The call of the head nurse to the new category. General cleaning procedure

a lesson from the practice of the discipline of Medicine on the topic: A story about the work of a procedural nurse; understand and see, classify and structure, 2015-2016, 2017 r_k.

Sound

M/S treatment room

stationary service GURKVD

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 consultative setting with specialized training medical assistance.

The dispensary serves the local population and the large population, including children. At the in-patient department, the functional upgrades were made to the dispensary:

1. clinical diagnostic laboratory

2. physical room

3. treatment room

4. urology room

5. ointment cabinet

6. centralized sterilization point

The hospital may have two divisions:

Cover for 35 lizhok

Venereological certification for 25 years

SDP for 15 sheets

The work of the dermatovenereological service is carried out according to a folded plan of the main organizational preventive approaches to fight against various infections that are transmitted by the path, contagious skin diseases, professional and chronic dermatoses. Vennologicine Vіddіlennnya RKVS Misitalіzovsuzvyzhilі z DS: Luis to the middle l_kuvannya that translated ї ї at Sirkokontrol, Goshull's Highup, the chronio-one accepted gonorrheyu, so-shelving, Shah, transmitted by the Stathy Shyhah, and Torzhev's Holly women and children.

At shkirny vіddіlennі RKVS exultation otrimuyut ailments with dermatosis, dermatomycosis and scab. Planovi ails direct to the priymalny in-patient department of the RCVS from the polyclinic, emergency ailments are hospitalized in the colony.

I, Chidanova Svitlana Andriivna, graduated from Kalmyk Medical College named after T.Khakhlinova in 2004 with a degree in Nurse. Zagalniy work experience- 3 rocks.

After the completion of the Kalmyk Medical College, it was accepted to practice at the State Institution Republican Dermatovenerologic Dispensary. She began her work activity like a ward nurse, after which she was transferred by a nurse to the treatment room, which is working until now.

Under an hour of labor activity, I passed a specialization on the basis of the Kalmyk Medical College in 2007 for the cycle “Nurse of the treatment room”.

The treatment room is a structural support with specialized medical assistance for ailments with ailments and infections that are transmitted by state path. At the office, procedures are allowed and zdijsnyuєtsya take analyzіv, both for the mіskom, and for the rural population.

The treatment room is located on the 2nd version of the hospital, it occupies one room, the area is 18.5 m². services for the sick have been carried out since 8 years, 00hv. up to 17 years, 30hv.

Office equipment

A cabinet for equipping with furniture modern containers of the company "Vinar" for the disinfection of drugs for medical purposes. The office has a table: a working table, a manipulation table, a disinfection table, a bactericidal disinfectant, a couch, two wardrobes for medicinal preparations, a procedural nurse's post. Є two first-aid kits:

1. first aid kit for first aid in case of anaphylactic shock

2. First aid kit for HIV prevention

Є destructor for deformation of heads and further utilization.

At the office, there is a sandeza. regime zgidno with orders:

1. M3 SRSR No. 408 dated July 12, 1989 viral hepatitis in the country"

2. M3 SRSR OST A 42-21-2-85 "Sterilization and disinfection of medical devices: methods, procedures, regimes".

3. SP 3.1.958-00 “Prevention of viral hepatitis. Zagalni vimogi to epidemiological observation of viral hepatitis.

4. San Pin 2.1.3.1375-03 " Hygienic emogi to the placement, power, possession and exploitation of the ailments of the canopy houses and other luxurious hospitals.

5. SaN PіN 2.1.7.728-99 "Rules for the selection, selection and removal of the exits of the judicious and preventive installations."

6. M3 RF No. 170 issued 16.08.94. “Come in for a thorough prevention and treatment of VIL-infection with Russian Federation».

7. Order of the Ministry of Health of the Republic of Kazakhstan No. 268-p dated December 21, 1999. “About how to prevent the infection of medical practitioners with human immunodeficiency viruses - VIL and hepatitis "B" "C".

The treatment room has the following documentation:

Journal of blood sampling on RW

Journal of blood sampling at F50

Journal of the look of injection

Journal of the appearance of alcohol

Journal of the Shape of Medicines

Journal of the shape of penicillin

Journal of general cleaning

Journal of the appearance of disposable syringes

Journal of Quartz Cabinets

Refrigerator temperature control log

Journal of the face of professional traumatism.

Lettering magazines are numbered and laced.

Є іnstruktsії, which I use in the process of my work:

1. Typical posadova instruction medical sister to the office of inpatient care;

2. Obov'yazki nurse treatment room;

3. Come in, scho to be carried out in case of a sick OOI;

4. Instructions for medical staff on how to help with medical anaphylactic shock.

5. A reminder of the prevention of infection with direct contact with blood and other biological motherlands;

6. Pretest counseling for HIV infection.

I start my working day by accepting a change in the form of a black change.

I am preparing the office for work. Today, in-line deinfection is carried out in the office due to the infection of disinfectants. For the disinfection of working surfaces, I use the vicorous “Diabaka” variety.

Modes of disinfection of objects by the “Diabak” zasobu in case of bacterial infections (tuberculosis zocrema).

Table No. 1

Object of infection

Working concentration

Hour of infection, hv.

Method of infection

Bacterial infections (tuberculosis crime)

tuberculosis

Surfaces in the premises, (pіdloga, stіni and іn.), transport equipment, furnishings

Wiping or roshing

Sanitary and technical equipment

Wiping or roshing

Sampling material

Zanurennya

Smіtєprovidi, smіtєzbіrniki, smіttєzbiralne obladnannya

Dvorazovo roschennya with an interval of 15 min.

For the safety of sterile tweezers, I zastosovaya 0.5% chloramine.

Table #2

Preparation of working solutions for chloramine.

Disposable syringes are disinfected with a diabak for 90 minutes.

Table #3

Modes of disinfection, followed by pre-sterilization cleanings, for the sake of medical recognition by the doctors of the Diabak.

Processing stages

Working concentration, %

Operating temperature,? W

Hour of vitrimka, obrobki, hv.

Soaking in case of completely zanurenny vorobіv at working rozchiny zapovnennya empty and kanalіv virobu

Not less than 18 same

The mitt of the skin veneer in the same variant, in which they were soaked for the help of George, shields (weeds with gum are made with a cotton-gauze tampon or a cloth servlet), the channels of the veil for the help of a syringe

· Virobiv, yakі do not wash the castle parts, canals or empty

· Virobіv, scho mayut zamkovі parts, canals chi empty

Vіdpovіdno up to a concentration of rozchin, vicorous at the stage of soaking

At least 18

Rinsing the flow drinking water

Not regulated

Not regulated

Rinsing with distilled water

Not regulated

Not regulated

With the method of prevention of occupational infection, I practice with humic mittens, zahisnih eyepieces, and with masks, according to order No. 268-p of the Ministry of Health of the Republic of Kazakhstan dated 21.12.99r. The cabinet is uninterruptedly equipped with disposable gum gloves for robots. The nurse, in case of stagnant faces, is not guilty of taking care of the order of the doctor, the necessary svіdomy pіdkhіd i zdatnіst priymatі samostіyne rіshennya.

By itself, injection means vporskuvannya, infusion. This method of parenteral administration (bypassing the herbal tract) of medicinal speeches directly into the blood, into the m'yaz (in | in; in | m; n / c) in apparently sterile medicinal designs for the help of a disposable syringe with an in'ektsiynoy throat under the grip of a hand. Іn'єktsії vymagayut garnoї tehnіkі and strictly vikonannya rules of asepsis.

