Functional responsibilities of nurse clinics

August 12, 2017 17:50 | Paramedic

functional, laboratory, X-ray methods of research are provided in the medical-diagnostic department.The leading medical diagnostic rooms include radiological study.

X-ray equipment to diagnose diseases of various organ systems (respiratory, musculoskeletal, circulatory, nervous, etc.).It was established that for one unit per day should be not more than 700 visits.So count the number of X-ray machines.Visits to the radiology department for the production of images is 5% of the total number of visits to outpatient clinics.Major clinic has X-ray department, consisting of 10 rooms, with a total area of ​​350 m2.

All basic laboratory and diagnostic studies carried out in the clinic.Currently, sophisticated laboratory tests such as immunological, microbiological analysis, conducted in common for several clinics serological, cytological laboratories.This allows you to improve the efficiency and quality of diagnostics of diseases.With this organization, diagnostic help significantly decrease financial expenses

on one study.To accommodate the laboratory premises must be from 400 to 600 m2.Power Laboratory includes the ratio of the number of studies among the general visitor.It is calculated that the ratio is 1:10 on average.

in rehabilitation treatment department structure includes the use of various methods of therapeutic effects: physical, mechanical, labor.This department provides care for patients with cardiovascular disease, musculoskeletal and nervous systems.The result of work of employees of department of rehabilitation treatment are to reduce the length of stay of patients in the hospital mode, an early return to work, as well as reducing the number of people with disabilities.

Activities of physical methods of treatment rooms occupies a leading position in the provision of medical care to the population.The structure of the physical therapy services outpatient clinics up offices: electrotherapy (60 m2), mechanotherapy (35 m2), phototherapy (80 m2), microwave therapy (50 m2);physiotherapy room (45 m2), massage (40 m2).There is also a study of occupational therapy, in which patients recover lost functions and skills.

clinic staff carried out medical examination of disability.This issue has been specially trained physician, whose duties, in addition to treating patients, includes the definition of disability.It establishes a temporary disability, predicts the duration of the disease and decide on treatment and rehabilitation (outpatient or inpatient).It also addresses the issue of issuance, extension and closing of a leaf of invalidity.Currently, about 30% of patients attending the clinic, you need temporary relief from employment.If the patient has confirmed persistent disability, conduct training and registration of his medical records on VTEK.In the clinic there is a responsible person engaged in the direction of this procedure (deputy chief physician clinics for medical examination of working capacity), and is organized by the medical advisory committee on these issues.

most important function is to carry out clinical examination clinic, which is tasked with the selection of patients for registration, approval of the relevant documentation, the definition of forms and methods of improvement of the population, for the establishment of specialist doctors workload on clinical examination.So, for the local therapist, it is 200 people;for ophthalmologist - 210;to a neurologist - 150;Dermatology - 150 patients in the dispensary, are expected to attend the clinic at least five times a year.Such patients outpatient and inpatient services should provide treatment that prevents the occurrence of relapses.For these purposes, the value of invaluable use of physiotherapy techniques, physical therapy sessions, diet and health resort treatment.The head of activities for the prevention of clinical examination department in which the records of persons under medical observation.

Clinics are working closely with hospitals, providing them with patients in emergency or planned.Patients come to the hospital on a centralized and decentralized system.The first organized system of "ambulance", in the second, patients are hospitalized in hospitals, which is attached to the clinic.Particular attention is paid to the completeness and quality of the examination of patients in the clinic, which will reduce the length of their stay in the hospital.Directing a patient in a hospital, clinic, doctors are required to competently and reliably fill medical documentation and application for a complete list of surveys and their results, while the hospital after discharge, the patient has to provide information on the clinic for further treatment or rehabilitation activities.One of the main offices, performing preventive measures, is the study of health education and hygiene education of the population, which is part of the prevention department.

One of the forms of activity of the cabinet includes a conversation with the patient's local doctor about the different methods of disease prevention, health issues, etc.. Momentary meeting of doctors and patients are carried out in the clinic, which discusses the circle of problems.Of great importance in the health education given to the creation of posters, leaflets, wall newspapers.Health education should be planned taking into account the time of year, the level and structure of diseases, the age profile of the population, and others. This work is carried out under the direction of the city of SES.An important activity of the polyclinic is to work with medical documentation, carried out in the office of accounting and medical statistics.

staff of this office make statistical records according to approved forms.Statistical records are subject to such factors as the number of physician visits by patients, the number of issued leaflets and disability certificates, preventive examinations.Especially strictly accounted prescriptions for narcotic and potent drugs and to a reduced dispensing of medicines.Medical reports also includes an indication of the number of patients admitted to hospitals.

Evaluation of the clinic is carried out in terms of the two groups.The first component includes the district (the number of patients served by one district physician), attendance of doctors one patient a year, follow-up visit.The second group of indicators include quality of clinical examination (according to certain parameters), the number of cases that are in the hospital mode, the level of infectious diseases.Specialized clinics differ from general practice clinics specializing in diseases and priority populations served.In smaller towns, opened branch clinic and children's department on the basis of city polyclinics.

The clinic structure can also go the emergency room if the service is not in the city.Of great importance are diagnostic rooms: endoscopy, X-ray, laboratory, an office of functional diagnostics.The structural units of such clinics are also a desk, housekeeping part, study design of medical records and health statistics.

in its functioning district health center should perform certain tasks: to organize and carry out comprehensive measures to prevent and reduce disease;provide expert assistance to the population.One of the main events organized by the clinic is clinical examination, which includes a survey of persons with oncological, cardiological pathology.Clinical examination also covers industrial workers, schools and other educational institutions.Workers in hospitals, as well as other health care institutions, should promote a healthy lifestyle and maintain it themselves.

