TE TiNH KON TUMPONG NGHI¥P VV Y

CONG HoA xA HOI CHU NGHiA VIET NAM. . .DQc l~p - TV do - Hanh phuc

Kon Tum, ngay 15 thang 6 ndm 2018

PHIEUTRINHv~ vi~c Tram Y t~ xii Ia Dom, huy~n Ia H'Drai cong b8 CO' s~du dieu ki~n tiem chung tren Trang thong tin di~n til SO'Y te

Kinh trinh: Lanh dao Sa Y tS.

1. Tom t~t nQidung cAntrinh:

Xem xet, phe duyet va cong b6 tren Trang thong tin dien nr Sa Y ts co sa dudiSukien tiem chung. Tom t~t nQidung h6 sa nhtr sau:

1.1. Thong tin v~ CO' sO':

- Ten co sa: Tram Y ts xa Ia Dom, huyen Ia H'Drai.

- Dia chi: Thon 1, xa Ia Dom, huyen Ia H'Drai, tinh Kon Tum.

- Ngum dai dien co sa: A Blinh Chirc vu: Truong tram Y tSxa Ia Dom.

- S6 di~n thoai: 098l.075.532 Email: bs.ablinh84@gmail.com

1.2. Thanh phAn h6 SO' bao g6m:

- Van ban thong bao co sa du diSu kien tiem chung (dung, d~y du nQidun thea m~u quy dinh),

- Danh sach nhan SlJlam viec tai phong tiem chung vac xin dich V\I;kernao chirng nh~n tham dlJ t~p hu~n vS tiem chung; hqp d6ng lam vi~c; quySttuySn d\Ing, b6 nhi~m chuc danh nghS nghi~p va xSp luang cho vien chuc;g chi hanh nghS; b~ng t6t nghi~p trung c~p chuyen nghi~p.

- Ban ke khai trang thiSt bi phong tiem chung.

- Sa d6 m~t b~ng khu VlJCthlJc hi~n tiem chung.

- QuySt dinh s6 367/QD-UBND ngay 2114/2014 cua Uy ban nhan dantinh Kon Tum vS vi~c thanh l~p cac Tr:;tmY tS xa.

2. y ki~n d~ xufit cua ngrrOitrinh: H6 sa d~y du, dUngthea quy diM t:;tiDiSu9, \IC3, Chuang II Nghi diM s6 104/2016/Nf)-CP ngay 01/7/2016 cua Chinh phuquy iM vSho:;ttdQngtiem chUng.

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3. Y ki~n ella Truong phong: Da kiSm tra, ra soat h6 sa dam bao thea dunginh cua thu tuc harm chinh "Cong b6 co sa du diSu kien tiem chung" diroc bantai Quyet dinh s6 600IQD-UBND ngay 21/1112017 cua Chu tich Uy ban nhan

dan inhKon Tum.

Kinh trinh lanh dao Sa Y tS xem xet, phe duyet viec cong b6 tren Trang Thongtin d ~n tU Sa Y tS./.

iGUCn TRINH TRUONG PHONG LANH D~O sa Y TE ....• • M E)OG

PI-tO GIA

Ph. m Th] Thu Phuong D~ng Cdng Lan Le Tri Khai

Noi nh~n:- Ui h dao So'Y tS;- Tr ng Thong tin dien nr Sa Y ts;- Lu :NVY.

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TRUNG TAM Y TE HUY$N IA H'DRAITRAM Y TE xX IA DOM.

HosaTI(ONG BAo CO SOBU BlEU KIEN TIEM CHUNG.

DAN ~ MVC HO Sd:1. Dan d~ nghi thong bao du dieu kien tiem chung,

2. Ban ke khai nhan sir (kern thea h6 sa ca nhan cua tung nhan vien lamcong tic tiem chung),

3. Ban ke khai trang thi~t bi phong tiem chung.

~. Sa d6 mat bang cua khu vue thuc hien tiem chung, gom: Khu vue chotruce khi tiem, khu vue tir van va kham phan loai, khu yVC tiem chung, khu yVCthea dp:i va xu tri phan irng sau tiem chung.

5. Quyet dinh thanh l~p tram Y t~.

fA DOM THANG 5NA~M2018

Kinh gui: So' Y tS tinh Kon Tum.

