ࡱ> _ bjbj 8bbɁ, )))))===8u1,=f]]ssseeeeeee$iXlf)"f))ssOfd(d(d(*)s)sed(ed(d(uV( ybszF !z_*ef0f_l&lTybybl)bXd(ff'fl ! :  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  Lm H, ngy 29 thng 3 nm 2019 QUY CH V XP LOI LAO NG, BNH XT THI UA NM 2019 (Ban hnh km theo Quyt nh s 135/Q-TTYT ngy 29 thng 3 nm 2019 ca Gim c TTYT Lm H) I. QUY NH CHUNG IU 1. Mc ch yu cu. - Tip tc tng cng cng c, nng cao cht lng mi hot ng ca n v v khuyn khch CCVC-NL thi ua lao ng, hc tp rn luyn, chp hnh ni quy ca n v. - L c s xt thi ua hng thng, nm cho c nhn v tp th. - L c s  tnh ton chi thu nhp tng thm cho ngi lao ng, l mt phn trong cu trc lng hng thng cho ngi lao ng theo Ngh nh s 16/2015/N-CP. IU 2. Phm vi p dng. Ton th CCVC-NL thuc Trung tm Y t huyn Lm H, c thi hn hp ng t 03 thng tr ln. IU 3. CCVC-NL c xt  xp loi lao ng hng thng. - ang trc tip lao ng ti n v. - C thi gian lm hp ng lin tc > 03 thng. IU 4. CCVC-NL c xt cc danh hiu Thi ua v hnh thc Khen thng mt nm. - Nhng CCVC-NL trong bin ch v hp ng lao ng trong qu lng c thi gian trc tip lao ng ti n v t 10 thng tr ln. - Nhng CCVC-NL c thi gian ngh m, ngh vic ring t nguyn tr vo thi gian ngh php nm. - Nhng CCVC-NL i hc c kt qu hc tp t loi kh tr ln. - i vi nhng c nhn thuc din hp ng ngoi qu lng, tu thuc vo thnh tch t c, Gim c c hnh thc khen thng theo quy nh c phn cp. IU 5. Cc trng hp khng c xt cc danh hiu Thi ua v hnh thc Khen thng mt nm - C nhn, tp th khng ng k danh hiu thi ua t u nm, khng hp bnh xt thi ua theo quy nh. - C nhn c thi gian ngh > 40 ngy bt k l do g (tr ngh sanh). - C nhn vi phm chnh sch DSKHHG: Chu hnh thc k lut v lun chuyn theo qui nh ca Hi ngh CBVC hng nm; trong thi gian i hc khng lun chuyn, sau khi hon thnh kha hc s lun chuyn. IU 6. Mt s khi nim t ng trong Quy ch. 1. Sng kin - Nghin cu khoa hc: - Loi A: Ni dung sng kin phi c vn dng hc tp trong ton tnh, ton ngnh. - Loi B: Ni dung sng kin c th vn dng hc tp trong ton c quan. - Loi C: Ni dung sng kin ch vn dng hc tp trong phm vi hp hn nh  khoa phng, b phn. 2. Ngy gi cng: - Tnh theo ngy cng thc t. Trc, ngh b v lm theo quy nh coi l  ngy cng. - Gi cng lm thm  c hng ph cp ngoi gi, hoc ngh b, khng c quy i tnh ngy cng, ch tnh gi lm thm do Gim c iu ng (tnh gi lm thm khng qa 200 gi/ nm). II. QUY NH C TH IU 7. Phn loi lao ng gm 4 loi: Loi I, Loi II, Loi III v Loi IV. IU 8. Phn loi mc  vi phm: gm 03 mc - Mc  nh. - Mc  va. - Mc  nng. IU 9. Tiu chun xp loi Lao ng hng thng i vi Tp th v mc thng theo Quy ch chi tiu ni b ca n v 1. Bng xp loi i vi tp th: im tXp loiMc thng> 95Loi I100%91 - 95Loi II80%80 - 90Loi III70%< 80Loi IV50%2. Quy nh khc: Khoa phng khng c xp loi I nu: - C e" 30% CCVC-NL xp loi III. - C e" 40% CCVC-NL xp loi II. IU 10. Tiu chun xp loi Lao ng hng thng i vi c nhn v mc thng theo Quy ch chi tiu ni b ca n v. 1. Bng xp loi i vi c nhn: im tXp loiMc thng> 95Loi I100%91 - 95Loi II80%80 - 90Loi III70%< 80Loi IV50%2. Quy nh khc: C nhn: Mc e" 2 ln ca cng vi phm trong thng hoc trong 2 thng lin tip s tng  nng (nh ( va, va ( nng). T ln mc th 2 cng mt vi phm nng ( hoc mc 4 ln cc vi phm nh) xp loi h mt bc so vi mc c xp. IU 11. Tiu chun xp loi Lao ng