Certification of the work of the senior meter to the hospital. Indicator of the health of the child population. Organizational structure of the treatment room
exam with qualifications assigned _______________ categories for the specialty... __________________________________________________________________ (specialty name) _______________________ (applicant's signature) _______________________ (completion date) categories , with the term dії Visnovok about vіdpovіdnіst...
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The call of a pediatric nurse
ZRAZOK STVERJUU Head doctor Name of medical facility _________________ ПІБ Sound about vikonan robot for _________ rіk... medical nurses dіlnichnoї pediatric ІB MUZ "Mіska dityacha poliklinіka №" Methodological recommendations According to the design zvitu about the selection of activity for certification for graduation category All attestation material can be found in a familiar look like Times New Roman font...
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svіt fate therapist nurses
two uses: light and electricity. Є 7 cabinets. Cabinets are provided with cold running water, sewerage. Illumination of nature... piece. Plumbing station is overdone. Three staff members at the office: nurse dilnichna therapeutic that nurse. At the office, the necessary disinfection for the maintenance of the sanitary and epidemiological regime in the office of medicine for the first day medical assistance. Scoring position 1. Tsya posadova іnstruktsіya vyznaє ...
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call of an operating nurse for a category
operating room nurses . 1985 year passed the specialization "operational nurses ”, skin five rokiv I pass the course ... upgraded, stay in 2009 roci, May certificate “operation on the right” in 2009, may get qualification category , I am a member of the Association of Nurses since 2005. I work at the clinic nurse operating block 2 on top, where to undergo surgical operations. The work in the operating room is not included in the other components of the liquor process. The role of the operating room nurses off-key...
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A story about the work of a procedural nurse
Sound about the procedural work nurses Sound M / C treatment room of the in-patient department of the GURKVS... Chidanovoi S.A. The republic has one Republican shkirno-venereology dispensary with a hospital for 75 beds, including ADP for 15 beds and a polyclinic. Dispensary for stowing at two shacks. Shkirno-venereologic dispensary with a single likuval-diagnostic and advisory facility with specialized medical assistance. Dispensary...
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zvіt physiot nurses copy
clearly plan your work. 5. Structure of activity nurses The main divisions of the work nurses :... Organizational activities of the business nurses Preventive type of activity nurses Likuval-diagnostic type of activity nurses Anti-epidemic type of activity nurses 1. Twice on the rivers in the territory that are served, I conduct a census of the population ...
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nursery nurse call
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call of a hematologist nurse
Alieva Asiyat A. graduated from the Dagestan Basic Medical College near the Makhachkala metropolitan area for the specialty “Likuvalna on the right” in 2002. On November 13, 2002, the rock was practiced ... nurse public office of the polyclinic. From 01.02.2002 the fate was transferred nurse hematologist of the polyclinic, de and dosi practice. Passed the qualification in SBEI SPO SMR m. Makhachkala for the specialty "Sister on the Right" in 2014. I took the certificate. Polyclinic with a structural subdivision with specialized medical assistance.
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sound
practice doctors with a vishcho category . The heads of the centers are candidates of sciences. Also, the polyclinic has its own department of professors. L.A. Dulkina and N.S. Baldino. At the polyclinic, the middle medical staff should be 46 doctors, 5 medical registrars. The best medical sister can remember the experience of working for five years and more years. Vishchu category Mayut 10 nurses. First qualification category Mayut 18 nurses. Which fate was confirmed category 8 nurses...
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Sound for 2012
ZVIT about the work of the Samara regional public organization of nurses for 2012 rіk. SAMARA 2012 Shanov's colleagues! 2012 is over. 17 years of work of the Samara Regional Community Organization of Medical Nurses (SROOMS) became the fates of the formation, formation of this important organization, promotion of its role in development, informing the nursing staff of the Samara region about that hugeness
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zvit patr
I, Bairambekova Sakinat Pashaivna, graduated from the Derbent Medical School in 1987 and got the specialty of a paramedic. After the end... schools, 1987 rock pratsyuvala timchasovo nurse dilnicheskoi likarni of the village of Rubas. Since 1992, she practiced patronage nurse for 0.5 of the rate of the paramedical station in the village of Komuna. My working day starts at 8:00. I am preparing tools, sterilizing spatulas, preparing a magazine for receiving children, writing history ...
1630 Words | 7 Store
Zvіt about the work head nurse
NATIONAL LAST UNIVERSITY, Faculty of Higher Nursing Education. Sound For knowledgeable managerial practice ... Student _______________________ group ______ course 5 Place of internship: ______________________________________ Terms of internship in this LPZ: from “ ” ____________ 2012 to “ ” ___________ 2012. IN sound ___________ sides, _________ illustrations. Sound slav ____________________________________ Book of practice at the university ______________________________ ...
1574 Words | 7 Store
Sound of Khabibullin E
Elviri Abdurakhmanivni m. Bugulma 2010 STERJUUUUUUUUUUUUUUUUUUUUUUU... likarni MBUZ "Bugulminskaya TsRL" ______________ L.S. Ramazanova "______" _______________2010r. Sound about the work of the Senior Medical Nurse of the Newborn and Premature Children of the Child Medical Center of the MBUZ "Bugulminskaya TsRL" Khabibullina Elvira Abdurakhmanivna for 2009
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WRITE CALL FOR ATESTATION
WRITING ZVIT FOR ATESTATION Certification is a serious stage in the life of a skin medical practitioner. Is it possible to demonstrate your ... qualifications and certification, change your status among the team and receive supplements to the salary. However, the certification procedure often results in an ambiguous reaction in nurses, which is often accompanied by fear. The first stone to fall on the path is assigned to the reserved category of the need to write sound . Expanses of the Internet are cleared up with scum, beasts ...
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FGP 5 Physiotherapy category
K. "___" _____________________ 2011 r ZVIT nurses Physiotherapy department of the DSV No. 5 Family Medicine Center of Aravanskogo... district Urmanovo Sukhsurai Kholiivni For 2008 r 2009 r 2010 I have been practicing in the protection of health 21 years, of which a group of family doctors No. 5 have been practicing since 1993, I started practicing nurse services for planning sіm'ї іsonіalnogo patronage at the FGP im. Nur Abad, then at FGP No. 5 of the Aravan Family Medicine Center. Stay 6 years of practice nurse physiotherapy at FGP No. 5. Behind the plantations...
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self-report of head nurse
ward nurse cardiological department. Zhovtnya 1976 until the fierce 1983 p .... nurse neurological examination. 3rd fierce 1983 before birch 1984 procedural nurse Infectious Diseases 3rd Quarter, 1984 until sichnya 1995 nurse Izmail boarding school. November 12, 2007 passed the certification of a medical nurse. At the spring of 2008 nurses physiotherapy room. From 2008 to 2009 nurse the school's physical office...
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Senior Nurse Practice Student
Y. Litvinenko, m. Novoaltaysk "- ce rich profile likuval-preventive mortgage, which ensures the qualifications of stationary t... outpatient and polyclinic services to the population. Medical assistance is hoped for by everyone categories hulks. Stationary service includes a hospital for 474 beds, a day hospital for 86 beds: | No. | Name of service | Kіlkіst lіzhok | |1 ...
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Attestation call of a long-term nurse
Municipal institution for the protection of health "Children's hospital" Ivanova Inna Ivanivna dilnichna nurse I... polyclinic certificate Confirmation of the I qualification categories for the specialty "Nursing on the Right at Pediatrics" Bratsk 2008 Ivanov_______________ A note about the professional activity of a long-term medical nurse of the 1st polyclinic department of the MUSIC "Child...
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A note about the professional activity of an operating nurse
qualification categories it is necessary to submit the following documents: - Title page - Application ... - Attestation sheet signed by the head doctor and head doctor nurses , assurances with an official seal - Sound about the work for 3 years, signing attestovanim, zast. head doctor nurse's note, head nurse and install the assurances with the stamp and stamp on the title page - Scheme zvitu scattered on...
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certification work of a family nurse
Simferopol 2017 Review of the attestation sound for the period 2014-2016 Medical sisters of global practice - family medicine GBUZ RK. "Simferopol Polyclinic No. 3" sound reported to the work of the medical sister of the Department of Healthcare of the Republic of Kazakhstan "Simferopol Polyclinic No. 3" LPO No. 2 of the Clinic No. 117 of the Children's Healthcare Institution of the Republic of Kazakhstan "Simferopol Polyclinic No. 3" Sound vindicate the manifestations of vimog, avenge...
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Attestation robot senior nurse inpatient
The cardiological department of the hospital is located on the third version of a typical 5-surface building and is used to treat ailments with any nosological form of ailment. the cardiovascular system. Supervisor of the department: Mekertichova Irina Volodymyrivna - the doctor of the most categories from cardiology, first from ultrasound diagnostics. The main tasks that are imposed on the employees: the security of the highly qualified population specialized assistance; - nadannya pershoї and nevidkladnoi help sick; ...
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ward nurse
Introduction……………………………………………………………………..2 - 4 1. Short introduction about the author………………………………… ….…………..…..2 install……………………………........2 3. short description structural unit.……….…...……3 - 4 II. The main part of the attestation zvitu …………………………….…..5 - 10 1. Characteristics of the contingent of patients……………………………….…...5 ………………………………………….5 3. Yakіsnі and kіlkіsnі indicators of work for the winter period………………………………………………………. ………………………8 4. Prevention...
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qualification of the robot for the category
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Sound in practice
"Kutochok for the sake of nurses." To the point of food, which the nurses are vibrating with, lie down: the execution of the main orders and the methodical instructions of the case ... sanitary regime, appearance and safety of medical care, alcohol, cross-checking with with the sound about their results. One of the forms of congregational work with nurses is dedication to the profession, competitions of professional skill sometimes. (Salnikova O.A., 2003; Alekseva G.M., Kheifets A.S., 2003, etc.). Іstotim...
