ࡱ> _ Xbjbj 8$bb4 ..8xR wwwwwww$z}NwE d @ wDx&&& w& w&&G|I֫!cHwZx0xH}!}DII}M) & wwx$ x } .! O:  S Y T LM NG TTRUNG TM Y T LM H S: 67 /KH-TTYTCNG HA X HI CH NGH(A VIT NAM c lp - T do - Hnh phc Lm H, ngy 24 thng 02 nm 2020   K HOCH Pht ng phong tro thi ua  Xy dng c s y t xanh- sch-p, gim thiu cht thi nha, gp phn bo v mi trng hng ti s hi lng ngi bnh nm 2020 Thc hin K hoch s 164/KH-SYT ngy 18/2/2020 ca S Y t Lm ng v vic pht ng phong tro thi ua  Xy dng c s y t Xanh- Sch- p, gim thiu cht thi nha, gp phn bo v mi trng hng ti s hi lng ngi bnh . K hoch s 17/KH-TTYT ngy 03 thng 01 nm 2020 v vic trin khai c s y t Xanh- Sch- p nm 2020 ca Trung tm Y t Lm H. Trung tm y t Lm H pht ng phong tro xy dng c s y t  Xanh-Sch-p gim thiu cht thi nha, gp phn bo v mi trng hng ti s hi lng ti cc ti ton th cn b vin chc ngi lao ng trong ton n v vi: Ch  thi ua  Xy dng c s y t Xanh- Sch- p, gim thiu cht thi nha, gp phn bo v mi trng hng ti s hi lng ngi bnh va l mc tiu va l hnh ng m bo nng cao cht lng, uy tn v hiu qu lm vic ca n v. I. MC CH YU CU: Pht huy tinh thn ch ng sng to, hng hi thi ua ca ton th cn b vin chc ngi lao ng trong ton n v gp phn bo v mi trng  Xy dng c s y t Xanh- Sch- p, gim thiu cht thi nha, gp phn bo v mi trng hng ti s hi lng ngi bnh . Phong tro phi c thc hin nghim tc i vo chiu su, nng cao nhn thc, trch nhim ca cng chc vin chc, ngi lao ng trong ton n v nhm thc hin tt nhim v c giao. II. NI DUNG THI UA: Tip tc thc hin Quyt nh s 3638/Q-BYT ngy 15/7/2016 ca B Y t ban hnh K hoch thc hin c s y t Xanh-Sch-p, Ch th s 08/CT-BYT ngy 29/7/2019 v gim thiu cht thi nha trong ngnh y t. Tip tc duy tr, b sung, bo dng, chm sc cnh quan c s y t Xanh- Sch- p trong ton n v. Tin hnh cc hot ng thit thc chung tay gim thiu cht thi nha, xy dng cc l trnh, ch tiu gim dn tin n khng s dng ti nylon kh phn hy, v sn phm nha dng mt ln trong cc hot ng khm cha bnh, u tin s dng cc sn phm thn thin vi mi trng. Nng cao thc trch nhim ca cng chc vin chc, ngi lao ng, ngi bnh, ngi s dng dch v trong vic thc hin gi gn v sinh mi trng xanh sch p gim thiu cht thi nha. III. TIU CH THI UA: 1. Tiu ch xy dng c s y t xanh sch p theo Ph lc I (Ban hnh km theo K hoch s 164/KH-SYT ngy 18/2/2020 ca S Y t Lm ng). 2. Tiu ch gim thiu cht thi nha chi tit ti Phc lc 2 (Ban hnh km theo K hoch s 164/KH-SYT ngy 18/2/2020 ca S Y t Lm ng). IV. THI GIAN PHT NG: T S kt hot ng Qy I/2020. V.T CHC THC HIN: 1. Cng tc t chc: - Pht ng phong tro thi ua  Xy dng c s y t Xanh- Sch-p, gim thiu cht thi nha, gp phn bo v mi trng hng ti s hi lng ngi bnh nm 2020. - Trin khai k hoch chi tit theo Quyt nh s 6573/Q-BYT ngy 03 thng 11 nm 2016 ca B trng B Y t) v Hng dn trin khai c s y t  Xanh- Sch- p v Ch th s 08/CT-BYT ngy 29/7/2019 v gim thiu cht thi nha trong ngnh y t. 2. Phn cng cng vic c th: 2.1. Ban chp hnh Cng on c s: - Pht ng phong tro thi ua  Xy dng c s y t Xanh- Sch-p, gim thiu cht thi nha, gp phn bo v mi trng hng ti s hi lng ngi bnh nm 2020. - Ch o kim tra gim st vic cc khoa phng thc hin phong tro xy dng c s y t  Xanh-Sch-p gim thiu cht nha thn thin vi mi trng trong ton th cn b theo cam kt  k. 2.2. Phng T chc- Hnh chnh: - Phi hp vi cc phng chc nng trin khai thc hin k hoch xy dng c s y t  Xanh-Sch-p gim thiu cht nha thn thin vi mi trng hng ti s hi lng ngi bnh ngi s dng dch v y t. - R sot c s vt cht, cy xanh, c k hoch ct ta trng mi, b tr cy cnh, sa cha c s xung cp trin khai thc hin c s y t Xanh- Sch- p gim thiu cht thi nha thn thin vi mi trng. - a ni dung gim thiu cht thi nha vo ni quy, quy ch hot ng ca n v. - Tham mu mua sm vt t tiu hao, cc vt dng cho cng tc phn loi thu gom cht thi, u tin cc loi cht liu thn thin vi mi trng. - Lp danh sch cc nhn, tp