Accounting forms medical records and the terms of their storage are regulated by the Order of the Ministry of Health of the USSR No. 1030 dated 04.10.80. "On approval of forms of primary medical documentation of health care institutions."

I fill out the medical records correctly, as this is one of my responsibilities.

The documentation is filled out in order to:

keeping statistics

display of medical and diagnostic process

control over the content and use of material and technical means

Medical documentation of the treatment room:

ethyl alcohol logbook by procedural and ward nurses

general cleaning log

Journal temperature regime refrigerator

logbook for quartzing and airing

register of blood sampling for microprecipitation reaction

transfusion logbook

post-injection complications log

emergency log

control log of air, steam sterilizers (autoclave)

logbook of tools in the treatment room

disposable instrumentation journal

prescription log

doctor's appointment log

vaccination log

peripheral intravenous catheter placement log book

waste register

Nursing Information Materials:

folder "Providing emergency care"

folder "Instructions for the use of disinfectants"

folder "HIV - infection"

folder "Organization of collection, storage and disposal of waste"

folder "Instructions for use of the UV camera - bactericidal"

folder "Methods of laboratory research"

folder "Standardized nursing interventions"

folder "Installation of peripheral intravenous catheters (PVK)"

On a weekly basis, the older sister supervises the documentation in the treatment room.

2.3. Innovations

Innovation is the process of introducing a new one, associated with changes made in the treatment and diagnostic process, in the provision of nursing services, in the level of nursing care.

Innovations make it possible to improve the efficiency of public health protection, improve quality and availability medical care, provide medical care that meets the needs of each person.

The quality of nursing care is achieved by the introduction of new forms of patient care, implementation technologies medical services and standards, new, more effective medicines and disinfectants. This allows the nurse to identify and solve the patient's problems in a timely manner, to implement a thoughtful approach to the treatment and care of him, and to comply with the sanitary and epidemiological regime.

In our department, in the treatment of complex treatment of alcoholic psychoses, modern antihypoxic and detoxifying agents have been used for intravenous drip infusions for acute intoxication: remaxol; plasma substitutes for the prevention and treatment of hypotension: gelofusin, refortan; solutions for parenteral nutrition, for the prevention and therapy of protein and fluid loss, when it is impossible to use enteral nutrition: aminoplasmal, aminosol.

To comply with the sanitary and epidemiological regime, modern disinfectants are used. They are less toxic, combine disinfecting and washing effects at the same time, which makes it possible to reduce the time of contact with this preparation. Such drugs are "Wendelin", "Neotabs", "Nika - Polycide", etc.

Skin antiseptics are widely used for hygienic treatment of hands: "Tabernacle", "Azhivika"; antiseptic soap: Nika, Tabernacle hand cream, disposable paper towels.

Vacutainers are used for blood sampling for biochemical and serological studies.

To prevent trauma to peripheral veins, to reduce the risk of post-injection complications, due to the fact that frequent intravenous transfusions of transfusion media in large quantities are prescribed to provide qualified medical care to severe and debilitated patients, peripheral intravenous catheters are used in our practice.

For the provision of medical care and for a more thorough observance of the sanitary and epidemiological regime in the department, purchased for the treatment room:

The irradiator is an ultraviolet bactericidal air rectifier ORUB 01 "Kront" (trade mark "Dezar 8"). Designed for disinfection of the air in the premises of health care facilities in the absence and in the presence of people.

UV chamber - bactericidal KB 02 "Ya" - FP. Designed for storage of pre-sterilized dressing material, cotton tuffs in order to prevent their secondary contamination with microorganisms. The camera ensures constant readiness for operation of medical instruments during their long-term (up to 7 days) storage.