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Call for the category of ward nurse
hygienic service for the physically weakened and seriously ill (washing, yearning, thin); Care by the work of young medical staff that... control over their compliance with the rules of the internal labor order; without dressing nurses : - preparation of blistering, bandaging material, instruments before sterilization; - zdijsnennya under the control of the doctor of dressing the sick with the rules of asepsis and antisepsis; - take the fate of those who put on gypsum bandages with dotrimanns ...
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Call of the Medical Nurse Ultrasound
Stverdzhuyu: Head physician of the MUSIC Chervonosolsk CRL... L.S.Galiyeva Date ZVIT Yulbarisova Svitlana Yuryivna Zaimana Posada Medical Sister Misce Robot and Ultrasound Diagnostics Room of the Krasnoysolsk Central District Hospital for the rest of the year.
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Certification sound
BASIC DEVELOPMENTS AND APPLIED SCHEMES ZVITU I. Introduction 1.1. Vіdomosti about the author zvitu . Describe your labor path, ... acknowledgment of the achievement of a robot, reconsideration of diplomas, certificates and certificates of graduation from the courses of advanced qualifications. 1.2. Description of the base: LPZ, in a way that works well, that structural support (roztashuvannya, occupied area, possession, recruitment, area for one sick person). The main task of the division, the second structural subdivision. ...
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A note about the professional activity of the surgical nurse of the Studmed trauma care department
24.11.2016 Sound about the professional activity of the surgical nurse of the trauma care department Studmed.ru Know Sound about the professional activity of the surgical nurse of the traumatology department nurses to the Czech Republic In 6 months. you will be guaranteed to work for the specialty. We recruit 30 people. Go to gostudy.cz 04/14/2011 at 02:07 pm 554 Kb doc 34 times...
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Nurse Robot Procedure
the population to promote a healthy way of life, and the need for vaccination. 3. Accurately check your functional bindings and wisps. regulatory orders. 4. Expand your theoretical knowledge in the advanced courses. Sound M / C treatment room inpatient care GURKVS Chidanova S.A. The republic has one Republican shkirno-venereology dispensary with a hospital for 75 beds, including ADP for 15 beds and a polyclinic. Dispensary of dispensing...
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CERTIFICATION ROBOT OF A NURSE FOR MASSAGE MUSES "KALUZKA MISKA LIKARNYA No. 4" KHAUSTOVOY NADIA IVANIVNI
CERTIFICATION ROBOT NURSES FOR MASSAGE MUSES "MISSKA LICARNYA № 4" NADII IVANIVNI 2009 RIK... I, Nadiya Ivanivna, entered the basic medical school and was trained for specialty nurses 2000r. In 2000, it was accepted to the MUSIC "Miska likarnya No. 4" for the landing nurses for massage, de y dosi practice. In 2004, roci took off a friend category . MUZ "Miska likarnya No. 4" consists of a number of buildings: therapeutic ...
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My certification work for the 2nd category
ota stverdzhuyu ZVIT about the work for 2010-2011 the roles of the medical sister in the office of the otorhinolaryngologist for the assignment of a qualification ... categories behind fah SISTER'S RIGHT Zmist №p/n | Name | Storinka | 1. | Virobnichiy way and professional development | 3 | 2. | Zagalna characteristic polyclinics and services | 3-4 | | 3.4. | My work in the office of an otorhinolaryngologist 5-88-10...
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A note about the work of an operating room nurse in an operating unit
B.G. Basmanov... "___19__" __ spring ____________ 2011 ZVIT ABOUT OPERATING ROBOT NURSES OF THE OPERATIONAL UNIT for 2010 zvitu 1. Zagalni vіdomostі…………….…………………………………………. 2. Characteristics of the indulgence ………………………………………..…... 3. Characteristics of the strict regime zone and the sterile zone ………...
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ready to call a long-term nurse at an older clinic for the highest category for 2014
I.P. Pavlov Chuv as a scientist-clinicist S.P. Botkin's knowledge of the fact that some of the recipes themselves, perhaps, appeared in similar ways ... the stench of the undead th robbed "miracles in the hands of the teacher." In this manner, the need of today zvitu enchanted with the exercises of a good analysis of work, as well as with a wide obsession in the share of the sick, with the exercises of a thorough successful rejoicing. 1. Short biographical data I, Dzhedzheya Maria Valerievna, ...
I. Brief description of the job.
The child of polyclinic No. 2 was planted in a typical cellar life near the microdistrict. Insured for 200 credits per change. On the territory of service there are 6 preschool mortgages, 4 secondary schools. The service area is represented by a microdistrict and two households, which include the private sector.
The work of the polyclinic is organized according to the five-day working period from 8 to 18 years. Weekly calls are accepted until 12 noon for a long-term pediatrician, from 12 to 17 years old a weekly service for a caregiver’s doctor, from 18 to 8 years old a wound of a doctor for help. Two days a day at the clinic are spent for preventive examinations. Secondly - the reception of unorganized children, like standing on a dispensary appearance. Thursday is the reception of children of the first fate of life.
The polyclinic works in close contact with the children's hospital, women's consultations, gentle care, assistance and the center of the State Sanitary and Epidemiological Service. The polyclinic has 28 cabinets; Of these, 7 are occupied by medical doctors and sisters, 5 rooms - by higher education institutions: neurologist, oculist, ENT, surgeon, dentist. Other offices are occupied by additional services.
The polyclinic serves the child of the population up to 15 years of age, then the care for the children is transferred to the child's office.
The treatment room of the checkouts is on a different version of the polyclinic. The area of the office complies with the norms.
The treatment room and the split cabinet have:
1. Instrumental tables for preparing and carrying out procedures;
2. Couch;
3. Refrigerator for storing vaccines;
4. Safe for saving medicines;
6. Style for a medical sister;
7. Bactericidal disinfectants OBN-150;
8. Sinks;
9. Bixi with sterile materials;
10. Containers for des. rozchinіv.
II. Obsyag vikonuvanoї roboti.
Posadova instruction honey. treatment room nurses:
I. Gale positions
1. To professional activity like honey. Nurses of the treatment room are admitted to a medical nurse with at least three years of experience working in a hospital, if they have a qualification category, a certificate for the specialty "Nursing on the Right in Pediatrics" and training in the workplace.
2. Appointment of that kind of honey. the sisters of the treatment room are assigned as the head doctor for the duties of the head. vіddіlennyam, senior honey. the sister was given for the weather with the head honey. nurse's sister.
3. Honey. the sister of the treatment room is at the direct order of the polyclinic manager and the senior medical officer. sisters.
II. Footwear
1. Organization of work in accordance with the instructions, the work schedule.
2. Organization of the treatment room is up to standard.
3. Dotrimannya vymog, yakі preyavlyayutsya markuvannya obtіv medical recognition.
4. Reading and keeping proper medical records. In due time, the announcement of the victorious manipulations for the month, pіvrichchya, rіk.
5. Preparing the office for work.
6. Volodinnya has thoroughly completed the methods of carrying out preventive, curative, diagnostic, sanitary and hygienic procedures, manipulations, and everyday, daily vikonannya.
7. Suvore dotrimannya technology of blood sampling for all types of laboratory investigations.
8. Timely and correctly transporting the material to laboratory approval.
9. Promptly informing the doctor:
about the aggravation of the conduct of manipulations;
about the patient's case how well the manipulations were carried out.
10. Ensuring the availability and completeness of the first-aid kit for the provision of indispensable assistance, the provision of indispensable dokarskaya assistance.
11. Carrying out the control of the sterility of the removed material and medical instruments, the determination of the terms for the selection of sterile samples.
12. Regularly and regularly passing honey. I look around, I have been exposed to RW, HbSAg, VIL - infection, carrier of pathogenic staphylococcus aureus.
13. Ensuring good order and sanitary facilities for the treatment room.
14. It’s time for a copy of that otrimannya from the elder honey. sisters of the necessary robotic medicines, instruments, systems, dressing material, alcohol, honey. tools, objects of honey. recognition.
15. Taking care of the correct appearance, taking care of the choice of medicines, alcohol, dressing material, honey. tools, objects of honey. recognition.
16. Conducting a dignity. enlightenment of work for the improvement of health and prevention of illness, propaganda healthy way life.
17. Constant advancement of professional knowledge, reduce that skill. Timely passage is improved.
III. The rights
1. Withdrawal of the necessary information for the accurate fitting of professional shoes.
2. Introduction of proposals for ceramics to thoroughly work and honey. the sisters of the treatment room and the nursing organization at the likarni.
3. Vymogi vіd senior m/s timely provision with the necessary robotic medicines, honey. tools, forms.
4. Vymoga vіd senior m/s timely provision of dressing material, syringes.
5. Vymoga, like the sister-master, timely provision of the necessary soft and hard equipment, disinfectant, miyuchy and miyuchimy tools.
6. Advancement of one's qualifications in accordance with the established procedure, passing attestation, re-attestation with the method of obtaining a qualification category.
7. Destiny suspіlnogo life vіddіlennya that likarnі.
8. Participation in the work of professional medical associations.
IV. Vidpovidalnist
The medical sister of the treatment room for the nonconformity of her professional obov'yazkiv, the appearance, the collection of that vikoristannya medicaments carried the evidence, passed by the official legislation.
