A nurse in a preschool educational institution is an important employee, because she monitors the health of children in the institution, the sanitary condition of the educational institution. This responsible person is appointed by the medical institution (children's clinic) to which the school or kindergarten is attached, in agreement with the head of the preschool educational institution. The nurse for a certain time (year) conducts various planned activities to prevent and maintain the health of children, which is included in her official duties. At the end of the year, this employee compiles and submits nurse's report.
Fundamental moments in the activities of a nurse at a preschool educational institution
For full-fledged work with children on preventive and health-improving measures, as well as first aid, all preschool institutions must have full-fledged conditions to ensure the activities of medical staff. The workplace of a nurse must be properly organized and equipped with the necessary equipment and medicines for work. At the beginning of the year, the nurse draws up an action plan, a list of necessary medicines and in the report for the year reflects whether the provision of the institution was sufficient for the implementation of the tasks set.
Directions of activity of the nurse of preschool educational institution
- monitoring the characteristics of the age development of children (physical, emotional and psychological) and their health;
- providing anti-epidemiological, preventive measures;
- organization of health-improving forms of work with children;
- control measures for the organization of the daily routine and nutrition of children;
- verification of the implementation by employees of the institution, parents of hygienic and sanitary norms;
- conducting training of staff, children and families in the proper organization of physical and workloads according to age standards;
- timely preparation of an annual work plan, estimates for medicines, a report on the activities carried out.
Features of the work of a nurse in a preschool institution
A nurse in a preschool institution is responsible for health improvement activities and timely vaccinations, organizing quarantine measures if necessary. The salient features of her work with preschoolers are as follows:
- monitors the process of daily admission of children to groups by teaching staff;
- monitors the organization of the day, children's walks in the fresh air, physical training minutes, hardening;
- carries out preventive measures to prevent injuries and poisoning in the institution;
- prepares children for communication with the doctor and vaccinations, vaccinations;
- conducts anthropometric research and fixes them in the journal and cards of preschoolers;
- keeps a record of those who are absent due to illness, detects and isolates a sick baby in time, notifies the family and employees of the institution, and introduces quarantine in case of an emergency;
- examines children who came after an illness, fulfills doctor's orders;
- checks the quality of products, compliance with storage and preparation conditions, participates in the preparation of the menu baby food, and also monitors compliance with all hygienic conditions for organizing the work of the catering unit.
She records all this in a journal and then reflects it in the reporting documentation.
The main activities carried out by the nurse in the school
A health worker in a general education school has some distinctive functions from a health worker in a kindergarten. Accordingly, this is reflected in the planning of work and in further reporting on the work done. A school nurse, according to her official duties, makes up a pan of work for a year. This includes the main activities that ensure the maintenance of healthy development of children in an educational institution. They include several areas:1. Measures to preserve the health of schoolchildren:
- examination to prevent the detection of diseases in children and fixing the results in a health sheet;
- ensuring the correct organization of morning exercises and physical education classes (or in a health group);
- implementation of vaccinations for the purpose of prevention and epidemiological prevention measures;
- control measures to ensure sanitary standards for the organization of the learning process;
- drawing up and carrying out health improvement programs;
- organization of training of parents and teachers on recreational activities;
- monitoring compliance with sanitary requirements for catering students;
- verification of the intended use of products and the quality of ready meals;
- the implementation of catering for students and improving the culture of nutrition;
- preventive inspection of the catering department;
- explanatory conversations with parents about the usefulness of hot meals;
- dietary development.
How to write a nurse's report
First of all, it should be remembered that a detailed listing of all actions according to the job description does not necessarily have to be reflected in the reporting documentation. The report should not look like "a day in the life of a nurse." It should provide an analysis of its activities for the year. AT nurse's report The following sections should be included:
- Organizational section:
- verification and preparation of the medical office and equipment in it for work during the year;
- checking the list of children who came to the institution and whether they have medical documents of the required format (vaccination cards, medical card);
- preparation of accountable documentation general plan events for a month, for a year; vaccination planning; compiling journals: accounting for examinations, registering medicines, medical examinations, monitoring children and studying their physiological data, planning vaccinations and refusing them);
- preparation for prevention and scheduled examinations (examination of the condition of children, questioning of parents);
- registration and sending of general reporting papers to the clinic, which is assigned to the children's institution;
- compiling a list and ordering medical supplies for working with children.