Main entryacceptance of the hour of the injection

1. Check the integrity of the packaging of a disposable syringe, the term of applicability.

3. Obrobiti the hands of the nurse and the skin of the sick.

Preparation

before the procedure follow-up from the patient informed on it, in an accessible form, explain the procedure.

Beforehand, it is necessary to prepare:

1. Arkush is appointed;

2. Disposable syringe;

3. Rozchin for introduction (medical zasib);

4. Tampons 70? alcohol.

Procedure

It is necessary to check the lower back, which is not possible in a patient with allergic reactions. For indications, there is a change in the correct choice of the drug, the correct dose and the hour of administration.

Be it the introduction of medicinal preparations in the presence of a nurse of great honor, an understanding of anatomy and physiology, as well as knowledge of the relevant technique of administration for a guaranteed result.

Before vikonannym іnєktsіy: relatively dvіchі my hands with darling, I wipe їх 70? alcohol, I put on sterile gloves. First, draw faces into the syringe, respectfully read the name, marvel at the term of appurtenance.

Subshkirnі іn'єktsії can be carried out in the area of ​​shoulders, stegon, anterior ventral wall, upper vіddіlіv sіdnitsa.

Faces are assigned to accumulate in the sub-fatty-fat cells, to make a low blood flow. Tse bezpechuє povіlne that trivale vmoktuvannya drug.

Choose the place of introduction of the drug to lie down in the same way as the development of the subcutaneous adipose tissue. In patients who are regularly prescribed injections in the same months, they can lead to the strengthening of that formation of scars in the subcutaneous tissue. It is necessary to unicata іn'єktsії in mіstsya, de posterіgayutsya inflamed, cicatricial changes or other damage.

Intra-language languages

Intravenous tongues vibrate at the upper lateral square of the side, filling not less than 1 cm between the skin and the prickly neck, as if there is no blood in the syringe, then a sterile medical design should be administered.

Internal injections

A humic tourniquet is applied to the vein of the ulnar region to relieve venous congestion. The hand of the ailing man is resting at the position of maximum expansion in the luteal loam and the troch is lowered. An ailment squeezes that fist to relieve venous congestion with a quick hit of an injection needle at a vein. The day is fixed, stretching the skin of the ulnar fold with the fingers of the left hand. As soon as the syringe showed blood, it means that the head is rebuvatable at the vein.

Internal inspections are to be introduced correctly according to the code specified in the instructions. Under the hour of the introduction of the likarsky speech, the following is about the camp of the ailing. For skin injection, 2 needles are used: one for taking liquid from a syringe, and another for injection. Changing the head ensures the maintenance of sterility. “Shea” of the ampoule or the gum stopper of the vial is wiped in front with a sterile cotton ball with alcohol. I draw up the ampoules into a syringe, press on the piston, step by step, vitiate each time.

Vіdddіlenni stroke L_karski drug for L_kuvanny Shkіrnya Ta Venusian Zakhvoryuan, Fort Retaching Calcіju chloride 10%, Gluconate Calcіju 10%, Tіosulfate Natroju 30%, Vіtamini Grup in, Antibіotics - New Poolnnya - Divine - Penicilіn, Ceftrіakson, Antigіstamіnі, Thawagil. And also autohemotherapy. Three sterile designs for IV infusion: gemodez, fiz. rozchin, glucose, rheopolyglucin.

Table No. 4

Pod hour іn'єktsії mozhlivі allergic or anaphylactic reactions. The nurse is responsible for recognizing them and for the need to choose the correct tactics of behavior.

There were no post-injection complications.

After injection, disposable syringes are disinfected with 2% dezolone, exposure 90 times.

Vіdpovіdno to San PiN 2.1.7.728-99. about entering the LPZ, in 2004. at the dispensary there are bears for their disposal (A-white, B-zhovt, V-chervon), as they are victorious in the office for recognition. Goods (heads, canulas in the form of heads) are taken from a solid package, then hermetically sealed and thrown off at a class B class. Today, during the day, continuous disinfection and cleaning of the office, quartz and ventilation are carried out. Steel, steel, couch are wiped with 2% diabac with an interval of 15 quills. An hour of quartz bathing is registered at the magazine.

On the first version, there is a centralized sterilization point, where the nurse prepares sterile tweezers for us, which are sterilized in kraft bags, that sterile cotton balls in little bags made of double calico fabric. Vologa tidying up in my office to carry out a nurse, as I was assigned to my office for a day.

General tidying up to carry out a sanitation once a day under my control.

Modes of disinfection of objects under the hour of general cleaning

Table No. 5

General cleaning procedure

1. maximally comfortable placement of tools, furniture, tables to the center.

2. Exterior walls, doors, underlays, after which include quartz for a year (amount: 300ml per 1m?).

After that, running water with sterile ganchirka, as if the nurse of the TsSP is ready to have everything, including quartz for 30 strands. After that office is aired. I am making a note at the journal of the general treasury. The selection inventory is disinfected in a deconstructed way, then washed and dried. The entire selection inventory of markings and vikoristovuєtsya for recognition.

Conducted general cleaning

Table No. 6

We are ill, as if we are being rebuked at the likuvanni, at the SDP (stationary perebuvannya), one can see shoe covers of a one-time koristuvannya.

Illness on IPSS

Table number 7

200 6

Ushogo of them

Absolute number

per 100 thousand population

Absolute number

per 100 thousand population

trichomoniasis

chlamydia

genital herpes

gostri kandilomi

ureplasmosis

gardnerellosis

candidiasis

Sanitary and preventive work

Sanitary and preventive work plays a great role in the prevention of IPSS, VIL infections. Issued 12 sanitary bulletins on the following topics: Crimean hemorrhagic fever, scab, Siberian, fungus, syphilis and others.

I am speaking from dopovіdy at my sister's employment.

I attended 2 seminars with consultations and tests, which I returned for obstezhennia on the F-50, on the basis of the "Republican Center for the Prevention and Combating of SNID" for a short time in view of the employment of the cycles "Especially unsafe infections", "Community Defense".

I constantly work on improving my qualifications: I take punishments, SaN PіN, I read the magazines “Sister's right”, “ Nurse».

Visnovki

At my own starry I imagined it was a mess, a riven that was the quality of a vikonan roboti for rest river. Carried out an analysis of the main indications in her activity. With the doctor, the patient is treated as a nurse, as a follow-up to all medical orders. The sickness of a person is always troublesome: Navit easier medically delivered nadaє z yoga psikhіku prignіchuyuchiy infusion. And then another procedure-prick. The nurse informs the patient about the recognition of that chi procedure, its peculiarities and consequences, informs about the intake of medicinal preparations, and explains the doctor's recommendations. My work is more appropriate for me, so I want to be certified for 1, looking for a category that advances my professional level.

Rechennya

1. Promoting improvement of the material and technical base of stationary care (improvement of overhaul of wards, offices).

2. Install in the treatment room a modern ventilation system, medically equipped with moisture-resistant materials, which does not get in the way when disinfectants get crowded.