Documentation of the treatment room and the splitting room
1. Covering a quartz cabinet.
2. Zoshit general cleaning
3. Covers the appearance of azopiram and phenolphthalein samples.
4. Journal for the control of sterilization of instruments and soft inventory.
5. Journal assigned to the treatment room.
6. Protects the appearance of internal blood sampling on biochemical analysis, HbSAg, Rh blood group.
7. Covers the appearance of internal blood sampling on RW.
8. Tests the appearance of internal blood sampling for VIL-infection.
9. Check the temperature control of the refrigerator.
10. Journal of the appearance of prof. chips: ADSM, ADS, AKD, kіr, mumps, rubella, poliomyelitis.
11. Journal of the appearance of hepatitis vaccination.
12. Journal of the shape of Mantoux's reactions.
13. Journal of the appearance of BCG.
14. Protects the appearance of gamma globulin against tick-borne encephalitis.
15. Protects the appearance of human gamma globulin.
16. Protects the appearance of vaccinations against tick-borne encephalitis.
17. Protects the appearance of AS-anatoxin.
Medicines
In a child polyclinic of a robot with medicines, their appearance, savings and vitrata are required in accordance with the instructions and instructions of the Ministry of Health of the RRFSR.
1. Order No. 328 dated 23.08.99 "Subject - calculus appearance in likuvalno-prophylactic institutions".
2. Order No. 681 dated 06/30/98 "Transfer of medicines that give a subject-kilkisny appearance in the LPZ".
3. Order No. 330 dated 11/12/97 "Come in to improve your appearance, save, write down and cure drug addictions."
4. Order No. 155/23 dated May 19, 1999 in Novosibirsk, Health Protection Department, Pharmaceutical Department "On the procedure for the withdrawal, collection, appearance, admission of drug charges, included to list 2 and list 3 of the transfer of drugs, psychotropic drugs, їх precursors that are subject to control by the Russian Federation".
5. Order No. 523 dated 06/03/68 "On the rules for saving medication."
6. Order No. 245 dated 30.08.94 "On the appearance, saving and vitraty of ethyl alcohol."
7. Order No. 377 dated 1997 "On the rules for saving medication."
All medicines are divided into three groups: "A", "B" and "Zagalniy list". According to the method of stosuvannya medicines are subdivided into: parenteral, internal and external.
Up to group "A" one can see narcotic and poisonous diseases, as they are saved from senior honey. sisters in a metal safe under the lock and shoot them to the ground. On the back wall of the safe there is a white letter "A" written on black aphids and the word "VENENA" in black letters on white aphids. On the left side of the safe was written "narcotic drug use", on the right side of the safe - "otruyni". On the inner wall of the door of the safe, there were narcotic and poisonous drugs, their other additions and single doses.
45 names of narcotic drugs stand on the substantive aspect of the cycle, while the same list has 9 names of psychotropic drugs. I of that 54 names - list No. 2. On the subject of the kіlkisny appearance, stand against the rubble of the list No. 2 - 56 names. Clinical vicorista have atropine sulfate. On the subject of the kіlkіsny appearance to stand as a precursor of the list No. 4, in total 26 names. Strongly toxic drugs stand on the object-specific appearance - list No. 1 - 94 names are included up to the new one.
All strong insects are brought up to group "B", are kept in wardrobes with markings that flash: on the back wall of the red letter "B" on white aphids and the word "HEROICA" black on white aphids. To the list "B" lie 14 groups of medicines, which are assigned to the mechanism of action:
1. Antibiotics
2. Sulfanamide
3. Preparations of foxgloves
4. Analgesics
5. Antispasmodics
6. Hypotensive
7. Sedatives
8. Snodijny
9. Hormonal
10. Sechogіnі
11. Antisudomain
12. Prothiarrhythmia
13. CNS stimulant
14. Vibrant dyshal center.
At the wardrobes, they are rotting behind the mechanism of diy, zastosuvannya. Vnutrishnі zasobi okremo vіd parenteral.
On the subject of the kіlkіsmu podruzhzhyu stand psychotropic zasobi zі list No. 3 - 16 names.
Medicines of the "high list" are taken from wardrobes from the middle of the writing: on white and black letters "high list". Parenteral drugs are protected from both internal and external drug use by the mechanism of action.
On the basis of order No. 523, the medicines are sent in their original packaging, with clear names, a series and a term of applicability. Reseed, transfuse, reglue, transfer from one package to the next fence. Farbuyuchi, odorous and borrowing medical care are saved only one kind of one. Medicines, which are supposed to protect against the light, are taken from the container from the dark warehouse. Disinfection measures are taken care of only in the form of medicines in all groups.
Dressing zasobi, gum powders, medical instruments are taken care of. Biopreparations, serums, ointments, ATP, vaccines, candles and enzymes are stored in the refrigerator at a temperature of +2 to +8 degrees Celsius.
Substantially, the alcohol is used in the form of alcohol, which is insured by the elder honey. sisters. At the office, alcohol is seen to be more procedural honey. sisters and write in zoshit for the withdrawal of alcohol.
For emergency assistance in the office and special packing for emergency assistance in case of emergency camps:
1. Cardiovascular insufficiency
2. Sudominal syndrome
3. Anaphylactic shock
4. Hyperthermic syndrome.
Obsyag vikonuvanih robot at the treatment room.
At the treatment room, I work with fluff, internal language and internal fluency. Procedures are prescribed either by professional pediatricians or by narrow physicians. After the injection is made, a record of the manipulation is made in the sheet recognized by the procedural journal.
At the treatment room at a special day, an internal blood sampling is carried out for the follow-up: RW, VIL-infection, HbSAg, RNGA, immunity stress, blood type, Rh factor and biochemical analysis.
During the period of work in the treatment room in 2001, the following changes were made:
1. Intra-linguistic languages - 406
2. Pidshkirnі іn'єktsії - 314
3. Internal strumine injections - 325.
There were also increased internal blood samplings:
2. For HIV infection - 6
3. At RNDA - 24
4. On HbSAg - 4
5. For blood type and Rh factor - 25
6. For biochemical analysis - 68.
splintering
The chipping is carried out according to the plan, we store it on the river, which is the firm manager of the clinic.
Establish documents that regulate vaccine prevention:
1. federal law No. 157 in 1998 "About immunoprophylaxis of infectious diseases".
2. Order No. 229 dated 06.2001. All preventive splitting is planned strictly according to the national calendar preventive chips, control over vikonannyam splintering and their own formalization of medical inputs is carried out by the immunologist and practitioners of the State Sanitary and Epidemiological Service.
Chip calendar.
4-7 days V BCG (M)
3 months V1 DTP + V1 piv-t.
4.5 min. V2 DTP + V2 piv-t.
6 months V3 DTP + V3 piv-t.
1 river V bark, V mumps, V rubella.
18 min. R1 DPT+R1pos.
20 min. R2 sublog-t.
6 rocks R bark, R mumps, R rubella
7 years R1 BCG+R2 ADSM
13 years of V rubella (girls), V hepatitis (previously not split)
14 years R2 BCG, R3 ADSM, R3 semi-t.
Viral hepatitis B:
1 scheme - doba-1mіs. -6 min.
2 scheme - 4 min. - 5 min. - 1 river
Mantoux reaction
Hepatitis and poliomyelitis are usually combined with BCG, do not do anything (interval 2 min.). Hepatitis up to 3 months. with bypasses, followed by three for another scheme.
For the presence of the BCG hem
BCG is repeated after two rocks, for two negative Mantoux.
Up to 2 months BCG without Mantoux.
Intervals:
Between live vaccines, the interval is 1 month, everything is taken care of.
V1 hepatitis – V2 hepatitis = 1 ms.
V2 hepatitis – V3 hepatitis = 5 m/s.
DTP + piv-t for 10 days.
V3 – R1 – R2 piv-t = 6 m/s.
V3 - R1 DPT = 1 rec.
R1 - R2 DPT = 4 rocks.
V - R measles (mumps, rubella) = min. 6 months
For 2001, the following number of chips were carried out at the pinch cabinet:
DTP vaccine complex:
3 months V1-279
4.5 min. V2-279
6 months V3-279
Usyogo: 837.
Poliomyelitis vaccine complex
3 months V1-288
4.5 min. V2-288
6 months V3-288
Usogo: 864.
Vaccination complex for hepatitis:
Usyogo: 603.
4.5 min. V2 ADS - 1
4.5 min. V2 ADSM - 2
18 min. R1 DTP - 247
18 min. R1 ADS - 2
18 min. R1 ADSM - 3
7 years R2 ADSM -244
14 years R3 ADM - 8
18 min. Sublog R1 - 28
20 min. R2 sublog - 18
14 years R3 sublog - 20
1 river V bark - 264
6 rocks R bark - 253
1 river V mumps - 242
6 years R mumps - 239
1 river V rubella - 369
6 years R rubella - 1
R Mantoux - 5242
2 months V BCG - 12
7 years R BCG - 48
Gamma globulin human - 11
Gamma-globulin anti-acne - 48
TOTAL: 9457
III. The system of infection control, infection safety of patients and medical personnel.
The skin healing deposit has an infection control system, which is regulated by orders.
1. Order No. 288 dated March 23, 1976 to the date of the Ministry of Health of the Soviet Socialist Republic "Sanitary anti-epidemic regime".
2. Order No. 770 dated 05/10/75 of the Ministry of Health of the SRSR "Galuzevy standard 42-21-2-85 on disinfection, pre-sterilization processing and sterilization of medical instruments".
3. Order No. 408 dated 07/12/89 of the Ministry of Health of the SRSR "On prevention viral hepatitis".
4. Order No. 215 of the Ministry of Health of the RRFSR dated 14.07.78 "Come in for a plethora of organization and promotion of specialized medical care for purulent surgical disease."
5. Order No. 342 of the Ministry of Health of the Russian Federation dated 1998 "Prevention of pediculosis and typhoid fever".
6. Order No. 170 of the Ministry of Health of the Russian Federation dated 1994. "Prevention of VIL-іnfektsіy".
The system of infection control includes a complex of sanitary and epidemiological approaches, which are supposed to overcome the vindication and the spread of internal infection. For the prevention of infection of ailments and medical personnel, in the procedural and split cabinets, the sanitary anti-epidemic regime is strictly enforced and the rules of asepsis and antisepsis are strictly enforced.
Asepsis - a complex of approaches, directing to prevent the entry of microorganisms at the wound during the first hour of operations, diagnostic and cuval manipulations.
