Sanitary treatment for sick children. Sanitary treatment for the sick
At the sanitary checkpoint, they look at the hair of the ailing us in front of us. At the time of the appearance of stitching, the hair on the head should be cut short or naked. When ill with visipny typhus, the hairs of the tongue are known. In case of important illnesses, if you are afraid of a sick person for a long time to get to bed, and allow him to be able to follow him, it is recommended to take a haircut or take a haircut.
In the rest of the day, explain to the ailing one what to fight for yoga and corista, so as often the long-term hair will be turbulent and heal your pain. With scissors, carefully cut off the hair for the obviousness of some kind of skin infection of the hairy part of the head;
It is necessary to use these instruments, so it is necessary to remove the hairline on the head and tіlі vinikaє not only during the sanitary examination of the ailing person, which is necessary, but also during the periodic sanitary examination before the operation of the operator in the station. In front of the ankles, the skin of the ailing is covered with a mile pin, with the fingers of the left hand stretched and trimmed її і, trimming the forest under the hood up to the shkіri at 20 - 30 °, they know the hair.
Then wash the skin with warm water and wipe it with alcohol. Before implantation, knives and razors are disinfected with 70% alcohol or 3% carbolic acid. After haircuts, the sick hair is taken from special dishes from the krishkoy, and then they are burned. Helping the sick to loosen up, it is necessary to look around at his clothes and whiteness. The lower whiteness, as if it is clean, is folded by the bears, and the upper cloth is hung on a shoulder strap and all speeches are passed on to the vozlichnu, the stench is saved.
The list of speeches is compiled by two accomplices one of them is worn out with clothing, and the other is attached to the history of illness. When you write an ailing yogi, you should make speeches from the vozlichnu. In the infectious libraries, clothes are sent to the front for disinfection, and then we go to the hospital.
If the sick person has lice on the thіli and in the whiteness of the lice, then the clothes of the yogo, having dusted them in front, should be directed to the pest control chamber, and the hair is not only on the head, but on the tily (on the pubis, in the groin) is shaved and the surface of the coat is treated with pesticides.
To reduce head lice, it is recommended to use 50% milo-solvent paste or emulsion: rub 20% emulsion on the hairy parts of the head, tie the head for 15 strands of thin hair and then wash it with warm water with sweetness. It is necessary to take care, so that the emulsion does not waste from the witch. With this method, you can zastosovuvaty sabadilovy ocet, for which he has had three days to wet his hair, and then he has to wash his head.
After zastosuvannya both zasobіv need to repeat that often head mitt for residual removal of nits and often hairy hair with a warm table ott, which separates the chitin, with which the nits stick to the hair.
For the extermination of pubic lice, sting the mitt with hot water with a partial comb near the distant sites. Then we rub in sublimate ocet (1:300) for the residual reduction of areas and nits and repeat the mitt.
You can also vikoristovuvat sіra or bіlu mercury ointment or DDT sip. For the same purposes, they cory with sweet DDT, and after 5 - 7 deb, they repeat the process, so DDT does not know nits. Before the mitts, it is necessary to cut short the nails on the hands and feet of the ailing.
"Zahalny watch for ailments", E.Ya.Gagunova
See also on the topic:Sanitary and hygienic treatment of ailments in the priymalny district is carried out in order to improve the severity of the disease and fallow, since the system in this priymalny district is one-or two-stream. In likarnyah from a small number of people, there is a single-stream system of sanitary processing, where women should live, and then people. In other librarians, there is a double-flow system, when it is safe, that one-hour sanitary treatment of ailments is parallel to both people and women, as soon as the term is changed at the reception. At the sanitary checkpoint of the priymalny vіddelennya є oglyadovy kabіnet, de ailing rozdyagayut she ready to take a hygienic bath. Here there is a couch, shafki for pure whiteness, and tanks for brine, steel, on which one can find the necessary items for the leg, haircut, cute, washcloths. On the table there are two pans with the inscriptions “clean washcloths” and “brudni washcloths”. After a skin ailment, washcloths are put in a saucepan and boiled. To take a bath, there are special washcloths and brushes, with which you can take a bath after a skin ailment. There is a thermometer hanging on the wall, which indicates the temperature of the temperature. The bathrooms may be warm - the temperature is not less than 25°C. The window vents are categorically fenced.
At the inspection office of the ailing one, they make up a description of the lane with two accomplices: one is attached to the history of the disease, the other - to the speeches, which are given at the camera to take care of the sick person. The statutory values and pennies for a receipt are issued by the senior medical sister, as they are taken from the safe. The medical sister looks at the hairy parts of the head and as if reveals nits or lice, the sick, not reluctantly sit on the couch, kindly kiss the head of the dear K, rubbing yoga into the skin, and pulling on the braid for 15 - 20 min. Let's sit the sick person by the bath, kindly wash the head with warm water, smile sweetly K, and wash 6% of the octu. The hair grows thick with a comb. For the growth of nits in the hair, zastosovuyut up to 27 - 30 ° C with a tablespoon, for which the skein of hair is soaked with cotton wool, tie the head with a braid for 15 - 20 mins, and then we relatively hang the hair with a partial comb and wash it again. For the presence of lice in white yogo, they are placed near the glue parts of the bear, urinating with one of the most obvious disinfection methods (4% DDT emulsion, hexochloran, 0.5% karbofos, 1% aqueous acetophos or metaphos), and send to the disinsection chamber for disinfection at the territorial disinfection department for the dispensation of medicines. It is also possible to indulge in lice at the whiteness of the dress with a path of ironing them with hot dust from two sides through the embroidered fabric. After the examination room of the sick person, they attend the bath at the bath, so that we can open up, we clean it brightly. Bathrooms may have special ventilation. Under the hour of a hygienic bath, open the quarters or vlashtovuvaty the stretches are categorically blocked. Pіdloga is guilty of being waterproof, covered with kahl. At the skin bath, there are wooden floorings, on top of which small servets are placed, as if changing after a skin ailment.