hng thng i vi CCVC-NL i hc, bi dng  c hng mc thng theo Quy ch chi tiu ni b ca n v 1. i hc ngn hn: - i vi nhng c s o to khng nh gi kt qu hc tp: cc b phn tng hp do Hi ng thi ua nh gi. - i vi nhng c s o to c nh gi kt qu hc tp: t loi kh tr ln xp loi I, trung bnh xp loi II. 2. i hc di hn: - Trng hp hc di hn: cn c kt qu hc tp, nh gi xp loi lao ng cui nm nhng ngy i hc. - Nhng ngy  nh i lm: nh gi theo bng xp loi i vi c nhn (quy nh ti mc 1 iu 10). IU 12. Tiu chun xp loi Lao ng i vi CCVC-NL ngh php, ngh m, ngh vic ring  c hng mc thng theo Quy ch chi tiu ni b ca n v. 1. Ngh php: nh gi theo bng xp loi i vi c nhn (quy nh ti mc 1 iu 10). 2. Ngh m, ngh vic ring: nu tr php c xp loi theo quy nh ti bng 01. Khng tr php th khng c hng. Cn li nhng ngy i lm bnh xt nh nh gi theo bng xp loi i vi c nhn (quy nh ti mc 1 iu 10). IU 13. Tiu chun xp loi Lao ng i vi CCVC-NL ngh ch  thai sn  c hng mc thng theo Quy ch chi tiu ni b ca n v i vi CCVC-NL khng vi phm chnh sch: c hng mc loi III IU 14. Nhng trng hp b k lut c hng mc thng theo Quy ch chi tiu ni b ca n v (tnh t ngy quyt nh c hiu lc thi hnh) - Khin trch: xp loi IV 3 thng. - Cnh co: xp loi IV 6 thng. - Vi phm chnh sch DSKHHG, t nn x hi: xp loi IV 6 thng. - Vi phm Lut ATGT: xp loi IV 3 thng. - Nhn phong b tin ca ngi bnh v thn nhn (gi hoc gy kh khn qua phn nh v c xc minh lm r): C nhn xp loi IV 3 thng, khoa phng c c nhn vi phm xp loi III 1 thng. IU 15. Thi gian thc hin xp loi lao ng hng thng 1. Tng khoa phng b phn bnh xt lao ng vo tun u ca thng sau v np bin bn hp xt cho th k ca Hi ng vo trc ngy 07 thng sau (nu trong ngy ngh th gi vo ngy lm vic tip theo). 2. Cc khoa phng, b phn bnh xt lao ng khng ng quy nh, tt c CCVC-NL b phn  s xp lao ng loi III trong k bnh xt. 3. Hi ng thi ua: Giao cho Phng TC-HC tng hp y  bin bn hp bnh xt ca cc khoa, phng, b phn, t chc hp xt hng thng trc ngy 15 thng sau v thng bo kt qu cng khai trc ngy 20 hng thng. IU 16. Xt khen thng t xut Do lnh o, trng cc n v  ngh, Gim c quyt nh sau khi thng nht vi Ch tch Cng on (Quyt nh khen thng chm nht sau 5 ngy lm vic k t ngy  ngh). IU 17. Thi gian xt danh hiu thi ua, hnh thc khen thng c nm Hi ng s c hng dn c th vo dp cui nm. Vic bnh xt cc danh hiu thi ua, hnh thc khen thng trong nm: cn c vo kt qu xt lao ng hng thng, kt qu hot ng trong mt nm ca cc n v v kt qu bnh xt c nm ca cc khoa, phng, i, TYT, kt qu ca tan trung tm y t, Hi ng thi ua t chc nh gi v bnh xt cho c nhn v tp th, c th: - Xut sc (chin s) thi ua/ tp th lao ng xut sc): Trong  c > 9 thng loi I. Khng c thng loi III. Phi c sng kin, ci tin, nghin cu khoa hc. - Tt (lao ng tin tin/ Tp th lao ng tin tin): Trong  c > 9 thng loi I. Ch c 01 thng loi III. Trng hp ch  thai sn (khng vi phm chnh sch Dn s KKHG): Khng cn c vo xp loi hng thng: c th trong thi gian lm vic cc thng u t loi I. Nhng trng hp i hc, cn c vo kt qu hc tp. Nhng trng hp ngh vic ring, ngh m t nguyn tr vo thi gian ngh php nm, c xem xt  bnh xt. CCVC-NL c c i n thi nhng khng trng tuyn: H mt mc danh hiu thi ua v khng xt khen thng. III. TRCH NHIM T CHC THC HIN IU 18. Trch nhim ca Trng khoa, phng, b phn, t trng t cng on v c nhn - Trn c