th c c sng kin ci tin trong phong tro xy dng c s y t  Xanh-Sch-p v thn thin vi mi trng, gim thiu trnh ban gim c khen thng. - Phi hp vi phng iu dng tham mu chia li khu vc v sinh ngoi cnh, khu vc cy xanh cho cc khoa, phng thc hin chm sc, bo dng lm v sinh ngoi cnh, ng thi thc hin cng tc kim tra, gim st, nhc nh ng c vic thc hin. 2.3. Phng KHNV, Phng iu dng- B phn kim sot nhim khun: - Phi hp phng TC-HC, t chc ph bin, hng dn, truyn thng vn ng cn b vin chc, ngi lao ng, ngi bnh, ngi s dng dch v y t, nhm nng cao nhn thc v tc hi ca rc thi nha, c bit l sn phm nha s dng 1 ln; tng bc xy dng thi  ni khng vi sn phm nha dng 1 ln v hng dn cc hnh vi, phng thc nhm thay th  nha dng 1 ln bng cc sn phm thn thin vi mi trng, bng cc hot ng truyn thng lng ghp vo cc bui sinh hot chuyn mn, hp hi ng ngi bnh ti bnh vin. - Phi hp vi cc khoa, phng theo di gim st, nh gi kt qu thc hin cc cam kt thc hin phng tro xy dng c s y t  Xanh-Sch-p gim thiu cht thi nha thn thin vi mi trng. 2.4. Phng K ton - ti v: - Cn i kinh ph theo phn cp  c giao  thc hin theo k hoch. 2.5. Cc khoa, phng, Trm, Hai phng khm KKV: - Trin khai v thc hin cc ni dung K hoch thc hin c s y t  Xanh-Sch- p, gim thiu cht thi nha thn thin vi mi trng. - Thc hin nghim tc cc cam kt thc hin phong tro xy dng c s y t  Xanh-Sch-p gim thiu cht thi nha thn thin vi mi trng. -T chc tuyn truyn vn ng cn b vin chc ngi lao ng, ngi bnh, ngi nh ngi bnh ti khoa phng v thc hin gim thiu cht thi nha, bng u tin s dng cc cht liu nha thn thin vi mi trng, hoc cc sn phm c th ti ch, ti s dng. - Thng xuyn t chc v sinh, ngoi cnh, khoa phng, Trm Y t, cn c vo c s vt cht c giao, c bng phn cng c th cho tng thnh vin, chu trch nhim cc khu vc c giao, t chc gim st, nh gi thng xuyn  lm c s nh gi mc  hon thnh nhim vi nh k. - Phn cng nhn lc, ph trch thc hin nhim v trin khai k hoch chi tit theo s hng dn sao cho ph hp vi c th tng n v. ( 3. Tin  thc hin: - Qu I: Xy dng k hoch pht ng phong tro X$&(*DNRTZ\dȵzfzSC4(hFpCJOJQJaJhT^h2'&CJOJQJaJhoRDCJOJQJaJmH*sH*$hT^hq CJOJQJaJmH sH 'hT^hq 5CJOJQJaJmH sH 'hT^h4yY5CJOJQJaJmH sH 'hT^h>5CJOJQJaJmH sH $hT^hq CJOJQJaJmH sH $hT^h>CJOJQJaJmH sH $hT^h%CJOJQJaJmH*sH**jhsHCJOJQJUaJmHnHuhT^hCJOJQJaJ&Tv: < F|kd$$IflU0 % x0$644 laytsH$d$Ifa$gdsH$d$If^a$gdsH$d$Ifa$gdsH $da$gdEAdltv8 : < R T ҹ~jTI:'$h&*h%CJOJQJaJmH*sH*h&*hq CJOJQJaJhT^hvCJaJ*hsHh%56CJOJQJaJmH*sH*&hsHhsH6OJQJ]aJmH*sH*'hT^hq 5CJOJQJaJmH*sH*hT^hv5CJOJQJaJ-jhsH5CJOJQJUaJmHnHu1hT^hv56OJQJ]aJmH nH sH tH hT^hvCJOJQJaJh+CJOJQJaJ$hT^hq CJOJQJaJmH*sH* < T j l n  g\LLLL$-DM a$gd| $da$gdEA|kd$$Ifl0 % x0$644 laytsH d$IfgdsH$d$Ifa$gdEAT ` f h j l n   p r 齭xdxdxdxdxTDxDTDxDxhsHhh)5CJOJQJaJhsHh6 5CJOJQJaJ'hsHhW5CJOJQJaJmH*sH*hsHh*N5CJOJQJaJ"h6!{hv5CJ OJQJ\aJ $h&*hP8.CJOJQJaJmH*sH*h&*hT^6CJaJmH*sH*+hh%OJQJ]aJmH*nH sH*tH +h&*h&*OJQJ]aJmH*nH sH*tH +h&*h2'&OJQJ]aJmH*nH sH*tH  4 6 : > T r t d j l yjW$hT^hW7CJOJQJaJmH*sH*hh)h, CJOJQJaJh"CJOJQJaJhOCJOJQJaJh, CJOJQJaJh*NCJOJQJaJhn*CJOJQJaJhh)CJOJQJaJhh)hh)CJOJQJaJ"hh)hh)56CJOJQJaJhsHhv5CJOJQJaJh C5CJOJQJaJ Z"N^ $dha$gd|7dh-DM `7gd| $dha$gd|$7dh`7a$gd|$7dh-DM `7a$gd|$d-DM a$gdh) $@B68XZhλudQ>Q$h+%h+%CJOJQJaJmHsH$h+%h*NCJOJQJaJmHsH!h*N5CJOJQJaJmHsH'hT^h*N5CJOJQJaJmHsHhCJOJQJaJ$h*Nhh)CJOJQJaJmH*sH*$hT^h%@CJOJQJaJmH*sH*$hT^hwCJOJQJaJmH*sH*$hT^hWCJOJQJaJmH*sH*h*NCJOJQJaJ$hT^h)CJOJQJaJmH*sH* "LNPʷqaM9'hC8hC8CJOJQJ]aJmHsH'hT^hC8CJOJQJ]aJmH*sH*hC8CJOJQJaJmHsH!hC85CJOJQJaJmHsH$hC8hC8CJOJQJaJmHsH!hh)5CJOJQJaJmHsH!h+%5CJOJQJaJmHsH$h+%hh)CJOJQJaJmHsH$h*Nhh)CJOJQJaJmH*sH*$h+%h+%CJOJQJaJmHsHh+%CJOJQJaJmHsH0JN|PͺݣubObOb:*.R𺪖taP===$hAhACJOJQJaJmHsH!hB-5CJOJQJaJmHsH$hB-hB-CJOJQJaJmHsH!hA5CJOJQJaJmHsH!hC85CJOJQJaJmHsH'hAhA5CJOJQJaJmHsHhACJOJQJaJmHsH$hAhACJOJQJaJmH*sH*h+%CJOJQJaJmH*sH*$hC8hC8CJOJQJaJmH*sH*hC8CJOJQJaJmH*sH*4HJLp"$\^b̨t`L8'hh.Y5CJOJQJaJmHsH'hrh.Y5CJOJQJaJmHsH'h.Yh.Y5CJOJQJaJmHsHhn*CJOJQJaJmHsH!hB-5CJOJQJaJmHsH$hB-hB-CJOJQJaJmHsH!hA5CJOJQJaJmHsH$hAhACJOJQJaJmHsH'hAhA5CJOJQJaJmHsHhACJOJQJaJmHsHhB-CJOJQJaJmHsH$(026   J !