Based on the above objectives polyclinics provide first aid in case of emergency (in case of poisoning, injuries, etc.).A feature of outpatient activity is the provision of medical assistance on call at the house, for which doctors are assigned extra hours.As a rule, patients who visit the clinic experts are on bedrest, and are not able to come to the doctor.outpatient services professionals need to accurately diagnose and timely detect the disease in its early stages.The list of features also includes outpatient clinics to provide skilled care.If necessary inpatient treatment clinic is obliged to conduct a thorough medical examination of the patient, and writing an opinion of specialists in the hospital where the patient is sent.Polyclinic services should provide rehabilitation and systematic observation of patients discharged from the hospital.The duties of the clinic also includes continuous monitoring and assessment of the health status of pupils, students and their conditions of work and life.Close cooperation with SES allows for measures to prevent and reduce infectious diseases.Polyclinic services should provide full inspection temporarily or permanent disability of patients.Then these patients is given (and extended if necessary) sheet disability.polyclinics professionals should inform the patient with persistent disability as rationally choose the place of work.Qualifying employees of polyclinics (nurses and doctors) should be confirmed or increased every five years, which is achieved by certain activities which is required to carry out clinic.

Typically, when a person becomes ill, it primarily refers to the local physician.

working time of each of the doctors strictly rationed, reflecting the timetable for their employment.A feature of the activity of specialists clinic is to help at home.Public health nurses in order to improve the organization of care at home together in teams and accompany the doctor on call to the patient.Most clinics organized by department of "ambulance" for going to the sick during the night.Currently, one of the most effective forms of treatment is outpatient, allowing the patient to get professional help without hospitalization.Mode of operation, number of employees, the availability of medical equipment in a variety of day hospitals is not the same and set the head of the polyclinic.The contingent of patients administered this form of treatment are patients with chronic cardiovascular diseases, disorders of the respiratory system.Passage of the course of rehabilitation treatment in a day hospital prescribed after myocardial infarction or stroke.Another form of care involves the treatment of patients who refuse hospitalization - an organization of hospitals at home.A visit to the patient's physician must be at least eight times a month.The duties of the district nurse includes fulfillment doctor's appointments, in connection with which it is obliged to visit the sick more often.

number of specialists in different health centers varies and depends on many parameters: the number of population served, industrial and transport enterprises functioning in the clinic area.Development and approval of staffing has been chief physician clinics, coordinating all activities with the management of territorial medical associations.Work carried out on the precinct polyclinic-territorial basis, so each specialist clinics calculated a certain number of residents.For example, one district physician attached 1,700 people to a local pediatrician - 800 children.The number of specialists (surgeons, optometrists and others.) In outpatient clinics is regulated needs of the population in their care (about one doctor per 20 thousand. People).Staff nurses will depend on the number of procedural, dressing rooms, the availability of additional specialized departments and the number of doctors.It was established that for one post of district therapist falls 1.5 positions nurses, one nurse should work with other professionals.Today, in most clinics acts brigade method of work.teams of staff in accordance with the volume of work in advance agree on the necessary number of workers and distribute responsibilities among themselves.The salary of each specialist team depends on the evidence of active and initiative in their work.

Manual territorial medical associations (TMO) is funding the independent clinics.Financing clinics, which is a subdivision of the hospital, from the budget of the combined institution.

There is additional funding clinics that accrued from funds received through the implementation of additional services to employees of various organizations.Wages of employees clinics charged from the above sources.In many clinics, whose work is based on a budgetary basis, carried out paid medical services.Systematic management of primary medical documentation necessary for the monitoring and evaluation of the clinic and its separate structures.

There are a number of indicators that characterize the activities of outpatient services.This so-called medical and social indicators that reflect the health of the population:. Disability, the overall incidence, etc. The analysis of the frequency and causes of deaths.Consideration is also given patient complaints about the clinic.Much attention in the evaluation of the functioning of the children's clinics paid to the organization and timeliness of

vaccinations against tuberculosis, tetanus, pertussis, hepatitis B, polio, etc. In recent years, cases of perinatal mortality, so the test the polyclinic tasks include a thorough examination of the causes of deaths.;definition of quality screening, treatment and dispensary observation.

clinics cooperate with specialized medical institutions, emergency stations.The district physician (pediatrician) - a specialist, which must possess all the necessary information about the patient.He should be provided with the conclusions of experts of a narrow profile (ophthalmologist, surgeon, etc.).There is a local health authority, one of whose functions is to establish specific forms of cooperation between the clinic and other medical institutions.Because of the risk of complications at the stations, "ambulance" must be lists of patients seen in the clinic with incurable or chronic diseases.Information about the reasons for the call, the activities carried out and their results should be every day to deal with the item "ambulance" in the clinic.

State of the environment and human health are closely linked.Therefore, one of the main tasks of the polyclinic is the prevention of infectious diseases, which is carried out jointly with SES.One of the main departments, which enables communication between a doctor and a pharmacist, a pharmaceutical information office.Specialists of the cabinet have all the necessary information on medicines and healthcare products, know what the needs of the population in them.

Currently, intensive work on the accelerated development of the network of polyclinics and advancement of medical equipment.It also plans to open clinics preventive and rehabilitation units.Much attention is paid to the close cooperation with other clinics of medical institutions - hospitals and dispensaries.The result of the work of outpatient services is largely determined by properly organized phases of care.

Today, we are working to establish clinics at several levels.