- carried out during the year outpatient reception of children and the provision of medical advice or assistance on the appeal of the child (symptoms of acute respiratory infections, nausea, dizziness, etc.);
- conducted injury prevention (talks about traumatic situations, ways out of them and prevention of occurrence);
- carrying out pediculosis measures, fixing the results of the check in the map;
- verification of anthropometric measurements, their entry into the cards of children and the prevention of changes in vision in children (vision check on the card, recommendations for parents and teaching staff);
- preparation and provision of planned examinations of children by specialists (neurologist, orthopedist, dentist, cardiologist, dermatologist, allergist);
- registration of inspection indicators by specialists in the reporting documentation;
- verification of the dispensary registration of boys and girls in the form;
- implementation and planning of vaccination measures, fixing them in medical journal taking into account the calendar plans of the planned vaccinations or vaccinations;
- prevention of tuberculosis (are there any children found with this disease, what measures have been taken);
- what measures were taken to organize the regime bases for the work of the institution;
- whether measures have been taken to improve the health of children in a school or kindergarten (hardening, vitamin measures, etc.).
- monitoring methods for checking the state of development of the organism of children of different age groups;
- monitoring and evaluation appearance premises where classes are held with children, including physical exercises;
- assessment of the state of design and inventory for physical education and the work of preventive groups;
- control over the selection of children for physical education competitions.
- assessment of the possibility of hardening in the conditions of the PEI;
- organization of measures for the prevention of infectious diseases (what measures have been taken and what are the results);
- prevention of tuberculosis and pediculosis (examinations and recommendations, identified results);
- prevention of intestinal diseases and helminthiases (reflect all activities that were carried out during the year, and the results of the check).
- conducting lectures, conversations for employees of the institution (reflect topics for teachers, food service workers, technical staff);
- preparation of lectures and talks for children and their families (selection of books and magazines on hardening, nutritional regimen, vaccinations).
- attending special lectures and seminars for the medical staff of the preschool educational institution;
- taking retraining and advanced training courses;
- study of normative documents, special literature on the profession.
In the report of the nurse of the preschool educational institution, conclusions can be written about the results of activities, as well as goals and objectives for further professional growth. In the conclusions from all sections, one must select those special results, achievements, new forms. Which prove the professional activity of the health worker, are evidence of his professional competence.
I. Organizational events
II. Therapeutic and preventive work
III. Control of physical education of children
VI. Training
I. Organizational arrangements1. Reconciliation of the lists of children enrolled in a preschool educational institution (hereinafter - preschool educational institution), and verification of the availability of the following medical documents:
Card of preventive vaccinations (form No. 063 / y);
The history of the development of the child (form No. 112 / y);
Medical record of the child (form No. 026 / y-2000).
2. Registration of the following reporting medical documents, journals that meet the established requirements:
cyclogram of work for a week;
the list and frequency of medical examinations, research and professional hygienic training;
journal for monitoring the sanitary condition of the preschool educational institution;
register of medical examinations;
magazine general cleaning treatment room (isolation);
register of biological accidents;
journal of registration and control of the operation of the bactericidal lamp;
registration log temperature regime refrigeration equipment;
dispensary journal;
journal of examinations for pediculosis;
book of records of contacts with carriers of acute infectious diseases;
register of infectious diseases;
child observation log;
journal of anthropometric measurements;
register of movement of children;
vaccination waiver log;
deworming journal;
immunization planning journal;
register of preventive vaccinations;
register of children referred to a tuberculosis dispensary.
3. Analysis of the health of newly admitted children. compilation of child health sheets based on the results of examinations.
4. Preparation for preventive examinations of children:
survey of parents;
measurement of blood pressure;
carrying out anthropometry;
plantography;
Kern-Jerasica test.
