- •Hygienic requirements for the conditions of stay of patients and staff in medical
- •Situational plan – the location of the hospital site.
- •The importance of hospital hygiene for the doctor
- •Medical and preventive institutions:
- •Modern hospital – this is a medical center designed to serve the population.
- •Hospitals:
- •Hospital construction systems:
- •Decentralized system
- •Centralized system
- •Slide 8
- •According to the Law:
- •Hospital divisions:
- •Admissions office staff (at least)
- •Types of medical departments:
- •Ward section – this is an isolated complex designed for patients with the
- •Basic sanitary requirements for the arrangement of wards:
- •Basic sanitary requirements for the arrangement of wards:
- •Basic sanitary requirements for the arrangement of wards:
- •Nosocomial infections (NcI)
- •Reasons
- •Prevention of nosocomial infection
- •Prevention of nosocomial infection
- •Prevention of nosocomial infection
- •Catering service
- •Working conditions for doctors
- •Occupational hazards of health care workers
- •Occupational hazards of health care workers
- •Occupational hazards of health care workers
- •Occupational hazards of health care workers
- •Occupational hazards of health care workers
- •Occupational disease
- •Recreational activities
- •Thank you for coming to the lecture!
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).