s bng chm im ca tp th v c nhn ti ph lc ca quy ch ny, ch tr hp v thng nht bng chm im cho tp th v c nhn trong b phn ph trch ph hp vi chc trch nhim v c phn cng. - T chc t kim tra n v mnh. C nhn v tp th t chm im, trn c s  t chc bnh xt lao ng cho c nhn v tp th. Trng n v quyt nh, gi bo co kt qu v Hi ng Thi ua theo quy nh ti iu 15 mc 2. - Chu trch nhim chnh v kt qu bnh xt lao ng, nu thc hin v bo co kt qu bnh xt lao ng khng ng quy nh b tr im thi ua. IU 19. Thnh phn v trch nhim ca Hi ng v tng thnh vin trong Hi ng Thi ua  khen thng 1. Thnh phn Hi ng. Theo quyt nh ca Gim c, cc thnh phn trong Hi ng c phn cng nhim v c th ph hp vi v tr cng tc m bo cht lng, hiu qu. 2. Trch nhim ca Hi ng. - Thnh lp on kim tra, t chc kim tra khoa phng, b phn (vo cc ngy cui thng), xp loi khoa phng, b phn ng thi xt li v xp loi cho tan b CCVC-NL hng thng. - Bo co kt qu kim tra v thm nh kt qu bnh xt lao ng thc hin hng thng ca cc b phn c phn cng. Chu trch nhim v kt qu kim tra. - Xy dng hng dn bnh xt thi ua c nm, t chc bnh xt thi ua  khen thng cui nm. IU 20. Hiu lc thi hnh. Quy ch ny c thc hin k t ngy k ban hnh, cc quy nh trc y c bi b; vic thay th sa i b sung Quy ch ny do hi ngh lin tch gia Ban gim c v BCHCCS tham mu v Gim c quyt nh/. CH TCH HI NG TKT GIM C ( k) ON MINH CNG Ph lc 1b - BNG PHN LOI MC  VI PHM KHOA, PHNG, PKKV I. Y CGhi ch 1.1 Mc  nh- Tc phong tip xc, thm khm NB cha lch s: gc chn ln gh, ging. -  NB phn nh v thi  giao tip;  t tip thu v lm tt cng tc t tng vi NB. 1.2 Mc  va-  NB phn nh v trch nhim phc v; cha t tip thu v lm tt cng tc t tng vi NB trng hp c phn nh v thi  giao tip. -  NB khng hi lng trong s gp , hoc qua ng dy nng, hp HNB. - C kin phn nh ca nhn dn ni c tr v np sng thiu vn ha, khng gng mu. - Gy mt on kt vi ng nghip. 1.3 Mc  nng- Sai st chuyn mn do thiu tinh thn trch nhim. - C n th khiu ni, t co v tinh thn thi  phc v, xc nh c sai st. - Trc tham vn, chuyn khoa, chuyn vin khng lin lc c khng c l do chnh ng. - Thi  vi ng nghip thiu vn ha, lm nh hng xu n uy tn ng nghip; gy mt on kt ni b; ng c u tranh khng trong sng; khng trung thc, bao che, vu khng. - Khng thnh khn tip thu v sa cha vi phm. - Khng tng tr v gip  ng nghip, gy hu qu xu. - C kin phn nh ca chnh quyn, on th ni c tr v np sng thiu vn ha, khng gng mu. - C biu hin mt on kt ni b. - Pht hin vic gi hoc gy kh khn  nhn phong b th tin ca bnh nhn v thn nhn.II. TRT T- V SINH  2.1 Mc  nh-  xe, chy xe ra vo cng khng ng v tr quy nh. - Sn nh, chn tng khng sch, c rc. - Ngi bnh khng mc hoc mc khng y  qun o Bnh vin. - Thy bnh nhn, thn nhn ht thuc khng nhc nh. 2.2 Mc  va- Trn nh c mng nhn; bn lm vic,  c xp khng gn gng, khng thng nht. - Bung lm vic, bung bnh, khu v sinh khng sch, c mi hi, thiu nc. - Ging bnh, t u ging bn; t ng dng c khng ngn np. - Phng tin vn chuyn NB bn. - Khng tham gia v sinh, tng v sinh ni lm vic. 2.3 Mc  nng- CCVC-NL c mi ru bia trong khi thi hnh nhim v. - Vi phm v sinh trang phc, trt t mc  nh > 3 ln, mc  va > 2 ln. - Phng tin vn chuyn NB dnh mu, cht thi, bi bn, gh st....III. QUY CH 3.1 K lut lao ng 3.1.1 Mc  nh- i tr, v sm. - Khng chm cng hoc chm sai. 3.1.2 Mc  va- Ngh khng php 1/2 