Data on acute morbidity and exacerbations of chronic diseases and functional disorders in children attending MBDOU - kindergarten No. 22 "Orlyonok" are given in appendices 1, 2.
5. Planning and drafting the following documents:
a comprehensive work plan for the year;
monthly work plan;
annual plan for preventive vaccinations;
vaccination planning table (when vaccinating, the written consent of the parents is required).
6. Sending the reporting documentation of the established form to the Children's City Polyclinic No. 1 (hereinafter - DGP No. 1).
7. Extract of funds necessary for the work of the medical office:
medicines;
dressing material;
drugs for emergency care.
II. Therapeutic and preventive work
1. Implementation of outpatient reception of pupils. 45 appeals were registered regarding the provision of primary medical care, including:
with symptoms of acute respiratory diseases;
nosebleeds.
2. Injury prevention:
educating children to recognize traumatic situations and avoid them;
elimination of adverse environmental conditions in which the child lives.
3. Carrying out examinations of children for pediculosis, entering the results of examinations in a special journal.
4. Implementation of anthropometry, including:
carrying out anthropometric measurements of pupils;
entering data into the log of anthropometric measurements;
control over the correspondence of the sizes of tables and chairs to the growth of children.
5. Prevention of visual impairment in children:
conducting an annual eye examination of pupils;
entering data into medical documents;
conversations with parents, referral to a specialist;
6. Conducting scheduled preventive examinations of pupils:
– involvement of specialists from the SPD No. 1:
neurologist;
ophthalmologist;
orthopedist;
otolaryngologist;
dentist
dermatologist;
allergist;
– laboratory tests of blood and urine;
- electrocardiography.
7. Recording the results of examinations in the medical documents of the pupils, drawing up a report.
As a result of examination of 116 people, children with chronic diseases were identified. Referrals were given for additional examinations of children at the place of residence, recommendations for their further improvement. Pupils with chronic diseases and frequently ill children (hereinafter referred to as FIC) were taken to the dispensary.
8. Dispensary observation of children with III health group according to the form No. 30 / y-04.
9. Organization of examination for helminths.
116 children were examined. The disease has not been identified.
10. Organization of vaccination work.
The basis of this work is the availability of complete and reliable information about the health of children attending preschool educational institutions. For the timely accounting of children subject to vaccination, a register of preventive vaccinations is kept. The 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 January 31, 2011 No. 51n "On approval of the national calendar of preventive vaccinations and the calendar of preventive vaccinations according to epidemic indications".
Data on vaccination in 2011 are shown in the table.
Vaccination of pupils of MBDOU - kindergarten No. 22 "Eaglet" in 201111. Organization of tuberculin diagnostics of pupils with the identification of children at risk for tuberculosis, referral to a phthisiatrician for examination.
Results of work:
9 people were sent for examination;
9 people were examined;
Prophylactic treatment was provided to 5 people.
12. Monitoring compliance with regime moments:
study load;
duration of walks;
catering.
13. Carrying out the rehabilitation of children in a preschool educational institution:
vitamin therapy;
hardening procedures;
classes for the prevention of postural disorders.
III. Control of physical education of children
1. Implementation of control of physical education in the preschool educational institution.
2. The distribution of children in physical culture groups in accordance with the data of preventive examinations.
3. Formation of preparatory and special physical culture groups, exercise therapy groups.
4. Monitoring the state of health and development of children, the functional capabilities of the child's body.
5. Control of the sanitary and hygienic condition of the premises and the area where physical exercises are carried out with children.
6. Control of the sanitary and hygienic condition of sports and physical culture equipment and inventory, the condition of children's clothes and shoes.
7. Medical and pedagogical observations of the organization of the motor mode, the methodology for conducting various forms physical exercises and their impact on the child's body.
