Posadova's instruction of a medical sister

  1. The main tasks of the medical sister of the surgical office are to see the likuval-diagnostic appointments of the doctor-surgeon at the polyclinic and to help him in the organization of the specialized medical assistance population living in the area of ​​polyclinics, as well as employees and employees of attached enterprises.
  2. The appointment of that medical sister of the surgical office is the head physician of the polyclinic, to the extent of dignified legislation.
  3. The medical sister of the surgical office is ordered without intermission to the doctor-surgeon and practitioners of yoga.
  4. At her robotic medical sister, the surgical office is kept with a proper gardening instruction, as well as methodological recommendations on how to improve the work of the middle medical staff of outpatient clinics.

II. Landing shoes

  1. Prepare before the outpatient appointment of a doctor-surgeon of the working area, control the presence of the necessary medical instruments, inventory, documentation, review the accuracy of the equipment and office equipment.
  2. Prepare for help autoclaving the required surgical material for work.
  3. Prepare to hand over to the registry the sheets for self-recording of ailments, coupons for admission to the doctor for regular days.
  4. Before the cob, bring medical cards of outpatient ailments to the receptionist from the potato harvester, pick them up by the registrars, duly to the self-recording sheets.
  5. Steps for your own review of the results of follow-up and examination of them in the medical records of outpatients.
  6. Regulate the flow of water in the way of fixing the regular hour on the sheets of self-recording for repeated ailments and vouchers.
  7. Inform at the potato store about all the ways of transferring medical records of outpatients to other offices with the method of making a note to the replacement card.
  8. For the need to help the sick, we prepare ourselves to look around the doctor.
  9. Help the doctor during outpatient surgical operations and the application of surgical dressings.
  10. Explain the sickness ways and order of preparation to laboratory, instrumental and apparatus qualifications.
  11. Vypisuvati vimogi on medicines and dressing material and take them from the head medical sister of the polyclinic.
  12. Take part in the conducted sanitary and lighting work among the sick.
  13. Systematically improve your qualifications through the development of new literature, participation in conferences, seminars.
  14. Draw up medical documentation under the control of the doctor:
    - referral to consultations and additional offices,
    - statistical coupons,
    - health resort cards,
    - transcripts from medical cards of outpatients,
    - sheets of incompetence,
    - dovidki about timchasova unpracticedatnі,
    - directed to MSEC,
    - journals for recording outpatient operations,
    - Worker of the work of the middle medical staff and in.

III. The rights

The nurse of the surgical office has the right to:

  1. present to the administrators of the polyclinic how to create the necessary minds at the working place, so that they can take care of their own landscaping shoes;
  2. take part in the awards (gatherings) at the hour of discussion of the work of the surgical office;
  3. take into account the necessary information for the observation of their functional obligations in the form of a doctor-surgeon, senior medical sister of the department (in the office), the head medical sister;
  4. vimagati vіd vіdvіduvаchіv dotrimanny rules vіdіshny order policlinіki;
  5. discover a sum of specialties;
  6. give instructions and control the work of the young medical staff of the surgical room;
  7. improve your qualifications at work positions, advanced training courses, etc. in the established order.

IV. Vidpovidalnist

The nurse of the surgical office is responsible for:

  1. Unclear and untimely vikonannya of all points in this instruction.
  2. See personal vidpovіdalnostі vіdpovіdno vіdpovіdno dignified legislation.

DBUZ PK "GDKL No. 15"

1. The main camp.

The right of the township instruction determines the main duties, obligations, the rights and the capacity of the medical sister. surgical care No. 2 DBUZ PK "GDKB No. 15".

1.1. The nurse of the ward of the child surgical department No. 2 of the GBUZ PC "GDKB No. 15" at her duty is required:

- legislation Russian Federation in the sphere of health protection;

- Normative-legal acts of the authorities of vikonavchoi government: federal, regional and municipal rіvnіv;

- local regulatory acts of the robot supplier, which without intermediary intervene with the labor activity of the practitioner (including the rules of the internal order) of the State Budgetary Healthcare Institution of Public Health "GDKB No. 15";

- regulations about the structural pіdrozdіl, until which the settlement can enter;

- By orders and orders of the clerk of the DBUZ PK "GDKB No. 15";

- the rules for the protection of practice and technology of safety, the provision of hygienic sanitation and anti-burning diseases;

- instructions, instructions, orders and deputies of the head of the child surgical department No. 2,3 and the elder sister;

- Landing instructions;

- other key, methodical and normative documents, which signify the activity of the child surgical department No. 2, and also lie down to the її labor function;

1.2. The nurse of the ward of the child's surgical department No. 2 is assigned to the landing and is called in by order of the head doctor of the Children's Clinical Hospital "GDKB No. 15";

1.3. The nurse of the ward of the child surgical department No. 2 is under the order of the senior medical sister of the child surgical department No. 2,3 and the head of the department, at the time of the appointment of the surgeon.