$!&!2!4!>!@!H!۸mZZGGG$hyF h.YCJOJQJaJmH*sH*$h6!{h.YCJOJQJaJmH*sH*'hn*hn*CJOJQJ]aJmHsH'hT^h.YCJOJQJ]aJmH*sH*$hT^h.YCJOJQJaJmH*sH*h.YCJOJQJaJmHsHhn*CJOJQJaJmHsH$hn*hn*CJOJQJaJmH*sH*$hn*hn*CJOJQJaJmHsH!h.Y5CJOJQJaJmHsH!4"|"#P%%<'()*0,0..244V556 $dha$gd|$dh`a$gd| $dha$gd|7dh-DM `7gd|$dh-DM `a$gd|H!P!!!!!4"|""""""""###|$ֻp]p]p]p]pM=h.YCJOJQJaJmHsHhdaCJOJQJaJmHsH$hn*hn*CJOJQJaJmH*sH*$hn*hn*CJOJQJaJmHsH$h.Y56CJOJQJaJmHsH!hn*5CJOJQJaJmHsH'hh.Y5CJOJQJaJmHsH5hn*hn*B*CJOJQJaJmH*nH*phsH*tH*,hfYhn*CJOJQJaJmH*nH*sH*tH*$hB-hB-CJOJQJaJmHsH|$~$$$$$$$$$$$>%J%N%P%T%V%f%h%t%%%%%%%&@&Ƿǧn[[[[$hB-56CJOJQJaJmHsH$hMM56CJOJQJaJmHsH*hehB-56CJOJQJaJmHsHhB-CJOJQJaJmHsHh.YCJOJQJaJmHsHh>G CJOJQJaJmHsH$hrh.YCJOJQJaJmHsH$hXh.YCJOJQJaJmHsH$hXh.YCJOJQJaJmHsH@&B&J&L&T&X&\&^&&&:'>'B''((()))))B*****+4+ǴtdddTThMMCJOJQJaJmHsHhlyCJOJQJaJmHsHhdaCJOJQJaJmHsHhwJCJOJQJaJmHsHhu%CJOJQJaJmHsHhB-CJOJQJaJmHsH$hrhB-CJOJQJaJmHsH$hB-hB-CJOJQJaJmHsH$hXhB-CJOJQJaJmHsH$hXhB-CJOJQJaJmHsH4+>+~++++++++++++.,-- .*.,.0.4.ͺͺͺͧৗtdT>*heh.Y56CJOJQJaJmHsHh.YCJOJQJaJmHsHh9CJOJQJaJmHsH$hlyhlyCJOJQJaJmHsHhlyCJOJQJaJmHsHhwJCJOJQJaJmHsH$hrhB-CJOJQJaJmHsH$hXhB-CJOJQJaJmHsH$hXhB-CJOJQJaJmHsHhB-CJOJQJaJmHsHh UCJOJQJaJmHsH4.6.8.R.T.V.x.|.../P0022J2^22233Ĵ~n^n^N;$hXh.YCJOJQJaJmHsHh.YCJOJQJaJmHsHhMMCJOJQJaJmHsHh UCJOJQJaJmHsH5hh?!CJOJQJaJfHmHq sH5hhwpCJOJQJaJfHmHq sHhwpCJOJQJaJmHsH$h.Y56CJOJQJaJmHsH*heh.Y56CJOJQJaJmHsH$hMM56CJOJQJaJmHsH344 44444<4@4L44444444V5^5ǷǗn[E*h?!h.Y56CJOJQJaJmHsH$hwp56CJOJQJaJmHsH$hMM56CJOJQJaJmHsH*hyBh.Y56CJOJQJaJmHsHh.YCJOJQJaJmHsHh?!CJOJQJaJmHsHhwpCJOJQJaJmHsH$hrh.YCJOJQJaJmHsH$hXh.YCJOJQJaJmHsH$hXh.YCJOJQJaJmHsH^5`5~5555555D6Z6\6b666׭vcP@P@-$hrh.YCJOJQJaJmHsHh?!CJOJQJaJmHsH$hT^h.YCJOJQJaJmHsH$hT^h.YCJOJQJaJmH*sH*$h?!h?!CJOJQJaJmH*sH*$h:h.YCJOJQJaJmH*sH*!hwp5CJOJQJaJmH*sH*'hT^h.Y5CJOJQJaJmH*sH**hwphMM56CJOJQJaJmHsH*hT^h.Y56CJOJQJaJmH*sH*$h.Y56CJOJQJaJmHsH6666l7n7v7x77777777778:::P:R:;;P<𽪽wgTgAg$hh.YCJOJQJaJmHsH$hu>hu>CJOJQJaJmHsHhu>CJOJQJaJmHsHht] CJOJQJaJmHsHh?!CJOJQJaJmHsH$hrh.YCJOJQJaJmHsH$hXh.YCJOJQJaJmHsH$hXh.YCJOJQJaJmHsHh;*CJOJQJaJmHsHh~CJOJQJaJmHsHh.YCJOJQJaJmHsH67:R<h=p==pLrs@ufvhv|vvvwBwTw$dh$Ifa$gd| $$Ifa$gd|$0dh-DM `0a$gd|$dh-DM a$gd|$0dh`0a$gd|$dh`a$gd|P<R<V<f=h=l=n=p=r=v=~=========ª{nZJZJZJZJZ6'hT^h.Y5CJOJQJaJmH*sH*hT^h.Y5CJOJQJaJ'hT^h.Y5CJOJQJaJmHsHht] 5CJOJQJaJ5ht] h.YCJOJQJaJfHmH*q sH*'h~CJOJQJaJfHq /h~CJOJQJaJfHmH*q sH*5hT^h.YCJOJQJaJfHmH*q sH*h?!CJOJQJaJmHsH$hh.YCJOJQJaJmHsH==========>pp pppppppڷnlnQnn9/ht] CJOJQJaJfHmH*q sH*5hmCNh.YCJOJQJaJfHmHq sHU5hT^h.YCJOJQJaJfHmH*q sH*5ht] ht] CJOJQJaJfHmH*q sH*$h,h.YCJOJQJaJmH*sH*$ht] ht] CJOJQJaJmH*sH*h.YCJOJQJaJmH*sH*$hT^h.YCJOJQJaJmH*sH*$hT^h.YCJOJQJaJmHsHanh- Sch- p thn thin vi mi trng, gim thiu cht thi nha ti n v. - Qu II: Xc nh cc l)nh vc cn u tin ci thin, mua sm u t trang b thay th dn cc sn phm nha kh phn hy, u tin cc sn phm c th ti ch ti s dng, sn phm nha thn thin vi mi trng. - Qu III, IV/2020 kim tra v nh gi kt qu thc hin xy dng C s y t  Xanh-Sch-p gim thiu cht thi nha thn thin vi mi trng theo lch kim tra cng tc y t ca n v. Trn y l K hoch Pht ng phong tro thi ua  Xy dng c s y t xanh- sch-p, gim thiu cht thi nha, gp phn bo v mi trng hng ti s hi lng ngi bnh nm 2020. Trung Tm Y t huyn Lm H yu cu cc khoa/phng v Phng khm KKV, Trm y t x TT cn c chc nng, nhim v t chc trin khai thc hin./. Ni nhn: - S Y t (  bit); - BG (  ch o); - Cc n v trc thuc ( T/h); - Lu. VT, D, TC-HC.GIM C  PH LC: I. TIU CH C S Y T XANH SCH P ( Km theo k hoch s 164/KH-SYT ngy 18 thng 02 nm 2020 ca S y t) 1. KT CU B TIU CH: - Phn I: Ni dung Xanh. - Phn II: Ni dung sch - Phn III: Ni dung qun l cht thi y t - Phn IV: Ni dung p. - Phn V: Ni dung v t chc thc hin - Phn VI: Ni dung cng im STT NI DUNG TIU CHim ti a I NI DUNG XANH 15  1Cc khoa, phng c cy xanh (k c cy cnh) v c sp xp ph hp  5 2CSYT c s  quy hoch tng th v chi tit vic trng cy. Hng nm c b sung cy xanh theo k hoch 2 3CSYT c cng vin/vn hoa/bi c trong khun vin 4 4B tr chu hoa, cy cnh ti cc khu vc tip n, snh ch, hnh lang chung& Vn hoa, cy cnh c chm sc, ct ta thng xuyn 4 II NI DUNG SCH 35 1C y  nc n ung, sinh hot hp v sinh 2  2Mi khoa/phng c khu v sinh cho ngi bnh, ngi nh ngi bnh v khu v sinh cho cn b y t ring bit (i vi trm y t phi c nh tiu hp v sinh) 4 3Khu v sinh c phng ring cho Na m, N v c gnbin 2 4Khu v sinh sch s, khng c mi hi. 3 5Sn khu v sinh sch, khng ng nc, khng trn trt, khng ru mc 2 6Khu v sinh c sn giy v sinh, th ng ng cht thi 4 7Khu v sinh c bn ra tay v x ph ng hoc dung dch ra tay, c gng 3 9C nhn vin dn nh v sinh v nhn vin gim st thng Thng xuyn ti thiu ngy 2 ln v khi cn: 2 10Ti cc khu vc, khoa phng, bun g bnh: trn nh, tng nh sch, khng mng nhn, ru mc. Sn nh sch s, khng trn trt, khng ng nc . Hnh lang, cu thang sch, khng c cht thi ri vi 2 11Khoa, phng, bung bnh, nh v sinh, hnh lang m bo thng kh v  nh sng 3 12Khu vc ngoi cnh: sn vn c v sinh, thu gom cht thi sch, khng c nc ng. 2 13B tr  thng ng cht thi ti sn vn, khu vc hnh lang chung 2 14Ngi bnh, ngi nh ngi bnh phi hp vi cn b y t tham gia thc hin CSYT xanh-sch -p 2 IIINI DUNG QUN L CHT TH I Y T 25 1C  ti, thng ng cht thi y t theo quy nh: 4 2Phn loi ng cc loi cht thi y t 4 3C khu lu gi cc loi cht thi y t v thc hin lu gi ng quy nh 4 4Cht thi rn y t c thu gom, vn chuyn, x l theo ng quy nh 4 5Qun l cht thi ti ch ng quy  nh 4 6X l nc thi y t t quy chun k thut quc gia v mi trng 5 IVNI DUNG P 15 1B tr gh ngi thun tin cho ngi bnh v ngi nh ngi bnh. Phng ch c tranh nh, sch, bo, n phm truyn thng v chm sc, gi gn sc khe, v sinh mi trng  3  2Trn nh, tng nh, ca, cng, hnh lang, cu thang c nh k sn hoc qut vi sch p 2 3Sp xp, b tr khu vc  xe cho cn b y t, ngi bnh v ngi nh ngi bnh thun tin 2 4Chn, ga gi, qun o ngi bnh, ging t trong cc khoa, phng sp xp gn gng, ngn np 35Cn b y t, ngi bnh v ngi nh ngi bnh mang trang phc CSYT theo ng quy  nh, c thay ng lch v khi cn.3 6C treo bng rn khu hiu CSYT "Xanh, Sch, p" 2 VNI DUNG V T CHC TRIN KHAI 5 1C Quyt nh thnh lp hoc kin ton Ban ch o ca n v, trong  c b sung nhim v, thc hin ni dung K hoch CSYT xanh-sch-p 1 2C t chc tp hun cho ton b cn b nhn vin trin khai K hoch CSYT xanh-sch-p 1 3C trin khai cc hot ng truyn thng thc hin CSYT xanh-sch-p 1 4C kim tra, gim st, s kt, tng kt, khen thng vic thc hin k hoch CSYT xanh-sch-p 1 5Thc hin quan trc, gim st mi trng theo quy nh 1 VINI DUNG CNG IM 5 1C s dng ngun nng lng t nhin 1 2C tit kim nng lng 1 3C gim pht sinh cht thi 1 4C nh v sinh, ng i dnh cho ngi khuyt tt 1 5Thc hin CSYT  Khng khi thuc l 1  TNG100  PH LC 2 TIU CH GIM THIU CHT THI NHA (Km theo K hoch s 164 /KH-BYT ngy 18 thng 02 nm 2020 ca S Y t) Xy dng cc chnh sch, k hoch, gii php tng th tng cng trin khai thc hin c s y t xanh-sch-p, gim thiu cht thi nha trong ngnh y t. C k hoch v t chc thc hin gim thiu cht thi nha, trong  phi c cc ni dung, ch tiu phn u v mc thi gian thc hin. C k cam kt gia Th trng n v vi Lnh o cc khoa, phng, n v cung cp dch v ti c s y t v vic gim thiu cht thi nha. C t chc qun trit, ph bin, hng dn, tp hun, truyn thng, vn ng cn b, nhn vin y t, cc n v cung cp dch v, ngi bnh, ngi nh ngi bnh, ngi