3. Constantly practice with a new generation of disinfectants for the prevention of contact dermatitis in medical staff.

4. Constantly zastosovuvat in robotic medical instruments.

5. For the prevention of VLI, postachati m / with special clothes, with the help of individual protection.

6. Promote professional rіven.

It's easy to send your harn to the robot to the basics. Vikoristovy form, raztastovanu below

Students, graduate students, young adults, like victorious base of knowledge in their trained robots, will be your best friend.

Sound

M/S treatment room

stationary service GURKVD

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.

The dispensary serves the local population and the large population, including children. At the in-patient department, the functional upgrades were made to the dispensary:

1. clinical diagnostic laboratory

2. physical room

3. treatment room

4. urology room

5. ointment cabinet

6. centralized sterilization point

The hospital may have two divisions:

Cover for 35 lizhok

Venereological certification for 25 years

SDP for 15 sheets

The work of the dermatovenereological service is carried out according to a folded plan of the main organizational preventive approaches to fight against various infections that are transmitted by the path, contagious skin diseases, professional and chronic dermatoses. Vennologicine Vіddіlennnya RKVS Misitalіzovsuzvyzhilі z DS: Luis to the middle l_kuvannya that translated ї ї at Sirkokontrol, Goshull's Highup, the chronio-one accepted gonorrheyu, so-shelving, Shah, transmitted by the Stathy Shyhah, and Torzhev's Holly women and children.

At shkirny vіddіlennі RKVS exultation otrimuyut ailments with dermatosis, dermatomycosis and scab. Planovi ails direct to the priymalny in-patient department of the RCVS from the polyclinic, emergency ailments are hospitalized in the colony.

I, Chidanova Svitlana Andriivna, graduated in 2004 from the Kalmyk Medical College named after T.Khakhlinova with a specialty - "Nurse". Hot work experience - 3 years.

After the completion of the Kalmyk Medical College, it was accepted to practice at the State Institution Republican Dermatovenerologic Dispensary. She began her work activity like a ward nurse, after which she was transferred by a nurse to the treatment room, which is working until now.

Under an hour of labor activity, I passed a specialization on the basis of the Kalmyk Medical College in 2007 for the cycle “Nurse of the treatment room”.

The treatment room is a structural support with specialized medical assistance for ailments with ailments and infections that are transmitted by state path. At the office, procedures are allowed and zdijsnyuєtsya take analyzіv, both for the mіskom, and for the rural population.

The treatment room is located on the 2nd version of the hospital, it occupies one room, the area is 18.5 m². services for the sick have been carried out since 8 years, 00hv. up to 17 years, 30hv.

Office equipment

A cabinet for equipping with furniture modern containers of the company "Vinar" for the disinfection of drugs for medical purposes. The office has a table: a working table, a manipulation table, a disinfection table, a bactericidal disinfectant, a couch, two wardrobes for medicinal preparations, a procedural nurse's post. Є two first-aid kits:

1. first aid kit for first aid in case of anaphylactic shock

2. First aid kit for HIV prevention

Є destructor for deformation of heads and further utilization.

At the office, there is a sandeza. regime zgidno with orders:

1. М3 СРСР No. 408 dated 12.07.89 “About how to reduce the incidence of viral hepatitis in the country”

2. M3 SRSR OST A 42-21-2-85 "Sterilization and disinfection of medical devices: methods, procedures, regimes".

3. SP 3.1.958-00 “Prevention of viral hepatitis. Zagalni vimogi to epidemiological observation of viral hepatitis.

4. San PіN 2.1.3.1375-03 "Hygienic help before placement, power, possession and exploitation of ailments of canopy booths and other likuvalny hospitals".

5. SaN PіN 2.1.7.728-99 "Rules for the selection, selection and removal of the exits of the judicious and preventive installations."

6. M3 RF No. 170 issued 16.08.94. "Come in for a thorough prevention and treatment of VIL-infection in the Russian Federation."

7. Order of the Ministry of Health of the Republic of Kazakhstan No. 268-p dated December 21, 1999. “About how to prevent the infection of medical practitioners with human immunodeficiency viruses - VIL and hepatitis "B" "C".

The treatment room has the following documentation:

Journal of blood sampling on RW

Journal of blood sampling at F50

Journal of the look of injection

Journal of the appearance of alcohol

Journal of the Shape of Medicines

Journal of the shape of penicillin

Journal of general cleaning

Journal of the appearance of disposable syringes

Journal of Quartz Cabinets

Refrigerator temperature control log

Journal of the face of professional traumatism.

Lettering magazines are numbered and laced.

Є іnstruktsії, which I use in the process of my work:

1. Typical township instruction of a medical sister to the office of inpatient care;

2. Obov'yazki nurse treatment room;

3. Come in, scho to be carried out in case of a sick OOI;

4. Instructions for medical staff on how to help with medical anaphylactic shock.

5. A reminder of the prevention of infection with direct contact with blood and other biological motherlands;

6. Pretest counseling for HIV infection.

I start my working day by accepting a change in the form of a black change.

I am preparing the office for work. Today, in-line deinfection is carried out in the office due to the infection of disinfectants. For the disinfection of working surfaces, I use the vicorous “Diabaka” variety.

Modes of disinfection of objects by the “Diabak” zasobu in case of bacterial infections (tuberculosis zocrema).

Table No. 1

Object of infection

Working concentration

Hour of infection, hv.

Method of infection

Bacterial infections (tuberculosis crime)

tuberculosis

Surfaces in the premises, (pіdloga, stіni and іn.), transport equipment, furnishings

Wiping or roshing

Sanitary and technical equipment

Wiping or roshing

Sampling material

Zanurennya

Smіtєprovidi, smіtєzbіrniki, smіttєzbiralne obladnannya

Dvorazovo roschennya with an interval of 15 min.

For the safety of sterile tweezers, I zastosovaya 0.5% chloramine.

Table #2

Preparation of working solutions for chloramine.

Disposable syringes are disinfected with a diabak for 90 minutes.

Table #3

Modes of disinfection, followed by pre-sterilization cleanings, for the sake of medical recognition by the doctors of the Diabak.

Processing stages

Working concentration, %

Operating temperature,? W

Hour of vitrimka, obrobki, hv.

Soaking in case of completely zanurenny vorobіv at working rozchiny zapovnennya empty and kanalіv virobu

Not less than 18 same

The mitt of the skin veneer in the same variant, in which they were soaked for the help of George, shields (weeds with gum are made with a cotton-gauze tampon or a cloth servlet), the channels of the veil for the help of a syringe

· Virobiv, yakі do not wash the castle parts, canals or empty

· Virobіv, scho mayut zamkovі parts, canals chi empty

Vіdpovіdno up to a concentration of rozchin, vicorous at the stage of soaking

At least 18

Rinse with running drinking water

Not regulated

Not regulated

Rinsing with distilled water

Not regulated

Not regulated

With the method of prevention of occupational infection, I practice with humic mittens, zahisnih eyepieces, and with masks, according to order No. 268-p of the Ministry of Health of the Republic of Kazakhstan dated 21.12.99r. The cabinet is uninterruptedly equipped with disposable gum gloves for robots. The nurse, in case of stagnant faces, is not guilty of taking care of the order of the doctor, the necessary svіdomy pіdkhіd i zdatnіst priymatі samostіyne rіshennya.