TRUNG TAM Y TEHUytN IA H'DRAI

T MYTEXAIADOM

sf,: ITB-TYT

CONG HoA xA HOI CUU NGHiA VIET NAM. . .DQc I~p - T\f do - H~nh phuc

fa H'Drai, ngay thong nam 2018

THONGBAoCO' sO' du di~u ki~n tiem chung

en co So' thong bao: Tram Y tS xa Ia Dom.

ia chi: Thon 1 - xa Ia Dom - huyen Ia H'Drai - tinh Kon Tum.

guoi dung dau: Bac S1 A BLinh

i~n thoai: 0981075532 Email: Bs.ablinh84@gmail._com.

an cir nghi dinh 104/20 16/ND-CP ngay 01/7/2016 cua Chinh phu quydinh v hoat dong tiem chung, Kinh d~ nghi Quy co quan xem xet, dang Utithong t n thea quy dinh,

TR4MTRUONG

CONG HoA xA HOI CHU NGHIA VIET NAM. . .DQc I~p - Tl! do - Hanh phuc

,[RUNG TAM Y TE*UYEN IA H'DRAI

TRJ~M Y TIt xA IA DOMfa Dam, ngay thang nam 2018

BANG KE KHAITrang thi~t hi tiem chung cua Tram Y t~ X3 Ia Dom

I. Khu 'l}'c ti~p don

T6t1 Ban lam viec Safpo Vi~t Nam 2016

T6t2 E{) may tinh o~ban HP Vi~t Nam 2016

T6t3 May in Canon Viet Narn 2016LBP3300

7 ChS lam viec TotHoa phat 2016

T6t8 dhS ng6i cho khach Vi~t Nam 2015

T6tALPK2 Viet Narn 2016

II. Khu "1!C Bac si Tlf vin

10 E ~n lam viec T6tSafpo Viet Nam 2016

11 (ihS lam viec TotHoa phat 2016

T6t12 C~n tre em Viet Narn 2016

T6t14 Nhi~t kS 00 nhiet oQ ALPK2 Nhat Ban 2016

T6tALPK2 Nh?t San 201615 [ai nghe

T6tALPK2 Nh?t Ban 2016

17 (~hS ng6i eho khach T6tVi~tNam 2016

III. Khu vue Tiem v~c xin

18 'u lanh bao quan,,~e xin T6t2015Viet NamGR-L7025 GL

I an tiern19 I nox T6tViet Nam 2016

20 GhS tiern T6t2016Vi~t Nam

21 f~ dung bong tamc 6'~(troll) T6t2016Vi~tNam

T6t22 <pngdm panh Viet Nam 2016

23 ~anh khong m~u T6tVi~t Nam 2016

T6t24 ~anh co mau Vi~tNam 2016

T6t25 ~eo dt bong Viet Narn 2016

T6t27 ~QPan toan Vi~t Nam 2016

28 Thung rae thai Vi~t Nam 2016 T6t30 GhS ng6i cho khach Vi~t Nam 2016 T6t31 Giuong kharn benh Vi~t Nam 2016 T6t33.H9P thuoc chong s6c

Adrenalin Viphaco Vi~t NamMethyl

Bidiphar 1 Vi~tNamPrednisonlon 40mNurre dt Viphaco Vi~t NamBam kim tiern (1ml,

Vikimeo Vi~t Nam10mlPhuong tien khir

Vudupha Vi~t NamtruDay garo Vi~t NamBong Vi~t Name6n Vi~t Nam

IV. Khu v'!c theo doi sau tiem

36 GhS ng6i eho khach Vi~t Nam T6t

Khu vue choItruac khi tiemI

Khu vue then doi vaxu tri phan irng sau tiem

chung (min 15m2)

Khu vue thirc hien tiernchung (min 10m2)

fI}huvue tu v~n,kharn phan loai(min 10m2)

,-

iT' r BAN NIlANDANiNHKONTUM

S :-5{lIQD-UBND

CONG HOA xA HOI CHU NGHlA fBXm ~. _ lI(ic I,p- TV do- H~Dh phtic = AO

Kon Tum, nga~ 1thizngr niim 2014

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f:r~.¥.::N..~\

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QUYETDJNHV~ vi~c thanh l,p cae Tram Y t~xii

