The general principles of the organization of the nurse
sunlight has a beneficial effect on the human body and devastating - in many microbes.Premises for stay of patients (Chambers, hallways, porches, etc..) Must be arranged so that they penetrated as much as possible sunlight.For this purpose, the window chamber is oriented to the south, south-east and south-west (depending on latitude), operating windows - respectively to the north, north-east and north-west.
Electric lighting used in the evening and at night should not be too bright.At the same time in doctors' offices, laboratories, treatment, especially in operating rooms and dressing rooms, lighting, on the contrary, must be very powerful.The operating and bandaging apply special shadowless lighting systems.
in chambers the temperature should be maintained at 20 ° C, dressing and bathrooms - 22-25 ° C, and generic operating - 25 ° C.The room temperature must be uniform.
air composition in a place where there are people who are constantly changing.Dust in the
Hygienic air in the room rate per patient is 27-30 m3, each hour that the airIt should be replaced with fresh.Replacing the air outside the premises clean air by means of natural and mechanical ventilation.Ventilation hospital rooms through air vents transoms and not be regulated and depends on the climate and weather conditions.In hospitals, it is necessary to arrange artificial ventilation, allowing to clean the air, warm or cool it.Operating, boxes, isolators should have separate air handling system.Each room is fitted hygienic air exchange standards for supply and exhaust.
facilities and care items
To care items include sippy cups, hot water bottles, ice bags, douches mug, glass, enamel and rubber bedpans, urinals, beakers, thermometers for measuring body temperature, water and air, rubber skid circlesand mattresses to prevent bedsores, headrests, footrests, and others. All of these items must be in the designated areas.Ships and urinals before entering the patient rinse with hot water, so they were warm.After use, wash them with soap or detergent and disinfected with 0,5% solution of chlorinated lime or 1% solution of chlorine bleach.Used colonic enema tips are placed in special glass jars labeled "dirty", and freshly - in sterilizers, where it is boiled after washing with soap and water.The infectious wards, each patient has its objects of care to hospital discharge.For hospital inventory are beds, bedside tables, stretchers, chairs, trestle beds, wardrobes.For the safety of hospital equipment is responsible nurse and a nurse supervises its work.
hospital mode provides timely and proper nutrition of patients required treatment and sanitation measures.Depending on the daily routine construction work of all medical personnel.By lifting patients, i.e.to 7.00 am prepared equipment for the morning toilet of patients, and room cleaning.Turn on the light in the room, ventilate the room by opening a window or transom, depending on the season.
Immunocompromised patients served and the water basin for washing, flushing and render the ship re-make the bed.Patients who are on strict bedrest, served bedpans and urinals before breakfast.Urine and feces were collected for laboratory testing as before breakfast.The younger nurse washes seriously ill, tempted to patients suffering from urinary incontinence or stool, as well as women with vaginal discharge and bedridden patients.
During breakfast, from 8 to 9 am, junior nurse prepares everything necessary for cleaning when two-stage maintenance patients (organizational form of care of patients in the hospital, where it is the responsibility of the two parties - the doctor and the nurse), and at threefold (the organizational form of care of patients in the hospital, where it is the responsibility of the doctor, nurse, nursing assistant) - disguises gown, carefully wash their hands and helps to guard his sister to feed the critically ill.
during harvesting (after breakfast) you need to open the window and ventilate the room.Patients should be well covered.Cleaning of chambers and all other facilities producing wet three times a day.Clarified
bleach solution was prepared as follows: 10 liters of cold water was dissolved 1 kg of bleach and placed in a dark glass bottle.The solution advocated 12 hours, then it is drained and stored in a dark place, since the light bleach decompose to lose their disinfectant properties.At 1 bucket of water should take 200 grams of clarified solution.Are cleaned with a brush, mop, rags, moistened with disinfectant.Wet cleaning younger nurse spends in rubber gloves.Begin cleaning the House with bedside tables, wash the dust from them, follow that there is no perishable food, and leave only what is necessary: soap, tooth powder, books or magazines to read, cookies, jam, candy.Fruits and perishable products must be refrigerated.The windows to store products is strictly forbidden.Then, wipe the dust off windowsills, lampshades, beds and other furniture.Sweep the House should be away from windows and walls toward the door, toward the middle of the chamber.
After lunch make sweeping wet with disinfectant solution and airing.Depending on the season and the weather at the time of an afternoon nap, it is desirable to leave open skylights or windows.Any kind of cleaning, loud talking, walking, slamming door, phone calls strictly prohibited at this time.
Visitors are allowed on certain days and at certain times.They do not have to sit on the bed, talk loudly or laugh, to deliver bad news to bring prohibited products.Nurse, observing politeness in dealing with visitors, is obliged to ensure that they are not tired of the patient talk, no food products and other unlawful.
After dinner, the nurse performs evening appointment and extinguish the light in the wards.At night, the staff monitors the sleep of patients for heavy and restless patients.Legs of furniture should be fitted with rubber caps, door hinges well oiled, the mating surfaces are covered with rubber.At night in the House, if necessary, do not include general light and table lamp.
On Guard nurse must be a case for medicines and medical equipment, a table with lockers to store medical records, telephone and reading lamp.Above the table - the alarm panel of the chambers.Next to the table is a safe and potent toxic assets.If the safe is not present, on the table there are two nurses locker (A and B), lockable.The key is kept by the eldest or (in its absence) at the guard sister.Workplace nurse should be contained in an exemplary purity.
On a post of medical sister are glass cabinets with drugs.It is necessary to ensure that at each shelf was an inscription: "Internal", "External", "injection".All medical instruments are laid out in view of its purpose and frequency of use.
hospital medical protective mode.Each hospital has its own mode of nosocomial - a certain order established in the facility.Important conditions of medical protective mode - protection of the psyche of the patient, favorable conditions to ensure the patient's physical and mental rest.
is important to eliminate the negative emotions that patients may be caused by a kind of health care items (bloody pieces of gauze, syringes and scalpels with traces of blood, basins full of dirty cotton wool and bandages, etc..).Of great importance is a good leisure patient in order to distract them from thinking about the disease.It is desirable to equip a special relaxation room or use Corridors accommodate shelves for books, magazines, TV set, which is mo
gut watching walking patients.In the same room ambulant patients can visit relatives.In his spare time, patients can engage in reading, board games, crafts, listen to the radio through headphones.Of great importance are walking outdoors, especially in the summer.