s dng dch v y t v cng ng v gim thiu cht thi nha ti n v. C a tiu ch gim thiu cht thi nha vo ni quy, quy ch hot ng ni b ca n v. C thc hin phn loi trit  cht thi nha, ni lng kh phn hy  thu gom, ti ch ng quy nh. C trin khai thc hin cc gii php hiu qu  gim thiu cht thi nha trong hot ng y t. C thc hin thay th cc sn phm nha dng 1 ln, ti ni lng kh phn hy bng cc sn phm thn thin mi trng. C sng kin hoc ci tin v quy trnh chuyn mn k thut trong khm, cha bnh nhm gim thiu cht thi nha. C kim tra, gim st vic thc hin k hoch gim thiu cht thi nha C kt qu gim thiu  t mc tiu theo Quyt nh s 1315/Q-BYT ngy 19 thng 11 nm 2019     pppppp qrJrLrPrv^C0$hT^h.YCJOJQJaJmHsH5hh.YCJOJQJaJfHmH*q sH*/hCJOJQJaJfHmH*q sH*5hhCJOJQJaJfHmH*q sH*5hT^h.YCJOJQJaJfHmH*q sH*5ht] ht] CJOJQJaJfHmH*q sH*$hyF ht] CJOJQJaJmH*sH*$hT^ht] CJOJQJaJmHsH$hT^ht] CJOJQJaJmH*sH* PrTrVrXr\r^r`rbrfrlrprrrzr|rrrrrrrr s s>srstsssssstt t ttttt tڡڴǴǎxeeeee$hhCJOJQJaJmHsH*hT^h.Y56CJOJQJaJmH*sH*$h,h.YCJOJQJaJmH*sH*$h4h.YCJOJQJaJmH*sH*$hhCJOJQJaJmH*sH*$hyF h.YCJOJQJaJmH*sH*$hT^h.YCJOJQJaJmHsH$hT^h.YCJOJQJaJmH*sH*' t"t(t,t6t8t:tDzkXI$d$Ifa$gd$d$If^a$gd$d$Ifa$gdkd$$IfGhF#v\!<%S t%6    464f44(apytDFJڀzkXI$d$Ifa$gd$d$If^a$gd$d$Ifa$gdkd $$IfG/F#v\!<%S t%6    464f44(apytV\zkXI$d$Ifa$gd$d$If^a$gd$d$Ifa$gdkd[ $$IfG1F#v\!<%S t%6    464f44(apyt\^bzkXI$d$Ifa$gd$d$If^a$gd$d$Ifa$gdkd $$IfGF#v\!<%S t%6    464f44(apytxւ܂zkXII$d$Ifa$gd$d$If^a$gd$d$Ifa$gdkd $$IfG>F#v\!<%S t%6    464f44(apyt܂ނxiii$d$Ifa$gdkd $$IfG4*F#v\!<%`S` t%6    464f44(apytxiZZ$d$Ifa$gd$d$Ifa$gdkd $$IfG4F#v\!<% S  t%6    464f44(apyt28zk\\$d$Ifa$gd$d$Ifa$gdkd$$IfGF#v\!<%S t%6    464f44(apyt8:@zk\\$d$Ifa$gd$d$Ifa$gdkdK$$IfGF#v\!<%S t%6    464f44(apytzk\\$d$Ifa$gd$d$Ifa$gdkd$$IfGF#v\!<%S t%6    464f44(apyt^dzk\\$d$Ifa$gd$d$Ifa$gdkd$$IfGYF#v\!<%S t%6    464f44(apytdfnzk\\$d$Ifa$gd$d$Ifa$gdkd$$IfGfF#v\!<%S t%6    464f44(apytbfn*.2*.2ĉȉ̉$(,ƊVX ""&dfjnLPT26:@fhlpĔȔhP:CJOJQJaJhT^hP:5CJOJQJaJh: hP:CJOJQJaJhT^hP:CJOJQJaJN*0eVGG$d$Ifa$gd$d$Ifa$gdkda$$IfGF#v\!<%S @@@ t%6    464f44(apyt026zk\\$d$Ifa$gd$d$Ifa$gdkdG$$IfGnF#v\!<%S t%6    464f44(apyt*0zk\\$d$Ifa$gd$d$Ifa$gdkd$$IfGF#v\!<%S t%6    464f44(apyt026ĉʉzk\\$d$Ifa$gd$d$Ifa$gdkd$$IfG(F#v\!<%S t%6    464f44(apytʉ̉Љ$*zk\\$d$Ifa$gd$d$Ifa$gdkdu$$IfGYF#v\!<%S t%6    464f44(apyt*,0zk\\$d$Ifa$gd$d$Ifa$gdkd7$$IfG"F#v\!<%S t%6    464f44(apytƊzk\\$d$Ifa$gd$d$Ifa$gdkd$$IfGF#v\!<%S t%6    464f44(apytLPVeVG9G$1$Ifa$gd$d$Ifa$gd$d$Ifa$gdkd$$IfG=F#v\!<%S @@@ t%6    464f44(apytVXZ^ zl]NN$d$Ifa$gd$d$Ifa$gd$6$Ifa$gdkd$$IfGF#v\!<%S t%6    464f44(apyt "&zk\\$d$Ifa$gd$d$Ifa$gdkd$$IfGF#v\!<%S t%6    464f44(apytzkZK$d$Ifa$gd$d($Ifa$gd$d$Ifa$gdkd=$$IfGF#v\!<%S t%6    464f44(apytzkZK$d$Ifa$gd$d-$Ifa$gd$d$Ifa$gdkd$$IfGZF#v\!<%S t%6    464f44(apyt zk\\$d$Ifa$gd$d$Ifa$gdkd$$IfGF#v\!<%S t%6    464f44(apyt "&flzk\\$d$Ifa$gd$d$Ifa$gdkd$$IfG F#v\!<%S t%6    464f44(apytlnreVG9G$1$Ifa$gd$d$Ifa$gd$d$Ifa$gdkdG$$IfGF#v\!<%S @@@ t%6    464f44(apytLRzk\\$d$Ifa$gd$d$Ifa$gdkd'$$IfG:F#v\!<%S t%6    464f44(apytRTXzk\\$d$Ifa$gd$d$Ifa$gdkd$$IfGvF#v\!<%S t%6    464f44(apytzk\\$d$Ifa$gd$d$Ifa$gdkd$$IfGF#v\!<%S t%6    464f44(apyt“28zk\\$d$Ifa$gd$d$Ifa$gdkdo $$IfGF#v\!<%S t%6    464f44(apyt8:@hnzk\\$d$Ifa$gd$d$Ifa$gdkd1!$$IfGF#v\!<%S t%6    464f44(apytnptƔeVGG$d$Ifa$gd$d$Ifa$gdkd!$$IfGfF#v\!<%S @@@ t%6    464f44(apytƔȔ̔zk\\$d$Ifa$gd$d$Ifa$gdkd"$$IfGuF#v\!<%S t%6    464f44(apyt FLzk\\$d$Ifa$gd$d$Ifa$gdkd#$$IfGhF#v\!<%S t%6    464f44(apytFJN•&(046:H4lz|~<PᵩjjQQQ0hCh(IOJQJ\eh@mHr@sH0hbh(IOJQJ\eh@mHr@sH*h(IOJQJ\eh@mHr@sHh(Ih(I6CJOJQJaJh(Ih(I5OJQJh}phP:>*CJOJQJaJhP:5CJOJQJaJhT^hP:CJOJQJaJhT^hP:5CJOJQJaJh: hP:CJOJQJaJLNRzk\\$d$Ifa$gd$d$Ifa$gdkdE$$$IfGhF#v\!