Bộ-Tiêu-chí-Chất-lượng-bệnh-viện-Việt-Nam phiên bản 2_0-pdf

["B2.2 Nh\u00e2n vi\u00ean y t\u00ea\u0301 \u0111\u01b0\u1ee3c n\u00e2ng cao k\u1ef9 n\u0103ng giao ti\u00ea\u0301p, \u1ee9ng x\u1eed, y \u0111\u1ee9c C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 07\/2014\/TT-BYT ng\u00e0y 25\/02\/2014 quy \u0111\u1ecbnh v\u1ec1 Quy t\u1eafc \u1ee9ng x\u1eed c\u1ee7a v\u00e0 \u00fd c\u00f4ng ch\u1ee9c, vi\u00ean ch\u1ee9c, ng\u01b0\u1eddi lao \u0111\u1ed9ng l\u00e0m vi\u1ec7c t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf. ngh\u0129a M\u1ee9c 1 \uf0b7 K\u1ef9 n\u0103ng \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 \u0111\u1eb7c bi\u1ec7t quan M\u1ee9c 2 tr\u1ecdng v\u1edbi ng\u01b0\u1eddi b\u1ec7nh, l\u00e0m t\u0103ng s\u1ef1 h\u00e0i l\u00f2ng ng\u01b0\u1eddi b\u1ec7nh, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh y\u00ean t\u00e2m, tho\u1ea3i m\u00e1i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. M\u1ee9c 3 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 4 1. C\u00f3 v\u1ee5 vi\u1ec7c t\u1eadp th\u1ec3 ho\u1eb7c c\u00e1 nh\u00e2n vi ph\u1ea1m y \u0111\u1ee9c, \u0111\u01b0\u1ee3c \u0111\u0103ng t\u1ea3i tr\u00ean c\u00e1c ph\u01b0\u01a1ng M\u1ee9c 5 ti\u1ec7n truy\u1ec1n th\u00f4ng, g\u00e2y \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn h\u00ecnh \u1ea3nh c\u1ee7a b\u1ec7nh vi\u1ec7n v\u00e0 ng\u00e0nh y t\u1ebf. 2. B\u1ec7nh vi\u1ec7n \u0111\u00e3 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch n\u00e2ng cao k\u1ef9 n\u0103ng \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c cho nh\u00e2n vi\u00ean y t\u1ebf. 3. B\u1ea3n k\u1ebf ho\u1ea1ch c\u00f3 \u0111\u1eb7t ra c\u00e1c ch\u1ec9 ti\u00eau c\u1ee5 th\u1ec3 li\u00ean quan \u0111\u1ebfn \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c \u0111\u1ec3 t\u1eadp th\u1ec3 b\u1ec7nh vi\u1ec7n ph\u1ea5n \u0111\u1ea5u. 4. \u0110\u00e3 tri\u1ec3n khai k\u1ebf ho\u1ea1ch n\u00e2ng cao k\u1ef9 n\u0103ng \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c. 5. Trong n\u0103m \u0111\u00e3 t\u1ed5 ch\u1ee9c \u0111\u01b0\u1ee3c \u00edt nh\u1ea5t hai l\u1edbp t\u1eadp hu\u1ea5n n\u00e2ng cao k\u1ef9 n\u0103ng \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c t\u1ea1i b\u1ec7nh vi\u1ec7n cho nh\u00e2n vi\u00ean y t\u1ebf. 6. T\u1ef7 l\u1ec7 s\u1ed1 nh\u00e2n vi\u00ean y t\u1ebf tham gia c\u00e1c l\u1edbp t\u1eadp hu\u1ea5n n\u00e2ng cao k\u1ef9 n\u0103ng \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c chi\u1ebfm tr\u00ean 50% t\u1ed5ng s\u1ed1 nh\u00e2n vi\u00ean y t\u1ebf (c\u0103n c\u1ee9 v\u00e0o s\u1ed1 l\u01b0\u1ee3ng l\u1edbp m\u1edf v\u00e0 s\u1ed1 h\u1ecdc vi\u00ean tham gia). 7. C\u00f3 cam k\u1ebft gi\u1eefa nh\u00e2n vi\u00ean y t\u1ebf v\u1edbi l\u00e3nh \u0111\u1ea1o b\u1ec7nh vi\u1ec7n v\u00e0 gi\u1eefa t\u1eadp th\u1ec3 b\u1ec7nh vi\u1ec7n v\u1edbi c\u00e1c c\u01a1 qu\u1ea3n l\u00fd v\u1ec1 n\u00e2ng cao tinh th\u1ea7n tr\u00e1ch nhi\u1ec7m, th\u00e1i \u0111\u1ed9 \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf v\u1edbi ng\u01b0\u1eddi b\u1ec7nh. 8. C\u00f3 ti\u1ebfn h\u00e0nh kh\u1ea3o s\u00e1t ho\u1eb7c \u0111\u00e1nh gi\u00e1 s\u01a1 b\u1ed9 th\u00e1i \u0111\u1ed9 \u1ee9ng x\u1eed c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 s\u1eed d\u1ee5ng k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 \u0111\u1ec3 b\u1ed1 tr\u00ed ng\u01b0\u1eddi ph\u00f9 h\u1ee3p \u1edf c\u00e1c v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m th\u01b0\u1eddng ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh. 9. T\u1ef7 l\u1ec7 s\u1ed1 nh\u00e2n vi\u00ean y t\u1ebf tham gia c\u00e1c l\u1edbp t\u1eadp hu\u1ea5n n\u00e2ng cao k\u1ef9 n\u0103ng \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c chi\u1ebfm tr\u00ean 70% t\u1ed5ng s\u1ed1 nh\u00e2n vi\u00ean y t\u1ebf (c\u0103n c\u1ee9 v\u00e0o s\u1ed1 l\u01b0\u1ee3ng l\u1edbp m\u1edf v\u00e0 s\u1ed1 h\u1ecdc vi\u00ean tham gia). 10. C\u00f3 nhi\u1ec1u h\u00ecnh th\u1ee9c tri\u1ec3n khai \u0111a d\u1ea1ng, phong ph\u00fa k\u1ebf ho\u1ea1ch n\u00e2ng cao k\u1ef9 n\u0103ng \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c cho nh\u00e2n vi\u00ean y t\u1ebf nh\u01b0 t\u1ed5 ch\u1ee9c c\u00e1c cu\u1ed9c thi, phong tr\u00e0o, cam k\u1ebft thi \u0111ua, k\u1ecbch, h\u1ed9i di\u1ec5n v\u0103n ngh\u1ec7\u2026 11. C\u00f3 ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 vi\u1ec7c tri\u1ec3n khai n\u00e2ng cao th\u00e1i \u0111\u1ed9 \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c theo \u0111\u1ecbnh k\u1ef3 v\u00e0 c\u00f3 b\u00e1o c\u00e1o v\u1ec1 h\u00ecnh th\u1ee9c\/ph\u01b0\u01a1ng ph\u00e1p v\u00e0 k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1. 12. C\u00f3 th\u01b0 c\u1ea3m \u01a1n\/th\u01b0 khen c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh\/ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1nh gi\u00e1 cao v\u1ec1 tinh th\u1ea7n tr\u00e1ch nhi\u1ec7m, th\u00e1i \u0111\u1ed9 \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf. 13. T\u1ef7 l\u1ec7 s\u1ed1 nh\u00e2n vi\u00ean y t\u1ebf tham gia c\u00e1c l\u1edbp t\u1eadp hu\u1ea5n n\u00e2ng cao k\u1ef9 n\u0103ng \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c chi\u1ebfm tr\u00ean 80% t\u1ed5ng s\u1ed1 nh\u00e2n vi\u00ean y t\u1ebf (c\u0103n c\u1ee9 v\u00e0o s\u1ed1 l\u01b0\u1ee3ng l\u1edbp m\u1edf v\u00e0 s\u1ed1 h\u1ecdc vi\u00ean tham gia). 14. \u0110\u00e1nh gi\u00e1 th\u1ef1c hi\u1ec7n k\u1ebf ho\u1ea1ch n\u00e2ng cao th\u00e1i \u0111\u1ed9 \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 c\u00e1c ch\u1ec9 s\u1ed1 \u0111\u1ea1t k\u1ebft qu\u1ea3 t\u1ed1t, xu h\u01b0\u1edbng t\u0103ng d\u1ea7n theo th\u1eddi gian. 15. Kh\u1ea3o s\u00e1t s\u1ef1 h\u00e0i l\u00f2ng ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ea1t k\u1ebft qu\u1ea3 t\u1ed1t v\u1ec1 th\u00e1i \u0111\u1ed9 \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf. 16. Kh\u00f4ng c\u00f3 \u0111\u01a1n th\u01b0 khi\u1ebfu n\u1ea1i, t\u1ed1 c\u00e1o v\u1ec1 th\u00e1i \u0111\u1ed9 \u1ee9ng x\u1eed, giao ti\u1ebfp, y \u0111\u1ee9c. 17. C\u00f3 c\u00e1 nh\u00e2n ho\u1eb7c v\u1ee5 vi\u1ec7c ti\u00eau bi\u1ec3u v\u1ec1 y \u0111\u1ee9c, giao ti\u1ebfp, \u1ee9ng x\u1eed, \u0111\u01b0\u1ee3c c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n truy\u1ec1n th\u00f4ng \u0111\u0103ng t\u1ea3i ca ng\u1ee3i, bi\u1ec3u d\u01b0\u01a1ng; l\u00e0 t\u1ea5m g\u01b0\u01a1ng s\u00e1ng cho c\u00e1c c\u00e1 nh\u00e2n, b\u1ec7nh vi\u1ec7n kh\u00e1c h\u1ecdc t\u1eadp. 50","B2.3 B\u1ec7nh vi\u1ec7n duy tr\u00ec v\u00e0 ph\u00e1t tri\u1ec3n b\u1ec1n v\u1eefng ch\u1ea5t l\u01b0\u1ee3ng ngu\u1ed3n nh\u00e2n l\u1ef1c C\u0103n c\u1ee9 \uf0b7 Lu\u1eadt Vi\u00ean ch\u1ee9c s\u1ed1 58\/2010\/QH12 ng\u00e0y 15\/11\/2010. \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 22\/2013\/TT-BYT ng\u00e0y 9\/8\/2013h\u01b0\u1edbng d\u1eabn \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c y t\u1ebf. v\u00e0 \u00fd ngh\u0129a \uf0b7 T\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho nh\u00e2n vi\u00ean c\u1eadp nh\u1eadt ki\u1ebfn th\u1ee9c chuy\u00ean m\u00f4n, ph\u00e1t tri\u1ec3n k\u1ef9 n\u0103ng ngh\u1ec1 nghi\u1ec7p, n\u00e2ng cao \u0111\u1ea1o \u0111\u1ee9c ngh\u1ec1 nghi\u1ec7p v\u00e0 s\u1ee9c kh\u1ecfe l\u00e0 vi\u1ec7c c\u1ea7n thi\u1ebft \u0111\u1ec3 duy tr\u00ec v\u00e0 ph\u00e1t tri\u1ec3n ch\u1ea5t l\u01b0\u1ee3ng ngu\u1ed3n nh\u00e2n l\u1ef1c. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. Trong n\u0103m kh\u00f4ng c\u00f3 nh\u00e2n vi\u00ean y t\u1ebf tham gia \u0111\u00e0o t\u1ea1o n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n (b\u1eb1ng c\u1ea5p). 2. B\u1ec7nh vi\u1ec7n kh\u00f4ng c\u00f3 b\u1ea3n k\u1ebf ho\u1ea1ch \u0111\u00e0o t\u1ea1o cho nh\u00e2n vi\u00ean y t\u1ebf (ho\u1eb7c kh\u00f4ng c\u00f3 n\u1ed9i dung \u0111\u00e0o t\u1ea1o trong b\u1ea3n k\u1ebf ho\u1ea1ch, \u0111\u1ec1 \u00e1n chung kh\u00e1c c\u1ee7a b\u1ec7nh vi\u1ec7n). M\u1ee9c 2 3. C\u00f3 b\u1ea3n k\u1ebf ho\u1ea1ch \u0111\u00e0o t\u1ea1o cho nh\u00e2n vi\u00ean y t\u1ebf (ho\u1eb7c trong b\u1ea3n k\u1ebf ho\u1ea1ch, \u0111\u1ec1 \u00e1n chung kh\u00e1c c\u1ee7a b\u1ec7nh vi\u1ec7n c\u00f3 n\u1ed9i dung \u0111\u00e0o t\u1ea1o). 4. K\u1ebf ho\u1ea1ch \u0111\u00e0o t\u1ea1o c\u00f3 \u0111\u1ec1 c\u1eadp n\u1ed9i dung \u0111\u00e0o t\u1ea1o n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n (b\u1eb1ng c\u1ea5p) cho nh\u00e2n vi\u00ean. 5. Trong b\u1ea3n k\u1ebf ho\u1ea1ch \u0111\u00e0o t\u1ea1o ho\u1eb7c quy ch\u1ebf chi ti\u00eau n\u1ed9i b\u1ed9 c\u00f3 quy \u0111\u1ecbnh h\u1ed7 tr\u1ee3 (b\u1eb1ng c\u00e1c h\u00ecnh th\u1ee9c v\u1eadt ch\u1ea5t v\u00e0 phi v\u1eadt ch\u1ea5t nh\u01b0 h\u1ecdc ph\u00ed, ph\u01b0\u01a1ng ti\u1ec7n, \u0111\u1ed9ng vi\u00ean, khen th\u01b0\u1edfng\u2026 cho nh\u00e2n vi\u00ean c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c c\u1eed \u0111i \u0111\u00e0o t\u1ea1o. M\u1ee9c 3 6. C\u00f3 quy \u0111\u1ecbnh h\u1ed7 tr\u1ee3 (m\u1ed9t ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9) kho\u1ea3n h\u1ecdc ph\u00ed v\u00e0 sinh ho\u1ea1t ph\u00ed cho nh\u00e2n vi\u00ean \u0111\u01b0\u1ee3c c\u1eed \u0111i \u0111\u00e0o t\u1ea1o n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n trong n\u01b0\u1edbc (ho\u1eb7c n\u01b0\u1edbc ngo\u00e0i) b\u1eb1ng ngu\u1ed3n c\u1ee7a b\u1ec7nh vi\u1ec7n, trung \u01b0\u01a1ng, \u0111\u1ecba ph\u01b0\u01a1ng ho\u1eb7c d\u1ef1 \u00e1n v\u00e0 c\u00e1c ngu\u1ed3n kinh ph\u00ed h\u1ee3p ph\u00e1p kh\u00e1c. 7. Nh\u00e2n vi\u00ean sau khi ho\u00e0n th\u00e0nh ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n do b\u1ec7nh vi\u1ec7n c\u1eed \u0111i \u0111\u01b0\u1ee3c b\u1ed1 tr\u00ed v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m ph\u00f9 h\u1ee3p v\u1edbi \u0111\u00e0o t\u1ea1o. 8. C\u00f3 v\u0103n b\u1ea3n quy \u0111\u1ecbnh c\u1ee5 th\u1ec3 v\u1ec1 thu h\u00fat, tuy\u1ec3n d\u1ee5ng v\u00e0 duy tr\u00ec ngu\u1ed3n nh\u00e2n l\u1ef1c y t\u1ebf c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng l\u00e0m vi\u1ec7c \u1ed5n \u0111\u1ecbnh, l\u00e2u d\u00e0i t\u1ea1i b\u1ec7nh vi\u1ec7n. 9. T\u1ed5ng s\u1ed1 b\u00e1c s\u1ef9 hi\u1ec7n \u0111ang l\u00e0m vi\u1ec7c c\u00f3 tr\u00ecnh \u0111\u1ed9 sau \u0111\u1ea1i h\u1ecdc \u0111\u01b0\u1ee3c h\u1ecdc trong th\u1eddi gian \u0111ang l\u00e0m vi\u1ec7c t\u1ea1i b\u1ec7nh vi\u1ec7n chi\u1ebfm \u00edt nh\u1ea5t 30% t\u1ed5ng s\u1ed1 b\u00e1c s\u1ef9 c\u00f3 tr\u00ecnh \u0111\u1ed9 sau \u0111\u1ea1i h\u1ecdc c\u1ee7a to\u00e0n b\u1ec7nh vi\u1ec7n (\u00e1p d\u1ee5ng kh\u00f4ng ph\u00e2n bi\u1ec7t b\u1ec7nh vi\u1ec7n Nh\u00e0 n\u01b0\u1edbc v\u00e0 t\u01b0 nh\u00e2n, tuy\u1ebfn tr\u00ean v\u00e0 d\u01b0\u1edbi). (N\u1ebfu b\u1ec7nh vi\u1ec7n kh\u00f4ng c\u00f3 b\u00e1c s\u1ef9 c\u00f3 tr\u00ecnh \u0111\u1ed9 sau \u0111\u1ea1i h\u1ecdc th\u00ec \u0111\u00e1nh gi\u00e1 kh\u00f4ng \u0111\u1ea1t m\u1ee5c n\u00e0y). M\u1ee9c 4 10. T\u1ef7 l\u1ec7 b\u00e1c s\u1ef9 xin chuy\u1ec3n sang b\u1ec7nh vi\u1ec7n kh\u00e1c trong n\u0103m chi\u1ebfm d\u01b0\u1edbi 5%. 11. Trong n\u0103m c\u00f3 tuy\u1ec3n d\u1ee5ng m\u1edbi b\u00e1c s\u1ef9 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o ch\u00ednh quy v\u00e0o l\u00e0m vi\u1ec7c. 12. T\u1ed5ng s\u1ed1 b\u00e1c s\u1ef9 hi\u1ec7n \u0111ang l\u00e0m vi\u1ec7c c\u00f3 tr\u00ecnh \u0111\u1ed9 sau \u0111\u1ea1i h\u1ecdc (t\u00ednh c\u1ea3 s\u1ed1 b\u00e1c s\u1ef9 \u0111ang \u0111i h\u1ecdc nh\u01b0ng ch\u01b0a c\u00f3 b\u1eb1ng) \u0111\u01b0\u1ee3c h\u1ecdc trong kho\u1ea3ng th\u1eddi gian l\u00e0m vi\u1ec7c t\u1ea1i b\u1ec7nh vi\u1ec7n chi\u1ebfm \u00edt nh\u1ea5t 40% t\u1ed5ng s\u1ed1 b\u00e1c s\u1ef9 c\u00f3 tr\u00ecnh \u0111\u1ed9 sau \u0111\u1ea1i h\u1ecdc c\u1ee7a to\u00e0n b\u1ec7nh vi\u1ec7n (\u00e1p d\u1ee5ng kh\u00f4ng ph\u00e2n bi\u1ec7t b\u1ec7nh vi\u1ec7n Nh\u00e0 n\u01b0\u1edbc v\u00e0 t\u01b0 nh\u00e2n, tuy\u1ebfn tr\u00ean v\u00e0 d\u01b0\u1edbi). 13. To\u00e0n b\u1ed9 s\u1ed1 b\u00e1c s\u1ef9 \u0111\u01b0\u1ee3c tuy\u1ec3n d\u1ee5ng m\u1edbi trong n\u0103m \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o ch\u00ednh quy. M\u1ee9c 5 14. T\u1ed5ng s\u1ed1 b\u00e1c s\u1ef9 hi\u1ec7n \u0111ang l\u00e0m vi\u1ec7c c\u00f3 tr\u00ecnh \u0111\u1ed9 sau \u0111\u1ea1i h\u1ecdc (t\u00ednh c\u1ea3 s\u1ed1 b\u00e1c s\u1ef9 \u0111ang \u0111i h\u1ecdc nh\u01b0ng ch\u01b0a c\u00f3 b\u1eb1ng) \u0111\u01b0\u1ee3c h\u1ecdc trong kho\u1ea3ng th\u1eddi gian l\u00e0m vi\u1ec7c t\u1ea1i b\u1ec7nh vi\u1ec7n chi\u1ebfm \u00edt nh\u1ea5t 50% t\u1ed5ng s\u1ed1 b\u00e1c s\u1ef9 c\u00f3 tr\u00ecnh \u0111\u1ed9 sau \u0111\u1ea1i h\u1ecdc c\u1ee7a to\u00e0n 51","b\u1ec7nh vi\u1ec7n (\u00e1p d\u1ee5ng kh\u00f4ng ph\u00e2n bi\u1ec7t b\u1ec7nh vi\u1ec7n Nh\u00e0 n\u01b0\u1edbc v\u00e0 t\u01b0 nh\u00e2n, tuy\u1ebfn tr\u00ean v\u00e0 d\u01b0\u1edbi). 15. T\u1ef7 l\u1ec7 nh\u00e2n vi\u00ean y t\u1ebf sau khi ho\u00e0n th\u00e0nh ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n do b\u1ec7nh vi\u1ec7n c\u1eed \u0111i v\u00e0 c\u00f3 s\u1eed d\u1ee5ng ngu\u1ed3n kinh ph\u00ed h\u1ed7 tr\u1ee3 c\u1ee7a b\u1ec7nh vi\u1ec7n (ho\u1eb7c c\u00e1c ngu\u1ed3n kinh ph\u00ed h\u1ee3p ph\u00e1p kh\u00e1c do b\u1ec7nh vi\u1ec7n \u0111\u1ec1 xu\u1ea5t, \u0111i\u1ec1u ph\u1ed1i) quay tr\u1edf l\u1ea1i b\u1ec7nh vi\u1ec7n l\u00e0m vi\u1ec7c chi\u1ebfm t\u1eeb 90% tr\u1edf l\u00ean. 16. C\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1, nghi\u00ean c\u1ee9u t\u00ecnh h\u00ecnh \u0111\u00e0o t\u1ea1o n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n c\u1ee7a b\u1ec7nh vi\u1ec7n, trong \u0111\u00f3 c\u00f3 \u0111\u00e1nh gi\u00e1 t\u00ecnh h\u00ecnh s\u1eed d\u1ee5ng nh\u00e2n l\u1ef1c v\u00e0 k\u1ebft qu\u1ea3 chuy\u00ean m\u00f4n sau khi \u0111\u00e0o t\u1ea1o n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n. 17. C\u00f3 s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng, t\u1ef7 l\u1ec7 nh\u00e2n vi\u00ean y t\u1ebf sau khi \u0111\u00e0o t\u1ea1o n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n v\u1ec1 l\u00e0m vi\u1ec7c \u0111\u00fang chuy\u00ean ng\u00e0nh; s\u1ed1 l\u01b0\u1ee3ng, t\u1ef7 l\u1ec7 nh\u00e2n vi\u00ean y t\u1ebf chuy\u1ec3n sang khoa\/ph\u00f2ng kh\u00e1c v\u00e0 s\u1ed1 l\u01b0\u1ee3ng, t\u1ef7 l\u1ec7 nh\u00e2n vi\u00ean y t\u1ebf chuy\u1ec3n c\u01a1 quan kh\u00e1c. 18. \u0110\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p v\u00e0 \u00e1p d\u1ee5ng c\u00e1c k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1, nghi\u00ean c\u1ee9u v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng \u0111\u00e0o t\u1ea1o n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n. 52","CH\u01af\u01a0NG B3. CH\u1ebe \u0110\u1ed8 \u0110\u00c3I NG\u1ed8 V\u00c0 \u0110I\u1ec0U KI\u1ec6N, M\u00d4I TR\u01af\u1edcNG L\u00c0M VI\u1ec6C B3.1 Ba\u0309o \u0111a\u0309m ch\u00ednh s\u00e1ch ti\u1ec1n l\u01b0\u01a1ng, ch\u00ea\u0301 \u0111\u1ed9 \u0111\u00e3i ng\u1ed9 c\u1ee7a nh\u00e2n vi\u00ean y t\u00ea\u0301 C\u0103n c\u1ee9 \uf0b7 B\u1ed9 lu\u1eadt Lao \u0111\u1ed9ng n\u0103m 2012, ng\u00e0y 02\/7\/2012. \u0111\u1ec1 xu\u1ea5t \uf0b7 Lu\u1eadt Vi\u00ean ch\u1ee9c s\u1ed1 58\/2010\/QH12 ng\u00e0y 15\/11\/2010. v\u00e0 \u00fd ngh\u0129a \uf0b7 B\u1ea3o \u0111\u1ea3m ch\u00ednh s\u00e1ch ti\u1ec1n l\u01b0\u01a1ng v\u00e0 thu nh\u1eadp h\u1ee3p ph\u00e1p c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf l\u00e0 m\u1ed9t \u0111i\u1ec1u ki\u1ec7n quan tr\u1ecdng, ti\u00ean quy\u1ebft cho ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. C\u00f3 nh\u00e2n vi\u00ean \u0111ang l\u00e0m vi\u1ec7c t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u00e3 h\u1ebft giai \u0111o\u1ea1n th\u1eed vi\u1ec7c t\u1eeb 3 th\u00e1ng tr\u1edf l\u00ean nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c k\u00fd h\u1ee3p \u0111\u1ed3ng lao \u0111\u1ed9ng. 2. C\u00f3 nh\u00e2n vi\u00ean \u0111ang l\u00e0m vi\u1ec7c t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c tr\u1ea3 d\u01b0\u1edbi m\u1ee9c l\u01b0\u01a1ng t\u1ed1i thi\u1ec3u. M\u1ee9c 2 3. To\u00e0n b\u1ed9 nh\u00e2n vi\u00ean y t\u1ebf l\u00e0m vi\u1ec7c t\u1eeb 3 th\u00e1ng tr\u1edf l\u00ean \u0111\u1ec1u \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u01b0\u01a1ng v\u00e0 c\u00e1c thu nh\u1eadp h\u1ee3p ph\u00e1p kh\u00e1c do b\u1ec7nh vi\u1ec7n chi tr\u1ea3. 4. To\u00e0n b\u1ed9 nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c \u0111\u00f3ng b\u1ea3o hi\u1ec3m x\u00e3 h\u1ed9i. 5. To\u00e0n b\u1ed9 nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c b\u1ea3o \u0111\u1ea3m tr\u1ea3 l\u01b0\u01a1ng. M\u1ee9c 3 6. Nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o v\u1ec1 t\u00ednh ch\u1ea5t c\u00f4ng vi\u1ec7c, lo\u1ea1i h\u00ecnh h\u1ee3p \u0111\u1ed3ng (ng\u1eafn h\u1ea1n d\u00e0i h\u1ea1n ho\u1eb7c vi\u00ean ch\u1ee9c), th\u1eddi gian l\u00e0m vi\u1ec7c v\u00e0 m\u1ee9c l\u01b0\u01a1ng, ph\u1ee5 c\u1ea5p \u0111\u01b0\u1ee3c h\u01b0\u1edfng. a. \u0110\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n Nh\u00e0 n\u01b0\u1edbc: c\u00f3 x\u00e2y d\u1ef1ng quy ch\u1ebf chi ti\u00eau n\u1ed9i b\u1ed9 v\u00e0 \u0111\u01b0\u1ee3c l\u1ea5y \u00fd ki\u1ebfn r\u1ed9ng r\u00e3i t\u1ea1i h\u1ed9i ngh\u1ecb c\u00e1n b\u1ed9 vi\u00ean ch\u1ee9c. b. \u0110\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n t\u01b0 nh\u00e2n: ng\u01b0\u1eddi lao \u0111\u1ed9ng \u0111\u01b0\u1ee3c \u0111\u00e0m ph\u00e1n v\u00e0 th\u1ecfa thu\u1eadn v\u1ec1 m\u1ee9c l\u01b0\u01a1ng, ph\u1ee5 c\u1ea5p. 7. To\u00e0n b\u1ed9 nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c b\u1ea3o \u0111\u1ea3m tr\u1ea3 l\u01b0\u01a1ng theo \u0111\u00fang h\u1ea1n v\u00e0 \u0111\u1ea7y \u0111\u1ee7 s\u1ed1 ti\u1ec1n theo nh\u01b0 quy \u0111\u1ecbnh (\u00e1p d\u1ee5ng v\u1edbi b\u1ec7nh vi\u1ec7n Nh\u00e0 n\u01b0\u1edbc) v\u00e0 nh\u01b0 h\u1ee3p \u0111\u1ed3ng \u0111\u00e3 k\u00fd (\u00e1p d\u1ee5ng v\u1edbi b\u1ec7nh vi\u1ec7n t\u01b0 nh\u00e2n). 8. To\u00e0n b\u1ed9 nh\u00e2n vi\u00ean y t\u1ebf trong ch\u1ec9 ti\u00eau \u0111\u01b0\u1ee3c b\u1ea3o \u0111\u1ea3m t\u0103ng l\u01b0\u01a1ng theo \u0111\u00fang quy \u0111\u1ecbnh. 9. C\u00f3 ti\u00eau ch\u00ed c\u1ee5 th\u1ec3 x\u00e9t n\u00e2ng l\u01b0\u01a1ng tr\u01b0\u1edbc th\u1eddi h\u1ea1n (\u00e1p d\u1ee5ng v\u1edbi b\u1ec7nh vi\u1ec7n Nh\u00e0 n\u01b0\u1edbc) ho\u1eb7c t\u0103ng th\u1eddi gian, gi\u00e1 tr\u1ecb h\u1ee3p \u0111\u1ed3ng lao \u0111\u1ed9ng (\u00e1p d\u1ee5ng v\u1edbi b\u1ec7nh vi\u1ec7n t\u01b0 nh\u00e2n) cho nh\u1eefng c\u00e1 nh\u00e2n ti\u00eau bi\u1ec3u, c\u00f3 nhi\u1ec1u th\u00e0nh t\u00edch v\u00e0 c\u1ed1ng hi\u1ebfn. 10. Nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c h\u01b0\u1edfng c\u00e1c kho\u1ea3n ph\u1ee5 c\u1ea5p v\u00e0 ngu\u1ed3n thu nh\u1eadp t\u0103ng th\u00eam h\u1ee3p ph\u00e1p theo \u0111\u00fang quy ch\u1ebf chi ti\u00eau n\u1ed9i b\u1ed9 (\u00e1p d\u1ee5ng v\u1edbi b\u1ec7nh vi\u1ec7n Nh\u00e0 n\u01b0\u1edbc) v\u00e0 nh\u01b0 h\u1ee3p \u0111\u1ed3ng \u0111\u00e3 k\u00fd (\u00e1p d\u1ee5ng v\u1edbi b\u1ec7nh vi\u1ec7n t\u01b0 nh\u00e2n). M\u1ee9c 4 11. Th\u1ef1c hi\u1ec7n n\u00e2ng l\u01b0\u01a1ng tr\u01b0\u1edbc th\u1eddi h\u1ea1n (\u00e1p d\u1ee5ng v\u1edbi b\u1ec7nh vi\u1ec7n Nh\u00e0 n\u01b0\u1edbc) ho\u1eb7c t\u0103ng th\u1eddi gian, gi\u00e1 tr\u1ecb h\u1ee3p \u0111\u1ed3ng lao \u0111\u1ed9ng (\u00e1p d\u1ee5ng v\u1edbi b\u1ec7nh vi\u1ec7n t\u01b0 nh\u00e2n) cho nh\u1eefng c\u00e1 nh\u00e2n ti\u00eau bi\u1ec3u, c\u00f3 nhi\u1ec1u th\u00e0nh t\u00edch v\u00e0 c\u1ed1ng hi\u1ebfn. 12. \u00c1p d\u1ee5ng th\u00ed \u0111i\u1ec3m h\u00ecnh th\u1ee9c \u201cchi tr\u1ea3 d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 c\u00f4ng vi\u1ec7c\u201d*: a. \u0110\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n Nh\u00e0 n\u01b0\u1edbc: th\u00ed \u0111i\u1ec3m chi tr\u1ea3 ngu\u1ed3n thu nh\u1eadp t\u0103ng th\u00eam d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 c\u00f4ng vi\u1ec7c \u0111\u1ed1i v\u1edbi \u00edt nh\u1ea5t m\u1ed9t ch\u1ee9c danh ngh\u1ec1 nghi\u1ec7p (b\u00e1c s\u1ef9, d\u01b0\u1ee3c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng, k\u1ef9 thu\u1eadt vi\u00ean y, qu\u1ea3n l\u00fd) ho\u1eb7c th\u00ed \u0111i\u1ec3m t\u1ea1i \u00edt nh\u1ea5t m\u1ed9t khoa l\u00e2m s\u00e0ng v\u00e0 m\u1ed9t khoa c\u1eadn l\u00e2m s\u00e0ng. b. \u0110\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n t\u01b0 nh\u00e2n: th\u00ed \u0111i\u1ec3m chi tr\u1ea3 l\u01b0\u01a1ng d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 c\u00f4ng vi\u1ec7c 53","\u0111\u1ed1i v\u1edbi \u00edt nh\u1ea5t m\u1ed9t ch\u1ee9c danh ngh\u1ec1 nghi\u1ec7p (b\u00e1c s\u1ef9, d\u01b0\u1ee3c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng, k\u1ef9 thu\u1eadt vi\u00ean y, qu\u1ea3n l\u00fd). M\u1ee9c 5 13. \u00c1p d\u1ee5ng h\u00ecnh th\u1ee9c \u201cchi tr\u1ea3 d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 c\u00f4ng vi\u1ec7c\u201d: a. \u0110\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n Nh\u00e0 n\u01b0\u1edbc: chi tr\u1ea3 ngu\u1ed3n thu nh\u1eadp t\u0103ng th\u00eam d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 c\u00f4ng vi\u1ec7c cho to\u00e0n b\u1ed9 c\u00e1c ch\u1ee9c danh ngh\u1ec1 nghi\u1ec7p. b. \u0110\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n t\u01b0 nh\u00e2n: chi tr\u1ea3 l\u01b0\u01a1ng d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 c\u00f4ng vi\u1ec7c cho to\u00e0n b\u1ed9 c\u00e1c ch\u1ee9c danh ngh\u1ec1 nghi\u1ec7p. 14. C\u00f3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 vi\u1ec7c tri\u1ec3n khai \u00e1p d\u1ee5ng h\u00ecnh th\u1ee9c \u201cchi tr\u1ea3 d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 c\u00f4ng vi\u1ec7c\u201d. 15. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn h\u00ecnh th\u1ee9c tr\u1ea3 l\u01b0\u01a1ng, thu nh\u1eadp t\u0103ng th\u00eam cho nh\u00e2n vi\u00ean y t\u1ebf, g\u00f3p ph\u1ea7n n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 y t\u1ebf. \uf0b7 \u201cChi tr\u1ea3 d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 c\u00f4ng vi\u1ec7c\u201d (Pay for performance in healthcare \u2013 P4P) l\u00e0 m\u1ed9t h\u00ecnh th\u1ee9c khuy\u1ebfn kh\u00edch v\u1ec1 m\u1eb7t t\u00e0i ch\u00ednh nh\u1eb1m n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh. K\u1ebft qu\u1ea3 c\u00f4ng vi\u1ec7c \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 d\u1ef1a tr\u00ean vi\u1ec7c \u0111o l\u01b0\u1eddng c\u00e1c ch\u1ec9 s\u1ed1 qu\u00e1 tr\u00ecnh v\u00e0 k\u1ebft qu\u1ea3 \u0111\u1ea7u ra c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf, v\u00ed d\u1ee5 nh\u01b0 s\u1ed1 ca m\u1ed5 th\u1ef1c hi\u1ec7n trong tu\u1ea7n, ty\u0309 l\u1ec7 ca m\u1ed5 kh\u00f4ng b\u1ecb nhi\u1ec5m khu\u1ea9n, ty\u0309 l\u1ec7 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 b\u1ecb lo\u00e9t do t\u1ef3 \u0111\u00e8\u2026 \uf0b7 T\u1ea1i V\u01b0\u01a1ng qu\u1ed1c Anh, P4P \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng t\u1eeb n\u0103m 2004. C\u00e1c b\u00e1c s\u1ef9 \u0111a khoa th\u1ef1c h\u00e0nh \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 c\u00f4ng vi\u1ec7c d\u1ef1a tr\u00ean 146 ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 Ghi ch\u00fa k\u1ebft qu\u1ea3 ch\u1ea5t l\u01b0\u1ee3ng c\u00f3 s\u1ef1 c\u1ea3i ti\u1ebfn r\u00f5 r\u1ec7t, thu nh\u1eadp b\u00e1c s\u1ef9 t\u0103ng l\u00ean. \uf0b7 T\u1ea1i M\u1ef9, P4P \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng t\u1eeb nh\u1eefng n\u0103m 1990 v\u00e0 r\u1ed9ng r\u00e3i t\u1eeb n\u0103m 2000 t\u1ea1i nhi\u1ec1u bang v\u00e0 c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh b\u1ea3o hi\u1ec3m y t\u1ebf li\u00ean bang, t\u01b0 nh\u00e2n. \uf0b7 K\u1ebft qu\u1ea3 c\u1ee7a nhi\u1ec1u nghi\u00ean c\u1ee9u tr\u00ean th\u1ebf gi\u1edbi \u0111\u00e3 so s\u00e1nh v\u00e0 ch\u1ec9 ra nh\u1eefng b\u1ec7nh vi\u1ec7n \u00e1p d\u1ee5ng h\u00ecnh th\u1ee9c khuy\u1ebfn kh\u00edch v\u1ec1 m\u1eb7t t\u00e0i ch\u00ednh P4P c\u00f3 m\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 ch\u1ea5t l\u01b0\u1ee3ng t\u1ed1t h\u01a1n c\u00e1c b\u1ec7nh vi\u1ec7n c\u00f9ng lo\u1ea1i nh\u01b0ng kh\u00f4ng \u00e1p d\u1ee5ng P4P. \uf0b7 Vi\u1ec7c \u00e1p d\u1ee5ng P4P trong b\u1ec7nh vi\u1ec7n c\u0169ng nh\u01b0 c\u00e1c ng\u00e0nh c\u00f4ng nghi\u1ec7p kh\u00e1c \u0111\u00e3 \u0111em l\u1ea1i nhi\u1ec1u m\u1eb7t t\u00edch c\u1ef1c, gi\u00fap n\u00e2ng cao hi\u1ec7u qu\u1ea3 th\u1ef1c hi\u1ec7n c\u00f4ng vi\u1ec7c v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5. 54","B3.2 Ba\u0309o \u0111a\u0309m \u0111i\u1ec1u ki\u1ec7n l\u00e0m vi\u1ec7c v\u00e0 v\u1ec7 sinh lao \u0111\u1ed9ng cho nh\u00e2n vi\u00ean y t\u00ea\u0301 C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 B\u1ea3o \u0111\u1ea3m c\u00e1c \u0111i\u1ec1u ki\u1ec7n l\u00e0m vi\u1ec7c chuy\u00ean m\u00f4n v\u00e0 v\u1ec7 sinh lao \u0111\u1ed9ng gi\u00fap cho nh\u00e2n v\u00e0 \u00fd vi\u00ean y t\u1ebf c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c \u0111\u1ea7y \u0111\u1ee7, an to\u00e0n c\u00e1c nhi\u1ec7m v\u1ee5 chuy\u00ean m\u00f4n, gi\u00fap ngh\u0129a cung c\u1ea5p c\u00e1c d\u1ecbch v\u1ee5 y t\u1ebf cho ch\u1ea5t l\u01b0\u1ee3ng cho ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1ed3ng th\u1eddi \u0111em l\u1ea1i s\u1ef1 M\u1ee9c 1 h\u00e0i l\u00f2ng cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf. M\u1ee9c 2 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 3 1. C\u00f3 nh\u00e2n vi\u00ean y t\u1ebf kh\u00f4ng \u0111\u01b0\u1ee3c trang b\u1ecb trang ph\u1ee5c v\u00e0 ph\u01b0\u01a1ng ti\u1ec7n l\u00e0m vi\u1ec7c (ho\u1eb7c h\u1ecfng kh\u00f4ng s\u1eed d\u1ee5ng \u0111\u01b0\u1ee3c). M\u1ee9c 4 2. Ph\u00f2ng l\u00e0m vi\u1ec7c kh\u00f4ng b\u1ea3o \u0111\u1ea3m \u0111i\u1ec1u ki\u1ec7n v\u1ec1 c\u01a1 s\u1edf v\u1eadt ch\u1ea5t nh\u01b0 nh\u00e0 d\u1ed9t n\u00e1t, b\u00e0n M\u1ee9c 5 gh\u1ebf h\u1ecfng\u2026 3. B\u1ea3o \u0111\u1ea3m \u0111i\u1ec1u ki\u1ec7n l\u00e0m vi\u1ec7c c\u01a1 s\u1edf v\u1eadt ch\u1ea5t, ph\u00f2ng \u1ed1c kh\u00f4ng d\u1ed9t, n\u00e1t; t\u01b0\u1eddng kh\u00f4ng bong tr\u00f3c; tho\u00e1ng m\u00e1t v\u1ec1 m\u00f9a h\u00e8, \u1ea5m v\u1ec1 m\u00f9a \u0111\u00f4ng. 4. B\u1ea3o \u0111\u1ea3m \u0111i\u1ec1u ki\u1ec7n v\u1ec1 trang thi\u1ebft b\u1ecb v\u0103n ph\u00f2ng, b\u00e0n gh\u1ebf l\u00e0m vi\u1ec7c \u0111\u1ea7y \u0111\u1ee7. 5. C\u00f3 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c trang thi\u1ebft b\u1ecb y t\u1ebf c\u01a1 b\u1ea3n c\u1ea7n thi\u1ebft ph\u1ee5c v\u1ee5 c\u00f4ng t\u00e1c chuy\u00ean m\u00f4n, trang thi\u1ebft b\u1ecb kh\u00f4ng b\u1ea3o \u0111\u1ea3m c\u00e1c y\u00eau c\u1ea7u chuy\u00ean m\u00f4n \u0111\u01b0\u1ee3c thay th\u1ebf k\u1ecbp th\u1eddi. 6. Nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n b\u1ea3o h\u1ed9 mang t\u00ednh li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn an to\u00e0n nh\u01b0 kh\u1ea9u trang, g\u0103ng tay, trang ph\u1ee5c b\u1ea3o h\u1ed9 d\u00f9ng 1 l\u1ea7n d\u00f9ng trong ph\u00f2ng m\u1ed5 ho\u1eb7c c\u00e1c d\u1ecbch b\u1ec7nh truy\u1ec1n nhi\u1ec5m. 7. Cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 trang ph\u1ee5c cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng l\u00e3nh \u0111\u1ea1o, b\u00e1c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng, k\u1ef9 thu\u1eadt vi\u00ean, nh\u00e2n vi\u00ean h\u00e0nh ch\u00ednh, th\u1ef1c t\u1eadp, y c\u00f4ng thu\u1ed9c nh\u00e2n vi\u00ean h\u1ee3p \u0111\u1ed3ng t\u1ea1i b\u1ec7nh vi\u1ec7n. 8. Nh\u00e2n vi\u00ean y t\u1ebf kh\u00f4ng b\u1ecb h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n b\u1ea3o h\u1ed9 mang t\u00ednh li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn an to\u00e0n nh\u01b0 kh\u1ea9u trang, g\u0103ng tay, trang ph\u1ee5c b\u1ea3o h\u1ed9 d\u00f9ng 1 l\u1ea7n... 9. Nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt th\u00f4ng tin m\u1edbi ho\u1eb7c t\u1eadp hu\u1ea5n v\u1ec1 v\u1ec7 sinh an to\u00e0n lao \u0111\u1ed9ng, l\u01b0u \u00fd ph\u00f2ng tr\u00e1nh c\u00e1c t\u00ecnh hu\u1ed1ng, v\u1ea5n \u0111\u1ec1 m\u1edbi ph\u00e1t sinh nh\u01b0 c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m nguy hi\u1ec3m\u2026 10. S\u1eb5n c\u00f3 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n, thu\u1ed1c, h\u00f3a ch\u1ea5t\u2026 \u0111\u1ec3 s\u01a1 c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi nh\u00e2n vi\u00ean y t\u1ebf trong tr\u01b0\u1eddng h\u1ee3p b\u1ecb ph\u01a1i nhi\u1ec5m ngh\u1ec1 nghi\u1ec7p (v\u00ed d\u1ee5 c\u00f3 v\u00f2i n\u01b0\u1edbc r\u1eeda h\u00f3a ch\u1ea5t b\u1eafn v\u00e0o m\u1eaft; s\u1eb5n c\u00f3 thu\u1ed1c, d\u1ecbch truy\u1ec1n s\u01a1 c\u1ee9u ph\u01a1i nhi\u1ec5m HIV\u2026) 11. Trang ph\u1ee5c cho c\u00e1c ch\u1ee9c danh ngh\u1ec1 nghi\u1ec7p kh\u00e1c nhau v\u1ec1 ki\u1ec3u d\u00e1ng, k\u00fd hi\u1ec7u ho\u1eb7c m\u00e0u s\u1eafc \u0111\u1ec3 c\u00f3 th\u1ec3 ph\u00e2n bi\u1ec7t r\u00f5 r\u00e0ng gi\u1eefa c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng. 12. B\u1ec7nh vi\u1ec7n l\u1eadp h\u1ed3 s\u01a1 v\u1ec7 sinh lao \u0111\u1ed9ng, \u0111o ki\u1ec3m tra m\u00f4i tr\u01b0\u1eddng lao \u0111\u1ed9ng \u0111\u1ecbnh k\u1ef3 (theo quy \u0111\u1ecbnh c\u1ee7a b\u1ec7nh vi\u1ec7n). 