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Lecture / Hospital Hygiene.pptx
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According to the Law:

Building area-15-20%

Green spaces

– 60-65%

(25m2 for 1 bed)

 

Roads and platforms-15-20%

Hospital divisions:

admission department,

tent offices,

medical and diagnostic departments,

laboratories,

sterilization,

pharmacy,

nutrition unit,

pathology (morgue),

administrative and economic part,

Laundry, etc.

Admissions office staff (at least)

•Lobby-waiting room with reception, cloakroom and reference room

•Consulting room and office of the chief physician

•Sanitary inspection room

•Manipulative

•Box and diagnostic room

•Bathrooms and utility rooms

•Discharge

Types of medical departments:

1)aboutdredging stations:

-one-sided (on one side of the chamber),

-bilateral (on both sides);

2)two-door doors.

Ward section – this is an isolated complex designed for patients with the same diseases and consists of wards, a tent corridor, medical and auxiliary facilities, and a sanitary node.

2-3 sections are made up of tent Department.

Wards are:

ogeneral purpose,

ointensive monitoring and treatment with controlled physical and chemical parameters of the environment (resuscitation).

Basic sanitary requirements for the arrangement of wards:

sufficient area

For somatic departments – 7 m2 for 1 bed

For tuberculosis and infectious rooms-7.5 m2 on 1 bed

For intensive care units-10 m2 by 1 bed

For children's departments – 6 m2 per 1 bed

normal insolation and lighting

Orientation of wards-South, South, B

For resuscitation and operating rooms-WITH, SV, NZ Temperature-18-22°C

Light coefficient-1: 5-1:6

Artificial lighting for wards-75-100 Lux

Basic sanitary requirements for the arrangement of wards:

proper sound insulation

Noise control measures in the wards:

choosing the right hospital site

rational zoning of the site

green spaces

prohibiting vehicle sound alarms

double doors if necessary (for example, dressing rooms)

light alarm system on the nurse's console

noise-absorbing devices coverings in corridors

behavior of the average medical staff

Basic sanitary requirements for the arrangement of wards:

intra-chamber improvement and comfort

suitable wall color (blue or yellow)

bedside tables, table, chairs

hot and cold water supply, near the bathroom

Measures with overheating in wards:

the correct orientation of the chambers

glazing (blinds, visors, ferro-titanium products glass, etc.)

landscaping (in T. h. vertical)

transoms and vents (working)

splitsystems

Nosocomial infections (NcI)

– it is any clinically expressed disease of microbial origin that affects a patient as a result of his hospitalization or visit to a medical institution for the purpose of treatment, as well as the hospital staff due to their activities [the definition by the who].

Reasons

1)weakening of the natural immune system;

2)urbanizing the hospital environment;

3)complication of surgical interventions;

4)excessive use of antibiotics;

5)insufficient disinfection of tools;

6)long stay of patients in the hospital;

7)weakening of sanitary and hygienic and anti-epidemic regimes.

NcI

The NcI structure depends on:

•hospital profile,

•San. - epidemiological conditions in it.

The object of NcI:

obstetric hospitals,

surgical hospital,

any profile.

Sources NcI:

ill persons (in T. h. bacillicarriers),

staff (nasopharynx, hands, dressing gown),

visitors,

hospital linen,

toys,

stationary telephones,

furniture, door handle,

water cranes,

the disinfectant solution.

NcI

NcI transmission paths:

aerosol (air-drop and air-dust),

contact (medical procedures),

fecal-oral,

transmissible (through blood-sucking insects).

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