ngy. - Ri khi v tr lm vic khng l do chnh ng, khng bo co. - Ngh m khng bo m th tc (bo co khoa, phng) theo quy nh. - Trong gi lm vic iu dng, h l tp trung t tp lm vic ring. 3.1.3 Mc  nng- Li dng hoc lm sai chc nng nhim v. - Khng chp hnh nghim tc ch o, phn cng ca n v. - Ngh php qu thi gian khng l do. 3.2 Quy ch thng trc, cp cu, chuyn vin 3.2.1 Mc  nh- S thng trc ghi chp sai quy nh, khng k nhn, giao, duyt. - Bo co trc thiu, sai quy nh. 3.2.2 Mc  va- Khng h tng ngi bnh vo khoa hoc khm chuyn khoa; khng h tng ngi bnh nng n cc khoa CLS. - Thc hin chuyn vin khng nghim tc: trang phc; s chuyn vin; tr thuc, dng c ngay sau chuyn vin. - Cng, xe y bnh nhn bn,  sai ni quy nh. 3.2.3 Mc  nng- Khng c mt ng v tr trc, khng sn sng cp cu, nhn bnh. Thc hin nhim v khng kp thi. - Giao nhn trc khng ng quy nh. Khng thm khm v ghi HSBA cc ca chm sc cp I lc nhn trc. - Bnh nhn cp cu nng khng c khm ngay, x tr ngay. - Ngi bnh nm lu khng c Phiu khm bnh vo vin, khng c theo di. - Khng thc hin ngay khi c tnh hung cp cu ngoi vin. - Cc phng tin cp cu (k c ngoi vin) khng bo m. - Khng cung ng kp thi dng c,  vi&  3.3. Ch  vo vin, h s bnh n, k n, iu tr chm sc ngi bnh ton din, hi chn, t vong 3.3.1 Mc  nh- Ty xa bnh n bnh nhn. - Khng ghi , ng ct mc trn bnh n. - Giy t trong bnh n ni dung sai. - HSBA tr tr sau 3 ngy k t khi ngi bnh xut vin. - Khng ghi tn bnh nhn ln bng danh sch theo di bnh. 3.3.2 Mc  va- K n thuc khng bo m an ton, hp l v tit kim. - Ghi tn thuc khng ng; liu dng, ng dng sai quy nh. - Thuc gy nghin, hng tm thn, khng sinh khng nh s th t. - Vit tt sai quy nh trn n thuc, bnh n. S dng biu mu sai quy nh. - Bnh n khng hon chnh sau 72 gi t khi ngi bnh ra vin, chuyn vin, trn vin, t vong (khng tnh ngy ngh, l). - Bnh n khng hon thnh trong 24 gi i vi ngi bnh cp cu v 36 gi i vi ngi bnh khng cp cu. - Phiu theo di, phiu chm sc ngi bnh ghi khng y , sai quy nh. - Trch bin bn hi chn khng dn vo bnh n. Ni dung hi chn, kim tho t vong, bin bn t vong ngoi vin ghi khng ng, s si. - HSBA tr tr sau 5 ngy k t khi ngi bnh xut vin. - Vi phm cc ch  hi chn, chuyn vin, chuyn khoa, ra vin (khng nh hng n tnh mng v sc khe ca bnh nhn). - Bnh nhn ra vin khng c cp Giy ra vin. - D khng cng khai thuc hng ngy cho bnh nhn. - D trng khoa khng i bung. - Khoa Xt nghim khng tr kp thi kt qu, khng thc hin ni kim hng ngy.  3.3.3 Mc  nng- Bc s) v D khng theo di st v khng ghi nhn xt y  vo h s bnh n. - Vi phm chc trch v quy nh khm, k n. - Khng hi chn i vi cc trng hp bnh theo quy nh. - Khng kim tho t vong trc 15 ngy, khng trch bin bn kim tho t vong nh vo bnh n. Bin bn kim tho t vong s si, sai quy nh. - Bnh nhn iu tr 15 ngy khng tm tt qu trnh iu tr. -  mt cc ti liu chuyn mn c lin quan. - HSBA tr tr sau 7 ngy k t khi ngi bnh xut vin. - Khng b sung, ghi chp kp thi tnh trng bnh nhn, x tr& sau khi bnh nhn qua cn nguy kch. - Bnh nhn nng, cp cu, hu phu khng c theo di, ghi chp kt qu khng ng quy nh. - Khng ghi chp hoc ghi chp khng trung thc tnh trng, din bin ca bnh nhn v x tr. - Mnh lnh iu tr din t khng r rng gy nhm ln v tai bin iu tr. - Khng ch nh cn lm sng ph hp, kp thi so vi chn on. - D thc hin khng ng y lnh v khng ng k nng chm sc. - S tng hp y lnh ghi sai quy nh, sai st& - Phu thut cp cu khng kp thi (> 60 pht t khi c ch nh phu thut). - Khng thc hin ng cc quy nh chng sai st, chun b phu thut: bin bn duyt m, giao nhn ngi bnh, bng kim tin phu, m dng c - gc&   3.4. 