1.4. The nurses of the ward of the child surgical department No. 2 immediately order the young medical staff of the department;

  1. Qualification help.

2.1. Individuals are allowed to professional duty at the plantation of the medical sister of the ward of the child surgical department No. 2, which may:

– middle professional education for the specialty “Likuvalna on the right”, “Obstetrician on the right”, “Nursing on the right”, certificate for the specialty “Nursing on the right” in pediatrics 'phenomena vymog up to work experience;

– middle professional education for the specialty “Likuvalna on the right”, “Obstetrician on the right”, “Nursing on the right”, on completion of the specialization for the cycle “Nursing help for children” (216 years) until 12/31/2013 ". From 01/01/2014, a diploma on professional retraining for the cycle: “Nursing help for children” (216 years) and a certificate for the specialty “Nursing on the right in pediatrics”, without presentation, could up to work experience;

- middle professional education for the specialty "Likuvalna on the right", "Nursing on the right", "Nursing on the right", certificate for the specialty "Nursing on the right at pediatrics", so that you can have an uninterrupted experience for the specialty "Nursing on the right at pediatrics" until 06/01/1998.

2.2. The nurse of the ward of the child's surgical department No. 2, until her renewal, is responsible for her practical duties and special knowledge:

legislation of the Russian Federation;

- Basic documents for the protection of the health of the population of the Russian Federation;

- Law and other normative legal acts of the Russian Federation in the field of health care;

- Fundamentals of labor legislation;

- rules and norms of protection of practice;

- Rules of anti-burn safety;

- Fundamentals of disaster medicine;

- The main types of potential problems and their consequences in professional activity, the principles of reducing the efficiency of their implementation;

- come in for safety and the rules of safe behavior for an hour after;

- Head of the main civil defense, ways of defending the population in the face of a mass attack;

- causes, stages and clinical manifestations of terminal states;

- the foundations of global and medical psychology, conflictology, norms of medical ethics, morality and professional intercourse;

- Theoretical foundations of nursing;

- the basics of organizing sanitary education, hygienic training and propaganda healthy way life;

- bases of organization of likuvalno-prophylactic assistance to children;

- Period development of a child;

- Criteria comprehensive assessment I will become healthy children, especially neuro-psychic, state and social development of children, health groups;

- Groupi riziku new people;

- see, the principles of vigodovuvannya of a child of the chest, the algorithm for conducting a control year, see the milk sums;

- the basics of rational eating for older children for children (eating mode, eating out, food storage, culinary preparation);

- the principles of organizing the eating of children in a richly specialized likuval-preventive setting, what we hope medical services children of different age; see the jubilant eating; characteristic of the diet;

- the foundations of a rational regime and the eating of mothers who eat;

- Algorithms for pre-carrying help in case of emergency camps;

- Statistical indicators of the assessment of the duration of the child surgical care No. 2 of the Children's Clinical Hospital "GDKB No. 15";

- Vymogi to replenishment, saving, appearance, reduction of documents in total zvіtnosti, oblіkovo-svіtnoї documentation of pediatric department, the main type of medical documentation;

- The order of registration, otrimannya, appearance, conservation of medical supplies and window materials;

— pharmacokinetics and pharmacodynamics of the main groups of medicinal preparations, indications and contraindications before ingestion, routes of administration, mode of administration, nature of interactions with other medicinal preparations, side effects, aggravated drug therapy;

- Rozrahunok doses of the drug for one dose;

- Basic principles of antibiotic therapy, insulin therapy, heparin therapy, immunotherapy and vaccination;

- Rules for the development of antibacterial drugs, an algorithm for the distribution of doses for the introduction of antibacterial drugs, insulin, heparin, depending on the doctor’s admission;