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Quartzization is the irradiation of a quartz lamp with ultraviolet rays to kill bacteria and germs.
Quartzization of the room is considered necessary process in hospitals, kindergartens and other institutions.
A bactericidal lamp is used to irradiate not only premises, but also food, as well as various household items. Moreover, the ultraviolet effect on the affected areas of the body is used in the treatment of certain diseases. Quartz lamps vary in properties and application. Some of them absolutely cannot be used in the presence of a person or an animal, while others are perfect even for use at home.
There are the following types of UV lamps:
- Bactericidal
- Quartz
- Ozone-free
The quartzing procedure can be carried out in different ways. The choice of disinfection method mainly depends on the type of lamp. The following types of quartzization are distinguished:
1. Open quartzization (in this type of disinfection procedure, a quartz lamp is used, which emits a large amount of ozone. During disinfection, it is recommended to leave the room, and then ventilate.)
2. Closed quartzing (closed type of room disinfection is used, in particular, to prevent the reproduction of insects. This procedure can be carried out for up to three hours a day.)
3. Portable quartzing (used mainly at home, as it does not harm the body.)
The most important advantage of a quartz lamp is the destruction of germs and bacteria. Proven that no room treatment will give an effect germicidal lamp... Also, ultraviolet irradiation is used in the treatment of wounds, rashes and as an auxiliary treatment of some diseases, such as: ARVI, acute respiratory infections, flu, tonsillitis, rhinitis, tonsillitis, pharyngitis, otitis media. In order for quartzing to effectively cope with the above diseases, it is necessary to adhere to the intracavitary method of application. Moreover, ultraviolet radiation has an excellent effect on lung diseases, as well as on wounds, bedsores and other skin disorders. Quartz lamps are quite often used in the treatment of injuries of the musculoskeletal system: arthritis, arthrosis and during the rehabilitation period after fractures. Irradiation of the room with ultraviolet rays not only has bactericidal properties, but is also an effective prevention of infectious and viral diseases, and also compensates for the lack of substances such as calcium and phosphorus in the body, and normalizes their metabolism in the body.
More often in medical organizations used, which has slightly different graphs.
Quartz mode log has graphs:
- p / p No.
- The date
- Quartz time
- Remaining lamp burning time
- Signature

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One of the conditions for the stay of children in a preschool educational organization (hereinafter referred to as a preschool educational institution) is to provide groups and intergroup rooms with a microclimate that contributes to the preservation and strengthening of the health of pupils.

SanPiN 2.4.1.3049-13, regulating the requirements for the device and maintenance of children

gardens, provide for the implementation of a number of activities aimed at creating optimal conditions the stay of children, including quartzing and airing of group rooms, which are carried out in accordance with the ventilation schedule in the preschool educational institution and the quartzing schedule.

The relevance of airing

The concentration of carbon dioxide in unventilated rooms, where a large number of people are present, is several times higher than the permissible norm. Children and adults living in such conditions experience headaches, discomfort, mild nausea, and rapid fatigue.

Air circulation ensures:

• increased oxygen content;
• reducing the amount of harmful substances in the air - aldehydes, ammonia, methane and others;
• neutralization of odors that irritate the nervous system;
• normalization of humidity levels;
• , pathogens, fungal spores.

The procedure for airing the premises of the kindergarten

In order to avoid excessive concentration of carbon dioxide in kindergarten groups, according to the requirements of SanPin, it is planned to draw up a ventilation schedule in the preschool educational institution and systematically ensure air circulation in the premises:

• in cold weather - only during the absence of pupils in groups;
• in warm weather - during walks, classes, provided there are no drafts.

The duration of airing is determined taking into account the quadrature of the room, temperature and weather conditions. Half an hour before the children return to the group, it is required to stop airing in order to normalize the internal microclimate and prevent hypothermia of preschoolers, to ensure.

How is the airing schedule in kindergarten made

The airing schedule in the preschool educational institution is formed in accordance with technical features the premises, the age of the pupils, the season. This local act should contain information on the number and time of the air circulation sessions, the type of ventilation and the location of the procedure. The document is drawn up by a nurse, certified by the signatures of the health worker and the head of the kindergarten at the beginning of the new school year.

An example of a schedule for airing rooms in kindergarten presented in the table.