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Cung ng thuc, ha cht, vt t khng kp thi. - Khoa Dc khng thc hin tt cng tc 5 chng (nhm ln, qu hn, mi mt, chut, gin, trm cp, thm ha).  3.5. Quy ch chng nhim khun, x l cht thi 3.5.1 Mc  nh-  thn nhn vo nhiu trong cc phng Cp cu, Hu phu, n nguyn s sinh. 3.5.2 Mc  va- Dng c,  vi bn khng cch ly tt vi  sch. - Cc bung khm bnh, th thut thiu xt phng v khn sch lau tay. - Khng thc hin theo di ri ro do vt sc nhn (s, quy trnh & ). - My git, hp sy bn; khng c bng theo di thi gian hp sy. - Bn cht thi ti ch ti khoa.  3.5.3 Mc  nng- Phn loi, thu gom, x l rc y t sai quy nh. - Khng c hoc thc hin sai quy trnh tit khun dng c,  vi; kh khun, hy bnh phm xt nghim. - C dng c qa hn s dng. - Dng c  tit khun nhng bn. - Dng li mt i gng tay bn  khm bnh. - Vi phm ni quy phng m v trang phc, dp. - Phng m, bn m khng c kh khun (ty ra, n cc tm& ), trang thit b khng sch. - Bn cht thi rn khng c php ti ch.  3.6.Quy ch kim tra, qun l ti chnh-ti sn-trang thit b, tit kim 3.6.1 Mc  nh- S dng vt t vn phng, n phm sai quy nh. - V v lm bn s sch ti liu. - Trang thit b hng cn lu lu ti khoa phng. 3.6.2 Mc  va- Khoa khng thc hin t kim tra hng tun. - Lm rch s sch, ti liu. - Trang thit b khng c l lch, quy trnh vn hnh, phn cng s dng, bm bi bn. - Lm h hng vt t ti sn, trang thit b y t do v . - S dng vt t, n phm vo mc ch c nhn ngoi quy nh. - Khng tt qut, my lnh, n, nc khi khng s dng. 3.6.3 Mc  nng-  mt, h hng ti sn, trang thit b, thuc, vt t& do thiu tinh thn trch nhim. - C lm h vt t trang thit b y t. - Khng chp hnh nguyn tc s dng v bo qun trang thit b, qun l vt t. - Khng nh k kim tra v sinh cc dng c, cc bung k thut. - Vi phm ch  thu mt phn vin ph (tiu cc, thanh tan sai).  3.7 Hc tp, sinh hot 3.7.1 Mc  nh- Mt trt t khi hi hp. 3.7.2 Mc  va- Vng sinh hot khoa thng k 01 bui tr ln khng l do. - Khng tham gia hc tp chnh tr, quy ch chuyn mn, hi hp cc on th t 01 bui tr ln khng l do. Khng bo m s lng CBCCVC tham gia. - Ni dung giao ban bnh vin khng trin khai trong giao ban khoa, phng. - Khng t chc: hp HNB, bnh bnh n, n thuc, phiu chm sc theo quy nh. - S dng in thoi bnh vin mc ch c nhn vi thi lng > 5 pht. - Khng thc hin truyn thng GDSK theo k hoch. 3.7.3 Mc  nng- Vi phm ch  hc tp sinh hot t 02 t tr ln khng c l do chnh ng. - C < 50% s CBCCVC tham gia hc tp, sinh hot theo quy nh khng c l do chnh ng. 3.8 Cc vi phm khc thuc mc  nh Sai st trong tham mu, son tho vn bn. 3.9 Cc vi phm khc thuc mc  va- Thc hin ch  bo co, lu tr sai quy nh, ghi chp khng y  hoc sai cc loi biu mu  c ban hnh. - Truy cp cc trang web khng lnh mnh hoc vi phm quy ch s dng mng internet. - Tip nhn, x l thng tin qua ng dy nng sai quy nh. - Thc hin cc nhim v  c phn cng khng kp thi, khng bo co. 3.10 Cc vi phm khc thuc mc  nng- Khng thc hin tt cng tc phi hp thc hin nhim v khm cha bnh, qun l iu hnh. - Thc hin sai cc ch  cho