By itself, injection means vporskuvannya, infusion. This method of parenteral administration (bypassing the herbal tract) of medicinal speeches directly into the blood, into the m'yaz (in | in; in | m; n / c) in apparently sterile medicinal designs for the help of a disposable syringe with an in'ektsiynoy throat under the grip of a hand. Іn'єktsії vymagayut garnoї tehnіkі and strictly vikonannya rules of asepsis.

Main entryacceptance of the hour of the injection

1. Check the integrity of the packaging of a disposable syringe, the term of applicability.

3. Obrobiti the hands of the nurse and the skin of the sick.

Preparation

before the procedure, take it from the patient to inform him of the year on it, and explain the overrun of the procedure in the available form.

Beforehand, it is necessary to prepare:

1. Arkush is appointed;

2. Disposable syringe;

3. Rozchin for introduction (medical zasib);

4. Tampons 70? alcohol.

Procedure

It is necessary to check the lower back, which is not possible in a patient with allergic reactions. For indications, there is a change in the correct choice of the drug, the correct dose and the hour of administration.

Be it the introduction of medicinal preparations in the presence of a nurse of great honor, an understanding of anatomy and physiology, as well as knowledge of the relevant technique of administration for a guaranteed result.

Before vikonannym іnєktsіy: relatively dvіchі my hands with darling, I wipe їх 70? alcohol, I put on sterile gloves. First, draw faces into the syringe, respectfully read the name, marvel at the term of appurtenance.

Subshkirnі іn'єktsії can be carried out in the area of ​​shoulders, stegon, anterior ventral wall, upper vіddіlіv sіdnitsa.

Faces are assigned to accumulate in the sub-fatty-fat cells, to make a low blood flow. Tse bezpechuє povіlne that trivale vmoktuvannya drug.

Choose the place of introduction of the drug to lie down in the same way as the development of the subcutaneous adipose tissue. In patients who are regularly prescribed injections in the same months, they can lead to the strengthening of that formation of scars in the subcutaneous tissue. It is necessary to unicata іn'єktsії in mіstsya, de posterіgayutsya inflamed, cicatricial changes or other damage.

Intra-language languages

Intravenous tongues vibrate at the upper lateral square of the side, filling not less than 1 cm between the skin and the prickly neck, as if there is no blood in the syringe, then a sterile medical design should be administered.

Internal injections

A humic tourniquet is applied to the vein of the ulnar region to relieve venous congestion. The hand of the ailing man is resting at the position of maximum expansion in the luteal loam and the troch is lowered. An ailment squeezes that fist to relieve venous congestion with a quick hit of an injection needle at a vein. The day is fixed, stretching the skin of the ulnar fold with the fingers of the left hand. As soon as the syringe showed blood, it means that the head is rebuvatable at the vein.

Internal inspections are to be introduced correctly according to the code specified in the instructions. Under the hour of the introduction of the likarsky speech, the following is about the camp of the ailing. For skin injection, 2 needles are used: one for taking liquid from a syringe, and another for injection. Changing the head ensures the maintenance of sterility. “Shea” of the ampoule or the gum stopper of the vial is wiped in front with a sterile cotton ball with alcohol. I draw up the ampoules into a syringe, press on the piston, step by step, vitiate each time.

Vіdddіlenni stroke L_karski drug for L_kuvanny Shkіrnya Ta Venusian Zakhvoryuan, Fort Retaching Calcіju chloride 10%, Gluconate Calcіju 10%, Tіosulfate Natroju 30%, Vіtamini Grup in, Antibіotics - New Poolnnya - Divine - Penicilіn, Ceftrіakson, Antigіstamіnі, Thawagil. And also autohemotherapy. Three sterile designs for IV infusion: gemodez, fiz. rozchin, glucose, rheopolyglucin.

Table No. 4

Pod hour іn'єktsії mozhlivі allergic or anaphylactic reactions. The nurse is responsible for recognizing them and for the need to choose the correct tactics of behavior.

There were no post-injection complications.

After injection, disposable syringes are disinfected with 2% dezolone, exposure 90 times.

Vіdpovіdno to San PiN 2.1.7.728-99. about entering the LPZ, in 2004. at the dispensary there are bears for their disposal (A-white, B-zhovt, V-chervon), as they are victorious in the office for recognition. Goods (heads, canulas in the form of heads) are taken from a solid package, then hermetically sealed and thrown off at a class B class. Today, during the day, continuous disinfection and cleaning of the office, quartz and ventilation are carried out. Steel, steel, couch are wiped with 2% diabac with an interval of 15 quills. An hour of quartz bathing is registered at the magazine.

On the first version, there is a centralized sterilization point, where the nurse prepares sterile tweezers for us, which are sterilized in kraft bags, that sterile cotton balls in little bags made of double calico fabric. Vologa tidying up in my office to carry out a nurse, as I was assigned to my office for a day.

General tidying up to carry out a sanitation once a day under my control.

Modes of disinfection of objects under the hour of general cleaning

Table No. 5

General cleaning procedure

1. maximally comfortable placement of tools, furniture, tables to the center.

2. Exterior walls, doors, underlays, after which include quartz for a year (amount: 300ml per 1m?).

After that, running water with sterile ganchirka, as if the nurse of the TsSP is ready to have everything, including quartz for 30 strands. After that office is aired. I am making a note at the journal of the general treasury. The selection inventory is disinfected in a deconstructed way, then washed and dried. The entire selection inventory of markings and vikoristovuєtsya for recognition.

Conducted general cleaning

Table No. 6

We are ill, as if we are being rebuked at the likuvanni, at the SDP (stationary perebuvannya), one can see shoe covers of a one-time koristuvannya.

Illness on IPSS

Table number 7

200 6

Ushogo of them

Absolute number

per 100 thousand population

Absolute number

per 100 thousand population

trichomoniasis

chlamydia

genital herpes

gostri kandilomi

ureplasmosis

gardnerellosis

candidiasis

Sanitary and preventive work

Sanitary and preventive work plays a great role in the prevention of IPSS, VIL infections. Issued 12 sanitary bulletins on the following topics: Crimean hemorrhagic fever, scab, Siberian, fungus, syphilis and others.

I am speaking from dopovіdy at my sister's employment.

I attended 2 seminars with consultations and tests, which I returned for obstezhennia on the F-50, on the basis of the "Republican Center for the Prevention and Combating of SNID" for a short time in view of the employment of the cycles "Especially unsafe infections", "Community Defense".

I constantly work on improving my qualifications: I take punishments, San PіN, I read the magazines “Sister's Right”, “Medical Sister”.

Visnovki

At my star, I figured it out, riven that vikonan work for the rest of the river. Carried out an analysis of the main indications in her activity. With the doctor, the patient is treated as a nurse, as a follow-up to all medical orders. The ailment of a person is always troublesome: to instill the easiest medical vruchannya on the її psyche with an irritating infusion. And then another procedure-prick. The nurse informs the patient about the recognition of that chi procedure, its peculiarities and consequences, informs about the intake of medicinal preparations, and explains the doctor's recommendations. My work is more appropriate for me, so I want to be certified for 1, looking for a category that advances my professional level.

Rechennya

1. Promoting improvement of the material and technical base of stationary care (improvement of overhaul of wards, offices).

2. Install in the treatment room a modern ventilation system, medically equipped with moisture-resistant materials, which does not get in the way when disinfectants get crowded.