Bazhano, so there were also electric urns for growing towels, or a prostration for rubbing the sick. Since there aren’t many of them, then you can place them on the heat of drying for towels. In front of the bath, it is reluctant to wash with washcloths or brushes with a cute or disinfectant design. For the presence of brown flames under the faucet, it was followed by a 3% solution of hydrochloric acid. We then rinse the bath with hot water and close the opening with a cork (Fig. 5, a). To get away from taking a bath, remind yourself immediately before taking it. So that the water vapor did not settle down, pouring cold water, and then hot. The temperature of the water is measured with a special thermometer near a wooden frame, without viimayachi yoga. The position of the ailing person at the bath may be such that his back and the sweatshirt rested on the wall of the head end of the bath and the water reached the upper third of the breasts. In order to hide the body's z_skovzuvannya in the foot end of the bath, they install a wooden lava or a support, resting their feet against ailments. Mitya the ailing needs a little movchak, a head on the back, and then a tulub and lower kіntsіvki.
It is necessary to take care of the mіstsya, de zazvichay pіt accumulates, sho to bring up to maturity (the groin area, the crotch, for women - under the milky folds and in the groin). At this hour, at the bathrooms of the priymalny vіddіlennya, sterile bags with a clean white washcloth.
The trivality of the bath to lie in the temperature of the water and the burning camp of the ailing. Middle trivality hygienic fresh warm bath 20 - 30 minutes at a water temperature of 35 - 36 ° C. Prepare the bath and brush it for the cleanliness of the bathroom. nurse. The medical sister is guilty of buti at the mitt of the ailing, chasing the skin of the skin and the pulse. Like a sickness zblіd, swear by the confusion of that trash self-feeling, the nurse calls the doctor. Help the ailing man to get out of the bath, rub yoga, lay him on the couch, give him a sniff of ammonia, or put cold on his head.
Like an ailing camp, a healthy hygienic bath is fenced in, a shower is prescribed. For whom, put a bench by the bath, on which one sits ailments. Miyut yogo in the same order as at the bath. After a skin ailment, wash the bath thoroughly with a washcloth and then rinse with one of the disinfectants (0.5% clarified with chlorine vapor or 2% with chloramine).
We are ill, as if we are resting at the camp of moderate severity, the nurse wipes with a body towel, soaked with one of the disinfectants (camphoric alcohol, cologne, vodka), savagely respect for the skin folds in the groin, paws and under milk rashes in women (small 5, b).
The bathtub is used to look around the stone next to the impoverished cleanliness. Glue pillows and klejonki on couchettes after skin ailment should be wiped with ganchirka soaked in 2% chloramine or 0.5% chlorine vape, and after the end of the change, it is necessary to wash it with hot water and honey. Stretched out on the couches change after a skin ailment. Cleaning up the bathroom to clean the sprat once a day in a watery way. Inventory, zastosovuvannya pribirannya primіschen, maybe but markings, save this trace from a special prismіschenni. After vikoristanya, the washcloths are taken into a row of dishes with an inscription on the krishtsi: "Vikoristan washcloths" or "Brudni washcloths". Washcloths are washed at each dish until boiling. For the selection of sanitary facilities, special equipment is seen (windows, basins, ganchir'ya), which, after skin selection, must be thoroughly rinsed and dried. For toilet bowls, 0.5% of the clarification of the chlorine vapors should be used.
In the wedroom of the Pediculose with the twisted Vіddіlenn, the Medichnye Personal Personal Personal Personnel Reliver about the price of a familiar to Istorії Khvherobi Z Methods Posternenna Vadi Lіkarya Vіddіlennya for a detached stitching for Kalvim і at Nezhadnostі - Repeated Sanitary Trucks Forces Human Resources Certificate. In addition, the address of the sick person, who has pediculosis, the medical staff of the priymalny goiter care for the medical and epidemiological station for the cost of living the sick person to look at the pediculosis of the member of the yogo family At the priymalny vіddіlennі likarnі it is to blame buti zoshit, in which to enter the data about the sick person: name, name, according to the father, vіk, signs of the ailing hospital, the number of the hospital, the date of that nickname, which is passed on to the sanitary and epidemiological , which took qі vіdomosti.
For carrying out sanitary treatment of ailments, the hospital is independent in their profile, due to the mother of the offensive recruitment of equipment and disinfectants, as it is necessary to take it from a specially designed wardrobe or box.
1. Disinfectant products: lyzol, solvent, gas, milo, table ocet, milo-gas emulsion, pyrethrum, hexochloran 0.5%, karbofos, chloramine.
2. A hair clipper, a bucket with a cap for collecting hair, which is tightly closed, a bucket for preparing disinfectant products, two saucepans, marking for clean and chest washcloths, a hydraulic console, bears for collecting clothes, a light adhesive pelerine for the protection of a sick person , beaker, alcohol bath, cotton wool, braids, combs and washcloths.
An hour, which ailments to spend at the primal vіddіlennі, can be fast to the minimum. All the speeches of the ailing follow the sanitary work and take care of the hygienic minds. In patients with suspected infection, it is necessary to take bacteriological samples for the clearest diagnosis and the survival of anti-epidemic and curative visits. After the sanitary treatment, the sick person should be sent to the doctor’s office, it’s good enough to get sick. The way, which can go through ailments from the primal entrance to the ward, can be straight and short. In case of any ailments, the uniqueness of contacts from ailments of other authorities is to blame. In case of a severe state (shock, myocardial infarction, etc.), a sick person without sanitary treatment should be directed to an intensive guardianship for terminology medical assistance.
In case of a double-flow system, in different applications, one hour to carry out the processing of both people and women.
