UBND TINH CAO BANG SO KHOA HQC VA CONG NGHE

SO: 3 4 /KL-SKHCN

CQNG HOA XA HQI CHU NGHIA VIET NAM DO 14p — Tk• do — Hanh phtic

Cao Bang, ngay30 thong 5 nom 2018

KET LUAN THANH TRA Ve do Itro•ng va an toan birc xa doi veri Benh vien da khoa

cac huyen Thach An, Tra Linh, Benh vien da khoa tinh Cao Bang

Can cir Luat Thanh tra ngay 15 thong 11 nom 2010;

Can cir Luat Nang luting nguyen tir ngay 03/6/2008;

Can cU Luat Do luting ngay 11/11/2011;

Can cir Nghi dinh so 07/2012/ND-CP ngay 09 thong 02 nom 2012 cda Chinh phu Quy dinh ye co quan dugc giao thkrc hien chirc nang thanh tra chuyen nganh va hoot dOng thanh tra chuyen nganh;

Can cir Nghi dinh so 213/2013/ND-CP ngay 20 thong 12 nom 2013 dia. Chinh phu ve to chirc va hoot dOng cua thanh tra nganh Khoa hoc va Cong nghe;

Can cir Quy& dinh so 33/2015/QD-UBND ngay 21/9/2015 cua UBND tinh Cao Bang quy dinh chirc nang, nhiem vu, quyen han va ca tau to chirc cua So KH&CN tinh Cao Bang;

Xet Bao coo ket qua thanh tra ngay 07-5 /5/2018 cna Doan thanh tra theo Quyet dinh so 276/QD-SKHCN ngdy 02/5/2018 dia. Giam dOc So Khoa hoc va Cong nghe (KH&CN) ye viec thanh tra chuyen nganh ye do luting va an toan birc x4, Giam doe So KH&CN ket luan thanh tra nhtr sau:

I. KHAI QUAT DAC DIEM TINH HINH, CHCC NANG NHIEM VU CUA DOI TUVNG THANH TRA:

Voi chirc nang la don vi su nghiep trong linh vkrc y te, cac d6i tuong thanh tra da &rig gop phan lOn trong sir nghiep cham sot va boo sirc khoe nhan dan, da no lgc chap hanh Luat do luong, cac you cau trong Giay phep tien hanh cong viec birc xa va cac quy dinh khac cua Luat nang luting nguyen

Viec dam bac) chu IcST kiem ,dinh cac phuang tien do trong Danh muc phirang tien do phai kiem soot yeu caukSi" thuat do luting theo quy dinh tai Thong to so 23/2013/TT-BKHCN ngay 26/9/2013 va viec thirc hien day du trach nhiem phap 1)", theo quy dinh cilia Luat nang luting nguyen tir tai cac ca so da duoc chit trong, quan tam va thgc hien day du cac quy dinh.

Theo 1(6 hooch thanh tra nom 2018 duoc phe duyet, Doan thanh tra da tien hanh thanh tra tai 03 co birc xa sir dung thiet bi X — quang trong chan doan y to va kiem tra ra soot viec thgc hien cac quy dinh ye do hien doi vori phuang tien do dung trong y to (huyet ap ke, can sirc khoe, dien tim, thuOc danh muc phuang tien do nhOm 2; quy dinh ye an toan birc x4 doi vori cac ca so sir

c., Kt

dung thiet bi x — quang y to nham bao ve quyen lgi, sire khOe cua ngirgi dan, d6ng

died tang cuong hi'eu hrc quan 1T nha nuac cua nganh khoa hoc \la tong nghe.

II. KET QUA MEM TRA, XAC MINH:

1. N4' do luimg: Cac ca so sir dung cac phuang tien do trong Danh muc phuang tien do phai

kiem soat yeu cau 1(9 thuat do , lugng vao nwc Bich cham sOc, bao sirc khoe on

ngugi yeu la huyet ap ke, can kiem tra sirc khoe, phucmg tien do dien tim.

Cac vi ,tri niem phong kep chi ciia phuang tien do deu nguyen, khong phat hien dau hieu gia mao Tem/Giay chimg nhan kiem dinh, khong sira chira, tac dOng lam thay dOi da.c tinh k9 thuat do lugng cita phuong tien do.

