Functional responsibilities of nurse infectious department
Hospital for Infectious Diseases includes several departments: emergency room, medical office for treatment of patients with various infections.Also, the device isolation hospital necessarily have laundry, bathing and delousing establishment, disinfection chamber.At some distance from the medical building located sanitary and outbuildings, the food supply.In the infectious diseases hospital should not be less than three infectious departments, they must be isolated.Each infectious department has several wards for patients with unspecified infection or with the mixed infection.Also at the hospital with a bed capacity of 100 beds and more necessary to have a diagnostic department.In the Infectious Disease Hospital applies the principle of the flow-capacity, when the patient is at the hospital passes successively hospital room and not returned to them.
All patients with infectious diseases, first of all come to the emergency room, which is isolated from the treatment.In the emergency room of the patient
device infectious Chamber must comply with sanitary norms and standards.It should be spacious for one patient should account for 18-22 m2, distance between beds should be at least 1 m. The House must be well-lit, with forced ventilation, the windows should be mosquito screen.
Boxing designed for patients with different infections have not met.The box must have a bed, a bedside table, dressing room.In front of the box there is a bathing and delousing establishment, which has a sink for staff, medical gown, which is put at the entrance to the box and removed when leaving it.It should also be the drug for medical care, capacity for disinfecting tools, sterile tubes for taking swabs from the throat and nasal diphtheria, feces to determine the causative agents of intestinal infections.
in the treatment of patients with infectious diseases plays an important role to care for them.Especially in need of care, patients with severe infectious diseases.Proper care is required to improve the moral and physical condition of the patient, which contributes to more rapid recovery.
The department should be more nursing positions.There must be procedural and sentry nurses.Treatment nurse performs parenteral drug administration: intravenous bolus and drip, subcutaneous, intramuscular.Postovaya nurse gives tableted drugs, performs various manipulations (enema formulation, temperature measurement, preparation of various studies), monitors the status of the patients.The offices for specialized procedures (sigmoidoscopy, fibrogastroscopy etc.) works specially trained nurse.
When a patient in the infectious department meets its nurse tells him about the operation department, hygiene, proper nutrition.It defines it to the House, informs about the necessary studies.A nurse should monitor the implementation of nurses sanitary-hygienic regime department.The infectious department should carry out cleaning chambers, boxes daily.Cleaning is carried out with the use of disinfectants, wipe all horizontal surfaces (window sills, tables), door handles, floors cleaned twice a day.Upon receiving the food dishes are washed with the addition of disinfectant, and then heated and dried.Food waste before discharge poured bleach.Patients once a week and subjected to sanitary treatment, they are washed and conduct change underwear and bed linen.Patients wipe in a serious condition, monitoring the skin, perform prevention of bedsores.
nurse should monitor the status of patients, its changes, it should be immediately reported to your doctor and be able to provide emergency assistance if needed.Patients with isolated pathogens in the environment, to prevent the spread of infection nurse should know the features of the course of infectious diseases, the spread of infection, ways of transmission of infection to healthy people, treatment of infectious diseases.Against the background of infection in patients often have fever, intoxication.Many infections occur with the development of a toxic lesion of the central nervous system of the patient, it can lead to the development of neuropsychiatric disorders.These patients need a special approach, the nurse must be able to reassure the patient, find a common language with him.It must be remembered that the mental health of the patient plays an important role in his recovery.
in convalescence infectious patient exhausted, weakened, he observed digestive disorders of the cardiovascular system and other systems, but often the patient's condition is satisfactory.Infectious diseases must be a full, high-calorie food.The nurse must be aware of this and follow the diet of the patient.Seriously ill require regular feeding small amounts, but often.Typically, such patients can not eat on their own due to severe weakness and intoxication, to help them to be a nurse, with patience and care.Nutrition is important and convalescent patients.Patients should eat four times a day at certain hours, which are specified in the day mode.Food should be rich in vitamins, hook they need for treatment and the patient's recovery.The diet of the patient should be present fruit juice, unless contraindicated, the patient allowed fresh fruits and vegetables.In ulcerative bowel disease (typhoid fever), patients need a light diet.Many infectious diseases occur with fever, intoxication, dehydration (frequent diarrhea, vomiting).Such patients need to drink plenty of liquids to remove toxins from the body, to compensate for lost fluids.The nurse must make sure that patients drink at least 2 liters a day, patients can drink juices, fruit drinks, tea with lemon, herbs teas.If the patient can not eat on their own liquid in severe dehydration (with nutritional diseases, cholera) must intravenous saline solutions, physiological saline, glucose solutions.When botulism, encephalitis, typhus, polio patients develop dysphagia (swallowing disorder).In this case, necessary to conduct or tube feeding nutrient use of enemas.For tube feeding duodenal probe used, which is introduced into the patient's stomach, and it will start up the nutrient liquid (premixed in various currently used).Use as nutrient enema administered nutritional formula previously made enema patient.It is also necessary to control the transfer of patients, so that they did not bring foods that are forbidden in this disease.