13. C\u00f3 ti\u1ebfn h\u00e0nh kh\u1ea3o s\u00e1t s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf v\u1edbi \u0111i\u1ec1u ki\u1ec7n l\u00e0m vi\u1ec7c, v\u1ec7 sinh lao \u0111\u1ed9ng\u2026 B\u1ed9 c\u00e2u h\u1ecfi kh\u1ea3o s\u00e1t s\u1ef1 h\u00e0i l\u00f2ng nh\u00e2n vi\u00ean y t\u1ebf d\u1ef1a tr\u00ean b\u1ed9 c\u00e2u h\u1ecfi do B\u1ed9 Y t\u1ebf, S\u1edf Y t\u1ebf ban h\u00e0nh ho\u1eb7c b\u1ec7nh vi\u1ec7n t\u1ef1 x\u00e2y d\u1ef1ng. 14. C\u00f3 b\u1ea3n b\u00e1o c\u00e1o kh\u1ea3o s\u00e1t s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf. 15. K\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nh\u1eefng v\u1ea5n \u0111\u1ec1 nh\u00e2n vi\u00ean y t\u1ebf ch\u01b0a h\u00e0i l\u00f2ng. 16. Ti\u1ebfn h\u00e0nh can thi\u1ec7p c\u1ea3i thi\u1ec7n \u0111i\u1ec1u ki\u1ec7n l\u00e0m vi\u1ec7c, v\u1ec7 sinh lao \u0111\u1ed9ng cho nh\u00e2n vi\u00ean y t\u1ebf d\u1ef1a tr\u00ean c\u00e1c k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t. 17. B\u1ec7nh vi\u1ec7n t\u1ed5 ch\u1ee9c v\u00e0 h\u1ed7 tr\u1ee3 m\u1ed9t ph\u1ea7n cho nh\u00e2n vi\u00ean y t\u1ebf mua b\u1ea3o hi\u1ec3m tr\u00e1ch nhi\u1ec7m ngh\u1ec1 nghi\u1ec7p. 55","B3.3 S\u1ee9c kh\u1ecfe, \u0111\u1eddi s\u1ed1ng tinh th\u1ea7n c\u1ee7a nh\u00e2n vi\u00ean y t\u00ea\u0301 \u0111\u01b0\u1ee3c quan t\u00e2m v\u00e0 ca\u0309i thi\u1ec7n C\u0103n c\u1ee9 \uf0b7 Nh\u00e2n vi\u00ean y t\u1ebf l\u00e0 nh\u1eefng ng\u01b0\u1eddi c\u00f3 nhi\u1ec7m v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1ec1 xu\u1ea5t ng\u01b0\u1eddi d\u00e2n. Tuy nhi\u00ean s\u1ee9c kh\u1ecfe c\u1ee7a \u0111\u1ed9i ng\u0169 nh\u00e2n vi\u00ean y t\u1ebf b\u1ecb \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u v\u00e0 \u00fd b\u1edfi c\u00e1c nguy c\u01a1, ph\u01a1i nhi\u1ec5m, c\u00e1c c\u0103ng th\u1eb3ng v\u00e0 \u00e1p l\u1ef1c c\u1ee7a c\u00f4ng vi\u1ec7c. ngh\u0129a C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. B\u1ec7nh vi\u1ec7n kh\u00f4ng ti\u1ebfn h\u00e0nh kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 cho nh\u00e2n vi\u00ean y t\u1ebf trong n\u0103m cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 nguy c\u01a1 cao nh\u01b0 c\u00e1c chuy\u00ean khoa c\u00f3 ph\u01a1i nhi\u1ec5m b\u1ec7nh l\u00e2y truy\u1ec1n, h\u00f3a ch\u1ea5t, ph\u00f3ng x\u1ea1\u2026. M\u1ee9c 2 2. C\u00f3 ti\u1ebfn h\u00e0nh kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 h\u00e0ng n\u0103m cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 nguy c\u01a1 cao nh\u01b0 c\u00e1c chuy\u00ean khoa c\u00f3 ph\u01a1i nhi\u1ec5m b\u1ec7nh l\u00e2y truy\u1ec1n, h\u00f3a ch\u1ea5t, ph\u00f3ng x\u1ea1\u2026. 3. Nh\u00e2n vi\u00ean y t\u1ebf l\u00e0m vi\u1ec7c t\u1ea1i m\u00f4i tr\u01b0\u1eddng c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y b\u1ec7nh ngh\u1ec1 nghi\u1ec7p nh\u01b0 lao, HIV\/AIDS, vi\u00eam gan B\u2026 \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng tr\u01b0\u1edbc khi b\u1ed1 tr\u00ed c\u00f4ng vi\u1ec7c \u0111\u1ec3 theo d\u00f5i t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe v\u00e0 ph\u01a1i nhi\u1ec5m ngh\u1ec1 nghi\u1ec7p. M\u1ee9c 3 4. C\u00f3 t\u1ed5 ch\u1ee9c kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 h\u00e0ng n\u0103m cho to\u00e0n b\u1ed9 nh\u00e2n vi\u00ean b\u1ec7nh vi\u1ec7n v\u00e0 kh\u00e1m b\u1ec7nh ngh\u1ec1 nghi\u1ec7p cho c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf. 5. C\u00f3 l\u1eadp h\u1ed3 s\u01a1 qu\u1ea3n l\u00fd s\u1ee9c kh\u1ecfe cho nh\u00e2n vi\u00ean y t\u1ebf. 6. B\u1ea3o \u0111\u1ea3m ch\u1ebf \u0111\u1ed9 ngh\u1ec9 d\u01b0\u1ee1ng\/ngh\u1ec9 ph\u00e9p cho nh\u00e2n vi\u00ean theo \u0111\u00fang quy \u0111\u1ecbnh. 7. C\u00f3 c\u00e1c h\u00ecnh th\u1ee9c \u0111\u1ed9ng vi\u00ean tinh th\u1ea7n nh\u00e2n vi\u00ean y t\u1ebf nh\u01b0 t\u1ed5 ch\u1ee9c tham quan, ngh\u1ec9 d\u01b0\u1ee1ng, vui ch\u01a1i t\u1eadp th\u1ec3 cho nh\u00e2n vi\u00ean th\u01b0\u1eddng xuy\u00ean h\u00e0ng n\u0103m v\u00e0 huy \u0111\u1ed9ng \u0111\u01b0\u1ee3c \u0111a s\u1ed1 nh\u00e2n vi\u00ean tham gia. M\u1ee9c 4 8. Qu\u1ea3n l\u00fd v\u00e0 theo d\u00f5i h\u1ed3 s\u01a1 s\u1ee9c kh\u1ecfe c\u1ee7a to\u00e0n b\u1ed9 nh\u00e2n vi\u00ean b\u1ec7nh vi\u1ec7n theo th\u1eddi gian. 9. H\u1ed3 s\u01a1 s\u1ee9c kh\u1ecfe c\u1ee7a to\u00e0n b\u1ed9 nh\u00e2n vi\u00ean b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c nh\u1eadp v\u00e0 qu\u1ea3n l\u00fd b\u1eb1ng ph\u1ea7n m\u1ec1m m\u00e1y t\u00ednh. 10. C\u00f3 c\u00e1c h\u00ecnh th\u1ee9c, ph\u01b0\u01a1ng ti\u1ec7n n\u00e2ng cao s\u1ee9c kh\u1ecfe th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n cho nh\u00e2n vi\u00ean y t\u1ebf nh\u01b0 s\u00e2n t\u1eadp v\u00e0 d\u1ee5ng c\u1ee5 th\u1ec3 thao ho\u1eb7c khu th\u1ec3 thao. 11. X\u00e2y d\u1ef1ng c\u00e1c ho\u1ea1t \u0111\u1ed9ng ho\u1eb7c phong tr\u00e0o th\u1ec3 thao v\u00e0 v\u0103n h\u00f3a v\u0103n ngh\u1ec7, gi\u1ea3i tr\u00ed, \u0111\u1ed9ng vi\u00ean, kh\u00edch l\u1ec7 tinh th\u1ea7n cho nh\u00e2n vi\u00ean y t\u1ebf, ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng xuy\u00ean. M\u1ee9c 5 12. C\u00f3 b\u00e1o c\u00e1o v\u1ec1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe nh\u00e2n vi\u00ean y t\u1ebf c\u1ee7a b\u1ec7nh vi\u1ec7n h\u00e0ng n\u0103m. 13. Ph\u1ea7n m\u1ec1m qu\u1ea3n l\u00fd h\u1ed3 s\u01a1 s\u1ee9c kh\u1ecfe c\u1ee7a nh\u00e2n vi\u00ean c\u00f3 chi\u1ebft xu\u1ea5t ra \u0111\u01b0\u1ee3c c\u00e1c bi\u1ec3u \u0111\u1ed3, di\u1ec5n bi\u1ebfn t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe, c\u01a1 c\u1ea5u b\u1ec7nh t\u1eadt c\u1ee7a nh\u00e2n vi\u00ean. 14. K\u1ebft qu\u1ea3 ph\u00e2n t\u00edch c\u00f3 \u0111\u01b0a ra \u0111\u01b0\u1ee3c c\u00e1c c\u1ea3nh b\u00e1o nguy c\u01a1 b\u1ec7nh t\u1eadt cho c\u00e1c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng nh\u00e2n vi\u00ean y t\u1ebf. 15. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 ph\u00e2n t\u00edch v\u00e0o can thi\u1ec7p n\u00e2ng cao t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe cho nh\u00e2n vi\u00ean y t\u1ebf c\u1ee7a b\u1ec7nh vi\u1ec7n. 56","B3.4 T\u1ea1o d\u1ef1ng m\u00f4i tr\u01b0\u1eddng l\u00e0m vi\u1ec7c t\u00edch c\u1ef1c v\u00e0 n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 M\u00f4i tr\u01b0\u1eddng l\u00e0m vi\u1ec7c t\u00edch c\u1ef1c, th\u00e2n thi\u1ec7n c\u00f3 \u00fd ngh\u0129a gi\u00fap cho nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 v\u00e0 \u00fd th\u1ec3 y\u00ean t\u00e2m, tho\u1ea3i m\u00e1i ph\u00e1t huy, c\u1ed1ng hi\u1ebfn h\u1ebft kh\u1ea3 n\u0103ng, s\u1ee9c l\u1ef1c c\u1ee7a m\u00ecnh cho ngh\u0129a b\u1ec7nh vi\u1ec7n v\u00e0 ng\u01b0\u1eddi b\u1ec7nh. M\u1ee9c 1 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 2 1. C\u00f3 \u0111\u01a1n th\u01b0 khi\u1ebfu n\u1ea1i, t\u1ed1 c\u00e1o c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf g\u1eedi c\u00e1c c\u01a1 quan qu\u1ea3n l\u00fd v\u1ec1 c\u00e1c M\u1ee9c 3 hi\u1ec7n t\u01b0\u1ee3ng m\u1ea5t d\u00e2n ch\u1ee7, m\u1ea5t \u0111o\u00e0n k\u1ebft, ti\u00eau c\u1ef1c\u2026 v\u00e0 sau khi thanh tra, x\u00e1c minh l\u00e0 \u0111\u00fang s\u1ef1 th\u1eadt. M\u1ee9c 4 2. B\u1ec7nh vi\u1ec7n \u0111\u00e3 x\u00e2y d\u1ef1ng quy ch\u1ebf d\u00e2n ch\u1ee7 c\u01a1 s\u1edf (ho\u1eb7c quy \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u01b0\u01a1ng b\u1ea3o M\u1ee9c 5 \u0111\u1ea3m quy\u1ec1n l\u1ee3i ng\u01b0\u1eddi lao \u0111\u1ed9ng v\u00e0 quy tr\u00ecnh gi\u1ea3i quy\u1ebft khi\u1ebfu n\u1ea1i, t\u1ed1 c\u00e1o n\u1ed9i b\u1ed9 \u0111\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n t\u01b0 nh\u00e2n). 3. Quy ch\u1ebf d\u00e2n ch\u1ee7 c\u01a1 s\u1edf \u0111\u01b0\u1ee3c l\u1ea5y \u00fd ki\u1ebfn r\u1ed9ng r\u00e3i t\u1ea1i h\u1ed9i ngh\u1ecb c\u00e1n b\u1ed9 vi\u00ean ch\u1ee9c\/ng\u01b0\u1eddi lao \u0111\u1ed9ng\/nh\u00e2n vi\u00ean y t\u1ebf. 4. C\u00e1c nh\u00e2n vi\u00ean y t\u1ebf l\u00e0m c\u00f4ng t\u00e1c chuy\u00ean m\u00f4n \u0111\u01b0\u1ee3c tham gia sinh ho\u1ea1t khoa h\u1ecdc \u0111\u1ecbnh k\u1ef3 \u00edt nh\u1ea5t 3 th\u00e1ng\/1 l\u1ea7n. 5. C\u00f3 m\u1eddi chuy\u00ean gia v\u00e0 nh\u00e2n vi\u00ean tr\u1ebb (trong v\u00e0 ngo\u00e0i b\u1ec7nh vi\u1ec7n) b\u00e1o c\u00e1o, tr\u00ecnh b\u00e0y chia s\u1ebb kinh nghi\u1ec7m trong c\u00e1c sinh ho\u1ea1t khoa h\u1ecdc \u0111\u1ecbnh k\u1ef3. 6. X\u00e2y d\u1ef1ng m\u00f4i tr\u01b0\u1eddng h\u1ecdc t\u1eadp t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho nh\u00e2n vi\u00ean c\u1eadp nh\u1eadt ki\u1ebfn th\u1ee9c, n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 nh\u01b0 truy c\u1eadp m\u1ea1ng internet, ti\u1ebfp c\u1eadn tra c\u1ee9u th\u00f4ng tin y h\u1ecdc, th\u01b0 vi\u1ec7n, ph\u00f2ng \u0111\u1ecdc\u2026 7. C\u00f3 c\u00e1c quy \u0111\u1ecbnh v\u00e0 tri\u1ec3n khai c\u00e1c h\u00ecnh th\u1ee9c thi \u0111ua, khen th\u01b0\u1edfng, \u0111\u1ed9ng vi\u00ean, khuy\u1ebfn kh\u00edch c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf th\u1ef1c hi\u1ec7n t\u1ed1t c\u00f4ng vi\u1ec7c\/\u0111\u1ea1t ch\u1ea5t l\u01b0\u1ee3ng cao; kh\u00f4ng ph\u00e2n bi\u1ec7t v\u1ecb tr\u00ed c\u00f4ng t\u00e1c. 8. H\u00ecnh th\u1ee9c \u0111\u1ed9ng vi\u00ean, khuy\u1ebfn kh\u00edch nh\u00e2n vi\u00ean y t\u1ebf \u0111a d\u1ea1ng (b\u1eb1ng ti\u1ec1n, hi\u1ec7n v\u1eadt, danh hi\u1ec7u, c\u01a1 h\u1ed9i \u0111i h\u1ecdc, b\u1ed5 nhi\u1ec7m\u2026). 9. C\u00f3 x\u00e2y d\u1ef1ng c\u00e1c ti\u00eau ch\u00ed c\u1ee5 th\u1ec3 v\u1ec1 t\u0103ng l\u01b0\u01a1ng, khen th\u01b0\u1edfng, b\u1ed5 nhi\u1ec7m, k\u1ef7 lu\u1eadt\u2026 nh\u00e2n vi\u00ean v\u00e0 c\u00f4ng b\u1ed1 c\u00f4ng khai cho to\u00e0n th\u1ec3 nh\u00e2n vi\u00ean \u0111\u01b0\u1ee3c bi\u1ebft. 10. B\u1ec7nh vi\u1ec7n th\u1ef1c hi\u1ec7n b\u1ed5 nhi\u1ec7m cho nh\u00e2n vi\u00ean y t\u1ebf theo \u0111\u00fang quy tr\u00ecnh v\u00e0 d\u1ef1a tr\u00ean c\u00e1c ti\u00eau ch\u00ed c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 ban h\u00e0nh. 11. C\u00f3 ph\u00f2ng th\u01b0 vi\u1ec7n l\u01b0u tr\u1eef c\u00e1c s\u00e1ch\/t\u1ea1p ch\u00ed y h\u1ecdc, v\u0103n b\u1ea3n, th\u01b0 vi\u1ec7n \u0111i\u1ec7n t\u1eed\u2026 v\u00e0 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho nh\u00e2n vi\u00ean y t\u1ebf ti\u1ebfp c\u1eadn th\u01b0\u1eddng xuy\u00ean. 12. Kh\u1ea3o s\u00e1t ng\u1eabu nhi\u00ean tr\u00ean 7 ng\u01b0\u1eddi c\u00f3 \u00edt nh\u1ea5t 5 ng\u01b0\u1eddi cho bi\u1ebft nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c l\u00e0m vi\u1ec7c trong m\u00f4i tr\u01b0\u1eddng th\u00e2n thi\u1ec7n. 13. Kh\u1ea3o s\u00e1t ng\u1eabu nhi\u00ean tr\u00ean 7 ng\u01b0\u1eddi c\u00f3 \u00edt nh\u1ea5t 5 ng\u01b0\u1eddi cho bi\u1ebft nh\u00e2n vi\u00ean \u0111\u01b0\u1ee3c l\u00e3nh \u0111\u1ea1o tr\u1ef1c ti\u1ebfp quan t\u00e2m, t\u00f4n tr\u1ecdng v\u00e0 \u0111\u1ed1i x\u1eed b\u00ecnh \u0111\u1eb3ng. 14. C\u00f3 ti\u1ebfn h\u00e0nh kh\u1ea3o s\u00e1t s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf v\u1ec1 m\u00f4i tr\u01b0\u1eddng l\u00e0m vi\u1ec7c. 15. Th\u1ef1c hi\u1ec7n khen th\u01b0\u1edfng, b\u1ed5 nhi\u1ec7m c\u00f4ng b\u1eb1ng cho \u0111\u00fang c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng ho\u1ea1t \u0111\u1ed9ng th\u1ef1c s\u1ef1 t\u00edch c\u1ef1c, hi\u1ec7u qu\u1ea3 (kh\u00f4ng d\u1ef1a tr\u00ean ph\u00e2n b\u1ed5 ch\u1ec9 ti\u00eau khen th\u01b0\u1edfng, b\u1ed5 nhi\u1ec7m theo c\u01a1 c\u1ea5u). 16. K\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t s\u1ef1 h\u00e0i l\u00f2ng nh\u00e2n vi\u00ean y t\u1ebf ch\u1ec9 ra \u0111\u01b0\u1ee3c nh\u1eefng v\u1ea5n \u0111\u1ec1 nh\u00e2n vi\u00ean y t\u1ebf ch\u01b0a h\u00e0i l\u00f2ng v\u1ec1 m\u00f4i tr\u01b0\u1eddng l\u00e0m vi\u1ec7c. 17. X\u00e2y d\u1ef1ng c\u00e1c gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn m\u00f4i tr\u01b0\u1eddng l\u00e0m vi\u1ec7c t\u00edch c\u1ef1c v\u00e0 n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n. 18. \u00c1p d\u1ee5ng c\u00e1c k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t v\u00e0 tri\u1ec3n khai c\u00e1c gi\u1ea3i ph\u00e1p can thi\u1ec7p v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn, t\u1ea1o d\u1ef1ng m\u00f4i tr\u01b0\u1eddng l\u00e0m vi\u1ec7c t\u00edch c\u1ef1c cho nh\u00e2n vi\u00ean y t\u1ebf. 57","CH\u01af\u01a0NG B4. L\u00c3NH \u0110\u1ea0O B\u1ec6NH VI\u1ec6N B4.1 X\u00e2y d\u1ef1ng k\u00ea\u0301 ho\u1ea1ch, chi\u00ea\u0301n l\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1ec7nh vi\u1ec7n v\u00e0 c\u00f4ng b\u1ed1 c\u00f4ng khai C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 X\u00e1c \u0111\u1ecbnh chi\u1ebfn l\u01b0\u1ee3c ph\u00e1t tri\u1ec3n v\u00e0 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch l\u00e0 nh\u1eefng y\u00eau c\u1ea7u thi\u1ebft y\u1ebfu v\u00e0 \u00fd \u0111\u1ed1i v\u1edbi m\u1ed7i t\u1ed5 ch\u1ee9c. ngh\u0129a \uf0b7 M\u1ed7i b\u1ec7nh vi\u1ec7n c\u1ea7n x\u00e2y d\u1ef1ng t\u1ea7m nh\u00ecn mang t\u00ednh d\u00e0i h\u1ea1n, c\u00f3 chi\u1ebfn l\u01b0\u1ee3cph\u00e1t tri\u1ec3n M\u1ee9c 1 v\u00e0 c\u00f3 k\u1ebf ho\u1ea1ch ng\u1eafn h\u1ea1n, d\u00e0i h\u1ea1n nh\u1eb1m \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee5c ti\u00eau c\u1ee5 th\u1ec3 cho t\u1eebng giai M\u1ee9c 2 \u0111o\u1ea1n \u0111\u1ec3 duy tr\u00ec v\u00e0 ph\u00e1t tri\u1ec3n b\u1ec7nh vi\u1ec7n. M\u1ee9c 3 \uf0b7 S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh vi\u1ec7n c\u1ea7n c\u00f3 t\u00ednh li\u00ean t\u1ee5c v\u00e0 k\u1ebf th\u1eeba. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. Kh\u00f4ng c\u00f3 b\u1ea3n k\u1ebf ho\u1ea1ch ph\u00e1t tri\u1ec3n b\u1ec7nh vi\u1ec7n trong giai \u0111o\u1ea1n 5 n\u0103m. 2. \u0110\u00e3 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch ph\u00e1t tri\u1ec3n b\u1ec7nh vi\u1ec7n (trong \u0111\u00f3 c\u00f3 k\u1ebf ho\u1ea1ch ph\u00e1t tri\u1ec3n khoa, ph\u00f2ng) v\u00e0 \u0111\u01b0\u1ee3c c\u1ea5p c\u00f3 th\u1ea9m quy\u1ec1n ph\u00ea duy\u1ec7t. 3. C\u00f4ng b\u1ed1 c\u00f4ng khai b\u1ea3n k\u1ebf ho\u1ea1ch \u0111\u00e3 x\u00e2y d\u1ef1ng cho nh\u00e2n vi\u00ean y t\u1ebf. 4. Trong k\u1ebf ho\u1ea1ch ph\u00e1t tri\u1ec3n t\u1ed5ng th\u1ec3 c\u00f3 k\u1ebf ho\u1ea1ch c\u1ee5 th\u1ec3 theo t\u1eebng giai \u0111o\u1ea1n (giai \u0111o\u1ea1n ng\u1eafn h\u1ea1n 1, 2 n\u0103m, giai \u0111o\u1ea1n d\u00e0i h\u1ea1n 5 n\u0103m ho\u1eb7c tr\u00ean 5 n\u0103m). 5. Trong b\u1ea3n k\u1ebf ho\u1ea1ch ph\u00e1t tri\u1ec3n t\u1ed5ng th\u1ec3 c\u00f3 c\u00e1c ch\u1ec9 s\u1ed1 \u0111\u00edch, m\u1ed1c th\u1eddi gian \u0111\u1ea1t \u0111\u01b0\u1ee3c c\u1ee5 th\u1ec3 v\u00e0 l\u1ed9 tr\u00ecnh th\u1ef1c hi\u1ec7n. 6. Trong b\u1ea3n k\u1ebf ho\u1ea1ch ph\u00e1t tri\u1ec3n t\u1ed5ng th\u1ec3 c\u00f3 c\u00e1c gi\u1ea3i ph\u00e1p c\u1ee5 th\u1ec3 v\u00e0 ngu\u1ed3n l\u1ef1c \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee5c ti\u00eau \u0111\u1ec1 ra. 7. \u0110\u00e3 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch ho\u1ea1t \u0111\u1ed9ng chi ti\u1ebft h\u1eb1ng n\u0103m c\u0103n c\u1ee9 v\u00e0o k\u1ebf ho\u1ea1ch. 8. \u0110\u00e3 tri\u1ec3n khai th\u1ef1c hi\u1ec7n theo c\u00e1c k\u1ebf ho\u1ea1ch ng\u1eafn h\u1ea1n v\u00e0 d\u00e0i h\u1ea1n. 9. Ti\u1ebfn h\u00e0nh \u0111o l\u01b0\u1eddng c\u00e1c ch\u1ec9 s\u1ed1 trong b\u1ea3n k\u1ebf ho\u1ea1ch ph\u00e1t tri\u1ec3n. 10. C\u00f3 b\u1ea3n danh m\u1ee5c k\u1ebft qu\u1ea3 th\u1ef1c hi\u1ec7n c\u00e1c ch\u1ec9 s\u1ed1 trong b\u1ea3n k\u1ebf ho\u1ea1ch theo n\u0103m. 11. \u0110\u00e3 tri\u1ec3n khai \u0111\u1ea7y \u0111\u1ee7 c\u00e1c n\u1ed9i dung trong k\u1ebf ho\u1ea1ch ng\u1eafn h\u1ea1n v\u00e0 d\u00e0i h\u1ea1n. 12. C\u00f3 s\u01a1 k\u1ebft, \u0111\u00e1nh gi\u00e1 vi\u1ec7c tri\u1ec3n khai, th\u1ef1c hi\u1ec7n k\u1ebf ho\u1ea1ch ph\u00e1t tri\u1ec3n. 13. C\u00f3 x\u00e1c \u0111\u1ecbnh nh\u1eefng n\u1ed9i dung ch\u01b0a th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c theo \u0111\u00fang k\u1ebf ho\u1ea1ch v\u00e0 x\u00e2y d\u1ef1ng gi\u1ea3i ph\u00e1p kh\u1eafc ph\u1ee5c. 14. C\u00f3 x\u00e1c \u0111\u1ecbnh nh\u1eefng n\u1ed9i dung kh\u00f4ng kh\u1ea3 thi v\u00e0 \u0111\u1ec1 xu\u1ea5t \u0111i\u1ec1u ch\u1ec9nh k\u1ebf ho\u1ea1ch. 15. Tri\u1ec3n khai c\u00e1c gi\u1ea3i ph\u00e1p kh\u1eafc ph\u1ee5c v\u00e0 huy \u0111\u1ed9ng c\u00e1c ngu\u1ed3n l\u1ef1c \u0111\u1ec3 th\u1ef1c hi\u1ec7n nh\u1eefng n\u1ed9i dung ch\u01b0a ho\u00e0n th\u00e0nh theo \u0111\u00fang k\u1ebf ho\u1ea1ch. 16. \u0110i\u1ec1u ch\u1ec9nh k\u1ebf ho\u1ea1ch d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 vi\u1ec7c tri\u1ec3n khai th\u1ef1c hi\u1ec7n, \u0111\u1eb7c bi\u1ec7t \u0111i\u1ec1u ch\u1ec9nh nh\u1eefng n\u1ed9i dung kh\u00f4ng ho\u1eb7c \u00edt t\u00ednh kh\u1ea3 thi. 17. \u0110\u00e3 x\u00e2y d\u1ef1ng chi\u1ebfn l\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1ec7nh vi\u1ec7n, trong \u0111\u00f3 x\u00e1c \u0111\u1ecbnh nh\u1eefng v\u1ea5n \u0111\u1ec1 \u01b0u ti\u00ean, x\u00e1c \u0111\u1ecbnh c\u00e1c l\u0129nh v\u1ef1c, chuy\u00ean khoa m\u0169i nh\u1ecdn, m\u1edf r\u1ed9ng quy m\u00f4, n\u00e2ng c\u1ea5p b\u1ec7nh vi\u1ec7n; th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c c\u00e1c k\u1ef9 thu\u1eadt cao, chuy\u00ean s\u00e2u; ph\u00e1t tri\u1ec3n th\u00e0nh c\u01a1 s\u1edf \u0111\u00e0o t\u1ea1o, trung t\u00e2m \u0111i\u1ec1u tr\u1ecb c\u1ee7a v\u00f9ng\u2026 18. C\u00f4ng b\u1ed1 c\u00f4ng khai chi\u1ebfn l\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u00e3 x\u00e2y d\u1ef1ng. 19. Huy \u0111\u1ed9ng c\u00e1c ngu\u1ed3n l\u1ef1c v\u00e0 th\u1ef1c hi\u1ec7n \u0111\u1ea7u t\u01b0 cho c\u00e1c l\u0129nh v\u1ef1c theo chi\u1ebfn l\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1ec7nh vi\u1ec7n. 58","B4.2 Tri\u1ec3n khai th\u1ef1c hi\u1ec7n v\u0103n ba\u0309n ch\u1ec9 \u0111\u1ea1o d\u00e0nh cho b\u1ec7nh vi\u1ec7n C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Vi\u1ec7c tri\u1ec3n khai c\u00e1c v\u0103n b\u1ea3n c\u1ee7a c\u00e1c c\u1ea5p qu\u1ea3n l\u00fd mang t\u00ednh b\u1eaft bu\u1ed9c c\u1ee7a t\u1ea5t c\u1ea3 v\u00e0 \u00fd c\u00e1c b\u1ec7nh vi\u1ec7n. ngh\u0129a \uf0b7 M\u1ed7i b\u1ec7nh vi\u1ec7n c\u1ea7n tri\u1ec3n khai ngay, c\u00f3 hi\u1ec7u qu\u1ea3 c\u00e1c v\u0103n b\u1ea3n \u0111\u01b0\u1ee3c c\u00e1c c\u01a1 quan c\u00f3 M\u1ee9c 1 th\u1ea9m quy\u1ec1n ban h\u00e0nh. \u0110\u00e2y l\u00e0 ngh\u0129a v\u1ee5 v\u00e0 tr\u00e1ch nhi\u1ec7m c\u1ee7a b\u1ec7nh vi\u1ec7n, th\u1ec3 hi\u1ec7n s\u1ef1 tu\u00e2n th\u1ee7 ph\u00e1p lu\u1eadt v\u00e0 \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c c\u00e1c y\u00eau c\u1ea7u trong c\u00f4ng t\u00e1c kh\u00e1m, ch\u1eefa b\u1ec7nh. M\u1ee9c 2 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 3 1. Kh\u00f4ng ph\u00e2n c\u00f4ng cho m\u1ed9t nh\u00e2n vi\u00ean \u0111\u1ea7u m\u1ed1i ti\u1ebfp nh\u1eadn v\u00e0 c\u1eadp nh\u1eadt c\u00e1c v\u0103n b\u1ea3n M\u1ee9c 4 c\u00f3 li\u00ean quan \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. M\u1ee9c 5 2. Ph\u00e1t hi\u1ec7n th\u1ea5y b\u1ec7nh vi\u1ec7n kh\u00f4ng c\u1eadp nh\u1eadt m\u1ed9t ho\u1eb7c nhi\u1ec1u v\u0103n b\u1ea3n ch\u1ec9 \u0111\u1ea1o c\u1ee7a B\u1ed9 Y t\u1ebf mang t\u00ednh b\u1eaft bu\u1ed9c th\u1ef1c hi\u1ec7n. 3. C\u00f3 nh\u00e2n vi\u00ean \u0111\u1ea7u m\u1ed1i ch\u1ecbu tr\u00e1ch nhi\u1ec7m ti\u1ebfp nh\u1eadn v\u00e0 c\u1eadp nh\u1eadt c\u00e1c v\u0103n b\u1ea3n ch\u1ec9 \u0111\u1ea1o c\u00f3 li\u00ean quan \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. 4. C\u00f3 quy tr\u00ecnh ti\u1ebfp nh\u1eadn, ph\u00e2n lo\u1ea1i v\u00e0 ph\u00e2n c\u00f4ng ng\u01b0\u1eddi x\u1eed l\u00fd v\u0103n b\u1ea3n, trong \u0111\u00f3 c\u00f3 quy \u0111\u1ecbnh r\u00f5 th\u1eddi gian, h\u00ecnh th\u1ee9c x\u1eed l\u00fd v\u0103n b\u1ea3n. 5. Quy tr\u00ecnh ti\u1ebfp nh\u1eadn, ph\u00e2n lo\u1ea1i v\u00e0 ph\u00e2n c\u00f4ng ng\u01b0\u1eddi x\u1eed l\u00fd v\u0103n b\u1ea3n \u0111\u00e3 \u0111\u01b0\u1ee3c ban gi\u00e1m \u0111\u1ed1c ph\u00ea duy\u1ec7t. 6. \u0110\u00e3 tri\u1ec3n khai th\u1ef1c hi\u1ec7n c\u00e1c v\u0103n b\u1ea3n ch\u1ec9 \u0111\u1ea1o d\u00e0nh cho b\u1ec7nh vi\u1ec7n do c\u00e1c c\u1ea5p qu\u1ea3n l\u00fd c\u00f3 th\u1ea9m quy\u1ec1n ban h\u00e0nh \u0111\u1ebfn l\u00e3nh \u0111\u1ea1o b\u1ec7nh vi\u1ec7n, l\u00e3nh \u0111\u1ea1o c\u00e1c ph\u00f2ng ch\u1ee9c n\u0103ng v\u00e0 l\u00e3nh \u0111\u1ea1o c\u00e1c khoa l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng. 7. C\u00f3 b\u1ea3ng danh s\u00e1ch th\u1ed1ng k\u00ea c\u00e1c v\u0103n b\u1ea3n ch\u1ec9 \u0111\u1ea1o c\u1ee7a B\u1ed9 Y t\u1ebf, C\u1ee5c Qu\u1ea3n l\u00fd Kh\u00e1m, ch\u1eefa b\u1ec7nh, S\u1edf Y t\u1ebf v\u00e0 c\u01a1 quan ch\u00ednh quy\u1ec1n kh\u00e1c trong n\u0103m. 8. Kh\u00f4ng c\u00f3 t\u00ecnh tr\u1ea1ng c\u00f3 v\u0103n b\u1ea3n \u0111\u1ebfn nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c l\u00e3nh \u0111\u1ea1o x\u1eed l\u00fd. 9. \u0110\u00e3 ph\u1ed5 bi\u1ebfn c\u00e1c v\u0103n b\u1ea3n ch\u1ec9 \u0111\u1ea1o t\u1edbi c\u00e1n b\u1ed9, c\u00f4ng ch\u1ee9c, vi\u00ean ch\u1ee9c v\u00e0 ng\u01b0\u1eddi lao \u0111\u1ed9ng c\u00f3 li\u00ean quan \u0111\u1ebfn v\u0103n b\u1ea3n. 10. C\u00f3 x\u00e2y d\u1ef1ng quy tr\u00ecnh c\u1ee5 th\u1ec3 tri\u1ec3n khai th\u1ef1c hi\u1ec7n c\u00e1c v\u0103n b\u1ea3n ch\u1ec9 \u0111\u1ea1o (quy tr\u00ecnh tri\u1ec3n khai g\u1ed3m c\u00e1c b\u01b0\u1edbc: ph\u1ed5 bi\u1ebfn v\u0103n b\u1ea3n, x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch th\u1ef1c hi\u1ec7n v\u0103n b\u1ea3n, ki\u1ec3m tra n\u1ed9i b\u1ed9 vi\u1ec7c th\u1ef1c hi\u1ec7n v\u0103n b\u1ea3n). 11. \u0110\u00e3 tri\u1ec3n khai th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ee5 th\u1ec3 \u0111\u00e1p \u1ee9ng y\u00eau c\u1ea7u c\u1ee7a v\u0103n b\u1ea3n ch\u1ec9 \u0111\u1ea1o (b\u1ec7nh vi\u1ec7n cung c\u1ea5p b\u1eb1ng ch\u1ee9ng cho m\u1ed9t s\u1ed1 v\u0103n b\u1ea3n v\u00ed d\u1ee5 \u0111\u00e3 tri\u1ec3n khai). 12. C\u00f3 ti\u1ebfn h\u00e0nh r\u00e0 so\u00e1t \u0111\u1ecbnh k\u1ef3 ti\u1ebfn \u0111\u1ed9 tri\u1ec3n khai v\u0103n b\u1ea3n ch\u1ec9 \u0111\u1ea1o. 13. \u00c1p d\u1ee5ng ph\u1ea7n m\u1ec1m tin h\u1ecdc v\u0103n ph\u00f2ng (excel) ho\u1eb7c ph\u1ea7n m\u1ec1m chuy\u00ean d\u1ee5ng \u0111\u1ec3 qu\u1ea3n l\u00fd v\u00e0 tri\u1ec3n khai v\u0103n b\u1ea3n. 14. \u00c1p d\u1ee5ng ph\u1ea7n m\u1ec1m chuy\u00ean d\u1ee5ng qu\u1ea3n l\u00fd v\u0103n b\u1ea3n \u0111i\u1ec7n t\u1eed, v\u0103n b\u1ea3n \u0111\u01b0\u1ee3c g\u1eedi t\u1edbi ngay t\u1ea5t c\u1ea3 c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng nh\u1eadn v\u0103n b\u1ea3n \u0111\u1ec3 th\u1ef1c hi\u1ec7n th\u00f4ng qua h\u1ec7 th\u1ed1ng ph\u1ea7n m\u1ec1m sau khi v\u0103n b\u1ea3n \u0111\u01b0\u1ee3c l\u00e3nh \u0111\u1ea1o b\u1ec7nh vi\u1ec7n ti\u1ebfp nh\u1eadn v\u00e0 x\u1eed l\u00fd. 15. C\u00f3 ti\u1ebfn h\u00e0nh r\u00e0 so\u00e1t vi\u1ec7c ph\u1ed5 bi\u1ebfn v\u00e0 tri\u1ec3n khai th\u1ef1c hi\u1ec7n v\u0103n b\u1ea3n ch\u1ec9 \u0111\u1ea1o. 16. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 \u0111\u1ec3 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng vi\u1ec7c tri\u1ec3n khai th\u1ef1c hi\u1ec7n v\u0103n b\u1ea3n ch\u1ec9 \u0111\u1ea1o ho\u1eb7c \u0111\u1ec1 xu\u1ea5t s\u1eeda \u0111\u1ed5i b\u1ea5t c\u1eadp c\u1ee7a v\u0103n b\u1ea3n v\u1edbi c\u01a1 quan qu\u1ea3n l\u00fd. 59","B4.3 Ba\u0309o \u0111a\u0309m ch\u1ea5t l\u01b0\u1ee3ng ngu\u1ed3n nh\u00e2n l\u1ef1c qua\u0309n l\u00fd b\u1ec7nh vi\u1ec7n C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Lu\u1eadt Vi\u00ean ch\u1ee9c s\u1ed1 58\/2010\/QH12 ng\u00e0y 15\/11\/2010. v\u00e0 \u00fd ngh\u0129a \uf0b7 \u0110\u1ed9i ng\u0169 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d* b\u1ec7nh vi\u1ec7n \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. \u0110\u1ed9i ng\u0169 qu\u1ea3n l\u00fd c\u00f3 tr\u00ecnh \u0111\u1ed9, c\u00f3 t\u00ednh chuy\u00ean nghi\u1ec7p cao, c\u00f3 nghi\u1ec7p v\u1ee5 M\u1ee9c 1 qu\u1ea3n l\u00fd s\u1ebd gi\u00fap b\u1ec7nh vi\u1ec7n v\u1eadn h\u00e0nh c\u00f3 hi\u1ec7u qu\u1ea3, ti\u1ebft ki\u1ec7m ngu\u1ed3n l\u1ef1c, hi\u1ec7u su\u1ea5t M\u1ee9c 2 cao. M\u1ee9c 3 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 4 1. C\u00f3 \u0111\u01a1n th\u01b0 khi\u1ebfu n\u1ea1i, t\u1ed1 c\u00e1o g\u1eedi t\u1edbi c\u00e1c c\u01a1 quan qu\u1ea3n l\u00fd v\u1ec1 vi\u1ec7c tuy\u1ec3n d\u1ee5ng, b\u1ed5 nhi\u1ec7m ng\u01b0\u1eddi qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n, khoa\/ph\u00f2ngvi ph\u1ea1m c\u00e1c quy \u0111\u1ecbnh hi\u1ec7n h\u00e0nh (\u0111\u00e3 M\u1ee9c 5 x\u00e1c minh v\u00e0 ph\u00e1t hi\u1ec7n sai ph\u1ea1m). 2. Kh\u00f4ng c\u00f3 ti\u00eau chu\u1ea9n, quy tr\u00ecnh tuy\u1ec3n d\u1ee5ng, b\u1ed5 nhi\u1ec7m \u0111\u1ed9i ng\u0169 qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n. 3. X\u00e2y d\u1ef1ng c\u00e1c ti\u00eau chu\u1ea9n, ti\u00eau ch\u00ed (ho\u1eb7c y\u00eau c\u1ea7u t\u1ed1i thi\u1ec3u) cho c\u00e1c v\u1ecb tr\u00ed qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n, khoa, ph\u00f2ng v\u00e0 c\u00f4ng b\u1ed1 c\u00f4ng khai cho nh\u00e2n vi\u00ean. 4. X\u00e2y d\u1ef1ng c\u00e1c quy tr\u00ecnh tuy\u1ec3n d\u1ee5ng, b\u1ed5 nhi\u1ec7m cho c\u00e1c v\u1ecb tr\u00ed qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n, khoa, ph\u00f2ng v\u00e0 c\u00f4ng b\u1ed1 c\u00f4ng khai cho nh\u00e2n vi\u00ean. 5. T\u1ef7 l\u1ec7 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d \u0111\u00e3 tham gia kh\u00f3a \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c v\u00e0 c\u00f3 ch\u1ee9ng ch\u1ec9 v\u1ec1 qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n chi\u1ebfm t\u1eeb 20% tr\u1edf l\u00ean**(ch\u1ee9ng ch\u1ec9 b\u1ea3o \u0111\u1ea3m quy \u0111\u1ecbnh v\u1ec1 \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c t\u1ea1i Th\u00f4ng t\u01b0 22\/2013\/TT-BYT). 6. Th\u1ef1c hi\u1ec7n tuy\u1ec3n d\u1ee5ng, b\u1ed5 nhi\u1ec7m c\u00e1c v\u1ecb tr\u00ed qu\u1ea3n l\u00fd trong b\u1ec7nh vi\u1ec7n theo \u0111\u00fang ti\u00eau chu\u1ea9n v\u00e0 quy tr\u00ecnh \u0111\u00e3 \u0111\u1ec1 ra. 7. T\u1ef7 l\u1ec7 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d s\u1eed d\u1ee5ng th\u00e0nh th\u1ea1o m\u00e1y t\u00ednh, c\u00e1c ph\u1ea7n m\u1ec1m tin h\u1ecdc v\u0103n ph\u00f2ng, v\u0103n b\u1ea3n \u0111i\u1ec7n t\u1eed v\u00e0 th\u01b0 \u0111i\u1ec7n t\u1eed \u0111\u1ea1t 100%. 8. T\u1ef7 l\u1ec7 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d c\u00f3 th\u1ec3 giao ti\u1ebfp th\u00f4ng th\u01b0\u1eddng b\u1eb1ng ti\u1ebfng Anh (ho\u1eb7c c\u00f3 ch\u1ee9ng ch\u1ec9 Anh v\u0103n B tr\u1edf l\u00ean) chi\u1ebfm \u00edt nh\u1ea5t 50% t\u1ed5ng s\u1ed1 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d c\u1ee7a b\u1ec7nh vi\u1ec7n (n\u1ebfu giao ti\u1ebfp \u0111\u01b0\u1ee3c b\u1eb1ng ti\u1ebfng d\u00e2n t\u1ed9c v\u1edbi \u0111\u1ed3ng b\u00e0o \u0111\u1ecba ph\u01b0\u01a1ng \u0111\u01b0\u1ee3c t\u00ednh nh\u01b0 ngo\u1ea1i ng\u1eef ti\u1ebfng Anh ho\u1eb7c c\u00f3 ngo\u1ea1i ng\u1eef kh\u00e1c t\u01b0\u01a1ng \u0111\u01b0\u01a1ng). 9. T\u1ef7 l\u1ec7 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d \u0111\u00e3 tham gia kh\u00f3a \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c v\u00e0 c\u00f3 ch\u1ee9ng ch\u1ec9 v\u1ec1 qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n chi\u1ebfm t\u1eeb 40% tr\u1edf l\u00ean*. 10. T\u1ef7 l\u1ec7 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d c\u00f3 th\u1ec3 giao ti\u1ebfp th\u00f4ng th\u01b0\u1eddng b\u1eb1ng ti\u1ebfng Anh (ho\u1eb7c c\u00f3 ch\u1ee9ng ch\u1ec9 Anh v\u0103n B tr\u1edf l\u00ean) chi\u1ebfm \u00edt nh\u1ea5t 70% t\u1ed5ng s\u1ed1 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d c\u1ee7a b\u1ec7nh vi\u1ec7n (n\u1ebfu giao ti\u1ebfp \u0111\u01b0\u1ee3c b\u1eb1ng ti\u1ebfng d\u00e2n t\u1ed9c v\u1edbi \u0111\u1ed3ng b\u00e0o \u0111\u1ecba ph\u01b0\u01a1ng \u0111\u01b0\u1ee3c t\u00ednh nh\u01b0 ngo\u1ea1i ng\u1eef ti\u1ebfng Anh ho\u1eb7c c\u00f3 ngo\u1ea1i ng\u1eef kh\u00e1c t\u01b0\u01a1ng \u0111\u01b0\u01a1ng). 11. T\u1ef7 l\u1ec7 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d \u0111\u00e3 tham gia kh\u00f3a \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c v\u00e0 c\u00f3 ch\u1ee9ng ch\u1ec9 v\u1ec1 qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n chi\u1ebfm t\u1eeb 60% tr\u1edf l\u00ean*. 12. Th\u00ed \u0111i\u1ec3m h\u00ecnh th\u1ee9c thi tuy\u1ec3n (nh\u01b0 tr\u00ecnh b\u00e0y k\u1ebf ho\u1ea1ch ph\u00e1t tri\u1ec3n) c\u00e1c v\u1ecb tr\u00ed l\u00e3nh \u0111\u1ea1o, qu\u1ea3n l\u00fd c\u1ee7a b\u1ec7nh vi\u1ec7n, c\u00f3 s\u1ef1 gi\u00e1m s\u00e1t c\u00f4ng khai c\u1ee7a c\u01a1 quan qu\u1ea3n l\u00fd, \u0111\u1ea1i di\u1ec7n \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d, ban thanh tra nh\u00e2n d\u00e2n, \u0111\u1ea1i di\u1ec7n nh\u00e2n vi\u00ean \u2026 13. T\u1ef7 l\u1ec7 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d c\u00f3 th\u1ec3 giao ti\u1ebfp th\u00f4ng th\u01b0\u1eddng b\u1eb1ng ti\u1ebfng Anh (ho\u1eb7c c\u00f3 ch\u1ee9ng ch\u1ec9 Anh v\u0103n B tr\u1edf l\u00ean) chi\u1ebfm \u00edt nh\u1ea5t 90% t\u1ed5ng s\u1ed1 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d c\u1ee7a b\u1ec7nh vi\u1ec7n (n\u1ebfu giao ti\u1ebfp \u0111\u01b0\u1ee3c b\u1eb1ng ti\u1ebfng d\u00e2n t\u1ed9c v\u1edbi \u0111\u1ed3ng b\u00e0o \u0111\u1ecba ph\u01b0\u01a1ng \u0111\u01b0\u1ee3c t\u00ednh nh\u01b0 ngo\u1ea1i ng\u1eef ti\u1ebfng Anh). 14. T\u1ef7 l\u1ec7 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d \u0111\u00e3 tham gia kh\u00f3a \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c v\u00e0 c\u00f3 ch\u1ee9ng ch\u1ec9 v\u1ec1 qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n chi\u1ebfm t\u1eeb 80% tr\u1edf l\u00ean*. 60","M\u1ee9c 5 15. L\u00e3nh \u0111\u1ea1o b\u1ec7nh vi\u1ec7n v\u00e0 khoa, ph\u00f2ng ki\u00eam nhi\u1ec7m th\u00eam t\u1ed1i \u0111a hai ch\u1ee9c v\u1ee5 qu\u1ea3n l\u00fd kh\u00e1c (t\u1ed5ng kh\u00f4ng qu\u00e1 3 ch\u1ee9c v\u1ee5 qu\u1ea3n l\u00fd). 