Chi tiet so hxgng, chUng loci dugc tong hop trong Bang bleu sau:

STT Ten d8i tuvng

thanh tra

Ten phrrong tien do

Hieu bye cria tern, .A. gray chirng nh4n

kiem dinh DOc diem

s6 luting

(chiec)

1

Benh vien Huy& ap ke

- 05 chi& 5/2018 - 07 chi& 7/2018 - 01 chi& 3/2019

Kieu d6ng h6 13

da khoa Huy& ap ke 7/2018 Thfiy ngan 01

huyen Can tre so sinh 7/2018 Pmax 20kg 01 Thach An Can kiem tra

sire kh6e 7/2018 Pmax 140 kg 02

2

Benh vien da khoa

huyen Tra Linh

• • Huyet ap ka - 08 chiec 9/2018 _ 02 chiec 01/2019 Kieu don h6 10

Huy& ap ke Khong có tern Thily ngan 01

Can tre so sinh 9/2018 Pmax 30kg 01

Can kiem tra sire khOe

9/2018 Pmax 140 kg 05

May dien tim 9/2018

- 01 chi& hi'eu CARDISUNY - 01 chiec hieu

Cardiocare

02

3

Benh vien da khoa tinh Cao

Huy& ap ke

- 53 chiec: 11/2018 - 05 chiec: 02/2019 - 01 chiec: 01/2019 - 02 chiec: 5/2018

- 01 chiec: 10/2016 - 01 chiec: khOng co tern

D6ng h6 16 xo 63

Bang Can tre so sinh 11/2018 Pmax 20kg 05

Can kiem tra sirc khoe

- 18 chiec: 11/2018 Pmax 120-140 - 01 chiec: 11/2017 21

kg - 01 chiec: 10/2016

2

- 01 chi6c: khong CO tem

Phuang tien do di01 tim 7/2018

NIHON KOEN Cardiofax made

in Japan 04

Ting so: 129

2. Ve an toan bile xa , Qua thanh tra viec chip hanh cac quy dinh ve an toan birc xa tai 03 ca soy

tien hanh cong viec birc x4 cho thay ket qua nhu sau:

- Ve Giiy phep tien hanh cong viec birc x4: , 03 ca so. tien hanh cong viec .,_

buc x4 tren di &rot S6 KH&CN Cao Bang cap Giay pile') hoat d6ng va con thoi sa han. JA HC vA

- Ve thief bi bdc x-quang: Cac ca so , da that hien nghiem tuc viec kiem AG NG dinh dinh kS/ thiet bi theo quy dinh.

CA 0

+ Cac co so da that hien th6 tvc b6 nhiem nguai phu trach an toan bdc x4 bang van ban. Tat ca cac nhan vien birc x4 tai cac co s6 da c6 chimg chi dao tao ATBX do Cuc an toan birc x4 va hat nhan cap, so lung nhan vier' birc x4 dugc duy tri Wang ckii on dinh, it thay d6i.

+ H'6 so lieu ke ca nhan: nhan vien Nat x4 cua 03 ca so duac trang bi lieu ke ca nhan, doc lieu ke ca nhan dinh kSi 3 thang/ 1 lan va luu giix ho so lieu ke dfing quy dinh.

+ H6 so kham sue khoe dinh kS7 cho nhan vien birc xa: Cac co sa di thuc hien kham sirc khoe dinh kS7 1 nam/1 ran cho nhan vien buc xa, luu giir ho so kham stirc kh6e clung quy dinh.

- Ve phong chup:

+ Cac co so. da that hien kiem xa phong X — quang 1 nam /1 lAn. + Cac bien phap dam bao ATBX (Mat 1c)", theo dOi, van hanh may, N6i quy

an town bdc xa, quy trinh van hanh may, bien canh bao, den canh bao,...): Cac co seY qua thanh tra da so tuan thu nghiem tut cac quy dinh ve chi dan an toan, canh bac, birc xa, not quy an toan birc xa, nhat 1()'7 theo dOi, quy trinh van hanh thiet

- Cac co so. da xay dung ke hoach dng pho six c6 bdc xa cap co sa da dixoc So KH&CN phe duyet va bao cal) that trang an toan bdc xa hang nam giri So KH&CN.