CCVC-NL, quy nh bo him y t. - Vi phm ch  bo v b mt chuyn mn, bo mt thng tin. - Vi phm quy ch hnh ngh y dc t nhn (c vn bn, quyt nh x l ). - Khng ch ng pht hin, khc phc hoc bo co cc h hng trang thit b, dng c, c s vt cht thuc phm vi qun l, s dng. - Gy hu qu cho ngi bnh: tai bin, thit hi sc khe, t vong. - Gy nh hng xu n uy tn, hot ng ca Bnh vin, khoa, phng. - Li ko bnh nhn ang nm vin v nh iu tr. - Gi gii thiu bnh nhn ang nm vin iu tr mua thuc ngi bnh vin. - Vi phm cc nguyn tc an ton lao ng trong li xe, vn hnh my& - Cc vi phm php lut khc b cc c quan bo v php lut x l. - 03 thng lin tc vi phm mc  va vi nhng vi phm khc nhau. - 02 thng lin tc vi phm mc  va cng mt tnh cht vi phm. Ph lc 2b - BNG PHN LOI MC  VI PHM I, TYT I. Y CGhi ch 1.1. Mc  nh- Tip xc, thm khm NB, giao tip vi nhn dn n lm vic cha c thi  nim n, tn tnh, cha gii thch hng dn c th, cha ng vin, an i, khuyn kch ngi bnh. -  NB phn nh v thi  giao tip;  t tip thu v lm tt cng tc t tng vi NB. 1.2. Mc  va-  NB phn nh v trch nhim phc v; cha t tip thu v lm tt cng tc t tng vi NB trng hp c phn nh v thi  giao tip. -  NB, nhn dn khng hi lng ghi v s gp , hoc qua ng dy nng, gp trc tip BG, trng i, trng TYT. - C kin phn nh ca nhn dn ni c tr v np sng thiu vn ha, khng gng mu. - Gy mt on kt vi ng nghip. 1.3. Mc  nng- Sai st chuyn mn do thiu tinh thn trch nhim. - C n th khiu ni, t co v tinh thn thi  phc v (xc nh c sai st). - Thi  vi ng nghip thiu vn ha, lm nh hng xu n uy tn ng nghip; gy mt on kt ni b; ng c u tranh khng trong sng; khng trung thc, bao che, vu khng. - Khng thnh khn tip thu v sa cha vi phm. - Khng tng tr v gip  ng nghip, gy hu qu xu. - C kin phn nh ca chnh quyn, on th ni c tr v np sng thiu vn ha, khng gng mu. - Pht hin vic gi hoc gy kh khn  nhn phong b th tin ca bnh nhn v thn nhn.II. TRT T- V SINH  2.1. Mc  nh -  xe khng ng v tr quy nh. - Sn nh khng sch, c rc. - Thy bnh nhn, thn nhn ht thuc l khng nhc nh. 2.2. Mc  va- Trn nh c mng nhn; bn lm vic, t, k  ti liu xp khng gn gng,  ln ln cc ti liu gy kh khn cho vic tm kim.. - Bung lm vic, bung bnh, khu v sinh khng sch, c mi hi, thiu nc. - Ging bnh, t u ging bn, khng gn gng; t ng dng c khng ngn np. - Phng tin vn chuyn rc thi bn. - Khng tham gia v sinh, tng v sinh ni lm vic. 2.3. Mc  nng- CCVC-NL c mi ru bia, ht thuc l trong khi thi hnh nhim v.III. QUY CH 3.1. Quy ch lm vic, k lut lao ng 3.1.1. Mc  nh- i tr, v sm (5 pht so vi gi quy nh) - Khng chm cng hoc chm sai (1 ln/ thng) - khng xy dng lch cng tc tun. - khng giao ban bui sng 1 ln/ tun (tr ngy th 5) i vi TYT; khng giao ban tun i vi cc i. - Xy dng k hoch hot ng nm; thng; chng trnh; chin dch khng ng tin , khng y  ni dung hot ng. 3.1.2. Mc  va- Ngh khng php 1/2 ngy. - Ri khi v tr lm vic khng l do chnh ng, khng bo co. - Ngh m khng bo m th tc (bo co TYT, i) theo quy nh. - Trong gi lm vic VC-NL tp trung, t tp lm vic ring - Khng bo co kt qu cng tc tun.3.1.3. Mc  nng- Li dng hoc lm sai chc nng nhim v. - Khng chp hnh nghim tc ch o, phn cng ca n v. - Ngh khng php t 01 ngy tr ln. - Ngh php qu thi gian khng l do. 3.2. Quy ch thng trc, cp cu, chuyn vin 3.2.1. Mc  nh- S thng trc ghi chp sai quy