M68_BB Tham Dinh Tram Y Te

7/28/2019 M68_BB Tham Dinh Tram Y Te

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M u 68(Ban hnh km theo Quyt nh s 617/Q-UBND-HC

ngy 28 thng 6 nm 2013 ca Ch tch UBND tnh ng Thp)

UBND TNH NG THPS Y T

CNG HO X HI CH NGHA VIT NAMc lp- T do- Hnh phc

........................., ngy....... thng... .....nm 20....

BIN BN THM NHTRM Y T.............................................

I. THNG TIN V C S C THM NH1. Tn c s khm bnh, cha bnh:.2. a ch: 3. in thoi:. Email (nu c):4. Fax:

5. Ngii din:.; Chc v:II. THNH PHN THAM GIA THM NHA. Thnh phn on thm nh

+ S Y t:1........................................................; Chc v:...........................................2........................................................; Chc v:...........................................3........................................................; Chc v:...........................................4................................................................; Chc v:...........................................+Phng Y t:1.......................................................; Chc v:............................................2.......................................................; Chc v:...........................................

B. i din ca c s c thm nh:+ Trung tm y t (gim st):1. ..2.

+ Trm Y t:1. ...

2.

III. CN C PHP L THM NH- Cn c Lut Khm bnh, cha bnh ngy 23 thng 11 nm 2009;- Cn c Ngh nh s 87/2011/N-CP ngy 27 thng 9 nm 2011 quy nhchi tit thi hnh mt s iu ca Lut khm bnh, cha bnh;- Cn c Thng t s 41/2011/TT- BYT ngy 14/11/2011 ca B Y t hng

dn cp chng ch hnh ngh i vi ngi hnh ngh v cp giy php hotng i vi c s khm bnh, cha bnh.

- Cn c Quyt nh s /Q-SYT ngy / /20 ca SY t v victhnh lp on thmnh cskhm bnh, cha bnh cng lp.

- Theo n ngh cp giy php hot ng khm bnh, cha bnh ca trm yt IV. NI DUNG THM NH1. H s php l: (Lit k y cc giy t c lin quan)


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...

Nhn xt: ..........

2. T chc b my:C s khm bnh, cha bnh c qui m........................c t chc nh sau:

a. B phn qun l: Trng trm b. B phn chuyn mn:

+ Phng .+ Phng ..

+ Phng + Phng ..

+ Phng + Phng ..

+ Phng + Phng ..

+ Phng + Phng ..

+ Phng + Phng ..

+ Phng + Phng ..

+ Phng + Phng ..

3. T chc, nhn s:a. C s c tng s nhn vin: ...... ngi; trong nhn vin lm cng vic

chuyn mn: ....... ngi.

TT Chc danhPhng hnh

chnh Lm sngCn lm

sng Dc

a) Tng s Y, Bc s

- Chuyn khoa II

- Chuyn khoa I

- Bc s- Y s lm cng tc iutrb) Tng s Dc

- Dc s i hc- Dc s Trunghc/KTV dc TH- Dc t (s hc)

c) Tng s iu dng

- i hc iu dng

- Cao ng iu dng

- Trung hc iu dng

- S hc iu dng

d) Tng s N h sinh

- i hc h sinh

- Cao ng h sinh


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- Trung hc h sinh

- S hc h sinhe) Tng s K thutvin Y- i hc

- Cao ng

- Trung hc

- S hcf) Tng s cc cn bkhc:- i hc

- Cao ng

- Trung hc

- S hc

Tng s

TT Chc danhHp ng lm vic

thng xuyn (ton thigian)

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

Tng s

a) Tng s Y, Bc s

- Chuyn khoa II

- Chuyn khoa I

- Bc s- Y s lm cng tc

iu trb) Tng s Dc

- Dc s i hc- Dc s Trunghc/KTV dc TH- Dc t (s hc)c) Tng s iudng- i hc iu dng

- Cao ng iu dng

- Trung hc iudng- S hc iu dngd) Tng s N hsinh- i hc h sinh

- Cao ng h sinh

- Trung hc h sinh

- S hc h sinh


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e) Tng s K thutvin Y- Cao ng