Antiseptics - a complex of direct calls to the environment and the infection that has been ingested into the wound.
Іsnuyut:
1. Mechanical method. This is the first surgical treatment of the edges and the bottom of the wound, washing.
2. Physical method- wound drainage.
3. Chemical method - infusion of water peroxide, bacteriostatic preparations.
4. Biological method - injection of sirovatok, vaccines, enzymes and antibiotics.
Hand trim.
1. Hands miyutsya dvorazovyh namylyuvannya, resolutely rinsed with warm water and rubbed dry with a clean towel or a servlet.
2. Hands are disinfected with 70% ethyl alcohol.
3. Hands are treated with skin antiseptics: 0.5% alcohol solution of chlorhexidine digluconate or dekosept PLUS (dekosept - spray).
Hand wrapping technique
Hands are rubbed with a servlet soaked in alcohol or chlorhexidine (for the skin hand, its own servlet) from the fingertips to the elbow to the middle of the front. The nail beds are rubbed especially resolutely, between the fingers and the base of the thumb. The skin hand is shaped by stretching one stroke. Hands hang without being worn, and mittens are dressed on dry hands.
Processing of tools
After selecting the instrument, there are three stages of processing:
1. Disinfection
2. Pre-sterilization processing
3. Sterilization
Disinfection.
This is a complex of approaches, directing to the downfall of pathogenic and mentally pathogenic disturbers.
Instruments for sterilization:
1. Instruments that contact blood.
2. Contacting with the mucous membrane, as a result of contact with which there may be microtrauma.
3. Instruments that are vikorated during refilling.
4. Instruments that are in contact with the line.
5. Instruments that come into contact with mother's milk.
6. Tools to make contact from the wound surface.
For disinfection, two methods are used:
1. Physical: boiling in distilled water 30 khvilin or boiling in 2% retail soda 15 khvilin.
2. Chemical - zanurennya іnstrumentіv in razіbrannogo vyglyadі in one z razchinіv, scho desіnfіkuyu, in the same way vikoristannya:
1. 6% water peroxide for 60 quills (pr. 408).
2. 4% water peroxide for 90 min. (Pr. 770).
3. 3% chloramine for 60 min. (Pr. 408).
4. 0.6% calcium neutral hypochlorite for 60 min. (Pr. 408).
5. 2.5% Veltolen for 60 min. (Disinf. + Pre-cleaning)
6. 3% vapusan for 60 min. (Disinf. + Pre-cleaning)
7. 3% bleach for 60 quilin.
8. 0.05% analysis of anolyte for 60 quilins.
9. 4% formalin distribution for 60 quills.
10. Washing with running water, with the coming boiling of washing waters 30 hvilin.
11. 1.5% powder powder "Lotus", boiling 15 khvilin (disinf. + pre-cleaning).
After disinfection, the instruments should be polished under running water for 1-2 times.
Before sterilization cleaning.
Indicated for the removal of fat, protein, mechanical obstruction and excess medical care.
1. Soaking when completely zanurenni in a mild variant.
1% septabik for 60 min. (Disinfection + Pre-prevention Cleaning);
2.5% Veltolen for 60 min. (Disinfection + Pre-prevention Cleaning);
3% vapusan for 60 min. (Disinfection + Pre-prevention Cleaning);
0.5% miyuchy powder powder "Lotus", 0.5% powder peroxide water, t = 50 ° C, 15 min.
1.5% of powder "Lotus", boiled 15 min.
2.3% defect for 60 quills (disinfection + pre-cleaning);
2% of baking soda, boiling 15 quills (disinfection + pre-cleaning);
2. Then we will carry out a retelne mittya in a mild variety of yorges, shields, gauze flagella, mandrins, 0.5 quills per leather tool.
3. Let's sweat it with running water after a gentle care:
"Biolot" 3 min.
"Progress" 5 min.
"Marichka" 5 min.
"Astra" 10 min.
"Aina" 10 min.
"Lotus" 10 min.
"Lotusautomat" 10 min.
4. Rinse with distilled water, 0.5 quills per skin tool, five times zanurennya.
5. Drying hot heat at t = 85 ° C in a dry heat cooker or at room temperature under a servlet until the moisture is fully developed.
Sterilization.
Ensures the death of vegetative and spore forms of microorganisms on the sterilized virobs. Їy pіdlyagayut usі sіrobi, scho susuyutsya wound surface, blood, mucus, medicinal preparations. Choose the method of sterilization to lie in the material from which the instrument was prepared.
Physical method of sterilization
Blood sampling at RW 13. Journal of blood sampling at VIL Journal of the quality of sterilization (zvertaemo respect for indicators of women's investment in women and their appearance). I practice for these magazines. Having received the treatment room from the nurse's medical sister, I wash my hands, prepare 3% of the chloramine powder, decontaminate in the marked container for the processing of syringes, tops, systems and bloody heads, mittens, wacky cotton ...
... (hospital, polyclinic, sanitary and epidemiological station and other foundations of health care). When tsimu vrakhovuyut the specifics of work with one specialty in various mortgages of health care. The normative-legal basis of attestation in the protection of health cannot be called perfect at the same time. Vіdpovіdno to the Order of the Ministry of Health of the Russian Federation on 18 July 2002. N 316 with the method of reduction to ...
Tetyana Vasilivna, graduated from obstetrics at the Sibay Medical School in the fierce year of 1972. Since 1972, she has been practicing procedural honey. sister in the Uchalinsky district. In 1977, she was admitted to the Sibai canopy house as a ward midwife, and in 1991, she was a practicing midwife in the canopy block of physiological care. 1985 passed the advanced qualification course at the Sibay Medical School. ...
Creation date: 2005 rіk
Attestation work of the senior nurse of the polyclinic department of the Leningrad Regional Clinical Medical Center
Karpunina T.A.
for 2004
m. St. Petersburg, 2005 рік
In our country, there were great political and social transformations, which marked the reform of the health care system. In new minds, inter-nursing practices have expanded and the nurse has been more refurbished. Crim for nursing care of patients at the given hour, the nurse is giving social support psychological assistance carry out work on the prevention of illness
I don't care about those that the settlement itself polyclinic nurse» A wealthy fate was an unprestigious and low-paid, suspіlny status zavzhd bv high and among the population, the profession was worthy of honor.
The reformation of health care and the transition to the current level of service to patients longed for the nurses of the polyclinic to have more professional training, both from the practical and from the theoretical side. First of all, professionalism lies in the background of the nurse herself, love for her profession, compassion for people.
I. Characteristics of the job site
Dіyalnіst polіklіnіchnogo vіddіlennya Lenіngradskoї oblasnoї klіnіchnoї lіkarnі (Dali polіklіnіki) spryamovana on nadannya visokokvalіfіkovanoї, vuzkospetsіalіzovanoї medichnoї Relief patsієntam, that Je by another Lanka (pіslya areas polіklіnіk) in zvernennі for Relief for meshkantsіv Lenіngradskoї oblastі.
The main tasks of the activity of the polyclinic are:
- Carrying out follow-up with the method of clarification of the diagnosis.
- Appointment of likuvannya chi yoga correction.
- Type of medical visnovkіv for the results of consultations and recommendations for more distant knowledge.
- Obstezhennya young people at a straight line from military commissariats.
- Hospitalization to specialized departments of the Leningrad Regional Clinical Hospital.
- Examination of timchasovoy incompetence of the working patient.
- Expert assessment of tactics and quality of care of patients at the early stages of medical care.
- Directly for patients to the clinic of the NDI balneology of the federal order.
The polyclinic is insured for 550 cases per day. I will provide medical assistance to fakhіvtsі z more than 40 specialties.
The planning of the number of budgets is determined by the improvement of the approved norms of promotion and will be determined by the Committee for the Protection of Health of the Leningrad Region. The need for admission is three times lower, lower at the most important regional polyclinics, but it is also wise to send them to us for consultation of folded patients, as well as diagnostics, and exaltation. The preference for doctors is covered individually for a skin specialist.
In honor of those patients who come from distant regions of the Leningrad region and spend a lot of time on the road, the operation mode of the clinic is set to one change from the 9th to the 15th year of the weekend. For patients who are unable to come to the office on a weekly basis due to other reasons, a working Saturday is organized (first Saturday of the month, Crimean summer months).
II. Registry work
A lot of meetings at the registry were carried out manually by the medical registrars. More filling of documents called out the priming of the drug at the address of the polyclinic. Making an appointment with fakhіvtsіv zdіysnyuvavsya by the patients themselves by phone, and dialing, especially for rural residents, was more difficult. As a result, the flow of patients is not equal to the length of the working day.
In 2003, the registry was computerized. On the back, blamed for a lot of difficulties, because The computer program "Avicenna" did not fit our needs, and it was necessary to adapt it to special minds. In addition, the shortage of personnel and the number of newcomers at work with a computer led to the creation of great circles among patients during registration outpatient card and the statistical ticket.
At the present time, 8 computers were installed at the reception desk, which opened the window for the previous appointment, the window for the practitioners of the regional institutions, which ensured the service of the patients at the hour of the execution of the documentation. For a skin patient, an outpatient card is created from the assigned computer number, which allows you to quickly know the address data. A request for an outpatient card is sent for an electronic number, which means that an hour will pass.
Previously, patients often came for a consultation without a doctor's referral to the area from the month of residence. ZimiLi's ZimiLi Social Committee is a healthy region of Boulo SPAY № 220 VID 23.07.2004 ROCA "PROGRESSED TO THE RIGHT OF THE PARTING CONTRIBUTION POLIVIVA TO LENІNGRADSKIA Regional Consultative Polikіnіki", and Tostok to the punctu ". Depending on the order, the outpatient medical card of the patient is issued only on the basis of a referral from the doctor to the area of residence, passport, insurance policy.
