ࡱ> hjg_ <\bjbj 8pbb 22t,6AAAAA+++5666666$N8;>%6E+M+^+++%6AA j6444+AA54+5444A9/c/J456064>;1>;44>;48++4+++++%6%64+++6++++>;+++++++++2! S:  Qua xem xt CBVC ti cc Khoa c hng ch  ph cp hin vt, phng TC-HC  tng hp. Cc Khoa xem xt nu ch no cha ng  ngh cc Khoa lin h vi phng TC-HC  xem xt trc khi a ra Hi ng xt duyt vo ngy 22/5/2018.  ngh cc n v xem trang di. S Y T LM NG CNG HA X HI CH NGH(A VIT NAM TRUNG TM Y T LM H c lp - T do - Hnh phc  S: /TB-TTYT Lm H, ngy thng 5 nm 2018 THNG BO Kt qu xt ch  ph cp hin vt cho CB,VC  - Cn c Thng t s 25/2013/TT-BLTBXH, ngy 18/10/2013; ca B Lao ng - Thng binh v x hi; V vic Hng dn thc hin ch  bi dng hin vt i vi ngi lao ng lm vic trong iu kin c yu t nguy him, c hi ; - Cn c thng bo kt qu o mi trng s 239/KQ-YTDP ngy 26/4/2018 ca TTYT D phng tnh Lm ng; - Cn c bin bn hp ca Trung tm Y t Lm H; V/v xt ch  ph cp hin vt theo kt qu o mi trng nm 2018 cho CB,VC; Trung tm Y t Lm H thng bo kt qu nh sau: A. Ch  bi dng bng hin vt: 1. i tng p dng: Theo quy nh ti Thng t s 25/2013/TT- BLTBXH, ngy 18/10/2013, ca B Lao ng - Thng binh v X hi; v vic hng dn thc hin ch  bi dng bng hin vt i vi ngi lao ng lm vic trong iu kin c yu t nguy him, c hi . iu kin lao ng loi VI: + V sinh nh xc iu kin lao ng loi V: + Trc tip vn hnh my X quang, my chiu x  iu tr v chn on bnh + Chuyn xt nghim bnh ti nguy him (Vim gan, vim no, HIV v cc bnh ti nguy him khc) + Dit chut cn trng v vi khun gy bnh + Trc tip khm, iu tr xt nghim, phc v bnh nhn Phong, Tm thn, Lao + Trc tip khm iu tr tr s sinh bnh l + Trc tip khm iu tr phc v bnh nhn truyn nhim + M, ph m, gy m hi sc; chuyn cp cu theo di hi sc sau m + Trc tip khm iu tr bnh nhn bng iu kin lao ng loi IV: + Xt nghim vi sinh vt, sinh ha, huyt hc +  , khm iu tr bnh ph khoa + Xoa bp, day bm huyt, vn ng tr liu, ko nn xng, b bt + H l lm vic ti cc khoa phng + Ra, hp sy tit trng, tiu hy cc dng c, bnh phm . + iu tra cn trng hc (b cht, ve, mui truyn st rt, giun ch, st xut huyt) iu tra, gim st v chng dch . + Trc tip khm, iu tr phc v bnh nhn  cc khoa khm bnh, cp cu tng hp . + Th kho dc trc tip bo qun thuc, cp pht thuc ti kho dc + Sa cha my mc, thit b Y t ti bung bnh v trong phng th nghim. 2. Quy nh c th: Mc 3  20.000 / ngy: + 01 CB,VC xt nghim bnh ti nguy him: vim gan, HIV (iu kin lao ng loi V + 2 yu c hi nguy him nh sng, bo t nm mc + trc tip tip xc vi ngun gy bnh): 100% thi gian ngy lm vic thc t + 01 CB, VC xt nghim Lao TTYT: 100% thi gian ngy lm vic thc t (iu kin lao ng loi V + 2 yu t nguy him c hi nh sng+bo t nm mc) - Cn b xt nghim lao ti ti Phng Khm KKV 100% thi gian ngy thc t c BN xt nghim. + Nhn vin bo v lm cng tc kim nhim v sinh nh xc (iu kin lao ng loi VI + 1 yu t c hi nguy him trc tip tip xc vi ngun ly bi cc loi sinh vt gy bnh+bc x nhit ):12 ngy v sinh/qu /03 bo v. Ngy c