Sanitary checkpoint of the priymalny vіddіlennya zvіchâєs z oglyadovoi, razdyagalnі, bath-shower room and room, de ailments dress. Deyakі z tsikh pomіshchen can be poednіnі (for example, looking around that rozdyagalnya).
At the examination room, the ailing person is taken care of, looking at the manifestations of pediculosis and getting ready for a sanitary and hygienic examination. Here there is a couch, a chair, a chair, a thermometer on the wall (the temperature is not lower than 25 ° C).
As if the whiteness is clean, they are folded near the bears, and the outer robe is hung on a shoulder strap and put at the camera to save. A list of speeches (I will receive a receipt) is put together with two accomplices: one is given from speeches to the savings chamber, the other is glued to the history of illness, and when writing, in a new way, speeches are taken for the sick. Identified values and pennies for a receipt are given to the senior medical sister for saving them from the safe.
If an ailing person has been diagnosed with an infectious disease, the blood is laid in a tank with chlorine vapor or chloramine B for 2 years and sent to a special care. In case of suturing, the whiteness is treated in front with a disinfectant and sent to a disinfection chamber for a special treatment. On teddy bears with such clothes, there can be a distinct inscription - "Pediculosis".
Voshi - carriers of visipny and serological typhus.
Signs of pediculosis:
The presence of nits (eggs of lice, as they are glued by the female to the hair or villi of the fabric; Fig. 2-2) is the same coma;
Sverblyachka of furry coats;
Follow the rozchіsuvannya that іmpetigіnoznі (gnіynichkovі) picks on shkіrі.
* Disinfection (lat. des- A prefix that denotes an abbreviation, infection- infection) - an aggravation of the sick people among the workers of infectious diseases (bacteria, viruses).
Rice. 2-1. See lice:
a - head;
b - platyana;
c - pubis
In times of pediculosis, a special sanitary and hygienic treatment of the sick person is carried out; the nurse should make an entry to the “Journal of looking back at pediculosis” and put a special sign (“P”) on the title page of the history of ailment, and also inform about the manifestations of pediculosis at the sanitary and epidemiological station.
Can you spend Chastkov or new sanitary and hygienic processing.
Chastkova sanitary and hygienic processing lie in a sick man with a sweet and washcloth at the bath or under a shower, disinfection and disinfection of your clothes and clothes.
Pid new sanitary and hygienic work Mayut on uvazі not only refurbished more, come in, but also a collection of bedtime speeches and living quarters.
Rice. 2-2. Type of nits attached to the hair
All data from the treatment of the sick person must be recorded in the history of illness, so that the ward nurse could repeat the treatment in 5-7 days.
Obrobka ailing in case of pediculosis
Stages of sanitary and hygienic processing:
1) disinsection (Lat. des- a prefix that means a substitution, insectum- comaha; annihilation of arthropods, as they act as carriers of infectious diseases;
2) hygienic bath (shower, rubdown);
3) haircut and nails;
4) retraining the ailing to clean whiteness.
Necessary equipment for disinfection
Zahisniy robe - a medical gown, a braid *, a mask, a glued apron or a special robe made of gummed fabric, gum mittens.
Disinsecticidal rozchin.
Shampoo, ocet (6% retail, temperature up to 30 ° C), alcohol (70%).
Polyethylene kosinka and pelyushka, kleyonka, towels, white paper, part comb, knives.
A basin for spalling hair and sirniki.
Clayonchasty bear.
Razrіznyayut kіlka vid_v dezіnektitsidnyh rozchinіv.
20% emulsion benzyl benzoate.
Special shampoos (for example, "Elco-insect").
Special lotions (for example, "Nittifor"). the order of the procedure.
2. Lay a kleyonka on a stool (couch), put a sick person on it and cover his shoulders with a polyethylene pelushka.
* In this hour of global light trend, there is a new generation of disposable medical clothes and white non-woven bagatospherical material - CMC. The CMC material is made up of three balls: ball h panbond, ball m eltblown and one more balloon h panbondi. The CMC material ensures the safety of the medical staff, especially when working with HIV-infections, sick with hepatitis B, C, etc.
3. If necessary, cut hair over the preparation of the pelvis.
4. Treat the hair with a disinfectant spray, tie the head with a polyethylene braid and a towel for the beast, leaving it for the singing hour (the hour of urination of the hair to lie down in the form of a zastosovuvanny Roschin - marvelous specific instructions).
5. Untie the head and wash it with warm running water, sweat with shampoo.
6. Dry the hair with a towel and treat the hair with 6% ostinic acid.
7. I will again tie the head with a polyethylene braid and a towel for the beast, leaving it for the 20th century.
8. Untie the head and wash it with warm running water, hang it with a towel.
9. Heal the patient's head over a white paper and hang it over the skeins of hair with a partial comb, then look at the patient's hair again.
10. Burn the shaved hair and the paper at the pelvis.
11. Fold the robes of the ailing one and the sickly robes of the medical sister at the glue parts of the bear and clean up at the disinfection chamber. Coat the comb and knives with 70% alcohol, and apply with a disinfectant spray.
The order of vikonannya disinsection at obvious contraindication for vikoristannya dezіnsectitsidnyh rozchinіv.
1. Prepare before carrying out the sanitary and hygienic dressing: lay out the necessary possessions and dress up the robes.
2. Lay a stool on a stool (couch), put an ailing person on it and cover your shoulders with a polyethylene pelushka, if necessary, trim your hair over the preparation of the pelvis.
3. Grow the hair (not the skin of the head!) with 6% oats, mechanically picking out and eliminating lice.
4. Tie the head with a polyethylene braid and a towel for the beast, leaving it for the 20th century.
5. Untie your head and wash it with warm running water, sweat with shampoo, hang it with a towel.
6. Heal the patient's head over the white paper and hang it over the skeins of hair with a partial comb, then look at the patient's hair again.