In preschool educational institutions it is allowed to use ordinary quartz and quartz bactericidal lamps, which effectively resist all types of pathogenic microflora. It is important to take into account that in kindergartens, irradiators with mercury-quartz lamps are rarely used, which, in case of violation of the operating rules, can emit large amounts of nitrogen and cause intoxication of the body.

The original of the ventilation schedule and the quartzing schedule in the preschool educational institution must be stored in a group folder, along with the ventilation and quartzing log, in which records are kept of the date, time and order of the procedures. When filling out the journal, under each entry, the responsible employee must indicate the full name and sign.

Nurse work cycle

days of the week	Events
	1st week	2nd week	3rd week	4th week
MONDAY	* 1 Bypass groups * 2. Inspection of the personnel of the catering unit * 3. Carrying out rejection of food before distribution, taking a sample. * 4 Counting the number of children and keeping a report card. * 5 Menu operation.
	Registration of certificates and their distribution on cards	Monitoring compliance with antiepidemiology ical regime in groups and at the catering unit	Examination of children decreed ages
	6. Meeting with the manager
TUESDAY	* 1 – 5
	Work with the documentation		Medical examination of children	Organizational control by pedagogical the logical process
	6. Analysis of health according to the proposed tests.
	7. Work on improving the health of children as prescribed by a doctor.
	8. Work with documentation.
WEDNESDAY	* 1 – 5
	6. Implementation of medical and pedagogical control
	7. Working with a teacher
	Consulting educators and other specialists	Counseling for junior educators	Parental counseling	work with the program mi health and program mms of individual development.
	8. Control over the implementation of hardening.
THURSDAY	* 1 – 5
	Control over the implementation of the anti-epidemiological regimen in the group and at the food unit	Work to fulfill the requirements of the SES	Health improvement control children	Therapeutic health work children
	6. Parents' meeting
	7. Lesson with the younger service personnel under the sanitary minimum program.
	8. Anthropometry of pupils
	9. Communication with the district clinic and FAP.
Friday	1 – 5
	6. Control over the implementation of regime moments
	7. Clinical examination of children
	Sanitary - pros branch work	Issue of a sanitary bulletin	Medical and pedagogical meeting		Analysis of incidence per week Calorie analysis food.
	8. Measures to ensure the adaptation of children to preschool educational institutions
	9. Work with documentation.

Note:

1 – 5 – activities that are performed every day.

Documents of a medical worker of a preschool educational institution

Preschool educational institution medical documentation of the established form allows you to record the condition of the pupils, the actions of medical personnel, as well as the use of technologies and materials. Competent design relevant documents - an important component of the effective organization of the treatment and prophylactic process.

1. Activity planning
2. Monitoring the sanitary state of the preschool educational institution
3. Monitoring the health and physical development of children

The list of documents that must be kept in a preschool educational institution includes:

1. a comprehensive work plan for the year;
2. cyclogram of work for a week;
3. list and frequency of medical examinations, research and professional hygienic training;
4. a journal of monitoring the sanitary state of a childcare institution;
5. register of medical examinations;
6. general cleaning log of the treatment room (isolation ward);
7. biological accident log;
8. logbook of registration and control of the germicidal lamp operation;
9. the child's medical record (form No. 026 / y-2000);
10. dispensary journal;
11. journal of examinations for head lice;
12. register of infectious diseases;
13. book for keeping track of contacts with carriers of acute infectious diseases;
14. child observation log;
15. journal of anthropometric measurements;
16. deworming journal;
17. vaccination planning journal;
18. register of preventive vaccinations;
19. register of children sent to tuberculosis dispensary.

Let us consider in more detail some of the forms and samples of documents used in the MDOU "Kindergarten of the combined type No. 73" Dolphin "".

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Activity planning

The medical worker of the preschool educational institution organizes its activities on the basis of a comprehensive work plan for the year (Table 1) and the work cycle for the week (Table 2). The comprehensive plan provides for ways to implement the "Health" program, as well as activities for the improvement and medical care of pupils.