nh, khng k nhn, giao. - Bo co trc thiu, sai quy nh. 3.2.2. Mc  va- Khng h tng ngi bnh vo TYT; khng h tng ngi bnh nng chuyn vin (tr gi trc) - Khng n tip, x l s cp cu ban u khi chuyn vin. 3.2.3. Mc  nng- Khng c mt ng v tr trc, khng sn sng cp cu, nhn bnh. Thc hin nhim v khng kp thi. - Bnh nhn cp cu nng khng c khm ngay, x tr ngay. - Ngi bnh iu tr ni, truyn dch khng c bnh n, khng ghi chp theo di theo quy nh. - Khng thc hin ngay khi c tnh hung cp cu ngoi TYT. - Cc phng tin cp cu (k c ngoi TYT) khng bo m. 3.3. Ch  vo vin, h s bnh n, k n, iu tr chm sc ngi bnh ton din, hi chn, t vong 3.3.1. Mc  nh- Ty xa bnh n bnh nhn. - Khng ghi , ng cc ni dung theo ct mc trong bnh n bnh nhn. - Giy t trong bnh n sai. - HSBA tng kt sau 3 ngy k t khi ngi bnh xut vin. - Ghi tn thuc khng r rng; liu dng, ng dng khng ng quy nh. 3.3.2. Mc  va- K n thuc khng bo m an ton, hp l v tit kim. - Thuc gy nghin, hng tm thn, khng sinh khng nh s th t. - Vit tt sai quy nh trn n thuc, bnh n. S dng biu mu sai quy nh.  3.3.3. Mc  nng- Ngi c phn cng khng theo di st v khng ghi nhn xt y  vo h s bnh n. - Vi phm chc trch v quy nh khm, k n. - Khng ghi y  cc triu chng, cch x l i vi bnh nhn n cp cu ti TYT, bnh nhn chuyn vin. - Mnh lnh iu tr din t khng r rng gy nhm ln v tai bin iu tr.  3.4. Quy ch s dng thuc, cng tc dc, qun l Vac xin 3.4.1. Mc  nh-T thuc, t vac xin sp xp sai, khng gn. 3.4.2. Mc  va- Qun l, vn chuyn, kim nhp, bo qun, cp pht thuc, ha cht, vac xin vt t y t tiu hao sai quy nh. -  ngi bnh (c BHYT) mua thuc, vt t y t (trong danh mc c  TYT). - Thc hnh bo qun thuc khng bo m ( thng thong, nhit , phng chng chy n & ) - Cung ng thuc, ha cht, vt t khng kp thi.  3.4.3. Mc  nng- Hp thuc chng sc phn v khng , ng thuc, dng c theo quy nh. - S dng thuc chng ch nh, phi hp thuc tng k, nguy him. - Bo qun, cp pht, s dng cc loi thuc gy nghin, hng tm thn sai quy nh. - Khng thc hin kim k thuc nh k.  thuc d tha qu hn, thng k bo co s dng thuc khng ng. TTB y t h hng khng  xut thanh l v b sung kp thi. - Thuc d khng tr li Khoa Dc, c thuc tn trong t..  3.5. Quy ch chng nhim khun, x l cht thi 3.5.1. Mc  nh- Cn  rc sinh hot thng thng tn nhiu ngy gy mt m quan, c mi kh chu. 3.5.2. Mc  va- Dng c bn khng cch ly tt vi  sch. - Cc bung khm bnh, th thut thiu x phng v khn sch lau tay. - Khng thc hin theo di ri ro do vt sc nhn (s, quy trnh & ). - T, ni hp sy bn; khng c bng theo di thi gian hp sy.   3.5.3. Mc  nng- Phn loi, thu gom, x l rc y t sai quy nh. - Khng c hoc thc hin sai quy trnh tit khun dng c, bng gc kh khun. - Dng c  tit khun nhng bn. - Phng   bn (cn rc ca ngy hm trc)  3.6.Quy ch kim tra, qun l ti chnh-ti sn-trang thit b, tit kim 3.6.1. Mc  nh- S dng vt t vn phng, n phm sai quy nh. - V v lm bn s sch ti liu. - Trang thit b hng cn lu lu ti khoa phng. 3.6.2.Mc  va- Lm rch s sch, ti liu (lm mt ni dung). - Trang thit b khng c l lch, quy trnh vn hnh, phn cng s dng, bm bi bn. - Lm h hng vt t ti sn, trang thit b y t do v . - S dng vt t, n phm vo mc ch c nhn ngoi quy nh. - Khng tt qut, n, nc khi khng s dng. 3.6.3. Mc  nng-  mt, h hng ti sn, trang thit b, thuc, vt t& do thiu tinh thn trch nhim. - C lm h vt t trang thit b y t. - Khng chp hnh nguyn tc s dng v bo qun trang thit b, qun l ha cht vt t. - Khng nh k kim tra v sinh cc dng c, cc bung k thut. - Vi phm ch  thu mt phn vin ph (tiu cc, thanh tan sai).  