BN t vong c chm cng thc t. + Phu thut vin, gy m, ph m, (iu kin lao ng loi V + 2 yu t nguy him c hi: Vi sinh hiu kh + bo t nm mc): 100% thi gian ngy c ca phu thut) Mc 2  15.000/ngy. + CB trc tip khm iu tr bnh nhn lao (iu kin lao ng loi V trc tip tip xc ngun ly) - Tuyn Huyn: 100% thi gian ngy c ca khm bnh v ngy gim st BN iu tr ti nh. - Tuyn x: (c bnh nhn lao iu tr) 2 thng u 100% thi gian; 06 thng sau 03 ngy/thng. + Cn b trc tip khm phong, tm thn: 100% thi gian ngy c bnh nhn khm, ngy i gim st ti nh. + CB,VC trc tip vn hnh my X quang (iu kin lao ng loi V + 1 yu t nguy him c hi: nh sng): 100% thi gian ngy lm vic thc t. + CB,VC xt nghim vi sinh, sinh ha, huyt hc (iu kin lao ng loi IV + 2 yu t nguy him trc tip tip xc vi ngun ly + bo t nm mc): 100% thi gian ngy lm vic thc t. + CB,VC Trc tip  , khm iu tr cc bnh ph khoa (  " $ & T f  дИдq^K6(hBChid5B*CJOJQJaJph%hBCh ZB*CJOJQJaJph%hBChidB*CJOJQJaJph"h*5B*CJ$OJQJaJ$ph(h*h,45B*CJ$OJQJaJ$ph6h,45B*CJ$OJQJ\aJ$fHph999q 6h*5B*CJ$OJQJ\aJ$fHph999q <h,4h,45B*CJ$OJQJ\aJ$fHph999q h,4B*CJOJQJaJph  0 F J L$xx`a$gdN$xx`a$gd|u$a$gdid`gd*gdid $`a$gd,4$a$gd,4 @ B H V ^ h ׵o\oI\6o\$hBChk46B*OJQJaJph$hBChGN6B*OJQJaJph$hBChN6B*OJQJaJph$hBChid6B*OJQJaJph!hBChB*OJQJaJph!hBCh|uB*OJQJaJph!hBChGNB*OJQJaJph!hBChNB*OJQJaJph!hBChB*OJQJaJph!hBChidB*OJQJaJph-jhBChK=B*UaJmHnHphu F H ,@rxLR @,ŲšŐŐŐnZIŲ!hBCh,B*OJQJaJph'hBChid5>*B*OJQJaJph!hBChywB*OJQJaJph!hBCh+B*OJQJaJph!hBChNB*OJQJaJph!hBCh=B*OJQJaJph$hBChid6B*OJQJaJph!hBChidB*OJQJaJph-jhBChK=B*UaJmHnHphu$hBChid5B*OJQJaJph @^<tbT"L|(X$xx`a$gdg$xx`a$gd|u $xxa$gd|u<pNPd "&.LݼݼݫxgS?S'hBChN56B*OJQJaJph'hBChid56B*OJQJaJph!hBChgB*OJQJaJph!hBChTB*OJQJaJph!hBCh3RB*OJQJaJph!hBCh=B*OJQJaJph!hBChB*OJQJaJphhoB*OJQJaJph$hBChid5B*OJQJaJph!hBChidB*OJQJaJph!hBChB*OJQJaJphLVXZ`b|&(Vf$&$6RV ش}mZ}}G$hBChN6B*OJQJaJph$hBCh+6B*OJQJaJphh^:l6B*OJQJaJph$hBChR6B*OJQJaJph$hBChid6B*OJQJaJph!hBChNB*OJQJaJph!hBChidB*OJQJaJph$hBCh 5B*OJQJaJph$hBChid5B*OJQJaJph'hBChid5>*B*OJQJaJph  z!!!z""""""" #,#.#~#######$t$x$$,%ʷʤʑʁmZGZGZZ$hBCh 5B*OJQJaJph$hBChid5B*OJQJaJph'hBChid5>*B*OJQJaJphh;v6B*OJQJaJph$hBChh6B*OJQJaJph$hBChR6B*OJQJaJph$hBCh+6B*OJQJaJph$hBChid6B*OJQJaJph!hBChidB*OJQJaJph!hBCh4SB*OJQJaJphX 2"~##r$&%%&'Z)>,@A CC0DzEFHIJKKMNP $xxa$gd|u$xx`a$gd|u,%<%B%t%%%%%|&&&'n'p'''F(((((())V))>:><>T>V>^>b>ܸܸܧɁnܸlYn$hBCho6B*OJQJaJphU$hBChTB6B*OJQJaJph$hBCh=6B*OJQJaJph$hBCh,6B*OJQJaJph!hBCh,B*OJQJaJph!hBChTBB*OJQJaJph$hBChid6B*OJQJaJph!hBChidB*OJQJaJph$hBChid5B*OJQJaJph iu kin lao ng loi IV + 2 yu t nguy him: Vi sinh hiu kh, bo t nm mc): 100% thi gian ngy lm vic thc t. + i vi 2 PKKKV: cn c vo s bnh nhn , khm ph khoa thc t  xc nh s cn b c hng mc ph cp trong ngy (iu kin lao ng loi IV). + H l lm vic ti cc khoa phng (iu kin lao ng loi IV trc tip, tip xc vi ngun ly cht thi ca