16. C\u00f3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 vi\u1ec7c \u00e1p d\u1ee5ng th\u00ed \u0111i\u1ec3m h\u00ecnh th\u1ee9c thi tuy\u1ec3n c\u00e1c v\u1ecb tr\u00ed l\u00e3nh \u0111\u1ea1o, qu\u1ea3n l\u00fd v\u00e0 x\u00e1c \u0111\u1ecbnh nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ea7n kh\u1eafc ph\u1ee5c, ch\u1ec9nh s\u1eeda. 17. X\u00e2y d\u1ef1ng quy tr\u00ecnh \u201cthi tuy\u1ec3n\u201d c\u00e1c v\u1ecb tr\u00ed l\u00e3nh \u0111\u1ea1o, qu\u1ea3n l\u00fd c\u1ee7a b\u1ec7nh vi\u1ec7n, t\u1ed5 ch\u1ee9c xin \u00fd ki\u1ebfn r\u1ed9ng r\u00e3i c\u00e1c nh\u00e2n vi\u00ean v\u00e0 \u0111\u01b0\u1ee3c ban gi\u00e1m \u0111\u1ed1c ph\u00ea duy\u1ec7t. 18. \u00c1p d\u1ee5ng h\u00ecnh th\u1ee9c thi tuy\u1ec3n cho c\u00e1c v\u1ecb tr\u00ed l\u00e3nh \u0111\u1ea1o, qu\u1ea3n l\u00fd c\u1ee7a b\u1ec7nh vi\u1ec7n, c\u00f3 s\u1ef1 gi\u00e1m s\u00e1t c\u00f4ng khai c\u1ee7a c\u01a1 quan qu\u1ea3n l\u00fd, \u0111\u1ea1i di\u1ec7n \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d, ban thanh tra nh\u00e2n d\u00e2n, \u0111\u1ea1i di\u1ec7n nh\u00e2n vi\u00ean \u2026 19. T\u1ef7 l\u1ec7 \u201cng\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d c\u00f3 ch\u1ee9ng ch\u1ec9 qu\u1ea3n l\u00fd (trong n\u01b0\u1edbc ho\u1eb7c n\u01b0\u1edbc ngo\u00e0i) thu\u1ed9c c\u00e1c l\u0129nh v\u1ef1c chuy\u00ean s\u00e2u \u0111ang ph\u1ee5 tr\u00e1ch ho\u1eb7c li\u00ean quan nh\u01b0 qu\u1ea3n l\u00fd t\u00e0i ch\u00ednh, qu\u1ea3n l\u00fd nh\u00e2n l\u1ef1c, qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng\u2026 chi\u1ebfm t\u1eeb 30% tr\u1edf l\u00ean. \uf0b7 *\u201cNg\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d \u0111\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n Nh\u00e0 n\u01b0\u1edbc bao g\u1ed3m: c\u00f4ng ch\u1ee9c, vi\u00ean ch\u1ee9c l\u00e0 gi\u00e1m \u0111\u1ed1c, ph\u00f3 gi\u00e1m \u0111\u1ed1c, tr\u01b0\u1edfng, ph\u00f3 c\u00e1c khoa, ph\u00f2ng, trung t\u00e2m; \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng b\u1ec7nh vi\u1ec7n v\u00e0 c\u00e1c khoa. Ghi ch\u00fa \uf0b7 \u201cNg\u01b0\u1eddi qu\u1ea3n l\u00fd\u201d \u0111\u1ed1i v\u1edbi b\u1ec7nh vi\u1ec7n t\u01b0 nh\u00e2n bao g\u1ed3m: th\u00e0nh vi\u00ean h\u1ed9i \u0111\u1ed3ng qu\u1ea3n tr\u1ecb, gi\u00e1m \u0111\u1ed1c, ph\u00f3 gi\u00e1m \u0111\u1ed1c, tr\u01b0\u1edfng, ph\u00f3 c\u00e1c khoa, ph\u00f2ng, trung t\u00e2m; \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng b\u1ec7nh vi\u1ec7n v\u00e0 c\u00e1c khoa. \uf0b7 **(Ch\u1ee9ng ch\u1ec9 b\u1ea3o \u0111\u1ea3m c\u00e1c quy \u0111\u1ecbnh v\u1ec1 \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c t\u1ea1i Th\u00f4ng t\u01b0 22\/2013\/TT-BYT). 61","B4.4 B\u1ed3i d\u01b0\u1ee1ng, ph\u00e1t tri\u1ec3n \u0111\u1ed9i ng\u0169 l\u00e3nh \u0111\u1ea1o v\u00e0 qua\u0309n l\u00fd k\u00ea\u0301 c\u1eadn C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Lu\u1eadt Vi\u00ean ch\u1ee9c s\u1ed1 58\/2010\/QH12 ng\u00e0y 15\/11\/2010. v\u00e0 \u00fd ngh\u0129a \uf0b7 \u0110\u1ed9i ng\u0169 l\u00e3nh \u0111\u1ea1o v\u00e0 c\u00e1n b\u1ed9 qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. \u0110\u1ed9i ng\u0169 l\u00e3nh \u0111\u1ea1o v\u00e0 qu\u1ea3n l\u00fd \u0111\u01b0\u01a1ng nhi\u1ec7m c\u1ea7n c\u00f3 tr\u00e1ch nhi\u1ec7m M\u1ee9c 1 gi\u1edbi thi\u1ec7u, \u0111\u00e0o t\u1ea1o, h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi k\u1ebf c\u1eadn \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m s\u1ef1 duy tr\u00ec \u0111i\u1ec1u h\u00e0nh ho\u1ea1t M\u1ee9c 2 \u0111\u1ed9ng v\u00e0 ph\u00e1t tri\u1ec3n li\u00ean t\u1ee5c c\u1ee7a b\u1ec7nh vi\u1ec7n. M\u1ee9c 3 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 4 1. Kh\u00f4ng c\u00f3 quy ho\u1ea1ch cho v\u1ecb tr\u00ed l\u00e3nh \u0111\u1ea1o v\u00e0 qu\u1ea3n l\u00fd. M\u1ee9c 5 2. C\u00f3 quy ho\u1ea1ch v\u1ecb tr\u00ed l\u00e3nh \u0111\u1ea1o v\u00e0 qu\u1ea3n l\u00fd. 3. X\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch \u0111\u00e0o t\u1ea1o d\u1ef1a tr\u00ean quy ho\u1ea1ch c\u00e1n b\u1ed9 l\u00e3nh \u0111\u1ea1o, qu\u1ea3n l\u00fd \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t. 4. Ti\u1ebfn h\u00e0nh b\u1ed5 nhi\u1ec7m v\u1ecb tr\u00ed l\u00e3nh \u0111\u1ea1o v\u00e0 qu\u1ea3n l\u00fd theo \u0111\u00fang quy ho\u1ea1ch. 5. C\u00f3 t\u1ed5 ch\u1ee9c b\u00e0n giao c\u00f4ng vi\u1ec7c gi\u1eefa c\u00e1c v\u1ecb tr\u00ed l\u00e3nh \u0111\u1ea1o v\u00e0 nh\u1eefng c\u00f4ng vi\u1ec7c ch\u01b0a ho\u00e0n th\u00e0nh. 6. Gi\u00e1m \u0111\u1ed1c m\u1edbi \u0111\u01b0\u1ee3c b\u1ed5 nhi\u1ec7m trong v\u00f2ng 1 n\u0103m sau khi gi\u00e1m \u0111\u1ed1c c\u0169 ngh\u1ec9 qu\u1ea3n l\u00fd ho\u1eb7c chuy\u1ec3n nhi\u1ec7m v\u1ee5 m\u1edbi. 7. X\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch tuy\u1ec3n ch\u1ecdn, b\u1ed3i d\u01b0\u1ee1ng \u0111\u1ed9i ng\u0169 l\u00e3nh \u0111\u1ea1o k\u1ebf c\u1eadn. 8. \u0110\u00e3 b\u1ed5 nhi\u1ec7m c\u00e1c v\u1ecb tr\u00ed l\u00e3nh \u0111\u1ea1o theo quy \u0111\u1ecbnh v\u00e0 theo quy ho\u1ea1ch c\u1ee7a b\u1ec7nh vi\u1ec7n. 9. C\u00f3 k\u1ebf ho\u1ea1ch v\u00e0 c\u1eed vi\u00ean ch\u1ee9c, nh\u00e2n vi\u00ean trong di\u1ec7n quy ho\u1ea1ch \u0111i \u0111\u00e0o t\u1ea1o n\u00e2ng cao n\u0103ng l\u1ef1c qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n, qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng, kinh t\u1ebf y t\u1ebf\u2026 10. C\u00e1c vi\u00ean ch\u1ee9c, nh\u00e2n vi\u00ean trong di\u1ec7n quy ho\u1ea1ch c\u00f3 tr\u00ecnh \u0111\u1ed9 qu\u1ea3n l\u00fd, ngo\u1ea1i ng\u1eef \u0111\u00e1p \u1ee9ng y\u00eau c\u1ea7u v\u1ecb tr\u00ed qu\u1ea3n l\u00fd v\u00e0 c\u00f3 th\u1ec3 thay th\u1ebf l\u00e3nh \u0111\u1ea1o, qu\u1ea3n l\u00fd \u0111\u01b0\u01a1ng nhi\u1ec7m ngay l\u1eadp t\u1ee9c khi c\u1ea7n thi\u1ebft ho\u1eb7c trong t\u00ecnh hu\u1ed1ng kh\u1ea9n c\u1ea5p. 11. V\u1ecb tr\u00ed gi\u00e1m \u0111\u1ed1c \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n t\u1eeb ngu\u1ed3n nh\u00e2n l\u1ef1c c\u1ee7a b\u1ec7nh vi\u1ec7n, trong di\u1ec7n quy ho\u1ea1ch c\u1ee7a b\u1ec7nh vi\u1ec7n. 62","PH\u1ea6N C. HO\u1ea0T \u0110\u1ed8NG CHUY\u00caN M\u00d4N CH\u01af\u01a0NG C1. AN NINH, TR\u1eacT T\u1ef0 V\u00c0 AN TO\u00c0N CH\u00c1Y N\u1ed4 C1.1 Ba\u0309o \u0111a\u0309m an ninh, tr\u1eadt t\u1ef1 b\u1ec7nh vi\u1ec7n C\u0103n c\u1ee9 \uf0b7 C\u00f4ng v\u0103n s\u1ed1 4919\/BYT-KCB ng\u00e0y 28\/7\/2014 v\u1ec1 vi\u1ec7c \u201cT\u0103ng c\u01b0\u1eddng v\u00e0 b\u1ea3o \u0111\u1ea3m \u0111\u1ec1 xu\u1ea5t an ninh, tr\u1eadt t\u1ef1 b\u1ec7nh vi\u1ec7n\u201d. v\u00e0 \u00fd \uf0b7 B\u1ea3o \u0111\u1ea3m an ninh l\u00e0 nhu c\u1ea7u thi\u1ebft y\u1ebfu c\u01a1 b\u1ea3n c\u1ee7a con ng\u01b0\u1eddi. Ng\u01b0\u1eddi b\u1ec7nh trong ngh\u0129a b\u1ec7nh vi\u1ec7n c\u1ea7n \u0111\u01b0\u1ee3c b\u1ea3o \u0111\u1ea3m an ninh \u0111\u1ec3 y\u00ean t\u00e2m \u0111i\u1ec1u tr\u1ecb. \uf0b7 T\u00ecnh tr\u1ea1ng m\u1ea5t an ninh, l\u1ed9n x\u1ed9n \u0111\u00e3 x\u1ea3y ra \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh vi\u1ec7n. \uf0b7 M\u1ed9t s\u1ed1 v\u1ee5 g\u00e2y r\u1ed1i, b\u1ea1o l\u1ef1c nghi\u00eam tr\u1ecdng x\u1ea3y ra \u0111\u1ec3 l\u1ea1i nhi\u1ec1u h\u1eadu qu\u1ea3, g\u00e2y m\u1ea5t h\u00ecnh \u1ea3nh b\u1ec7nh vi\u1ec7n, b\u1ea5t \u1ed5n t\u00e2m l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u00e1n b\u1ed9. \uf0b7 \u0110\u00e3 c\u00f3 nh\u1eefng y, b\u00e1c s\u1ef9 trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh b\u1ecb h\u00e0nh hung, th\u01b0\u01a1ng t\u1eadt su\u1ed1t \u0111\u1eddi, th\u1eadm ch\u00ed c\u00f3 b\u00e1c s\u1ef9 \u0111\u00e3 hy sinh trong khi l\u00e0m nhi\u1ec7m v\u1ee5. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. Kh\u00f4ng c\u00f3 \u0111\u1ee7 b\u1ea3o v\u1ec7 tr\u1ef1c 24\/24 gi\u1edd theo ph\u01b0\u01a1ng \u00e1n b\u1ea3o v\u1ec7 c\u1ee7a b\u1ec7nh vi\u1ec7n (ph\u00e1t hi\u1ec7n th\u1ea5y b\u1ea3o v\u1ec7 b\u1ecf tr\u1ef1c trong ca l\u00e0m vi\u1ec7c\u2026). 2. C\u00f3 v\u1ee5 vi\u1ec7c b\u1ea3o v\u1ec7 b\u1ec7nh vi\u1ec7n x\u00f4 x\u00e1t ng\u01b0\u1eddi b\u1ec7nh, ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf, \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn uy t\u00edn c\u1ee7a b\u1ec7nh vi\u1ec7n. M\u1ee9c 2 3. C\u00f3 \u0111\u1ee7 b\u1ea3o v\u1ec7 tr\u1ef1c 24\/24 gi\u1edd theo ph\u01b0\u01a1ng \u00e1n b\u1ea3o v\u1ec7 c\u1ee7a b\u1ec7nh vi\u1ec7n. 4. B\u1ec7nh vi\u1ec7n c\u00f3 x\u00e2y d\u1ef1ng ph\u01b0\u01a1ng \u00e1n, k\u1ebf ho\u1ea1ch b\u1ea3o v\u1ec7, trong \u0111\u00f3 c\u00f3 n\u00eau s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi, v\u1ecb tr\u00ed c\u1ea7n b\u1ea3o v\u1ec7, t\u1ea7n su\u1ea5t \u0111i tu\u1ea7n\u2026 5. Khu\u00f4n vi\u00ean b\u1ec7nh vi\u1ec7n c\u00f3 t\u01b0\u1eddng r\u00e0o k\u00edn bao quanh; c\u00e1c c\u1ed5ng v\u00e0o \u0111\u1ec1u c\u00f3 ng\u01b0\u1eddi b\u1ea3o v\u1ec7; kh\u00f4ng c\u00f3 l\u1ed7 h\u1ed5ng cho \u0111i l\u1ea1i t\u1ef1 do. 6. C\u00f3 quy \u0111\u1ecbnh h\u1ea1n ch\u1ebf ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh v\u00e0o khu v\u1ef1c chuy\u00ean m\u00f4n ho\u1eb7c khoa\/ph\u00f2ng \u0111i\u1ec1u tr\u1ecb trong c\u00e1c gi\u1edd quy \u0111\u1ecbnh. M\u1ee9c 3 7. L\u1ef1c l\u01b0\u1ee3ng b\u1ea3o v\u1ec7 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o chuy\u00ean nghi\u1ec7p ho\u1eb7c t\u1eadp hu\u1ea5n nghi\u1ec7p v\u1ee5 b\u1ea3o v\u1ec7 t\u1ea1i c\u00e1c \u0111\u01a1n v\u1ecb c\u00f3 tr\u00ecnh \u0111\u1ed9 v\u00e0 ch\u1ee9c n\u0103ng \u0111\u00e0o t\u1ea1o nghi\u1ec7p v\u1ee5 b\u1ea3o v\u1ec7 (c\u00f3 ch\u1ee9ng ch\u1ec9, gi\u1ea5y tham gia kh\u00f3a t\u1eadp hu\u1ea5n\u2026). 8. C\u00f3 h\u00ecnh th\u1ee9c ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c ng\u01b0\u1eddi ra v\u00e0o khoa\/ph\u00f2ng \u0111i\u1ec1u tr\u1ecb. 9. C\u00f3 v\u0103n b\u1ea3n ph\u1ed1i h\u1ee3p (ho\u1eb7c k\u00fd bi\u00ean b\u1ea3n cam k\u1ebft) v\u1edbi c\u01a1 quan an ninh \u0111\u1ecba ph\u01b0\u01a1ng v\u1ec1 vi\u1ec7c h\u1ed7 tr\u1ee3, b\u1ea3o \u0111\u1ea3m gi\u1eef g\u00ecn an ninh, tr\u1eadt t\u1ef1 t\u1ea1i b\u1ec7nh vi\u1ec7n v\u00e0 khu v\u1ef1c quanh b\u1ec7nh vi\u1ec7n. 10. C\u00f3 c\u1ea3nh b\u00e1o (ho\u1eb7c h\u01b0\u1edbng d\u1eabn) ch\u1ed1ng m\u1ea5t tr\u1ed9m cho ng\u01b0\u1eddi b\u1ec7nh, ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh t\u1ea1i c\u00e1c khu v\u1ef1c c\u00f3 nguy c\u01a1 x\u1ea3y ra m\u1ea5t c\u1eafp cao. 11. C\u00f3 bi\u1ec7n ph\u00e1p ch\u1ee7 \u0111\u1ed9ng ph\u00e1t hi\u1ec7n, ng\u0103n ch\u1eb7n tr\u1ed9m c\u1eafp nh\u01b0 \u0111i tu\u1ea7n tra theo \u0111\u1ecbnh k\u1ef3, l\u1eadp danh s\u00e1ch c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u00e3 tr\u1ed9m c\u1eafp, theo d\u00f5i \u0111\u1ed1i t\u01b0\u1ee3ng nghi v\u1ea5n ho\u1eb7c c\u00e1c bi\u1ec7n ph\u00e1p ch\u1ee7 \u0111\u1ed9ng kh\u00e1c. 12. L\u1ef1c l\u01b0\u1ee3ng b\u1ea3o v\u1ec7 lu\u00f4n th\u01b0\u1eddng tr\u1ef1c v\u00e0 can thi\u1ec7p k\u1ecbp th\u1eddi c\u00e1c v\u1ee5 vi\u1ec7c h\u00e0nh hung, g\u00e2y r\u1ed1i ho\u1eb7c \u0111\u1eadp ph\u00e1 t\u00e0i s\u1ea3n, \u0111\u1ed3 \u0111\u1ea1c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh\/nh\u00e2n vi\u00ean y t\u1ebf. M\u1ee9c 4 13. C\u00f3 h\u1ec7 th\u1ed1ng camera an ninh t\u1ef1 \u0111\u1ed9ng theo d\u00f5i to\u00e0n b\u1ec7nh vi\u1ec7n (CCTV); 63","C1.1 Ba\u0309o \u0111a\u0309m an ninh, tr\u1eadt t\u1ef1 b\u1ec7nh vi\u1ec7n M\u1ee9c 5 14. C\u00f3 b\u1ed9 ph\u1eadn th\u01b0\u1eddng tr\u1ef1c theo d\u00f5i camera an ninh. 15. C\u00f3 \u0111\u1ed9i an ninh ph\u1ea3n \u1ee9ng nhanh do b\u1ec7nh vi\u1ec7n th\u00e0nh l\u1eadp ho\u1eb7c thu\u00ea c\u00f4ng ty b\u1ea3o v\u1ec7 t\u00fac tr\u1ef1c 24\/24 gi\u1edd \u0111\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi c\u00e1c s\u1ef1 c\u1ed1 b\u1ea5t th\u01b0\u1eddng x\u1ea3y ra, c\u00f3 di\u1ec5n t\u1eadp \u00edt nh\u1ea5t 1 l\u1ea7n trong n\u0103m. 16. L\u1ef1c l\u01b0\u1ee3ng b\u1ea3o v\u1ec7 \u0111\u01b0\u1ee3c trang b\u1ecb c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n li\u00ean l\u1ea1c n\u1ed9i b\u1ed9 nh\u01b0 m\u00e1y b\u1ed9 \u0111\u00e0m. 17. C\u00e1c khoa\/ph\u00f2ng c\u00f3 nguy c\u01a1 m\u1ea5t an ninh tr\u1eadt t\u1ef1 cao nh\u01b0 khoa c\u1ea5p c\u1ee9u (ph\u00f2ng, bu\u1ed3ng c\u1ea5p c\u1ee9u) \u0111\u01b0\u1ee3c trang b\u1ecb h\u1ec7 th\u1ed1ng c\u1eeda ch\u1eafc ch\u1eafn v\u00e0 c\u00f3 h\u00ecnh th\u1ee9c ki\u1ec3m so\u00e1t, h\u1ea1n ch\u1ebf ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh ra \u2013 v\u00e0o t\u1ef1 do. 18. C\u00e1c khoa, ph\u00f2ng, h\u00e0nh lang\u2026 \u0111\u01b0\u1ee3c trang b\u1ecb kh\u00f3a t\u1eeb (ho\u1eb7c kh\u00f3a s\u1ed1) lu\u00f4n trong tr\u1ea1ng th\u00e1i \u0111\u00f3ng; ch\u1ec9 \u0111\u01b0\u1ee3c m\u1edf b\u1eb1ng th\u1ebb t\u1eeb ho\u1eb7c m\u00e3 s\u1ed1. 19. Nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c trang b\u1ecb th\u1ebb t\u1eeb \u0111\u1ec3 m\u1edf kh\u00f3a c\u00e1c khoa, ph\u00f2ng, h\u00e0nh lang. Th\u1ebb c\u00f3 t\u00ean, \u1ea3nh, m\u00e3 s\u1ed1 nh\u00e2n vi\u00ean ho\u1eb7c b\u1eb1ng v\u00e2n tay. 20. C\u00f3 nh\u00e2n vi\u00ean y t\u1ebf (ho\u1eb7c c\u00f3 h\u00ecnh th\u1ee9c kh\u00e1c nh\u01b0 camera) ki\u1ec3m so\u00e1t ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c \u0111\u00f3ng, m\u1edf c\u1eeda cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh v\u00e0o \u2013 ra c\u00e1c khoa\/ph\u00f2ng, h\u1ea1n ch\u1ebf ng\u01b0\u1eddi \u0111i l\u1ea1i t\u1ef1 do. 21. Kh\u00f4ng c\u00f3 v\u1ee5 vi\u1ec7c m\u1ea5t tr\u1ed9m t\u00e0i s\u1ea3n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh th\u00f4ng qua ghi ch\u00e9p ho\u1eb7c ph\u1ea3n \u00e1nh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. 64","C1.2 Ba\u0309o \u0111a\u0309m an to\u00e0n \u0111i\u1ec7n v\u00e0 ph\u00f2ng ch\u00e1y, ch\u1eefa ch\u00e1y C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Lu\u1eadt Ph\u00f2ng ch\u00e1y v\u00e0 Ch\u1eefa ch\u00e1y s\u1ed1 27\/2001\/QH10 ng\u00e0y 20\/6\/2001. v\u00e0 \u00fd ngh\u0129a \uf0b7 B\u1ea3o \u0111\u1ea3m an to\u00e0n \u0111i\u1ec7n v\u00e0 ph\u00f2ng ch\u1ed1ng ch\u00e1y n\u1ed5 l\u00e0 tr\u00e1ch nhi\u1ec7m c\u1ee7a b\u1ec7nh vi\u1ec7n, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c an to\u00e0n, y\u00ean t\u00e2m l\u00e0m c\u00f4ng t\u00e1c chuy\u00ean M\u1ee9c 1 m\u00f4n v\u00e0 \u0111i\u1ec1u tr\u1ecb. M\u1ee9c 2 \uf0b7 Ch\u00e1y n\u1ed5 l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng th\u01b0\u1eddng xuy\u00ean x\u1ea3y ra trong th\u1eddi gian g\u1ea7n \u0111\u00e2y. M\u1ee9c 3 \uf0b7 Tr\u00ean th\u1ebf gi\u1edbi \u0111\u00e3 c\u00f3 nh\u1eefng v\u1ee5 ch\u00e1y l\u1edbn t\u1ea1i b\u1ec7nh vi\u1ec7n, g\u00e2y thi\u1ec7t h\u1ea1i n\u1eb7ng v\u1ec1 ng\u01b0\u1eddi v\u00e0 c\u01a1 s\u1edf v\u1eadt ch\u1ea5t. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. C\u00f3 x\u1ea3y ra s\u1ef1 c\u1ed1 ch\u00e1y, n\u1ed5 nghi\u00eam tr\u1ecdng, g\u00e2y thi\u1ec7t h\u1ea1i t\u00e0i s\u1ea3n, trang thi\u1ebft b\u1ecb ho\u1eb7c con ng\u01b0\u1eddi. 2. C\u00f3 s\u1ef1 c\u1ed1 m\u1ea5t \u0111i\u1ec7n, g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n v\u00e0 h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh (c\u00f3 tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh t\u1eed vong ho\u1eb7c bi\u1ebfn ch\u1ee9ng do m\u1ea5t \u0111i\u1ec7n l\u00e0m trang thi\u1ebft b\u1ecb y t\u1ebf kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng, ho\u1eb7c m\u1ea5t \u0111i\u1ec7n kh\u00f4ng b\u1ea3o \u0111\u1ea3m \u00e1nh s\u00e1ng, g\u00e2y nh\u1ea7m thu\u1ed1c, h\u00f3a ch\u1ea5t\u2026). 3. C\u00f3 hi\u1ec7n t\u01b0\u1ee3ng c\u00e2u, m\u1eafc v\u00e0 s\u1eed d\u1ee5ng \u0111i\u1ec7n t\u00f9y ti\u1ec7n, t\u1ef1 \u00fd s\u1eeda ch\u1eefa thay th\u1ebf c\u00e1c thi\u1ebft b\u1ecb v\u1ec1 \u0111i\u1ec7n, \u0111\u1ec3 ch\u1ea5t d\u1ec5 ch\u00e1y g\u1ea7n c\u1ea7u dao, \u00e1t-t\u00f4-m\u00e1t, b\u1ea3ng \u0111i\u1ec7n v\u00e0 \u0111\u01b0\u1eddng d\u00e2y d\u1eabn \u0111i\u1ec7n. 4. C\u00f3 hi\u1ec7n t\u01b0\u1ee3ng c\u00e1c b\u00ecnh \u00f4-xy \u0111ang ch\u1ee9a \u00f4-xy ch\u01b0a s\u1eed d\u1ee5ng \u0111\u1ec3 ngo\u00e0i s\u00e2n, h\u00e0nh lang\u2026 c\u00f3 th\u1ec3 ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi \u00e1nh n\u1eafng m\u1eb7t tr\u1eddi. 5. Kh\u00f4ng c\u00f3 c\u00e1c h\u1ecdng n\u01b0\u1edbc c\u1ee9u h\u1ecfa, b\u1ec3 n\u01b0\u1edbc d\u1ef1 ph\u00f2ng cho ch\u1eefa ch\u00e1y trong khu\u00f4n vi\u00ean b\u1ec7nh vi\u1ec7n. 6. C\u00f3 quy \u0111\u1ecbnh, n\u1ed9i quy v\u1ec1 an to\u00e0n ph\u00f2ng ch\u00e1y ch\u1eefa ch\u00e1y v\u00e0 s\u1eb5n c\u00f3 t\u1ea1i c\u00e1c khoa\/ph\u00f2ng. 7. C\u00f3 ph\u00e2n c\u00f4ng m\u1ed9t ph\u00f2ng \u0111\u1ea7u m\u1ed1i ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 c\u00f4ng t\u00e1c ph\u00f2ng ch\u00e1y, ch\u1eefa ch\u00e1y. 8. Ph\u00f2ng \u0111\u1ea7u m\u1ed1i ti\u1ebfn h\u00e0nh th\u01b0\u1eddng xuy\u00ean ho\u1eb7c \u0111\u1ecbnh k\u1ef3 ki\u1ec3m tra ph\u00e1t hi\u1ec7n c\u00e1c nh\u01b0\u1ee3c \u0111i\u1ec3m, thi\u1ebfu s\u00f3t v\u1ec1 ph\u00f2ng ch\u00e1y v\u00e0 c\u00f3 bi\u1ec7n ph\u00e1p kh\u1eafc ph\u1ee5c k\u1ecbp th\u1eddi. 9. \u0110\u00e3 kh\u1eafc ph\u1ee5c ho\u00e0n to\u00e0n ho\u1eb7c (v\u00e0) kh\u00f4ng ph\u00e1t hi\u1ec7n th\u1ea5y c\u00e1c nguy c\u01a1 cao m\u1ea5t an to\u00e0n v\u1ec1 \u0111i\u1ec7n nh\u01b0 c\u00f3 d\u00e2y \u0111i\u1ec7n r\u00e1ch v\u1ecf (ho\u1eb7c d\u00e2y kh\u00f4ng c\u00f3 v\u1ecf) trong ph\u00f2ng, h\u00e0nh lang ho\u1eb7c \u1ed5 \u0111i\u1ec7n \u0111\u1eb7t c\u1ea1nh v\u00f2i n\u01b0\u1edbc... 10. C\u00e1c b\u00ecnh \u00f4-xy v\u00e0 h\u00f3a ch\u1ea5t c\u00f3 nguy c\u01a1 d\u1ec5 ch\u00e1y, n\u1ed5 \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n trong nh\u00e0 kho tho\u00e1ng, m\u00e1t v\u00e0 c\u00f3 m\u00e1i che tr\u00e1nh ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi \u00e1nh n\u1eafng m\u1eb7t tr\u1eddi. 11. S\u1eb5n c\u00f3 b\u00ecnh ch\u1eefa ch\u00e1y t\u1ea1i c\u00e1c khoa, ph\u00f2ng, h\u00e0nh lang theo h\u01b0\u1edbng d\u1eabn, quy \u0111\u1ecbnh c\u1ee7a b\u1ec7nh vi\u1ec7n v\u00e0 c\u01a1 quan c\u00f4ng an. 12. C\u00e1c h\u1ecdng n\u01b0\u1edbc c\u1ee9u h\u1ecfa v\u00e0 b\u1ec3 n\u01b0\u1edbc d\u1ef1 ph\u00f2ng cho ch\u1eefa ch\u00e1y trong khu\u00f4n vi\u00ean b\u1ec7nh vi\u1ec7n b\u1ea3o \u0111\u1ea3m lu\u00f4n s\u1eb5n c\u00f3 n\u01b0\u1edbc. 13. T\u00e1ch bi\u1ec7t gi\u1eefa c\u00e1c \u0111\u1ea7u c\u1eafm \u00f4-xy v\u1edbi c\u00e1c \u1ed5 c\u1eafm \u0111i\u1ec7n ph\u00f2ng tr\u00e1nh nguy c\u01a1 ch\u00e1y n\u1ed5 (kho\u1ea3ng c\u00e1ch t\u1ed1i thi\u1ec3u t\u1eeb 5 cm tr\u1edf l\u00ean). 14. C\u00f3 nh\u00e2n vi\u00ean chuy\u00ean tr\u00e1ch ph\u1ee5 tr\u00e1ch \u0111i\u1ec7n v\u00e0 an to\u00e0n \u0111i\u1ec7n, \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o t\u1eeb tr\u00ecnh \u0111\u1ed9 trung c\u1ea5p tr\u1edf l\u00ean. 15. C\u00f3 ph\u00e2n c\u00f4ng \u00edt nh\u1ea5t m\u1ed9t nh\u00e2n vi\u00ean ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 c\u00f4ng t\u00e1c ph\u00f2ng ch\u00e1y, ch\u1eefa ch\u00e1y v\u00e0 \u0111\u00e3 tham d\u1ef1 t\u1eadp hu\u1ea5n ph\u00f2ng ch\u00e1y, ch\u1eefa ch\u00e1y. 16. B\u1ea3o \u0111\u1ea3m c\u00f3 b\u00ecnh ch\u1eefa ch\u00e1y \u0111\u1eb7t \u0111\u1ea7y \u0111\u1ee7 t\u1ea1i c\u00e1c v\u1ecb tr\u00ed c\u1ee7a khoa theo quy \u0111\u1ecbnh v\u00e0 65","C1.2 Ba\u0309o \u0111a\u0309m an to\u00e0n \u0111i\u1ec7n v\u00e0 ph\u00f2ng ch\u00e1y, ch\u1eefa ch\u00e1y M\u1ee9c 4 h\u01b0\u1edbng d\u1eabn c\u1ee7a c\u01a1 quan c\u00f4ng an (ho\u1eb7c quy \u0111\u1ecbnh c\u1ee7a b\u1ec7nh vi\u1ec7n). M\u1ee9c 5 17. C\u00f3 m\u1eddi c\u01a1 quan c\u00f4ng an, chuy\u00ean gia \u0111\u1ebfn h\u01b0\u1edbng d\u1eabn, t\u01b0 v\u1ea5n, ki\u1ec3m tra, di\u1ec5n t\u1eadp\u2026 v\u1ec1 c\u00f4ng t\u00e1c ph\u00f2ng ch\u1ed1ng ch\u00e1y n\u1ed5 \u00edt nh\u1ea5t 1 l\u1ea7n trong n\u0103m v\u00e0 c\u00f3 bi\u00ean b\u1ea3n ki\u1ec3m tra. 18. C\u00f3 t\u1ed5 ch\u1ee9c hu\u1ea5n luy\u1ec7n ph\u00f2ng ch\u00e1y, ch\u1eefa ch\u00e1y cho \u00edt nh\u1ea5t 50% nh\u00e2n vi\u00ean b\u1ec7nh vi\u1ec7n 1 l\u1ea7n trong n\u0103m ho\u1eb7c m\u1eddi chuy\u00ean gia, c\u01a1 quan c\u00f4ng an \u0111\u1ebfn h\u01b0\u1edbng d\u1eabn, hu\u1ea5n luy\u1ec7n, ki\u1ec3m tra c\u00f4ng t\u00e1c ph\u00f2ng ch\u1ed1ng ch\u00e1y n\u1ed5 \u00edt nh\u1ea5t 1 l\u1ea7n trong n\u0103m. 19. C\u00f3 ph\u01b0\u01a1ng \u00e1n ph\u00f2ng ch\u1ed1ng ch\u00e1y n\u1ed5, s\u01a1 t\u00e1n tho\u00e1t n\u1ea1n, c\u1ee9u ng\u01b0\u1eddi (\u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng t\u1ef1 tho\u00e1t n\u1ea1n), c\u1ee9u trang thi\u1ebft b\u1ecb y t\u1ebf, t\u00e0i s\u1ea3n v\u00e0 ch\u1ed1ng ch\u00e1y lan. 20. C\u00f3 c\u1ea3nh b\u00e1o ch\u00e1y n\u1ed5 v\u00e0 c\u1ea5m l\u1eeda t\u1ea1i c\u00e1c v\u1ecb tr\u00ed\/khu v\u1ef1c c\u00f3 nguy c\u01a1 cao nh\u01b0 b\u00ecnh\/kho ch\u1ee9a \u00f4-xy, n\u01a1i ch\u1ee9a nhi\u00ean li\u1ec7u gas, x\u0103ng\/d\u1ea7u v\u00e0 c\u00e1c m\u00e1y m\u00f3c c\u00f3 nguy c\u01a1 ch\u00e1y n\u1ed5 cao kh\u00e1c. 21. C\u00f3 chu\u00f4ng b\u00e1o ch\u00e1y, \u0111\u00e8n kh\u1ea9n c\u1ea5p lu\u00f4n trong t\u00ecnh tr\u1ea1ng ho\u1ea1t \u0111\u1ed9ng. C\u00e1c h\u1ec7 th\u1ed1ng \u0111\u01b0\u1ee3c ki\u1ec3m tra v\u1eadn h\u00e0nh th\u1eed \u00edt nh\u1ea5t 2 l\u1ea7n trong n\u0103m v\u00e0 ho\u1ea1t \u0111\u1ed9ng t\u1ed1t. 22. C\u00f3 ch\u1ee9ng nh\u1eadn v\u1ec1 ph\u00f2ng ch\u00e1y, ch\u1eefa ch\u00e1y do c\u01a1 quan c\u00f3 th\u1ea9m quy\u1ec1n c\u1ea5p (\u0111\u1ed1i v\u1edbi c\u00f4ng tr\u00ecnh m\u1edbi x\u00e2y, c\u1ea3i t\u1ea1o c\u1ea7n c\u00f3 bi\u00ean b\u1ea3n nghi\u1ec7m thu h\u1ec7 th\u1ed1ng ph\u00f2ng ch\u00e1y ch\u1eefa ch\u00e1y do c\u01a1 quan c\u00f3 th\u1ea9m quy\u1ec1n c\u1ea5p). 23. \u0110\u00e3 kh\u1eafc ph\u1ee5c to\u00e0n b\u1ed9 c\u00e1c nh\u01b0\u1ee3c \u0111i\u1ec3m (n\u1ebfu c\u00f3) \u0111\u01b0\u1ee3c n\u00eau trong bi\u00ean b\u1ea3n. 24. C\u00f3 b\u1ea3n s\u01a1 \u0111\u1ed3 c\u1eeda v\u00e0 c\u1ea7u thang tho\u00e1t hi\u1ec3m t\u1ea1i \u0111\u1ea7y \u0111\u1ee7 c\u00e1c h\u00e0nh lang. 25. C\u00f3 b\u1ea3n danh s\u00e1ch s\u1ed1 l\u01b0\u1ee3ng b\u00ecnh ch\u1eefa ch\u00e1y chung c\u1ee7a b\u1ec7nh vi\u1ec7n v\u00e0 s\u1ed1 l\u01b0\u1ee3ng b\u00ecnh t\u1ea1i c\u00e1c khoa. 26. C\u00e1c b\u00ecnh ch\u1eefa ch\u00e1y \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed g\u1ea7n v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf, thu\u1eadn ti\u1ec7n trong s\u1eed d\u1ee5ng (v\u00ed d\u1ee5 \u0111\u1eb7t trong c\u00e1c h\u1ed9p k\u00ednh \u1edf g\u1ea7n c\u1eeda ph\u00f2ng h\u00e0nh ch\u00ednh khoa). 27. Trang b\u1ecb h\u1ec7 th\u1ed1ng c\u1ea7u dao t\u1ef1 ng\u1eaft cho c\u00e1c m\u00e1y m\u00f3c thi\u1ebft b\u1ecb y t\u1ebf. 28. C\u00f3 h\u1ec7 th\u1ed1ng b\u00e1o ch\u00e1y, chu\u00f4ng b\u00e1o ch\u00e1y t\u1ef1 \u0111\u1ed9ng t\u1ea1i t\u1ea5t c\u1ea3 c\u00e1c khoa\/ph\u00f2ng. 29. C\u00f3 h\u1ec7 th\u1ed1ng m\u00e1y ph\u00e1t \u0111i\u1ec7n d\u1ef1 ph\u00f2ng. 30. C\u00f3 di\u1ec5n t\u1eadp ph\u00f2ng ch\u00e1y ch\u1eefa ch\u00e1y \u00edt nh\u1ea5t 1 l\u1ea7n trong n\u0103m tr\u00ean quy m\u00f4 to\u00e0n b\u1ec7nh vi\u1ec7n.Nh\u00e2n vi\u00ean s\u1eed d\u1ee5ng \u0111\u01b0\u1ee3c c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ch\u1eefa ch\u00e1y s\u1eb5n c\u00f3 v\u00e0 bi\u1ebft \u0111\u01b0\u1ee3c ph\u01b0\u01a1ng \u00e1n s\u01a1 t\u00e1n tho\u00e1t n\u1ea1n, c\u1ee9u ng\u01b0\u1eddi. 31. Kh\u00f4ng c\u00f3 s\u1ef1 c\u1ed1 ch\u00e1y, n\u1ed5 trong n\u0103m c\u1ea7n d\u00f9ng b\u00ecnh c\u1ee9u h\u1ecfa. 32. Trang b\u1ecb h\u1ec7 th\u1ed1ng c\u1ea7u dao t\u1ef1 ng\u1eaft cho to\u00e0n b\u1ed9 h\u1ec7 th\u1ed1ng \u0111i\u1ec7n v\u00e0 ri\u00eang cho t\u1eebng kh\u1ed1i nh\u00e0, t\u1eebng t\u1ea7ng. 33. Kh\u00f4ng c\u00f3 s\u1ef1 c\u1ed1 ch\u1eadp \u0111i\u1ec7n trong n\u0103m. 34. Trang b\u1ecb h\u1ec7 th\u1ed1ng phun n\u01b0\u1edbc ch\u1eefa ch\u00e1y t\u1ef1 \u0111\u1ed9ng c\u00f9ng h\u1ec7 th\u1ed1ng c\u1ea3m bi\u1ebfn kh\u00f3i ch\u00e1y t\u1ea1i t\u1ea5t c\u1ea3 c\u00e1c khoa\/ph\u00f2ng. 35. C\u00f3 h\u1ec7 th\u1ed1ng m\u00e1y ph\u00e1t \u0111i\u1ec7n d\u1ef1 ph\u00f2ng v\u00e0 t\u1ef1 \u0111\u1ed9ng k\u00edch ho\u1ea1t trong v\u00f2ng 1 ph\u00fat n\u1ebfu nh\u01b0 \u0111i\u1ec7n l\u01b0\u1edbi b\u1ecb c\u1eaft ho\u1eb7c g\u1eb7p s\u1ef1 c\u1ed1. 36. Thi\u1ebft k\u1ebf c\u00e1c kh\u1ed1i nh\u00e0 cao t\u1ea7ng c\u00f3 c\u1eeda tho\u00e1t hi\u1ec3m v\u00e0 c\u1ea7u thang b\u1ed9 tho\u00e1t hi\u1ec3m trong tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p, ch\u00e1y n\u1ed5 (c\u1ea7u thang th\u00f4ng th\u01b0\u1eddng ch\u1ec9 \u0111\u01b0\u1ee3c coi l\u00e0 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi c\u00f3 c\u1ea7u thang tho\u00e1t hi\u1ec3m n\u1ebfu n\u1eb1m \u1edf v\u1ecb tr\u00ed \u0111\u1ea7u h\u1ed3i v\u00e0 th\u00f4ng tho\u00e1ng ho\u00e0n to\u00e0n v\u1edbi ngo\u00e0i tr\u1eddi, b\u1ea3o \u0111\u1ea3m kh\u00f4ng b\u1ecb ng\u1ea1t kh\u00f3i). 37. C\u00f3 tham gia b\u1ea3o hi\u1ec3m ch\u00e1y, n\u1ed5. 66","CH\u01af\u01a0NG C2. QU\u1ea2N L\u00dd H\u1ed2 S\u01a0 B\u1ec6NH \u00c1N C2.1 H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n \u0111\u01b0\u1ee3c l\u1eadp \u0111\u1ea7y \u0111\u1ee7, ch\u00ednh x\u00e1c, khoa h\u1ecdc C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Lu\u1eadt Kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh s\u1ed1 40\/2009\/QH12 ng\u00e0y 23\/11\/2009 (\u0110i\u1ec1u 59 quy v\u00e0 \u00fd \u0111\u1ecbnh chi ti\u1ebft h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n). ngh\u0129a \uf0b7 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 1895\/1997\/Q\u0110-BYT ng\u00e0y 19\/9\/1997 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf ban M\u1ee9c 1 h\u00e0nh Quy ch\u1ebf b\u1ec7nh vi\u1ec7n. M\u1ee9c 2 \uf0b7 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 3970\/Q\u0110-BYT ng\u00e0y 24\/9\/2015 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf ban h\u00e0nh M\u1ee9c 3 \u201cB\u1ea3ng ph\u00e2n lo\u1ea1i th\u1ed1ng k\u00ea qu\u1ed1c t\u1ebf v\u1ec1 b\u1ec7nh t\u1eadt v\u00e0 v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u00f3 li\u00ean quan\u201d phi\u00ean b\u1ea3n l\u1ea7n th\u1ee9 10 (ICD 10) t\u1eadp 1 v\u00e0 t\u1eadp 2. M\u1ee9c 4 \uf0b7 H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n l\u00e0 t\u00e0i li\u1ec7u khoa h\u1ecdc, ph\u00e1p l\u00fd c\u1ea7n \u0111\u01b0\u1ee3c l\u1eadp \u0111\u1ea7y \u0111\u1ee7, ch\u00ednh x\u00e1c, gi\u00fap ki\u1ec3m tra, \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb v\u00e0 cung c\u1ea5p th\u00f4ng tin cho nghi\u00ean c\u1ee9u khoa h\u1ecdc. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. C\u00f3 t\u00ecnh tr\u1ea1ng h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n ch\u01b0a \u0111\u01b0\u1ee3c l\u1eadp k\u1ecbp th\u1eddi sau khi ng\u01b0\u1eddi b\u1ec7nh nh\u1eadp vi\u1ec7n (24 gi\u1edd v\u1edbi ng\u01b0\u1eddi b\u1ec7nh c\u1ea5p c\u1ee9u v\u00e0 36 gi\u1edd v\u1edbi b\u1ec7nh th\u00f4ng th\u01b0\u1eddng). 2. Ph\u00e1t hi\u1ec7n th\u1ea5y b\u1ec7nh \u00e1n c\u00f3 th\u00f4ng tin m\u00e2u thu\u1eabn, kh\u00f4ng h\u1ee3p l\u00fd. 3. B\u1ec7nh \u00e1n c\u00f3 n\u1ed9i dung kh\u00f4ng \u0111\u1ecdc \u0111\u01b0\u1ee3c ch\u1eef vi\u1ebft. 4. H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n \u0111\u01b0\u1ee3c l\u1eadp sau khi v\u00e0o vi\u1ec7n trong v\u00f2ng 36 gi\u1edd (ho\u1eb7c 24 gi\u1edd v\u1edbi ng\u01b0\u1eddi b\u1ec7nh c\u1ea5p c\u1ee9u), b\u1ea3o \u0111\u1ea3m \u0111\u1ea7y \u0111\u1ee7 c\u00e1c th\u00f4ng tin c\u01a1 b\u1ea3n c\u1ea7n thi\u1ebft v\u00e0 ho\u00e0n ch\u1ec9nh h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n theo quy \u0111\u1ecbnh. 5. H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n b\u1ea3o \u0111\u1ea3m \u0111\u01b0\u1ee3c b\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb duy\u1ec7t v\u00e0 ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 m\u1eb7t n\u1ed9i dung th\u00f4ng tin. 6. B\u1ea3o \u0111\u1ea3m ghi \u0111\u1ea7y \u0111\u1ee7, r\u00f5 r\u00e0ng c\u00e1c th\u00f4ng tin trong b\u1ec7nh \u00e1n theo quy \u0111\u1ecbnh, \u0111\u1ecdc \u0111\u01b0\u1ee3c ch\u1eef v\u00e0 n\u1ed9i dung. B\u1ec7nh \u00e1n ngo\u1ea1i khoa c\u00f3 v\u1ebd l\u01b0\u1ee3c \u0111\u1ed3 ph\u1eabu thu\u1eadt. 7. C\u00e1c th\u00f4ng tin v\u1ec1 ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c ghi v\u00e0o h\u1ed3 s\u01a1 ngay sau khi th\u1ef1c hi\u1ec7n v\u00e0 theo c\u00e1c quy \u0111\u1ecbnh v\u1ec1 th\u1eddi gian. 8. B\u1ec7nh \u00e1n \u0111\u1ea7y \u0111\u1ee7 c\u00e1c th\u00f4ng tin theo quy \u0111\u1ecbnh nh\u01b0 h\u00e0nh ch\u00ednh, ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb, ch\u0103m s\u00f3c sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb. 9. Nh\u1eefng th\u00f4ng tin c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh \u0111\u01b0\u1ee3c g\u1ea1ch b\u1ecf, k\u00fd t\u00ean ng\u01b0\u1eddi s\u1eeda v\u00e0 th\u1eddi gian s\u1eeda (kh\u00f4ng t\u1ea9y x\u00f3a ho\u1eb7c b\u00f4i \u0111en \u0111\u1ec3 kh\u00f4ng \u0111\u1ecdc \u0111\u01b0\u1ee3c n\u1ed9i dung c\u0169). 10. S\u1eb5n c\u00f3 \u201cB\u1ea3ng ph\u00e2n lo\u1ea1i th\u1ed1ng k\u00ea qu\u1ed1c t\u1ebf v\u1ec1 b\u1ec7nh t\u1eadt v\u00e0 v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u00f3 li\u00ean quan\u201d phi\u00ean b\u1ea3n l\u1ea7n th\u1ee9 10 (ICD 10) ph\u00f2ng k\u1ebf ho\u1ea1ch (ho\u1eb7c nghi\u1ec7p v\u1ee5). 