- Trung hc

- S hcf) Tng s cc cn bkhc:- i hc

- Cao ng

- Trung hc

- S hc

Tng s

b. Ngi chu trch nhim chuyn mn k thut phi c chng ch hnh nghv thc hin vic khm bnh, cha bnh trong phm vi phn cng

t Khng t 4. C s vt cht:- Din tch chungm2, (di.m. x rngm.......);- Kt cu nh ................................................................- C s ng k .phng, trong :- C s c bin hiu ng qui nh (tn c s, a ch, in thoi..)

t Khng t 4.1. Yu cu v khu t xy dng v mt bng tng tha. Khu t xy dng

- Khu t xy dng trm y t c s phi bo m cc yu cu sau :

+ V tr khu t xy dng cn t gn cc trc giao thng lin x qua cckhu vc trung tm x, phng, th trn; thun tin cho c dn ti trm chmsc sc kho ban u v khm - cha bnh. t Khng t

+ Khu t xy dng phi thong, cao ro, t tn km v bin php x lnn mng hay thot nc mt, nc thi. t Khng t

+ Khu t xy dng phi m bo c ngun cung cp nc sch thngxuyn. t Khng t

+ Khu t xy dngphi ph hp vi quy hoch chung v m bo bnknh phc v. t Khng t

- Din tch t xy dng trm y t c s khong t 600 1200m2 b

tr cc hng mc:+Xy dng nh trm, cng trnh ph tr (nh bp, nh v sinh, ln i vnh xe). t Khng t

+ng giao thng ni b v din tch xy dng cng, tng ro.t Khng t

+ Sn vn cy xanh (cy cnh v cy to bng mt).t Khng t

+ Khu trng cy dc liu, thuc nam, vn mu. t Khng t- Mt xy dng cho php khng ln hn 30 35 % din tch khu t


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t Khng t - Khong cch gii hn t mp ngoi tng ro cng chnh ti mt trc nh

trm khng c nh hn 6m. t Khng t b. Cy xanh

- T l din tch cy xanh (gm din tch trng cy bng mt kt hp vnhoa v vn cy thuc Nam) t 30 40 % tng din tch khu t.

t Khng t - Vn mu trng cy dc liu, thuc Nam (gm 60 loi cy cha 9 loi

bnh thng thng) phi cch mp tng ngoi nh trm ln hn 2m.t Khng t

- Trong khu t xy dng khng trng cc loi cy c nha c, c gai, cyc hoa qu thu ht rui mui, cn trng. t Khng t

c. Li ra vo, ng i v sn trong- Trong mt bng tng th khu t xy dng trm y t c s phi c ro bo

v ngn gia sc, gia cm. t Khng t - ng i gia cc b phn trong khun vin trm y t c s c chiu rng

ti thiu l 1,2m. t Khng t - Pha ngoi nh trm y t phi c sn ch, bi xe cho khch v nhn vin.

t Khng t - i vi trm y t tip gip sng (knh, rch) cn b tr xy dng bn

thuyn a n bnh nhn. t Khng t 4.2. Ni dung cng trnh v nhng yu cu v gii php thit k

a. Dy chuyn hot ng c b tr phi m bo nguyn l sch bn mtchiu t Khng t

b. Cc phng khm - cha bnh, phng v phng thc hin cc dch v

KHHG phi c b tr ring bit, m bo iu kin v khun.t Khng t

c. Chiu cao cc phng trong trm y t c s phi ln hn 3,3m. Cc phngph tr v sinh t ngoi nh, chiu cao ti thiu 2,8m.

t Khng t d. Chiu rng cho hnh lang, ca i, cu thang c quy nh.

Hnh lang rng 1,5 2,8m. t Khng t . Ca i: Chiu cao ca t 2,1m 2,4m t Khng t

+ Ca i c chuyn cng c chiu rng khng nh hn 1,4m.t Khng t

+ Ca phng chiu rng khng nh hn 1,2m. t Khng t+ Ca phng thng thng c chiu rng 1,0m; ca phng khu v sinh v

bp rng 0,7m. t Khng t e. Cu thang (nu c): Chiu rng m bo 1,2m t Khng t

+ dc phi m bo: 30 t Khng t + Chiu rng chiu ngh phi m bo: 1,2m t Khng t

g. Ni dung cng trnh- Snh tip n t ngay li ca chnh, c hnh lang lin h trc tip vi cc

khng gian chc nng, din tch 8 12m2 t Khng t


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. Snh tip n phi c din tch b tr gh i khm bnh v bn lm thtc tip n. t Khng t