7. Burn the shaved hair and the paper at the pelvis.
8. Fold the robes of the ailing one and the sickly robes of the medical sister at the glue parts of the bear and put them right at the disinfection chamber. Brush the comb and knives with alcohol (70%), apply with a disinfectant spray.
Sanitary and hygienic treatment of ailments in the presence of pubic lice.
1. Omit the body of the sick on hot water with a sweetheart.
2. Lighten the hair loss.
3. Re-obmit the body of the ailing on hot water with a sweetheart.
4. Spall the shorn hair at the pelvis.
5. Fold the robes of the ailing one and the sickly robes of the medical sister at the glue parts of the bear and clean up at the disinfection chamber. Clean the razor and knives with alcohol (70%).
In case of severe illness, yoga is delivered to the resuscitation department or ward intensive care without sanitary and hygienic processing.
Sanitary and hygienic processing is carried out at the sanitary checkpoint of the primal department. Іsnuyut one and two streams of methods of sanitary and hygienic treatment of ailments.
§ In likarnyah z small kіlkіstyu lіzhok vikoristovuyut single-threaded system, tobto. according to one's will, they accept a woman and a person.
§ In case of double-flow systems in different premises, one hour to carry out the processing of both people and women.
Sanitary checkpoint of the priymalny vіddіlennya zvіchâєs z oglyadovoi, razdyagalnі, bath-shower room and room, de ailments dress. Deyakі z tsikh pomіshchen can be poednіnі (for example, looking around that rozdyagalnya).
At the examination room, the ailing person is roamed, looked around for the detection of pediculosis and ...
prepare for sanitary and hygienic processing. Here there is a couch, a chair, a chair, a thermometer on the wall (the temperature is not lower than 25 ° C).
As if the whiteness is clean, they are folded near the bears, and the outer robe is hung on a shoulder strap and put at the camera to save. A list of speeches (I will receive a receipt) is put together with two accomplices: one is given from speeches to the savings chamber, the other is glued to the history of illness, and when writing, in a new way, speeches are taken for the sick. Identified values and pennies for a receipt are given to the senior medical sister for saving them from the safe.
If an ailing person has been diagnosed with an infectious disease, the disease is laid in a tank with chlorine vapor or chloramine B for 2 years. and send to a special office. In case of suturing, the whiteness is covered in front with a disinfectant coating and sent to the disinfection chamber for special processing. On teddy bears with such robes, there may be a written inscription - "Pediculosis".
Stages of sanitary and hygienic treatment of ailments:
A look at the skins and the hairy curls of the ailing.
Haircut hair, nails, leg (for consumption).
Mitya under a shower or a hygienic bath.
A look at the skin and hairline of the ailing
Golovna - vrazha hairy head tilt;
Plattiana - vrazha shkirn_ twist the coat;
Lobkova - vrazha pilar surface of the pubic region, hairy cover of the inguinal depressions of that individual - vus, beard, eyebrows, vії.
Rice. 1. See lice: a - headache; 6 - clothes; in - pubis.
In this manner, it is necessary to carefully look at not only everything that is ill, but even your clothes, especially the folds and inner seams of the white.
Voshi - carriers of visipny and serological typhus.
Signs of pediculosis:
Sverblyachka of furry coats;
Follow the description and impetiginosis
shі) picks on shkіrі.
In times of pediculosis, a special sanitary and hygienic treatment of the sick person is carried out; the nurse should make an entry to the “Journal of looking back at pediculosis” and put a special sign (“P”) on the title page of the history of ailment, and also inform about the manifestations of pediculosis at the sanitary and epidemiological station. It is possible to carry out a private or a new sanitary and hygienic cleaning. Chastkova sanitary and hygienic dressing in the mitt of the sick with a sweet one and a washcloth in the bath or under the shower, disinfection and disinfection of the yogo clothes and vzutya. Under the new sanitary and hygienic dressing, you can not only come in to the uvaz, but also the dressing of bedtime speeches and living quarters.
All data from the treatment of the sick person must be recorded in the history of illness, so that the ward nurse could repeat the treatment in 5-7 days.
Obrobka ailing in case of pediculosis
Stages of sanitary and hygienic processing:
1) disinsection (lat. d es-- A prefix that denotes an abbreviation, insectum- Komaha; annihilation of arthropods, as they act as carriers of infectious diseases;
2) hygienic bath (shower, rubdown);
3) haircut and nails;
4) retraining the ailing to clean whiteness.
Algorithm 1
MECHANICAL METHOD OF PROCESSING PIDICULOSIS
Target: Mechanical removal of head lice and nits, prevention of viscus typhus, serological typhus and Volinsky fever
Shown: 1. For any stage of damage by the head lice of women, parents, parents and women, who age, children up to 5 years old, especially with scaly skin (microtrauma, dermatitis, eczema and other.)
Necessary wash: adhesive apron, space for spalling or uninfected hair, syrniki
glue-on-line perelina, kosinka, cute or a shampoo, table ocet or 5-10% ostinic acid, scissors, partial comb, cotton cord or thread, crepe or paper, robe for staff: dressing gown, headdress, mittens
| PROCESS |
| 1. Inform the patient about the presence of pediculosis, the method of processing and taking into account the year for processing, or to conduct an initiation for an independent treatment of the procedure Relatively razchіsuvati hair, shaking his head over paper or glue 7. After finishing the cleaning, burn paper and glue together with clods 8. Disinfect the vicarious objects 9. Admission, in the yakoma was carried out 10. Speeches about an individual with pediculosis Building for chamber disinfection |
Note: according to the patient’s age, it is possible to victorize the physical method of trimming - cutting and trimming the hair
PROTYPEDICULOSIS TREATMENT WITH INSECTICIDES - PEDICULOCITES
Target: Reduction and mechanical removal of head lice and nits, prevention of visceral typhus, serological typhus and Volinsky fever
Indications: 1. At any stage of damage by head lice, female, parent, parent and female, who age, children up to 5 years old, especially with scaly skin (microtrauma, dermatitis, eczema and other.)