Table 1

Comprehensive work plan for the year

List of activities	Timing / frequency
1. Primary prevention
1.1. Control over the sanitary and hygienic conditions in the preschool educational institution	Once a month
1.2. Control and provision of methodological assistance in the organization of the educational process	As needed
1.3. Participation in drawing up a daily routine and a schedule of classes	Start of the school year
1.4. Monitoring of general cleaning	Once a week
2. Control of catering
2.1. Monitoring the actual nutritional status and analyzing the nutritional quality	Constantly
2.2. Control of the sanitary and hygienic state of the catering unit	Also
2.3. Rejection of finished products
2.4. Monitoring the implementation of natural norms
3. Control of the organization of physical education
3.1. Control over the organization of physical education, tempering activities	Once a month
3.2. Distribution into medical groups for physical education	At the beginning of the year
3.3. Assessment of the physical fitness of children	Constantly
3.4. Analysis of the effectiveness of physical education	Also
4. Hygienic education in the children's collective
	Information is placed and updated constantly in the medical corner
4.2. Organization of measures for the prevention of myopia, caries, posture disorders	Constantly
4.3. Monitoring the implementation of measures for hygienic education	Also
5. Immunoprophylaxis
5.1. Vaccination	According to plan
5.2. Monitoring the health status of children after vaccination, registering local and general reactions to vaccination	Also
6. Ensuring the adaptation of children to the conditions of preschool educational institutions
6.1. Control of medical and pedagogical correction	Once a year
6.2. Carrying out medical and pedagogical activities to form functional readiness for learning	Also
	As children enter the preschool educational institution
7. Carrying out medical examination
7.1. Conducting (together with the teacher) screening tests to identify deviations in the state of health of children, assessing their physical fitness	Constantly
	Also
7.3. Carrying out designated health-improving activities and monitoring their implementation in a preschool educational institution
7.4. Examination of children in groups	During quarantine, after a long absence of the child
8. Record keeping

table 2

Cyclogram of work for the week

Day	Events
	1st week	2nd week	3rd week	4th week
Monday	2. Control over the sanitary and hygienic state of the groups. 3. Rejection of food. 4. Examination of children. 5. Work with documentation
Tuesday	1. Control of the morning filter. 2. Control over the sanitary and hygienic state of the catering unit. 3. Rejection of food. 4. Working with a pediatrician. 5. Getting the vaccine. 6. Working with parents
Wednesday	1. Control over the sanitary and hygienic condition of the specialists' offices. 2. Rejection of food. 3. Working with documentation
	4. Work on injury prevention.	4. Work with staff on sanitary and hygienic education.	4. Analysis of the registration of cases of injuries. 5. Refresher courses	4. Work with staff on sanitary and hygienic enlightenment
		5. Scheduled production meeting
Thursday	1. Control of the morning filter. 2. Control over the sanitary and hygienic state of the physical culture and music halls. 3. Rejection of food. 4. Working with a pediatrician. 5. Work with documentation
	6. Preventive examination of children.	6. Design information stand for parents	6. Preparation of information about the physical condition and fitness of pupils
Friday	1. Control of the morning filter. 2. Rejection of food. 3. General cleaning of offices
	4. Work with personnel on sanitary and hygienic education and prevention of infectious diseases	4. Preparation of reporting documentation		4. Preparation of reporting documentation. 5. General cleaning of offices

Table 3 shows the list and frequency of medical examinations for employees of preschool educational institutions (in accordance with the sanitary and epidemiological rules and regulations "Sanitary and epidemiological requirements for the device, content and organization of the mode of operation in preschool organizations... SanPiN 2.4.1.2660-10 ", approved by the decree of the Chief State Sanitary Doctor of the Russian Federation dated July 22, 2010 No. 91).