3. Constantly practice with a new generation of disinfectants for the prevention of contact dermatitis in medical staff.

4. Constantly zastosovuvat in robotic medical instruments.

5. For the prevention of VLI, postachati m / with special clothes, with the help of individual protection.

6. Promote professional rіven.

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Sound

M/S treatment room

stationary service 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.

The dispensary serves the local population and the large population, including children. At the in-patient department, the functional upgrades were made to the dispensary:

1. clinical diagnostic laboratory

2. physical room

3. treatment room

4. urology room

5. ointment cabinet

6. centralized sterilization point

The hospital may have two divisions:

Cover for 35 lizhok

Venereological certification for 25 years

SDP for 15 sheets

The work of the dermatovenereological service is carried out according to a folded plan of the main organizational preventive approaches to fight against various infections that are transmitted by the path, contagious skin diseases, professional and chronic dermatoses. Vennologicine Vіddіlennnya RKVS Misitalіzovsuzvyzhilі z DS: Luis to the middle l_kuvannya that translated ї ї at Sirkokontrol, Goshull's Highup, the chronio-one accepted gonorrheyu, so-shelving, Shah, transmitted by the Stathy Shyhah, and Torzhev's Holly women and children.

At shkirny vіddіlennі RKVS exultation otrimuyut ailments with dermatosis, dermatomycosis and scab. Planovi ails direct to the priymalny in-patient department of the RCVS from the polyclinic, emergency ailments are hospitalized in the colony.

I, Chidanova Svitlana Andriivna, graduated from Kalmyk Medical College named after T.Khakhlinova in 2004 with the specialty “Nurse”. Hot work experience - 3 years.

After the completion of the Kalmyk Medical College, it was accepted to practice at the State Institution Republican Dermatovenerologic Dispensary. She began her work activity like a ward nurse, after which she was transferred by a nurse to the treatment room, which is working until now.

Under an hour of labor activity, I passed a specialization on the basis of the Kalmyk Medical College in 2007 for the cycle “Nurse of the treatment room”.

The treatment room is a structural support with specialized medical assistance for ailments with ailments and infections that are transmitted by state path. At the office, procedures are allowed and zdijsnyuєtsya take analyzіv, both for the mіskom, and for the rural population.

The treatment room is located on the 2nd version of the hospital, it occupies one room with an area of ​​18.5 m². services for the sick have been carried out since 8 years, 00hv. up to 17 years, 30hv.


Office equipment

A cabinet for equipping with furniture modern containers of the company "Vinar" for the disinfection of drugs for medical purposes. The office has a table: a working table, a manipulation table, a disinfection table, a bactericidal disinfectant, a couch, two wardrobes for medicinal preparations, a procedural nurse's post. Є two first-aid kits:

1. first aid kit for first aid in case of anaphylactic shock

2. First aid kit for HIV prevention

Є destructor for deformation of heads and further utilization.

At the office, there is a sandeza. regime zgidno with orders:

1. М3 СРСР No. 408 dated 12.07.89 “About how to reduce the incidence of viral hepatitis in the country”

2. M3 SRSR OST A 42-21-2-85 "Sterilization and disinfection of medical devices: methods, procedures, regimes".

3. SP 3.1.958-00 “Prevention of viral hepatitis. Zagalni vimogi to epidemiological observation of viral hepatitis.

4. San PіN 2.1.3.1375-03 "Hygienic help before placement, power, possession and exploitation of ailments of canopy booths and other likuvalny hospitals".

5. SaN PіN 2.1.7.728-99 "Rules for the selection, selection and removal of the exits of the judicious and preventive installations."

6. M3 RF No. 170 issued 16.08.94. "Come in for a thorough prevention and treatment of VIL-infection in the Russian Federation."

7. Order of the Ministry of Health of the Republic of Kazakhstan No. 268-p dated December 21, 1999. “About how to prevent the infection of medical practitioners with human immunodeficiency viruses - VIL and hepatitis "B" "C".

The treatment room has the following documentation:

Journal of blood sampling on RW

Journal of blood sampling at F50

Journal of the look of injection

Journal of the appearance of alcohol

Journal of the Shape of Medicines

Journal of the shape of penicillin

Journal of general cleaning

Journal of the appearance of disposable syringes

Journal of Quartz Cabinets

Refrigerator temperature control log

Journal of the face of professional traumatism.

Lettering magazines are numbered and laced.

Є іnstruktsії, which I use in the process of my work:

1. Typical township instruction of a medical sister to the office of inpatient care;

2. Obov'yazki nurse treatment room;

3. Come in, scho to be carried out in case of a sick OOI;

4. Instructions for medical staff on how to help with medical anaphylactic shock.

5. A reminder of the prevention of infection with direct contact with blood and other biological motherlands;

6. Pretest counseling for HIV infection.

I start my working day by accepting a change in the form of a black change.

I am preparing the office for work. Today, in-line deinfection is carried out in the office due to the infection of disinfectants. For the disinfection of working surfaces, I use the vicorous “Diabaka” variety.

Modes of disinfection of objects by the “Diabak” zasobu in case of bacterial infections (tuberculosis zocrema).


Table No. 1

Object of infection

Working concentration

Hour of infection, hv. Method of infection
Bacterial infections (tuberculosis crime) tuberculosis
Surfaces in the premises, (pіdloga, stіni and іn.), transport equipment, furnishings Wiping or roshing
Sanitary and technical equipment Wiping or roshing
Sampling material Zanurennya
Smіtєprovidi, smіtєzbіrniki, smіttєzbiralne obladnannya Dvorazovo roschennya with an interval of 15 min.

For the safety of sterile tweezers, I zastosovaya 0.5% chloramine.

Table #2

Preparation of working solutions for chloramine.


Disposable syringes are disinfected with a diabak for 90 minutes.

Table #3

Modes of disinfection, followed by pre-sterilization cleanings, for the sake of medical recognition by the doctors of the Diabak.

Processing stages Working concentration, % Working temperature, ºС Hour of vitrimka, obrobki, hv.
Soaking in case of completely zanurenny vorobіv at working rozchiny zapovnennya empty and kanalіv virobu Not less than 18 same

The mitt of the skin veneer in the same variant, in which they were soaked for the help of George, shields (weeds with gum are made with a cotton-gauze tampon or a cloth servlet), the channels of the veil for the help of a syringe

· Virobiv, yakі do not wash the castle parts, canals or empty

· Virobіv, scho mayut zamkovі parts, canals chi empty

Vіdpovіdno up to a concentration of rozchin, vicorous at the stage of soaking

At least 18

Rinse with running drinking water Not regulated Not regulated 3,0
Rinsing with distilled water Not regulated Not regulated 0,5

With the method of prevention of occupational infection, I practice with humic mittens, zahisnih eyepieces, and with masks, according to order No. 268-p of the Ministry of Health of the Republic of Kazakhstan dated 21.12.99r. The cabinet is uninterruptedly equipped with disposable gum gloves for robots. The nurse, in case of stagnant faces, is not guilty of taking care of the order of the doctor, the necessary svіdomy pіdkhіd i zdatnіst priymatі samostіyne rіshennya.

By itself, injection means vporskuvannya, infusion. This method of parenteral administration (bypassing the herbal tract) of medicinal speeches directly into the blood, into the m'yaz (in | in; in | m; n / c) in apparently sterile medicinal designs for the help of a disposable syringe with an in'ektsiynoy throat under the grip of a hand. Іn'єktsії vymagayut garnoї tehnіkі and strictly vikonannya rules of asepsis.