2. Insignificant infestation of people with head lice (1 - 10 specimens, including eggs - nits)
* Necessary wash: an adhesive apron, an ointment for spitting or a non-infected hair, syrniki, a glue line, a plait, a cute or a shampoo, a table estimate or 5-10% of otstovoy acid, scissors, a partial comb, a cotton jgutik or a thread, a robe for staff : dressing gown, head veil, mittens, good ventilation, preparations for head lice, head lice, head lice established by law order
| PROCESS |
| 1. Pіdgotuvati Good Vilitan Signs 2. Інформувати пацієнта pro show pediculose, SPOSIB TRAKING TA ON THE CHILDREN'S TRUCK OF ABO CONSTRUCTION FOR SELF SAFETY WINKANNY PROCEDURE 3. NADIATE ZAKHISNY ONED 4. Apply a pediculocide on a head of the head of the head of the Abo Cosnic to the head of the head. concentration and exposure strictly to methodical recommendations for zastosuvanni 7. Shampoo your head with a nice or a shampoo 8. Rinse your hair with a warm table ott, vichisuyuchi beaten komakhi and their eggs - rot on your head with paper or glue 10. After finishing with zachіchennya 11. Disinfect the room 12. Take off your clothes 13. Keep your hands on your sweetheart 14. Speech on an individual with pediculosis Buildings for chamber disinfection 15. Maps 16. Register pediculosis at the center of sanitary supervision |
Algorithm 2
Necessary equipment for disinfection:
Zahisniy robe - a medical gown, a braid, a mask, a glued apron or a special robe made of gummed fabric, gum mittens.
Disinsecticidal rozchin.
Shampoo, ocet (6% retail, temperature up to 30 ° C), alcohol (70%).
Polyethylene kosinka and pelyushka, kleyonka, towels, white paper, part comb, knives.
A basin for spalling hair and sirniki.
Clayonchasty bear.
Distinguish sprats of types of disinsecticidal varieties:
20% emulsion benzyl benzoate.
Special shampoos (for example, "Elco-insect"),
Special lotions (for example, "Nittifor").
The order of the follow-up procedure (Fig. 1.3):
2. Lay a kleyonka on a stool (couch), put a sick person on it and cover his shoulders with a polyethylene pelushka.
3. If necessary, cut hair over the preparation of the pelvis.
4. Treat the hair with a disinfectant spray, tie the head with a polyethylene braid and a towel for the beast, leaving it for the singing hour (the hour of urination of the hair to lie down in the form of a zastosovuvanny Roschin - marvelous specific instructions).
5. Untie the head and wash it with warm running water, sweat with shampoo.
6. Dry the hair with a towel and treat the hair with 6% ostinic acid.
7. I will again tie the head with a polyethylene braid and a towel for the beast, leaving it for the 20th century.
8. Untie the head and wash it with warm running water, hang it with a towel.
9. Heal the patient's head over a white paper and hang it over the skeins of hair with a partial comb, then look at the patient's hair again.
10. Burn the shaved hair and the paper at the pelvis.
11. Fold the robes of the ailing one and the sickly robes of the medical sister at the glue parts of the bear and clean up at the disinfection chamber. Coat the comb and knives with 70% alcohol, and apply with a disinfectant spray.
Rice. 3. See a medical nurse in case of pediculosis.
The use of disinsecticidal agents is contraindicated in cases of vaginess, in breeds that are pregnant, in children under 5 years of age, and also in case of ailments of the scalp.
The procedure for the elimination of disinsections for the presence of contra-indication before the elimination of disinsections:
1. Prepare before carrying out the sanitary and hygienic dressing: lay out the necessary possessions and dress up the robes.
2. Lay a stool on a stool (couch), put an ailing person on it and cover your shoulders with a polyethylene pelushka, if necessary, trim your hair over the preparation of the pelvis.
3. Grow the hair (not the skin of the head!) with 6% oats, mechanically picking out and eliminating lice.
4. Tie the head with a polyethylene braid and a towel for the beast, leaving it for the 20th century.
5. Untie your head and wash it with warm running water, then
shampoo, hang with a towel.
6. Wound the patient's head over a white paper tare
vychisati on skeins of hair with a partial comb, then re-look at the hair of the patient.
7. Burn the shaved hair and the paper at the pelvis.
8. Fold the robes of the ailing one and the sickly robes of the medical sister at the glue parts of the bear and put them right at the disinfection chamber. Brush the comb and knives with alcohol (70%), apply with a disinfectant spray.
Sanitary and hygienic treatment of ailments in the presence of pubic lice:
1. Omit the body of the sick on hot water with a sweetheart.
2. Lighten the hair loss.
3. Re-obmit the body of the ailing on hot water with a sweetheart.
4. Spall the shorn hair at the pelvis.
5. Fold the robes of the ailing one and the sickly robes of the medical sister at the glue parts of the bear and clean up at the disinfection chamber. Shave the razor and knives with alcohol (70%).
Hygienic bath or shower
Bath tub
Wash the bath with a washcloth and a brush with a cute and disinfectant finish, saturate the bath with 3% hydrochloric acid, rinse with hot water and fill it with water without intermission before the arrival of the sick person at the bath room (temperature control) water. The entrustment from the bathroom is due to wooden flooring (or gum kilimki); so it is necessary to use an electric urn for the improvement of the whiteness. Pure whiteness, that washcloth can be stored in the package.
After a sick person, take a bath with sweet and rinse with 1% chloramine B. The glue is often wiped with ganchirka soaked in 2% chloramine B or 11.5% with chlorine water, and then miyut with sweetness. Prostiradla on the couch zminyuyut after a skin ailment. Vologa tidying up the appointment to spend a few times a day. Inventory slid markuvati. Washcloths in the bathroom are used in different dishes, which are marked with the signs “Whiskcloths of vikoristan”, “Washcloths of cleanliness”.