Narazi likuvalno-prophylactic mortgages of the Leningrad region write down their patients for admission to fakhivtsiv polyclinics by telefax. At the reception, faxes are obtained, tobto. the order of the name of the patient is the date of the appointment, and the data of the skin patient are entered to the data base of the computer. Dali a fax with confirmation of the appointment day to the receptionist likuvalny mortgage areas.
The "telefax" system, giving the opportunity to plan the work of the physicians of the polyclinic, evenly distributes consultations between doctors, looking at the patient's care for a date that is convenient for him.
Control over the work of nurses is the responsibility of the senior nurse of the registry. In view of її professіynyh and organizational zdіbnosti to lie all away from the work of the polyclinic. Rational placement of personnel and their training, skills of work on a computer and orientation in the robots of medical assistants to adapt to the smooth service of patients.
III. Direct activity of nurses
IN stay rocky the system of health protection has a very urgent staff supply, due to the failure of nurses, to improve the quality of service to patients. Navantage for nurses, who are left out, zbіshuєtsya, scho in their own chambers spriyaє їh vіlnennyu for vlasnym bazhannyam.
As can be seen from the table below, the staffing of our polyclinic with nurses should be 83%, and 70% with nurses.
Staff layout of the middle and young medical staff of the Leningrad Regional Consultative Polyclinic
Irrespective of lack wages that great ambition, the team of the middle and young medical staff of the polyclinic is practically stable. The middle age of nurses reaches 35 years.
Even better, the nurses began to turn to our lava, for example, in 2004, 3 nurses were in charge of the work before us, for some other reasons, there were interruptions in their medical experience. The stench independently, for their own good, studied at the advanced qualification courses and took away the certificate of a specialist.
The polyclinic nurse is responsible for her mother's high professional training and for being a full-time faculty member, leading the work in various specialized offices, in order to develop her own specifics and general manipulations.
Hiring nurses and nurses to work, we install a trial term, which not everyone sees. For example, the medical registrar promptly comes and learns to practice on the computer. Not everyone can go out, so many people are guided by such a work. In addition, the crime of computer knowledge, the mother of the novice needs to communicate with people.
The main help for the admission of practicing nurses is the value of the certificate. When I receive nurses, I, like a senior nurse, will conduct a test from her as a social and professional nutrition, for an hour I will also evaluate the manner of speaking and speaking. The senior nurse is obliged to know practically everything about the new nurse: social well-being (family life, who is the main source of income in the family, the ordering of life and the proximity to the work place), earlier practiced and for some reason called for a lot of work, why don’t you want to? practice with us at the clinic, as well as the riven of її professional training.
From my side, I tell about the mode of work of the polyclinic and її zavdannya, I tell about the obligations of the nurse of the polyclinic, I know from the equal salary, so that the food is not blamed.
As a senior nurse of a polyclinic department, I practice the entirety of the second half of the year and stumbled upon the low problems of nurses, as they succumb to professional qualities.
Too bad many nurses came to work. yak to hard labor”, Abi sits at his hour at the reception and drink home. There was no zatsіkavlenosti in professional growth, but there was daily knowledge of elementary speeches, for example, VIL-іnfektsіya is transmitted by some channels, such as disinfection and sterilization, who is Florence Nightingale then.
During complex rounds, the nurses had fear in their eyes, the stench could not show how good it was to feed their office, because they didn’t get the information about their work.
That was the reason for the reorganization of the nursing right at the clinic. The nursing care plan included the following items:
- creation for the sake of polyclinic nurses;
- distribution of the nomenclature of nurses' certificates;
- promotion of the qualifications of nurses (organization of the work of the primary-methodical cabinet, creation of an information board and etc.)
The “Regulations on the Council of Nurses of the Leningrad Regional Consultative Polyclinic” and its activity, approved by the intercessor of the head doctor from the polyclinic and later with the professional committee of the polyclinic, were circulated.
Vіdpovіdno to tsgogo polozheniya main goals for the sake of nurses є:
- development of nursing care;
- thorough organization of nursing practice;
- training for the senior nurse reserve;
- promotion of qualifications of nurses;
- improvement in the quality of service for patients.
All nursing personnel are divided into sectors depending on the profile of their work:
- Surgical sector
- Procedural sector
- Ophthalmic sector
- Obstetrics and gynecology sector
- Therapeutic sector
Kerіvniki sector lifting the senior nurse (for the versions of the Zodduvachku POL_KLINCHIE Vіddvachniam), hi-nib_lshchy dvіvіdnyhhhhhhhhhhhhhhhnyhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhroboti is not a meneshi rokіv at Dani Instali?
To the warehouse For the sake of nurses, a nurse from infection control and sector workers enter. For the sake of nurses, the head nurse of the polyclinic department.
Work For the sake of nurses, it is designed according to the plan, approved by the head of the polyclinic department of the regional clinical hospital. Meetings are held once a month. The minutes of the meeting are being kept, all the information about the activity is being reviewed for the sake of nurses.
The workers of the sector speak about vikonan robot for work at the meetings for the sake of nurses, and the head of For the sake of nurses calls about vikonan robot at the conference of nurses of the polyclinic.
Together with the ceramics of the sectors, the acts of bypassing the offices were divided. Acts of circumvention are required to have a nurse’s office in your office. Bypass zdіysnyuyutsya spilno s nurse s іnfektsіynoy kontrolniki chikerіvnami іnshih sektorіv. The results of complex detours are discussed and proposals are made regarding the reduction of activities.
Such bypasses give a positive injection to the core workers of the sectors, because zmushuyut їх to be engaged in self-illumination, tsіkavitsya with novelties from the sister's right, to that, first of all, to feed from someone, you need yourself to take this information.
2. Nomenclature of nurses' certificates
For us, the nomenclature of references for the senior nurse of the polyclinic department was formed.
In order to achieve the best results, that time of the skin divided the robots of the senior nurse from visions in the folders, so that they can make their own number for easier search for any document. Maintain a database of various work divisions:
- schedules for the appearance of the working hours of practitioners in polyclinics (CMI, Budget)
- report card for wages of specialists in polyclinics (HMI, Budget)
- advance payment requests
- appearance of financial assets
- Pharmacy information
- information about the possession of equipment (from the assigned inventory numbers, applications for decommissioning, card file of equipment and possession by office)
- information on medical records (P.І.B., date of birth, address of residence, why the clinic is working)
- information on how to advance the qualifications of nurses
- plan to work (senior nurse on the river, advanced qualifications of nurses, san.-epid. regimen, especially unsafe infections) thinly.
To improve the efficiency of the robotic vicorist computer. Working with a computer svіlnyaє vіd paper's routine, which saves an hour, makes it easier for the robot when folding the calls. All information should be entered by hand and її do not need to be copied manually.
The nomenclature of the nurse's certificates is laid out behind the folders:
- Folder with flow documentation:
- Landing instructions for the nurse's office according to the profile
- working punishments and instructions from the polyclinic department of the Leningrad Regional Clinical Medical Center
- punish and instructions on how to deal with faces
- Folder with instructions for san.-epid. mode:
- transcripts from the orders of the Ministry of Health of the san.-epid. regime
- methodical instructions and instructions from san.-epid. regime
- dosage table for the breeding of disinfectants
- instructions and annotations for disinfectants
Vіd correctly organіzovanіh minds pratsі to lay yakіst to help patients. The nurse is to blame for all the normative documents under her hand, and the office is to blame for equipping the necessary equipment, equipment, glassware.
3. Promotion of qualifications of nurses
With the method of promotion of the professional level of nurses at the polyclinic, conferences and seminars are held. From the new issues of the journal "Sisterska Prava" nurses work out additional articles from the most important articles and put them into practice in their professional practice. However, regular seminars and conferences cannot make a person feel like a professional. For whoever needs us, we need the nurse herself.
This is of great importance, as a senior nurse, I attach respect to the nutrition of psychology, with an emphasis on the prestige of our profession. Under the hour of nurses' training: “How can those conferences be included in the plan for advancing qualifications?” Bagato hto vіdpovіv "Psychology of communication with patients".
In connection with the fact that situations are blamed in the polyclinic, involving emergency situations of patients, nurses are responsible for the mother of the novice in emergency emergency assistance. Therefore, it was decided to carry out a theoretical and practical occupation with an indispensable help. On the practical occupation, vikoristovuyuchi mannequin, the skin nurse could describe the same skills like:
- carrying out piece ventilation of the leg (bear "Ambu", method "mouth to mouth", "mouth to nose");
- indirect heart massage;
- help in case of obstruction of the distal pathways (external body).
The second form of promotion of qualifications of nurses is the transfer of normative documents for promotion to schools for promotion of qualifications not less than 1 time for five years. Mastering the cycles of improvement helps nurses to pass certification (re-certification) for the given qualification category.
Attestation robot honey. treatment room nurses
I. Brief description of the job.
The child of polyclinic No. 2 was planted in a typical cellar life near the microdistrict. Insured for 200 credits per change. There are 6 preschool mortgages, 4 secondary schools on the service area. The service area is represented by a microdistrict and two households, which include the private sector.
The work of the polyclinic is organized according to the five-day working period from 8 to 18 years. Weekly calls are accepted until 12 noon for a long-term pediatrician, from 12 to 17 years old a weekly service for a caregiver’s doctor, from 18 to 8 years old a wound of a doctor for help. Two days a day at the clinic are spent for preventive examinations. Secondly - the reception of unorganized children, like standing on a dispensary appearance. Thursday is the reception of children of the first fate of life.
The polyclinic works in close contact with the children's hospital, women's consultations, gentle care, assistance and the center of the State Sanitary and Epidemiological Service. The polyclinic has 28 cabinets; Of these, 7 are occupied by medical doctors and sisters, 5 rooms - by higher education institutions: neurologist, oculist, ENT, surgeon, dentist. Other offices are occupied by additional services.