bnh nhn v vi sinh vt gy bnh): 100% thi gian ngy lm vic thc t. + CB,VC Trc tip khm, iu tr phc v bnh nhn  khoa khm bnh, cp cu (iu kin lao ng loi IV + 2 yu t nguy him: trc tip tip xc vi ngun ly + ting n, vi sinh hiu kh). - CB,VC ca khoa: 100% thi gian ngy lm vic thc t. - Bc s trc HSCC (khng phi BS ca khoa):100% thi gian ngy trc thc t . + Trc tip khm iu tr bnh nhn bng (01 BS, 01 D) iu kin lao ng loi V + 1 yu t nguy him: (vi sinh hiu kh): 100% thi gian ngy c ca bnh thc t. + Trc tip khm iu tr tr s sinh bnh l, chm sc bnh truyn nhim (01 BS, 02 D) iu kin lao ng loi V + 1 yu t nguy him: (vi sinh khng kh); 100% thi gian ngy c ca bnh . + CB,VC xoa bp, day bm huyt, vn ng tr liu khoa YHCT iu kin lao ng loi IV: 2 yu t nguy him nh sng+ bo t nm mc. + Khm iu tr bnh truyn nhim ti Khoa Ni  Nhim (01 BS, 01 D ) iu kin lao ng loi IV:2 yu t nguy him nh sng + vi sinh khng kh: 100% thi gian ngy c ca bnh truyn nhim iu tr ni tr . + CB,VC gi kho dc iu kin lao ng loi IV: (c 2 yu t c hi nguy him nh sng + bo t nm mc) + CB,VC iu tra, gim st v chng dch ca i YTDP 100% thi gian ngy iu tra , gim st phng chng dch ti cng ng. Mc 1  10.000/ngy. + CB,VC Trc tip khm, iu tr phc v bnh nhn ti phng khm Ngoi-LCK (iu kin lao ng loi IV + 1 yu t nguy him khng t tiu chun v sinh cho php ting n) 100% thi gian ngy lm vic thc t (02 BS+02 iu dng). + CB,VC ko nn xng b bt: (iu kin lao ng loi IV + 1 yu t nguy him: nh sng, ting n) 100% ngy c ca bnh thc t . + Sa cha my mc, trang thit b Y t: iu kin lao ng loi IV + 1 yu t c hi nguy him; trc tip tip xc vi ngun ly): 100% thi gian ngy thc t c sa cha my mc trang thit b y t. + CB,VC phng thu vin ph (do Hi ng xt ph cp n v quyt nh theo thng t 25 do c 2 yu t c hi mi trng ting n+ vi sinh hiu kh) + CB CNTT iu kin lao ng loi IV vn hnh qun tr h thng CNTT; gim st an ninh mng (chu s bc x in t mc cao lin tc) B. T CHC THC HIN: Ch  bi dng hin vt c thc hin hng ngy vo cc bui chiu. Cc khoa phng, b phn ti bnh vin c cn b c hng ch  bi dng tng hp danh sch cn b c hng  xut ch  v vit phiu l)nh (theo mu). Np v phng t chc hnh chnh. i vi cc cng vic c tnh cht thng xuyn ch gi danh sch mt ln vo thng u ca qu v khi c thay i nhn s (i hc, ngh m, ngh php...). + Giao cho phng KHNV phi hp phng iu Dng kim tra xc nhn cng vic, s liu cc b phn bo co. + Phng TCHC phi hp phng Ti v tham mu, thc hin mua ng sa v cp pht cho cn b vin chc ng quy nh. Trn c s kt qu o mi trng lao ng ca TTYT D phng tnh ti TTYT Lm H, phng TCHC tham mu khc phc, ci thin iu kin lm vic cho CBVC-ngi lao ng, nh k 1 nm TTYT s mi cc c quan c lin quan thm nh, nh gi li iu kin mi trng lm vic  iu chnh ph hp vi iu kin thc t. Trong qu trnh thc hin c vng mc, kh khn TTYT s phi hp vi Ban chp hnh Cng on gii quyt, iu chnh m bo ch  cho CBVC. 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