng c y t: - Danh m c trang thit b y t (nh k m bin b n)

t Khng t - C s thucv d ng c cp cu ngquy nh

t Khng t - Lp l lch, xy dng ni quy, quy nh vn hnh thi t b, thc hin ch

bo dng thng xuyn v nh k(nu c s dng my) t Khng t

7. Phm vi hnh ngh c th:

....8. Quy trnh k thut


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1. C b ng quy tr nh k thut y t Khng t 2. Bo m an ton cho ngi bnh khi thc hin cc k thut

t Khng t 3. Thc hin vic k n thuc t Khng t 4. Ghi s lu kt qu y t Khng t

9. Gi dch v d kin:................................................................................... ..........................................................................................................................................................................................................................................................V. KT LUN V KIN NGH

1. Kt lun:...............................................................................................................................

2. Kin ngh: ....................

3. kinkhngng vi kt lun v kin ngh ca on thm nh(nuc).................

Bin b n kt thc lc gi pht, cng ngy.

TRNG ON PHNG Y T TH K

I DIN C S C THM NH

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M58_BB Tham Dinh Phong Kham Chuyen Khoa