8. Control of the implementation of hardening.
9. Control over the selection of children for participation in sports competitions.
10. Organization and holding of Health Days in the preschool educational institution.
IV. Anti-epidemic work
1. Prevention of infectious diseases:
familiarization with the sanitary and epidemiological rules "Organization of immunoprophylaxis of infectious diseases. SP3.3.2367-08", approved. Decree of the Chief State Sanitary Doctor of the Russian Federation dated 04.06.2008 No. 34;
disinfection of preschool educational institutions;
catering control;
organization of immunization;
carrying out quarantine measures in connection with diseases of scarlet fever, chicken pox, acute intestinal diseases
2. Prevention of tuberculosis:
familiarization with the sanitary and epidemiological rules "Prevention of tuberculosis. SP 3.1.1295-03", approved. Chief State Sanitary Doctor on April 18, 2003;
tuberculin diagnostics of pupils;
organization of examination of children at risk referred to a phthisiatrician;
conversations with parents.
3. Prevention of intestinal infections:
familiarization with the sanitary and epidemiological rules "Prevention of acute intestinal infections. SP 3.1.1.1117-02", approved. Chief State Sanitary Doctor of the Russian Federation on March 17, 2002;
control of compliance with the sanitary and epidemiological regime of a preschool educational institution, a food unit;
control of personal hygiene of pupils, staff, catering workers;
medical supervision of contact persons;
carrying out disinfection.
4. Prevention of pediculosis:
familiarization with the order of the Ministry of Health of Russia dated November 26, 1998 No. 342 "On strengthening measures for the prevention of epidemic typhus and the fight against pediculosis";
conducting a weekly examination of pupils according to the sanitary and epidemiological rules and regulations "Sanitary and epidemiological requirements for the device, content and organization of the working hours in preschool organizations. SanPiN 2.4.1.2660-10", approved. Decree of the Chief State Sanitary Doctor of the Russian Federation dated July 22, 2010 No. 91.
5. Prevention of helminthiases:
examination of pupils;
sand processing in sandboxes;
sheltering sandboxes with lids from animals.
V. Sanitary and educational work
Organization of lectures, conversations with the staff of the preschool educational institution, pupils and their parents (legal representatives).
1. Topics of lectures for children:
"We are for a healthy lifestyle";
"Learn to eat right";
"Personal hygiene of a preschooler";
"Learning how to brush your teeth properly";
"Prevention of enterobiasis - clean hands";
2. Topics of lectures for catering workers:
"Prevention of intestinal infections";
"Personal hygiene of catering staff";
"Organization of the work of the catering unit during quarantine";
"Staphylococcal infection";
"Yersineosis";
"Food poisoning";
3. Topics of lectures for the teaching staff:
"Injury prevention";
"Air-thermal regime";
"Report on the results of clinical examination and morbidity in children";
"Prevention of ARVI and influenza";
"Prevention of acute intestinal diseases";
"Prevention of enterobiasis";
"Providing first aid for fainting, heat and sunstroke";
"Scarlet fever";
"Chickenpox";
"Rotovirus infection";
"Prevention of tuberculosis";
4. Topics of lectures for technical staff:
"Sanitary condition of group premises, observance of the disinfection regime";
"Personal hygiene of technical staff".
5. Topics of lectures for parents:
"How to detect pediculosis";
"What is a "button"";
"Prevention of tuberculosis";
"Prevention of colds";
"Hygiene of a preschooler";
"Prevention of flat feet and scoliosis at home";
"Vaccination in the life of a child";
"Prevention of rotovirus infection";
"Scarlet fever";
"Chickenpox";
"Enterobiasis".
VI. Training
Forms of advanced training used in preschool educational institutions:
1. Passing cycles of specialization, improvement, professional retraining: training at the Ulnovsk Medical College No. 2 as part of the thematic improvement cycle "Children's and Adolescents' Health" in the amount of 144 hours (September 2010).
2. Attendance at lectures, seminars, briefings at Children's State Pedagogical School No. 1.
3. Study of regulatory documents.
4. Use of reference and methodological literature; professional magazines.
("Medical care and catering in the preschool educational institution", "Raising children healthy", "Physical and recreational work in the preschool educational institution", "All about hardening".)
Appendix 1
Acute morbidity in children
Appendix 2
Exacerbations of chronic diseases
and functional disorders in children,
attending MBDOU - kindergarten No. 22 "Eaglet"
Annual activity report
senior nurse kindergarten №40 .