The polyclinic serves the child of the population up to 15 years of age, then the care for the children is transferred to the child's office.
The treatment room of the checkouts is on a different version of the polyclinic. The area of the office complies with the norms.
The treatment room and the split cabinet have:
1. Instrumental tables for preparing and carrying out procedures;
2. Couch;
3. Refrigerator for storing vaccines;
4. Safe for saving medicines;
6. Style for a medical sister;
7. Bactericidal disinfectants OBN-150;
8. Sinks;
9. Bixi with sterile materials;
10. Containers for des. rozchinіv.
II. Obsyag vikonuvanoї roboti.
Posadova instruction honey. treatment room nurses:
I. Gale positions
1. To professional activity like honey. Nurses of the treatment room are admitted to a medical nurse with at least three years of experience working in a hospital, if they have a qualification category, a certificate for the specialty "Nursing on the Right in Pediatrics" and training in the workplace.
2. Appointment of that kind of honey. the sisters of the treatment room are assigned as the head doctor for the duties of the head. vіddіlennyam, senior honey. the sister was given for the weather with the head honey. nurse's sister.
3. Honey. the sister of the treatment room is at the direct order of the polyclinic manager and the senior medical officer. sisters.
II. Footwear
1. Organization of work in accordance with the instructions, the work schedule.
2. Organization of the treatment room is up to standard.
3. Dotrimannya vymog, yakі preyavlyayutsya markuvannya obtіv medical recognition.
4. Reading and keeping proper medical records. In due time, the announcement of the victorious manipulations for the month, pіvrichchya, rіk.
5. Preparing the office for work.
6. Volodinnya has thoroughly completed the methods of carrying out preventive, curative, diagnostic, sanitary and hygienic procedures, manipulations, and everyday, daily vikonannya.
7. Suvore dotrimannya technology of blood sampling for all types of laboratory investigations.
8. Timely and correctly transporting the material to laboratory approval.
9. Promptly informing the doctor:
about the aggravation of the conduct of manipulations;
about the patient's case how well the manipulations were carried out.
10. Ensuring the availability and completeness of the first-aid kit for the provision of indispensable assistance, the provision of indispensable dokarskaya assistance.
11. Carrying out the control of the sterility of the removed material and medical instruments, the determination of the terms for the selection of sterile samples.
12. Regularly and regularly passing honey. I look around, I have been exposed to RW, HbSAg, VIL - infection, carrier of pathogenic staphylococcus aureus.
13. Ensuring good order and sanitary facilities for the treatment room.
14. It’s time for a copy of that otrimannya from the elder honey. sisters of the necessary robotic medicines, instruments, systems, dressing material, alcohol, honey. tools, objects of honey. recognition.
15. Taking care of the correct appearance, taking care of the choice of medicines, alcohol, dressing material, honey. tools, objects of honey. recognition.
16. Conducting a dignity. educate the workers on how to improve health and prevent disease, promote a healthy way of life.
17. Constant advancement of professional knowledge, reduce that skill. Timely passage is improved.
III. The rights
1. Withdrawal of the necessary information for the accurate fitting of professional shoes.
2. Introduction of proposals for ceramics to thoroughly work and honey. the sisters of the treatment room and the nursing organization at the likarni.
3. Vymogi vіd senior m/s timely provision with the necessary robotic medicines, honey. tools, forms.
4. Vymoga vіd senior m/s timely provision of dressing material, syringes.
5. Vymoga, like the sister-master, timely provision of the necessary soft and hard equipment, disinfectant, miyuchy and miyuchimy tools.
6. Advancement of one's qualifications in the established order, passing attestation, re-attestation with the method of assigning qualifications.
(Document)
n1.doc
stubbornCommander of the military unit 49529
Lieutenant colonel m / s B. Vdovenko
"___" leaf fall 2004
Attestation robot
Medical sister of the surgical department of the military unit 49529
Specialties sister on the right Bezginova Anni Oleksandrivna.
Komsomolsk-on-Amur-31
Zvіtu about the job for the specialty nurse on the right
Passport part
Material and technical equipment of the workplace
Scheme of historical indicators for the year 2003 of the Russian Federation in 2004
Normative acts and punishments that are victorious in robots
Visnovki how to work and proposition how to organize
Bezginova Ganna Oleksandrivna graduated from the Perm State Medical School No. 2 in 1995. Since 1997, as of today, I have been working at the Viysk hospital of the Viysk part 52015 as a ward nurse of the surgical department. On the territory of the military district 52015 there is a military hospital, military unit 49529.
The whole complex of likuvalno-prophylactic mortgages has been hand-picked. The territory of the LPZ is enclosed in the administrative-residential territory of the town with a fence. There are organized and functionally divided zones of buildings for infectious and non-infectious ailments, administrative and state life, polyclinics and garden and park area. Stay between the buildings and other days, you will ensure optimal washing of insolation, lightening and ventilation. To the territory and on the territory of the LPZ, there are manually driven pishohidnі and pіd'їznі ways with hard cover. It was transferred separately to the zones of the buildings for infectious and non-infectious ailments. In front of the main entrance to the health care facility, there is a maidanchik for timchasovoy parking for vehicles. For the collection of smіttya and pobutovyh vіdhodіv vlashtovanіv maidanchik with concrete pokrittami, containers, shchilno zakrivayutsya, and vіdvedennyam water for cleaning and disinfection.
Usa vіddіlennya that funktіonalіnі pіdrozdіli LPZ possess tidal ventilation, systems of cold and hot water supply, sewerage, mayut centralized water scorching. Reception, de postiyno perebuvayut ailments and personnel, for carrying out likuvalno-diagnostic procedures that corridors of ward sections may be naturally illuminated. Like a piece of lighting, vicorous fluorescent lamps of daylight, placed on steles and covered with roses.
The interior decorations are clearly visible to their functional purpose. In 2002, a major overhaul of the military hospital was carried out. At the same time in 2003, the spital was re-verified by representatives of the licensing and accreditation commission. The hospital has received a license from the Ministry of Health of the Khabarovsk Territory, which allows the implementation of medical activities under No. G879472, registration No. 02-3 / 000603 issued on 14.10.2003. The term dії licensії – 5 years.
In Zhovtni 2000, the hospital opened an office medical insurance. Fahіvtsі kabіnetu to conduct roz'yasnyuvalnu work among the meshkantsіv garrison about the order of nadannya bezkoshtovnoї medії ї podpomoga at the sovereign and municipal likuvalno-prophylactic establishments. The staff office includes a lawyer - a consultant, a doctor and an economist.
Priymalnye vіdіlennya rozmіshuєtsya at the main building of the military hospital. Vono maє okremiy vkhіd vіd'їzd for sanitary cars. The spacious entrance and wide doors allow you to manually transport the sick and the injured.
At vіddіlennі є:
observation room (to look around the sick, they turned back to the hospital);
sanitary checkpoint (for sanitary treatment of ailments);
comora (for a change of clothes, whites, slippers, inventory, clothes);
shower room;
toilet;
treatment room (for emergency help).
Some of the primary departments include a laboratory and an X-ray room.
On another version of the main body, there is a surgical and therapeutic extension. On the basis of a therapeutic decision, a neurological child of vіddіlennya.
Therapeutic, neurological that child is united in one post, on which qualified medical practitioners can help.
At the skin department there is a treatment room, an intern's room, a functional diagnostics room, a senior medical sister's room, a room for the treatment of sick people, a bath room, a manipulative room, wards for sick people, a disinfection room, toilets and utility rooms. The guards have a large and bright corridor with a hall; artistic literature, a living little piece. The corridor was covered with linoleum, the walls were covered with light farboi. The long corridor is filled with lamps of daylight. At the vіddіlennі the chergove visvіtlennia is possessed.
ІІ.
At the corridor, at the handy for the medical sister of the mist, її post. There is a steel on the work station, with a drawer that locks (to save the history of sickness, documentation, journals, blanks).
The post possesses a system of sound and light signalization, for communication with seriously ill people, as well as for communication. On the opposite side of the post, a stand was placed from the documentation of care, if you are sick, you can find out about the daily routine, the rules for the care of sick people, the evacuation plan at the hour after, the warehouse for the fire rozrahunka, the instructions for how to enter the safety.
At the nurse's quarters, there is documentation:
final documentation of the nurse's nurse;
journal of the appearance of training exercises with VMP;
magazine
a list of ailments by ward according to the assigned regimen and body temperature;
protipozhzhny rosrahunok;
magazine from combat readiness;
magazines on the appearance of drug addiction groups "A" and "B";
journal of robotic dry heat shafi;
magazine of the appearance of robots and bactericidal lamps;
Journal of the appearance of the working hour honey. the staff is responsible.
procedural a cabinet of equipment necessary for a qualified robotic procedural nurse: a couch, a working table, a sterile table, a wardrobe for storing medicines, supplies for internal infusions; a refrigerator, medical preparations are saved, a closet for emergency assistance, a device for the ECG, containers for processing medical tools; dry heat shafa bactericidal lamp.
There are wards for the ill and the ill at the ward. Most of the windows of the chambers look out on the pivdenniy skhid, so the chambers are light and warm. Fallow vіd profile in the chambers is roztashovuetsya vіd 2 to 5 osіb. The chambers are spacious, well ventilated, with wide door openings. The walls were covered with olive farboy of light green color, the lining was covered with linoleum. Chambers of possession:
beds with spring nets and prilizhkovy kilimki;
tables;
stіltsyami (for kіlkіstyu lizhok);
bedside tables;
wash basins;
mirror polishes;
thermometers (to control the temperature around the room);
system of an emergency call of the chergovoi medical sister, incandescent and individual lighting.
In the wards of the dvіchі on the doba, a vologer cleaning is carried out with additional disinfection (1% chloramine), airing (not less than 4 times on the doba), quartz bathing 30-60 quills.