<%S t%6    464f44(apyt•ƕzk\\$d$Ifa$gd$d$Ifa$gdkd$$$IfGhF#v\!<%S t%6    464f44(apyt(2zkkk$d$Ifa$gdkd%$$IfGhF#v\!<%S t%6    464f44(apyt248:H\4znnnbRb$((`a$gd(I $((a$gd(I $^a$gdP:kdg&$$IfGmF#v\!<%S t%6    464f44(apyt4l~: Ξ.$a$gdP: $^a$gdP: $((a$gd(I $dPa$gd(I$ & F<<a$gd(I$ & FdPa$gd(I2r8:@ Bʞ 2,.z׾׾׾׮׌ןy```````L'hq8h(I>*CJOJQJaJmHsH0hbh(IOJQJ\eh@mHr@sH$hsh(ICJOJQJaJmHsH$hvh(ICJOJQJaJmHsHhq8h(IOJQJmHsHh(ICJOJQJaJmHsH0hph(IOJQJ\eh@mHr@sH*h(IOJQJ\eh@mHr@sH$hbh(ICJOJQJaJmHsH :<>BDHJNPVX̻hS'jhS'U'hAh|5CJOJQJaJmHsH!h|5CJOJQJaJmHsH!h<#5CJOJQJaJmHsHhYhP:mH*sH*'hT^hP:>*CJOJQJaJmH*sH*'h(IhP:>*CJOJQJaJmHsH  "$&(*,.024 $da$gdh)gdP:468:<@BFHLNRTVXgdX $da$gdh)6&P 1}:pu>. A!"#7$7% $$If!vh#v #vx:V lU0$65 5x/ aytsH$$If!vh#v #vx:V l0$65 5x/ aytsHe$$If!vh#v#v:V l t655pytS $$Ifj!vh#vS#v#v:V G  t%6,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G @@@ t%6,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,5S55/  / 464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V Gr t%6,5S55/ / 464f4(apyt$$Ifj!vh#vS#v#v:V G$ t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G! @@@ t%65S55/  / 464f4(apyt$$Ifj!vh#vS#v#v:V Gk t%65S55/ / 464f4(apyt$$Ifj!vh#vS#v#v:V Gw t%6,,5S55/ / 464f4(apyt$$Ifj!vh#vS#v#v:V Gh t%65S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G/ t%6,,5S55/  / 464f4(apyt$$Ifj!vh#vS#v#v:V G1 t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G> t%6,,5S55/  / 464f4(apyt$$Ifj!vh#vS#v#v:V G4* t%6++5S55/ / / / 464f4(apyt$$Ifj!vh#vS#v#v:V G4 t%6++5S55/ / / / 464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,,5S55/ / 464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V GY t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V Gf t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G @@@ t%6,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V Gn t%65S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G t%65S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G( t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V GY t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G" t%65S55/  / 464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G= @@@ t%6,5S55/  / 464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,,5S55/ /  464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V GZ t%6,,5S55/ /  464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G  t%65S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G @@@ t%65S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G: t%6,5S55/  / 464f4(apyt$$Ifj!vh#vS#v#v:V Gv t%6,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V G t%6,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V Gf @@@ t%65S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V Gu t%6,,5S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V Gh t%65S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V Gh t%65S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V Gh t%65S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V Gh t%65S55/ 464f4(apyt$$Ifj!vh#vS#v#v:V Gm t%65S55/ 464f4(apytj' 666666666vvvvvvvvv666666>666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662&6FVfv2(&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv&6FVfv8XV~ OJPJQJ_HmH nH sH tH D`D  NormalCJPJ_HaJmH sH tH b@b _O Heading 1$<@&&5CJ KH OJQJ\aJ mHsHtHP@P  Heading 2 $@&a$6CJaJmHsHtH^@^  Heading 4$<@&"5CJOJQJ\aJmHsHtHR@R  Heading 6 $@&a$6CJ]aJmHsHtHDA D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List HoH  Heading 2 Char6CJPJ^JaJFoF  Heading 6 Char6PJ]^JaJJoJ  Heading 4 Char5OJPJQJ\^J@"@ 3 List Paragraph ^m$*W`1* i`Strong5\.X`A. i@Emphasis6]J^@RJ '0 Normal (Web)d8CJOJQJaJ@@b@ X0Header  H$ mHsHtH:oq: X0 Header Char CJPJaJ@ @@ X0Footer  H$ mHsHtH:o: X0 Footer Char CJPJaJDB@D Y Body Text$a$aJmHsHtH@o@ YBody Text Char CJPJaJVoV _OHeading 1 Char"5CJ KH OJPJQJ\^JaJ H`Hi0RevisionCJPJ_HaJmH sH tH P@P i0 Balloon TextCJOJQJaJmHsHtHRoR i0Balloon Text CharCJOJPJQJ^JaJDOD ,p2 $ da$CJOJQJaJjj pE Table Grid7:V!0!do"d F No Spacing1 "dd*$(CJKHOJPJQJ_HaJmHsHtHfO2f F Fig/table#$ddxx*$$5B*KHOJPJQJ^JphtHOB FFacility safety plan$dd*$,B*KHOJPJQJ\^JmH phsH tHBQB -eapple-converted-spacebocb MO TableGrid :V&4&$CJOJPJQJ_HaJmH*sH*tH*PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V cy$11V(¥@#Zmu)4Pc {k<>ACMȉ<&J&M5BNe tY>?C K]_yKWzkK擭ˆGzѺU7q^۫ >hje)lꝜf d֚/_tLKԀ~\vd9|:x9|Jk (b49C=Z@ƜmWV˄ ,1&9B<ŌU\Ho0´b3 %NRA"}sYGq-xG@^sDbh(vVѼJfNqVooBQG=C? B:vݥKQJ ȉ٢m_U:AΪ". ᇄ9f' U$8fe*r0~ד <Q/ RV%@ߒw0TJi"U4o`-~ЍpVa4(F{\Uw!Cӫm:"DLD/`ƘREݩ1Mp3 r ׏+~[K&^U9}P/,].W-*D8i"H\+{lC]=5 2FhsF+Y\Ɉnì:3E[69 `&45Z!*5k8`Fmw- "d>znʜ"Z xJZp; {/<P;,)''KQk5qpNq ^,&_ &7[bn}NaB-,#f* hNV&Fgbe _躖WegFcVJD1#4b:TAJ0A?ݜrst1㘥ʭN<-BTt(w~UL_*0}X |Li{\CJ#4v@.LCPPۜ4LZ!R !{PLB]$*+S+65pU M5ʀ?9ˠQr9{mӝMfPʭæ_X]ծ7󽷬Y<+Yi+hei"skNf.xq^c,>o;:P[ l /iG8AL5m:iw֒4vќ\Hcgvlm<{2Eahdck,>ނw &xO%0YPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!j!jtheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] ,4$ dT H!|$@&4+4.3^56P<=pPr tzudwxtzbX!#$&'()*+-./0123467RSTUWY[p< 6TwwNz|z{{p|}}"~nD\܂8d00ʉ*V lR8nƔL244X "%,5VXZ\]^_`abcdefghijklmnoqrstuvwxyz{|}~L# @b(  <  # <  # B S  ?/@^,4mmtQBBt))**.022::^_{ddY Y hj4 4444!4!4-4))**::;^_{dd B !5!;!!!""""""#%#m#s####$k$v$@%G%%%%%F&M&&&&&''D'J'''''((\(x(()/)))))U*Z*** ++3+9+++&,,,t,z,,,-:-`-f------- .$.44 4!4#4$4&4'4)4-4))**.022::^_{ddY Y hj$.f.j.w.z........334 4444 4!4!4#4$4&4'4)4-4X R `c"Ld |y_F9KLK zV^, ^`OJQJ^J-88^8`.^`..^`...pp^p`....   ^ ` ..... @ @ ^@ ` ......   ^ `....... ^`........h^h`. 8^8`OJQJ^Jo^`OJQJ ^ `OJQJ  ^ `OJQJ^Jox^x`OJQJH^H`OJQJ ^`OJQJ^Jo^`OJQJ ^`OJQJ^J- ^`OJQJ^Jop^p`OJQJ@ ^@ `OJQJ ^`OJQJ^Jo^`OJQJ^`OJQJ ^`OJQJ^JoP^P`OJQJh^h`. 8^8`OJQJ^Jo^`OJQJ ^ `OJQJ  ^ `OJQJ^Jox^x`OJQJH^H`OJQJ ^`OJQJ^Jo^`OJQJ 8^8`OJQJ^J- ^`OJQJ^Jo ^ `OJQJ ^ `OJQJ x^x`OJQJ^JoH^H`OJQJ^`OJQJ ^`OJQJ^Jo^`OJQJ ^`OJQJ^J- p^p`OJQJ^Jo@ ^@ `OJQJ^`OJQJ ^`OJQJ^Jo^`OJQJ^`OJQJ P^P`OJQJ^Jo ^ `OJQJh^h`OJQJ ^`OJQJ^Jop^p`OJQJ@ ^@ `OJQJ ^`OJQJ^Jo^`OJQJ^`OJQJ ^`OJQJ^JoP^P`OJQJ^`OJQJB*ph 5^J- ^`OJQJ^Jop^p`OJQJ@ ^@ `OJQJ ^`OJQJ^Jo^`OJQJ^`OJQJ ^`OJQJ^JoP^P`OJQJ^`o(. h^h`hH. 8 L^8 `LhH.  ^ `hH. ^`hH. L^`LhH. x^x`hH. H^H`hH. L^`LhH.^`OJPJQJ^Jo(p^p`OJQJ^Jo(hHo@ ^@ `OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH^`OJQJo(hHP^P`OJQJ^Jo(hHo ^ `OJQJo(hH8^8`OJPJQJ^Jo(^`OJQJ^Jo(hHo ^ `OJQJo(hH ^ `OJQJo(hHx^x`OJQJ^Jo(hHoH^H`OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH8^8`OJPJQJ^Jo(-^`OJQJ^Jo(hHo ^ `OJQJo(hH ^ `OJQJo(hHx^x`OJQJ^Jo(hHoH^H`OJQJo(hH^`OJQJo(hH^`OJQJ^Jo(hHo^`OJQJo(hH^`5o(. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.^`o(. o^o`hH. ? L^? `LhH.  ^ `hH. ^`hH. L^`LhH. ^`hH. O^O`hH. L^`LhH."Ld X LK_FzVWWNum4WWNum5WWNum6WWNum24WWNum25WWNum27WWNum34WWNum35$X********NP********4********B` *****************\Γ        20r;ti#jVS: gsEW:Gx 0wS:]mV"[;ti`>$ns/[S}| 3.u&sL:"3.u&s]mV"vGC$ ]R$P:p`%3.u&s)j/#jm!x,/7m@,3.u&sj/O]2VP(3]~z!<sz@P(3vGC]R$kDj/#jBJ;ti`~TEWZqGjIZj/#jD[|];ti#jE^:e;ti`Z.e;tiZqGjsz@|Ll/7m gsP:p[frw z0<<<<nsfr3.u1YuI =x3.u&sw z!< ]~zE^g'{;ti`Y+|;ti#j[m!x,:hj/#js (  Ao>UvWZijH%2L8k<hhlb|   ((3:>GYgCln)9=!Ldn!')91}IY^r'9=NHO*S}e G4a?SEV^_`;eA|Vm(.C58Q^m  9D1fL`y! & aE >G X cs s z  6  ( 8 ; = yF I hI W a f   !/ 3 =6 6 ; = T@ I t] b v  P   . 1( . 1 3 3 n? FH kO R U ,] _ e sy & ' j3 8 < U b ~i ^r z t+,G43<:=HQuZ g>s#&>S]loMdZg(tgz,_2Skcn=oFw@(n*,w9@EYJUiY2\fdkivvxS CU)XgGq y,9AOJU2[b]~n#* ,)>V@[tx.)2Yfvm=?