. Snh c th b tr kt hp vi khng gian a nng, khng gian khm bnh.t Khng t

. Quy, t thuc c th kt hp t trong khng gian snh.t Khng t

- Khng gian tuyn truyn t vn, phc v cc chng trnh TCMR v ungvc xin (khng gian a nng), din tch 14 16m2 (c sc cha 10 ngi ln vitiu chun 1,4 1,6 m2/ngi). t Khng t

- Khng gian a nng b tr gn li vo, c th kt hp cc chc nng snhtip n, khm bnh thng thng. t Khng t

. Phng a nng phi c din tch b tr cc bng gh i, nghe tuyn truyn,t vn v hi hp, c bng pan tuyn truyn cng cng tc chm sc sckho, c t trng by, lu tr. t Khng t

. Phng a nng cn l ni thc hin vic TCMR, tim phng, cho ungthuc theo chin dch ca cc cc chng trnh y t quc gia ti x, phng, thtrn. t Khng t

- Phng khm - cha bnh Ty y thc hin cng tc khm cha cc bnhthng thng v t chc s cu ban u c din tch t 12 14m2.

t Khng t . Phng khm - cha bnh Ty y phi c din tch b tr bn lm vic,

ging khm, chu ra tay. t Khng t . Nu c kt hp chc nng th thut, phng tim ti ch c th tng din

tch thm t 2 4m2. t Khng t - Phng khm - cha bnh theo phng php Y hc c truyn c din tch t

12 14m2. t Khng t . Phng khm cha - bnh theo phng php Y hc c truyn phi c din

tch b tr ging xoa bp, bm huyt v chm cu. t Khng t. i vi cc c s c lng y k n bc thuc ti ch nn c t thuc y

hc dn tc v bn bc thuc, bt mch. t Khng t . Phng khm cha - bnh theo phng php Y hc c truyn c th kt hp

vi hnh lang ph phi sy, cht, thi thuc .... t Khng t- Phng c din tch 13 15m2 t Khng t. Phng c din tch b tr 1 bn v bn n tr s sinh, ch ra tay, xe

y ng dng c. t Khng t

. Phng lin h vi khu tit trng cn phi c vch ngn v c ca ringa bn, nhim khun. Dy chuyn sch bn (ra tay v dng c) mt chiu,c t dng c sch. t Khng t

- Phng thc hin cc dch v KHHG c din tch t 13 15m2t lin stphng v khu ra tit trng. t Khng t

. Phng thc hin cc dch v KHHG phi c din tch b tr chu ra tay,bn th thut c li lin h vi khu tit trng (chung vi khu tit trng phng ),dy chuyn sch bn mt chiu. t Khng t


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- Phng ra, tit trng dng c c din tch t 5 7m2 , c ca ring thot rangoi; m bo dy chuyn sch bn mt chiu. t Khng t

- Phng lu sau c din tch t 12 14m2, b tr 2 ging bnh nhn, cv tr st gn phng . t Khng t

. iu kin cho php nn c v sinh ring (1 x, 1 ra) cho sn ph vi dintch 3 5m2 lin phng khp kn. t Khng t

- Phng lu bnh nhn thng thng c din tch t 12 14m2 (i viphng 2 ging) hoc 18 20m2(i vi phng 3 ging) v gn khu v sinhchung t Khng t

- Phng v sinh chung (cn b CNV v bnh nhn) c din tch 4 6m2 (1 x,1 tiu, 1 tm ra). t Khng t

- Kho dng c, thit b c din tch t 4 6m 2 (c th tn dng phn xp phatrn phng ra tit trng). t Khng t

- Phng bp nu c din tch t 4 6m2, t v tr cui hng gi, pha saucng trnh chnh. t Khng t

- Quy thuc c din tch t 4 6m2t v tr d tip cn trc tip, gncng chnh, snh (c t quy qun l thuc, dc phm). t Khng t

- Ton b din tch hnh lang, li i bn trong nh khng cho php vt qu35 % tng din tch xy dng nh trm. t Khng t