STRUCTURE OF THE KYIK FUND
| № p/n | Profile (vіddіlennya) | Number of people | Number of flaming lizhok |
| 1 | Therapeutic | 1 | 14 |
| 2 | neurological | 1 | 3 |
| 3 | child | 1 | 4 |
| 4 | Surgery | 1 | 15 |
| 5 | Obstetrics and gynecology | 1 | 3 |
| 6 | infectious | 1 | 11 |
The bathroom has a bathroom with shower cabins. At least once for 7-10 days, as there is no counter-indication for illness, take a hygienic shower. They change the whiteness (the choice of the bloody whiteness in the case of the sick is put in a hermetically marked container).
At vіddіlennі є їdalnya. The correct organization of the jubilant eating for the sake of the successful lure of the sick. Їdalnya zabezpechena chilly that garjachego water, dvosektsіynimi miynimi vannimi, priєdnanimi to kanalіzatsії, spetsіalnimi sіtkami for sushіnnya dishes, shafami for zberіgannya dinnerware that priladіv, table of gіgієnіchnim pokrittyam for rozdachі їzhі, mіkrohvilovoyu pіchchyu for pіdіgrіvu їzhі, tanks for zamochuvannya that miynimi that dezіnfіkuyuchimi locks, a wardrobe for the selection inventory, as well as an elevator for a lift from the kitchen.
After receiving a distant airing and carrying out a hygienic cleaning with additional dez.zabiv (1% of chloramines).
Pratsiyuyuchi post nurse, I vykonu vymogi "Initiate the medical care of the SA and the Navy," mandate No. 64 in 1989 to the year, deviated the functional binding of the nurse. I am following the order of the head of the department and that senior nurse, I bear the same responsibility for my time and correctly vikonnanny of medical appointments, the sanitary and protepidemichny camp, the old watch over the ailments, the control of the ailments.
I'm starting to accept the cherguvannya:
I revise the amount and savings of the mine (keys, state inventory, documentation and history of illness);
I am reviewing the sanitary standard of the chambers;
I check the quantity and presence of medicinal preparations for the list "A" and "B", the safe and the alarm robot;
I reconsider the sanitary and hygienic camp of important and bedridden ailments, the cleanliness of the bed and the bottom;
I am reviewing and conducting the preparation of the sick, so that I can go for diagnostic treatment and consultations.
I'm starting to finish my obov'yazkiv:
I am present on the doctor’s rounds of sick people, fixing the doctor’s confession, informing about the sick people (AT, T, diuresis) and their treatment of the hospital regime.
I accompany the sick for consultations to fakhivtsiv (s ta / b).
I distribute tablets and medicines for the doctor’s confession.
The intake of preparations is carried out 3-4 times per day, under the supervision of a nurse, individually for skin ailments.
Tablets from the main label are not crushed, but are placed near the beaker, so as not to damage the integrity of the package.
Potions are poured into individual beakers.
After receiving liquids, the beakers are soaked in 0.5% of chloramine for 1 year, and then washed with running water and dried.
Beakers are taken in the vicinity of marked containers.
I accompany ailments for diagnostic investigations (ECG, ultrasound of internal organs, fluorography and other). If you have a sick person with you, you can have a towel, that story of sickness went straight ahead.
At the treatment room:
1. I recommend blood sampling for the following analyses: RW, VIL, biochemical follow-up.
Blood sampling is carried out in clean, dry test tubes with a thick needle, the amount of blood is less than 5.0 per skin analysis.
On straight lines I write: No. of the order, P.I.B. ailing, diagnosis, r_k people, no.
2. I work internally, internally, internally, internally.
I control the distribution and acceptance of sickness. If there are no waitresses, I take away the diet myself, I distribute and then I clean the dishes.
3. I put a portion of the vimoga.
Our vіddіlennі greater number ailing with diet No. 15 - a full diet 4-5 times for production.
Lіkuvalny eating at the viysk establishments is organized by zgіdno z Pr. MO No. 400, dated 2000, is prepared for the production of products, transferred by the norm No. 5 of the ration;
bread - 500 gr. (400 g - white, 100 g - black)
cereals - 20 g
rice - 30gMacaroni - 40 g
M'yaso - 175g. growing. oliya - 20g.
Ptah - 50g. cow'yache milk -400g.
Riba - 125g.
Vershkov butter-45g.
Sour cream-30g.
Sir - 30g.
Tea - 2g.
Sir - 10g.
Kava - 1g.
Zukor - 70g.
Potatoes and vegetables - 900g.
Fruits: fresh - 200g.
Dried fruits - 20g.
Juices - 100g. like no,
Varenna - 5g. then 300 g of milk
In addition, those who have ailments with a deficiency of the mass of the body can take supplementary food, so take 0.5 additional soldering from the rosemary.
Victim of intravenous administration of antibiotics (gentamicin, lincomycin, cefazolin, ampicillin) after a sensitivity test.
Internal test.
Meta: zastosovuetsya schodo allergic test.
Equipment: disposable syringe or tuberculin syringe 1 ml. 15 mm neck, 0.4 mm peretina, sterile neck in a package for a set of medical supplies, medicinal product, ethyl alcohol 70%, 3 three sterile bags, a tray, a mask, latex mittens, containers for disinfection of whiskey syringes, needles and cotton bags .
Preparation before the procedure:
Establish good-natured signs with the patient;
Explain to the patient the method of overshooting the procedure, take it into account, reconsider, there is no contraindication for the treatment of this disease;
Put on a mask, prepare your hands to work, put on mittens;
Review the affinity of the medicinal product (read the name, dose, terms of the affiliation on the package, change it at a glance);
Call the doctor's confession
Obrobite the neck of the ampoule (bottle cap) with a swab, soaked in alcohol;
Open the package, pick up the syringe;
Collect the necessary amount of medical care from the syringe;
Change the neck, put a needle on the cone of the syringe for intraocular injection, fill the syringe with a given dose, put on a cap;
Place the syringe on a sterile tray.
Vikonanny procedures
Sit the patient down, put your hand on the front surface of the front uphill;
Take the syringe to the right hand with a view of the neck uphill, take the cap;
Apply two different tampons to the skin in the area of the middle third of the anterior surface of the forearm;
Stretch the scruff in the mouth with the fingers of the left hand, insert into the scruff of the neck under the cut 50 to the surface of the patient's body;
Fix the neck with another finger, pressing it to the top of the neck;
Get medical advice;
Vityagti head;
With a cotton ball soaked in alcohol, saturate the area with injections;
Verify that there is no blood seen at home pierced.
Completion of the procedure:
Explain to the patients that the patient can drink water before the reaction is pronounced;
Disinfect the syringe, heads, cotton bags;
Take out mittens, put them in different sizes, what to disinfect;
Vimiti and hang your hands;
Zrobiti record about the vikonannya procedure at the recognized Arkusha.
Test for sensitivity to novocaine:
inject 0.1 - 0.5% of novocaine into / to the front surface of the front plate.
Help for anaphylactic shock:
administer the drug;
inject 1.0 - 0.1% adrenaline into the area of injection, subcutaneously, put the sick person down, lift the legs, head on the side;
intravenous prednisolone 90-120 mg for 15.0-5% of glucose levels;
after 10-15 minutes, repeat the introduction of adrenaline 0.3 -0.1% for 5.0 physical solution intravenously;
IM 2.0 -1% diphenhydramine (after normalization of AT);
yakscho collapses three times over 20-30 hvilin, then intravenously add 5.0 -2% norepinephrine in 500.0 - 5% dextrose under AT control;
sour inhalation;
yakscho no dihannya - ShVL;
yakscho no heart activity - HMS.
Five times a day I send a message about the number of ailments and the presence of them in the case, before this I shy away from the changing warehouse.
I control the sickness of my relatives at the birth for which day of that year.
I check the transmissions for the presence of alcohol, drugs and other products and speeches, as they are not allowed to bring before the transfer.
I check the body temperature and write down the data in the temperature sheet
Thermometers after victoria are soaked in 0.5% chloramine solution for 1 year, then washed with water, dried and stored in a dry place.
We are seriously ill and for the recognition of the doctor I win AT and write the result in the history of ailment. In the evening I proceed to review the history of ailments, I work out the choice of appointments, I write down the direction for analysis, consultations and the treatment of ailments.
When preparing ailments to radiological follow-up for the doctor's confessions, I clean the enema:
Equipment: Esmarch's kitchenette, tip, vaseline, kleyonka, vessel.
Technique for setting a cleansing enema.
I pour 1.0-1.5 liters of water at room temperature (20 C) into the kitchen. With anatomical constipation +12С, and spastic constipation +42С. I add oliya for stool distribution. I turn off the valve on the gum pipe and put it on the stand, covering the tip with vaseline. On the couch, as if covered with glue, which hangs in the pelvis, I lay the sick person on the left side, with which one leg is bent and brought to the stomach. I open the seats, insert the tip into the anal opening, push the yoga into the rectum to the navel, then parallel to the ridge to a depth of 8-10 cm. I close the valve. After introducing water into the intestines, I close the valve and pull the tip. It is necessary to keep water in the intestines of a sprat of quills. Shvidko deliver the ship.
I anticipate illnesses about future investigations (analysis of duodenal and duodenal sounding, biochemistry of blood, ultrasound scan) and prepare for them:
By stretching, achieve a close follow-up to the camp of serious ailments: control of AT, pulse, temperature, diuresis, conduct a change in bedtime and blood pressure, prevent the development of bedsores (treatment with camphor alcohol), control the disease of the sick.
So, if the sick cannot urinate on their own, catheterize the sich mihur.
Equipment: catheter and tweezers in a sterile tray, 0.02% furatsilin, 0.1% rivanol, sterile glycerin, vaseline oil, cotton balls, tray, sechopriymach.