11. S\u1eb5n c\u00f3 b\u1ea3ng m\u00e3 ICD10 cho c\u00e1c b\u1ec7nh th\u01b0\u1eddng g\u1eb7p c\u1ee7a c\u00e1c khoa l\u00e2m s\u00e0ng t\u1ea1i ph\u00f2ng h\u00e0nh ch\u00ednh c\u1ee7a khoa. 12. B\u1ea3ng m\u00e3 \u0111\u01b0\u1ee3c in r\u00f5 r\u00e0ng, l\u00e0nh l\u1eb7n, d\u1ec5 \u0111\u1ecdc, \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed d\u1ec5 quan s\u00e1t ho\u1eb7c d\u1ec5 l\u1ea5y. 13. C\u00f3 t\u1eadp hu\u1ea5n cho b\u00e1c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng v\u1ec1 m\u00e3 h\u00f3a b\u1ec7nh t\u1eadt theo ICD 10, c\u00e1ch ghi m\u00e3 b\u1ec7nh ch\u00ednh v\u00e0 b\u1ec7nh k\u00e8m theo. 14. C\u00e1c th\u00f4ng tin b\u1ec7nh \u0111\u01b0\u1ee3c m\u00e3 h\u00f3a ch\u00ednh x\u00e1c theo b\u1ea3ng ICD 10 khi ch\u1ea9n \u0111o\u00e1n v\u00e0 sau khi c\u00f3 k\u1ebft lu\u1eadn ra vi\u1ec7n. 15. C\u00f3 ph\u00e2n c\u00f4ng nh\u00e2n vi\u00ean ch\u1ecbu tr\u00e1ch nhi\u1ec7m ki\u1ec3m tra h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n th\u01b0\u1eddng quy, \u0111\u00e1nh gi\u00e1 vi\u1ec7c ghi ch\u00e9p, ch\u1ea5t l\u01b0\u1ee3ng th\u00f4ng tin\u2026 16. C\u00f3 quy \u0111\u1ecbnh v\u00e0 ti\u1ebfn h\u00e0nh ki\u1ec3m tra ng\u1eabu nhi\u00ean ch\u1ea5t l\u01b0\u1ee3ng h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n v\u00e0 nh\u1eadp m\u00e3 ICD 10. 67","M\u1ee9c 5 17. C\u00f3 ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 (ho\u1eb7c nghi\u00ean c\u1ee9u) v\u1ec1 ch\u1ea5t l\u01b0\u1ee3ng h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n v\u00e0 x\u00e1c \u0111\u1ecbnh t\u1ef7 l\u1ec7 nh\u1eadp sai m\u00e3 ICD 10 (v\u00ed d\u1ee5 c\u00f3 b\u1ea3ng ki\u1ec3m \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh \u00e1n Ghi ch\u00fa t\u1eeb h\u00ecnh th\u1ee9c \u0111\u1ebfn n\u1ed9i dung). ki\u1ec3m tra: 18. C\u00f3 b\u1ea3n k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1, trong \u0111\u00f3 ch\u1ec9 ra \u0111\u01b0\u1ee3c nh\u1eefng l\u1ed7i th\u01b0\u1eddng g\u1eb7p c\u1ee7a h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n, t\u1ef7 l\u1ec7 nh\u1eadp sai m\u00e3 ICD 10, nguy\u00ean nh\u00e2n ch\u00ednh v\u00e0 c\u00e1c gi\u1ea3i ph\u00e1p. 19. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1, c\u00e1c gi\u1ea3i ph\u00e1p \u0111\u00e3 \u0111\u1ec1 xu\u1ea5t v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng l\u1eadp h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n v\u00e0 nh\u1eadp m\u00e3 ICD 10. 20. Th\u00ed \u0111i\u1ec3m l\u1eadp b\u1ec7nh \u00e1n theo h\u00ecnh th\u1ee9c b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed (t\u1ea1i m\u1ed9t s\u1ed1 khoa). 21. C\u00e1c th\u00f4ng tin v\u1ec1 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m, ch\u1ea9n \u0111o\u00e1n, ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt v\u00e0o h\u1ed3 s\u01a1 ngay sau khi th\u1ef1c hi\u1ec7n ho\u1eb7c sau khi c\u00f3 k\u1ebft qu\u1ea3 b\u1eb1ng h\u1ec7 th\u1ed1ng m\u00e1y t\u00ednh n\u1ed1i m\u1ea1ng n\u1ed9i b\u1ed9. 22. C\u00f3 \u0111\u00e1nh gi\u00e1 s\u01a1 b\u1ed9 k\u1ebft qu\u1ea3 tri\u1ec3n khai th\u00ed \u0111i\u1ec3m b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed, x\u00e1c \u0111\u1ecbnh nh\u1eefng kh\u00f3 kh\u0103n, b\u1ea5t c\u1eadp c\u1ea7n kh\u1eafc ph\u1ee5c. 23. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 v\u00e0o vi\u1ec7c tri\u1ec3n khai b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed r\u1ed9ng r\u00e3i. \uf0b7 \u0110\u1ed1i v\u1edbi m\u1ee9c 4: B\u1eaft th\u0103m ng\u1eabu nhi\u00ean t\u1ed1i thi\u1ec3u 20 b\u1ec7nh \u00e1n c\u1ee7a \u00edt nh\u1ea5t 5 khoa\/ph\u00f2ng kh\u00e1c nhau v\u00e0 ki\u1ec3m tra t\u00ednh ch\u00ednh x\u00e1c gi\u1eefa t\u00ean b\u1ec7nh v\u00e0 ICD. \uf0b7 \u0110\u1ed1i v\u1edbi m\u1ee9c 5: Tr\u00ean h\u1ec7 th\u1ed1ng m\u00e1y t\u00ednh, ch\u1ecdn \u00edt nh\u1ea5t 10 m\u00e3 ICD b\u1ea5t k\u1ef3 v\u00e0 ki\u1ec3m tra t\u00ednh \u0111\u1ed3ng nh\u1ea5t v\u00e0 ch\u00ednh x\u00e1c t\u00ean b\u1ec7nh. 68","C2.2 H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n \u0111\u01b0\u1ee3c qua\u0309n l\u00fd ch\u1eb7t ch\u1ebd, \u0111\u1ea7y \u0111\u1ee7, khoa h\u1ecdc C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Lu\u1eadt Kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh s\u1ed1 40\/2009\/QH12 ng\u00e0y 23\/11\/2009 (\u0110i\u1ec1u 59 quy v\u00e0 \u00fd \u0111\u1ecbnh chi ti\u1ebft h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n). ngh\u0129a \uf0b7 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 1895\/1997\/Q\u0110-BYT ng\u00e0y 19\/9\/1997 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf ban M\u1ee9c 1 h\u00e0nh Quy ch\u1ebf b\u1ec7nh vi\u1ec7n. M\u1ee9c 2 \uf0b7 H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n l\u00e0 t\u00e0i li\u1ec7u khoa h\u1ecdc, ph\u00e1p l\u00fd. M\u1ee9c 3 \uf0b7 Vi\u1ec7c qu\u1ea3n l\u00fd h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n t\u1ed1t s\u1ebd gi\u00fap cho ki\u1ec3m tra, \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb v\u00e0 cung c\u1ea5p th\u00f4ng tin cho nghi\u00ean c\u1ee9u khoa h\u1ecdc, \u0111\u1ed3ng th\u1eddi gi\u00fap cho vi\u1ec7c tra c\u1ee9u, M\u1ee9c 4 h\u1ed3i c\u1ee9u th\u00f4ng tin ph\u1ee5c v\u1ee5 cho \u0111i\u1ec1u tr\u1ecb, h\u1ed3 s\u01a1 ph\u00e1p l\u00fd khi c\u1ea7n thi\u1ebft \u0111\u01b0\u1ee3c thu\u1eadn l\u1ee3i. M\u1ee9c 5 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. C\u00f3 t\u00ecnh tr\u1ea1ng b\u1ec7nh \u00e1n \u0111\u1ec3 b\u1eeba b\u00e3i, l\u1ed9n x\u1ed9n, \u1ea9m \u01b0\u1edbt... 2. Kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c m\u1ed9t b\u1ec7nh \u00e1n theo y\u00eau c\u1ea7u trong v\u00f2ng 30 ph\u00fat t\u1ea1i n\u01a1i l\u01b0u tr\u1eef trong khu\u00f4n vi\u00ean b\u1ec7nh vi\u1ec7n. 3. B\u1ec7nh \u00e1n \u0111\u01b0\u1ee3c l\u01b0u tr\u1eef c\u1ea9n th\u1eadn theo quy \u0111\u1ecbnh trong m\u1ed9t ho\u1eb7c nhi\u1ec1u kho kh\u00e1c nhau. 4. B\u1ec7nh \u00e1n \u0111\u01b0\u1ee3c l\u01b0u tr\u1eef \u0111\u1ee7 th\u1eddi gian quy \u0111\u1ecbnh. 5. Kho l\u01b0u tr\u1eef b\u1ec7nh \u00e1n th\u00f4ng tho\u00e1ng, ng\u0103n n\u1eafp, b\u1ea3o \u0111\u1ea3m ch\u1ed1ng \u1ea9m, ch\u1ed1ng ch\u00e1y, ch\u1ed1ng m\u01b0a, l\u1ee5t. 6. Kho l\u01b0u tr\u1eef b\u1ec7nh \u00e1n b\u1ea3o \u0111\u1ea3m ch\u1ed1ng chu\u1ed9t, m\u1ed1i x\u00f4ng v\u00e0 c\u00f4n tr\u00f9ng kh\u00e1c. 7. C\u00f3 s\u1ed5 l\u01b0u tr\u1eef (ho\u1eb7c ph\u1ea7n m\u1ec1m) \u0111\u1ec3 qu\u1ea3n l\u00fd s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh \u00e1n nh\u1eadp - xu\u1ea5t kho l\u01b0u tr\u1eef theo t\u1eebng khoa. 8. Kho l\u01b0u tr\u1eef b\u1ec7nh \u00e1n c\u00f3 gi\u00e1, ng\u0103n ho\u1eb7c t\u1ee7 s\u1eafp x\u1ebfp b\u1ec7nh \u00e1n theo tr\u00ecnh t\u1ef1 th\u1ed1ng nh\u1ea5t (do b\u1ec7nh vi\u1ec7n t\u1ef1 quy \u0111\u1ecbnh) c\u00f3 ph\u00e2n bi\u1ec7t theo khoa\/ph\u00f2ng, theo th\u1eddi gian ho\u1eb7c theo c\u00e1c h\u00ecnh th\u1ee9c kh\u00e1c. 9. C\u00f3 s\u1ed5 l\u01b0u tr\u1eef (ho\u1eb7c ph\u1ea7n m\u1ec1m nh\u01b0 excel) \u0111\u1ec3 tra c\u1ee9u v\u00e0 x\u00e1c \u0111\u1ecbnh m\u1ed9t b\u1ec7nh \u00e1n b\u1ea5t k\u1ef3 \u0111ang n\u1eb1m \u1edf v\u1ecb tr\u00ed n\u00e0o (ng\u0103n, gi\u00e1, t\u1ee7) trong kho (ho\u1eb7c \u0111ang t\u1ea1m th\u1eddi \u0111\u01b0\u1ee3c \u0111em ra ngo\u00e0i kho cho m\u1ee5c \u0111\u00edch kh\u00e1c v\u00e0 tra \u0111\u01b0\u1ee3c t\u00ean ng\u01b0\u1eddi \u0111ang s\u1eed d\u1ee5ng). 10. M\u1ed7i ng\u01b0\u1eddi b\u1ec7nh \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c cung c\u1ea5p m\u1ed9t m\u00e3 x\u00e1c \u0111\u1ecbnh (do b\u1ec7nh vi\u1ec7n ho\u1eb7c c\u01a1 quan qu\u1ea3n l\u00fd quy \u0111\u1ecbnh v\u00e0 th\u1ed1ng nh\u1ea5t c\u00e1ch \u0111\u1eb7t m\u00e3). 11. C\u00e1c th\u00f4ng tin h\u00e0nh ch\u00ednh v\u00e0 t\u00f3m t\u1eaft n\u1ed9i dung chuy\u00ean m\u00f4n ch\u00ednh c\u1ee7a b\u1ec7nh \u00e1n \u0111\u01b0\u1ee3c nh\u1eadp v\u00e0o ph\u1ea7n m\u1ec1m m\u00e1y t\u00ednh \u0111\u1ec3 l\u01b0u tr\u1eef, qu\u1ea3n l\u00fd. 12. C\u00e1c th\u00f4ng tin v\u1ec1 b\u1ec7nh t\u1eadt trong c\u00e1c l\u1ea7n \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc c\u00f3 th\u1ec3 truy c\u1eadp nhanh ch\u00f3ng trong c\u00e1c l\u1ea7n \u0111i\u1ec1u tr\u1ecb ti\u1ebfp sau. 13. C\u00f3 th\u1ec3 l\u1ea5y m\u1ed9t th\u00f4ng tin c\u1ee7a m\u1ed9t b\u1ec7nh \u00e1n b\u1ea5t k\u1ef3 theo: m\u00e3 b\u1ec7nh \u00e1n, t\u00ean ng\u01b0\u1eddi b\u1ec7nh, m\u00e3 b\u1ec7nh, ng\u00e0y nh\u1eadp\/xu\u1ea5t vi\u1ec7n (trong ph\u1ea1m vi 2 n\u0103m). 14. To\u00e0n b\u1ed9 n\u1ed9i dung th\u00f4ng tin b\u1ec7nh \u00e1n \u0111\u01b0\u1ee3c l\u01b0u tr\u1eef tr\u00ean ph\u1ea7n m\u1ec1m m\u00e1y t\u00ednh. 15. Tr\u00ean h\u1ec7 th\u1ed1ng m\u00e1y t\u00ednh, b\u1ec7nh vi\u1ec7n c\u00f3 th\u1ec3 xu\u1ea5t th\u00f4ng tin chi ti\u1ebft v\u1ec1 b\u1ec7nh \u00e1n, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh theo: m\u00e3 b\u1ec7nh \u00e1n, t\u00ean ng\u01b0\u1eddi b\u1ec7nh, ng\u00e0y nh\u1eadp\/xu\u1ea5t vi\u1ec7n trong ph\u1ea1m vi 2 n\u0103m. 16. Ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 th\u1ef1c tr\u1ea1ng vi\u1ec7c qu\u1ea3n l\u00fd h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n c\u1ee7a b\u1ec7nh vi\u1ec7n v\u00e0 ch\u1ec9 ra \u0111\u01b0\u1ee3c nh\u1eefng kh\u00f3 kh\u0103n, nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ea7n gi\u1ea3i quy\u1ebft. 17. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng qu\u1ea3n l\u00fd h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n. 69","CH\u01af\u01a0NG C3. C\u00d4NG NGH\u1ec6 TH\u00d4NG TIN Y T\u1ebe C3.1 Qua\u0309n l\u00fd t\u1ed1t c\u01a1 s\u1edf d\u1eef li\u1ec7u v\u00e0 th\u00f4ng tin y t\u00ea\u0301 C\u0103n c\u1ee9 \uf0b7 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 1191\/Q\u0110-BYT ng\u00e0y 14\/4\/2010 v\u1ec1 vi\u1ec7c ph\u00ea duy\u1ec7t \u0110\u1ec1 \u00e1n ki\u1ec7n to\u00e0n \u0111\u1ec1 xu\u1ea5t h\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c c\u00f4ng ngh\u1ec7 th\u00f4ng tin trong c\u00e1c \u0111\u01a1n v\u1ecb s\u1ef1 nghi\u1ec7p c\u1ee7a ng\u00e0nh y t\u1ebf v\u00e0 \u00fd giai \u0111o\u1ea1n t\u1eeb n\u0103m 2010 \u0111\u1ebfn n\u0103m 2015. ngh\u0129a \uf0b7 Ch\u1ec9 th\u1ecb s\u1ed1 02\/CT-BYT n\u0103m 2009 v\u1ec1 vi\u1ec7c \u0111\u1ea9y m\u1ea1nh v\u00e0 ph\u00e1t tri\u1ec3n c\u00f4ng ngh\u1ec7 th\u00f4ng tin trong ng\u00e0nh Y t\u1ebf. \uf0b7 Th\u00f4ng tin b\u1ec7nh vi\u1ec7n l\u00e0 c\u01a1 s\u1edf \u0111\u1ec3 l\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh. \uf0b7 Th\u00f4ng tin b\u1ec7nh vi\u1ec7n l\u00e0 c\u01a1 s\u1edf \u0111\u1ec3 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch ho\u1ea1t \u0111\u1ed9ng, qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n v\u00e0 gi\u00e1m s\u00e1t \u1edf c\u1ea5p \u0111\u1ed9 b\u1ec7nh vi\u1ec7n v\u00e0 c\u01a1 quan qu\u1ea3n l\u00fd y t\u1ebf. \uf0b7 D\u1eef li\u1ec7u, s\u1ed1 li\u1ec7u v\u00e0 th\u00f4ng tin b\u1ec7nh vi\u1ec7n l\u00e0 n\u1ec1n t\u1ea3ng c\u1ee7a \u0111o l\u01b0\u1eddng ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. Kh\u00f4ng cung c\u1ea5p \u0111\u01b0\u1ee3c c\u00e1c th\u00f4ng tin c\u01a1 b\u1ea3n c\u1ee7a ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. 2. Kh\u00f4ng c\u00f3 m\u1ed9t nh\u00e2n vi\u00ean ph\u1ee5 tr\u00e1ch qu\u1ea3n l\u00fd th\u00f4ng tin. M\u1ee9c 2 3. C\u00f3 ph\u00e2n c\u00f4ng nh\u00e2n vi\u00ean ph\u1ee5 tr\u00e1ch qu\u1ea3n l\u00fd th\u00f4ng tin b\u1ec7nh vi\u1ec7n. 4. C\u00f3 h\u1ec7 th\u1ed1ng bi\u1ec3u m\u1eabu chu\u1ea9n h\u00f3a v\u00e0 th\u1ed1ng nh\u1ea5t to\u00e0n b\u1ed9 b\u1ec7nh vi\u1ec7n d\u1ef1a tr\u00ean h\u1ec7 th\u1ed1ng bi\u1ec3u m\u1eabu ghi ch\u00e9p, h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n c\u1ee7a B\u1ed9 Y t\u1ebf. 5. B\u00e1o c\u00e1o cho c\u00e1c c\u01a1 quan qu\u1ea3n l\u00fd (B\u1ed9 Y t\u1ebf, C\u1ee5c Qu\u1ea3n l\u00fd Kh\u00e1m, ch\u1eefa b\u1ec7nh; S\u1edf Y t\u1ebf) \u0111\u1ea7y \u0111\u1ee7 c\u00e1c s\u1ed1 li\u1ec7u theo quy \u0111\u1ecbnh. 6. C\u00f3 c\u00e1c h\u1ec7 th\u1ed1ng qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n tr\u00ean s\u1ed5 s\u00e1ch (ho\u1eb7c ph\u1ea7n m\u1ec1m): qu\u1ea3n l\u00fd ng\u01b0\u1eddi b\u1ec7nh, qu\u1ea3n l\u00fd c\u1eadn l\u00e2m s\u00e0ng, qu\u1ea3n l\u00fd d\u01b0\u1ee3c, qu\u1ea3n l\u00fd v\u1eadt t\u01b0 ti\u00eau hao, qu\u1ea3n l\u00fd vi\u1ec7n ph\u00ed v\u00e0 thanh to\u00e1n b\u1ea3o hi\u1ec3m y t\u1ebf; qu\u1ea3n l\u00fd h\u1ea1 t\u1ea7ng k\u1ef9 thu\u1eadt v\u00e0 trang thi\u1ebft b\u1ecb y t\u1ebf. 7. Tri\u1ec3n khai \u00e1p d\u1ee5ng ph\u1ea7n m\u1ec1m b\u00e1o c\u00e1o th\u1ed1ng k\u00ea b\u1ec7nh vi\u1ec7n (theo quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf v\u00e0 c\u01a1 quan qu\u1ea3n l\u00fd). M\u1ee9c 3 8. Ho\u00e0n th\u00e0nh \u0111\u1ea7y \u0111\u1ee7 vi\u1ec7c nh\u1eadp th\u00f4ng tin, s\u1ed1 li\u1ec7u ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n theo quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf \u0111\u1ecbnh k\u1ef3 cu\u1ed1i n\u0103m tr\u00ean h\u1ec7 th\u1ed1ng ph\u1ea7n m\u1ec1m tr\u1ef1c tuy\u1ebfn. 9. C\u00f3 h\u1ec7 th\u1ed1ng danh m\u1ee5c th\u1ed1ng nh\u1ea5t to\u00e0n b\u1ec7nh vi\u1ec7n v\u1ec1 gi\u00e1 d\u1ecbch v\u1ee5 k\u1ef9 thu\u1eadt y t\u1ebf theo ph\u00e2n lo\u1ea1i c\u1ee7a B\u1ed9 Y t\u1ebf cho t\u1ea5t c\u1ea3 c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh. 10. C\u00f3 ph\u1ea7n m\u1ec1m th\u1ed1ng k\u00ea ho\u1eb7c ph\u1ea7n m\u1ec1m qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n c\u00f3 kh\u1ea3 n\u0103ng k\u1ebft xu\u1ea5t s\u1ed1 li\u1ec7u sang excel ho\u1eb7c \u0111\u1ecbnh d\u1ea1ng kh\u00e1c \u0111\u1ec3 ph\u00e2n t\u00edch s\u1ed1 li\u1ec7u. 11. S\u1eed d\u1ee5ng s\u1ed1 li\u1ec7u v\u00e0 th\u00f4ng tin t\u1eeb ph\u1ea7n m\u1ec1m chuy\u00ean m\u00f4n nghi\u1ec7p v\u1ee5, gi\u00fap cho l\u00e3nh \u0111\u1ea1o qu\u1ea3n l\u00fd v\u00e0 \u0111i\u1ec1u h\u00e0nh. 12. \u00c1p d\u1ee5ng h\u1ec7 th\u1ed1ng m\u00e3 h\u00f3a l\u00e2m s\u00e0ng theo quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf bao g\u1ed3m m\u00e3 h\u00f3a b\u1ec7nh t\u1eadt, t\u1eed vong theo \u201cB\u1ea3ng ph\u00e2n lo\u1ea1i th\u1ed1ng k\u00ea qu\u1ed1c t\u1ebf v\u1ec1 b\u1ec7nh t\u1eadt v\u00e0 v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u00f3 li\u00ean quan\u201d phi\u00ean b\u1ea3n l\u1ea7n th\u1ee9 10 (ICD 10), \u201cB\u1ea3ng ph\u00e2n lo\u1ea1i qu\u1ed1c t\u1ebf ph\u1eabu thu\u1eadt, th\u1ee7 thu\u1eadt\u201d ICD9 - CM. M\u1ee9c 4 13. X\u00e2y d\u1ef1ng b\u1ea3ng danh s\u00e1ch c\u00e1c ch\u1ec9 s\u1ed1 th\u00f4ng tin b\u1ec7nh vi\u1ec7n, bao g\u1ed3m c\u00e1c ch\u1ec9 s\u1ed1 v\u1ec1 t\u1ed5 ch\u1ee9c, ho\u1ea1t \u0111\u1ed9ng, chuy\u00ean m\u00f4n v\u00e0 c\u00e1c ch\u1ec9 s\u1ed1 kh\u00e1c (v\u00ed d\u1ee5 s\u1ed1 gi\u01b0\u1eddng b\u1ec7nh, nh\u00e2n l\u1ef1c bao g\u1ed3m b\u00e1c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng, s\u1ed1 l\u01b0\u1ee3t kh\u00e1m b\u1ec7nh, n\u1ed9i tr\u00fa\u2026) 14. C\u00f3 theo d\u00f5i, \u0111\u00e1nh gi\u00e1 c\u00e1c ch\u1ec9 s\u1ed1 theo th\u1eddi gian n\u0103m, qu\u00fd v\u00e0 so s\u00e1nh gi\u1eefa c\u00e1c 70","C3.1 Qua\u0309n l\u00fd t\u1ed1t c\u01a1 s\u1edf d\u1eef li\u1ec7u v\u00e0 th\u00f4ng tin y t\u00ea\u0301 M\u1ee9c 5 khoa\/ph\u00f2ng, b\u1ed9 ph\u1eadn. 15. C\u00f3 h\u1ec7 th\u1ed1ng ph\u00e2n t\u00edch d\u1eef li\u1ec7u ph\u1ee5c v\u1ee5 c\u00f4ng t\u00e1c qu\u1ea3n tr\u1ecb b\u1ec7nh vi\u1ec7n v\u00e0 c\u00f4ng t\u00e1c ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n. 16. C\u00f3 s\u1eed d\u1ee5ng c\u00e1c th\u00f4ng tin t\u1eeb h\u1ec7 th\u1ed1ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin v\u00e0o vi\u1ec7c gi\u00e1m s\u00e1t, n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh. 17. X\u00e2y d\u1ef1ng c\u00e1c c\u00f4ng c\u1ee5 (nh\u01b0 b\u1ea3ng ki\u1ec3m, ph\u1ea7n m\u1ec1m t\u1ef1 \u0111\u1ed9ng\u2026) v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 ti\u1ebfn h\u00e0nh gi\u00e1m s\u00e1t ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1 li\u1ec7u theo \u0111\u1ecbnh k\u1ef3 (ho\u1eb7c \u0111\u1ed9t xu\u1ea5t), b\u1ea3o \u0111\u1ea3m \u0111\u1ed9 tin c\u1eady, trung th\u1ef1c c\u1ee7a d\u1eef li\u1ec7u v\u00e0 gi\u00e1m s\u00e1t ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1 li\u1ec7u th\u01b0\u1eddng xuy\u00ean. 18. D\u1eef li\u1ec7u th\u00f4ng tin c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c ph\u00e2n t\u00edch theo th\u1eddi gian (m\u1ed9t giai \u0111o\u1ea1n ho\u1eb7c t\u1ea1i m\u1ed9t th\u1eddi \u0111i\u1ec3m b\u1ea5t k\u1ef3) v\u00e0 \u0111\u01b0a ra k\u1ebft qu\u1ea3 d\u01b0\u1edbi d\u1ea1ng b\u1ea3ng, h\u00ecnh v\u1ebd, bi\u1ec3u \u0111\u1ed3 ho\u1eb7c c\u00e1c d\u1ea1ng h\u00ecnh \u1ea3nh kh\u00e1c nh\u1eb1m ph\u1ee5c v\u1ee5 cho c\u00f4ng t\u00e1c th\u1ed1ng k\u00ea, d\u1ef1 b\u00e1o v\u00e0 qu\u1ea3n l\u00fd ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n. 19. Tri\u1ec3n khai h\u1ec7 th\u1ed1ng th\u00f4ng tin c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng b\u1ec7nh vi\u1ec7n: c\u00f3 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c th\u00f4ng tin, d\u1eef li\u1ec7u v\u1ec1 th\u1eddi gian ch\u1edd \u0111\u1ee3i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, th\u1eddi gian c\u1ea5p ph\u00e1t thu\u1ed1c cho ng\u01b0\u1eddi b\u1ec7nh, th\u1eddi gian tr\u1ea3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m\u2026 20. C\u00f3 th\u1ec3 k\u1ebft xu\u1ea5t c\u00e1c th\u00f4ng tin ph\u1ee5c v\u1ee5 b\u00e1o c\u00e1o, nghi\u00ean c\u1ee9u\u2026 tr\u1ef1c ti\u1ebfp t\u1eeb ph\u1ea7n m\u1ec1m nh\u01b0 m\u00f4 h\u00ecnh b\u1ec7nh t\u1eadt khi nh\u1eadp, xu\u1ea5t vi\u1ec7n, c\u01a1 c\u1ea5u t\u00e0i ch\u00ednh, thu\u1ed1c, v\u1eadt t\u01b0\u2026 theo n\u0103m, qu\u00fd, th\u00e1ng, tu\u1ea7n, ng\u00e0y. 21. C\u00f3 nghi\u00ean c\u1ee9u ho\u1eb7c \u0111\u00e1nh gi\u00e1 v\u1ec1 th\u1ef1c tr\u1ea1ng qu\u1ea3n l\u00fd th\u00f4ng tin b\u1ec7nh vi\u1ec7n, v\u00e0 ch\u1ec9 ra \u0111\u01b0\u1ee3c nh\u1eefng kh\u00f3 kh\u0103n, nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ea7n gi\u1ea3i quy\u1ebft. 22. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng qu\u1ea3n l\u00fd th\u00f4ng tin. 71","C3.2 Th\u1ef1c hi\u1ec7n c\u00e1c gia\u0309i ph\u00e1p \u1ee9ng d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin trong qua\u0309n l\u00fd v\u00e0 ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n C\u0103n c\u1ee9 \uf0b7 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 1191\/Q\u0110-BYT ng\u00e0y 14\/4\/2010 v\u1ec1 vi\u1ec7c ph\u00ea duy\u1ec7t \u0110\u1ec1 \u00e1n ki\u1ec7n to\u00e0n \u0111\u1ec1 xu\u1ea5t h\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c c\u00f4ng ngh\u1ec7 th\u00f4ng tin trong c\u00e1c \u0111\u01a1n v\u1ecb s\u1ef1 nghi\u1ec7p c\u1ee7a Ng\u00e0nh y t\u1ebf v\u00e0 \u00fd giai \u0111o\u1ea1n t\u1eeb n\u0103m 2010 \u0111\u1ebfn n\u0103m 2015. ngh\u0129a \uf0b7 Ch\u1ec9 th\u1ecb s\u1ed1 02\/CT-BYT n\u0103m 2009 v\u1ec1 vi\u1ec7c \u0111\u1ea9y m\u1ea1nh v\u00e0 ph\u00e1t tri\u1ec3n c\u00f4ng ngh\u1ec7 th\u00f4ng tin trong ng\u00e0nh Y t\u1ebf. \uf0b7 \u01af\u0301ng d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin (CNTT) l\u00e0 thi\u1ebft y\u1ebfu, t\u0103ng c\u01b0\u1eddng minh b\u1ea1ch, \u0111o l\u01b0\u1eddng ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5. \uf0b7 C\u00f4ng ngh\u1ec7 th\u00f4ng tin l\u00e0 c\u00f4ng c\u1ee5 h\u1ed7 tr\u1ee3 \u0111\u1eafc l\u1ef1c cho c\u00f4ng t\u00e1c qu\u1ea3n l\u00fd v\u00e0 chuy\u00ean m\u00f4n; \u0111o l\u01b0\u1eddng v\u00e0 gi\u00e1m s\u00e1t ch\u1ea5t l\u01b0\u1ee3ng. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. M\u00e1y t\u00ednh trong b\u1ec7nh vi\u1ec7n kh\u00f4ng k\u1ebft n\u1ed1i \u0111\u01b0\u1ee3c v\u1edbi m\u1ea1ng internet. M\u1ee9c 2 2. C\u00f3 c\u00e1n b\u1ed9 CNTT tr\u00ecnh \u0111\u1ed9 t\u1eeb trung c\u1ea5p tr\u1edf l\u00ean. 3. B\u1ec7nh vi\u1ec7n c\u00f3 m\u00e1y t\u00ednh k\u1ebft n\u1ed1i m\u1ea1ng internet, cho ph\u00e9p nh\u00e2n vi\u00ean c\u00f3 kh\u1ea3 n\u0103ng truy c\u1eadp m\u1ea1ng internet. 4. Tri\u1ec3n khai \u00edt nh\u1ea5t hai ph\u00e2n h\u1ec7 ph\u1ea7n m\u1ec1m qu\u1ea3n l\u00fd nghi\u1ec7p v\u1ee5 v\u00e0 chuy\u00ean m\u00f4n. M\u1ee9c 3 5. C\u00f3 ph\u00f2ng\/t\u1ed5 CNTT ho\u1eb7c c\u00f3 c\u00e1n b\u1ed9 chuy\u00ean tr\u00e1ch ph\u1ee5 tr\u00e1ch CNTT c\u00f3 tr\u00ecnh \u0111\u1ed9 t\u1eeb M\u1ee9c 4 cao \u0111\u1eb3ng ho\u1eb7c \u0111\u1ea1i h\u1ecdc v\u1ec1 CNTT tr\u1edf l\u00ean. 6. X\u00e2y d\u1ef1ng h\u1ec7 th\u1ed1ng m\u00e1y t\u00ednh n\u1ed1i m\u1ea1ng n\u1ed9i b\u1ed9 v\u00e0 \u1ee9ng d\u1ee5ng ph\u1ea7n m\u1ec1m qu\u1ea3n l\u00fd chuy\u00ean m\u00f4n tr\u00ean m\u1ea1ng n\u1ed9i b\u1ed9. 7. \u00c1p d\u1ee5ng c\u00e1c ph\u1ea7n m\u1ec1m qu\u1ea3n l\u00fd chuy\u00ean m\u00f4n, ho\u1ea1t \u0111\u1ed9ng t\u1ea1i c\u00e1c khoa\/ph\u00f2ng. 8. C\u00f3 c\u00e1c ph\u00e2n h\u1ec7 ph\u1ea7n m\u1ec1m sau: a. Qu\u1ea3n l\u00fd s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea b\u1ec7nh vi\u1ec7n; b. Qu\u1ea3n l\u00fd ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i, ngo\u1ea1i tr\u00fa; c. K\u00ea \u0111\u01a1n \u0111i\u1ec7n t\u1eed cho ng\u01b0\u1eddi b\u1ec7nh ngo\u1ea1i tr\u00fa; d. Qu\u1ea3n l\u00fd vi\u1ec7n ph\u00ed, thanh to\u00e1n b\u1ea3o hi\u1ec3m y t\u1ebf; e. Qu\u1ea3n l\u00fd xu\u1ea5t, nh\u1eadp thu\u1ed1c. 9. C\u00f3 c\u00e1n b\u1ed9 chuy\u00ean tr\u00e1ch ph\u1ee5 tr\u00e1ch CNTT c\u00f3 tr\u00ecnh \u0111\u1ed9 \u0111\u1ea1i h\u1ecdc \u0111\u00fang chuy\u00ean ng\u00e0nh tr\u1edf l\u00ean. 10. B\u1ec7nh vi\u1ec7n c\u00f3 c\u00e1c ph\u00e2n h\u1ec7 ph\u1ea7n m\u1ec1m sau: a. Qu\u1ea3n l\u00fd ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i, ngo\u1ea1i tr\u00fa; b. K\u00ea \u0111\u01a1n \u0111i\u1ec7n t\u1eed cho ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i tr\u00fa; c. Qu\u1ea3n l\u00fd k\u00ea \u0111\u01a1n thu\u1ed1c; d. Qu\u1ea3n l\u00fd x\u00e9t nghi\u1ec7m, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh; e. Qu\u1ea3n l\u00fd t\u00e0i ch\u00ednh - k\u1ebf to\u00e1n; f. Qu\u1ea3n l\u00fd nh\u00e2n s\u1ef1; g. Qu\u1ea3n l\u00fd h\u1ea1 t\u1ea7ng k\u1ef9 thu\u1eadt v\u00e0 trang thi\u1ebft b\u1ecb b\u1ec7nh vi\u1ec7n; h. Qu\u1ea3n l\u00fd \u0110\u00e0o t\u1ea1o, Ch\u1ec9 \u0111\u1ea1o tuy\u1ebfn, Nghi\u00ean c\u1ee9u khoa h\u1ecdc. 11. C\u00f3 ph\u1ea7n m\u1ec1m k\u1ebft n\u1ed1i c\u00e1c m\u00e1y y t\u1ebf (s\u1ed1 h\u00f3a n\u1ed1i m\u1ea1ng t\u1eeb m\u00e1y y t\u1ebf \u0111\u1ebfn b\u00e1c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng) nh\u01b0 m\u00e1y ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh (MRI, CT-scanner, CT-conbeam, Pet-CT); si\u00eau \u00e2m, m\u00e1y x\u00e9t nghi\u1ec7m h\u00f3a sinh, huy\u1ebft h\u1ecdc, mi\u1ec5n d\u1ecbch, d\u1ecb \u1ee9ng, m\u00e1y \u0111\u1ecdc kh\u00e1ng 72","C3.2 Th\u1ef1c hi\u1ec7n c\u00e1c gia\u0309i ph\u00e1p \u1ee9ng d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin trong qua\u0309n l\u00fd v\u00e0 ho\u1ea1t M\u1ee9c 5 \u0111\u1ed9ng chuy\u00ean m\u00f4n sinh \u0111\u1ed3; m\u00e1y th\u0103m d\u00f2 ch\u1ee9c n\u0103ng: n\u1ed9i soi c\u00e1c lo\u1ea1i, \u0111i\u1ec7n tim, \u0111i\u1ec7n n\u00e3o, l\u01b0u huy\u1ebft n\u00e3o. 12. To\u00e0n b\u1ed9 c\u00e1c khoa\/ph\u00f2ng \u0111\u1ec1u \u0111\u01b0\u1ee3c n\u1ed1i m\u1ea1ng n\u1ed9i b\u1ed9 v\u00e0 s\u1eed d\u1ee5ng th\u1ed1ng nh\u1ea5t m\u1ed9t ph\u1ea7n m\u1ec1m duy nh\u1ea5t (ho\u1eb7c n\u1ebfu s\u1eed d\u1ee5ng nhi\u1ec1u ph\u1ea7n m\u1ec1m c\u1ea7n c\u00f3 ph\u01b0\u01a1ng th\u1ee9c trao \u0111\u1ed5i d\u1eef li\u1ec7u t\u1ef1 \u0111\u1ed9ng k\u1ebft n\u1ed1i gi\u1eefa c\u00e1c ph\u1ea7n m\u1ec1m server inter-change v\u00e0 giao th\u1ee9c HL-7). 13. \u0110\u1ed3ng b\u1ed9 h\u00f3a to\u00e0n b\u1ed9 d\u1eef li\u1ec7u c\u1ee7a c\u00e1c khoa\/ph\u00f2ng v\u00e0 m\u00e1y m\u00f3c, trang thi\u1ebft b\u1ecb y t\u1ebf. 14. Ph\u1ea7n m\u1ec1m CNTT c\u00f3 th\u1ec3 k\u1ebft xu\u1ea5t c\u00e1c ch\u1ec9 s\u1ed1 m\u1ed9t c\u00e1ch tr\u1ef1c ti\u1ebfp. 15. Ti\u1ebfn h\u00e0nh r\u00e0 so\u00e1t theo \u0111\u1ecbnh k\u1ef3 (ho\u1eb7c nghi\u00ean c\u1ee9u, \u0111\u00e1nh gi\u00e1) v\u1ec1 ph\u1ea7n m\u1ec1m v\u00e0 vi\u1ec7c \u1ee9ng d\u1ee5ng CNTT, c\u00f3 ph\u00e1t hi\u1ec7n c\u00e1c l\u1ed7i, v\u01b0\u1edbng m\u1eafc c\u1ea7n kh\u1eafc ph\u1ee5c. 16. C\u00f3 thi\u1ebft k\u1ebf ph\u1ea7n m\u1ec1m ph\u00e2n t\u00edch th\u00f4ng tin theo th\u1eddi gian (m\u1ed9t giai \u0111o\u1ea1n ho\u1eb7c t\u1ea1i m\u1ed9t th\u1eddi \u0111i\u1ec3m b\u1ea5t k\u1ef3) v\u00e0 t\u1ef1 \u0111\u1ed9ng \u0111\u01b0a ra k\u1ebft qu\u1ea3 d\u01b0\u1edbi d\u1ea1ng b\u1ea3ng, h\u00ecnh v\u1ebd, bi\u1ec3u \u0111\u1ed3 ho\u1eb7c c\u00e1c d\u1ea1ng h\u00ecnh \u1ea3nh kh\u00e1c. 17. Qu\u1ea3n l\u00fd to\u00e0n b\u1ed9 c\u00e1c ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n h\u1ed3 s\u01a1, b\u1ec7nh \u00e1n b\u1eb1ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin. 18. \u00c1p d\u1ee5ng y b\u1ea1 \u0111i\u1ec7n t\u1eed cho ng\u01b0\u1eddi \u0111\u1ebfn kh\u00e1m b\u1ec7nh. 19. C\u00f3 \u00e1p d\u1ee5ng b\u1ec7nh \u00e1n n\u1ed9i tr\u00fa \u0111i\u1ec7n t\u1eed t\u1ea1i m\u1ed9t s\u1ed1 khoa l\u00e2m s\u00e0ng. 20. Qu\u1ea3n l\u00fd to\u00e0n b\u1ed9 ho\u1ea1t \u0111\u1ed9ng b\u1ec7nh vi\u1ec7n b\u1eb1ng CNTT. 21. C\u00f3 s\u1eed d\u1ee5ng ch\u1ee9ng th\u1ef1c \u0111i\u1ec7n t\u1eed trong c\u00e1c h\u1ed3 s\u01a1, b\u1ec7nh \u00e1n, ch\u1ec9 \u0111\u1ecbnh, x\u00e9t nghi\u1ec7m, \u0111\u01a1n thu\u1ed1c bi\u00ean lai\u2026 (ch\u1eef k\u00fd \u0111i\u1ec7n t\u1eed\/v\u00e2n tay\/m\u00e3 s\u1ed1\u2026 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c truy c\u1ee9u v\u00e0 ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 m\u1eb7t ph\u00e1p l\u00fd). 22. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 r\u00e0 so\u00e1t (ho\u1eb7c nghi\u00ean c\u1ee9u, \u0111\u00e1nh gi\u00e1) v\u00e0o vi\u1ec7c c\u1eadp nh\u1eadt, ch\u1ec9nh s\u1eeda ph\u1ea7n m\u1ec1m v\u00e0 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 th\u1ed1ng CNTT. 73","CH\u01af\u01a0NG C4. PH\u00d2NG NG\u1eeaA V\u00c0 KI\u1ec2M SO\u00c1T NHI\u1ec4M KHU\u1ea8N C4.1 Thi\u00ea\u0301t l\u1eadp v\u00e0 ho\u00e0n thi\u1ec7n h\u1ec7 th\u1ed1ng ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 18\/2009\/TT-BYT ng\u00e0y 14\/10\/2009 h\u01b0\u1edbng d\u1eabn t\u1ed5 ch\u1ee9c th\u1ef1c hi\u1ec7n v\u00e0 \u00fd c\u00f4ng t\u00e1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong c\u00e1c c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh. ngh\u0129a M\u1ee9c 1 \uf0b7 Nhi\u1ec1u ng\u01b0\u1eddi b\u1ec7nh trong qu\u00e1 tr\u00ecnh n\u1eb1m vi\u1ec7n \u0111\u00e3 m\u1eafc th\u00eam c\u00e1c b\u1ec7nh m\u1edbi do b\u1ec7nh M\u1ee9c 2 vi\u1ec7n l\u00e0m kh\u00f4ng t\u1ed1t c\u00f4ng t\u00e1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n (KSNK). M\u1ee9c 3 \uf0b7 Thi\u1ebft l\u1eadp v\u00e0 ho\u00e0n thi\u1ec7n h\u1ec7 th\u1ed1ng ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n gi\u00fap b\u1ec7nh vi\u1ec7n tri\u1ec3n khai c\u00e1c ho\u1ea1t \u0111\u1ed9ng ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n khoa h\u1ecdc, hi\u1ec7u qu\u1ea3. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. Kh\u00f4ng c\u00f3 khoa ho\u1eb7c t\u1ed5 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 2. Kh\u00f4ng c\u00f3 ng\u01b0\u1eddi l\u00e0m c\u00f4ng t\u00e1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n (k\u1ec3 c\u1ea3 ki\u00eam nhi\u1ec7m). 3. \u0110\u00e3 th\u00e0nh l\u1eadp h\u1ed9i \u0111\u1ed3ng ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n. 4. \u0110\u00e3 th\u00e0nh l\u1eadp khoa ho\u1eb7c t\u1ed5 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 5. \u0110\u00e3 th\u00e0nh l\u1eadp m\u1ea1ng l\u01b0\u1edbi ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 6. C\u00f3 nh\u00e2n vi\u00ean chuy\u00ean tr\u00e1ch cho c\u00f4ng t\u00e1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 7. \u0110\u00e3 x\u00e1c \u0111\u1ecbnh c\u01a1 c\u1ea5u, s\u1ed1 l\u01b0\u1ee3ng, v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m c\u1ee7a nh\u00e2n vi\u00ean ph\u00f2ng\/t\u1ed5 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n d\u1ef1a tr\u00ean quy m\u00f4 ho\u1ea1t \u0111\u1ed9ng v\u00e0 h\u1ea1ng b\u1ec7nh vi\u1ec7n. 8. \u0110\u00e3 x\u00e2y d\u1ef1ng quy ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ed9i \u0111\u1ed3ng ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 9. H\u1ed9i \u0111\u1ed3ng KSNK ph\u00e2n c\u00f4ng nhi\u1ec7m v\u1ee5 r\u00f5 r\u00e0ng cho c\u00e1c th\u00e0nh vi\u00ean. 10. H\u1ed9i \u0111\u1ed3ng ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng xuy\u00ean theo k\u1ebf ho\u1ea1ch, h\u1ecdp \u00edt nh\u1ea5t 3 th\u00e1ng 1 l\u1ea7n ho\u1eb7c khi c\u1ea7n thi\u1ebft. 11. \u0110\u00e3 b\u1ed5 nhi\u1ec7m \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng khoa (ho\u1eb7c t\u1ed5) ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 12. L\u00e3nh \u0111\u1ea1o khoa\/t\u1ed5 KSNK c\u00f3 tr\u00ecnh \u0111\u1ed9 c\u1eed nh\u00e2n \u0111\u1ea1i h\u1ecdc tr\u1edf l\u00ean thu\u1ed9c chuy\u00ean ng\u00e0nh y, d\u01b0\u1ee3c, sinh h\u1ecdc, vi sinh, \u0111i\u1ec1u d\u01b0\u1ee1ng (ho\u1eb7c c\u00f3 li\u00ean quan). 