Depending on the nature of the illness, the hygienic treatment of the sick person can be done again (bath, shower) or privately (rubbing, washing).
A hygienic bath is contraindicated for the presence of myocardial infarction, acute cerebral hemorrhage, hypertensive crisis, acute cardiac and vascular insufficiency, tuberculosis in the active phase, upper respiratory tract infections, bleeding, and exsanguination. A hygienic bath cannot be taken by parents and patients with illnesses, which require emergency surgery.
For obviousness, a contraindication for taking a hygienic bath of an ailing person is to wipe the ear with a servlet soaked in warm water with sweet or warm water with cologne (alcohol), then with a servlet soaked in clean water, and wipe dry.
Hygienic bath
Required possession:
Adhesive part apron, gum gloves.
Brush to clean the bathroom, 0.5% chlorine bath.
Towel, pure whiteness.
The order of the follow-up procedure:
2. Close the quarters (the temperature outside the bathroom is not less than 25 ° C), put a humovy kilimok on the bath (for the capacity of the wooden flooring), thoroughly clean the bath with a brush and a cleaning tool, clean the bath with a chlorine bath.
3. Prepare before carrying out the sanitary and hygienic treatment: lay out the necessary air, fill the bath (with cold water, and then with hot water for 2/3 of the volume: such a sequence of filling the bath allows you to change the temperature of the steam in the bathroom; 34-36°С)
4. Change the apron and mittens.
5. Help the patients loosen up and put Yogo by the bathtub, listening to the lectures.
6. Give the patient such a position at the bath, so that the water reaches the upper third of his breasts; at the end of the bath
put a wooden stand, so that the ailment of the moment rested on it with its feet, not squashing and bending (Fig. 1.4.).
It is impossible to deprive an ill person of an hour of taking a bath without seeing; obov'yazkovo it is necessary to follow for yog ovnіshnіm looking at that pulse!
7. Like ailments, you cannot mitigate on your own, overcome yoga,
vikoristovuyuchi individually cute and a washcloth, in such a sequence: head - toelub - hands - inguinal region - crotch - legs, adding special respect to the mist of sweat.
8. Help the patient get out of the bath, wipe yoga in that order.
9. Dress the patient in a clean robe (if you are ill, you are allowed to stay at the ward over the liquor, but at home).
10. Thoroughly wash the bath with a brush and a cleaning tool, clean the bath with a chlorine bath.
11. Take the apron and mittens, place them at the special glue bag, keep your hands.
Trivalіst perebuvannya ailing at the bathtub is determined by the camp and in the middle to become 15-30 min.
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Rice. 4. The camp of an ailing person who takes a hygienic bath.
Hygienic shower
Required possession:
Adhesive part apron, gum gloves.
Brush to clean the bathroom, 0.5% chlorine bath.
Water thermometer, individually cute washcloth.
Towel, pure whiteness.
The order of the follow-up procedure:
1. Put on the adhesive part of the apron and mittens.
2. Close the quarters [the temperature outside the shower (bath room) is not less than 25 ° C], put a humovy kilimok on the floor near the shower cubicle (bath) and clean it thoroughly , rozchinom chlorine vapn.
3. Get ready before the sanitary and hygienic cleaning: lay out the necessary equipment, turn on the water (water temperature is 35-42 ° C), change the apron and mittens.
4. Help the patients to loosen up and put Yogo on a stool (bench) near the shower cubicle (bath), accommodating the lungs.
5. Like ailments, one cannot mitigate independently, vimiti yoga, vicorist and individually cute that washcloth, in such a sequence: head - toelub - hands - inguinal region - crotch - legs.
6. Help the patients to get out of the shower cubicle (bath), wipe yoga in that very order.
7. Dress the patient in a clean medical robe.
8. Resolutely clean the shower in the shower cubicle (bath) with a brush and a tool for cleaning and spraying with a chlorine bath.
9. Take an apron and mittens, put them in a special bear, keep your hands.
See the transportation of the sick to the jubilant clinics
Transportation - transportation and transfer of sick people to the month of medical assistance and treatment. The method of transporting an ill person from primal calm to the point of departure determines the doctor, which is to conduct a look around (Fig. 1.5.). Take care of transferring (wheelchairs, loads) with care for stretchers and carpets. Remain following changes after dermal implantation. Illnesses, yakі suvayutsya independently, from priymalny vіddіlennya to go to the ward at the accompaniment of the young medical staff (young nurses, nurses and nurses).
Ill, yakі mozhut perezuvatisya, transport vіddіlennya on burdens chi kіslі-kataltsі.
Sick camp
Zadovilne
Ailments go pishki Stretcher, wheelchair, Medical help
at the accompaniment of the middle wheelchair, push on the seats,
or to translate a young medical officer
personnel to resuscitation
Rice. 5. Scheme for choosing the method of transporting the sick.
Transportation of the sick on burdens manually
Equipment: wear.
Carry the sick on the burdens without haste and shaking, collapsing out of step.
Down with the descents of an ailing trail, carry them with your feet forward, and the foot end of the load must be lifted, and the head end should be lowered (in this way, the horizontal position of the load is reached; Fig. 1.6, b ). With the help of the one who goes behind, trim the handles of the burdens on the hands that are straightened at the elbows, who go in front - on the shoulders.
Uphill with the descents of an ailing person, carry the head forward also in a horizontal position (Fig. 1.6, c). With the help of the one who goes in front, trim the handles of the burdens on the hands that are straightened at the elbows, who goes behind - on the shoulders.
Rice. 6. Transportation of the sick: a- on wheelchairs, b- On burdens down gatherings; in- on burdens uphill gatherings, G- on a wheelchair, e, e- on hands.