- Theoretical and organizational foundations of the sanitary and epidemiological welfare of the population of the Russian Federation;

- the basis of the organization of the sanitary and epidemiological regime in children's medical mortgages with the method of prevention of ISMD;

- basics of epidemiology of infectious diseases, paths of infection, localization of microorganisms in human organisms, basics of chemotherapy and chemoprophylaxis of infectious diseases;

- a system of infection control, the main ambush of infection safety for patients and medical personnel, anti-epidemic visits at times of infection, the principles of immunoprophylaxis of infectious diseases, the main methods of asepsis, etc. modern methods that methods of disinfection and sterilization, in addition to the rules of special hygiene for medical and service personnel;

- vimogi sanitary and epidemiological regime of children's liquor-prevention pledges;

- help before sorting, collection, disinfection, collection and removal of exits from likuvalno-prophylactic mortgages;

- Organization of the work of the child surgical department No. 2;

- transfer of medical equipment, technical benefits, which are victorious at the authorities, the rules of their savings, victoria, cause damage to the robotic equipment and technical benefits and methods of their adoption;

– technologies and standards for schodo vykonannya manipulyatsiy, scho enter before the transfer of death and the nurse of the ward of the child surgical department No. 2;

- Methods, priyomi and zabobi ergonomicno_chnomіchno_chnіchnіchnіchnіnі vіnіkіshchennya important speeches, zdorov'ya scho zberіgayut tekhnologiiї;

- Rules for transporting patients;

- rules for the preparation of patients for likuvalno-diagnostic vtruchani;

- see the technology of laying the patient in the lizhku;

- the basics of prevention of post-operative complications;

- the main complication, which is blamed on the course of surgical interventions and the main visits, directing to their adoption;

Organization and conduct of visits to the rehabilitation of patients with surgical ailments.

- the basics of the choice of computer technology, necessary for the improvement of their labor functions, the rules of their operation;

- Employment agreement, settlement instruction of the nurse of the ward of the child surgical department No. 2 of the Children's Clinical Hospital "GDKB No. 15";

- Statute, rules of internal order, collective agreement DBUZ PK "GDKB No. 15";

- Lіkuvalno-protective mode DBUZ PK "GDKB No. 15";

  1. The caretaker.

3.1. Nursing care of the cuval-diagnostic process in a child's surgical department No. 2.

3.2. Safeguarding the bar'ernoї function for the prevention of the introduction of infection, until the beginning of the sanitary and hygienic and proteepidemic regimes with the method of the prevention of elimination, the expansion of the transmission of infections, resulting in medical assistance.

3.3. Safeguarding the readiness of a child's surgical care No. 2 to work in special and supra-mundane minds.

3.4. Rationally vykoristannya that shape of material resources is up to the normative and legal basis, in due course the visual and stellar documentation is up to the mark.

3.5. Dotrimannya rules for the protection of practice, safety techniques, anti-burning safety.

3.6. Dotrimanny norms of ethics (deontology and subordination) and high level labor discipline

  1. Landscaping shoes.

goiter'yazana:

4.1. Organize your professional activities to the best of your ability, according to the planting instructions.

4.2. Regularly and in due course undergo medical examination, periodic take a medical look, immunization, obstezhennya vіdpovіdno to vimog, which are regulated by regulatory legal acts

4.3. Vykonuvati vimogi schodo security of confidentiality of service information.

4.4. To know that suvoro dorimuvatsya to the sanitary-protiepidemic regimen of the child surgical department No. 2, anti-burning infection, safety technology. Go through the training in safe methods and methods of vikonnannya robit, instruction in the protection of work, fire safety.

4.5. Dotrimuvatisya rules of special hygiene and form clothes. Wear overalls, which allow you to help the aesthetics and the sanitary and epidemiological regime of compliance (the hair is tidied up under the carpet, the hands are tied but looked at with the nails of the middle age, without a decorative manicure). Harrowed to wear embellishment incl. kіlets. Carry out the change of the overalls at least once a day, or else in the world zabrudnennya at the victorious singing robit to victorize for the sake of an individual zakhist.

4.6. Do not leave your work place without permission, the head of the surgical department No. 2,3 and the elder medical sister, at the evening and night hours, weekends and holy days, without the permission of the chergovsky surgeon, for the charitable doctor's services.