3.7. Hc tp, sinh hot chuyn mn, hp giao ban. 3.7.1. Mc  nh- Mt trt t, lm vic ring trong khi hp, sinh hot chuyn mn.. 3.7.2.Mc  va- Vng sinh hot TYT, i thng k 01 bui tr ln khng l do. - Khng tham gia hc tp chnh tr, quy ch chuyn mn, hi hp cc on th t 01 bui tr ln khng l do. Khng bo m s lng CCVC-NL tham gia. - Ni dung ch o trong giao ban TTYT, cc cng vn hng dn ca cp trn khng trin khai kp thi trong giao ban, hp i, TYT - i trng, trng TYT khng t chc cc bui hp, giao ban nh k theo qui nh . - Giao ban YTTB ghi chp s si, khng y  ni dung theo yu cu (nh gi kt qu hot ng YTTB thng trc; trin khai k hoch, giao ch tiu, hot ng trong thng; tp hun chuyn mn k thut) - Khng thc hin truyn thng GDSK theo k hoch. 3.7.3. Mc  nng- Vi phm ch  hc tp sinh hot chuyn mn t 02 t tr ln khng c l do chnh ng. - C < 50% s CCVC tham gia hc tp, sinh hot theo quy nh khng c l do chnh ng. 3.8.Cc vi phm khc  3.8.1 Mc  nh- Sai st ni dung, li th thc vn bn trong son tho vn bn. 3.8.2. Mc  va- Thc hin ch  bo co, lu tr sai quy nh, ghi chp khng y  hoc sai cc loi biu mu  c ban hnh. - Truy cp cc trang web khng lnh mnh hoc vi phm quy ch s dng mng internet. - Tip nhn, x l thng tin qua ng dy nng sai quy nh. - Thc hin cc nhim v  c phn cng khng kp thi, khng bo co. 3.8.3 Mc  nng- Thc hin sai cc ch  cho CCVC-NL, nhn vin YTTB, cng tc vin cc chng trnh. - Vi phm ch  bo v b mt chuyn mn, bo mt thng tin. - Vi phm quy ch hnh ngh y dc t nhn (c vn bn, quyt nh x l). - Khng ch ng pht hin, khc phc hoc bo co cc h hng trang thit b, dng c, c s vt cht thuc phm vi qun l, s dng. - Gy hu qu cho ngi bnh: tai bin, thit hi sc khe, t vong. - Gy nh hng xu n uy tn, hot ng ca TTYT, TYT - Vi phm cc nguyn tc an ton lao ng trong vn hnh my, TTB y t. - Cc vi phm php lut khc b cc c quan bo v php lut x l. 3.9 Qun l, ch o, t chc thc hin chng trnh, d n :Nh: - Lu gi h s, s sch qun l cha gn gng. - Ghi chp th hin theo di tin , tnh hnh thc hin trong biu , s  chm 01 thng.Va : - Khng nm c y  cc mc tiu, ch tiu ni dung hot ng ca chng trnh c ph trch ti a phng. - Khng nm c y  c im tnh hnh chnh ca a phng c nh hng n t chc trin khai chng trnh. - Trin khai cha y , cha ng quy nh, cha ng tin , cha t < 80 % cc ch tiu, cc hot ng ca chng trnh. - Gim st cha y , cha kp thi hot ng TYT, hot ng nhn vin YTTB, cng tc vin hot ng ti cng ng. - C sai st trong vic ly, nhum, soi, bo qun lam knh tm KST SR. - Cn b cc i khng bo co y  kt qu gim st hng thng cho hi ng thi ua theo quy nh. -  tuyn trn nhc nh nhng tn ti trong t chc thc hin chng trnh li do ch quan gy ra (ghi trong bin bn lm vic).Nng: - Khng nm c mc tiu, ch tiu ni dung hot ng ca chng trnh c ph trch ti a phng. - Khng nm c c im tnh hnh chnh ca a phng c nh hng n t chc trin khai chng trnh. - Khng trin khai cc hot ng, khng t tt c cc ch tiu, cc hot ng ca chng trnh. - Khng t chc gim st hot ng TYT, nhn vin YTTB, cng tc vin hot ng ti cng ng.      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