Shifting the sick from the burden (wheelchair) to the bed
Translation order:
1. Put the head end of the load (wheelchair) perpendicular to the foot end of the bed. Since the area of the ward is small, place the stretcher parallel to the bed.
2. Bring your hands under the ailing one: one orderly puts your hands under the head and shoulder blades of the ill, the other - under the pelvis and the upper part of the stegon, the third - under the middle of the stegon and homilki. As a transport, two nurses are needed, one of them to bring their hands under that shoulder blade of an ailing person, the other - across that knee.
3. At the same time, with the help of the hands, lift the sick person, at the same time turn from him 90 ° (for example, the stretcher was placed in parallel - 180 °) kill the bed and put it on the sick person.
4. When placing the burden close to the bed, stretching the stretcher on the equal foot, double (triple) pull the ailing to the edge of the burden on the stretch, lightly lift it uphill and shift the ailing to the lizhko.
Transferring a sick person to a stretcher (wheelchair)
Translation order:
1. Place the load perpendicular to the foot, so that the head end comes up to the foot end of the foot.
2. Put your hands on the sick: one orderly puts his hands on the head and shoulder blades of the sick, the other - on the pelvis and the upper part of the stegon, the third - on the middle of the stegon and homilki. As a transport, two nurses are needed, one of them to bring their hands under that shoulder blade of an ailing person, the other - across that knee.
3. At the same time, with the help of rukhs, lift the ailing one, turn around 90 ° at the same time at the side of the load and lay the ailing person on them.
The seating of the sick in a wheelchair
Seating order:
1. Move the wheelchair forward and step on the bottom of the wheelchair.
2. Invite the patients to sit on the bottom and put yoga, pіdtremuyuchi, at the armchair. Excuse me, so that the patient's hands were in the correct position - so that they could be injured, the stench was not guilty of stepping out of the wheelchair armrests.
3. Turn the wheelchair to the correct position.
4. Improvement of transportation (Fig. 1.6.d).
Choose the way of transportation
The way of transportation and laying on the burden of the hospital to lie down depends on the nature of the localization of the disease (Table 1).
Features of transportation of sick people Table 1.
| The nature of that localization of the disease | Different types of transportation |
| Bloody at the brain | Lying on the back |
| Nesvidomy stan | The sick man's head must be turned to the side; stezhity, so that with a possible vomit, the vomit of the vomit was not consumed in the distal path |
| Cardiovascular insufficiency | At the position, drunk, kindly open, put the heating pad up to your hands |
| Gostra ship's insufficiency | Lay down the ailing so that the head would be lower for a rіven nіg |
| Opiks | Lay as far as possible on a non-shocked bed, cover the surface with a sterile bandage or a sterile stretchcloth |
| Skull fracture | On the burdens in the position lying on the back with the lowering of the headrest of the burden and without a pillow; around the head a roller of carpets, a garment of a pomіrno inflated poіtryam podkladny kol |
| Fracture of the thoracic and transverse spine | Zhorstkі noshi - lying on the back of the guise uphill (not killed), zvichayn - on the belly of the guise down |
| rib fracture | At the position drunk |
| Fracture of the pelvis | Lying on the back, pіdklavshi pіd razvedenі kolіnі polіnі, valіnі і tp. |
Sanitary and hygienic treatment of ailments in the priymalny district is carried out in order to improve the severity of the disease and fallow, since the system in this priymalny district is one-or two-stream. In pains with a small number of people, there is a single-stream system of sanitary processing, where women live, and then people. In other librarians, there is a double-flow system, when it is safe, that one-hour sanitary treatment of ailments is parallel to both people and women, as soon as the term is changed at the reception. At the sanitary checkpoint of the priymalny vіddelennya є oglyadovy kabіnet, de ailing rozdyagayut she ready to take a hygienic bath. Here there is a couch, shafki for pure whiteness, and tanks for brine, steel, on which one can find the necessary items for the leg, haircut, cute, washcloths. On the table there are two pans with the inscriptions “clean washcloths” and “brudni washcloths”. After a skin ailment, washcloths are put in a saucepan and boiled. To take a bath, there are special washcloths and brushes, with which you can take a bath after a skin ailment. There is a thermometer hanging on the wall, which indicates the temperature of the temperature. The bathrooms may be warm - the temperature is not less than 25°C. The window vents are categorically fenced.
At the inspection office of the ailing one, they make up a description of the lane with two accomplices: one is attached to the history of the disease, the other - to the speeches, which are given at the camera to take care of the sick person. The statutory values and pennies for a receipt are issued by the senior medical sister, as they are taken from the safe. The medical sister looks at the hairy parts of the head and as if reveals nits or lice, ill, not loose, sit on the couch, kindly kiss the head with a sweet K, rubbing yoga into the skin, and pulling on a braid for 15-20 min. Let's sit the sick person by the bath, kindly wash the head with warm water, smile sweetly K, and wash 6% of the octu. The hair grows thick with a comb. For the growth of nits in the hair, zastosovuyut pіdіgrіty up to 27-30 ° C with a tablespoon, for which the skein of hair is soaked with cotton wool, tie the head with a plait for 15-20 mins, and then we will slowly hang the hair with a part of the comb and wash it again. For the presence of lice in white yogo, they are placed near the glue parts of the bear, urinating with one of the most obvious disinfection methods (4% DDT emulsion, hexochloran, 0.5% karbofos, 1% aqueous acetophos or metaphos), and send to the disinsection chamber for disinfection at the territorial disinfection department for the dispensation of medicines. It is also possible to indulge in lice at the whiteness of the dress with a path of ironing them with hot dust from two sides through the embroidered fabric. After the examination room of the sick person, they attend the bath at the bath, so that we can open up, we clean it brightly. Bathrooms may have special ventilation. Under the hour of a hygienic bath, open the quarters or vlashtovuvaty the stretches are categorically blocked. Pіdloga is guilty of being waterproof, covered with kahl. At the skin bath, there are wooden floorings, on top of which small servets are placed, as if changing after a skin ailment.