- Ket qua kiem tra cl() kin cua phong chup X-quang bang thiet bi ky thuat tai 03 co so cho ket qua tia X khong lot ra ngodi khu vac van hanh va khu vac ngoi cha cua benh nhan. Ve thiet bi X-quang, qua kiem tra 02 chi tieu ye th6i gian phat

- Ve Nguoi Phu trach an toan va nhan vien bdc xa:

3

tia (ms) va dien ap (kV) dat yeu cau so ved quy dinh. Cac thiat bi dm 03 co so du

dieu kien van hanh theo quy dinh caa phap luat.

Ben canh do, cac co so tien hanh cong viec birc x4 con ton tai mot s6 not

dung nhu: viec viec lap va luu gift ho so an toan birc x4 cila 03/03 co so thuc hien

chua day du theo quy dinh tai Dieu 29 Luat Nang luting nguyen tir, 03 co sO. chua

mua bao hiem nghe nghiep, bao hiern trach nhiem dan su cho nhan vien birc x4 quy dinh tai Dieu 90 Luat Nang luting nguyen tir; 02 co so bao cat) thuc trang tien hanh cong viec birc x4 nam 2017 giri Set KH&CN thieu not dung thay doi nguOi

dimg dau ca s4;'/ tien hanh cong viec birc xa; 01 co so chua lap nhat Icr van hanh thiet bi birc xa; H6 so an toan birc xa tai thed diem thanh tra 03/03 co so chua có ket qua danh gia lieu chieu xa ca nhan q4 IV/2017, q4 1/2018 dm nhan vien birc

x4 luu trong h6 so; Doan thanh tra da yeu cau cac don vi khac phuc nhang din tai

teen.

III. KET LUO:

1. Ve do luivng 96 % phuong tien do &roc kiem Binh diing quy dinh, darn bao cac yeu cau

trong viec sir dung phuang tien do trong Danh muc phuang tien do phai kiem soat

yeu cau k-y thuat do luting vao muc dich cham soc, bao ve sire khOe con ngueri theo quy dinh tai Dieu 16, Dieu 19 va Dieu 21 cira Luat do luting va Thong to so 23/2013/TT-BKHCN ngdy 26/9/2013 dm B6 truemg B6 KH&CN. Cac phuong tien do Ming có tern kiem dinh hoac qua tiled han hieu luc kiem dinh cua 02 co se, neu tr'en khong du dieu kien sir dung vao muc dich cham soc, bao ve sire khOe

con nguOi.

2. Ve an toan birc xa Nhin chung cac co so' chap hanh toting d'6i tot cac quy dinh va an toan birc

xa, 100% phong chop thuc hien viec the chan tot, khong de lot tia, dung theo quy dinh tai khoan 3 Dieu 10 Thong to lien tich s6 13/2014/TTLT-BKHCN -BYT

ngay 09/6/2014 caa Bo Khoa hoc va Cong nghe, B6 Y to quy dinh va dam bao an toan birc xa trong y te. Cac dOi Wong thanh tra da thgc hien tuang doi day dir trach nhiem cua nguOi dimg dau to chirc co so tien hanh cong viec birc xa va trach nhiem cira nhan vien birc xa , dugc quy dinh tai Dieu 26, 27 Luat Nang luting nguyen Tuy nhien, chua day du, viec lap va luu giix ho so an toan birc xa dm 03 co so thgc hien chua day du theo quy dinh tai Dieu 29 Luat Nang luting nguyen tir, 03 co so chua mua bao hiem nghe nghiep, bao hiern trach nhiem dan su cho nhan vien birc ,x4. quy dinh tai Dieu 90 Luat Nang luting nguyenNhi:mg

han the con ton tai can khac phuc khac ducrc the hien trong Bang bieu kern theo

Kat luau nay. IV. CAC BIEN PHAP XIY L'i( THEO THAM QUYEN BA AP DUNG

Yeu cau cac d6i Wong thanh tra thuc hien nhang not dung sau:

1. Lien h6 ved cac to chirc dich vu de mua bao hiem nghe nghiep, bao hiem

trach nhiem dan su cho nhan vien birc x4.