@_^}eCf=hmuAw  )!U7=`xH"K+DDO_jmr~#)3:4EV^f|~1n>ADZcdqy}%-62RvR)V|mpuq %9%Te\lbcpwtlPn #%?l]_5bFkM4C?G-P UehWij*v W # $ 1+ 2 ; ? @ _L R VW e t { ! !W!!p!!?!5Q!b!g!b""Z"a$"d'"C-"G"J"U"Y"["1^"Hd"{"#-#8#?;#L#!f#~#$$L$ $$* $#$@$@$\A$A$X$]$ d$Yd$n$%% %(%+%"V%Y%.b%%2'&]D&YT&i&)':'>'S'!Y'^'o'r''_((P(^^(`(~(b~())#)}H)L)>])_)h)Ml) u)~|)**&*)*],*W3*;*;*=*H*u^*k*+h+( +-+8+<+O+k+`l+q+s+v+z+~+,Y,/,/ ,',1(,9,;,m,.p,Is,!--]-+1-B-H-iP-S-[-h\-c-/g-.s7.P8.T.U.[.5].-/4/4/Q/M]/fh/yz/00b000f*0o-0=60E0E0DJ0JJ0L0`0`0a0$s0 11!1#1+1&D1nQ1;b12/202f>2A2^E2^2r2s2g3"3$303e3g3vq344P4P^4Wh4i4zp4?{4|4)55>5C5 H5kN57hN7h7{78~78~"8i/8C8B[8a8Ld8y8[999"9'9(9189kD9W9^9y9|9:1:5:R:V:_:s|:7; ;;! ;P";f>;B;CI;T;Z; <)<E<)P<P<n< = =*=+=.=/=5=M=xO=UQ=b=i=9>">'>.>:>[L>N>a>u>{>i~>> ????((?;?^?h?zn?Ft? ?@>@%@>@b@8o@hq@{@* AA9,A.A6A7ACASAWAjABnAsA}A0BBB4BV%B(BNBUBXBaBdBlByB CCPC_%CM+C6MC1VC9bCfCngC sCBD D5D ;D9=DoRDZDhDpmDpDqDrD:uDE%E%PE YE9`EYaE:fE)kEpEFFAFF%FE'Fh-FHFtIFsNF7PFr`FmFoF{FGG-G.G0G]9G@GPG|GL}G~G H5(H+H7H:=Hi>HAH2UHWHlH>oHsHyH;I&I(I,I@IGIPIQI)qIxIRJ,UJVJlJwJ zJ8zJK KKxK1@KXDKjKwK 1LELFLNLE[LG[L^LhqLMM MSMMM$M7Mo9M=MGMRMTMeMsM}M~MkN)N2N5NmCNJNNNnN%N6OO.O/O*0O=@OIOKOMO5YOYOwOP3P"P)P+P :PLNPTP[[PpPP Q"Q+Q.Qq/Q4Q]9Q@CQaMQ.NQUQUQsQvQH{QRR!R&Rg0R1R:R=RARARHRdRSYSSSb#S +S 3S6S BSBSxMS]SpSuSzS}SlTTQ!T%T *Tx-T.TCTLTOT]TZ`TbTcTimT#U4NUt^U^U`UaUMgU!kU_V VVV+-V2VH;V\V^ViV}VWz(W(W,W0GWZcWcyW X=Xv$X-)Xb5X9XJXtVXg YY!Y!Yc!YEYFYIY,JYPY>RYYYhY0yY4yY$Z ZZj)Z&7Zl\I\V\&m\zn\]]6]-]/]9]FC]gX]^]Id]{]~^^^^d#^;^k^qq^kx^ __` _%'_I_S_ V_Y_Ch_/x_N`E``t``!*`7`#9`J`#X`l`.aTaaaeaV{aG b b *bd7b7b@bODbWbVZb]b9cs cr;c~DctNcUcZc5jcpcvcvcddd0d1AdGdfd jd-ee eHe=eKeReZe_elexe|e1ff"fG*fAfCfEfR\fqfLfg^g%gK0gf6grEghgogpsgvgh$hOh Vhchghmhthluh6vh{|h[itipi#ii!icEiKNiPi]iGbibidcizijqjf"j.jPj kj=qj8sjklk;ki)kWk-XkmYkdkhkik{k l%!lp#l;,l:lpKlXTlalxlmFm$m?Imw^m~im8nm`rmumo~mtn nnn nw+n;nlHnKnRnHVnanlsnPoooyoXoo*o]3o5o/Go4Po#QoZo^okopFp5p88p`pjpflpwpypq qMqq"q%q'q.q8qu=q>qJqKqKq`q5jqpqzqr rtr7rcrkr }rv s: s#sY(s7;s\sgs/ls&ssws~ss" tCt7BtCtDtqItJtNt^tit?xt6}t u-u;uv?KFFVdjmq} u;HHS/l} $.&7J<BFfltx3|o| GJXij ps5l$BGlabch9K0QKmxqu-:BkQ$[^ _Qfkqsk p&)8Xdnh,.`0Y6jAW203eDbMxP`ops,u-1<=DN^ ,,7:=FGSUd"jpy ++5]P{k|v(e&;HDM\5dl, &P#z+%@CXi y+{$d/ #&/=EEF!I&M[n}s{j;.!<Zhi l9rrP.h&?DRRXa`y% L A#{(aDX_nv*pPRqrSv`2J__k-;2BDT^[gqH .1'9 :DYmfp})0;(O]_Ga.dddi.lu{ :&7H]k^hhjmgt+~? Rs$w:A`n~~ ~R;4Op\\G_rv:w 7@4>oIOQVY\q]*lN9LY`aiT'F$Urz$q%1PQkpv (+9:?G5V\]Tfk&yQ~_` !%.Y[]hJUZaaf]r$<&69B[N_OQbo;w'Ng= |2;CF/K/McQDHSUW.Xl?ox.', 09HRWXfY)`bdeit{{{ $U&/ a`l'l'w#|t)16J] ^^_yc~ve =*,<=c`fmht { !m,C*J [2<s%^B_nkilwy~ $*@\a~q /1#939@NTX bags 5g6;:`:B?TpVH\Ns.*36jbg|#& 5 "+2nUj[gl("1523FIJWpnx Mu%'HPeRZZa`fiuP{X &/J67de~(-03U9ACFrmy ",,/EAQ`xckPtwn|7-:>^GXZjwo 9fo917h/;[`kY~--y.#C2MQXTh`w~og$#35>EOVHZl %):Jsc0n` '&K'M*N[buEKN:Z`FWW` /{<"66\Y`:ddi01E+HH JXY Ln*.h/03ALLY$ ""T+JNtlyYL.3x:<?? PshwyzwD|!"/,0_06HVXstHy *.QB ady@0VTegefiyx~ ;N@oBVG!Ve !&G/~//z44p7AkB}OPqq%9{IM]dBpL_ EA &')I2:oAhix AjT+P+QVS[,_meA m1 2OS\l5x (8q?HI=NSPVJ| 2-;JNgQHa|omp:vv}4 4@dddd@ ,4pp p p4ppUnknown G*Ax Times New Roman5Symbol3. *Cx Arial7& r.VnTime7.@ Calibri7@Cambria5. .[`)Tahoma?= *Cx Courier New;WingdingsA$BCambria Math"1 h˂G˂G$‚'W,^W,^!7444 >qHP  $P 2! xx B Y TmrThaiAdminD         Oh+'0L    ,4<D BỘ Y TẾmrThai Normal.dotmAdmin3Microsoft Office Word@@IJ@׵@׵W,՜.+,D՜.+,< hp  TCCB^4  BỘ Y TẾ Title@ DateEnforceSignerwic_System_CopyrightRoutingRuleDescription Contents2016-07-18T08:43:00Z​1  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry Fv׫Data '1Table ~WordDocument 8$SummaryInformation(DocumentSummaryInformation8MsoDataStore@֫֫5X0OTCJ4HQ==2@֫֫Item  PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q