4.7. Thoroughly mastered the technique of nursing manipulations, and the novice medical sister of the ward child surgical department No. 2;

4.8. Comply with the norms of medical ethics, moral and legal norms of professional intelligence.

4.9. Take the fate of planning meetings, gatherings, awards and training for the average medical staff.

4.10. Compliance with the terms of the formalization of documents, the head and hand of the head of the head nurse child surgical care No. 2,3.

4.11. Coordinate and control the work of the nurse of the ward of the child surgical department No. 2, the nurse of the nursery of the child surgical department No. 2,3.

4.12. Conduct the necessary oblique and stellar documentation in a reasonable way to be able to enter data into the electronic data base for її visibility.

4.13. Zdіysnyuvati priyom that building cherguvan:

- review the sanitary facility of the child surgical department No. 2, the correctness of lighting, electrical appliances, equipment, tools, inventory, as well as the presence of keys, fire extinguishers, and the integrity of windows.

- to estimate the amount of medical supplies, stained glass materials, white goods, hard and soft equipment necessary for supplementing the health care regime;

- promptly inform the senior nurse, the head of the child surgical department No. 2,3, for their number of days, the surgical doctor;

- promptly fill in the log of transfers of charguvans from the indicated inconsistencies, as well as other official information;

4.14. In the in-line mode, I will control the technical communications (scorching, ventilation, water supply) at the child surgical department No. 2, following my own filing of applications by the sister-madam for the elimination of malfunctions and troubles.

4.15. Immediately inform the sister-master, head nurse, head of the child surgical department No. 2,3, for their attendance to the surgeon's doctor about malfunctions in the system of scorching, electrical supply, water supply and sewerage.

4.16. Take care of the integrity and security of possession of the equipment that is in your care, at the same time show inaccuracies and apply for repairs.

4.17. Instantly serve vimogi, hardened form:

- senior nurse of the child surgical department No. 2,3 for the selection of instruments, stained glass materials, medical and disinfectant products;

- Sister-Masters of the Child Surgical Order No. 2,3 for the removal of hard and soft equipment, dishes, and soft supplies;

4.18. Zdiisnyuvati otrimannya, strict appearance, zberigannya vіdpovіdno up to the normative legal base, and also more correctly, rationally vikoristannya likarskih zabіv, vitratnyh materials.

4.19. Take care of the constant availability of the necessary assortment and the number of medicinal products, stained glass materials.

4.20. Rationally and economically vitrachati resources.

4.21. I’ll give you some help in case of emergency situations.

4.22. It’s negligent to remind the senior nurse that the head of the office, and at the time of the work of the surgeon’s doctor, be aware of the situation that threatens the life of that health of people, about the skin unfortunate mood, which has become the hour of vikonnannya labor ob'yazkiv your health. To restore the respect of spіvrobіtnikіv on the admission of damage, he could not carelessly conduct the work. In case of traumatism among medical personnel, it is necessary to conduct an hour of work, related to blood, to carry out randomly the prevention of VIL infections, from the recorded record to the official documentation and to the support of the planting conditions, according to the order.

4.23. In the event of a guilty situation that threatens the life and health of people, saving the lane of robots is promptly accustomed to entering at the borders of one’s own competence, depending on the algorithms.

4.24. Negayly inform the doctor, head of the child surgical department No. 2,3, for their days, the surgeon's doctor for the first time I will become a patient.

4.25. In accordance with the established procedure, the skin five years will be required to advance the qualifications for the specialty.

4.26. Suvoro to finish the schedule of the working hours of the nurses of the ward children's surgical department No. 2, compiled by the head nurse, approved by the head nurse of the child surgical department No.

4.27. The change in the schedule of the appearance of the working hour was carried out only with the permission of the senior nurse, the head of the child surgical department No. 2,3, at different times of the day of the clerk's medical surgeon, for the filings of the clerk's doctor of the surgeon.

4.28. Admit and place in the ward of patients, as if they were again transferred or transferred, having previously controlled the quality sanitary processing sick again.

4.29. Clearly adhere to the principle of mutual modality with other judicious-diagnostic considerations for the morbidity of patients.

4.30. Know the patient or a person, as if they are looking after the hospitalized child with the structure of the care, the distribution of the liqual-diagnostic subdivisions of the likarni, in addition to the likuval-protective regime, the recognition of the doctor.