4

VA _Ar \ GONG N ,*/

ti GA O

Hoang Giang

i i VKHOA Fr: (

2. T6 chirc lap va luu giir 116 so an toan birc x4 dAy du theo quy dinh; to chirc ltru ket qua danh gia lieu chieu x4 cho nhan vien birc x4 trong ho so.

3. Benh vien da khoa tinh va Benh vier' da khoa huyen Tra Linh ngimg sir dung cac phuong tien do khong co tem kiem dinh hoac het tiled han hieu luc cua tern kiem dinh.

4 Benh vier' da khoa tinh: Lap nhat 147 van hanh thiet bi birc xa. Thuc hien trach nhiem kiem dinh dinh kST thiet bi btirc xa (doi \Teri nhirng thiet bi sap het hieu luc kiem dinh) va kiem xa khu vuc lam viec trong thang 5/2018; xay dcmg ke hoach va to chirc kiem tra, giam sat not 130 viec thuc hien cac quy dinh, not quy an toan birc x4, quy trinh lam viec.

5. Thuc hien tot cac trach nhiem khac theo quy dinh cua Luat nang luting nguyen tir va Luat do luong.

1'/«•

Giao cho Thanh tra KH&CN chu tri, phi hop voi Phong quan ly chuyen, nganh cua KH&CN va cac co quan có quan theo doi viec thuc i E hien Ket luan thanh tra nay./.

- 03 di Wong thanh tra neu tren (t/h); - Thanh tra tinh (b/c); - SaY te; - PhOng quail 19 chuyen nganh (t/h); - Trung tarn ky thuat tieu chuan do ItrOng chat Itrcnig (t/h);

- Trung tam Thong tin va. Thong ke KH&CN (clang website);

- Luu: HSTTra, VT.

GIAM DOC

S

BIEU TONG HOT TRACH NHIEM DAM BAO AN TOAN BITC X3 CUA CAC CO SO TIEN HANH CONG VIEC BtiC X3

(Kern theo Ket ludn thanh tra sa3-71 /KL-SKHCN ngiry SC) /5/2018 cria Giam dac SO KH&CN)

Ghi chit: Ddu + la da glut - la chua thkrc hie.n

STT

Cfic dei ttrcyng thanh tra

Nei dung phai thtyc hien theo quy dinh cUa Luet nang ltYcmg nguyen tfr

Benh vien da khoa huyen

thach An

Benh vien da khoa huyen Tra Linh

Benh vien da khoa tinh

1 Lap va hal gift lit) so an toan birc xa day dil - -

2 Bac) cao thuc trang an toan birc xa theo dinhk3Tve SO KH&CN truoc ngdy 25/11 hang nam

+ + +

3 BO tri nguai phij trach an toan birc xa bang van ban + + +

4 Nhan vien birc xa co Giay chimg nhan khoa huan luyen co ban ve an toan birc xa trong y to

+ + +

5 Chimg chi nhan vien birc xa + + +

6 Mua bao hiem nghe nghiep, bao him trach nhiem dan su cho nhan vier' - - -

7 bite xa

Trang bi lieu ke ca nhan cho nhan vien birc xa + + +

8 Danh gia lieu chieu xa cho nhan vien birc xa theo dinh kST it nhat 1 lan trong 3 thang

+ + +

9 To chirc kham sirc khoe dinh kST cho nhan vien birc xa + + +

10 Xay dung not quy ra vao khu vue kiem soat + + +

11 Bien bao, tin hieu canh bao an toan birc xa + + +

12 Xay dung ke hoach img pho su co cap co . so + + +

13 Kiem dinh, hieu chuan thiet bi hire xa + + +

14 Do dac an toan phong chup X-quang y to + + +

15 L'ay nhat lc , van hanh thiet bi bite xa theo quy dinh + +

16 Gan ban twang dan six dung lieu ke ca. nhan + + +

17 Co trinh van hanh thiet bi x — quang gan tai nai quy dinh quy + + +

Ket qua kiem tra dO kin dm pile:mg chup X-quang bang thiet bi 1c5/ thufit

a18 dat cau so vai quy chun ky thu4t. yeu

+ + +

19 Ket qua kiem tra chi tieu ve th&i gian phat tia (ms) va dien Ai) (kV) dat

, veu eau so \Teri „Luy chuan k'y' thuat +

+ +

6