Carrying out technique:
destroy the foreskin and expose the head of the state member;
choke between 3 and 4 with the finger of the left hand the head, and 1 and 2 open the cutter channel;
with your right hand, cut the head of the state member with a cotton bag soaked in an antiseptic dressing;
smear the catheter with vaseline oil;
with tweezers, take a catheter from the tray near the yogo tip with a vent 5–6 div in the flank opening;
to introduce the end into the opening of the sechivnik, constantly passing over the distance;
at the appearance of a cut, lower the ovniy kіnets at the cutter;
pull out the catheter.
Following the selection of advanced tools, I will carry out the prevention of infection:
I will soak in 3% chloramine solution for 1 year, then I will wash it under running water and put it in for disposal.
I accept a sick person from the reception, I reconsider sanitary fittings, I know the regime and the rules of conduct for the guards. I take a part in shifting ailments from burdens to a bed, walking walkers to bed. I draw up a history of illness, submit all sheets directed to hospitalization, a temperature sheet. I fix data about growth, mass, colo chest sick.
I supervise the tidying up of young nurses and quartz chambers.
Volodya by the methods of nadannia indispensable help we are ill with:
Cardiac asthma and concomitant legenivs;
angina pectoris;
Hypertensive crisis;
Uncomfortability and collapse;
attack of bronchial asthma;
Convulsive epileptic syndrome
hostile appendicitis;
Hypoglycemic coma;
Bleeding: nasal, sloughing;
clogging of the brain;
traumatic shock;
Frostbite;
Electrical injury, etc.
ІІІ. Schemes of historical displays for 2003 rіk y porіvnіnі z 2004 rock.
Blood sampling from 2003 roci.
- blood sampling from 2004 roci.
- internal inspections in 2003 roci.
- internal inspections in 2004 roci.
V/M, P/K and V/K in'єktsії in 2003 roci.
- V/M, P/K and V/K in'єktsії in 2004 roci.
250,510,510
67, 310, 310
Anniversary of the Seriously Ill in 2003
Anniversary of the Seriously Ill in 2004
Prevention and treatment of bedsores in 2003
- prevention and treatment of decubitus ulcers in 2004
Preparation of antiseptics in 2003
- preparation of antiseptics in 2004
All my work is folded into stages
Nursing process.
Stage I - nursing care of the patient. When you enter the sick to the point of death, I count the physical data: zrіst, vag, AT, t, and I will write it down in the history of the disease. I look at the ailing man for the presence of defects in the coat: whiskers, combs, sincs. I evaluate the building before changing it: independently, for the help of outsiders. Assessing the emotional state, witness: at the bridge, without witness, coma, stupor is thin. After the first assessment, I become ill and record the information taken away, I will analyze it, analyze the work of the visnovka, as if they become problems, as if they are the subject of a sisterly watch.
II stage-diagnosis. On the back, I assign the camp of health and sickness to the improvement of 14 functional needs: rest, living in a sufficient amount of money and їzhі and relatives, seeing the products of life, ruh, sleep and reparation, dotrimannya special hygiene thinly. I reveal the right problems of the sick; not building up zdijsnyuvati introspection too thinly. As I myself am ill, so I may transfer the improvement of my health, to be bound by some kind of snake to the splendid rhythm of life. After evaluating the parameters of the stage, I give the patient full information about relevant potential problems.
Stage III - planning of nursing appointments. I know a sick person with an assessment of yoga, I will be able to use a watchful eye, a viscous thought of a sick person, I assign a target for a skin problem and at the same time from a patient. Behind the terms, there are two types of goals: short lines - reachable by stretching one tyzhnya and long lines - stretching a three-way period of an hour. Then I signify the possibility of this taking a part in the nursing process.
IV stage-implementation of the nursing care plan. I inform the patient about the nursing care: injection, blood sampling and other. Sister's vtruchannya podіlyayutsya on zalezhnі vіd principle vіd priznachennі dіkarі і іnії dіії ії, yakі zdіysnuyu іnіtsiativu vlasnoi. Coordinating under the processes of other honey. pracіvnikіv, relatives, vrakhovuychi їхні plans and opportunities.
Stage-assessment of nursing care. I signify the effectiveness of nursing care, evaluate the change in a healthy person, the doctor’s thought of a sick person to follow the plan and see the effectiveness of yoga. If you become healthy and sickly, the parameters of physical and emotional have moved up to normal indications, then you can vvazhat what you can achieve.
Pratsiyuyuchi post nurse, I vykonu vymogi "Initiate the medical care of the SA and the Navy," mandate No. 64 in 1989 to the year, deviated the functional binding of the nurse. I am following the order of the head of the department and that senior nurse, I bear the same responsibility for my own correct medical appointments, the sanitary and protepidemichny camp, the supervision of the sick, the control of the year of the sick.
VI. Normative acts and punishments that are victorious in robots.
OST-42-21-2-85.
Galuzevy standard of transmission of methods, methods of disinfection, pre-sterilization cleaning and sterilization.
Disinfection.
2nd batch -0.6% r.n. calcium hypochloride. Zanuruyemo medical tool for 60 strands.
Rinse under running water until the disinfectant smells.
II. Before sterilization cleaning.
Medical tools are zanuryuёmo in a miyuchy range for 15 quills at t50.
Warehouse of a miyuchy rozchin: 3% H2O2-200 ml. miyuchy zasib -5 g, H2O-795ml.
Rinse under running water; distilled water.
Medical bags.
III. Sterilization. exposure
Steam method:
Vice 2 atm. - t 132 Z 20 hvilin.
2. Chemical method:
6% H2O2 (water peroxide) t + 18 C 360 quilin.
6% H2O2 t + 50 Z 180 quilin.
3. Infusion of high temperatures:
Sukhozharova shafa t 180 Z 60 khvilin.
Sterilization is carried out by one of the methods. Tse to lie in the form of medical sap.
To control the pre-sterilization cleansing, an azopiram test is carried out. Vaughn viyavlyaє on virobah zalishkovі traces of blood, іrzhі oksіv, scho to avenge chlorine.
Rozchin azopiram can be stored in a refrigerator at t +4 C in a tightly closed bottle. Robotic rozchin vikoristaetsya stretch 1-2 years. 1% of all working tools are required. The temperature of the room is 25°С.
If the preparation of the reagent has come later, lower for 1 whilin, after setting the sample, then the reaction is not guaranteed. For the presence on the doslidzhuvanih virobah іrzhі and chlorine-containing oxides, a storm of fermentation of the reagent is observed, and in other varieties - erysipelas-bouzkove. Sterilization control is carried out with the "Vinar" indicator.
Order No. 720 of the Ministry of Health of the SRSR issued on 31.07.78.
“About the improvement of medical help bm with purulent surgical ailments, that strength came to the fight against internal infections.
Vidpovidno to tsy order podtrimuetsya sanitary-epidemic regime vіddіlennya.
For two months, control the dressing material and instruments; take a zmiv on the mentally pathological microflora of the successful parts of the anesthetic-dikhal equipment. Once per quarter, the guards were asked to pass the obstezhennya for the presence of staphylococcus aureus. Once a month, sowing is carried out again.
3. Order No. 330 of the Ministry of Health of the SRSR dated 12.11.97.
"About come in for a better appearance, saving, scribbling that drug addiction drugs."
Mandate for the enforcement of narcotic drugs, introduction into the presence of a doctor, delivery of empty ampoules, registration of drug injections in the history of illness, protection narcotic drugs at the safes from the built-in alarm system.
Order No. 408 of the Ministry of Health of the SRSR dated 12.07.88.
The order is the transfer of the choice of disposable syringes, attachments for internal infusions, and the provision of individual protection. Regulations on the processing of tools; disposal of disposable virobs. In some cases, the cause of injury is due to broken shkiri, blood getting on the shkirn, twisting, mucus membranes corystuvatisya according to SNID.
5. Order No. 170 of the Ministry of Health of the Ministry of Health of the Russian Federation dated 16.08.94.
"Come in for a thorough prevention and treatment of VIL-infection in the Russian Federation."
6. Order No. 295 of the Ministry of Health of the RRFSR, dated 10.97.
"About the introduction of the rules for the conduct of a medical examination of HIV-infection and the transfer of practitioners of other professions, organizations, how to pass a medical examination of HIV-infection".
7. Order No. 135 of the Ministry of Health of the RRFSR
"Prevention of SNIDU"
With skin fate in the world, signs of VIL infections are growing. At zv'yazku z tsim necessary є suvor dotrimannya all rules of prevention. Usі manipulations, povyazanі z poshkodzhennym tsіlіsnostі skіrnih pokryvіv, mucosa, carry out іz zastosuvannya zabіv іindivіdualnogo zakhistu. Before the robot, check the integrity of the crooked shkiri. In times of injury, vikoristati in place of anti-SNID.
Application for special prevention of anti-SNID:
Alcohol 70% - 50.0
Iodine tincture 5% - 20.0
Sulfacyl sodium 22% - 5.0
Water peroxide 6% - 10.0
Potassium permanganate 5.0
Distilled water 10.0
Bactericidal plaster
Pipettes - 3 pcs.
Gauze bags
Mittens
Comply with the rules for processing medical instruments and equipment. Spivrobitniki of the medical mortgage obov'yazkovo obtezhuyutsya 1 time on the river on VIL - wear.
The systematic and competent use of these instructions allows us to achieve good results in the prevention of internal infections, in the case of contagion of viral hepatitis, no post-infection processes, post-operative complications.
V. Visnovok
I care what surgical care in support of the necessary assistance. Vono svoєchasno that povnotsіnno zabezpechuєtsya nebhіdnym medicines, tools and dez. rozchiny, as well as mittens, disposable syringes and systems for intravenous infusion. At the same time, it is carried out regularly, if you want to get rid of the widening of the sickness, as in the middle of the hospital and beyond.
Ward nurse of the surgical department
O. Bezginova
Head of the surgical department
Lieutenant Colonel O. Marenkov