4.31. Organize the transportation and support of patients to all types of access to the juvenile-diagnostic subdivisions and other LPZ.

4.32. Take care of the safe medical center for patients and especially, as if they are resting on sight.

4.33. Keep an eye on and watch over patients on the basis of the principles of medical deontology.

4.34. At the same time, that yakіsno vikonuvaty preventive and likuvalno-diagnostic manipulations and procedures.

4.35. To take care of the infectious safety of the patient and the medical staff, by way of in-line control over the remaining staff, who are in charge, by entering the prevention of the ICMP vindication.

4.36. Follow the sanitary cleaning of the wards, the special hygiene of patients, the change of life.

4.37. Zdiisnyuvati conducted anterior, in-line, final, mid-term disinfection. Jointly with young medical staff general cleaning, depending on the confirmed schedule.

4.38. To take care of the selection and utilization of medical supplies, ensuring special security and safety in the event of them.

4.39. Carry out the kіlіkіsny oblіk with a way of conducting a personіfіkovoan oblіku, acknowledgment of medical zabіv.

4.40. Organize the selection of food products from the kharchoblok, see dietary tables, depending on the recognition of a doctor and age-old standards.

4.41. Carry out parenteral, enteral liquor ingestion of patients.

4.42. Controlling dotrimannya rules for saving and terms of applicability food products, which is stored in a refrigerator designated for grub products and gear.

4.43. Reconsider the transfer to patients with the method of preventing the reception of contraindicated, non-acidic and intoxicating.

4.44. To fulfill the function of a mentor in your work area for an hour of training young specialists:

- Newly accepted specialists (graduates of medical schools, colleges; do not have sufficient qualifications for specialization (less than one year);

- Pratsyuyuchikh in the organization spіvrobіtnikіv, yakі master summіzhnu spetsіalnіst;

- I am newly adopted by the specialist of spivrobitnikiv, yakі can’t get the job done for the specialty.

4.45. Do not get stuck in robotic tools, add-ons, possessing that zahist, that you are trying at the wrong station, you have not passed through a double check and testing.

  1. The rights

Nurse of the ward of the child surgical department No. 2 GBUZ PC "GDKB No. 15" may be right:

5.1. Take away the necessary medical information about the patient.

5.2. Carry out an analysis of your activities, identify your professional difficulties and workload.

5.3. Vikoristovuvaty different forms of education, information and lighting technologies.

5.4. Familiarize yourself with the projects of the kerіvnitstva DBUZ PK "GDKB No. 15", as if they are directly involved in the activity.

5.5. Take away the necessary information for a clear understanding of your landowners' names, and also have the right to spy on your own landlords' rights.

5.6. Koristuvatisya with informational materials and legal documents necessary for the production of their garden shoes;

5.7. For the purpose of laying the guards' shoes on her, give the young medical staff the instructions that they are in the order, the task of handing over the shoes for the girls.

5.8. To inform the senior nurse and the head of the child surgical department No. 2,3, and at the time of the day to the surgeon, about all the manifestations of nedolіkі, po'yazanі z roboyu vіddіlennya in the range of their competence.

5.9. Bring to the attention of the senior nurse and the head of the child surgical department No. 2,3 the propositions to thoroughly improve your viability and videlity in general, as well as to nourish the minds of the practitioners.

5.10. Take part in robotic awards, conferences, professional medical associations, on which food is seen, which should be up to її functional ob'yazkіv.

5.11. Independently take decisions at the borders of your own competence.

5.12. At the same time, she is in full obsyazі, but be secure with special clothes and with the help of individual protection.

5.13. To systematically improve your practice.

  1. Vidpovidalnist.

Nurse of the ward of the child surgical department No. 2 GBUZ PC "GDKB No. 15" bear the promise:

6.1. For non-violation (inadequately vikonannya) of one's landowners' bonds, incorrectness and incompetence of victoriousness of their rights, transferring them to the landowner's instruction and the regulations on the duty - at the boundaries, appointed by the orderly labor legislation.

6.2. For the provision of unreliable information at the borders of the guardian's shoes.

6.3. For the process of consolidating one's own activities, the lawfulness is no more than that determined by the official administrative, criminal and civil legislation of the Russian Federation.