13. \u0110\u00e3 th\u00e0nh l\u1eadp khoa ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 14. Khoa KSNK \u0111\u00e3 tuy\u1ec3n d\u1ee5ng \u0111\u1ea7y \u0111\u1ee7 nh\u00e2n l\u1ef1c chuy\u00ean tr\u00e1ch theo \u0111\u1ec1 \u00e1n v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m v\u00e0 ph\u00f9 h\u1ee3p v\u1edbi quy m\u00f4, t\u00ednh ch\u1ea5t chuy\u00ean m\u00f4n c\u1ee7a b\u1ec7nh vi\u1ec7n. 15. H\u1ed9i \u0111\u1ed3ng ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n \u0111\u00e3 x\u00e2y d\u1ef1ng v\u00e0 ban h\u00e0nh c\u00e1c v\u0103n b\u1ea3n, h\u01b0\u1edbng d\u1eabn, quy \u0111\u1ecbnh KSNK cho c\u00e1c khoa\/ph\u00f2ng c\u1ee7a b\u1ec7nh vi\u1ec7n. 16. Tr\u01b0\u1edfng khoa ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n c\u00f3 tr\u00ecnh \u0111\u1ed9 \u0111\u1ea1i h\u1ecdc tr\u1edf l\u00ean thu\u1ed9c chuy\u00ean ng\u00e0nh y, d\u01b0\u1ee3c, sinh h\u1ecdc, vi sinh, \u0111i\u1ec1u d\u01b0\u1ee1ng. 17. Tr\u01b0\u1edfng khoa ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n (c\u00f3 ch\u1ee9ng ch\u1ec9 kh\u00f3a h\u1ecdc v\u1edbi th\u1eddi gian \u0111\u00e0o t\u1ea1o t\u1ed1i thi\u1ec3u 3 th\u00e1ng) ho\u1eb7c b\u1eb1ng sau \u0111\u1ea1i h\u1ecdc c\u00f3 chuy\u00ean ng\u00e0nh li\u00ean quan t\u1edbi KSNK. 18. Tr\u01b0\u1edfng khoa ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng l\u00e0 nh\u00e2n vi\u00ean chuy\u00ean tr\u00e1ch v\u1ec1 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n (l\u00e0m vi\u1ec7c 100% th\u1eddi gian t\u1ea1i khoa). 19. Tr\u01b0\u1edfng khoa ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n c\u00f3 tr\u00ecnh \u0111\u1ed9 sau \u0111\u1ea1i h\u1ecdc \u0111\u00fang chuy\u00ean ng\u00e0nh li\u00ean quan t\u1edbi ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n (ho\u1eb7c c\u00f3 lu\u1eadn v\u0103n\/\u0111\u1ec1 t\u00e0i v\u1ec1 KSNK ho\u1eb7c li\u00ean quan). 20. C\u00f3 quy ho\u1ea1ch tr\u01b0\u1edfng khoa ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n v\u00e0 c\u00f3 k\u1ebf ho\u1ea1ch \u0111\u00e0o t\u1ea1o ngu\u1ed3n nh\u00e2n l\u1ef1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 21. C\u00e1c th\u00e0nh vi\u00ean h\u1ed9i \u0111\u1ed3ng, m\u1ea1ng l\u01b0\u1edbi \u0111\u01b0\u1ee3c t\u1eadp hu\u1ea5n v\u1ec1 KSNK v\u00e0 c\u00f3 ch\u1ee9ng ch\u1ec9 chi\u1ebfm t\u1eeb 50% tr\u1edf l\u00ean. 74","C4.2 X\u00e2y d\u1ef1ng v\u00e0 h\u01b0\u1edbng d\u1eabn nh\u00e2n vi\u00ean y t\u00ea\u0301 th\u1ef1c hi\u1ec7n c\u00e1c quy tr\u00ecnh ki\u1ec3m so\u00e1t nhi\u1ec5m C\u0103n c\u1ee9 khu\u1ea9n trong b\u1ec7nh vi\u1ec7n \u0111\u1ec1 xu\u1ea5t v\u00e0 \u00fd \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 18\/2009\/TT-BYT ng\u00e0y14\/10\/2009 h\u01b0\u1edbng d\u1eabn t\u1ed5 ch\u1ee9c th\u1ef1c hi\u1ec7n c\u00f4ng ngh\u0129a t\u00e1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong c\u00e1c c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh. M\u1ee9c 1 M\u1ee9c 2 \uf0b7 C\u00e1c h\u01b0\u1edbng d\u1eabn ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n c\u1ee7a B\u1ed9 Y t\u1ebf. M\u1ee9c 3 \uf0b7 Nh\u00e2n vi\u00ean y t\u1ebf l\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 vai tr\u00f2 \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng trong vi\u1ec7c ki\u1ec3m so\u00e1t ho\u1eb7c l\u00e0m t\u0103ng nguy c\u01a1 nhi\u1ec5m khu\u1ea9n. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. Ch\u01b0a x\u00e2y d\u1ef1ng c\u00e1c h\u01b0\u1edbng d\u1eabn c\u1ee5 th\u1ec3 v\u1ec1 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n s\u1eed d\u1ee5ng trong b\u1ec7nh vi\u1ec7n. 2. B\u1ec7nh vi\u1ec7n \u0111\u00e3 x\u00e2y d\u1ef1ng v\u00e0 ban h\u00e0nh m\u1ed9t s\u1ed1 quy tr\u00ecnh c\u01a1 b\u1ea3n li\u00ean quan \u0111\u1ebfn ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n, t\u1ed1i thi\u1ec3u bao g\u1ed3m: a. Kh\u1eed khu\u1ea9n, ti\u1ec7t khu\u1ea9n d\u1ee5ng c\u1ee5 b. X\u1eed l\u00fd \u0111\u1ed3 v\u1ea3i c. X\u1eed l\u00fd ch\u1ea5t th\u1ea3i 3. C\u00e1c nh\u00e2n vi\u00ean c\u1ee7a khoa\/t\u1ed5 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1ee3c tham gia c\u00e1c l\u1edbp \u0111\u00e0o t\u1ea1o v\u1ec1 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 4. C\u00e1c th\u00e0nh vi\u00ean c\u1ee7a m\u1ea1ng l\u01b0\u1edbi \u0111\u01b0\u1ee3c tham gia hu\u1ea5n luy\u1ec7n c\u1eadp nh\u1eadt chuy\u00ean m\u00f4n v\u1ec1 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 5. B\u1ec7nh vi\u1ec7n x\u00e2y d\u1ef1ng, ph\u00ea duy\u1ec7t v\u00e0 ban h\u00e0nh c\u00e1c h\u01b0\u1edbng d\u1eabn v\u1ec1 ph\u00f2ng ng\u1eeba chu\u1ea9n (s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ti\u1ec7n ph\u00f2ng h\u1ed9 c\u00e1 nh\u00e2n, v\u1ec7 sinh h\u00f4 h\u1ea5p v\u00e0 v\u1ec7 sinh khi ho, s\u1eafp x\u1ebfp ng\u01b0\u1eddi b\u1ec7nh, ti\u00eam an to\u00e0n v\u00e0 ph\u00f2ng ng\u1eeba t\u1ed5n th\u01b0\u01a1ng do v\u1eadt s\u1eafc nh\u1ecdn, v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng, x\u1eed l\u00fd d\u1ee5ng c\u1ee5, x\u1eed l\u00fd \u0111\u1ed3 v\u1ea3i, x\u1eed l\u00fd ch\u1ea5t th\u1ea3i). 6. B\u1ec7nh vi\u1ec7n c\u00f3 quy tr\u00ecnh x\u1eed l\u00fd c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u1ee7i ro, ph\u01a1i nhi\u1ec5m v\u1edbi c\u00e1c b\u1ec7nh nguy hi\u1ec3m ho\u1eb7c c\u00f3 nguy c\u01a1 nhi\u1ec5m khu\u1ea9n cao (t\u1ed5n th\u01b0\u01a1ng do v\u1eadt s\u1eafc nh\u1ecdn, ni\u00eam m\u1ea1c\/da t\u1ed5n th\u01b0\u01a1ng ti\u1ebfp x\u00fac v\u1edbi d\u1ecbch c\u01a1 th\u1ec3\u2026). 7. C\u00f3 h\u1ec7 th\u1ed1ng kh\u1eed khu\u1ea9n\/ti\u1ec7t khu\u1ea9n t\u1eadp trung. 8. To\u00e0n b\u1ed9 nh\u00e2n vi\u00ean m\u1ea1ng l\u01b0\u1edbi ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1ee3c t\u1eadp hu\u1ea5n\/\u0111\u00e0o t\u1ea1o v\u1ec1 c\u00e1c quy tr\u00ecnh k\u1ef9 thu\u1eadt chuy\u00ean m\u00f4n ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n, s\u1eed d\u1ee5ng \u0111\u00fang v\u00e0 th\u00e0nh th\u1ea1o c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n ph\u00f2ng h\u1ed9 c\u00e1 nh\u00e2n. 9. C\u00f3 ti\u1ebfn h\u00e0nh theo d\u00f5i, gi\u00e1m s\u00e1t vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c quy tr\u00ecnh v\u00e0 h\u01b0\u1edbng d\u1eabn ph\u00f2ng ng\u1eeba ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong b\u1ec7nh vi\u1ec7n. 10. B\u1ec7nh vi\u1ec7n hu\u1ea5n luy\u1ec7n, \u0111\u00e0o t\u1ea1o, tham gia \u0111\u00e0o t\u1ea1o, t\u1eadp hu\u1ea5n cho nh\u00e2n vi\u00ean trong b\u1ec7nh vi\u1ec7n\/b\u1ec7nh vi\u1ec7n kh\u00e1c v\u1ec1 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 11. C\u00f3 ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u, \u0111\u00e1nh gi\u00e1 ho\u1eb7c gi\u00e1m s\u00e1t vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c quy tr\u00ecnh v\u00e0 h\u01b0\u1edbng d\u1eabn ph\u00f2ng ng\u1eeba ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 12. C\u00f3 b\u1ea3n b\u00e1o c\u00e1o k\u1ebft qu\u1ea3 (nghi\u00ean c\u1ee9u, \u0111\u00e1nh gi\u00e1 ho\u1eb7c gi\u00e1m s\u00e1t) vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c quy tr\u00ecnh v\u00e0 h\u01b0\u1edbng d\u1eabn ph\u00f2ng ng\u1eeba ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong b\u1ec7nh vi\u1ec7n, trong \u0111\u00f3 c\u00f3 ph\u00e2n t\u00edch v\u00e0 n\u00eau r\u00f5 quy tr\u00ecnh n\u00e0o \u0111\u01b0\u1ee3c tu\u00e2n th\u1ee7 t\u1ed1t v\u00e0 quy tr\u00ecnh kh\u00f4ng \u0111\u01b0\u1ee3c tu\u00e2n th\u1ee7 t\u1ed1t. 13. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u, \u0111\u00e1nh gi\u00e1 ho\u1eb7c gi\u00e1m s\u00e1t v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng th\u1ef1c hi\u1ec7n c\u00e1c quy tr\u00ecnh v\u00e0 h\u01b0\u1edbng d\u1eabn ph\u00f2ng ng\u1eeba ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong b\u1ec7nh vi\u1ec7n. 75","C4.3 Tri\u1ec3n khai ch\u01b0\u01a1ng tr\u00ecnh v\u00e0 gi\u00e1m s\u00e1t tu\u00e2n th\u1ee7 v\u1ec7 sinh tay C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 18\/2009\/TT-BYT ng\u00e0y14\/10\/2009 h\u01b0\u1edbng d\u1eabn t\u1ed5 ch\u1ee9c th\u1ef1c hi\u1ec7n c\u00f4ng v\u00e0 \u00fd t\u00e1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong c\u00e1c c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh. ngh\u0129a \uf0b7 Ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n (KSNK) gi\u00fap l\u00e0m gi\u1ea3m chi ph\u00ed \u0111i\u1ec1u tr\u1ecb, b\u1ea3o \u0111\u1ea3m an to\u00e0n M\u1ee9c 1 ng\u01b0\u1eddi b\u1ec7nh v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng kh\u00e1m, ch\u1eefa b\u1ec7nh. M\u1ee9c 2 \uf0b7 V\u1ec7 sinh tay l\u00e0 m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh can thi\u1ec7p \u0111\u01a1n gi\u1ea3n v\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 cao ph\u00f2ng M\u1ee9c 3 ng\u1eeba nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n do T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi ph\u00e1t \u0111\u1ed9ng. T\u0103ng c\u01b0\u1eddng tu\u00e2n th\u1ee7 r\u1eeda tay c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf l\u00e0 m\u1ed9t ho\u1ea1t \u0111\u1ed9ng \u01b0u ti\u00ean trong KSNK. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. Ch\u01b0a x\u00e2y d\u1ef1ng ch\u01b0\u01a1ng tr\u00ecnh v\u1ec7 sinh tay. 2. Kh\u00f4ng c\u00f3 h\u1ec7 th\u1ed1ng n\u01b0\u1edbc m\u00e1y. 3. \u0110\u00e3 x\u00e2y d\u1ef1ng ch\u01b0\u01a1ng tr\u00ecnh r\u1eeda tay (d\u1ef1a tr\u00ean v\u0103n b\u1ea3n c\u1ee7a l\u00e3nh \u0111\u1ea1o b\u1ec7nh vi\u1ec7n ho\u1eb7c k\u1ebf ho\u1ea1ch ho\u1ea1t \u0111\u1ed9ng\u2026). 4. \u0110\u00e3 t\u1ed5 ch\u1ee9c l\u1edbp h\u01b0\u1edbng d\u1eabn\/t\u1eadp hu\u1ea5n v\u1ec1 v\u1ec7 sinh tay cho nh\u00e2n vi\u00ean y t\u1ebf. 5. C\u00f3 h\u1ec7 th\u1ed1ng cung c\u1ea5p n\u01b0\u1edbc s\u1ea1ch cho to\u00e0n b\u1ec7nh vi\u1ec7n. 6. B\u1ec7nh vi\u1ec7n \u0111\u00e3 tri\u1ec3n khai th\u1ef1c hi\u1ec7n ch\u01b0\u01a1ng tr\u00ecnh v\u1ec7 sinh tay. 7. Thi\u1ebft l\u1eadp h\u1ec7 th\u1ed1ng b\u1ed3n v\u1ec7 sinh tay \u0111\u1ea7y \u0111\u1ee7 cho nh\u00e2n vi\u00ean y t\u1ebf t\u1ea1i c\u00e1c khoa\/ph\u00f2ng\/bu\u1ed3ng c\u00f3 th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt, th\u1ee7 thu\u1eadt. 8. N\u01b0\u1edbc r\u1eeda tay t\u1ea1i bu\u1ed3ng c\u00f3 th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt, th\u1ee7 thu\u1eadt b\u1ea3o \u0111\u1ea3m v\u00f4 khu\u1ea9n \u0111\u01b0\u1ee3c x\u1eed l\u00fd qua h\u1ec7 th\u1ed1ng m\u00e1y l\u1ecdc n\u01b0\u1edbc ho\u1eb7c b\u1ea7u l\u1ecdc n\u01b0\u1edbc (thay \u0111\u1ecbnh k\u1ef3). 9. C\u00f3 c\u00e1c h\u01b0\u1edbng d\u1eabn v\u1ec7 sinh tay t\u1ea1i c\u00e1c b\u1ed3n r\u1eeda tay. 10. S\u1eb5n c\u00f3 dung d\u1ecbch s\u00e1t khu\u1ea9n tay nhanh t\u1ea1i c\u00e1c b\u00e0n\/bu\u1ed3ng ti\u00eam v\u00e0 bu\u1ed3ng th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt, th\u1ee7 thu\u1eadt. 11. \u0110\u00e3 x\u00e2y d\u1ef1ng c\u00e1c c\u00f4ng c\u1ee5 (c\u00e2u h\u1ecfi, b\u1ea3ng ki\u1ec3m\u2026) \u0111\u00e1nh gi\u00e1 vi\u1ec7c tu\u00e2n th\u1ee7 v\u1ec7 sinh tay c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf. 12. C\u00f3 h\u1ec7 th\u1ed1ng b\u1ed3n r\u1eeda tay cho nh\u00e2n vi\u00ean, ng\u01b0\u1eddi b\u1ec7nh, ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh v\u00e0 kh\u00e1ch \u0111\u1ebfn th\u0103m t\u1ea1i t\u1ea5t c\u1ea3 c\u00e1c khoa\/ph\u00f2ng trong b\u1ec7nh vi\u1ec7n. 13. C\u00e1c v\u00f2i n\u01b0\u1edbc r\u1eeda tay d\u00e0nh cho nh\u00e2n vi\u00ean y t\u1ebf t\u1ea1i c\u00e1c bu\u1ed3ng th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt, th\u1ee7 thu\u1eadt \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111i\u1ec1u khi\u1ec3n b\u1eb1ng ch\u00e2n ho\u1eb7c t\u1ef1 \u0111\u1ed9ng (tay r\u1eeda xong kh\u00f4ng ti\u1ebfp x\u00fac v\u1edbi v\u00f2i n\u01b0\u1edbc \u0111\u1ec3 kh\u00f3a). 14. S\u1eb5n c\u00f3 dung d\u1ecbch s\u00e1t khu\u1ea9n tay nhanh t\u1ea1i c\u00e1c v\u1ecb tr\u00ed (h\u00e0nh lang, tr\u01b0\u1edbc c\u1eeda ph\u00f2ng\/bu\u1ed3ng\u2026) c\u00f3 nhi\u1ec1u ng\u01b0\u1eddi ti\u1ebfp x\u00fac chung v\u1edbi v\u1eadt d\u1ee5ng (tay n\u1eafm c\u1eeda\u2026). 15. Ph\u00e1t \u0111\u1ed9ng phong tr\u00e0o v\u1ec7 sinh tay v\u00e0 duy tr\u00ecnh phong tr\u00e0o th\u01b0\u1eddng xuy\u00ean. 16. C\u00f3 tri\u1ec3n khai \u0111\u00e1nh gi\u00e1 gi\u00e1m s\u00e1t tu\u00e2n th\u1ee7 v\u1ec7 sinh tay c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf d\u1ef1a tr\u00ean c\u00e1c c\u00f4ng c\u1ee5 \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng c\u1ee7a b\u1ec7nh vi\u1ec7n. 17. C\u00f3 nghi\u00ean c\u1ee9u (ho\u1eb7c kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1) vi\u1ec7c th\u1ef1c hi\u1ec7n v\u1ec7 sinh tay c\u1ee7a nh\u00e2n vi\u00ean c\u00e1c khoa\/ph\u00f2ng trong b\u1ec7nh vi\u1ec7n. 18. C\u00f4ng b\u1ed1 k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t, \u0111\u00e1nh gi\u00e1 v\u1ec1 vi\u1ec7c th\u1ef1c hi\u1ec7n v\u1ec7 sinh tay c\u1ee7a nh\u00e2n vi\u00ean c\u00e1c khoa\/ph\u00f2ng trong b\u1ec7nh vi\u1ec7n v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p can thi\u1ec7p. 19. Ti\u1ebfn h\u00e0nh bi\u1ec7n ph\u00e1p can thi\u1ec7p t\u0103ng c\u01b0\u1eddng tu\u00e2n th\u1ee7 v\u1ec7 sinh tay. 20. T\u1ef7 l\u1ec7 tu\u00e2n th\u1ee7 v\u1ec7 sinh tay c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf trong b\u1ec7nh vi\u1ec7n c\u00f3 xu h\u01b0\u1edbng t\u0103ng d\u1ea7n theo th\u1eddi gian (ho\u1eb7c gi\u1eef \u1ed5n \u0111\u1ecbnh \u1edf m\u1ee9c cao tr\u00ean 95%). 21. Ti\u1ebfn h\u00e0nh nu\u00f4i c\u1ea5y vi khu\u1ea9n trong n\u01b0\u1edbc t\u1ea1i m\u1ed9t s\u1ed1 v\u1ecb tr\u00ed tr\u1ecdng \u0111i\u1ec3m nh\u01b0 v\u00f2i n\u01b0\u1edbc \u1edf bu\u1ed3ng th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt, th\u1ee7 thu\u1eadt, c\u1eadn l\u00e2m s\u00e0ng; v\u00f2i n\u01b0\u1edbc u\u1ed1ng tr\u1ef1c ti\u1ebfp t\u1eeb c\u00e1c m\u00e1y l\u1ecdc n\u01b0\u1edbc (v\u00e0 c\u00e1c v\u1ecb tr\u00ed kh\u00e1c n\u1ebfu c\u00f3 \u0111i\u1ec1u ki\u1ec7n th\u1ef1c hi\u1ec7n). 76","C4.4 Gi\u00e1m s\u00e1t, \u0111\u00e1nh gi\u00e1 vi\u1ec7c tri\u1ec3n khai ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong b\u1ec7nh vi\u1ec7n C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 18\/2009\/TT-BYT ng\u00e0y 14\/10\/2009 h\u01b0\u1edbng d\u1eabn t\u1ed5 ch\u1ee9c th\u1ef1c hi\u1ec7n v\u00e0 \u00fd c\u00f4ng t\u00e1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong c\u00e1c c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh. ngh\u0129a M\u1ee9c 1 \uf0b7 Th\u1ef1c hi\u1ec7n \u0111\u00e1nh gi\u00e1 v\u00e0 gi\u00e1m s\u00e1t t\u00ecnh h\u00ecnh nhi\u1ec5m khu\u1ea9n th\u01b0\u1eddng xuy\u00ean s\u1ebd gi\u00fap M\u1ee9c 2 b\u1ec7nh vi\u1ec7n x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c th\u1ef1c tr\u1ea1ng, ti\u1ebfn h\u00e0nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng can thi\u1ec7p v\u00e0 gi\u1ea3m l\u00e2y nhi\u1ec5m cho nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 ng\u01b0\u1eddi b\u1ec7nh. M\u1ee9c 3 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 4 1. Kh\u00f4ng c\u00f3 nh\u00e2n vi\u00ean \u0111\u1ea7u m\u1ed1i ch\u1ecbu tr\u00e1ch nhi\u1ec7m gi\u00e1m s\u00e1t vi\u1ec7c tri\u1ec3n khai ki\u1ec3m so\u00e1t M\u1ee9c 5 nhi\u1ec5m khu\u1ea9n (KSNK). 2. B\u1ec7nh vi\u1ec7n c\u00f3 ph\u00e2n c\u00f4ng nh\u00e2n vi\u00ean gi\u00e1m s\u00e1t ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. 3. \u0110\u00e3 x\u00e2y d\u1ef1ng ch\u01b0\u01a1ng tr\u00ecnh gi\u00e1m s\u00e1t KSNK tr\u00ean ph\u1ea1m vi b\u1ec7nh vi\u1ec7n; trong \u0111\u00f3 c\u00f3 \u0111\u1ec1 c\u1eadp n\u1ed9i dung c\u1ee5 th\u1ec3 gi\u00e1m s\u00e1t khoa tr\u1ecdng \u0111i\u1ec3m, ng\u01b0\u1eddi tr\u1ecdng \u0111i\u1ec3m\u2026 4. \u0110\u00e3 x\u00e2y d\u1ef1ng c\u00e1c c\u00f4ng c\u1ee5 (c\u00e2u h\u1ecfi, b\u1ea3ng ki\u1ec3m\u2026) \u0111\u00e1nh gi\u00e1 vi\u1ec7c tu\u00e2n th\u1ee7 c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf v\u1ec1 KSNK huy\u1ebft, tu\u00e2n th\u1ee7 ph\u00f2ng ng\u1eeba vi\u00eam ph\u1ed5i b\u1ec7nh vi\u1ec7n\u2026 5. C\u00f3 th\u1ef1c hi\u1ec7n gi\u00e1m s\u00e1t khoa tr\u1ecdng \u0111i\u1ec3m, nh\u00f3m ng\u01b0\u1eddi b\u1ec7nh tr\u1ecdng \u0111i\u1ec3m\/c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 nhi\u1ec5m khu\u1ea9n cao nh\u01b0ng\u01b0\u1eddi b\u1ec7nh th\u1edf m\u00e1y; ng\u01b0\u1eddi b\u1ec7nh ph\u1eabu thu\u1eadt; ng\u01b0\u1eddi b\u1ec7nh suy gi\u1ea3m mi\u1ec5n d\u1ecbch; ng\u01b0\u1eddi b\u1ec7nh l\u00e0m c\u00e1c th\u1ee7 thu\u1eadt\/can thi\u1ec7p nh\u01b0 th\u00f4ng ti\u1ec3u, \u0111\u1eb7t catheter, \u0111\u1eb7t \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch trung t\u00e2m, \u0111\u1eb7t kim lu\u1ed3n t\u0129nh m\u1ea1ch ngo\u1ea1i vi v.v. 6. C\u00f3 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba ch\u1ee7 \u0111\u1ed9ng theo \u0111\u01b0\u1eddng l\u00e2y (kh\u00f4ng kh\u00ed, gi\u1ecdt b\u1eafn, ti\u1ebfp x\u00fac, \u0111\u01b0\u1eddng ti\u00eau h\u00f3a\u2026). 7. C\u00f3 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba l\u00e0m gi\u1ea3m l\u00e2y nhi\u1ec5m cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf (nh\u01b0 r\u1eeda tay, mang g\u0103ng, mang ph\u01b0\u01a1ng ti\u1ec7n ph\u00f2ng h\u1ed9, x\u1eed l\u00fd d\u1ee5ng c\u1ee5, ti\u00eam an to\u00e0n\u2026). 8. C\u00f3 th\u1ef1c hi\u1ec7n ph\u00f2ng ng\u1eeba ch\u1ee7 \u0111\u1ed9ng cho nh\u00e2n vi\u00ean y t\u1ebf (nh\u01b0 ti\u00eam ph\u00f2ng cho nh\u00e2n vi\u00ean c\u00f3 nguy c\u01a1 cao, ph\u00f2ng ch\u1ed1ng m\u1ed9t s\u1ed1 b\u1ec7nh d\u1ecbch theo m\u00f9a ho\u1eb7c theo m\u00f4 h\u00ecnh b\u1ec7nh t\u1eadt c\u1ee7a b\u1ec7nh vi\u1ec7n\u2026). 9. Ti\u1ebfn h\u00e0nh theo d\u00f5i t\u00ecnh h\u00ecnh vi khu\u1ea9n kh\u00e1ng thu\u1ed1c v\u00e0 b\u00e1o c\u00e1o theo quy \u0111\u1ecbnh. 10.C\u00f3 tri\u1ec3n khai \u0111\u00e1nh gi\u00e1, gi\u00e1m s\u00e1t t\u1ef7 l\u1ec7 tu\u00e2n th\u1ee7 c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf v\u1ec1 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n d\u1ef1a tr\u00ean c\u00e1c c\u00f4ng c\u1ee5 \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng c\u1ee7a b\u1ec7nh vi\u1ec7n. 11.C\u00f3 ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u v\u1ec1 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n (NKBV). 12.C\u00f3 b\u00e1o c\u00e1o k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u v\u1ec1 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n, c\u00f3 \u0111\u1ec1 xu\u1ea5t c\u00e1c gi\u1ea3i ph\u00e1p can thi\u1ec7p v\u00e0 ph\u1ed5 bi\u1ebfn cho c\u00e1c khoa\/ph\u00f2ng. 13.C\u00f3 danh s\u00e1ch ng\u01b0\u1eddi b\u1ec7nh b\u1ecb nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n v\u00e0 th\u1ed1ng k\u00ea t\u1ef7 l\u1ec7 NKBV. 14.C\u00f3 k\u1ebft qu\u1ea3 gi\u00e1m s\u00e1t vi\u1ec7c tu\u00e2n th\u1ee7 KSNK c\u00e1c khoa\/ph\u00f2ng t\u1ea1i khoa KSNK. 15.C\u00f4ng b\u1ed1 t\u1ef7 l\u1ec7 tu\u00e2n th\u1ee7 KSNK c\u1ee7a c\u00e1c khoa\/ph\u00f2ng cho c\u00e1c khoa\/ph\u00f2ng. 16.C\u00f4ng b\u1ed1 t\u1ef7 l\u1ec7 nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n t\u1ea1i c\u00e1c b\u00e1o c\u00e1o (nh\u01b0 t\u1ef7 l\u1ec7 nhi\u1ec5m khu\u1ea9n v\u1ebft m\u1ed5 trong t\u1ed5ng s\u1ed1 ph\u1eabu thu\u1eadt, t\u1ef7 l\u1ec7 vi\u00eam ph\u1ed5i b\u1ec7nh vi\u1ec7n tr\u00ean 1000 ng\u00e0y th\u1edf m\u00e1y, t\u1ef7 l\u1ec7 nhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u tr\u00ean 1000 ng\u00e0y mang x\u00f4ng ti\u1ec3u (sonde), nhi\u1ec5m khu\u1ea9n huy\u1ebft tr\u00ean 1000 ca-te (catheter) t\u0129nh m\u1ea1ch trung t\u00e2m). 17.C\u00f3 c\u01a1 s\u1edf d\u1eef li\u1ec7u v\u1ec1 nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n, c\u00f3 th\u1ec3 truy xu\u1ea5t c\u00e1c th\u00f4ng tin c\u00f3 li\u00ean quan nh\u01b0 s\u1ed1 ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n, \u0111\u1ecba \u0111i\u1ec3m, th\u1eddi gian\u2026 18.\u01af\u0301ng d\u1ee5ng c\u00e1c k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u v\u00e0o ho\u1ea1t \u0111\u1ed9ng th\u1ef1c ti\u1ec5n, ti\u1ebfn h\u00e0nh bi\u1ec7n ph\u00e1p can thi\u1ec7p t\u0103ng c\u01b0\u1eddng KSNK, l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n. 19.T\u1ef7 l\u1ec7 tu\u00e2n th\u1ee7 KSNK c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ch\u01b0\u01a1ng tr\u00ecnh c\u00f3 xu h\u01b0\u1edbng t\u0103ng d\u1ea7n h\u00e0ng n\u0103m. 20.T\u1ef7 l\u1ec7 nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 gi\u1ea3m h\u00e0ng n\u0103m. 77","C4.5 Ch\u1ea5t tha\u0309i r\u1eafn y t\u00ea\u0301 \u0111\u01b0\u1ee3c qua\u0309n l\u00fd ch\u1eb7t ch\u1ebd, x\u1eed l\u00fd an to\u00e0n v\u00e0 tu\u00e2n th\u1ee7 theo \u0111\u00fang C\u0103n c\u1ee9 quy \u0111\u1ecbnh \u0111\u1ec1 xu\u1ea5t v\u00e0 \u00fd \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 18\/2009\/TT-BYT ng\u00e0y14\/10\/2009 h\u01b0\u1edbng d\u1eabn t\u1ed5 ch\u1ee9c th\u1ef1c hi\u1ec7n c\u00f4ng ngh\u0129a t\u00e1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong c\u00e1c c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh. M\u1ee9c 1 \uf0b7 Th\u00f4ng t\u01b0 li\u00ean t\u1ecbch s\u1ed1 58\/2015\/TTLT-BYT-BTNMT ng\u00e0y 31\/12\/2015 v\u1ec1 Quy ch\u1ebf qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i y t\u1ebf. M\u1ee9c 2 \uf0b7 Ch\u1ea5t th\u1ea3i y t\u1ebf kh\u00f4ng \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd t\u1ed1t l\u00e0 nguy c\u01a1 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh, nh\u00e2n vi\u00ean y M\u1ee9c 3 t\u1ebf v\u00e0 c\u1ed9ng \u0111\u1ed3ng. \uf0b7 M\u1ed9t s\u1ed1 b\u1ec7nh vi\u1ec7n do ch\u01b0a th\u1ef1c hi\u1ec7n t\u1ed1t quy ch\u1ebf qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i n\u00ean \u0111\u00e3 b\u1ecb l\u1ef1c l\u01b0\u1ee3ng ch\u1ee9c n\u0103ng nh\u01b0 c\u1ea3nh s\u00e1t m\u00f4i tr\u01b0\u1eddng x\u1eed ph\u1ea1t. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. Kh\u00f4ng ph\u00e2n lo\u1ea1i, kh\u00f4ng thu gom ch\u1ea5t th\u1ea3i y t\u1ebf. 2. Ph\u00e1t hi\u1ec7n th\u1ea5y b\u1ec7nh vi\u1ec7n c\u00f3 h\u00ecnh th\u1ee9c x\u1eed l\u00fd r\u00e1c g\u00e2y \u00f4 nhi\u1ec5m nghi\u00eam tr\u1ecdng nh\u01b0 ch\u00f4n ch\u1ea5t th\u1ea3i y t\u1ebf ngay trong ho\u1eb7c ngo\u00e0i khu\u00f4n vi\u00ean b\u1ec7nh vi\u1ec7n, ho\u1eb7c \u0111\u1ed1t ch\u1ea5t th\u1ea3i y t\u1ebf tr\u1ef1c ti\u1ebfp kh\u00f4ng s\u1eed d\u1ee5ng l\u00f2 \u0111\u1ed1t. 3. Ph\u00e1t hi\u1ec7n th\u1ea5y b\u1ec7nh vi\u1ec7n c\u00f3 h\u00ecnh th\u1ee9c thu gom ch\u1ea5t th\u1ea3i r\u1eafn g\u00e2y \u00f4 nhi\u1ec5m m\u00f4i tr\u01b0\u1eddng, kh\u00f4ng b\u1ea3o \u0111\u1ea3m v\u1ec7 sinh ho\u1eb7c c\u00f3 nguy c\u01a1 ph\u00e1t t\u00e1n vi khu\u1ea9n, ch\u1ea5t th\u1ea3i nguy h\u1ea1i ra m\u00f4i tr\u01b0\u1eddng. 4. B\u1ecb c\u1ea3nh s\u00e1t m\u00f4i tr\u01b0\u1eddng ph\u1ea1t v\u1ec1 h\u00e0nh vi vi ph\u1ea1m x\u1eed l\u00fd ch\u1ea5t th\u1ea3i r\u1eafn. 5. Ph\u00e1t hi\u1ec7n th\u1ea5y t\u00ecnh tr\u1ea1ng \u00f4 nhi\u1ec5m m\u00f4i tr\u01b0\u1eddng \u0111\u1ea5t, n\u01b0\u1edbc, kh\u00f4ng kh\u00ed do ch\u1ea5t th\u1ea3i r\u1eafn c\u1ee7a b\u1ec7nh vi\u1ec7n g\u00e2y ra (c\u00f3 m\u00f9i h\u00f4i th\u1ed1i, ru\u1ed3i nh\u1eb7ng, chu\u1ed9t, kim lo\u1ea1i n\u1eb7ng\u2026 xu\u1ea5t ph\u00e1t t\u1eeb n\u01a1i ch\u1ee9a ch\u1ea5t th\u1ea3i r\u1eafn). 6. B\u1ec7nh vi\u1ec7n c\u00f3 th\u1ef1c hi\u1ec7n ph\u00e2n lo\u1ea1i ch\u1ea5t th\u1ea3i y t\u1ebf. 7. Ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf \u0111\u01b0\u1ee3c ph\u00e2n th\u00e0nh t\u1ed1i thi\u1ec3u 2 lo\u1ea1i: ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf nguy h\u1ea1i v\u00e0 ch\u1ea5t th\u1ea3i r\u1eafn th\u00f4ng th\u01b0\u1eddng. 8. C\u00f3 b\u1ed1 tr\u00ed th\u00f9ng r\u00e1c c\u00f3 n\u1eafp \u0111\u1eady \u0111\u1ef1ng ch\u1ea5t th\u1ea3i sinh ho\u1ea1t ngo\u00e0i s\u00e2n v\u00e0 \u1edf \u0111\u1ea7u v\u00e0 cu\u1ed1i h\u00e0nh lang c\u1ee7a c\u00e1c t\u1ea7ng (v\u00e0 b\u1ed1 tr\u00ed th\u00eam \u1edf gi\u1eefa n\u1ebfu h\u00e0nh lang d\u00e0i, do b\u1ec7nh vi\u1ec7n t\u1ef1 quy\u1ebft \u0111\u1ecbnh). Th\u00f9ng r\u00e1c \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed thu\u1eadn ti\u1ec7n. 9. B\u1ec7nh vi\u1ec7n c\u00f3 trang b\u1ecb c\u00e1c t\u00fai, th\u00f9ng \u0111\u1ec3 thu gom ch\u1ea5t th\u1ea3i y t\u1ebf. 10. C\u00f3 trang b\u1ecb \u0111\u1ee7 h\u1ed9p \u0111\u1ef1ng ch\u1ea5t th\u1ea3i v\u1eadt s\u1eafc nh\u1ecdn v\u00e0 qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i v\u1eadt s\u1eafc nh\u1ecdn b\u1ea3o \u0111\u1ea3m an to\u00e0n. 11. C\u00f3 quy \u0111\u1ecbnh c\u1ee7a b\u1ec7nh vi\u1ec7n v\u1ec1 vi\u1ec7c ph\u00e2n lo\u1ea1i, thu gom, v\u1eadn chuy\u1ec3n, l\u01b0u gi\u1eef v\u00e0 x\u1eed l\u00fd ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf. 12. C\u00f3 trang b\u1ecb \u0111\u1ee7 v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng v\u00e0 \u0111\u00fang v\u1ec1 ch\u1ea5t l\u01b0\u1ee3ng, m\u00e0u s\u1eafc c\u00e1c t\u00fai, th\u00f9ng \u0111\u1ec3 thu gom ch\u1ea5t th\u1ea3i y t\u1ebf (t\u1ed1i thi\u1ec3u 2 lo\u1ea1i t\u00fai ho\u1eb7c th\u00f9ng \u0111\u1ef1ng ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf \u0111\u01b0\u1ee3c ph\u00e2n bi\u1ec7t b\u1eb1ng hai m\u00e0u l\u00e0 m\u00e0u v\u00e0ng v\u00e0 m\u00e0u xanh). 13. C\u00f3 quy \u0111\u1ecbnh ph\u00e2n lo\u1ea1i r\u00e1c, \u0111\u01b0\u1ee3c d\u00e1n ho\u1eb7c treo \u1edf nh\u1eefng v\u1ecb tr\u00ed d\u1ec5 \u0111\u1ecdc v\u00e0 ngay t\u1ea1i n\u01a1i \u0111\u1eb7t th\u00f9ng r\u00e1c. 14. Nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c ph\u00e2n c\u00f4ng ti\u1ebfp nh\u1eadn \u0111\u1ed3 b\u1ea9n c\u00f3 c\u00e1c trang b\u1ecb b\u1ea3o h\u1ed9 lao \u0111\u1ed9ng ph\u00f9 h\u1ee3p. 15. B\u1ec7nh vi\u1ec7n c\u00f3 nh\u00e0 l\u01b0u tr\u1eef t\u1ea1m th\u1eddi ch\u1ea5t th\u1ea3i y t\u1ebf theo quy \u0111\u1ecbnh. 16. C\u00f3 nh\u00e0 kho (ho\u1eb7c khu ri\u00eang bi\u1ec7t) \u0111\u1ec3 ch\u1ee9a c\u00e1c d\u1ee5ng c\u1ee5 l\u00e0m v\u1ec7 sinh. 78","M\u1ee9c 4 17. B\u1ec7nh vi\u1ec7n th\u1ef1c hi\u1ec7n x\u1eed l\u00fd ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf theo quy \u0111\u1ecbnh (c\u00f3 h\u1ec7 th\u1ed1ng x\u1eed l\u00fd M\u1ee9c 5 ch\u1ea5t th\u1ea3i r\u1eafn v\u1eadn h\u00e0nh theo quy \u0111\u1ecbnh ho\u1eb7c k\u00fd h\u1ee3p \u0111\u1ed3ng v\u1edbi \u0111\u01a1n v\u1ecb ch\u1ee9c n\u0103ng kh\u00e1c x\u1eed l\u00fd ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf theo \u0111\u00fang quy tr\u00ecnh an to\u00e0n, v\u1ec7 sinh). 18. C\u00f3 th\u1ef1c hi\u1ec7n ph\u00e2n lo\u1ea1i ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf t\u1ea1i ngu\u1ed3n. 19. Th\u00f9ng r\u00e1c c\u00f3 c\u00e1c m\u00e0u kh\u00e1c nhau, c\u00f3 in bi\u1ec3u t\u01b0\u1ee3ng cho t\u1eebng lo\u1ea1i ch\u1ea5t th\u1ea3i r\u1eafn: ch\u1ea5t th\u1ea3i l\u00e2y nhi\u1ec5m, ch\u1ea5t th\u1ea3i th\u00f4ng th\u01b0\u1eddng, ch\u1ea5t th\u1ea3i t\u00e1i ch\u1ebf... 20. C\u00f3 nh\u00e0 l\u01b0u tr\u1eef ch\u1ea5t th\u1ea3i r\u1eafn \u0111\u1ea1t chu\u1ea9n quy \u0111\u1ecbnh: c\u00f3 ph\u00f2ng l\u01b0u tr\u1eef ch\u1ea5t th\u1ea3i l\u00e2y nhi\u1ec5m, ch\u1ea5t th\u1ea3i nguy h\u1ea1i ri\u00eang\u2026 21. C\u00f3 h\u01b0\u1edbng d\u1eabn r\u00f5 r\u00e0ng (b\u1eb1ng ch\u1eef vi\u1ebft ho\u1eb7c h\u00ecnh \u1ea3nh, tranh v\u1ebd\u2026) v\u1ec1 ph\u00e2n lo\u1ea1i ch\u1ea5t th\u1ea3i cho ng\u01b0\u1eddi b\u1ec7nh, ng\u01b0\u1eddi nh\u00e0 v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf. 22. C\u00f3 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p \u0111\u1ec3 gi\u1ea3m thi\u1ec3u ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf nguy h\u1ea1i. 23. C\u00f3 th\u1ef1c hi\u1ec7n gi\u1ea3m thi\u1ec3u ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf nguy h\u1ea1i ngay t\u1eeb khi mua s\u1eafm c\u00e1c trang thi\u1ebft b\u1ecb, v\u1eadt t\u01b0 y t\u1ebf m\u1edbi. 24. \u00c1p d\u1ee5ng c\u00e1c gi\u1ea3i ph\u00e1p \u0111\u1ec3 gi\u1ea3m thi\u1ec3u ph\u00e1t sinh ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf t\u1ea1i ngu\u1ed3n. 25. C\u00f3 thu gom ch\u1ea5t th\u1ea3i t\u00e1i ch\u1ebf ri\u00eang \u0111\u1ec3 giao cho \u0111\u01a1n v\u1ecb c\u00f3 t\u01b0 c\u00e1ch ph\u00e1p nh\u00e2n th\u1ef1c hi\u1ec7n vi\u1ec7c t\u00e1i ch\u1ebf. 26. C\u00f3 s\u00e1ng ki\u1ebfn ho\u1eb7c c\u1ea3i ti\u1ebfn v\u1ec1 k\u1ef9 thu\u1eadt nh\u1eb1m gi\u1ea3m chi ph\u00ed trong x\u1eed l\u00fd ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf. 27. C\u00e1c ch\u1ec9 ti\u00eau v\u1ec1 x\u1eed l\u00fd ch\u1ea5t th\u1ea3i b\u1ea3o \u0111\u1ea3m c\u00e1c quy chu\u1ea9n qu\u1ed1c gia v\u1ec1 m\u00f4i tr\u01b0\u1eddng. 28. C\u00f3 nghi\u00ean c\u1ee9u ho\u1eb7c \u0111\u00e1nh gi\u00e1 v\u1ec1 th\u1ef1c tr\u1ea1ng qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf c\u1ee7a b\u1ec7nh vi\u1ec7n, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra c\u00e1c nh\u01b0\u1ee3c \u0111i\u1ec3m, khi\u1ebfm khuy\u1ebft c\u1ea7n kh\u1eafc ph\u1ee5c. 29. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u ho\u1eb7c \u0111\u00e1nh gi\u00e1 v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i r\u1eafn y t\u1ebf. 79","C4.6 Ch\u1ea5t tha\u0309i l\u1ecfng y t\u00ea\u0301 \u0111\u01b0\u1ee3c qua\u0309n l\u00fd ch\u1eb7t ch\u1ebd, x\u1eed l\u00fd an to\u00e0n v\u00e0 tu\u00e2n th\u1ee7 theo \u0111\u00fang quy \u0111\u1ecbnh C\u0103n c\u1ee9 \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 18\/2009\/TT-BYT ng\u00e0y 14\/10\/2009 h\u01b0\u1edbng d\u1eabn t\u1ed5 ch\u1ee9c th\u1ef1c hi\u1ec7n \u0111\u1ec1 xu\u1ea5t c\u00f4ng t\u00e1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n trong c\u00e1c c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh. v\u00e0 \u00fd \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 36\/2015\/TT-BTNMT ng\u00e0y 30\/6\/2015 c\u1ee7a B\u1ed9 T\u00e0i nguy\u00ean v\u00e0 M\u00f4i ngh\u0129a tr\u01b0\u1eddng v\u1ec1 qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i nguy h\u1ea1i. \uf0b7 Quy chu\u1ea9n k\u1ef9 thu\u1eadt qu\u1ed1c gia v\u1ec1 n\u01b0\u1edbc th\u1ea3i y t\u1ebf (QCVN 28:2010\/BTNMT). \uf0b7 M\u1ed9t s\u1ed1 b\u1ec7nh vi\u1ec7n ch\u01b0a th\u1ef1c hi\u1ec7n t\u1ed1t qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i l\u1ecfng, g\u00e2y \u00f4 nhi\u1ec5m m\u00f4i tr\u01b0\u1eddng n\u00ean \u0111\u00e3 b\u1ecb l\u1ef1c l\u01b0\u1ee3ng ch\u1ee9c n\u0103ng nh\u01b0 c\u1ea3nh s\u00e1t m\u00f4i tr\u01b0\u1eddng x\u1eed ph\u1ea1t. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. Ph\u00e1t hi\u1ec7n th\u1ea5y b\u1ec7nh vi\u1ec7n thi\u1ebfu h\u1ec7 th\u1ed1ng x\u1eed l\u00fd ch\u1ea5t th\u1ea3i l\u1ecfng, x\u1ea3 th\u1eb3ng ra m\u00f4i tr\u01b0\u1eddng g\u00e2y \u00f4 nhi\u1ec5m. 2. Ph\u00e1t hi\u1ec7n th\u1ea5y \u0111\u01b0\u1eddng d\u1eabn ch\u1ea5t th\u1ea3i l\u1ecfng ho\u1eb7c h\u1ec7 th\u1ed1ng ch\u1ea5t th\u1ea3i l\u1ecfng b\u1ecb v\u1ee1 ho\u1eb7c r\u00f2 r\u1ec9, g\u00e2y \u00f4 nhi\u1ec5m m\u00f4i tr\u01b0\u1eddng \u0111\u1ea5t, n\u01b0\u1edbc, kh\u00f4ng kh\u00ed (c\u00f3 m\u00f9i h\u00f4i th\u1ed1i ho\u1eb7c ph\u00e1t sinh ru\u1ed3i nh\u1eb7ng, mu\u1ed7i, c\u00f4n tr\u00f9ng do ch\u1ea5t th\u1ea3i l\u1ecfng c\u1ee7a b\u1ec7nh vi\u1ec7n g\u00e2y ra). 3. Ph\u00e1t hi\u1ec7n th\u1ea5y b\u1ec7nh vi\u1ec7n c\u00f3 h\u00ecnh th\u1ee9c thu gom ch\u1ea5t th\u1ea3i l\u1ecfng g\u00e2y \u00f4 nhi\u1ec5m m\u00f4i tr\u01b0\u1eddng, kh\u00f4ng b\u1ea3o \u0111\u1ea3m v\u1ec7 sinh ho\u1eb7c c\u00f3 nguy c\u01a1 ph\u00e1t t\u00e1n vi khu\u1ea9n, ch\u1ea5t th\u1ea3i nguy h\u1ea1i ra m\u00f4i tr\u01b0\u1eddng. 4. B\u1ecb c\u1ea3nh s\u00e1t m\u00f4i tr\u01b0\u1eddng ph\u1ea1t v\u1ec1 h\u00e0nh vi vi ph\u1ea1m x\u1eed l\u00fd ch\u1ea5t th\u1ea3i l\u1ecfng. M\u1ee9c 2 5. C\u00f3 h\u1ec7 th\u1ed1ng x\u1eed l\u00fd ch\u1ea5t th\u1ea3i l\u1ecfng. 6. C\u00f3 x\u00e2y d\u1ef1ng h\u01b0\u1edbng d\u1eabn ho\u1eb7c quy tr\u00ecnh qu\u1ea3n l\u00fd, v\u1eadn h\u00e0nh h\u1ec7 th\u1ed1ng x\u1eed l\u00fd ch\u1ea5t th\u1ea3i l\u1ecfng. 7. Th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p l\u01b0u gi\u1eef c\u00e1c lo\u1ea1i dung m\u00f4i th\u1ea3i, dung d\u1ecbch h\u00f3a ch\u1ea5t th\u1ea3i nguy h\u1ea1i theo quy \u0111\u1ecbnh. M\u1ee9c 3 8. C\u00f3 h\u1ec7 th\u1ed1ng x\u1eed l\u00fd ch\u1ea5t th\u1ea3i l\u1ecfng v\u00e0 ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng xuy\u00ean. 9. C\u00f3 \u0111o \u0111\u1ea1c v\u00e0 so s\u00e1nh kh\u1ed1i l\u01b0\u1ee3ng n\u01b0\u1edbc \u0111\u1ea7u v\u00e0o v\u00e0 ch\u1ea5t th\u1ea3i l\u1ecfng \u0111\u1ea7u ra sau khi x\u1eed l\u00fd xong (n\u1ebfu ph\u00e1t hi\u1ec7n ch\u00eanh l\u1ec7ch qu\u00e1 m\u1ee9c cho ph\u00e9p c\u00f3 bi\u1ec7n ph\u00e1p gi\u1ea3i quy\u1ebft k\u1ecbp th\u1eddi). 10. C\u00f3 v\u0103n b\u1ea3n \u0111\u00e1nh gi\u00e1 c\u1ee7a c\u01a1 quan m\u00f4i tr\u01b0\u1eddng c\u00f3 th\u1ea9m quy\u1ec1n \u0111\u00e1nh gi\u00e1 c\u00e1c ch\u1ec9 ti\u00eau \u0111\u1ea7u ra (v\u1ec1 l\u00fd, h\u00f3a, vi sinh v\u1eadt) sau khi x\u1eed l\u00fd ch\u1ea5t th\u1ea3i l\u1ecfng \u00edt nh\u1ea5t 1 l\u1ea7n trong 6 th\u00e1ng. 11. C\u00e1c ch\u1ec9 ti\u00eau \u0111\u1ea7u ra c\u1ee7a n\u01b0\u1edbc th\u1ea3i \u0111\u1ea1t quy chu\u1ea9n v\u1ec1 m\u00f4i tr\u01b0\u1eddng. 12. C\u00f3 t\u1ed5 ch\u1ee9c t\u1eadp hu\u1ea5n, \u0111\u00e0o t\u1ea1o (ho\u1eb7c c\u1eed nh\u00e2n vi\u00ean tham d\u1ef1 t\u1eadp hu\u1ea5n, \u0111\u00e0o t\u1ea1o) v\u1ec1 c\u00f4ng t\u00e1c qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i l\u1ecfng y t\u1ebf. M\u1ee9c 4 13. C\u00f3 th\u1ef1c hi\u1ec7n vi\u1ec7c ph\u00e2n \u0111\u1ecbnh v\u00e0 thu gom ch\u1ea5t th\u1ea3i l\u1ecfng ri\u00eang bi\u1ec7t bao g\u1ed3m n\u01b0\u1edbc th\u1ea3i, dung d\u1ecbch v\u00e0 dung m\u00f4i th\u1ea3i ph\u00e1t sinh t\u1eeb c\u00e1c ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n, ch\u1ea5t th\u1ea3i l\u1ecfng ph\u00f3ng x\u1ea1, n\u01b0\u1edbc m\u01b0a ch\u1ea3y tr\u00e0n trong b\u1ec7nh vi\u1ec7n theo quy \u0111\u1ecbnh. 14. \u0110\u1ecbnh k\u1ef3 \u0111\u00e1nh gi\u00e1 ch\u1ec9 ti\u00eau v\u1ec1 m\u00f4i tr\u01b0\u1eddng \u0111\u1ed1i v\u1edbi n\u01b0\u1edbc th\u1ea3i b\u1ec7nh vi\u1ec7n (c\u0103n c\u1ee9 80","M\u1ee9c 5 theo b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1 t\u00e1c \u0111\u1ed9ng m\u00f4i tr\u01b0\u1eddng, \u0111\u1ec1 \u00e1n b\u1ea3o v\u1ec7 m\u00f4i tr\u01b0\u1eddng). 15. C\u00f3 k\u1ebf ho\u1ea1ch duy tr\u00ec h\u1ec7 th\u1ed1ng x\u1eed l\u00fd ch\u1ea5t th\u1ea3i l\u1ecfng ho\u1ea1t \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh, b\u1ea3o \u0111\u1ea3m c\u00e1c ch\u1ec9 ti\u00eau \u0111\u1ea7u ra v\u00e0 s\u1eb5n s\u00e0ng c\u00e1c gi\u1ea3i ph\u00e1p kh\u1eafc ph\u1ee5c s\u1ef1 c\u1ed1 h\u1ec7 th\u1ed1ng x\u1eed l\u00fd ch\u1ea5t th\u1ea3i l\u1ecfng (n\u1ebfu c\u00f3). 16. Th\u1ef1c hi\u1ec7n b\u1ea3o tr\u00ec, b\u1ea3o d\u01b0\u1ee1ng h\u1ec7 th\u1ed1ng x\u1eed l\u00fd n\u01b0\u1edbc th\u1ea3i \u0111\u1ecbnh k\u00ec h\u00e0ng n\u0103m. 17. Ch\u1ea5t th\u1ea3i l\u1ecfng sau khi x\u1eed l\u00fd \u0111\u1ea1t lo\u1ea1i A QCVN 28:2010\/BTNMT v\u00e0 \u0111\u01b0\u1ee3c b\u1ec7nh vi\u1ec7n t\u00e1i s\u1eed d\u1ee5ng cho m\u1ed9t s\u1ed1 ho\u1ea1t \u0111\u1ed9ng nh\u01b0 t\u01b0\u1edbi c\u00e2y, v\u1ec7 sinh s\u00e2n, v\u01b0\u1eddn, r\u1eeda xe... 18. \u00c1p d\u1ee5ng c\u00e1c gi\u1ea3i ph\u00e1p \u0111\u1ec3 gi\u1ea3m thi\u1ec3u ph\u00e1t sinh ch\u1ea5t th\u1ea3i l\u1ecfng t\u1ea1i ngu\u1ed3n (h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng n\u01b0\u1edbc sinh ho\u1ea1t t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u1ec3 t\u1eafm gi\u1eb7t, kh\u1eafc ph\u1ee5c r\u00f2 r\u1ec9 \u0111\u01b0\u1eddng n\u01b0\u1edbc, \u0111\u1ea7u t\u01b0 m\u00e1y m\u00f3c, c\u00f4ng ngh\u1ec7 hi\u1ec7n \u0111\u1ea1i ti\u1ebft ki\u1ec7m n\u01b0\u1edbc v\u00e0 gi\u1ea3m thi\u1ec3u ch\u1ea5t th\u1ea3i l\u1ecfng). 19. Trong n\u0103m c\u00f3 nghi\u00ean c\u1ee9u ho\u1eb7c \u0111\u00e1nh gi\u00e1 v\u1ec1 th\u1ef1c tr\u1ea1ng qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i l\u1ecfng y t\u1ebf c\u1ee7a b\u1ec7nh vi\u1ec7n, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra c\u00e1c nh\u01b0\u1ee3c \u0111i\u1ec3m, khi\u1ebfm khuy\u1ebft c\u1ea7n kh\u1eafc ph\u1ee5c. 20. \u00c1p d\u1ee5ng \u00edt nh\u1ea5t m\u1ed9t khuy\u1ebfn ngh\u1ecb t\u1eeb k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u ho\u1eb7c \u0111\u00e1nh gi\u00e1 v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng qu\u1ea3n l\u00fd ch\u1ea5t th\u1ea3i l\u1ecfng y t\u1ebf. 81","CH\u01af\u01a0NG C5. CH\u1ea4T L\u01af\u1ee2NG L\u00c2M S\u00c0NG C5.1 Th\u1ef1c hi\u1ec7n danh m\u1ee5c k\u1ef9 thu\u1eadt theo ph\u00e2n tuy\u00ea\u0301n k\u1ef9 thu\u1eadt C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 43\/2013\/TT-BYT ng\u00e0y 11\/12\/2013 quy \u0111\u1ecbnh chi ti\u1ebft ph\u00e2n tuy\u1ebfn v\u00e0 \u00fd chuy\u00ean m\u00f4n k\u1ef9 thu\u1eadt \u0111\u1ed1i v\u1edbi h\u1ec7 th\u1ed1ng c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh (ho\u1eb7c c\u00e1c ngh\u0129a v\u0103n b\u1ea3n m\u1edbi thay th\u1ebf sau n\u00e0y). M\u1ee9c 1 \uf0b7 Th\u1ef1c hi\u1ec7n \u0111\u00fang v\u00e0 \u0111\u1ee7 c\u00e1c k\u1ef9 thu\u1eadt theo ph\u00e2n tuy\u1ebfn th\u1ec3 hi\u1ec7n s\u1ef1 quan t\u00e2m \u0111\u1ea7u t\u01b0 ph\u00e1t tri\u1ec3n k\u1ef9 thu\u1eadt c\u1ee7a b\u1ec7nh vi\u1ec7n ph\u1ee5c v\u1ee5 ng\u01b0\u1eddi b\u1ec7nh tr\u00ean \u0111\u1ecba b\u00e0n d\u00e2n c\u01b0. M\u1ee9c 2 \uf0b7 N\u0103ng l\u1ef1c chuy\u00ean m\u00f4n th\u1ec3 hi\u1ec7n th\u00f4ng qua k\u1ef9 thu\u1eadt b\u1ec7nh vi\u1ec7n c\u00f3 kh\u1ea3 n\u0103ng tri\u1ec3n M\u1ee9c 3 khai. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 1. B\u1ec7nh vi\u1ec7n kh\u00f4ng c\u00f3 b\u1ea3n danh m\u1ee5c k\u1ef9 thu\u1eadt theo c\u00e1c th\u00f4ng t\u01b0, v\u0103n b\u1ea3n do B\u1ed9 Y t\u1ebf quy \u0111\u1ecbnh*. 2. \u0110\u00e3 x\u00e2y d\u1ef1ng danh m\u1ee5c k\u1ef9 thu\u1eadt theo c\u00e1c Th\u00f4ng t\u01b0, v\u0103n b\u1ea3n do B\u1ed9 Y t\u1ebf quy \u0111\u1ecbnh*. 3. Trong danh m\u1ee5c k\u1ef9 thu\u1eadt c\u1ee7a b\u1ec7nh vi\u1ec7n c\u00f3 chia theo c\u00e1c nh\u00f3m: (1) c\u00e1c k\u1ef9 thu\u1eadt theo \u0111\u00fang ph\u00e2n tuy\u1ebfn k\u1ef9 thu\u1eadt c\u1ee7a b\u1ec7nh vi\u1ec7n; (2) c\u00e1c k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c ph\u00e2n cho tuy\u1ebfn tr\u00ean v\u00e0 (3) c\u00e1c k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c ph\u00e2n cho tuy\u1ebfn d\u01b0\u1edbi. 4. B\u1ea3ng t\u1ed5ng h\u1ee3p danh m\u1ee5c k\u1ef9 thu\u1eadt c\u00f3 t\u00ednh t\u1ef7 l\u1ec7 c\u00e1c nh\u00f3m n\u00eau tr\u00ean. 5. Danh m\u1ee5c k\u1ef9 thu\u1eadt \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t v\u00e0 c\u00f4ng b\u1ed1 c\u00f4ng khai cho nh\u00e2n vi\u00ean y t\u1ebf th\u00f4ng qua c\u00e1c v\u0103n b\u1ea3n n\u1ed9i b\u1ed9. 6. B\u1ec7nh vi\u1ec7n tri\u1ec3n khai th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt theo \u0111\u00fang ph\u00e2n tuy\u1ebfn chi\u1ebfm t\u1eeb 40% tr\u1edf l\u00ean t\u1ed5ng s\u1ed1 k\u1ef9 thu\u1eadt theo ph\u00e2n tuy\u1ebfn c\u1ee7a c\u00e1c Th\u00f4ng t\u01b0, v\u0103n b\u1ea3n do B\u1ed9 Y t\u1ebf quy \u0111\u1ecbnh* (theo \u0111\u00fang chuy\u00ean ng\u00e0nh). 7. Danh m\u1ee5c k\u1ef9 thu\u1eadt \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t v\u00e0 c\u00f4ng b\u1ed1 c\u00f4ng khai cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi d\u00e2n b\u1eb1ng c\u00e1c h\u00ecnh th\u1ee9c kh\u00e1c nhau (tr\u00ean b\u1ea3ng tin, m\u00e0n h\u00ecnh \u0111i\u1ec7n t\u1eed, trang th\u00f4ng tin \u0111i\u1ec7n t\u1eed c\u1ee7a b\u1ec7nh vi\u1ec7n\u2026). 8. B\u1ec7nh vi\u1ec7n c\u00f3 ch\u1ee7 tr\u01b0\u01a1ng th\u1ef1c hi\u1ec7n, ph\u00e1t tri\u1ec3n c\u00e1c k\u1ef9 thu\u1eadt theo \u0111\u00fang ph\u00e2n tuy\u1ebfn k\u1ef9 thu\u1eadt v\u00e0 c\u1ee5 th\u1ec3 h\u00f3a ch\u1ee7 tr\u01b0\u01a1ng n\u00e0y trong c\u00e1c v\u0103n b\u1ea3n n\u1ed9i b\u1ed9. 9. B\u1ec7nh vi\u1ec7n tri\u1ec3n khai th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt theo \u0111\u00fang ph\u00e2n tuy\u1ebfn chi\u1ebfm t\u1eeb 60% tr\u1edf l\u00ean t\u1ed5ng s\u1ed1 k\u1ef9 thu\u1eadt theo ph\u00e2n tuy\u1ebfn c\u1ee7a c\u00e1c Th\u00f4ng t\u01b0, v\u0103n b\u1ea3n do B\u1ed9 Y t\u1ebf quy \u0111\u1ecbnh*. 10. B\u1ec7nh vi\u1ec7n tri\u1ec3n khai th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt theo \u0111\u00fang ph\u00e2n tuy\u1ebfn chi\u1ebfm t\u1eeb 70% tr\u1edf l\u00ean t\u1ed5ng s\u1ed1 k\u1ef9 thu\u1eadt theo ph\u00e2n tuy\u1ebfn c\u1ee7a c\u00e1c Th\u00f4ng t\u01b0, v\u0103n b\u1ea3n do B\u1ed9 Y t\u1ebf quy \u0111\u1ecbnh*. 11. Th\u1ed1ng k\u00ea s\u1ed1 l\u01b0\u1ee3ng t\u1ef7 l\u1ec7 c\u00e1c k\u1ef9 thu\u1eadt thu\u1ed9c nh\u00f3m 1 trong b\u1ea3ng danh m\u1ee5c k\u1ef9 thu\u1eadt v\u00e0 t\u1ef7 l\u1ec7 n\u00e0y c\u00f3 xu h\u01b0\u1edbng t\u0103ng d\u1ea7n theo th\u1eddi gian. 12. C\u00f3 th\u1ed1ng k\u00ea s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh chuy\u1ec3n tuy\u1ebfn nh\u1eefng k\u1ef9 thu\u1eadt thu\u1ed9c nh\u00f3m 1 trong danh m\u1ee5c k\u1ef9 thu\u1eadt c\u1ee7a b\u1ec7nh vi\u1ec7n. 13. C\u00f3 th\u1ed1ng k\u00ea t\u1ef7 l\u1ec7 ng\u01b0\u1eddi b\u1ec7nh chuy\u1ec3n tuy\u1ebfn nh\u1eefng k\u1ef9 thu\u1eadt thu\u1ed9c nh\u00f3m 1 trong t\u1ed5ng s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh chuy\u1ec3n tuy\u1ebfn. 14. B\u1ec7nh vi\u1ec7n tri\u1ec3n khai th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt theo \u0111\u00fang ph\u00e2n tuy\u1ebfn chi\u1ebfm t\u1eeb 80% tr\u1edf l\u00ean t\u1ed5ng s\u1ed1 k\u1ef9 thu\u1eadt theo ph\u00e2n tuy\u1ebfn c\u1ee7a c\u00e1c Th\u00f4ng t\u01b0, v\u0103n b\u1ea3n do B\u1ed9 Y t\u1ebf quy \u0111\u1ecbnh*. 15. T\u1ef7 l\u1ec7 ng\u01b0\u1eddi b\u1ec7nh chuy\u1ec3n tuy\u1ebfn nh\u1eefng k\u1ef9 thu\u1eadt thu\u1ed9c nh\u00f3m 1 trong t\u1ed5ng s\u1ed1 82","ng\u01b0\u1eddi b\u1ec7nh chuy\u1ec3n tuy\u1ebfn gi\u1ea3m d\u1ea7n theo th\u1eddi gian. 16. Ti\u1ebfn h\u00e0nh r\u00e0 so\u00e1t, \u0111\u00e1nh gi\u00e1 t\u1ea7n su\u1ea5t vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt v\u00e0 x\u00e1c \u0111\u1ecbnh c\u00e1c nh\u00f3m k\u1ef9 thu\u1eadt th\u01b0\u1eddng xuy\u00ean th\u1ef1c hi\u1ec7n, \u00edt v\u00e0 r\u1ea5t \u00edt ho\u1eb7c kh\u00f4ng th\u1ef1c hi\u1ec7n. 17. C\u1eadp nh\u1eadt, \u0111i\u1ec1u ch\u1ec9nh danh m\u1ee5c k\u1ef9 thu\u1eadt d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1. \uf0b7 * Hi\u1ec7n nay \u00e1p d\u1ee5ng Th\u00f4ng t\u01b0 s\u1ed1 43\/2013\/TT-BYT ng\u00e0y 11\/12\/2013 quy \u0111\u1ecbnh chi ti\u1ebft ph\u00e2n tuy\u1ebfn chuy\u00ean m\u00f4n k\u1ef9 thu\u1eadt \u0111\u1ed1i v\u1edbi h\u1ec7 th\u1ed1ng c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa Ghi ch\u00fa b\u1ec7nh. \uf0b7 \u0110\u01b0\u1ee3c thay th\u1ebf v\u00e0 b\u1ed5 sung b\u1eb1ng c\u00e1c v\u0103n b\u1ea3n m\u1edbi sau Th\u00f4ng t\u01b0 s\u1ed1 43\/2013\/TT- BYT (n\u1ebfu c\u00f3). 83","C5.2 Nghi\u00ean c\u1ee9u v\u00e0 tri\u1ec3n khai \u00e1p d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi C\u0103n c\u1ee9 \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 07\/2015\/TT-BYT ng\u00e0y 3\/4\/2015 quy \u0111\u1ecbnh chi ti\u1ebft \u0111i\u1ec1u ki\u1ec7n cho \u0111\u1ec1 xu\u1ea5t ph\u00e9p \u00e1p d\u1ee5ng k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi trong kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh. v\u00e0 \u00fd \uf0b7 N\u0103ng l\u1ef1c chuy\u00ean m\u00f4n th\u1ec3 hi\u1ec7n th\u00f4ng qua kh\u1ea3 n\u0103ng tri\u1ec3n khai c\u00e1c k\u1ef9 thu\u1eadt c\u1ee7a ngh\u0129a b\u1ec7nh vi\u1ec7n. \uf0b7 Nghi\u00ean c\u1ee9u \u1ee9ng d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt tuy\u1ebfn tr\u00ean v\u00e0 k\u1ef9 thu\u1eadt m\u1edbi\/hi\u1ec7n \u0111\u1ea1i ph\u1ea3n \u00e1nh s\u1ef1 ti\u1ebfn b\u1ed9 v\u1ec1 k\u1ef9 thu\u1eadt v\u00e0 n\u1ed7 l\u1ef1c c\u1ee7a b\u1ec7nh vi\u1ec7n trong vi\u1ec7c ph\u00e1t tri\u1ec3n chuy\u00ean m\u00f4n k\u1ef9 thu\u1eadt c\u1ee7a b\u1ec7nh vi\u1ec7n. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. Kh\u00f4ng tri\u1ec3n khai th\u00eam \u0111\u01b0\u1ee3c \u00edt nh\u1ea5t 01 k\u1ef9 thu\u1eadt, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi trong n\u0103m. 2. Ph\u00e1t hi\u1ec7n th\u1ea5y b\u1ec7nh vi\u1ec7n th\u1eed nghi\u1ec7m k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi nh\u01b0ng ch\u01b0a th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u00e1c th\u1ee7 t\u1ee5c, y\u00eau c\u1ea7u \u0111\u1ec3 ti\u1ebfn h\u00e0nh th\u1eed nghi\u1ec7m theo quy \u0111\u1ecbnh ho\u1eb7c ch\u01b0a \u0111\u01b0\u1ee3c c\u1ea5p c\u00f3 th\u1ea9m quy\u1ec1n cho ph\u00e9p. 3. Ph\u00e1t hi\u1ec7n th\u1ea5y b\u1ec7nh vi\u1ec7n m\u1eddi c\u00e1c t\u1ed5 ch\u1ee9c, c\u00e1 nh\u00e2n (trong ho\u1eb7c ngo\u00e0i n\u01b0\u1edbc) th\u1eed nghi\u1ec7m, tr\u00ecnh di\u1ec5n c\u00e1c k\u1ef9 thu\u1eadt, ph\u01b0\u01a1ng ph\u00e1p tr\u00ean ng\u01b0\u1eddi b\u1ec7nh nh\u01b0ng kh\u00f4ng c\u00f3 ch\u1ee9ng ch\u1ec9 h\u00e0nh ngh\u1ec1 ho\u1eb7c ch\u01b0a \u0111\u01b0\u1ee3c c\u1ea5p c\u00f3 th\u1ea9m quy\u1ec1n cho ph\u00e9p. M\u1ee9c 2 4. \u0110\u00e3 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch ho\u1eb7c \u0111\u1ec1 \u00e1n tri\u1ec3n khai k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi trong n\u0103m ho\u1eb7c n\u0103m k\u1ebf ti\u1ebfp. 5. C\u1eed nh\u00e2n vi\u00ean \u0111i \u0111\u00e0o t\u1ea1o v\u1ec1 k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00e1c trong n\u01b0\u1edbc, n\u01b0\u1edbc ngo\u00e0i ho\u1eb7c m\u1eddi chuy\u00ean gia trong n\u01b0\u1edbc, n\u01b0\u1edbc ngo\u00e0i \u0111\u1ebfn b\u1ec7nh vi\u1ec7n tr\u00ecnh b\u00e0y, t\u1eadp hu\u1ea5n v\u1ec1 k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi. 6. \u0110\u00e3 tri\u1ec3n khai th\u1eed nghi\u1ec7m \u00edt nh\u1ea5t 01 k\u1ef9 thu\u1eadt tuy\u1ebfn tr\u00ean ho\u1eb7c \u00edt nh\u1ea5t 01 k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi l\u1ea7n \u0111\u1ea7u ti\u00ean th\u1ef1c hi\u1ec7n t\u1ea1i b\u1ec7nh vi\u1ec7n. M\u1ee9c 3 7. \u0110\u00e3 tri\u1ec3n khai th\u1eed nghi\u1ec7m t\u1eeb 03 k\u1ef9 thu\u1eadt tuy\u1ebfn tr\u00ean tr\u1edf l\u00ean (ho\u1eb7c t\u1eeb 03 k\u1ef9 thu\u1eadt m\u1edbi, hi\u1ec7n \u0111\u1ea1i l\u1ea7n \u0111\u1ea7u ti\u00ean th\u1ef1c hi\u1ec7n t\u1ea1i b\u1ec7nh vi\u1ec7n tr\u1edf l\u00ean)*. 8. Sau khi th\u1eed nghi\u1ec7m, b\u1ec7nh vi\u1ec7n tri\u1ec3n khai k\u1ef9 thu\u1eadt v\u00e0 t\u1ef1 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c \u00edt nh\u1ea5t 1 k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi \u0111\u00e3 tri\u1ec3n khai. M\u1ee9c 4 9. \u0110\u00e3 tri\u1ec3n khai th\u1eed nghi\u1ec7m t\u1eeb 05 k\u1ef9 thu\u1eadt tuy\u1ebfn tr\u00ean tr\u1edf l\u00ean (ho\u1eb7c t\u1eeb 05 k\u1ef9 thu\u1eadt m\u1edbi, hi\u1ec7n \u0111\u1ea1i l\u1ea7n \u0111\u1ea7u ti\u00ean th\u1ef1c hi\u1ec7n t\u1ea1i b\u1ec7nh vi\u1ec7n tr\u1edf l\u00ean)*. 10. Sau khi th\u1eed nghi\u1ec7m, b\u1ec7nh vi\u1ec7n tri\u1ec3n khai k\u1ef9 thu\u1eadt v\u00e0 t\u1ef1 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 c\u00e1c k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi \u0111\u00e3 tri\u1ec3n khai. 11. C\u00f3 tr\u00ean 50% c\u00e1c k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi \u00e1p d\u1ee5ng mang t\u00ednh th\u01b0\u1eddng quy v\u1edbi t\u1ea7n su\u1ea5t th\u1ef1c hi\u1ec7n \u00edt nh\u1ea5t 1 l\u1ea7n trong 1 th\u00e1ng. M\u1ee9c 5 12. \u0110\u00e3 tri\u1ec3n khai th\u1eed nghi\u1ec7m t\u1eeb 07 k\u1ef9 thu\u1eadt tuy\u1ebfn tr\u00ean tr\u1edf l\u00ean (ho\u1eb7c t\u1eeb 07 k\u1ef9 thu\u1eadt m\u1edbi, hi\u1ec7n \u0111\u1ea1i l\u1ea7n \u0111\u1ea7u ti\u00ean th\u1ef1c hi\u1ec7n t\u1ea1i b\u1ec7nh vi\u1ec7n tr\u1edf l\u00ean)*. 13. Sau khi th\u1eed nghi\u1ec7m, b\u1ec7nh vi\u1ec7n tri\u1ec3n khai k\u1ef9 thu\u1eadt v\u00e0 t\u1ef1 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 c\u00e1c k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi \u0111\u00e3 tri\u1ec3n khai. 14. C\u00f3 tr\u00ean 70% c\u00e1c k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi \u00e1p d\u1ee5ng mang t\u00ednh th\u01b0\u1eddng quy v\u1edbi t\u1ea7n su\u1ea5t th\u1ef1c hi\u1ec7n \u00edt nh\u1ea5t 1 l\u1ea7n trong 1 th\u00e1ng. 15. Ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u, \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 vi\u1ec7c tri\u1ec3n khai k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi trong th\u1eddi gian qua. 16. B\u00e1o c\u00e1o k\u1ebft qu\u1ea3 c\u00f3 n\u00eau r\u00f5 nh\u1eefng m\u1eb7t th\u00e0nh c\u00f4ng, th\u1ea5t b\u1ea1i v\u00e0 khi\u1ebfm khuy\u1ebft c\u1ea7n 84","Ghi ch\u00fa kh\u1eafc ph\u1ee5c trong vi\u1ec7c tri\u1ec3n khai k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi. 17. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng tri\u1ec3n khai k\u1ef9 thu\u1eadt m\u1edbi, ph\u01b0\u01a1ng ph\u00e1p m\u1edbi. 18. \u0110\u00e3 tri\u1ec3n khai th\u1ef1c hi\u1ec7n \u00edt nh\u1ea5t 01 k\u1ef9 thu\u1eadt m\u1edbi l\u1ea7n \u0111\u1ea7u ti\u00ean \u00e1p d\u1ee5ng t\u1ea1i Vi\u1ec7t Nam ho\u1eb7c tr\u00ean th\u1ebf gi\u1edbi. N\u1ebfu b\u1ec7nh vi\u1ec7n \u0111\u00e3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c to\u00e0n b\u1ed9 c\u00e1c k\u1ef9 thu\u1eadt cao nh\u1ea5t trong danh m\u1ee5c (v\u00ed d\u1ee5 b\u1ec7nh vi\u1ec7n tuy\u1ebfn cu\u1ed1i) th\u00ec c\u00e1c ti\u1ec3u m\u1ee5c c\u00f3 d\u1ea5u * \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 \u0111\u1ea1t. 85","C5.3 \u00c1p d\u1ee5ng c\u00e1c h\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh v\u00e0 tri\u1ec3n khai c\u00e1c bi\u1ec7n ph\u00e1p gi\u00e1m s\u00e1t ch\u1ea5t l\u01b0\u1ee3ng C\u0103n c\u1ee9 \uf0b7 C\u00e1c quy\u1ebft \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 vi\u1ec7c ban h\u00e0nh \u201cH\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt \u0111\u1ec1 xu\u1ea5t kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh\u201d 28 chuy\u00ean khoa trong c\u00e1c n\u0103m 2013, 2014, 2015. v\u00e0 \u00fd \uf0b7 X\u00e2y d\u1ef1ng quy tr\u00ecnh k\u1ef9 thu\u1eadt v\u00e0 gi\u00e1m s\u00e1t vi\u1ec7c th\u1ef1c hi\u1ec7n quy tr\u00ecnh theo h\u01b0\u1edbng ngh\u0129a d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n gi\u00fap chu\u1ea9n h\u00f3a k\u1ef9 thu\u1eadt, h\u1ea1n ch\u1ebf s\u1ef1 c\u1ed1 y khoa v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng k\u1ef9 thu\u1eadt chuy\u00ean m\u00f4n c\u1ee7a b\u1ec7nh vi\u1ec7n. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. *Kh\u00f4ng c\u00f3 s\u00e1ch, t\u00e0i li\u1ec7u v\u1ec1 c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh\u201d do B\u1ed9 Y t\u1ebf ph\u00ea duy\u1ec7t ban h\u00e0nh li\u00ean quan \u0111\u1ebfn c\u00e1c chuy\u00ean khoa c\u1ee7a b\u1ec7nh vi\u1ec7n t\u1ea1i ph\u00f2ng k\u1ebf ho\u1ea1ch c\u1ee7a b\u1ec7nh vi\u1ec7n. 2. Ph\u00e1t hi\u1ec7n th\u1ea5y c\u00f3 sai ph\u1ea1m trong vi\u1ec7c \u00e1p d\u1ee5ng quy tr\u00ecnh k\u1ef9 thu\u1eadt, g\u00e2y h\u1eadu qu\u1ea3 ng\u01b0\u1eddi b\u1ec7nh t\u1eed vong ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng h\u1ed3i ph\u1ee5c nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ef1 nguy\u1ec7n b\u00e1o c\u00e1o k\u1ecbp th\u1eddi (b\u00e1o c\u00e1o v\u1ec1 c\u01a1 quan qu\u1ea3n l\u00fd tr\u01b0\u1edbc khi ph\u01b0\u01a1ng ti\u1ec7n truy\u1ec1n th\u00f4ng \u0111\u01b0a tin). M\u1ee9c 2 3. *C\u00f3 c\u00e1c s\u00e1ch\/t\u00e0i li\u1ec7u v\u1ec1 c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh\u201d do B\u1ed9 Y t\u1ebf ph\u00ea duy\u1ec7t ban h\u00e0nh li\u00ean quan \u0111\u1ebfn c\u00e1c chuy\u00ean khoa c\u1ee7a b\u1ec7nh vi\u1ec7n t\u1ea1i ph\u00f2ng k\u1ebf ho\u1ea1ch c\u1ee7a b\u1ec7nh vi\u1ec7n. 4. *C\u00f3 c\u00e1c s\u00e1ch\/t\u00e0i li\u1ec7u v\u1ec1 c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh\u201d do B\u1ed9 Y t\u1ebf ph\u00ea duy\u1ec7t ban h\u00e0nh (ho\u1eb7c c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 x\u00e2y d\u1ef1ng) li\u00ean quan \u0111\u1ebfn c\u00e1c k\u1ef9 thu\u1eadt c\u1ee7a khoa t\u1ea1i 100% ph\u00f2ng h\u00e0nh ch\u00ednh c\u1ee7a c\u00e1c khoa l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh vi\u1ec7n. 5. Ph\u1ed5 bi\u1ebfn c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh\u201d do B\u1ed9 Y t\u1ebf ph\u00ea duy\u1ec7t ban h\u00e0nh (ho\u1eb7c c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 x\u00e2y d\u1ef1ng) t\u1edbi c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 li\u00ean quan \u0111\u1ec3 th\u1ef1c hi\u1ec7n. 6. *C\u00e1c s\u00e1ch, t\u00e0i li\u1ec7u in c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh\u201d do B\u1ed9 Y t\u1ebf ph\u00ea duy\u1ec7t ban h\u00e0nh (ho\u1eb7c c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 x\u00e2y d\u1ef1ng) \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed d\u1ec5 th\u1ea5y, d\u1ec5 l\u1ea5y, thu\u1eadn ti\u1ec7n cho vi\u1ec7c tra c\u1ee9u th\u00f4ng tin. M\u1ee9c 3 7. L\u1eadp danh s\u00e1ch c\u00e1c quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n mang t\u00ednh th\u01b0\u1eddng quy t\u1ea1i b\u1ec7nh vi\u1ec7n. 8. X\u00e2y d\u1ef1ng b\u1ed9 t\u00e0i li\u1ec7u \u201cH\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh\u201d ph\u00f9 h\u1ee3p v\u1edbi \u0111i\u1ec1u ki\u1ec7n b\u1ec7nh vi\u1ec7n v\u00e0 \u0111\u1eb7c th\u00f9 ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n, d\u1ef1a tr\u00ean c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh\u201d c\u1ee7a B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh. M\u1ee9c 4 9. Ho\u00e0n th\u00e0nh b\u1ed9 t\u00e0i li\u1ec7u \u201cH\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh\u201d ph\u00f9 h\u1ee3p v\u1edbi \u0111i\u1ec1u ki\u1ec7n b\u1ec7nh vi\u1ec7n v\u00e0 \u0111\u1eb7c th\u00f9 ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n, d\u1ef1a tr\u00ean h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf. 10. B\u1ed9 t\u00e0i li\u1ec7u \u201cH\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh\u201d do b\u1ec7nh vi\u1ec7n x\u00e2y d\u1ef1ng \u0111\u01b0\u1ee3c H\u1ed9i \u0111\u1ed3ng khoa h\u1ecdc k\u1ef9 thu\u1eadt th\u1ea9m \u0111\u1ecbnh v\u00e0 th\u00f4ng qua. (H\u1ed9i \u0111\u1ed3ng khoa h\u1ecdc do b\u1ec7nh vi\u1ec7n ho\u1eb7c c\u01a1 quan qu\u1ea3n l\u00fd tr\u1ef1c ti\u1ebfp th\u00e0nh l\u1eadp, c\u00f3 m\u1eddi th\u00e0nh vi\u00ean l\u00e0 c\u00e1c chuy\u00ean gia, gi\u1ea3ng vi\u00ean, b\u00e1c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng trong, ngo\u00e0i b\u1ec7nh vi\u1ec7n v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c nh\u01b0 \u0111\u1ea1i di\u1ec7n c\u01a1 quan qu\u1ea3n l\u00fd y t\u1ebf, c\u01a1 quan b\u1ea3o hi\u1ec3m x\u00e3 h\u1ed9i\u2026). 11. B\u1ed9 t\u00e0i li\u1ec7u \u201cH\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh\u201d do b\u1ec7nh vi\u1ec7n 86","M\u1ee9c 5 x\u00e2y d\u1ef1ng \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn v\u00e0 \u00e1p d\u1ee5ng th\u1ed1ng nh\u1ea5t tr\u00ean ph\u1ea1m vi to\u00e0n b\u1ec7nh vi\u1ec7n. Ghi ch\u00fa 12. X\u00e2y d\u1ef1ng b\u1ea3ng ki\u1ec3m gi\u00e1m s\u00e1t vi\u1ec7c tu\u00e2n th\u1ee7 c\u00e1c quy tr\u00ecnh k\u1ef9 thu\u1eadt cho m\u1ed9t s\u1ed1 quy tr\u00ecnh quan tr\u1ecdng (theo \u0111\u00e1nh gi\u00e1 c\u1ee7a b\u1ec7nh vi\u1ec7n, c\u0103n c\u1ee9 tr\u00ean ph\u1ea1m vi t\u00e1c \u0111\u1ed9ng, \u1ea3nh h\u01b0\u1edfng t\u1edbi ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n\u2026) t\u1ea1i m\u1ed9t s\u1ed1 khoa l\u00e2m s\u00e0ng. 13. Ti\u1ebfn h\u00e0nh gi\u00e1m s\u00e1t vi\u1ec7c tu\u00e2n th\u1ee7 c\u00e1c quy tr\u00ecnh k\u1ef9 thu\u1eadt d\u1ef1a tr\u00ean c\u00e1c b\u1ea3ng ki\u1ec3m \u0111\u00e3 x\u00e2y d\u1ef1ng c\u1ee7a b\u1ec7nh vi\u1ec7n. 14. C\u00f3 b\u1ea3n b\u00e1o c\u00e1o gi\u00e1m s\u00e1t vi\u1ec7c tu\u00e2n th\u1ee7 c\u00e1c quy tr\u00ecnh k\u1ef9 thu\u1eadt d\u1ef1a tr\u00ean c\u00e1c b\u1ea3ng ki\u1ec3m, trong \u0111\u00f3 c\u00f3 t\u1ef7 l\u1ec7 tu\u00e2n th\u1ee7 c\u1ee7a c\u00e1c khoa l\u00e2m s\u00e0ng. 15. C\u00f4ng b\u1ed1 b\u00e1o c\u00e1o v\u1ec1 vi\u1ec7c tu\u00e2n th\u1ee7 c\u00e1c quy tr\u00ecnh k\u1ef9 thu\u1eadt cho nh\u00e2n vi\u00ean (trong \u0111\u00f3 c\u00f3 t\u1ef7 l\u1ec7 tu\u00e2n th\u1ee7 quy tr\u00ecnh k\u1ef9 thu\u1eadt c\u1ee7a t\u1eebng khoa l\u00e2m s\u00e0ng) b\u1eb1ng c\u00e1c h\u00ecnh th\u1ee9c nh\u01b0 b\u1ea3n tin n\u1ed9i b\u1ed9, g\u1eedi b\u00e1o c\u00e1o, th\u01b0 \u0111i\u1ec7n t\u1eed\u2026. 16. Ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 ho\u1eb7c nghi\u00ean c\u1ee9u vi\u1ec7c tri\u1ec3n khai \u00e1p d\u1ee5ng c\u00e1c quy tr\u00ecnh k\u1ef9 thu\u1eadt t\u1ea1i b\u1ec7nh vi\u1ec7n, trong \u0111\u00f3 c\u00f3 \u0111\u00e1nh gi\u00e1, ph\u00e2n t\u00edch c\u00e1c s\u1ef1 c\u1ed1 y khoa (n\u1ebfu c\u00f3) x\u1ea3y ra khi th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt. 17. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 (ho\u1eb7c nghi\u00ean c\u1ee9u) \u0111\u1ec3 ch\u1ec9nh s\u1eeda, c\u1ea3i ti\u1ebfn quy tr\u00ecnh k\u1ef9 thu\u1eadt nh\u1eb1m h\u1ea1n ch\u1ebf c\u00e1c s\u1ef1 c\u1ed1 y khoa x\u1ea3y ra v\u00e0 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng l\u00e2m s\u00e0ng. 18. Chia s\u1ebb kinh nghi\u1ec7m c\u1ea3i ti\u1ebfn quy tr\u00ecnh k\u1ef9 thu\u1eadt, \u00e1p d\u1ee5ng k\u1ef9 thu\u1eadt cao, k\u1ef9 thu\u1eadt m\u1edbi cho c\u01a1 quan qu\u1ea3n l\u00fd v\u00e0 c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00e1c b\u1eb1ng c\u00e1c h\u00ecnh th\u1ee9c nh\u01b0 b\u00e1o c\u00e1o, vi\u1ebft s\u00e1ch, b\u00e0i b\u00e1o khoa h\u1ecdc\u2026 * Ch\u1ea5p nh\u1eadn h\u00ecnh th\u1ee9c t\u00e0i li\u1ec7u, s\u00e1ch l\u00e0 b\u1ea3n m\u1ec1m s\u1eb5n c\u00f3 t\u1ea1i m\u00e1y t\u00ednh c\u1ee7a khoa\/ph\u00f2ng. 87","C5.4 X\u00e2y d\u1ef1ng c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb C\u0103n c\u1ee9 \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 19\/2013\/TT-BYT ng\u00e0y 12\/7\/2013 c\u1ee7a B\u1ed9 Y t\u1ebf h\u01b0\u1edbng d\u1eabn th\u1ef1c hi\u1ec7n \u0111\u1ec1 xu\u1ea5t qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n. v\u00e0 \u00fd \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 21\/2013\/TT-BYT ng\u00e0y 8\/8\/2013 quy \u0111\u1ecbnh v\u1ec1 t\u1ed5 ch\u1ee9c v\u00e0 ho\u1ea1t \u0111\u1ed9ng ngh\u0129a c\u1ee7a h\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb. \uf0b7 H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb l\u00e0 t\u00e0i li\u1ec7u mang t\u00ednh khoa h\u1ecdc, ph\u00e1p l\u00fd quan tr\u1ecdng. \uf0b7 X\u00e2y d\u1ef1ng c\u00e1c ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb nh\u1eb1m c\u1ee5 th\u1ec3 h\u00f3a c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb do B\u1ed9 Y t\u1ebf ban h\u00e0nh (ho\u1eb7c khi ch\u01b0a c\u00f3 h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf) nh\u1eb1m chu\u1ea9n h\u00f3a chuy\u00ean m\u00f4n, h\u1ea1n ch\u1ebf s\u1ef1 sai kh\u00e1c trong qu\u00e1 tr\u00ecnh ch\u1ec9 \u0111\u1ecbnh c\u1eadn l\u00e2m s\u00e0ng, ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb, s\u1eed d\u1ee5ng thu\u1ed1c cho ng\u01b0\u1eddi b\u1ec7nh. \uf0b7 B\u1ec7nh vi\u1ec7n x\u00e2y d\u1ef1ng \u0111\u01b0\u1ee3c ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh vi\u1ec7n th\u1ec3 hi\u1ec7n n\u0103ng l\u1ef1c chuy\u00ean m\u00f4n, \u0111\u1ed3ng th\u1eddi th\u00fac \u0111\u1ea9y c\u00e1c b\u00e1c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng t\u00edch c\u1ef1c, ch\u1ee7 \u0111\u1ed9ng trong vi\u1ec7c c\u1eadp nh\u1eadt ki\u1ebfn th\u1ee9c y khoa trong qu\u00e1 tr\u00ecnh h\u00e0nh ngh\u1ec1. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. Kh\u00f4ng c\u00f3 s\u00e1ch, t\u00e0i li\u1ec7u in c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d do B\u1ed9 Y t\u1ebf, S\u1edf Y t\u1ebf (ho\u1eb7c c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 x\u00e2y d\u1ef1ng) ban h\u00e0nh (thu\u1ed9c c\u00e1c chuy\u00ean khoa c\u1ee7a b\u1ec7nh vi\u1ec7n) t\u1ea1i ph\u00f2ng k\u1ebf ho\u1ea1ch c\u1ee7a b\u1ec7nh vi\u1ec7n. 2. C\u00f3 sai ph\u1ea1m trong vi\u1ec7c \u00e1p d\u1ee5ng c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d, g\u00e2y h\u1eadu qu\u1ea3 ng\u01b0\u1eddi b\u1ec7nh t\u1eed vong ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng h\u1ed3i ph\u1ee5c nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o t\u1ef1 nguy\u1ec7n k\u1ecbp th\u1eddi (b\u00e1o c\u00e1o v\u1ec1 c\u01a1 quan qu\u1ea3n l\u00fd tr\u01b0\u1edbc khi ph\u01b0\u01a1ng ti\u1ec7n truy\u1ec1n th\u00f4ng \u0111\u01b0a tin). M\u1ee9c 2 3. C\u00f3 c\u00e1c s\u00e1ch ho\u1eb7c t\u00e0i li\u1ec7u in c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d do B\u1ed9 Y t\u1ebf, S\u1edf Y t\u1ebf, tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc y khoa xu\u1ea5t b\u1ea3n (ho\u1eb7c c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 x\u00e2y d\u1ef1ng) thu\u1ed9c c\u00e1c chuy\u00ean khoa c\u1ee7a b\u1ec7nh vi\u1ec7n t\u1ea1i ph\u00f2ng k\u1ebf ho\u1ea1ch. 4. Ph\u1ed5 bi\u1ebfn c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201ddo B\u1ed9 Y t\u1ebf ho\u1eb7c S\u1edf Y t\u1ebf ph\u00ea duy\u1ec7t ban h\u00e0nh (ho\u1eb7c c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 x\u00e2y d\u1ef1ng) thu\u1ed9c c\u00e1c chuy\u00ean khoa c\u1ee7a b\u1ec7nh vi\u1ec7n t\u1edbi c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 li\u00ean quan \u0111\u1ec3 th\u1ef1c hi\u1ec7n. 5. C\u00f3 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c s\u00e1ch, t\u00e0i li\u1ec7u in c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d do B\u1ed9 Y t\u1ebf ho\u1eb7c S\u1edf Y t\u1ebf ph\u00ea duy\u1ec7t ban h\u00e0nh (ho\u1eb7c c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 x\u00e2y d\u1ef1ng) li\u00ean quan \u0111\u1ebfn c\u00e1c chuy\u00ean khoa c\u1ee7a b\u1ec7nh vi\u1ec7n t\u1ea1i ph\u00f2ng h\u00e0nh ch\u00ednh c\u00e1c khoa l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh vi\u1ec7n. 6. C\u00e1c s\u00e1ch, t\u00e0i li\u1ec7u in c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d do B\u1ed9 Y t\u1ebf ho\u1eb7c S\u1edf Y t\u1ebf ph\u00ea duy\u1ec7t ban h\u00e0nh (ho\u1eb7c c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 x\u00e2y d\u1ef1ng) \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf v\u1ecb tr\u00ed d\u1ec5 th\u1ea5y, d\u1ec5 l\u1ea5y, thu\u1eadn ti\u1ec7n cho vi\u1ec7c tra c\u1ee9u th\u00f4ng tin. M\u1ee9c 3 7. Ti\u1ebfn h\u00e0nh x\u00e2y d\u1ef1ng c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d cho c\u00e1c b\u1ec7nh th\u01b0\u1eddng g\u1eb7p ph\u00f9 h\u1ee3p v\u1edbi \u0111i\u1ec1u ki\u1ec7n b\u1ec7nh vi\u1ec7n v\u00e0 \u0111\u1eb7c th\u00f9 ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n, d\u1ef1a tr\u00ean c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d c\u1ee7a B\u1ed9 Y t\u1ebf ho\u1eb7c S\u1edf Y t\u1ebf \u0111\u00e3 ban h\u00e0nh. 8. C\u00f3 tr\u00ean 50% c\u00e1c khoa l\u00e2m s\u00e0ng \u0111\u00e3 x\u00e2y d\u1ef1ng \u0111\u01b0\u1ee3c c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d cho \u00edt nh\u1ea5t 10 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p c\u1ee7a khoa**. M\u1ee9c 4 9. C\u00f3 tr\u00ean 70% c\u00e1c khoa l\u00e2m s\u00e0ng \u0111\u00e3 x\u00e2y d\u1ef1ng \u0111\u01b0\u1ee3c c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d cho \u00edt nh\u1ea5t 10 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p c\u1ee7a khoa**. 88","M\u1ee9c 5 10. C\u00e1c khoa l\u00e2m s\u00e0ng nghi\u00ean c\u1ee9u x\u00e2y d\u1ef1ng, c\u1eadp nh\u1eadt, b\u1ed5 sung c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb thu\u1ed9c ph\u1ea1m vi chuy\u00ean m\u00f4n v\u00e0 m\u00f4 h\u00ecnh b\u1ec7nh t\u1eadt c\u1ee7a b\u1ec7nh vi\u1ec7n, nh\u01b0ng ch\u01b0a \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf ho\u1eb7c S\u1edf Y t\u1ebf ban h\u00e0nh (ho\u1eb7c ch\u1ec9nh s\u1eeda) d\u1ef1a tr\u00ean c\u00e1c t\u00e0i li\u1ec7u trong n\u01b0\u1edbc, qu\u1ed1c t\u1ebf v\u00e0 s\u1ef1 ti\u1ebfn b\u1ed9 c\u1ee7a y h\u1ecdc. 11. Ho\u00e0n th\u00e0nh b\u1ed9 t\u00e0i li\u1ec7u \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d ph\u00f9 h\u1ee3p v\u1edbi \u0111i\u1ec1u ki\u1ec7n b\u1ec7nh vi\u1ec7n v\u00e0 \u0111\u1eb7c th\u00f9 ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n, d\u1ef1a tr\u00ean h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf. 12. B\u1ed9 t\u00e0i li\u1ec7u \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d do b\u1ec7nh vi\u1ec7n x\u00e2y d\u1ef1ng \u0111\u01b0\u1ee3c H\u1ed9i \u0111\u1ed3ng khoa h\u1ecdc k\u1ef9 thu\u1eadt th\u1ea9m \u0111\u1ecbnh v\u00e0 th\u00f4ng qua. (H\u1ed9i \u0111\u1ed3ng khoa h\u1ecdc do b\u1ec7nh vi\u1ec7n ho\u1eb7c c\u01a1 quan qu\u1ea3n l\u00fd tr\u1ef1c ti\u1ebfp th\u00e0nh l\u1eadp, c\u00f3 m\u1eddi th\u00e0nh vi\u00ean l\u00e0 c\u00e1c chuy\u00ean gia, gi\u1ea3ng vi\u00ean, b\u00e1c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng trong, ngo\u00e0i b\u1ec7nh vi\u1ec7n v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c nh\u01b0 \u0111\u1ea1i di\u1ec7n c\u01a1 quan qu\u1ea3n l\u00fd y t\u1ebf, c\u01a1 quan b\u1ea3o hi\u1ec3m x\u00e3 h\u1ed9i\u2026) 13. B\u1ed9 t\u00e0i li\u1ec7u \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d do b\u1ec7nh vi\u1ec7n x\u00e2y d\u1ef1ng \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn v\u00e0 \u00e1p d\u1ee5ng th\u1ed1ng nh\u1ea5t tr\u00ean ph\u1ea1m vi to\u00e0n b\u1ec7nh vi\u1ec7n. 14. C\u00f3 100% c\u00e1c khoa l\u00e2m s\u00e0ng \u0111\u00e3 x\u00e2y d\u1ef1ng \u0111\u01b0\u1ee3c c\u00e1c \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u201d cho \u00edt nh\u1ea5t 10 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p c\u1ee7a khoa**. 15. T\u1ed5 ch\u1ee9c nghi\u00ean c\u1ee9u, t\u1eadp hu\u1ea5n v\u00e0 ti\u1ebfn h\u00e0nh x\u00e2y d\u1ef1ng c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean y h\u1ecdc ch\u1ee9ng c\u1ee9 v\u1edbi s\u1ef1 tham gia c\u1ee7a c\u00e1c b\u00e1c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng, d\u01b0\u1ee3c s\u1ef9 b\u1ec7nh vi\u1ec7n, theo h\u01b0\u1edbng d\u1eabn v\u00e0 c\u0103n c\u1ee9 tr\u00ean khung m\u1eabu c\u1ee7a c\u00e1c Vi\u1ec7n nghi\u00ean c\u1ee9u v\u1ec1 l\u00e2m s\u00e0ng h\u00e0ng \u0111\u1ea7u tr\u00ean th\u1ebf gi\u1edbi t\u1ea1i c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n nh\u01b0 Anh, M\u1ef9, \u00dac*\u2026 16. Ti\u1ebfn h\u00e0nh x\u00e2y d\u1ef1ng m\u1edbi \u00edt nh\u1ea5t 01 h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u1edbi \u0111\u1eb7c th\u00f9 b\u1ec7nh vi\u1ec7n v\u00e0 d\u1ef1a tr\u00ean y h\u1ecdc ch\u1ee9ng c\u1ee9. 17. Ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 ho\u1eb7c nghi\u00ean c\u1ee9u hi\u1ec7u qu\u1ea3 vi\u1ec7c tri\u1ec3n khai \u00e1p d\u1ee5ng c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n, trong \u0111\u00f3 c\u00f3 \u0111\u00e1nh gi\u00e1, ph\u00e2n t\u00edch c\u00e1c s\u1ef1 c\u1ed1 y khoa (n\u1ebfu c\u00f3) x\u1ea3y ra. 18. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 (ho\u1eb7c nghi\u00ean c\u1ee9u) \u0111\u1ec3 ch\u1ec9nh s\u1eeda, c\u1ea3i ti\u1ebfn c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1eb1m h\u1ea1n ch\u1ebf c\u00e1c s\u1ef1 c\u1ed1 y khoa x\u1ea3y ra v\u00e0 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng l\u00e2m s\u00e0ng. 19. Chia s\u1ebb kinh nghi\u1ec7m c\u1ea3i ti\u1ebfn c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb cho c\u01a1 quan qu\u1ea3n l\u00fd v\u00e0 c\u00e1c b\u1ec7nh vi\u1ec7n kh\u00e1c b\u1eb1ng c\u00e1c h\u00ecnh th\u1ee9c nh\u01b0 b\u00e1o c\u00e1o, vi\u1ebft b\u00e0i b\u00e1o khoa h\u1ecdc\u2026 \uf0b7 *Tham kh\u1ea3o c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ee7a Vi\u1ec7n NICE- UK,http:\/\/www.nice.org.uk. \uf0b7 Vi\u1ec7n NICE-UK (National Institute for Health and Care Excellence) l\u00e0 Vi\u1ec7n nghi\u00ean c\u1ee9u h\u00e0ng \u0111\u1ea7u c\u1ee7a V\u01b0\u01a1ng qu\u1ed1c Anh v\u00e0 th\u1ebf gi\u1edbi trong vi\u1ec7c x\u00e2y d\u1ef1ng c\u00e1c khuy\u1ebfn c\u00e1o y khoa, h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb, ti\u00eau chu\u1ea9n ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 ki\u1ec3m \u0111\u1ecbnh l\u00e2m s\u00e0ng, \u0111\u00e1nh gi\u00e1 c\u00f4ng ngh\u1ec7 y t\u1ebf\u2026 Vi\u1ec7n NICE-UK \u0111\u00e3 \u0111\u0103ng t\u1ea3i h\u00e0ng ngh\u00ecn h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb tr\u00ean trang ch\u1ee7 v\u00e0 cho ph\u00e9p \u0111\u1ed9c gi\u1ea3 truy c\u1eadp, tham kh\u1ea3o. C\u00e1c b\u1ec7nh vi\u1ec7n c\u00f3 th\u1ec3 c\u1eadp nh\u1eadt th\u00f4ng tin \u0111i\u1ec1u tr\u1ecb m\u1edbi nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi khi truy c\u1eadp c\u00e1c t\u00e0i li\u1ec7u n\u00e0y. \uf0b7 **N\u1ebfu c\u00e1c khoa chuy\u00ean s\u00e2u kh\u00f4ng c\u00f3 \u0111\u1ee7 10 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p th\u00ec x\u00e2y d\u1ef1ng h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb cho to\u00e0n b\u1ed9 c\u00e1c b\u1ec7nh ch\u1ee7 y\u1ebfu th\u01b0\u1eddng g\u1eb7p c\u1ee7a khoa l\u00e2m s\u00e0ng. 89","C5.5 \u00c1p d\u1ee5ng c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 ban h\u00e0nh v\u00e0 gi\u00e1m s\u00e1t vi\u1ec7c C\u0103n c\u1ee9 th\u1ef1c hi\u1ec7n \u0111\u1ec1 xu\u1ea5t v\u00e0 \u00fd \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 19\/2013\/TT-BYT ng\u00e0y 12\/7\/2013 c\u1ee7a B\u1ed9 Y t\u1ebf h\u01b0\u1edbng d\u1eabn th\u1ef1c hi\u1ec7n ngh\u0129a qu\u1ea3n l\u00fd ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5 kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n. M\u1ee9c 1 \uf0b7 Th\u00f4ng t\u01b0 s\u1ed1 21\/2013\/TT-BYT ng\u00e0y 8\/8\/2013 quy \u0111\u1ecbnh v\u1ec1 t\u1ed5 ch\u1ee9c v\u00e0 ho\u1ea1t \u0111\u1ed9ng M\u1ee9c 2 c\u1ee7a h\u1ed9i \u0111\u1ed3ng thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb. M\u1ee9c 3 \uf0b7 Vi\u1ec7c \u00e1p d\u1ee5ng theo \u0111\u00fang c\u00e1c ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb b\u1ea3o \u0111\u1ea3m cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00f3 hi\u1ec7u qu\u1ea3, c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 an to\u00e0n cho ng\u01b0\u1eddi b\u1ec7nh. M\u1ee9c 4 \uf0b7 B\u1ec7nh vi\u1ec7n c\u00f3 bi\u1ec7n ph\u00e1p gi\u00e1m s\u00e1t tu\u00e2n th\u1ee7 ph\u00e1c \u0111\u1ed3 s\u1ebd gi\u00fap n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 5 chuy\u00ean m\u00f4n, h\u1ea1n ch\u1ebf s\u1ef1 c\u1ed1 y khoa trong qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb, g\u00f3p ph\u1ea7n h\u1ea1n ch\u1ebf l\u1ea1m d\u1ee5ng x\u00e9t nghi\u1ec7m, l\u1ea1m d\u1ee5ng thu\u1ed1c, k\u1ef9 thu\u1eadt \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh, gi\u1ea3m chi ph\u00ed \u0111i\u1ec1u tr\u1ecb. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. Kh\u00f4ng tri\u1ec3n khai th\u1ef1c hi\u1ec7n c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 ban h\u00e0nh. 2. Kh\u00f4ng c\u00f3 bi\u1ec7n ph\u00e1p v\u00e0 kh\u00f4ng tri\u1ec3n khai theo d\u00f5i, gi\u00e1m s\u00e1t vi\u1ec7c tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. 3. C\u00f3 quy \u0111\u1ecbnh v\u1ec1 vi\u1ec7c \u00e1p d\u1ee5ng c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i vi\u1ec7c tu\u00e2n th\u1ee7. 4. Nh\u00e2n vi\u00ean y t\u1ebf \u0111\u01b0\u1ee3c ph\u1ed5 bi\u1ebfn th\u1ef1c hi\u1ec7n h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. 5. Nh\u00e2n vi\u00ean y t\u1ebf th\u1ef1c hi\u1ec7n \u0111\u00fang theo h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. 6. C\u00f3 ban h\u00e0nh quy \u0111\u1ecbnh c\u00e1c khoa l\u00e2m s\u00e0ng (ho\u1eb7c to\u00e0n b\u1ec7nh vi\u1ec7n, do b\u1ec7nh vi\u1ec7n t\u1ef1 quy \u0111\u1ecbnh) th\u1ef1c hi\u1ec7n b\u00ecnh (ho\u1eb7c ki\u1ec3m tra) b\u1ec7nh \u00e1n, t\u1ed1i thi\u1ec3u 1 l\u1ea7n trong 1 th\u00e1ng. 7. C\u00f3 ban h\u00e0nh quy \u0111\u1ecbnh khoa kh\u00e1m b\u1ec7nh th\u1ef1c hi\u1ec7n b\u00ecnh \u0111\u01a1n thu\u1ed1c, t\u1ed1i thi\u1ec3u 1 l\u1ea7n trong 1 th\u00e1ng. 8. C\u00f3 c\u00e1c h\u00ecnh th\u1ee9c ph\u1ea3n h\u1ed3i k\u1ebft qu\u1ea3 b\u00ecnh b\u1ec7nh \u00e1n v\u1edbi b\u00e1c s\u1ef9, \u0111i\u1ec1u d\u01b0\u1ee1ng v\u00e0 c\u00e1c b\u00ean li\u00ean quan. 9. L\u1eadp danh s\u00e1ch m\u1ed9t s\u1ed1 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p (theo m\u00f4 h\u00ecnh b\u1ec7nh t\u1eadt c\u00e1c khoa l\u00e2m s\u00e0ng v\u00e0 chung b\u1ec7nh vi\u1ec7n), b\u1ec7nh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng k\u1ef9 thu\u1eadt cao, b\u1ec7nh c\u00f3 chi ph\u00ed l\u1edbn c\u1ea7n \u01b0u ti\u00ean gi\u00e1m s\u00e1t vi\u1ec7c tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. 10. Ti\u1ebfn h\u00e0nh ki\u1ec3m tra, gi\u00e1m s\u00e1t (ng\u1eabu nhi\u00ean v\u00e0 \u0111\u1ecbnh k\u1ef3) vi\u1ec7c tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ee7a c\u00e1c b\u1ec7nh \u00e1n c\u00f3 b\u1ec7nh n\u1eb1m trong danh s\u00e1ch \u0111\u00e3 l\u1eadp. 11. Th\u1ef1c hi\u1ec7n gi\u00e1m s\u00e1t vi\u1ec7c tu\u00e2n th\u1ee7 ch\u1ec9 \u0111\u1ecbnh c\u1eadn l\u00e2m s\u00e0ng, k\u00ea \u0111\u01a1n c\u1ee7a c\u00e1c b\u1ec7nh \u00e1n cho \u00edt nh\u1ea5t 05 b\u1ec7nh b\u1eb1ng ph\u1ea7n m\u1ec1m tin h\u1ecdc. 12. Ph\u1ea7n m\u1ec1m tin h\u1ecdc c\u00f3 kh\u1ea3 n\u0103ng s\u00e0ng l\u1ecdc c\u00e1c b\u1ec7nh \u00e1n b\u1ea5t th\u01b0\u1eddng. 13. C\u00f3 b\u1ea3n b\u00e1o c\u00e1o gi\u00e1m s\u00e1t vi\u1ec7c tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb, trong \u0111\u00f3 c\u00f3 t\u1ef7 l\u1ec7 tu\u00e2n th\u1ee7 c\u1ee7a c\u00e1c khoa l\u00e2m s\u00e0ng. 14. C\u00f4ng b\u1ed1 b\u00e1o c\u00e1o v\u1ec1 vi\u1ec7c tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb cho nh\u00e2n vi\u00ean (trong \u0111\u00f3 c\u00f3 t\u1ef7 l\u1ec7 tu\u00e2n th\u1ee7 quy tr\u00ecnh k\u1ef9 thu\u1eadt c\u1ee7a t\u1eebng khoa l\u00e2m s\u00e0ng) b\u1eb1ng c\u00e1c h\u00ecnh th\u1ee9c nh\u01b0 b\u1ea3n tin n\u1ed9i b\u1ed9, g\u1eedi b\u00e1o c\u00e1o, th\u01b0 \u0111i\u1ec7n t\u1eed\u2026. 15. Th\u1ef1c hi\u1ec7n gi\u00e1m s\u00e1t vi\u1ec7c tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ee7a to\u00e0n b\u1ed9 c\u00e1c b\u1ec7nh \u00e1n b\u1eb1ng ph\u1ea7n m\u1ec1m tin h\u1ecdc. 16. Ph\u1ea7n m\u1ec1m tin h\u1ecdc c\u00f3 kh\u1ea3 n\u0103ng chi\u1ebft xu\u1ea5t c\u00e1c k\u1ebft qu\u1ea3, b\u1ea3ng bi\u1ec3u, \u0111\u1ed3 th\u1ecb v\u1ec1 k\u1ebft qu\u1ea3 gi\u00e1m s\u00e1t vi\u1ec7c tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. 17. S\u1eed d\u1ee5ng k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1, gi\u00e1m s\u00e1t vi\u1ec7c tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb cho vi\u1ec7c c\u1eadp nh\u1eadt, s\u1eeda \u0111\u1ed5i, b\u1ed5 sung c\u00e1c h\u01b0\u1edbng d\u1eabn v\u00e0 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng l\u00e2m s\u00e0ng. 90","CH\u01af\u01a0NG C6. HO\u1ea0T \u0110\u1ed8NG \u0110I\u1ec0U D\u01af\u1ee0NG V\u00c0 CH\u0102M S\u00d3C NG\u01af\u1edcI B\u1ec6NH C6.1 H\u1ec7 th\u1ed1ng qua\u0309n l\u00fd \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c thi\u00ea\u0301t l\u1eadp \u0111\u1ea7y \u0111\u1ee7 v\u00e0 ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qua\u0309 C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 07\/2011\/TT-BYT ng\u00e0y 26 th\u00e1ng 01 n\u0103m 2011 h\u01b0\u1edbng d\u1eabn c\u00f4ng t\u00e1c v\u00e0 \u00fd \u0111i\u1ec1u d\u01b0\u1ee1ng trong ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh. ngh\u0129a \uf0b7 Th\u00f4ng t\u01b0 26\/2015\/TTLT-BYT-BNV ng\u00e0y 07 th\u00e1ng 10 n\u0103m 2015 Quy \u0111\u1ecbnh m\u00e3 M\u1ee9c 1 s\u1ed1, ti\u00eau chu\u1ea9n ch\u1ee9c danh ngh\u1ec1 nghi\u1ec7p \u0111i\u1ec1u d\u01b0\u1ee1ng, h\u1ed9 sinh, k\u1ef9 thu\u1eadt y. M\u1ee9c 2 \uf0b7 H\u1ec7 th\u1ed1ng qu\u1ea3n l\u00fd \u0111i\u1ec1u d\u01b0\u1ee1ng gi\u00fap t\u1ed5 ch\u1ee9c, \u0111i\u1ec1u h\u00e0nh, gi\u00e1m s\u00e1t, \u0111\u00e1nh gi\u00e1 c\u00f4ng t\u00e1c ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh v\u00e0 \u0111\u00e0o t\u1ea1o ph\u00e1t tri\u1ec3n n\u0103ng l\u1ef1c nh\u00e2n vi\u00ean. M\u1ee9c 3 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 4 1. Ch\u01b0a th\u00e0nh l\u1eadp h\u1ed9i \u0111\u1ed3ng \u0111i\u1ec1u d\u01b0\u1ee1ng. 2. Ch\u01b0a th\u00e0nh l\u1eadp ph\u00f2ng \u0111i\u1ec1u d\u01b0\u1ee1ng (ho\u1eb7c t\u1ed5 \u0111i\u1ec1u d\u01b0\u1ee1ng v\u1edbi b\u1ec7nh vi\u1ec7n h\u1ea1ng IV v\u00e0 ch\u01b0a ph\u00e2n h\u1ea1ng). 3. Ch\u01b0a b\u1ed5 nhi\u1ec7m \u0111\u1ea7y \u0111\u1ee7 c\u00e1c v\u1ecb tr\u00ed \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng trong b\u1ec7nh vi\u1ec7n (kh\u00f4ng \u00e1p d\u1ee5ng v\u1edbi khoa c\u00f3 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng v\u1eeba ngh\u1ec9 trong v\u00f2ng 6 th\u00e1ng). 4. \u0110\u00e3 th\u00e0nh l\u1eadp h\u1ed9i \u0111\u1ed3ng \u0111i\u1ec1u d\u01b0\u1ee1ng, c\u00f3 tr\u00ean 50% l\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng. 5. \u0110\u00e3 th\u00e0nh l\u1eadp ph\u00f2ng \u0111i\u1ec1u d\u01b0\u1ee1ng (ho\u1eb7c t\u1ed5 \u0111i\u1ec1u d\u01b0\u1ee1ng v\u1edbi b\u1ec7nh vi\u1ec7n h\u1ea1ng IV v\u00e0 ch\u01b0a ph\u00e2n h\u1ea1ng). 6. B\u1ed5 nhi\u1ec7m \u0111\u1ea7y \u0111\u1ee7 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng khoa (\u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng \u0111\u01b0\u1ee3c b\u1ed5 nhi\u1ec7m trong v\u00f2ng 6 th\u00e1ng n\u1ebfu c\u00f3 ng\u01b0\u1eddi ngh\u1ec9 ho\u1eb7c chuy\u1ec3n c\u00f4ng t\u00e1c). 7. C\u00f3 quy \u0111\u1ecbnh c\u1ee5 th\u1ec3 v\u1ec1 nhi\u1ec7m v\u1ee5, quy\u1ec1n h\u1ea1n v\u00e0 m\u1ed1i quan h\u1ec7 c\u00f4ng t\u00e1c c\u1ee7a ph\u00f2ng\/t\u1ed5 \u0111i\u1ec1u d\u01b0\u1ee1ng v\u1edbi c\u00e1c khoa\/ph\u00f2ng li\u00ean quan. 8. Ph\u00f2ng (ho\u1eb7c t\u1ed5) c\u00f3 b\u1ea3n m\u00f4 t\u1ea3 c\u00f4ng vi\u1ec7c cho c\u00e1c v\u1ecb tr\u00ed \u0111i\u1ec1u d\u01b0\u1ee1ng. 9. Ph\u00f2ng (ho\u1eb7c t\u1ed5) \u0111i\u1ec1u d\u01b0\u1ee1ng x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch ho\u1ea1t \u0111\u1ed9ng h\u00e0ng n\u0103m (trong qu\u00fd I ho\u1eb7c qu\u00fd IV c\u1ee7a n\u0103m tr\u01b0\u1edbc) v\u00e0 \u0111\u01b0\u1ee3c ban gi\u00e1m \u0111\u1ed1c ph\u00ea duy\u1ec7t. 10. Ph\u00f2ng (ho\u1eb7c t\u1ed5) \u0111i\u1ec1u d\u01b0\u1ee1ng l\u00e0 \u0111\u1ea7u m\u1ed1i tri\u1ec3n khai c\u00e1c n\u1ed9i dung c\u00f4ng vi\u1ec7c theo nh\u01b0 k\u1ebf ho\u1ea1ch \u0111\u00e3 ph\u00ea duy\u1ec7t. 11. Ph\u00f2ng \u0111i\u1ec1u d\u01b0\u1ee1ng x\u00e2y d\u1ef1ng c\u00e1c b\u1ed9 c\u00f4ng c\u1ee5 v\u1ec1 ki\u1ec3m tra, gi\u00e1m s\u00e1t, \u0111\u00e1nh gi\u00e1 c\u00f4ng t\u00e1c ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ph\u1ed5 bi\u1ebfn cho c\u00e1c khoa \u00e1p d\u1ee5ng. 12. Ph\u00f2ng (ho\u1eb7c t\u1ed5) \u0111i\u1ec1u d\u01b0\u1ee1ng theo d\u00f5i t\u00ecnh h\u00ecnh v\u00e0 c\u1eadp nh\u1eadt th\u00f4ng tin h\u1eb1ng ng\u00e0y v\u1ec1 nh\u00e2n l\u1ef1c \u0111i\u1ec1u d\u01b0\u1ee1ng, h\u1ed9 sinh, k\u1ef9 thu\u1eadt vi\u00ean v\u00e0 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 \u0111i\u1ec1u ph\u1ed1i nh\u00e2n l\u1ef1c trong ph\u1ea1m vi ph\u00f2ng qu\u1ea3n l\u00fd cho ph\u00f9 h\u1ee3p gi\u1eefa c\u00e1c khoa v\u00e0 ph\u1ee5c v\u1ee5 c\u00f4ng t\u00e1c qu\u1ea3n l\u00fd. 13. T\u1ef7 l\u1ec7 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng c\u00f3 tr\u00ecnh \u0111\u1ed9 \u0111\u1ea1i h\u1ecdc chi\u1ebfm t\u1eeb 30% tr\u1edf l\u00ean (tr\u00ean t\u1ed5ng s\u1ed1 c\u00e1c \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng). 14. T\u1ef7 l\u1ec7 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng c\u00f3 ch\u1ee9ng ch\u1ec9 qu\u1ea3n l\u00fd \u0111i\u1ec1u d\u01b0\u1ee1ng* (ho\u1eb7c t\u01b0\u01a1ng \u0111\u01b0\u01a1ng, ho\u1eb7c c\u00f3 b\u1eb1ng th\u1ea1c s\u0129 qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n) chi\u1ebfm t\u1eeb 30% tr\u1edf l\u00ean (tr\u00ean t\u1ed5ng s\u1ed1 c\u00e1c \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng). 15. H\u1ed9i \u0111\u1ed3ng \u0111i\u1ec1u d\u01b0\u1ee1ng r\u00e0 so\u00e1t, c\u1eadp nh\u1eadt, b\u1ed5 sung c\u00e1c quy \u0111\u1ecbnh, quy tr\u00ecnh k\u1ef9 thu\u1eadt ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh v\u00e0 duy tr\u00ec sinh ho\u1ea1t \u0111\u1ecbnh k\u1ef3 \u00edt nh\u1ea5t 1 n\u0103m 1 l\u1ea7n. 16. Ph\u00f2ng (ho\u1eb7c t\u1ed5) \u0111i\u1ec1u d\u01b0\u1ee1ng theo d\u00f5i t\u00ecnh h\u00ecnh v\u00e0 c\u1eadp nh\u1eadt th\u00f4ng tin h\u1eb1ng ng\u00e0y v\u1ec1 nh\u00e2n l\u1ef1c \u0111i\u1ec1u d\u01b0\u1ee1ng, h\u1ed9 sinh, k\u1ef9 thu\u1eadt vi\u00ean v\u00e0 ng\u01b0\u1eddi b\u1ec7nh d\u1ef1a tr\u00ean ph\u1ea7n m\u1ec1m \u0111\u1ec3 \u0111i\u1ec1u ph\u1ed1i nh\u00e2n l\u1ef1c trong ph\u1ea1m vi ph\u00f2ng qu\u1ea3n l\u00fd cho ph\u00f9 h\u1ee3p gi\u1eefa c\u00e1c 91","khoa v\u00e0 ph\u1ee5c v\u1ee5 c\u00f4ng t\u00e1c qu\u1ea3n l\u00fd. 17. T\u1ef7 l\u1ec7 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng c\u00f3 tr\u00ecnh \u0111\u1ed9 \u0111\u1ea1i h\u1ecdc chi\u1ebfm t\u1eeb 50% tr\u1edf l\u00ean (tr\u00ean t\u1ed5ng s\u1ed1 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng). 18. T\u1ef7 l\u1ec7 c\u00e1c \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng c\u00f3 ch\u1ee9ng ch\u1ec9 qu\u1ea3n l\u00fd \u0111i\u1ec1u d\u01b0\u1ee1ng* (ho\u1eb7c t\u01b0\u01a1ng \u0111\u01b0\u01a1ng, ho\u1eb7c c\u00f3 b\u1eb1ng th\u1ea1c s\u0129 qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n) chi\u1ebfm t\u1eeb 50% tr\u1edf l\u00ean (tr\u00ean t\u1ed5ng s\u1ed1 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng). 19. H\u1ed9i \u0111\u1ed3ng \u0111i\u1ec1u d\u01b0\u1ee1ng x\u00e2y d\u1ef1ng v\u00e0 c\u1eadp nh\u1eadt c\u00e1c quy tr\u00ecnh ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh. 20. Ph\u00f2ng \u0111i\u1ec1u d\u01b0\u1ee1ng x\u00e2y d\u1ef1ng \u00edt nh\u1ea5t 10 ch\u1ec9 s\u1ed1 \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u00f4ng t\u00e1c \u0111i\u1ec1u d\u01b0\u1ee1ng, trong \u0111\u00f3 c\u00f3 5 ch\u1ec9 s\u1ed1 c\u1ee5 th\u1ec3 nh\u01b0 t\u1ef7 l\u1ec7 lo\u00e9t do t\u1ef3 \u0111\u00e8, t\u1ef7 l\u1ec7 tu\u00e2n th\u1ee7 quy tr\u00ecnh k\u1ef9 thu\u1eadt, t\u1ef7 l\u1ec7 s\u1ef1 c\u1ed1 y khoa do d\u00f9ng thu\u1ed1c cho ng\u01b0\u1eddi b\u1ec7nh, t\u1ef7 l\u1ec7 \u0111i\u1ec1u d\u01b0\u1ee1ng tham gia \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c, t\u1ef7 s\u1ed1 \u0111i\u1ec1u d\u01b0\u1ee1ng\/gi\u01b0\u1eddng b\u1ec7nh\u2026 21. Ti\u1ebfn h\u00e0nh \u0111o l\u01b0\u1eddng, \u0111\u00e1nh gi\u00e1 \u0111\u1ecbnh k\u1ef3 (do b\u1ec7nh vi\u1ec7n t\u1ef1 quy \u0111\u1ecbnh) k\u1ebft qu\u1ea3 th\u1ef1c hi\u1ec7n c\u00e1c ch\u1ec9 s\u1ed1 h\u00e0ng th\u00e1ng, h\u00e0ng qu\u00fd ho\u1eb7c h\u00e0ng n\u0103m. 22. Ti\u1ebfn h\u00e0nh theo d\u00f5i s\u1ef1 thay \u0111\u1ed5i c\u00e1c ch\u1ec9 s\u1ed1 theo th\u1eddi gian, c\u00f3 bi\u1ec3u \u0111\u1ed3 theo d\u00f5i, ph\u00e2n t\u00edch xu h\u01b0\u1edbng bi\u1ebfn \u0111\u1ed9ng c\u00e1c ch\u1ec9 s\u1ed1. 23. Ph\u00f2ng \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 th\u1ef1c hi\u1ec7n k\u1ebf ho\u1ea1ch h\u00e0ng n\u0103m v\u1ec1 ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec1u d\u01b0\u1ee1ng v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh, c\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra nh\u1eefng m\u1eb7t h\u1ea1n ch\u1ebf c\u1ea7n kh\u1eafc ph\u1ee5c. M\u1ee9c 5 24. T\u1ef7 l\u1ec7 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng c\u00f3 tr\u00ecnh \u0111\u1ed9 \u0111\u1ea1i h\u1ecdc chi\u1ebfm t\u1eeb 70% tr\u1edf l\u00ean (tr\u00ean t\u1ed5ng s\u1ed1 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng). 25. T\u1ef7 l\u1ec7 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng c\u00f3 ch\u1ee9ng ch\u1ec9 qu\u1ea3n l\u00fd \u0111i\u1ec1u d\u01b0\u1ee1ng* (ho\u1eb7c t\u01b0\u01a1ng \u0111\u01b0\u01a1ng, ho\u1eb7c c\u00f3 b\u1eb1ng th\u1ea1c s\u0129 qu\u1ea3n l\u00fd b\u1ec7nh vi\u1ec7n) chi\u1ebfm t\u1eeb 70% tr\u1edf l\u00ean (tr\u00ean t\u1ed5ng s\u1ed1 \u0111i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng). 26. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1 vi\u1ec7c th\u1ef1c hi\u1ec7n k\u1ebf ho\u1ea1ch v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u00f4ng t\u00e1c \u0111i\u1ec1u d\u01b0\u1ee1ng. 27. Ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u, \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u00f4ng t\u00e1c \u0111i\u1ec1u d\u01b0\u1ee1ng d\u1ef1a tr\u00ean c\u00e1c ch\u1ec9 s\u1ed1 \u0111\u00e3 x\u00e2y d\u1ef1ng. 28. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u v\u00e0o vi\u1ec7c c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u00f4ng t\u00e1c \u0111i\u1ec1u d\u01b0\u1ee1ng. 29. Ph\u00f2ng (ho\u1eb7c t\u1ed5) \u0111i\u1ec1u d\u01b0\u1ee1ng c\u00f3 \u00edt nh\u1ea5t m\u1ed9t s\u00e1ng ki\u1ebfn m\u1edbi v\u1ec1 c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh, \u0111\u01b0\u1ee3c gi\u00e1m \u0111\u1ed1c ph\u00ea duy\u1ec7t v\u00e0 \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i tr\u00ean ph\u1ea1m vi b\u1ec7nh vi\u1ec7n. 30. \u0110\u00e1nh gi\u00e1 k\u1ebft qu\u1ea3 \u00e1p d\u1ee5ng c\u00e1c s\u00e1ng ki\u1ebfn m\u1edbi \u0111\u00e3 \u00e1p d\u1ee5ng v\u00e0 ch\u1ec9nh s\u1eeda, b\u1ed5 sung c\u00e1c s\u00e1ng ki\u1ebfn c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh kh\u00e1c. \uf0b7 *L\u1edbp \u0111\u00e0o t\u1ea1o qu\u1ea3n l\u00fd \u0111i\u1ec1u d\u01b0\u1ee1ng theo ch\u01b0\u01a1ng tr\u00ecnh \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf ph\u00ea duy\u1ec7t. Ghi ch\u00fa \u0110\u01a1n v\u1ecb t\u1ed5 ch\u1ee9c c\u00f3 ch\u1ee9c n\u0103ng \u0111\u00e0o t\u1ea1o v\u1ec1 qu\u1ea3n l\u00fd \u0111i\u1ec1u d\u01b0\u1ee1ng v\u00e0 ch\u1ee9ng ch\u1ec9 \u0111\u01b0\u1ee3c c\u1ea5p m\u00e3 \u0111\u00e0o t\u1ea1o li\u00ean t\u1ee5c theo quy \u0111\u1ecbnh. 92","C6.2 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe khi \u0111i\u1ec1u tr\u1ecb v\u00e0 tr\u01b0\u1edbc khi ra vi\u1ec7n C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 07\/2011\/TT-BYT ng\u00e0y 26 th\u00e1ng 01 n\u0103m 2011 h\u01b0\u1edbng d\u1eabn c\u00f4ng t\u00e1c v\u00e0 \u00fd \u0111i\u1ec1u d\u01b0\u1ee1ng trong ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh (\u0110i\u1ec1u 4 quy \u0111\u1ecbnh nhi\u1ec7m v\u1ee5 c\u1ee7a \u0111i\u1ec1u ngh\u0129a d\u01b0\u1ee1ng trong vi\u1ec7c h\u01b0\u1edbng d\u1eabn, t\u01b0 v\u1ea5n, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh). M\u1ee9c 1 M\u1ee9c 2 \uf0b7 M\u1ee5c \u0111\u00edch quan tr\u1ecdng c\u1ee7a vi\u1ec7c t\u01b0 v\u1ea5n \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe l\u00e0 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ki\u1ebfn th\u1ee9c, k\u1ef9 n\u0103ng \u0111\u1ec3 c\u00f3 th\u1ec3 t\u1ef1 ph\u00f2ng b\u1ec7nh, theo d\u00f5i ti\u1ebfn tr\u00ecnh M\u1ee9c 3 b\u1ec7nh t\u1eadt v\u00e0 t\u1ef1 nguy\u1ec7n tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn chuy\u00ean m\u00f4n. M\u1ee9c 4 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. Kh\u00f4ng c\u00f3 quy \u0111\u1ecbnh c\u1ee5 th\u1ec3 v\u1ec1 vi\u1ec7c t\u01b0 v\u1ea5n, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh. 2. Kh\u00f4ng c\u00f3 c\u00e1c t\u00e0i li\u1ec7u truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh. 3. S\u1eb5n c\u00f3 c\u00e1c t\u00e0i li\u1ec7u truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh do c\u00e1c c\u01a1 quan c\u00f3 th\u1ea9m quy\u1ec1n ban h\u00e0nh (B\u1ed9 Y t\u1ebf, S\u1edf Y t\u1ebf, trung t\u00e2m truy\u1ec1n th\u00f4ng..) theo \u0111\u1ecbnh k\u1ef3 ho\u1eb7c theo chi\u1ebfn d\u1ecbch, ch\u01b0\u01a1ng tr\u00ecnh truy\u1ec1n th\u00f4ng nh\u01b0 t\u1edd r\u01a1i, tranh, \u1ea3nh, b\u0103ng h\u00ecnh\u2026 4. C\u00e1c t\u00e0i li\u1ec7u truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ph\u1ed5 bi\u1ebfn cho nh\u00e2n vi\u00ean y t\u1ebf, ng\u01b0\u1eddi b\u1ec7nh, ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh b\u1eb1ng c\u00e1c h\u00ecnh th\u1ee9c (nh\u01b0 \u0111\u01b0\u1ee3c treo, d\u00e1n \u1edf v\u1ecb tr\u00ed d\u1ec5 th\u1ea5y \u0111\u1ed1i v\u1edbi tranh \u1ea3nh, d\u1ec5 l\u1ea5y \u0111\u1ed1i v\u1edbi t\u1edd r\u01a1i\u2026). 5. C\u00f3 ban h\u00e0nh c\u00e1c quy \u0111\u1ecbnh ho\u1eb7c h\u01b0\u1edbng d\u1eabn c\u1ee5 th\u1ec3 v\u1ec1 vi\u1ec7c t\u01b0 v\u1ea5n, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh (v\u00e0 ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh). 