Basic entry for injections

1. Check the integrity of the packaging of a disposable syringe, the term of applicability.

3. Obrobiti the hands of the nurse and the skin of the sick.

Preparation

before the procedure, take it from the patient to inform him of the year on it, and explain the overrun of the procedure in the available form.

Beforehand, it is necessary to prepare:

1. Arkush is appointed;

2. Disposable syringe;

3. Rozchin for introduction (medical zasib);

4. Swab with 70º alcohol.

Procedure

It is necessary to check the lower back, which is not possible in a patient with allergic reactions. For indications, there is a change in the correct choice of the drug, the correct dose and the hour of administration.

Be it the introduction of medicinal preparations in the presence of a nurse of great honor, an understanding of anatomy and physiology, as well as knowledge of the relevant technique of administration for a guaranteed result.

Before vikonannym іnєktsіy: relatively dvіchі my hands with sweetness, wipe them with 70 º alcohol, put on sterile mittens. First, draw faces into the syringe, respectfully read the name, marvel at the term of appurtenance.

Subshkirnі іn'єktsії can be carried out in the area of ​​shoulders, stegon, anterior ventral wall, upper vіddіlіv sіdnitsa.

Faces are assigned to accumulate in the sub-fatty-fat cells, to make a low blood flow. Tse bezpechuє povіlne that trivale vmoktuvannya drug.

Choose the place of introduction of the drug to lie down in the same way as the development of the subcutaneous adipose tissue. In patients who are regularly prescribed injections in the same months, they can lead to the strengthening of that formation of scars in the subcutaneous tissue. It is necessary to unicata іn'єktsії in mіstsya, de posterіgayutsya inflamed, cicatricial changes or other damage.

Intra-language languages

Intravenous tongues vibrate at the upper lateral square of the side, filling not less than 1 cm between the skin and the prickly neck, as if there is no blood in the syringe, then a sterile medical design should be administered.

Internal injections

A humic tourniquet is applied to the vein of the ulnar region to relieve venous congestion. The hand of the ailing man is resting at the position of maximum expansion in the luteal loam and the troch is lowered. An ailment squeezes that fist to relieve venous congestion with a quick hit of an injection needle at a vein. The day is fixed, stretching the skin of the ulnar fold with the fingers of the left hand. As soon as the syringe showed blood, it means that the head is rebuvatable at the vein.

Internal inspections are to be introduced correctly according to the code specified in the instructions. Under the hour of the introduction of the likarsky speech, the following is about the camp of the ailing. For skin injection, 2 needles are used: one for taking liquid from a syringe, and another for injection. Changing the head ensures the maintenance of sterility. “Shea” of the ampoule or the gum stopper of the vial is wiped in front with a sterile cotton ball with alcohol. I draw up the ampoules into a syringe, press on the piston, step by step, vitiate each time.

Vіdddіlenni stroke L_karski drug for L_kuvanny Shkіrnya Ta Venusian Zakhvoryuan, Fort Retaching Calcіju chloride 10%, Gluconate Calcіju 10%, Tіosulfate Natroju 30%, Vіtamini Grup in, Antibіotics - New Poolnnya - Divine - Penicilіn, Ceftrіakson, Antigіstamіnі, Thawagil. And also autohemotherapy. Three sterile designs for IV infusion: gemodez, fiz. rozchin, glucose, rheopolyglucin.

Table No. 4

Pod hour іn'єktsії mozhlivі allergic or anaphylactic reactions. The nurse is responsible for recognizing them and for the need to choose the correct tactics of behavior.

There were no post-injection complications.

After injection, disposable syringes are disinfected with 2% dezolone, exposure 90 times.

Vіdpovіdno to San PiN 2.1.7.728-99. about entering the LPZ, in 2004. at the dispensary there are bears for their disposal (A-white, B-zhovt, V-chervon), as they are victorious in the office for recognition. Goods (heads, canulas in the form of heads) are taken from a solid package, then hermetically sealed and thrown off at a class B class. Today, during the day, continuous disinfection and cleaning of the office, quartz and ventilation are carried out. Steel, steel, couch are wiped with 2% diabac with an interval of 15 quills. An hour of quartz bathing is registered at the magazine.

On the first version, there is a centralized sterilization point, where the nurse prepares sterile tweezers for us, which are sterilized in kraft bags, that sterile cotton balls in little bags made of double calico fabric. Vologa tidying up in my office to carry out a nurse, as I was assigned to my office for a day.

General tidying up to carry out a sanitation once a day under my control.

Modes of disinfection of objects under the hour of general cleaning

Table No. 5

General cleaning procedure

1. maximally comfortable placement of tools, furniture, tables to the center.

2. Building walls, doors, underlay, after which include quartz for a year (amount: 300ml per 1m²).

After that, running water with sterile ganchirka, as if the nurse of the TsSP is ready to have everything, including quartz for 30 strands. After that office is aired. I am making a note at the journal of the general treasury. The selection inventory is disinfected in a deconstructed way, then washed and dried. The entire selection inventory of markings and vikoristovuєtsya for recognition.

Conducted general cleaning

Table No. 6

2005 2006
52 53

We are ill, as if we are being rebuked at the likuvanni, at the SDP (stationary perebuvannya), one can see shoe covers of a one-time koristuvannya.

Illness on IPSS

Table number 7

1 2005 2006
Ushogo of them Absolute number per 100 thousand population Absolute number per 100 thousand population
syphilis 76 69,3 61 57,0
2 gonorrhea 211 192,4 171 159,7
3 trichomoniasis 210 191,4 329 307,2
4 chlamydia 93 84,8 495 462,2
5 genital herpes 10 9,1 6 5,6
6 gostri kandilomi 2 1,8 3 2,8
7 ureplasmosis 292 266,2 744 694,7
8 gardnerellosis 127 115,8 164 153,1
9 candidiasis 58 52,8 93 86,8

Sanitary and preventive work

Sanitary and preventive work plays a great role in the prevention of IPSS, VIL infections. Issued 12 sanitary bulletins on the following topics: Crimean hemorrhagic fever, scab, Siberian, fungus, syphilis and others.


I am speaking from dopovіdy at my sister's employment.

I attended 2 seminars with consultations and tests, which I returned for obstezhennia on the F-50, on the basis of the "Republican Center for the Prevention and Combating of SNID" for a short time in view of the employment of the cycles "Especially unsafe infections", "Community Defense".

I constantly work on improving my qualifications: I take punishments, San PіN, I read the magazines “Sister's Right”, “Medical Sister”.

Visnovki

At my star, I figured it out, riven that vikonan work for the rest of the river. Carried out an analysis of the main indications in her activity. With the doctor, the patient is treated as a nurse, as a follow-up to all medical orders. The ailment of a person is always troublesome: to instill the easiest medical vruchannya on the її psyche with an irritating infusion. And then another procedure-prick. The nurse informs the patient about the recognition of that chi procedure, its peculiarities and consequences, informs about the intake of medicinal preparations, and explains the doctor's recommendations. My work is more appropriate for me, so I want to be certified for 1, looking for a category that advances my professional level.

Rechennya

1. Promoting improvement of the material and technical base of stationary care (improvement of overhaul of wards, offices).

2. Install in the treatment room a modern ventilation system, medically equipped with moisture-resistant materials, which does not get in the way when disinfectants get crowded.