nurse must constantly monitor the condition of the patient, to measure his blood pressure, pulse rate, respiratory, thermometry carried out.Temperature measurement is carried out every day in the morning and evening in the armpit 10 minutes.If malaria is necessary to measure the temperature in 2-3 hours. Used thermometers processed disinfectants, store them in containers with disinfectant.The data are entered into the obligatory thermometry temperature sheet, the changes in the condition of the patient nurse must report to the attending physician.The nurse should monitor the patient's respiratory rate, change the frequency and nature of breathing, the presence of cough and sputum.In the presence of the patient's sputum nurse should give the patient a special clean jar to collect on sputum.It is important to monitor your heart rate and blood pressure, in some conditions (temperature falls) the patient may experience a collapse development: reduced blood pressure, pulse quickens.The nurse must inform the doctor, entered cardiac drugs (kordiamin).Some infections proceed with the development of human consciousness and the development of psychosis.The nurse should particularly monitor the status of patients with mental stimulation is necessary to fix the patient in bed, enter sedatives, seek medical advice immediately.
Many infectious diseases can occur intense headaches, insomnia.When persistent headache patient parenterally administered painkillers, on the forehead put an ice pack for 20 minutes with breaks of 20-30 minutes.When insomnia is recommended to the patient before bedtime drink warm sweet tea is also used sedatives and sleeping medications.Patients who are long-term in the infectious department, emaciated, weakened patients are in need of the prevention of pressure ulcers, development of congestive (hypostatic) pneumonia.For the prevention of decubitus patient regularly wash or wipe, change underwear and bed linen, watch the cleanliness of the bed, rubbed compression of places (neck, shoulder blades, elbows, buttocks, shin, heel) camphor spirit, enclose them under the rubber circles.To prevent hypostatic pneumonia patient must constantly change position in bed, to recommend to the patient for a few minutes a day to inflate rubber balls, to carry out breathing exercises are also important to regularly kvartsevat Chamber.
At various intestinal infections should pay special attention to the work of the gastrointestinal tract, to exercise proper care, to carry out prevention of complications.Such patients should be regularly brush your teeth, rinse your mouth after eating.Patients who are unable to care for themselves, the nurse should be several times a day to wipe your mouth with a cotton swab moistened with a 2% solution of boric acid, at the same time care must be taken not to injure the mucous membrane.In the language of dryness it should be lubricated with glycerin, half diluted with water.Such treatment of the oral cavity is very important for the prevention of complications such as the development of suppurative parotitis in typhoid fever.In patients with intestinal infections (typhoid fever) often occur constipation and gas retention (bloating), the patients complain of a feeling of heaviness in the abdomen, nausea, weakness, headache, since the absorption decay products occurs at a standstill burls mass in the intestine.In such cases, the nurse makes a patient a cleansing enema with lukewarm water using the mug Esmarch, the vapor tube used in the flatulence.Patients with intestinal infections allocate individual vessel that regularly treated with disinfectants.In patients with intestinal infections often diarrhea (loose stools).They need special care.After each act of defecation patient should wash the anal area with warm water.The stools of the patient is required to be disinfected before discharge into the sewer, they poured bleach.Patients with diarrhea should defecate in a ship, the nurse could examine cal pas pathological impurities (such as mucus, blood, pus, parasites, undigested pieces of food).Also, patients may develop vomiting, with the patient's head should be turned to one side and substitute the tray for the prevention of aspiration and development of aspiration pneumonia.Once the patient vomited, the nurse should wipe his face with a wet towel, and his lips - a napkin.If vomiting is caused by poisoning, the patient should rinse the stomach to clean wash water.In identifying the patient to vomit blood impurities nurse should immediately call a doctor, the patient lay on the epigastric region and put an ice pack, the patient should not eat or drink.
All manipulations and studies must be conducted with strict observance of the rules of aseptic and antiseptic as possible the spread of infection, the occurrence of secondary infection in a patient due to lowered immunity.
nurse should monitor the laundry disinfection patients care items.Underwear and linen patients, feces soiled, soaked in chlorine bleach solution, then subjected to boiling and linen washing.Care items (heaters, vessel, pots) and soaked in a solution of chlorine bleach.The infectious department after each feces drain a patient with an intestinal infection must be treated with a disinfectant door handles, handle the toilet tank, toilet, the floor in the bathroom.Economic tools (bucket, a rag, mop) should be treated with a disinfectant.After discharge the patient from the mattress of his bed disinfected in the disinfection chamber and only then apply again.
Properly organized care, conducting adequate treatment allows the patient back to health more quickly, even in the most severe cases.Sensitive and caring attitude of the medical staff plays an equally important role in alleviating the condition and recovery of the patient, as well as etiopatogensticheskoe treatment.