.. "lit..,. :~ ,fUY BAN NHAN DAN TINH KON TUM

f:,"::)'::'

cu Luat T6 clnrc I-IDND va UBND ngay 26/11120.03;C cu Nghi dinh s6 55/2012fNf)-CP ngay 28/6/2012" cua Chinh phu quy

dinh ve thanh l~p, t6 chirc lai, giai th~don vi su nghiep cong l~p;cir Nghi Quyet s6 1261NQ-CP ngay 20/12/2013 cua Chinh phu vS diSu

chinh ia gioi hanh chinh d~ thanh l~p 2 xa thuec huyen D~ Ha, 3 xa thuochuyen a ThAy va rna rQng dia gioi hanh chinhphirong Ngo May thuoc thanh ph6Kon T , tinh Kon Tum;

C n cir Quyet dinh s6 58/TTg ngay03/02/1994 cua Thu nrong Chinh philquy di rnQt s6 v~n de ve t6 chirc va chS dQ chinh sach d6i vOi y tS co sa; Thongtu s6 0 ITT-LB ngay 20/4/1995 cua Lien bQY tS.- Tai chinh - Lao dQng, Thuongbinh va Xa hQi - Ban T6 chuc can bQChinh phil vS huang d~n rnQt s6 v~ dS vS t6chuc v' chS dQchinh sach d6i v&iy tS co sa;

X t dS nghi cua Giam d6c Sa Y tS t~i To trinh s6 480rrTr-SYT ngay24/3/2 14; Y kiSn cua Gicim d6c Sa NQi V\l ~i To trinh s6 458mr.,SNV ngay02/4/2 14,

QUYETDJNH:

Bi u 1. Thanh l~p cac Tr~ Y tS tren dia ban tinh Kon Tum, C\l th~nhu sau:

r~ Y t~ xii Dak Long va Tr~ Y t~ xii Dak.NgQc thuQc Trung tam Y tS~uy~n ~ Ha; .'

. - r~ Y tS xala Dorn, Tr~rn Y tS xii Ia Dal va Tr~m Y tS xa Ia Tai thuQcTrung t Y t~ huy~n Sa ThAy.

Bi u 2. Giciin d6c S6 NQi V\l; Gicimd6c S6 Y tS; Chli tich UBND huy~n D~Ha; Ch tich UBND huy~n Sa ThAy; Gicim d6c Trung tam !Y tS huy~n D~ Ha,Giam d' c Trung tam Y tS huy~n Sa ThAy chju trach nhi~rn,thi hanh Quy~t djnhnay.!.

Doan Thi Thuy "

CONG HOA XA HOI CHD NGHiA VIET NAM. . .DQc I~p - TI}' do - H~nh phuc

fa Dam, ngayatthimgr-nam 2018

BAN KE KHAI NHAN strcua CO' sO' thong bao du di~u ki~n tiem chung

RUNG TAM YTE-IU¥EN IA H'DRAI

TR,:,-M Y TE XA IA DOM

TT HQ va ten Clurc danhTrinh dQ Cong vi~c dUQ'cgiao

chuyen mon phu trach

A Blinh 1

2 y Huyt ~

Phu trachtram

Nhan vien

Nhan vien

Nhan vien

Nhan vien

Nhan vien

3 Pharn Thanh Hung'

4 Pham Tir Hung _,.

5

,IPhanThj Thu Huang6

TB 19 cQng: 06 nguo;

Kham sang IQc, tuBac sy van, theo d5i va xu tri

phan trng sau tiem

Y syKham sang loc, tuvan, thea doi va xu triphan irng sau tiem

Y syKham sang IQc, nrvan, theo d5i va xu triphan ung sau tiern

Di~u duong Tnrc tiep thirc hien kythuat tiern chung

HO sinh True tiep thirc hien kythuat tiem chung

Tu van, thea doi vaxu tri phan irng sautiem

Diroc sy

f(em thea H6 sa ccl nhdn cua 06 thanh vien g6m:Ban sao Quy~t dinh tuy~n d\lng ho?c hqp d6ng lao d<)ng.

Ban sao co chtmg thvc b~ng cflP chuyen mono

Ban sao gi~y chung nh~n tham dV t~p hu~n tiem chung.

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