6.4. For the task of material strife - no more, appointed by the labor and civil legislation of the Russian Federation.

6.5. For nevykonannya (non-chasing vikonannya) orders, orders and instructions of the head of the department and the senior nurse of the child surgical department No. 2,3, unreliable information about the camp of vikonannya service heads - no more than those assigned by the labor legislation of the Russian Federation.

6.6. For not accepting the occasional violation of the rules of safety engineering, similar to those of other rules, they create a threat to the activity of the State Budgetary Healthcare Institution of Public Health “GDKB No. 15” and її practitioners - no more than those designated by the labor legislation of the Russian Federation.

6.7. For non-compliance with the rules of internal labor order, sanitary and anti-epidemic regime, anti-burning safety and safety technology.

6.8. For the disclosure of personal data of practitioners and / or patients of the Children's Clinical Hospital "GDKB No. 15" (including medical secret), which became available due to a borrowed service station - disciplinary, administrative and criminal liability is up to the legislation of the Russian Federation.

6.9. For zapodіyannya moral shkodi, pov'yazanoї s pardons when zdіysnnі their obov'yazkіv, scho caused serious consequences for the health and the threat to people's lives - at the borders of the chinny civil, criminal-administrative legislation.

6.10. For appearing on a robot (at your work place, or on the territory, install - a robot giver of an object, for a trusted robot giver, a worker can perform a labor function) at the station of an alcoholic, narcotic and other toxic sp'yaninnya.

  1. Final provisions

7.1. This planting instruction is divided on the basis of:

- Characteristics of professional activity for the specialty "Sister on the Right".

(Federal state standard of secondary professional education for the specialty 060501 "Sister's Right" dated 12.11.2009)

Deontology and ethics of medical personnel.

Medical ethics - razdіl etiki, scho vyvchaє problem vzaєmin medіvnіvnіkіv іz patients і kolеgа. Professional ethics - the principles of behavior in the process of professional activity. It is important that the main ambush of medical ethics was formulated by Hippocrates (Oath of Hippocrates).

Medical deontology is the word about the proper behavior of medical practitioners, creating the most friendly environment for dressing the sick. Deontology includes:

1. Food dotrimannya likarskoy taєmnitsі

2. Come in for a life of health and wellness

3. Problems in mutual relations with a medical partner

4. Problems of mutual relations with sick relatives

5. Rules for Intimate Contacts Between a Doctor and a Patient, Developed by the Committee on Ethical and Legal Nutrition at the American Medical Association.

Thus, the theoretical basis of deontology is medical ethics, and deontology, influencing medical personnel, is the practical foundation of medical and ethical principles. The subject of further study of deontology is the subject of ethics, shards, order for the upbringing of morality, is engaged in further regulation of the relationship between the doctor and the suspility, with those who are ill, with their relatives, with other doctors and medical practitioners.

Deontological problems in the treatment of oncological diseases.

The nutrition of medical deontology occupies a special place in oncological practice. Why is it due to this, that in case of oncological illnesses, self-deprecation is practically not possible and caused by an ailing condition to fall into the competence of a doctor; the fear of the populace before the evil puffs is especially great; The relevance of deontological nutrition in oncology is also discussed by the fact that in the majority of cases, in the early stages of illness, the patient cannot be taken into account in the full treatment of the patient. The task of the doctor is to calm the patient and psychologically prepare for the future rejoicing, inspiring faith in the disease. To reduce the reach of necessary contact with an ailment, you will need a singing certificate, but often lie down and see the special qualities of a doctor. Oncological ailments are marked by strong emotional stress, due to the suspicion of the possibility of a malignant neoplasm, the need for trivial obstezhennia, rebuking at the hospital, operative care and clearing the result of histological, medical follow-up, carried out Emotional stress is a trigger for launching a lance of neuroendocrine reactions, which leads to psychosomatic disorders. The task of the doctor is to change the stress response from the contact with the patient. This may be more positively significant for the ill camp of the ailing, ill, further labor and social rehabilitation.

The rights and obligations of a nurse of a surgical department, operating room,

Dressing up.

