办理护士执业地点变更申请表2

1、办理护士执业地点变更申请表 2附件 3中华人民共和国卫生部制complete schedule 3 to the technical operation and the writing of the report. Basic skills requirements: disease/operation name cases (times) number (?) actual demonstrates Ray protection principles 5 times radionuclide generator leaching drug operation 5 times shows tr

2、ace agent of Mark 5 times 131I sucking iodine rate determination 5 times kidney function (kidney figure) determination and the report writing 5 times participation 131I treatment hyperthyroidism calculation dose participate in body outside analysis experiment (best put from) in Guide Xia participate

3、 in SPECT operation thyroid explicit like prepared, and collection, and report 5 times 5 times 10 times 5 cases bone explicit like prepared, and collection, and report 5 cases static myocardial explicit like prepared , Collection, reporting 2 cancer FDG Imaging preparation, acquisition, reported 5 c

4、ases of pulmonary perfusion Imaging prepare, collect and report 2 cases of cerebral blood flow perfusion image preparation, acquisition, reported 2 cases of note: the number of prescribed diseases and can be adjusted depending on location and the hospital, but the total number and number of disease

5、should not be reduced. (B) the 13th to 24th month (second phase) according to trainees and training base for clinical circumstances, arrangements to continue in our rotation or to the relevant clinical Department rotation.1. training objective: (1) expand the scope of medical imaging society of know

6、ledge, familiar with knowledge related to the field of medical imaging and clinical clear medical imaging in the clinical diagnosis value and limit. Understand the routine procedures and填表说明1(本表供申请护士变更注册使用。2( 用钢笔或者签字笔填写，内容真实，字迹清晰。3(本表的第 1、2、3、4四项由申请人填写，第 5、6 项由有关医疗卫 生机构填写，第 7 项由注册机关填写。4( 表内的年月日时间，用公

7、历阿拉伯数字填写。5( 申请人学历，填写护理或者助产专业最高学历。6( 申请人健康状况，填写健康状况良好、一般或者有慢性病。 7( 申请人工作 类别，填写临床护理、护理行政管理、预防保健或者其他。8( 申请人现技术职称，填写护士、护师、主管护师、副主任护师、 主任护师、未评定。9(使用的照片为近期二寸免冠正面半身照。rot and training base for clinical circumstances, arrangements to continue in our rotation or to the relevant clinical Department the total n

8、umber and number of disease should not be reduced. (B) the 13th to 24th month (second phase) according to trainees , butition, reported 2 cases of note: the number of prescribed diseases and can be adjusted depending on location and the hospitalof pulmonary perfusion Imaging prepare, collect and rep

9、ort 2 cases of cerebral blood flow perfusionimage preparation, acquis cases s static myocardial explicit like prepared , Collection, reporting 2 cancer FDG Imaging preparation, acquisition, reported 5d, and collection, and report 5 times 5 times 10 times 5 cases bone explicit like prepared, and coll

10、ection, and report 5 caserepareipate in body outside analysis experiment (best put from) in Guide Xia participate in SPECT operation thyroid explicit like pney figure) determination and the report writing 5 times participation 131I treatment hyperthyroidism calculation dose particn (kidaching drug o

11、peration 5 times shows trace agent of Mark 5 times 131I sucking iodine rate determination 5 times kidney functiosease/operation name cases (times) number (?) actual demonstrates Ray protection principles 5 times radionuclide generator lecomplete schedule 3 to the technical operation and the writing

12、of the report. Basic skills requirements: diprocedures and outineo the field of medical imaging and clinical clear medical imaging in the clinical diagnosis value and limit. Understand the ration. 1. training objective: (1) expand the scope of medical imaging society of knowledge, familiar with know

13、ledge related t11 护士变更注册申请审核表 填报日期 : 年 月 日 1( 申请人情况 姓名性别民族 出生日期 年 月 日 国 籍身份证号毕业学校所学专业 学 制学 历 学 位 健康状况毕业时间 年 月 日 护士执业证书编号 专业学习经历2( 申请人原工作单位情况原工作单位名称单位行政区划 省( 自治区 / 直辖市 ) 地区( 市) 县(区)邮政编码工作科室 技术职称工作类别 职务工作时间 年 月 日 至 年 月 日ocedures andld of medical imaging and clinical clear medical imaging in the clinic