3. Constantly practice with a new generation of disinfectants for the prevention of contact dermatitis in medical staff.

4. Constantly zastosovuvat in robotic medical instruments.

5. For the prevention of VLI, postachati m / with special clothes, with the help of individual protection.

6. Promote professional rіven.

Sound

M/S treatment room

stationary service 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.

The dispensary serves the local population and the large population, including children. At the in-patient department, the functional upgrades were made to the dispensary:

1. clinical diagnostic laboratory

2. physical room

3. treatment room

4. urology room

5. ointment cabinet

6. centralized sterilization point

The hospital may have two divisions:

Cover for 35 lizhok

Venereological certification for 25 years

SDP for 15 sheets

The work of the dermatovenereological service is carried out according to a folded plan of the main organizational preventive approaches to fight against various infections that are transmitted by the path, contagious skin diseases, professional and chronic dermatoses. Vennologicine Vіddіlennnya RKVS Misitalіzovsuzvyzhilі z DS: Luis to the middle l_kuvannya that translated ї ї at Sirkokontrol, Goshull's Highup, the chronio-one accepted gonorrheyu, so-shelving, Shah, transmitted by the Stathy Shyhah, and Torzhev's Holly women and children.

At shkirny vіddіlennі RKVS exultation otrimuyut ailments with dermatosis, dermatomycosis and scab. Planovi ails direct to the priymalny in-patient department of the RCVS from the polyclinic, emergency ailments are hospitalized in the colony.

I, Chidanova Svitlana Andriivna, graduated from Kalmyk Medical College named after T.Khakhlinova in 2004 with the specialty “Nurse”. Hot work experience - 3 years.

After the completion of the Kalmyk Medical College, it was accepted to practice at the State Institution Republican Dermatovenerologic Dispensary. She began her work activity like a ward nurse, after which she was transferred by a nurse to the treatment room, which is working until now.

Under an hour of labor activity, I passed a specialization on the basis of the Kalmyk Medical College in 2007 for the cycle “Nurse of the treatment room”.

The treatment room is a structural support with specialized medical assistance for ailments with ailments and infections that are transmitted by state path. At the office, procedures are allowed and zdijsnyuєtsya take analyzіv, both for the mіskom, and for the rural population.

The treatment room is located on the 2nd version of the hospital, it occupies one room with an area of ​​18.5 m². services for the sick have been carried out since 8 years, 00hv. up to 17 years, 30hv.


Office equipment

A cabinet for equipping with furniture modern containers of the company "Vinar" for the disinfection of drugs for medical purposes. The office has a table: a working table, a manipulation table, a disinfection table, a bactericidal disinfectant, a couch, two wardrobes for medicinal preparations, a procedural nurse's post. Є two first-aid kits:

1. first aid kit for first aid in case of anaphylactic shock

2. First aid kit for HIV prevention

Є destructor for deformation of heads and further utilization.

At the office, there is a sandeza. regime zgidno with orders:

1. М3 СРСР No. 408 dated 12.07.89 “About how to reduce the incidence of viral hepatitis in the country”

2. M3 SRSR OST A 42-21-2-85 "Sterilization and disinfection of medical devices: methods, procedures, regimes".

3. SP 3.1.958-00 “Prevention of viral hepatitis. Zagalni vimogi to epidemiological observation of viral hepatitis.

4. San PіN 2.1.3.1375-03 "Hygienic help before placement, power, possession and exploitation of ailments of canopy booths and other likuvalny hospitals".

5. SaN PіN 2.1.7.728-99 "Rules for the selection, selection and removal of the exits of the judicious and preventive installations."

6. M3 RF No. 170 issued 16.08.94. "Come in for a thorough prevention and treatment of VIL-infection in the Russian Federation."

7. Order of the Ministry of Health of the Republic of Kazakhstan No. 268-p dated December 21, 1999. “About how to prevent the infection of medical practitioners with human immunodeficiency viruses - VIL and hepatitis "B" "C".

The treatment room has the following documentation:

Journal of blood sampling on RW

Journal of blood sampling at F50

Journal of the look of injection

Journal of the appearance of alcohol

Journal of the Shape of Medicines

Journal of the shape of penicillin

Journal of general cleaning

Journal of the appearance of disposable syringes

Journal of Quartz Cabinets

Refrigerator temperature control log

Journal of the face of professional traumatism.

Lettering magazines are numbered and laced.

Є іnstruktsії, which I use in the process of my work:

1. Typical township instruction of a medical sister to the office of inpatient care;

2. Obov'yazki nurse treatment room;

3. Come in, scho to be carried out in case of a sick OOI;

4. Instructions for medical staff on how to help with medical anaphylactic shock.

5. A reminder of the prevention of infection with direct contact with blood and other biological motherlands;

6. Pretest counseling for HIV infection.

I start my working day by accepting a change in the form of a black change.

I am preparing the office for work. Today, in-line deinfection is carried out in the office due to the infection of disinfectants. For the disinfection of working surfaces, I use the vicorous “Diabaka” variety.

Modes of disinfection of objects by the “Diabak” zasobu in case of bacterial infections (tuberculosis zocrema).


Table No. 1

Object of infection

Working concentration

Hour of infection, hv.

Method of infection

Bacterial infections (tuberculosis crime)

tuberculosis

Surfaces in the premises, (pіdloga, stіni and іn.), transport equipment, furnishings Wiping or roshing
Sanitary and technical equipment Wiping or roshing
Sampling material Zanurennya
Smіtєprovidi, smіtєzbіrniki, smіttєzbiralne obladnannya Dvorazovo roschennya with an interval of 15 min.

For the safety of sterile tweezers, I zastosovaya 0.5% chloramine.

Table #2

Preparation of working solutions for chloramine.


Disposable syringes are disinfected with a diabak for 90 minutes.

Table #3

Modes of disinfection, followed by pre-sterilization cleanings, for the sake of medical recognition by the doctors of the Diabak.

Processing stages

Working concentration, %

Working temperature, ºС

Hour of vitrimka, obrobki, hv.

Soaking in case of completely zanurenny vorobіv at working rozchiny zapovnennya empty and kanalіv virobu Not less than 18 same

The mitt of the skin veneer in the same variant, in which they were soaked for the help of George, shields (weeds with gum are made with a cotton-gauze tampon or a cloth servlet), the channels of the veil for the help of a syringe

· Virobiv, yakі do not wash the castle parts, canals or empty

· Virobіv, scho mayut zamkovі parts, canals chi empty

Vіdpovіdno up to a concentration of rozchin, vicorous at the stage of soaking

At least 18

Rinse with running drinking water Not regulated Not regulated 3,0
Rinsing with distilled water Not regulated Not regulated 0,5

With the method of prevention of occupational infection, I practice with humic mittens, zahisnih eyepieces, and with masks, according to order No. 268-p of the Ministry of Health of the Republic of Kazakhstan dated 21.12.99r. The cabinet is uninterruptedly equipped with disposable gum gloves for robots. The nurse, in case of stagnant faces, is not guilty of taking care of the order of the doctor, the necessary svіdomy pіdkhіd i zdatnіst priymatі samostіyne rіshennya.