Table 3

List and frequency of medical examinations,
research and professional hygiene training

Participation medical specialists, type of examination	Preschool education workers organizations	Workers of catering units of preschool educational organizations
Dermatovenereologist		When applying for a job, then twice a year
Large-frame fluorography		When applying for a job, then once a year
Bacteriological studies for the carriage of pathogens of intestinal infections (dysgroup, typhoid-paratyphoid)		Upon admission to work, in the future, according to epidemiological indications
Serologic testing for typhoid fever pathogens	Upon admission to work, in the future, according to epidemiological indications	Upon admission to work, in the future, according to epidemiological indications
Helminthiasis research	When applying for a job	When applying for a job
Research on contact helminthiasis and intestinal protozoses		Once a year after summer period and (or) according to epidemiological indications
Professional hygiene training and certification	When applying for a job, then every two years	When applying for a job, then once a year

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Monitoring the sanitary state of the preschool educational institution

One of the tasks of a medical worker is to monitor the sanitary state of a preschool educational institution. Control activities must be recorded in special journals.

In the log for monitoring the sanitary condition of the group (Table 4), the nurse records her remarks.

Table 4

Group sanitation log

Control of the timely passage of medical examinations by employees is carried out by the head of the preschool educational institution, the results are recorded in the journal (Table 5).

Table 5

Medical check-up log

FULL NAME. employee	Date of Birth	Position	Home address	Date of actual medical examination	Date of the upcoming medical examination	Analysis on helminth eggs		Sunminimum		Fluorography
						Date of actual delivery of the analysis	Date of next test	Date of actual passage	Date of next passage

The medical worker of the preschool educational institution is responsible for the general cleaning of the treatment room (isolation ward). Information about its implementation is recorded in a special journal (Table 6).

Table 6

General cleaning log of the treatment room (isolation ward)

The preschool educational institution should have a biological accidents register (Table 7). It records abnormal situations in which a real or potential possibility of infection of personnel or release in environment pathogenic microorganisms for humans (bacteria, viruses, chlamydia, rickettsia, protozoa fungi, mycoplasma), biological poisons (toxins), helminths, as well as materials (including blood, other biological fluids and body excretions) suspicious of the listed agents.

Table 7

Biological Accident Log

the date	Time	A place	The nature of the accident	FULL NAME. the victim

The operating time of germicidal lamps is recorded in a separate logbook (Table 8).

Table 8

Journal of registration and control of the germicidal lamp

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Monitoring the health and physical development of children

To monitor the health of preschoolers, the medical worker of the preschool educational institution fills inthe child's medical record (form No. 026 / y-2000)for each pupil entering a preschool institution. The map gives a complete picture of the state of health of the child, and also reflects all the therapeutic and preventive measures that are carried out in the kindergarten during the period of his visit by the preschooler.

Document filled out by medical workers (doctor, senior nurse) of the preschool educational institution andconsists of the following sections:

1. general information;
2. anamnestic information;
3. information about dispensary observation;
4. compulsory medical and preventive measures;
5. immunoprophylactic measures;
6. data of scheduled preventive medical examinations;
7. the results of a medical professional consultation;
8. recommendations for sports, ballroom or sport dancing (in sections);
9. information about the preparation of young men for military service;
10. current medical supervision data;
11. screening program.

When a child is transferred from kindergarten to school, the card is transferred along with his personal file.

For registration of long-term medical withdrawals, as well as referrals of children to specialists, a dispensary journal is used (Table 9).

Table 9

Dispensary journal

FULL NAME. baby

Date of Birth

Home address

Group

Diagnosis

Registration date

Control attendances

Deregistration date

Spring

Autumn

Spring

Autumn

Spring

Autumn

Spring

Autumn

Once a week, medical workers examine children for head lice. The inspection results are entered into a special journal (Table 10).

Table 10

Head lice checkup log

the date		List composition	Inspection result	Revealed		Not inspected	Note
				Dry	Alive

In medical offices of preschool institutions, a register of infectious diseases should be kept (Table 11), designed for personal control of patients and registration of information exchange between medical institutions and SES. The form of the journal (No. 060 / y) and instructions for its maintenance were approved by the order of the USSR Ministry of Health dated 04.10.1980 No. 1030 "On Approval of Forms of Primary Medical Documentation of Health Care Institutions".

Table 11

Infectious disease register

Date and hours of telephone communication

Date of sending (receiving) of the initial emergency notification, who transmitted, who received

Surname, name of the patient

Age (for children under 3 years old, indicate the month and year of birth)

Home address (city, village, street, house No., apt. No.)