4.3. Nhng yu cu v cc gii php k thuta. Chiu sng v thng thong t nhin

- Trong trm y t c s, cc phng phi c chiu sng t nhin trc tip vthng gi t nhin. t Khng t

- H thng chiu sng t nhin cho cc phng (theo phng php tnh ton ri bn trong DF trung bnh) theo tiu chun sau:

Loi phngT l (%)

(Din tch ca s/Dintch sn)

1. Cc phng ch yu Khng nh hn 20% t Khng t

2. Cc phng tm lu, phngph tr

Khng nh hn 15% t Khng t

b. K thut h tng- Cp in. Trm y t c s phi c cung cp in y cho chiu sng v s dng

cc thit b. t Khng t . Mng in s dng dy dn rut ng v PVC 2 lp i trong ng t ni

hoc chm trong tng, trn, b tr cu dao t ngt ti tng phng m bo anton. t Khng t

- Cp nc. Trm y t c s phi c cp nc lin tc sut ngy m t ngun nc

my ( th); ging khoan ( nng thn) v cc b d tr. Nc qua x lm bo tiu chun v sinh, cht lng theo QCVN 02:2009/BYT do Cc Y td phng v Mi trng bin son v c B trng B Y t ban hnh theo


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Thng t s 05/2009/TT - BYT ngy 17/6/2009.t Khng t

. Tiu chun cp nc ca mt trm y t cs t 3.000 4.000lt/ngym.t Khng t

- Thot ncTrm y t c s phi c h thng thot nc mt bo m hot ng ti

trm v khng nh hng n mi trng xung quanh. H thng thot nc nndng bin php t chy. t Khng t

-Nc thiTrm y t c s phi c h thng x l nc thi, nc thi t khu k thut

KBCB (phng v phng thc hin cc dch v KHHG, ...), nc sn khi cra phi c h thng ng kn thu nc, x l ring m bo v sinh mitrng. t Khng t

- Cht thi rnCc cht thi rn phi c ni tp trung cc cht thi rn ring, c l hu

cht thi hoc hp ng x l cht thi rn nguy hi. t Khng tc. Yu cu v phng chy, cha chy

- Trm y t c s l cng trnh chu la bc III (theo Tiu chun Vit NamTCVN 2748-1991) t Khng t

. Trm y t c s phi c bnh cu ha t trong nh.t Khng t

. Phi c b tr nc cu ho va phc v sinh hot khi ma kh, c thtch 6 - 8m

3. t Khng t

. Nu c iu kin, nn c h ct d tr cu ha gn cng trnh.t Khng t

d. Yu cu v kt cu v hon thin cng trnh- Tng cc phng , phng thc hin cc dch v KHHG phi p gch

men knh hoc sn chng thm t sn ti trn nh. Cc phng khm - cha bnhphi c p gch chn tng. Phn tng cn li c th sn hoc qut vi musng. t Khng t

- Sn nh lt bng gch hoa xi mng, ring phng , phng thc hin ccdch v KHHG phi c bin php chng trn v d dng v sinh c ra (sdng granito mi ti ch hoc gch Ceramic kh to). t Khng t

- Trn nh c th phng hoc dc nhng phi iu kin cch nhit, cchm, chng thm tt. C th kt hp chiu sng t trn phng, phi sn hoc qut

vi mu sc sng sa, nh nhng. t Khng t - Ca s trong trm y t c s bng pan hoc chp v c h thng hoa st

bo v. t Khng t - Ca i trong trm y t c s phi bo m an ton, bn vng. Ca i phi c

khun, pan g hoc nhm, st. Cc ca bn trong phng , phng thc hin ccdch v KHHG, khm ph khoa phi kn o (ca pan knh m).

t Khng t


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- Cc hng mc cng trnh trm y t c sphi c kt cu bn vng, cxy dng, ci to hon thin c ni, ngoi tht theo ng cc tiu chun xy dnghin hnh v yu cu ring ca cng trnh y t. t Khng t

5. Trang thit b dng c y t:- Danh mc trang thit b y t p ng nhu cu thc hin chc nng, nhim v

t Khng t - Danh mc trang thit b (nh km bin bn)

Tt: 75% t: T 50% -


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..

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Bin bn kt thc lc gi pht, cng ngy.

TRNG ON TH K

I DIN C S C THM NH

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M68_BB Tham Dinh Tram Y Te