By itself, injection means vporskuvannya, infusion. This method of parenteral administration (bypassing the herbal tract) of medicinal speeches directly into the blood, into the m'yaz (in | in; in | m; n / c) in apparently sterile medicinal designs for the help of a disposable syringe with an in'ektsiynoy throat under the grip of a hand. Іn'єktsії vymagayut garnoї tehnіkі and strictly vikonannya rules of asepsis.

Basic entry for injections

1. Check the integrity of the packaging of a disposable syringe, the term of applicability.

3. Obrobiti the hands of the nurse and the skin of the sick.

Preparation

before the procedure, take it from the patient to inform him of the year on it, and explain the overrun of the procedure in the available form.

Beforehand, it is necessary to prepare:

1. Arkush is appointed;

2. Disposable syringe;

3. Rozchin for introduction (medical zasib);

4. Swab with 70º alcohol.

Procedure

It is necessary to check the lower back, which is not possible in a patient with allergic reactions. For indications, there is a change in the correct choice of the drug, the correct dose and the hour of administration.

Be it the introduction of medicinal preparations in the presence of a nurse of great honor, an understanding of anatomy and physiology, as well as knowledge of the relevant technique of administration for a guaranteed result.

Before vikonannym іnєktsіy: relatively dvіchі my hands with sweetness, wipe them with 70 º alcohol, put on sterile mittens. First, draw faces into the syringe, respectfully read the name, marvel at the term of appurtenance.

Subshkirnі іn'єktsії can be carried out in the area of ​​shoulders, stegon, anterior ventral wall, upper vіddіlіv sіdnitsa.

Faces are assigned to accumulate in the sub-fatty-fat cells, to make a low blood flow. Tse bezpechuє povіlne that trivale vmoktuvannya drug.

Choose the place of introduction of the drug to lie down in the same way as the development of the subcutaneous adipose tissue. In patients who are regularly prescribed injections in the same months, they can lead to the strengthening of that formation of scars in the subcutaneous tissue. It is necessary to unicata іn'єktsії in mіstsya, de posterіgayutsya inflamed, cicatricial changes or other damage.

Intra-language languages

Intravenous tongues vibrate at the upper lateral square of the side, filling not less than 1 cm between the skin and the prickly neck, as if there is no blood in the syringe, then a sterile medical design should be administered.

Internal injections

A humic tourniquet is applied to the vein of the ulnar region to relieve venous congestion. The hand of the ailing man is resting at the position of maximum expansion in the luteal loam and the troch is lowered. An ailment squeezes that fist to relieve venous congestion with a quick hit of an injection needle at a vein. The day is fixed, stretching the skin of the ulnar fold with the fingers of the left hand. As soon as the syringe showed blood, it means that the head is rebuvatable at the vein.

Internal inspections are to be introduced correctly according to the code specified in the instructions. Under the hour of the introduction of the likarsky speech, the following is about the camp of the ailing. For skin injection, 2 needles are used: one for taking liquid from a syringe, and another for injection. Changing the head ensures the maintenance of sterility. “Shea” of the ampoule or the gum stopper of the vial is wiped in front with a sterile cotton ball with alcohol. I draw up the ampoules into a syringe, press on the piston, step by step, vitiate each time.

Vіdddіlenni stroke L_karski drug for L_kuvanny Shkіrnya Ta Venusian Zakhvoryuan, Fort Retaching Calcіju chloride 10%, Gluconate Calcіju 10%, Tіosulfate Natroju 30%, Vіtamini Grup in, Antibіotics - New Poolnnya - Divine - Penicilіn, Ceftrіakson, Antigіstamіnі, Thawagil. And also autohemotherapy. Three sterile designs for IV infusion: gemodez, fiz. rozchin, glucose, rheopolyglucin.

Table No. 4

Pod hour іn'єktsії mozhlivі allergic or anaphylactic reactions. The nurse is responsible for recognizing them and for the need to choose the correct tactics of behavior.

There were no post-injection complications.

After injection, disposable syringes are disinfected with 2% dezolone, exposure 90 times.

Vіdpovіdno to San PiN 2.1.7.728-99. about entering the LPZ, in 2004. at the dispensary there are bears for their disposal (A-white, B-zhovt, V-chervon), as they are victorious in the office for recognition. Goods (heads, canulas in the form of heads) are taken from a solid package, then hermetically sealed and thrown off at a class B class. Today, during the day, continuous disinfection and cleaning of the office, quartz and ventilation are carried out. Steel, steel, couch are wiped with 2% diabac with an interval of 15 quills. An hour of quartz bathing is registered at the magazine.

On the first version, there is a centralized sterilization point, where the nurse prepares sterile tweezers for us, which are sterilized in kraft bags, that sterile cotton balls in little bags made of double calico fabric. Vologa tidying up in my office to carry out a nurse, as I was assigned to my office for a day.

General tidying up to carry out a sanitation once a day under my control.

Modes of disinfection of objects under the hour of general cleaning

Table No. 5

General cleaning procedure

1. maximally comfortable placement of tools, furniture, tables to the center.

2. Building walls, doors, underlay, after which include quartz for a year (amount: 300ml per 1m²).

After that, running water with sterile ganchirka, as if the nurse of the TsSP is ready to have everything, including quartz for 30 strands. After that office is aired. I am making a note at the journal of the general treasury. The selection inventory is disinfected in a deconstructed way, then washed and dried. The entire selection inventory of markings and vikoristovuєtsya for recognition.

Conducted general cleaning

Table No. 6

2005 2006
52 53

We are ill, as if we are being rebuked at the likuvanni, at the SDP (stationary perebuvannya), one can see shoe covers of a one-time koristuvannya.

Illness on IPSS

Table number 7

1

Ushogo of them

Absolute number

per 100 thousand population

Absolute number

per 100 thousand population

syphilis 76 69,3 61 57,0
2 gonorrhea 211 192,4 171 159,7
3 trichomoniasis 210 191,4 329 307,2
4 chlamydia 93 84,8 495 462,2
5 genital herpes 10 9,1 6 5,6
6 gostri kandilomi 2 1,8 3 2,8
7 ureplasmosis 292 266,2 744 694,7
8 gardnerellosis 127 115,8 164 153,1
9 candidiasis 58 52,8 93 86,8

Sanitary and preventive work

Sanitary and preventive work plays a great role in the prevention of IPSS, VIL infections. Issued 12 sanitary bulletins on the following topics: Crimean hemorrhagic fever, scab, Siberian, fungus, syphilis and others.


I am speaking from dopovіdy at my sister's employment.

I attended 2 seminars with consultations and tests, which I returned for obstezhennia on the F-50, on the basis of the "Republican Center for the Prevention and Combating of SNID" for a short time in view of the employment of the cycles "Especially unsafe infections", "Community Defense".

I constantly work on improving my qualifications: I take punishments, San PіN, I read the magazines “Sister's Right”, “Medical Sister”.

Visnovki

At my star, I figured it out, riven that vikonan work for the rest of the river. Carried out an analysis of the main indications in her activity. With the doctor, the patient is treated as a nurse, as a follow-up to all medical orders. The ailment of a person is always troublesome: to instill the easiest medical vruchannya on the її psyche with an irritating infusion. And then another procedure-prick. The nurse informs the patient about the recognition of that chi procedure, its peculiarities and consequences, informs about the intake of medicinal preparations, and explains the doctor's recommendations. My work is more appropriate for me, so I want to be certified for 1, looking for a category that advances my professional level.

 
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