Group, date of last visit

Date of illness

Diagnosis and date of establishment

Date, place of hospitalization

Date of initial appeal

Changed (clarified) diagnosis and the date of its establishment

Date of the epidemiological survey. Surname of the examiner

Diseases reported (at the SES at the place of permanent residence, at children's institution at the place of study, work, etc.)

Laboratory examination and its result

Note

The medical worker ensures the observation of persons who have been in contact with carriers of infectious diseases, records the results in a separate journal (Table 12).

Table 12

Book for registering contacts with carriers of acute infectious diseases

The children's observation log (Table 13), the so-called filter, is maintained by educators in all age groups... Information about the child's complaints about well-being is entered into it on a daily basis. In such cases, increased monitoring of the pupil during the day is carried out not only by medical personnel, but also by teachers.

Table 13

Children's examination log

In separate journals the data of anthropometric measurements of the pupils are entered (Table 14) and information about the deworming performed (Table 15).

Table 14

Anthropometric Measurements Journal th

An immunization planning table is compiled on a monthly basis (Table 16). Written parental consent is required for vaccinations.

Table 16

Vaccination Planning Log
for a month)

The basis correct organization vaccination work in preschool is the availability of complete and reliable information about the health of children attending preschool educational institutions. For the timely registration of children to be vaccinated, the nurse keeps a register of preventive vaccinations (Table 17). Such a magazine for the current year is planned in accordance with the national calendar of preventive vaccinations, approved. by order of the Ministry of Health and Social Development of Russia dated 31.01.2011 No. 51n.

Table 17

Vaccine log book

Vaccines for prophylactic vaccinations are stored in refrigerators. The task of the medical worker of the preschool educational institution is to control the observance of the temperature regime in them. The indicators are recorded in a special journal (Table 18).

Table 18

Temperature log
refrigeration equipment

Name production premises	Refrigeration equipment	Temperature, ° C
		month / days: April

The results of the Mantoux test are recorded in accounting form No. 063 / y, in the child's medical record (form No. 026 / y) and in the history of the child's development (form No. 112 / y). Also, the medical staff of the preschool educational institution fills out the register of pupils sent to the tuberculosis dispensary (Table 19).

Table 19

Children's register,
sent to the tuberculosis dispensary

Since the cleaning of all rooms, except for office rooms (resident's, senior cab. M / s, etc.) is carried out with the use of disinfectants. Therefore, it is necessary to make a folder in which manuals and certificates for disinfectants used in the department, as well as calculations for all premises, will be stored. At st. m / s should be data on the need for disinfectants for 1,3,6 months. So that at any time she could submit them to the main m / s for the purchase for the future, knowing her balance. Also, do not forget about the disinfection of waste material and medical products, etc., and the pre-sterilization treatment of instruments. To calculate disinfectants, you must know the area of ​​all rooms. 1. S - area 2. L - office length 3. H - office height 4. D - office width For example S - floor 6x4 = 24m. x 2 (if the ceiling is being washed) L - 6 meters x 2 (2 walls) D - 4 meters x 2 (2 walls) H - 2.5 meters for gene.

Quartz treatment room

The couch used to examine the patient must be disinfected: a) after each patient 62. The issue of volume sanitization the patient decides: b) the doctor 63.

Attention

Rubbing eyelashes and eyelids must be done: d) from the outer corner of the eye to the inner 64. A symptom of the second degree of pressure sores: c) blisters 65. In case of kidney disease, a diet number is prescribed: b) 7 66.

High-calorie food, enhanced nutrition is prescribed for the disease: b) tuberculosis 67. The water temperature in a hot bath is (in ° C): b) 40-42 68.

Important

After what time is the first dressing after a hirudotherapy session (in hours): a) 24 69. Body temperature during the day fluctuates within (° C): c) 0.3-0.8 70.

Shelf life of mixtures, infusions, decoctions (in days): c) 3 71. Possible complications with intramuscular injection: a) infiltration 72.