6. T\u1ef7 l\u1ec7 \u0111i\u1ec1u \u0111\u01b0\u1ee1ng, h\u1ed9 sinh \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o, t\u1eadp hu\u1ea5n k\u1ef9 n\u0103ng t\u01b0 v\u1ea5n, truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh chi\u1ebfm t\u1eeb 50% tr\u1edf l\u00ean. 7. Nh\u00e2n vi\u00ean y t\u1ebf t\u1ea1i c\u00e1c khoa\/ph\u00f2ng th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u00e1c quy \u0111\u1ecbnh c\u1ee7a b\u1ec7nh vi\u1ec7n v\u1ec1 ho\u1ea1t \u0111\u1ed9ng truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh trong qu\u00e1 tr\u00ecnh kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb. 8. T\u1ef7 l\u1ec7 ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i tr\u00fa \u0111\u01b0\u1ee3c \u0111i\u1ec1u \u0111\u01b0\u1ee1ng, h\u1ed9 sinh t\u01b0 v\u1ea5n, truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe chi\u1ebfm t\u1eeb 50% tr\u1edf l\u00ean. 9. L\u1eadp danh m\u1ee5c c\u00e1c b\u1ec7nh ho\u1eb7c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe (theo m\u00f4 h\u00ecnh b\u1ec7nh t\u1eadt c\u1ee7a b\u1ec7nh vi\u1ec7n) v\u00e0 l\u1ed9 tr\u00ecnh c\u1ea7n \u01b0u ti\u00ean x\u00e2y d\u1ef1ng, c\u1eadp nh\u1eadt t\u00e0i li\u1ec7u truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe. 10. Ph\u00f2ng (ho\u1eb7c t\u1ed5) \u0111i\u1ec1u d\u01b0\u1ee1ng l\u00e0m \u0111\u1ea7u m\u1ed1i ho\u1eb7c tham gia x\u00e2y d\u1ef1ng c\u00e1c n\u1ed9i dung, t\u00e0i li\u1ec7u truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh theo l\u1ed9 tr\u00ecnh \u0111\u00e3 l\u1eadp, c\u00f3 tham kh\u1ea3o c\u00e1c t\u00e0i li\u1ec7u kh\u00e1c (trong n\u01b0\u1edbc v\u00e0 n\u01b0\u1edbc ngo\u00e0i). 11. C\u00e1c t\u00e0i li\u1ec7u truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe do b\u1ec7nh vi\u1ec7n x\u00e2y d\u1ef1ng \u0111\u01b0\u1ee3c h\u1ecdp g\u00f3p \u00fd v\u00e0 \u0111\u01b0\u1ee3c c\u1ea5p c\u00f3 th\u1ea9m quy\u1ec1n (h\u1ed9i \u0111\u1ed3ng \u0111i\u1ec1u d\u01b0\u1ee1ng, h\u1ed9i \u0111\u1ed3ng khoa h\u1ecdc k\u1ef9 thu\u1eadt ho\u1eb7c ban gi\u00e1m \u0111\u1ed1c b\u1ec7nh vi\u1ec7n) ph\u00ea duy\u1ec7t, th\u00f4ng qua. 12. T\u1ef7 l\u1ec7 \u0111i\u1ec1u \u0111\u01b0\u1ee1ng, h\u1ed9 sinh \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o, t\u1eadp hu\u1ea5n k\u1ef9 n\u0103ng t\u01b0 v\u1ea5n, truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh chi\u1ebfm t\u1eeb 70% tr\u1edf l\u00ean. 13. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh khi v\u00e0o vi\u1ec7n, trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 l\u00fac ra vi\u1ec7n. 14. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 \u0111\u01b0\u1ee3c c\u00e1c ki\u1ebfn th\u1ee9c, th\u1ef1c h\u00e0nh thi\u1ebft y\u1ebfu \u0111\u1ec3 t\u1ef1 theo d\u00f5i, ch\u0103m s\u00f3c, \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng c\u00e1c bi\u1ebfn ch\u1ee9ng cho b\u1ea3n th\u00e2n. 15. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111i\u1ec1u \u0111\u01b0\u1ee1ng, h\u1ed9 sinh nh\u1eadn \u0111\u1ecbnh nhu c\u1ea7u t\u01b0 v\u1ea5n, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe v\u00e0 ghi v\u00e0o \u201cPhi\u1ebfu ch\u0103m s\u00f3c \u0111i\u1ec1u d\u01b0\u1ee1ng\u201d. 93","M\u1ee9c 5 16. T\u1ef7 l\u1ec7 \u0111i\u1ec1u \u0111\u01b0\u1ee1ng, h\u1ed9 sinh \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o, t\u1eadp hu\u1ea5n k\u1ef9 n\u0103ng t\u01b0 v\u1ea5n, truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh chi\u1ebfm t\u1eeb 90% tr\u1edf l\u00ean. 17. Ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 (ho\u1eb7c nghi\u00ean c\u1ee9u) hi\u1ec7u qu\u1ea3 ho\u1ea1t \u0111\u1ed9ng truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh; c\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ea7n kh\u1eafc ph\u1ee5c v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng. 18. C\u00f3 h\u00ecnh th\u1ee9c c\u00f4ng b\u1ed1, th\u00f4ng b\u00e1o ho\u1eb7c ph\u1ea3n h\u1ed3i k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 t\u1edbi c\u00e1c khoa li\u00ean quan b\u1eb1ng c\u00e1c h\u00ecnh th\u1ee9c nh\u01b0 b\u1ea3n tin n\u1ed9i b\u1ed9, g\u1eedi b\u00e1o c\u00e1o, th\u01b0 \u0111i\u1ec7n t\u1eed\u2026. 19. Th\u1ef1c hi\u1ec7n c\u00e1c gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng c\u00f4ng t\u00e1c t\u01b0 v\u1ea5n, truy\u1ec1n th\u00f4ng, gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1. 94","C6.3 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c theo d\u00f5i, ch\u0103m s\u00f3c ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 ph\u00e2n C\u0103n c\u1ee9 c\u1ea5p ch\u0103m s\u00f3c \u0111\u1ec1 xu\u1ea5t v\u00e0 \u00fd \uf0b7 Lu\u1eadt kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh s\u1ed1 40\/2009\/QH12 ng\u00e0y 23\/11\/2009. ngh\u0129a M\u1ee9c 1 \uf0b7 Th\u00f4ng t\u01b0 07\/2011\/TT-BYT ng\u00e0y 26 th\u00e1ng 01 n\u0103m 2011 h\u01b0\u1edbng d\u1eabn c\u00f4ng t\u00e1c \u0111i\u1ec1u d\u01b0\u1ee1ng trong ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh. M\u1ee9c 2 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 3 1. C\u00f3 x\u1ea3y ra v\u1ee5 vi\u1ec7c theo d\u00f5i, ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u00fang so v\u1edbi c\u00e1c h\u01b0\u1edbng d\u1eabn quy tr\u00ecnh k\u1ef9 thu\u1eadt chuy\u00ean m\u00f4n, g\u00e2y h\u1eadu qu\u1ea3 ng\u01b0\u1eddi b\u1ec7nh t\u1eed vong ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng h\u1ed3i ph\u1ee5c nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ef1 nguy\u1ec7n b\u00e1o c\u00e1o k\u1ecbp th\u1eddi (b\u00e1o c\u00e1o v\u1ec1 c\u01a1 quan qu\u1ea3n l\u00fd tr\u01b0\u1edbc khi ph\u01b0\u01a1ng ti\u1ec7n truy\u1ec1n th\u00f4ng \u0111\u01b0a tin). 2. B\u1ec7nh vi\u1ec7n ch\u01b0a c\u00f3 quy \u0111\u1ecbnh theo d\u00f5i, ch\u0103m s\u00f3c, v\u1ec7 sinh, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng cho ng\u01b0\u1eddi b\u1ec7nh. 3. C\u00f3 quy \u0111\u1ecbnh c\u1ee5 th\u1ec3 v\u1ec1 theo d\u00f5i, ch\u0103m s\u00f3c, v\u1ec7 sinh c\u00e1 nh\u00e2n v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng cho ng\u01b0\u1eddi b\u1ec7nh. 4. \u0110i\u1ec1u d\u01b0\u1ee1ng, h\u1ed9 sinh, c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 li\u00ean quan \u0111\u01b0\u1ee3c ph\u1ed5 bi\u1ebfn, t\u1eadp hu\u1ea5n, \u0111\u00e0o t\u1ea1o v\u1ec1 c\u00e1c quy \u0111\u1ecbnh theo d\u00f5i, ch\u0103m s\u00f3c, v\u1ec7 sinh c\u00e1 nh\u00e2n v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng cho ng\u01b0\u1eddi b\u1ec7nh. 5. \u0110i\u1ec1u d\u01b0\u1ee1ng v\u00e0 c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 li\u00ean quan h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh, ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u00e1ch theo d\u00f5i, ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh. 6. C\u00f3 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n, d\u1ee5ng c\u1ee5 c\u01a1 b\u1ea3n ph\u1ee5c v\u1ee5 cho vi\u1ec7c ch\u0103m s\u00f3c th\u1ec3 ch\u1ea5t v\u00e0 v\u1ec7 sinh c\u00e1 nh\u00e2n cho ng\u01b0\u1eddi b\u1ec7nh. 7. Ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111i\u1ec1u d\u01b0\u1ee1ng t\u1eadp hu\u1ea5n v\u00e0 l\u00e0m m\u1eabu th\u1ef1c hi\u1ec7n ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh theo \u0111\u00fang k\u1ef9 thu\u1eadt ch\u0103m s\u00f3c. 8. Ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh tham gia ch\u0103m s\u00f3c nh\u01b0ng kh\u00f4ng l\u00e0m c\u00e1c vi\u1ec7c li\u00ean quan \u0111\u1ebfn chuy\u00ean m\u00f4n (nh\u01b0 r\u1eeda v\u1ebft th\u01b0\u01a1ng, thay b\u0103ng, thay d\u1ecbch truy\u1ec1n\u2026). 9. \u0110i\u1ec1u d\u01b0\u1ee1ng, h\u1ed9 sinh ph\u1ed1i h\u1ee3p v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 ph\u00e2n c\u1ea5p ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh. 10. \u0110i\u1ec1u d\u01b0\u1ee1ng tr\u01b0\u1edfng khoa th\u1ef1c hi\u1ec7n vi\u1ec7c \u0111i bu\u1ed3ng ki\u1ec3m tra, gi\u00e1m s\u00e1t vi\u1ec7c tu\u00e2n th\u1ee7 th\u1ef1c hi\u1ec7n quy tr\u00ecnh k\u1ef9 thu\u1eadt v\u00e0 ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh h\u1eb1ng ng\u00e0y v\u00e0 khi c\u1ea7n thi\u1ebft. 11. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n b\u1ec7nh l\u00fd, c\u00f3 ch\u1ec9 \u0111\u1ecbnh \u0103n qua \u1ed1ng th\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u d\u01b0\u1ee1ng, h\u1ed9 sinh ki\u1ec3m so\u00e1t th\u1ef1c hi\u1ec7n v\u00e0 ghi k\u1ebft qu\u1ea3 v\u00e0o phi\u1ebfu ch\u0103m s\u00f3c. 12. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 y\u00eau c\u1ea7u ch\u0103m s\u00f3c nh\u01b0 cho \u0103n u\u1ed1ng, v\u1eadn \u0111\u1ed9ng, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng\u2026\u0111\u01b0\u1ee3c \u0111i\u1ec1u d\u01b0\u1ee1ng (ho\u1eb7c nh\u00e2n vi\u00ean y t\u1ebf kh\u00e1c) th\u1ef1c hi\u1ec7n. 13. C\u00e1c can thi\u1ec7p ch\u0103m s\u00f3c \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c ghi l\u1ea1i trong h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n. 14. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111i\u1ec1u d\u01b0\u1ee1ng, h\u1ed9 sinh h\u01b0\u1edbng d\u1eabn h\u1ed7 tr\u1ee3 v\u00e0 t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng (n\u1ebfu c\u00f3 nhu c\u1ea7u). 15. To\u00e0n b\u1ed9 ng\u01b0\u1eddi b\u1ec7nh ch\u0103m s\u00f3c c\u1ea5p I* \u0111\u01b0\u1ee3c \u0111i\u1ec1u d\u01b0\u1ee1ng, h\u1ed9 sinh \u0111\u00e1nh gi\u00e1, x\u00e1c \u0111\u1ecbnh nhu c\u1ea7u v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c \u0111\u1ec3 th\u1ef1c hi\u1ec7n. 16. To\u00e0n b\u1ed9 ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ch\u0103m s\u00f3c c\u1ea5p I* \u0111\u01b0\u1ee3c c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf theo d\u00f5i, ch\u0103m s\u00f3c to\u00e0n di\u1ec7n, bao g\u1ed3m ch\u0103m s\u00f3c th\u1ec3 ch\u1ea5t v\u00e0 v\u1ec7 sinh c\u00e1 nh\u00e2n. 17. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ph\u1eabu thu\u1eadt* \u0111\u01b0\u1ee3c \u0111i\u1ec1u d\u01b0\u1ee1ng, h\u1ed9 sinh h\u01b0\u1edbng d\u1eabn, h\u1ed7 tr\u1ee3 v\u00e0 th\u1ef1c hi\u1ec7n chu\u1ea9n b\u1ecb tr\u01b0\u1edbc ph\u1eabu thu\u1eadt theo quy \u0111\u1ecbnh c\u1ee7a b\u1ec7nh vi\u1ec7n. 18. Ng\u01b0\u1eddi b\u1ec7nh\u201cgiai \u0111o\u1ea1n cu\u1ed1i\u201d* \u0111\u01b0\u1ee3c \u0111i\u1ec1u d\u01b0\u1ee1ng ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3 gi\u1ea3m \u0111au, h\u1ed7 tr\u1ee3 th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n. 95","M\u1ee9c 4 19. To\u00e0n b\u1ed9 ng\u01b0\u1eddi b\u1ec7nh ch\u0103m s\u00f3c c\u1ea5p II* \u0111\u01b0\u1ee3c \u0111i\u1ec1u d\u01b0\u1ee1ng, h\u1ed9 sinh \u0111\u00e1nh gi\u00e1, x\u00e1c M\u1ee9c 5 \u0111\u1ecbnh nhu c\u1ea7u v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c \u0111\u1ec3 th\u1ef1c hi\u1ec7n. Ghi ch\u00fa 20. To\u00e0n b\u1ed9 ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ch\u0103m s\u00f3c c\u1ea5p II* \u0111\u01b0\u1ee3c c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf theo d\u00f5i, ch\u0103m s\u00f3c to\u00e0n di\u1ec7n, bao g\u1ed3m ch\u0103m s\u00f3c th\u1ec3 ch\u1ea5t v\u00e0 v\u1ec7 sinh c\u00e1 nh\u00e2n. 21. C\u00f3 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n \u0111\u1ec3 ph\u00f2ng ch\u1ed1ng lo\u00e9t do t\u1ef3 \u0111\u00e8. 22. C\u00f3 nh\u00e2n vi\u00ean y t\u1ebf ho\u1eb7c d\u1ecbch v\u1ee5 h\u1ed7 tr\u1ee3 ch\u0103m s\u00f3c th\u1ec3 ch\u1ea5t v\u00e0 v\u1ec7 sinh c\u00e1 nh\u00e2n cho ng\u01b0\u1eddi b\u1ec7nh (t\u1eafm, g\u1ed9i \u0111\u1ea7u, v\u1ec7 sinh r\u0103ng mi\u1ec7ng, xoay tr\u1edf, v\u1ed7 rung). 23. X\u00e2y d\u1ef1ng c\u00e1c ch\u1ec9 s\u1ed1 \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng c\u00f4ng t\u00e1c theo d\u00f5i, ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh (nh\u01b0 t\u1ef7 l\u1ec7 ng\u01b0\u1eddi b\u1ec7nh lo\u00e9t do t\u1ef3 \u0111\u00e8, t\u1ef7 l\u1ec7 ng\u01b0\u1eddi b\u1ec7nh b\u1ecb vi\u00eam ph\u1ed5i do \u1ee9 \u0111\u1ecdng\u2026) v\u00e0 ti\u1ebfn h\u00e0nh \u0111o l\u01b0\u1eddng, theo d\u00f5i c\u00e1c ch\u1ec9 s\u1ed1 \u0111\u00f3. 24. Ph\u00f2ng \u0111i\u1ec1u d\u01b0\u1ee1ng so s\u00e1nh, theo d\u00f5i ch\u1ea5t l\u01b0\u1ee3ng c\u00f4ng t\u00e1c ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh gi\u1eefa c\u00e1c khoa l\u00e2m s\u00e0ng d\u1ef1a tr\u00ean v\u1ebd bi\u1ec3u \u0111\u1ed3 so s\u00e1nh c\u00e1c ch\u1ec9 s\u1ed1 c\u1ee7a c\u00e1c khoa. 25. C\u00e1c khoa l\u00e2m s\u00e0ng t\u1ef1 ti\u1ebfn h\u00e0nh theo d\u00f5i ch\u1ea5t l\u01b0\u1ee3ng c\u00f4ng t\u00e1c ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh d\u1ef1a tr\u00ean v\u1ebd bi\u1ec3u \u0111\u1ed3 so s\u00e1nh c\u00e1c ch\u1ec9 s\u1ed1 theo th\u1eddi gian. 26. Ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 (ho\u1eb7c nghi\u00ean c\u1ee9u) c\u00f4ng t\u00e1c theo d\u00f5i, ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh; c\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1 tr\u00ean ph\u1ea1m vi b\u1ec7nh vi\u1ec7n, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ea7n kh\u1eafc ph\u1ee5c v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng. 27. T\u1ef7 l\u1ec7 ng\u01b0\u1eddi b\u1ec7nh lo\u00e9t do t\u1ef3 \u0111\u00e8 gi\u1ea3m d\u1ea7n h\u00e0ng n\u0103m (ho\u1eb7c t\u1ef7 l\u1ec7 n\u00e0y b\u1eb1ng 0%). 28. T\u1ef7 l\u1ec7 ng\u01b0\u1eddi b\u1ec7nh b\u1ecb vi\u00eam ph\u1ed5i do \u1ee9 \u0111\u1ecdng gi\u1ea3m d\u1ea7n h\u00e0ng n\u0103m, ti\u1ebfn \u0111\u1ebfn kh\u00f4ng c\u00f3 (ho\u1eb7c t\u1ef7 l\u1ec7 n\u00e0y b\u1eb1ng 0%). 29. Th\u1ef1c hi\u1ec7n c\u00e1c gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng c\u00f4ng t\u00e1c theo d\u00f5i, ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 v\u00e0 \u0111o l\u01b0\u1eddng c\u00e1c ch\u1ec9 s\u1ed1 \u0111\u00e3 x\u00e2y d\u1ef1ng. \uf0b7 *N\u1ebfu b\u1ec7nh vi\u1ec7n kh\u00f4ng c\u00f3 ng\u01b0\u1eddi b\u1ec7nh ch\u0103m s\u00f3c c\u1ea5p I\/II, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ph\u1eabu thu\u1eadt ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh \u201cgiai \u0111o\u1ea1n cu\u1ed1i\u201d th\u00ec kh\u00f4ng \u0111\u00e1nh gi\u00e1 c\u00e1c kho\u1ea3n c\u00f3 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn n\u1ed9i dung n\u00e0y v\u00e0 \u0111\u01b0\u1ee3c t\u00ednh coi nh\u01b0 l\u00e0 \u0111\u1ea1t. 96","CH\u01af\u01a0NG C7. DINH D\u01af\u1ee0NG V\u00c0 TI\u1ebeT CH\u1ebe C7.1 H\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c th\u1ef1c hi\u1ec7n c\u00f4ng t\u00e1c dinh d\u01b0\u1ee1ng v\u00e0 ti\u00ea\u0301t ch\u00ea\u0301 \u0111\u01b0\u1ee3c thi\u00ea\u0301t l\u1eadp \u0111\u1ea7y \u0111\u1ee7 C\u0103n c\u1ee9 \uf0b7 Th\u00f4ng t\u01b0 08\/2011\/TT-BYT ng\u00e0y 26 th\u00e1ng 01 n\u0103m 2011h\u01b0\u1edbng d\u1eabn c\u00f4ng t\u00e1c \u0111\u1ec1 xu\u1ea5t dinh d\u01b0\u1ee1ng ti\u1ebft ch\u1ebf trong b\u1ec7nh vi\u1ec7n. v\u00e0 \u00fd \uf0b7 H\u1ec7 th\u1ed1ng t\u1ed5 ch\u1ee9c \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00f4ng t\u00e1c dinh d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp gi\u00fap th\u00fac \u0111\u1ea9y ngh\u0129a v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c dinh d\u01b0\u1ee1ng, g\u00f3p ph\u1ea7n n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb. C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 1 1. Kh\u00f4ng c\u00f3 khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf. 2. Kh\u00f4ng c\u00f3 nh\u00e2n vi\u00ean \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 dinh d\u01b0\u1ee1ng l\u00e0m c\u00f4ng t\u00e1c dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf. M\u1ee9c 2 3. C\u00f3 khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf theo quy \u0111\u1ecbnh v\u00e0 \u0111ang ho\u1ea1t \u0111\u1ed9ng. 4. L\u00e3nh \u0111\u1ea1o khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf c\u00f3 b\u1eb1ng chuy\u00ean khoa v\u1ec1 chuy\u00ean ng\u00e0nh dinh d\u01b0\u1ee1ng ho\u1eb7c c\u00f3 ch\u1ee9ng ch\u1ec9 dinh d\u01b0\u1ee1ng l\u00e2m s\u00e0ng. 5. C\u00e1c v\u0103n b\u1eb1ng, ch\u1ee9ng ch\u1ec9 (b\u1ea3n sao) c\u1ee7a nh\u00e2n vi\u00ean khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf \u0111\u01b0\u1ee3c t\u1eadp h\u1ee3p th\u00e0nh m\u1ed9t b\u1ed9 v\u00e0 l\u01b0u t\u1ea1i khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng. M\u1ee9c 3 6. C\u00f3 khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf theo quy \u0111\u1ecbnh, b\u1ec7nh vi\u1ec7n t\u1eeb h\u1ea1ng III tr\u1edf l\u00ean \u0111\u00e3 th\u00e0nh l\u1eadp khoa dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf. 7. Khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf c\u00f3 \u00edt nh\u1ea5t m\u1ed9t nh\u00e2n vi\u00ean chuy\u00ean tr\u00e1ch dinh d\u01b0\u1ee1ng, \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf. 8. C\u00f3 \u0111\u1ec1 \u00e1n v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m v\u00e0 x\u00e1c \u0111\u1ecbnh s\u1ed1 l\u01b0\u1ee3ng nh\u00e2n l\u1ef1c c\u1ee7a khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf theo l\u1ed9 tr\u00ecnh th\u1eddi gian. 9. C\u00f3 b\u1ea3n m\u00f4 t\u1ea3 v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m c\u1ee7a t\u1eebng nh\u00e2n vi\u00ean trong khoa\/t\u1ed5. 10. L\u00e3nh \u0111\u1ea1o khoa\/t\u1ed5 c\u00f3 tr\u00ecnh \u0111\u1ed9 \u0111\u1ea1i h\u1ecdc chuy\u00ean ng\u00e0nh y, dinh d\u01b0\u1ee1ng, th\u1ef1c ph\u1ea9m (ho\u1eb7c c\u00f3 li\u00ean quan) tr\u1edf l\u00ean v\u00e0 c\u00f3 b\u1eb1ng chuy\u00ean khoa chuy\u00ean ng\u00e0nh dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf ho\u1eb7c c\u00f3 ch\u1ee9ng ch\u1ec9 dinh d\u01b0\u1ee1ng l\u00e2m s\u00e0ng (t\u1eeb 3 th\u00e1ng tr\u1edf l\u00ean). 11. Nh\u00e2n vi\u00ean b\u1ed9 ph\u1eadn ch\u1ebf bi\u1ebfn v\u00e0 cung c\u1ea5p su\u1ea5t \u0103n \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o, t\u1eadp hu\u1ea5n v\u1ec1 v\u1ec7 sinh an to\u00e0n th\u1ef1c ph\u1ea9m. M\u1ee9c 4 12. Khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf c\u00f3 \u0111\u1ea7y \u0111\u1ee7 nh\u00e2n vi\u00ean theo \u0111\u1ec1 \u00e1n v\u1ecb tr\u00ed vi\u1ec7c l\u00e0m. 13. C\u00f3 nh\u00e2n vi\u00ean ph\u1ee5 tr\u00e1ch dinh d\u01b0\u1ee1ng l\u00e2m s\u00e0ng, \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o, t\u1eadp hu\u1ea5n v\u1ec1 dinh d\u01b0\u1ee1ng l\u00e2m s\u00e0ng. 14. L\u00e3nh \u0111\u1ea1o khoa c\u00f3 tr\u00ecnh \u0111\u1ed9 sau \u0111\u1ea1i h\u1ecdc tr\u1edf l\u00ean, c\u00f3 lu\u1eadn v\u0103n ho\u1eb7c ch\u1ee7 tr\u00ec \u0111\u1ec1 t\u00e0i nghi\u00ean c\u1ee9u \u0111\u00e3 nghi\u1ec7m thu v\u1ec1 dinh d\u01b0\u1ee1ng ho\u1eb7c li\u00ean quan \u0111\u1ebfn dinh d\u01b0\u1ee1ng. M\u1ee9c 5 15. Nh\u00e2n vi\u00ean ph\u1ee5 tr\u00e1ch dinh d\u01b0\u1ee1ng l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o, t\u1eadp hu\u1ea5n v\u1ec1 dinh d\u01b0\u1ee1ng t\u1eeb 3 th\u00e1ng tr\u1edf l\u00ean v\u00e0 c\u00f3 ch\u1ee9ng ch\u1ec9. 16. To\u00e0n b\u1ed9 nh\u00e2n vi\u00ean l\u00e0m \u1edf khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o, t\u1eadp hu\u1ea5n v\u1ec1 dinh d\u01b0\u1ee1ng v\u00e0 c\u00f3 ch\u1ee9ng nh\u1eadn. 17. L\u00e3nh \u0111\u1ea1o khoa c\u00f3 b\u1eb1ng chuy\u00ean khoa II ho\u1eb7c ti\u1ebfn s\u1ef9, c\u00f3 lu\u1eadn \u00e1n ho\u1eb7c ch\u1ee7 nhi\u1ec7m \u0111\u1ec1 t\u00e0i c\u1ea5p B\u1ed9\/TP tr\u1edf l\u00ean v\u1ec1 dinh d\u01b0\u1ee1ng ho\u1eb7c li\u00ean quan \u0111\u1ebfn dinh d\u01b0\u1ee1ng. 97","C7.2 Ba\u0309o \u0111a\u0309m c\u01a1 s\u1edf v\u1eadt ch\u1ea5t th\u1ef1c hi\u1ec7n c\u00f4ng t\u00e1c dinh d\u01b0\u1ee1ng v\u00e0 ti\u00ea\u0301t ch\u00ea\u0301 C\u0103n c\u1ee9 \u0111\u1ec1 xu\u1ea5t \uf0b7 Th\u00f4ng t\u01b0 08\/2011\/TT-BYT ng\u00e0y 26 th\u00e1ng 01 n\u0103m 2011h\u01b0\u1edbng d\u1eabn c\u00f4ng t\u00e1c dinh v\u00e0 \u00fd d\u01b0\u1ee1ng v\u00e0 ti\u1ebft ch\u1ebf trong b\u1ec7nh vi\u1ec7n. ngh\u0129a M\u1ee9c 1 \uf0b7 C\u01a1 s\u1edf v\u1eadt ch\u1ea5t nh\u01b0 ph\u00f2ng l\u00e0m vi\u1ec7c, nh\u00e0 b\u1ebfp, nh\u00e0 \u0103n c\u00f9ng v\u1edbi nh\u00e2n l\u1ef1c l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 \u0111\u1ea7u v\u00e0o quan tr\u1ecdng \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00f4ng t\u00e1c dinh d\u01b0\u1ee1ng v\u00e0 ti\u1ebft ch\u1ebf. M\u1ee9c 2 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng M\u1ee9c 3 1. Khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf ch\u01b0a c\u00f3 ph\u00f2ng l\u00e0m vi\u1ec7c \u0111\u1ed9c l\u1eadp. M\u1ee9c 4 2. Khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf c\u00f3 ph\u00f2ng ri\u00eang, c\u00f3 bi\u1ec3n t\u00ean khoa\/t\u1ed5. M\u1ee9c 5 3. C\u00f3 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c trang thi\u1ebft b\u1ecb t\u1ed1i thi\u1ec3u cho v\u0103n ph\u00f2ng l\u00e0m vi\u1ec7c nh\u01b0 b\u00e0n gh\u1ebf, t\u1ee7, m\u00e1y t\u00ednh\u2026 4. C\u00f3 c\u00e1c d\u1ee5ng c\u1ee5 ph\u1ee5c v\u1ee5 c\u00f4ng t\u00e1c kh\u00e1m, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng: c\u00e2n, th\u01b0\u1edbc \u0111o chi\u1ec1u cao t\u1ea1i 100% c\u00e1c khoa l\u00e2m s\u00e0ng. 5. C\u00f3 t\u00e0i li\u1ec7u v\u1ec1 dinh d\u01b0\u1ee1ng t\u1ea1i khoa\/t\u1ed5 dinh d\u01b0\u1ee1ng - ti\u1ebft ch\u1ebf. 6. C\u00f3 h\u01b0\u1edbng d\u1eabn ch\u1ebf \u0111\u1ed9 \u0103n theo quy \u0111\u1ecbnh. 7. C\u00f3 b\u1ea3ng th\u00e0nh ph\u1ea7n th\u1ef1c ph\u1ea9m Vi\u1ec7t Nam (protein, glucid, lipid v\u00e0 c\u00e1c th\u00e0nh ph\u1ea7n kh\u00e1c). 8. C\u00f3 c\u0103ng-tin ph\u1ee5c v\u1ee5 \u0103n u\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh, ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh v\u00e0 nh\u00e2n vi\u00ean b\u1ec7nh vi\u1ec7n. 9. C\u00f3 khu v\u1ef1c ch\u1ebf bi\u1ebfn th\u1ee9c \u0103n b\u1ea3o \u0111\u1ea3m v\u1ec7 sinh s\u1ea1ch s\u1ebd. 10. B\u1ed9 ph\u1eadn ch\u1ebf bi\u1ebfn th\u1ee9c \u0103n \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf m\u1ed9t chi\u1ec1u. 11. B\u1ea3o \u0111\u1ea3m h\u1ec7 th\u1ed1ng c\u1ea5p, tho\u00e1t n\u01b0\u1edbc ho\u1ea1t \u0111\u1ed9ng \u0111\u1ea7y \u0111\u1ee7 t\u1ea1i n\u01a1i ch\u1ebf bi\u1ebfn th\u1ee9c \u0103n. 12. C\u00f3 t\u1ee7 ri\u00eang bi\u1ec7t d\u00f9ng \u0111\u1ec3 l\u01b0u m\u1eabu th\u1ee9c \u0103n. 13. Th\u1ee9c \u0103n \u0111\u01b0\u1ee3c l\u01b0u m\u1eabu theo \u0111\u00fang quy \u0111\u1ecbnh. 14. C\u00f3 ph\u00f2ng \u0103n d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u00f3 qu\u1ea1t (ho\u1eb7c \u0111i\u1ec1u h\u00f2a). 15. C\u00f3 b\u1ed3n r\u1eeda tay \u1edf khu v\u1ef1c ph\u00f2ng \u0103n (trong ho\u1eb7c ngay b\u00ean ngo\u00e0i ph\u00f2ng \u0103n). 16. S\u1eed d\u1ee5ng b\u1ebfp n\u1ea5u b\u1eb1ng \u0111i\u1ec7n ho\u1eb7c ga \u0111\u1ec3 n\u1ea5u th\u1ee9c \u0103n. 17. C\u00f3 ph\u01b0\u01a1ng ti\u1ec7n v\u1eadn chuy\u1ec3n su\u1ea5t \u0103n t\u1edbi ng\u01b0\u1eddi b\u1ec7nh, b\u1ea3o \u0111\u1ea3m v\u1ec7 sinh an to\u00e0n th\u1ef1c ph\u1ea9m. 18. C\u00f3 t\u1ee7 l\u1ea1nh l\u01b0u tr\u1eef, b\u1ea3o qu\u1ea3n th\u1ef1c ph\u1ea9m t\u01b0\u01a1i s\u1ed1ng. 19. Khu nh\u00e0 \u0103n b\u1ed1 tr\u00ed ri\u00eang bi\u1ec7t v\u1edbi khu kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb. 20. B\u1ebfp \u0103n c\u00f3 \u0111\u1ee7 nh\u00e2n vi\u00ean ph\u1ee5c v\u1ee5 c\u00f3 kh\u1ea3 n\u0103ng cung c\u1ea5p c\u00e1c su\u1ea5t \u0103n cho tr\u00ean 70% ng\u01b0\u1eddi b\u1ec7nh (t\u00ednh theo s\u1ed1 gi\u01b0\u1eddng b\u1ec7nh). 21. C\u00f3 ph\u00f2ng t\u01b0 v\u1ea5n, truy\u1ec1n th\u00f4ng v\u1ec1 dinh d\u01b0\u1ee1ng ri\u00eang bi\u1ec7t. 22. B\u00e0n \u0103n \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf b\u1eb1ng v\u1eadt li\u1ec7u ch\u1ed1ng b\u00e1m d\u00ednh, d\u1ec5 c\u1ecd r\u1eeda, b\u1ea3o \u0111\u1ea3m v\u1ec7 sinh. 23. Ph\u01b0\u01a1ng ti\u1ec7n v\u1eadn chuy\u1ec3n su\u1ea5t \u0103n t\u1edbi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 kh\u1ea3 n\u0103ng gi\u1eef nhi\u1ec7t \u0111\u1ed9 th\u1ee9c \u0103n. 24. B\u1ebfp \u0103n c\u00f3 \u0111\u1ee7 nh\u00e2n vi\u00ean ph\u1ee5c v\u1ee5 c\u00f3 kh\u1ea3 n\u0103ng cung c\u1ea5p c\u00e1c su\u1ea5t \u0103n tr\u00ean 90% ng\u01b0\u1eddi b\u1ec7nh (t\u00ednh theo s\u1ed1 gi\u01b0\u1eddng b\u1ec7nh), nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh khi c\u00f3 nhu c\u1ea7u. 25. C\u00f3 \u0111\u1ee7 trang thi\u1ebft b\u1ecb, h\u00f3a ch\u1ea5t ho\u1eb7c ph\u01b0\u01a1ng ti\u1ec7n kh\u00e1c ph\u00f2ng ch\u1ed1ng ru\u1ed3i, gi\u00e1n, c\u00f4n tr\u00f9ng, chu\u1ed9t v\u00e0 \u0111\u1ed9ng v\u1eadt c\u00f3 nguy c\u01a1 g\u00e2y b\u1ec7nh t\u1ea1i khu v\u1ef1c kho th\u1ef1c ph\u1ea9m, b\u1ebfp v\u00e0 nh\u00e0 \u0103n. 26. B\u1ea3o \u0111\u1ea3m kh\u00f4ng c\u00f3 ru\u1ed3i, gi\u00e1n, c\u00f4n tr\u00f9ng, chu\u1ed9t v\u00e0 \u0111\u1ed9ng v\u1eadt c\u00f3 nguy c\u01a1 g\u00e2y b\u1ec7nh t\u1ea1i khu v\u1ef1c nh\u00e0 \u0103n. 98","C7.3 Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1, theo d\u00f5i t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng trong th\u1eddi gian C\u0103n c\u1ee9 n\u1eb1m vi\u1ec7n \u0111\u1ec1 xu\u1ea5t v\u00e0 \u00fd \uf0b7 Th\u00f4ng t\u01b0 08\/2011\/TT-BYT ng\u00e0y 26 th\u00e1ng 01 n\u0103m 2011 h\u01b0\u1edbng d\u1eabn c\u00f4ng t\u00e1c ngh\u0129a dinh d\u01b0\u1ee1ng ti\u1ebft ch\u1ebf trong b\u1ec7nh vi\u1ec7n. M\u1ee9c 1 \uf0b7 T\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n, x\u1eed tr\u00ed nguy M\u1ee9c 2 c\u01a1 dinh d\u01b0\u1ee1ng\/suy dinh d\u01b0\u1ee1ng v\u00e0 h\u1ed7 tr\u1ee3 c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c. M\u1ee9c 3 \uf0b7 Vi\u1ec7c \u0111\u00e1nh gi\u00e1, theo d\u00f5i t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c, ch\u1eb7t ch\u1ebd gi\u00fap t\u0103ng hi\u1ec7u qu\u1ea3 s\u1eed d\u1ee5ng thu\u1ed1c, h\u00f3a ch\u1ea5t cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 g\u00f3p ph\u1ea7n n\u00e2ng cao ch\u1ea5t M\u1ee9c 4 l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb. M\u1ee9c 5 C\u00e1c b\u1eadc thang ch\u1ea5t l\u01b0\u1ee3ng 1. Ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c c\u00e2n tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3, \u0111o chi\u1ec1u cao, t\u00ednh ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3 khi nh\u1eadp vi\u1ec7n v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ghi nh\u1eadn v\u00e0o h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n. 2. T\u1ef7 l\u1ec7 ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c c\u00e2n tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3, \u0111o chi\u1ec1u cao, t\u00ednh ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3 khi nh\u1eadp vi\u1ec7n chi\u1ebfm t\u1eeb 50% tr\u1edf l\u00ean v\u00e0 \u0111\u01b0\u1ee3c ghi v\u00e0o h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n. 3. C\u00f3 m\u1eabu phi\u1ebfu \u0111\u00e1nh gi\u00e1, s\u00e0ng l\u1ecdc t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng ng\u01b0\u1eddi b\u1ec7nh (b\u1ec7nh vi\u1ec7n t\u1ef1 x\u00e2y d\u1ef1ng ho\u1eb7c tham kh\u1ea3o t\u1eeb t\u1ed5 ch\u1ee9c kh\u00e1c). 4. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i v\u00e0 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c nguy c\u01a1 suy dinh d\u01b0\u1ee1ng khi nh\u1eadp vi\u1ec7n kh\u00f4ng qu\u00e1 36 gi\u1edd k\u1ec3 t\u1eeb khi nh\u1eadp vi\u1ec7n (ho\u1eb7c \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i trong h\u1ed3 s\u01a1 theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh trong v\u00f2ng 1 th\u00e1ng tr\u01b0\u1edbc k\u1ec3 t\u1eeb ng\u00e0y nh\u1eadp vi\u1ec7n). 5. B\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb kh\u00e1m, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng, t\u01b0 v\u1ea5n v\u00e0 ch\u1ec9 \u0111\u1ecbnh ch\u1ebf \u0111\u1ed9 \u0103n b\u1ec7nh l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh theo m\u00e3 c\u1ee7a B\u1ed9 Y t\u1ebf cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh b\u1eaft bu\u1ed9c \u0103n theo ch\u1ebf \u0111\u1ed9 \u0103n b\u1ec7nh l\u00fd (\u0111\u00e1i \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, suy th\u1eadn\u2026) ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nhu c\u1ea7u. 6. H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n c\u00f3 ghi c\u00e1c th\u00f4ng tin li\u00ean quan \u0111\u1ebfn dinh d\u01b0\u1ee1ng nh\u01b0 k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng, ch\u1ebf \u0111\u1ed9 \u0103n (n\u1ebfu c\u1ea7n thi\u1ebft) v\u00e0 c\u00e1c th\u00f4ng tin c\u1ea7n l\u01b0u \u00fd v\u1ec1 dinh d\u01b0\u1ee1ng. 7. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 ho\u1eb7c b\u1ecb suy dinh d\u01b0\u1ee1ng, m\u1eafc c\u00e1c b\u1ec7nh l\u00fd c\u00f3 li\u00ean quan \u0111\u1ebfn dinh d\u01b0\u1ee1ng khi nh\u1eadp vi\u1ec7n \u0111\u01b0\u1ee3c l\u1eadp k\u1ebf ho\u1ea1ch theo d\u00f5i, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng. 8. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c can thi\u1ec7p dinh d\u01b0\u1ee1ng d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng. 9. Ng\u01b0\u1eddi b\u1ec7nh suy dinh d\u01b0\u1ee1ng n\u1eb7ng \u0111\u01b0\u1ee3c h\u1ed9i ch\u1ea9n v\u1edbi khoa dinh d\u01b0\u1ee1ng-ti\u1ebft ch\u1ebf, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng, l\u1eadp k\u1ebf ho\u1ea1ch v\u00e0 can thi\u1ec7p dinh d\u01b0\u1ee1ng. 10. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p dinh d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c theo d\u00f5i, \u0111\u00e1nh gi\u00e1 l\u1ea1i t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng, t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng ph\u00f9 h\u1ee3p. 11. C\u00f3 ti\u1ebfn h\u00e0nh kh\u1ea3o s\u00e1t (ho\u1eb7c nghi\u00ean c\u1ee9u) v\u1ec1 vi\u1ec7c \u0111\u00e1nh gi\u00e1, theo d\u00f5i t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. 12. C\u00f3 b\u00e1o c\u00e1o \u0111\u00e1nh gi\u00e1, trong \u0111\u00f3 c\u00f3 ch\u1ec9 ra nh\u1eefng kh\u00f3 kh\u0103n, h\u1ea1n ch\u1ebf, nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ea7n kh\u1eafc ph\u1ee5c v\u00e0 \u0111\u1ec1 xu\u1ea5t gi\u1ea3i ph\u00e1p can thi\u1ec7p. 13. \u00c1p d\u1ee5ng k\u1ebft qu\u1ea3 kh\u1ea3o s\u00e1t (ho\u1eb7c nghi\u00ean c\u1ee9u) v\u00e0o c\u1ea3i ti\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng \u0111\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng ng\u01b0\u1eddi b\u1ec7nh. 99"]