Bazhano, so there were also electric urns for growing towels, or a prostration for rubbing the sick. Since there aren’t many of them, then you can place them on the heat of drying for towels. In front of the bath, it is reluctant to wash with washcloths or brushes with a cute or disinfectant design. For the presence of brown flames under the faucet, it was followed by a 3% solution of hydrochloric acid. Let's rinse the bath hot
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water closes the opening with a cork (Fig. 5, d). To get away from taking a bath, remind yourself immediately before taking it. So that the water vapor did not settle down, pouring cold water, and then hot. The temperature of the water is measured with a special thermometer near a wooden frame, without viimayachi yoga. The position of the ailing person at the bath may be such that his back and the sweatshirt rested on the wall of the head end of the bath and the water reached the upper third of the breasts. In order to hide the body's z_skovzuvannya in the foot end of the bath, they install a wooden lava or a support, resting their feet against ailments. Mitya the ailing needs a little movchak, a head on the back, and then a tulub and lower kіntsіvki.
It is necessary to take care of the mіstsya, de zazvichay pіt accumulates, sho to bring up to maturity (the groin area, the crotch, for women - under the milky folds and in the groin). At this hour, at the bathrooms of the priymalny vіddіlennya, sterile bags with a clean white washcloth.
The trivality of the bath to lie in the temperature of the water and the burning camp of the ailing. The average dryness of a hygienic fresh warm bath is 20-30 minutes for a normal water temperature of 35-36°C. Prepare a bath and take care of the cleanliness of the bathroom, a young nurse. The medical sister is guilty of buti at the mitt of the ailing, chasing the skin of the skin and the pulse. Like a sickness zblіd, swear by the confusion of that trash self-feeling, the nurse calls the doctor. Help the ailing man to get out of the bath, rub yoga, lay him on the couch, give him a sniff of ammonia, or put cold on his head.
Like an ailing camp, a healthy hygienic bath is fenced in, a shower is prescribed. For whom, put a bench by the bath, on which one sits ailments. Miyut yogo in the same order as at the bath. After a skin ailment, wash the bath thoroughly with a washcloth and then rinse with one of the disinfectants (0.5% clarified with chlorine vapor or 2% with chloramine).
We are ill, as if we are resting at the camp of moderate severity, the nurse wipes with a body towel, soaked with one of the disinfectants (camphoric alcohol, cologne, vodka), savagely respect for the skin folds in the groin, paws and under milk rashes in women (small 5, b).
The bathtub is used to look around the stone next to the impoverished cleanliness. Glue pillows and klejonki on couchettes after skin ailment should be wiped with ganchirka soaked in 2% chloramine or 0.5% chlorine vape, and after the end of the change, it is necessary to wash it with hot water and honey. Stretched out on the couches change after a skin ailment. Cleaning up the bathroom to clean the sprat once a day in a watery way. Inventory, zastosovuvannya pribirannya primіschen, maybe but markings, save this trace from a special prismіschenni. After vikoristanya, the washcloths are taken into a row of dishes with an inscription on the krishtsi: "Vikoristan washcloths" or "Brudni washcloths". Washcloths are washed at each dish until boiling. For the selection of sanitary facilities, special equipment is seen (windows, basins, ganchir'ya), which, after skin selection, must be thoroughly rinsed and dried. For toilet bowls, 0.5% of the clarification of the chlorine vapors should be used.
In the wedroom of the Pediculose with the twisted Vіddіlenn, the Medichnye Personal Personal Personal Personnel Reliver about the price of a familiar to Istorії Khvherobi Z Methods Posternenna Vadi Lіkarya Vіddіlennya for a detached stitching for Kalvim і at Nezhadnostі - Repeated Sanitary Trucks Forces Human Resources Certificate. In addition, the address of the sick person, who has pediculosis, the medical staff of the priymalny goiter care for the medical and epidemiological station for the cost of living the sick person to look at the pediculosis of the member of the yogo family At the priymalny vіddіlennі likarnі it is to blame buti zoshit, in which to enter the data about the sick person: name, name, according to the father, vіk, signs of the ailing hospital, the number of the hospital, the date of that nickname, which is passed on to the sanitary and epidemiological , which took qі vіdomosti.
For carrying out sanitary treatment of ailments, the hospital is independent in their profile, due to the mother of the offensive recruitment of equipment and disinfectants, as it is necessary to take it from a specially designed wardrobe or box.
1. Disinfectant products: lyzol, solvent, gas, milo, table ocet, milo-gas emulsion, pyrethrum, hexochloran 0.5%, karbofos, chloramine.
2. A hair clipper, a bucket with a cap for collecting hair, which is tightly closed, a bucket for preparing disinfectant products: two saucepans, marking for clean and chest washcloths, a hydraulic control, bears for collecting clothes, a light adhesive cape for the protection of an ill person , beaker, alcohol bath, cotton wool, braids, combs and washcloths.
An hour, which ailments to spend at the primal vіddіlennі, can be fast to the minimum. All the speeches of the ailing follow the sanitary work and take care of the hygienic minds. In patients with suspected infection, it is necessary to take bacteriological samples for the clearest diagnosis and the survival of anti-epidemic and curative visits. After the sanitary treatment, the sick person should be sent to the doctor’s office, it’s good enough to get sick. The way, which can go through ailments from the primal entrance to the ward, can be straight and short. In case of any ailments, the uniqueness of contacts from ailments of other authorities is to blame. In case of a very serious condition (shock, myocardial infarction, etc.), a sick person without sanitary treatment should be directed to an intensive care for the provision of a term medical assistance.