14、al diagnosis value and limit. Understand the routine prhe fieon. 1. training objective: (1) expand the scope of medical imaging society of knowledge, familiar with knowledge related to tining base for clinical circumstances, arrangements to continue in our rotation or to the relevant clinical Depart

15、ment rotatind trae total number and number of disease should not be reduced. (B) the 13th to 24th month (second phase) according to trainees aeported 2 cases of note: the number of prescribed diseases and can be adjusted depending on location and the hospital, but thon, rpulmonary perfusion Imaging

16、prepare, collect and report 2 cases of cerebral blood flow perfusion image preparation, acquisiti myocardial explicit like prepared , Collection, reporting 2 cancer FDG Imaging preparation, acquisition, reported 5 cases oftatic and collection, and report 5 times 5 times 10 times 5 cases boneexplicit

17、 like prepared, and collection, and report 5 cases sbody outside analysis experiment (best put from) in Guide Xia participate in SPECT operation thyroid explicit like prepared, e in figure) determination and the report writing 5 times participation 131I treatment hyperthyroidism calculation dose par

18、ticipat ug operation 5 times shows trace agent of Mark 5 times 131I sucking iodine rate determination 5 times kidney function (kidneyme cases (times) number (?) actual demonstrates Ray protection principles 5 times radionuclide generator leaching drcomplete schedule 3 to the technical operation and

19、the writing of the report. Basic skills requirements: disease/operation na123( 申请人拟工作单位情况拟工作单位名称单位行政区划 省( 自治区 / 直辖市 ) 地区( 市) 县(区) 邮政编码拟工作科室 技术职称拟工作类别 职务4( 申请人签名5( 申请人原工作单位意见 (由工作单位填写 ) 工作单位意见 : 单位盖章 同意? 不同意 ?单位法定代表 ( 授权者 )签字 填写日期 年 月 日6( 申请人拟工作单位意见 (由工作单位填写 ) 工作单位意见 : 单位盖章同意? 不同意 ?单位法定代表 ( 授权者 )签字填写

20、日期 年 月 日and training base for clinical circumstances, arrangements to continue in our rotation or to the relevant clinical Department the total number and number of disease should not be reduced. (B) the 13th to 24th month (second phase) according to trainees , butition, reported 2 cases of note: th

21、e number of prescribed diseases and can be adjusted depending on location and the hospitalof pulmonary perfusion Imaging prepare, collect and report 2 cases of cerebral blood flow perfusion image preparation, acquis cases s static myocardial explicit like prepared , Collection, reporting 2 cancer FD

22、G Imaging preparation, acquisition, reported 5d, and collection, and report 5 times 5 times 10 times 5 cases bone explicit like prepared, and collection, and report 5 caserepareipate in body outside analysis experiment (best put from) in Guide Xia participate in SPECT operation thyroid explicit like

23、 pney figure) determination and the report writing 5 times participation 131I treatment hyperthyroidism calculation dose particn (kidaching drug operation 5 times shows trace agent of Mark 5 times 131I sucking iodine rate determination 5 times kidney functiosease/operation name cases (times) number

24、(?) actual demonstrates Ray protection principles 5 times radionuclide generator lecomplete schedule 3 to the technical operation and the writing of the report. Basic skills requirements: diprocedures and outineo the field of medical imaging and clinical clear medicalimaging in the clinical diagnosi

25、s value and limit. Understand the ration.1. training objective: (1) expand the scope of medical imaging society of knowledge, familiar with knowledge related trot 137( 注册机关意见 (由注册机关填写 ) 准予变更注册 ? 不准予变更注册 ? 不准予变更注册理由 : 注册机关盖章 填写日期 年 月 日nd trae total number and number of disease should not be reduced.

26、(B) the 13th to 24th month (second phase) according to trainees aeported 2 cases of note: the number of prescribed diseases and can be adjusted depending on location and the hospital, but thon, rpulmonary perfusion Imaging prepare, collect and report 2 cases of cerebral blood flow perfusion image pr

27、eparation, acquisiti myocardial explicit like prepared , Collection, reporting 2 cancer FDG Imaging preparation, acquisition, reported 5 cases oftatic and collection, and report 5 times 5 times 10 times 5 cases bone explicit like prepared, and collection, and report 5 cases sbody outside analysis experiment (best put from) in Guide Xia participate in SPECT operation thyroid explici