Nurse of the surgical office may be right:

To show the help of the administrators of the polyclinic how to create the necessary minds at the working place, so that they can take care of their own landscaping shoes;

take part in the awards (gatherings) when discussing the work of the surgical office;

take into account the necessary information for viewing your functional obligations as a physician-surgeon, senior medical sister of the department (in the office), head medical sister;

Vimagati vіd vіdvіduvаchіv dotrimanny rules vіdіshny order policlinіki;

Investigate the total specialty;

Give instructions and control the work of the young medical staff of the surgical room;

Improve your qualifications at work positions, advanced training courses, etc. in the established order.

Posadov shoelaces:

Prepare before the outpatient appointment of a doctor-surgeon of the working area, control the presence of the necessary medical instruments, inventory, documentation, review the accuracy of the equipment and office equipment.

Prepare for help autoclaving the required surgical material for work.

Prepare to hand over to the registry the sheets for self-recording of ailments, coupons for admission to the doctor for regular days.

Before the cob, bring medical cards of outpatient ailments to the receptionist from the potato harvester, pick them up by the registrars, duly to the self-recording sheets.

Steps for your own review of the results of follow-up and examination of them in the medical records of outpatients.

Regulate the flow of water in the way of fixing the regular hour on the sheets of self-recording for repeated ailments and vouchers.

Inform at the potato store about all the ways of transferring medical records of outpatients to other offices with the method of making a note to the replacement card.

For the need to help the sick, we prepare ourselves to look around the doctor.

Help the doctor during outpatient surgical operations and the application of surgical dressings.

Explain the sickness ways and order of preparation to laboratory, instrumental and apparatus qualifications.

Vypisuvati vimogi on medicines and dressing material and take them from the head medical sister of the polyclinic.

Take part in the conducted sanitary and lighting work among the sick.

Systematically improve your qualifications through the development of new literature, participation in conferences, seminars.

Draw up medical documentation under the control of the doctor:

Referral for consultation and additional offices,

statistical coupons,

Sanatorium-resort cards,

Records from medical cards of outpatients,

Sheets of incompatibility,

Dovіdki about timchasova unpracticedatnі,

Directions to MSEC,

Journals for recording outpatient operations,

The worker of the work of the middle medical staff and іn.

Clinical hygiene for medical staff who work with the surgeon

Vіddіlennya.

Klіnіchna Gigієнаn є Complex of the rules of the behavish personnel in Umovs of the Medical School of Method Sokhista Her Hisp Internal IntkzіKarnya, Zahista Khvorih Vіd Zagrosi postponed him Inthektsії, Zahista people, Yaki Different with the medical staff Lіkarneyu, Vіd Vidoshnevіkarnoyaniya Іnfektsії.

The alarm clocks of infection are most often carried on the hands of the staff. Therefore, for the work in the surgical department, for the staff, there were given overalls, moreover, the vins include no more than wearing a medical gown. It is important to wear as a component of a special robe of trousers, both for men and women. A medical robe is dressed over a special robe, which is guilty of zastіbatisya or zavyazuvatisya, prikryvayuchi robes that you know under him. Wearing a kovpak (kosinki) at the surgical officer's obov'yazkove. Hair can be neatly tidied up. Change vzuttya povinne buti, if possible, we will close, without zyayan and open and obov'yazykovo z non-woven material, so that it would be possible to carry out hygienic processing and disinfection.

For work in aseptic and infected areas, the staff should wear masks (respirators). This change must be carried out at least through the skin for 2 years of work, as well as after skin surgery. Medical gowns and kovpak bazhano and docіlno mіnyati schodnya. Hands to the staff contact way transmission of infection. The turbo for their savings is a must. Mothers are protected from old nails, covered with varnish. Nails need to be cut short, teases seen or cut.

At the working place, after looking at the sick, following the wound and changing the bandages, the staff should wash their hands with warm running water with a nice stretch of 2 quills. When I look at the ailing person for purulent-septic infestation, the treatment of purulent wounds, the staff infects their hands with bactericidal preparations. How to use 80% ethyl alcohol for hand disinfection; 0.5% chlorhexidine solution in 70% ethyl alcohol; 0.5% chloramine solution.

All staff are responsible for taking a dispensary for early detection of pathogenic staphylococcus aureus, treatment of dental caries and chronic inflammation of the nasopharynx. In times of igniting processes, acute respiratory infections, or a sign of ill health in medical practitioners, they tend to work until they are dressed. The skin care worker of the surgical department carried personal support for the implementation of the rules of special hygiene, the oscilki ce may be important for the prevention of the spread of infection in hospitals.

 
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