Urine for diastasis should be delivered to the laboratory in (in hours): d) immediately 73.

Nursing Forum

All surfaces are wiped in a strict sequence - a table for sterile material, cabinets for sterile solutions, equipment, manipulation tables, chairs, couches for patients, walls at arm's length (1.5m) from window to door. For cleaning, a specially designated cleaning equipment is used, which is clearly marked with an indication of the room, the type of cleaning work and a specially allocated storage space.

Info

After wet cleaning, bactericidal wall-mounted irradiators for 30 min., after which the room is ventilated. Cleaning equipment is disinfected after use.

Check the temperature in the refrigerator with a note in the "temperature control" log, looks through the expiration dates medicines available in the refrigerator.

Treatment room quartzing mode:?

At the end of the working day, after the end of the disinfection time, the m / s changes into a dressing gown, puts on 2 pairs of gloves, glasses, squeezes the material from the disinfectant, puts it into waste bags, packs it into B-class waste bags by ¾, gently releases air from the bag, ties on node, writes the department responsible for packaging, and takes it to a class B waste container. The procedure for conducting a general cleaning of the office (you can also carry out a gene.
cleaning in wards and other rooms). Get the full text General cleaning of the treatment room is carried out once a week (non-sterile rooms once a month) with a rag. All furniture moves away from the walls to the middle of the office if the refrigerator is defrosted during the gene.

Quartzing schedules in kindergarten, cleaning and airing in kindergarten

Infection control is a system of effective preventive and anti-epidemic measures aimed at preventing the emergence and spread of nosocomial infections, based on the results of epidemic diagnostics. The goal of infection control is to reduce morbidity, mortality and economic damage from hospital-acquired infections.

A hospital infection is any infectious disease that manifests itself in a hospital setting. Hospital infections also include cases of infection medical professionals Health care facilities that have arisen as a result of their professional activities.
To prevent nosocomial infection, a nurse must: · store outerwear and overalls separately; · do not go outside in overalls outside the hospital; The work in the treatment room begins with the current cleaning.

Sample log-schedule of air disinfection in a treatment room

The amount of material to be sterilized must correspond to the table below. For mixed loads use the following relationship 1 robe = 1 sheet = 3 towels = 3 pairs of shoe covers = 14 surgical caps.

Nurses know that filters in bixes are changed after 60 sterilizations with a note in the sterilization quality log. The nurse should clearly monitor the time of quartzing and ventilation of the office with a clear note in the quartz log of the office.
On the inside page title page The journal must indicate: for example: Name of the department Neurological Name of the room Procedural S - 21m2 V-63m3
Pay attention to how you wash your hands: -Before using the product in the dispenser, pay attention if an active substance with a washing effect is added to the instructions, this means you do not need to wash your hands with soap before using the solution, after drying your hands with a disposable towel, put on art. gloves; - if the bottle says that liquid soap with an antiseptic effect, then after washing your hands, dry with a disposable towel and put on art. gloves; - if it is written that a skin antiseptic, then wash your hands with soap for the time specified in the manual for using soap M / s washes your hands under running water with soap for at least 2 minutes. (the time for soaping hands is indicated in the manuals for the specific name of the product used).

Cabinet quartzing graph example

All items from the sterile tray are taken by the jaws without touching the work surface. Pour the solution from the vials into sterile jars (3% H2O2, 0.9% NACL, etc.).
-m / s in the presence of a doctor conducts a dressing or assists him. After bandaging, all instruments are folded into container No. 1 for washing, then transferred to container No. 2 for further disinfection, pre-sterilization treatment and sterilization. -the patient leaves, the sheet is removed from the couch, the couch is wiped 2 times with disinfectant. Everything is prepared again Instructions for use of the UFO camera The surfaces of the camera are thoroughly (from the inside 1 time in 7 days, from the outside - every day).
by means of a virucidal regimen twice with an interval of 15 minutes. The remnants of the product are washed off with boiled or sterile water. Treat the inner surface of the chamber twice with 6% hydrogen peroxide solution with an interval of 1 hour.