1. Organizational measures
2.Treatment and preventive work
3. Control of physical education of children
4. Anti-epidemic work
5. Sanitary and educational work
6. Professional development
1. Organizational measures
*Reconciliation of the lists of children enrolled in a preschool educational institution
d / s No. 40, and checking the availability of the following medical documents:
Card of preventive vaccinations (form No. 63 / y);
dispensary journal;
examination log for pediculosis;
register of infectious diseases;
child observation log;
journal of anthropometric measurements;
immunization planning journal;
register of preventive vaccinations;
register of children referred to a tuberculosis dispensary.
*Analysis of the health of newly admitted children. Compilation of child health sheets
based on inspection results.
*Preparation for preventive examinations of children:
carrying out anthropometry.
*Planning and drafting the following documents:
comprehensive work plan for the year;
annual plan for preventive vaccinations;
vaccination planning table (the presence of written parental consent).
*Sending reporting documentation of the established form to the Children's City
polyclinic no.
* Statement of funds necessary for the work of the medical office:
medicines;
dressing material;
drugs for emergency care.
2.Treatment and preventive work
*Injury prevention:
educating children of the ability to recognize traumatic situations and avoid them;
elimination of unfavorable environmental conditions in which the child lives.
* Carrying out examinations of children for pediculosis, entering the results of examinations in
special magazine.
*Prevention of visual impairment in children:
conducting an annual eye examination of pupils;
entering data into medical records;
conversations with parents, referral to a specialist;
*conducting scheduled preventive examinations of pupils:
- involvement of specialists from Republic of Belarus No. 1.
neurologist
Laboratory tests of blood and urine.
* entering the results of examinations in the medical documents of pupils,
compilation of a report.
As a result of examination of 35 people, children with chronic
diseases. Referrals for additional examinations of children were given. Recommendations for their further improvement. Pupils with chronic diseases and frequently ill children are taken to the dispensary.
*Organization of examination for helminths .
35 children were examined. The disease has not been identified.
* Vaccination of pupils of MBDOU-Kindergarten No. 40 in 2012
*Organization of tuberculino-diagnosis of pupils with the identification of children
risk groups for tuberculosis, referral for examination to
Results of work:
3 people were sent for examination;
3 people were examined;
*Monitoring compliance with regime moments :
study load;
duration of walks;
catering.
3. Control of physical education of children .
*Implementation of control of physical education in the preschool educational institution.
* Control of the sanitary and hygienic state of the sports and physical culture
equipment and inventory, the condition of clothing and footwear.
*Organization and holding of health days in the preschool educational institution.
4.Anti-epidemic work .
*Prevention of infectious diseases:
disinfection of preschool educational institutions;
catering control;
organization of immunization;
*Prevention of tuberculosis:
tuberculin diagnostics of pupils;
Conversations with parents.
* Prevention of intestinal infections:
monitoring compliance with the sanitary and epidemiological regime in preschool educational institutions;
control of personal hygiene of pupils, staff, workers;
*Prevention of pediculosis:
conducting a weekly examination of pupils in accordance with the sanitary
epidemiological rules and regulations.
5. Sanitary and educational work.
Organization of lectures, conversations with staff in preschool educational institutions, parents.
Lecture topics for children:
1. "We are for a healthy lifestyle."
2. "Learn to eat right."
3.”Personal hygiene of a preschooler”.
Topics of lectures for the teaching staff:
1. Injury prevention.
2. Air-thermal regime.
3. Prevention of SARS and influenza.
Lecture topics for parents:
1.How to detect pediculosis.
2. What is a "button".
3. Hygiene of a preschooler.
6. Professional development.
1. Attending lectures, seminars.
2.Study of regulatory documents.
(Organization of food in the preschool educational institution. We raise children healthy.)
Open-hearth shopis one of the leading workshops of OJSC Magnitogorsk Iron and Steel Works, producing high-quality steel. Open-hearth shop consists of the following sections:
- oven department;
- bottling department;
- mixing department;
- charge yard;
- composition preparation department.
Furnace department- the main department of the workshop, where steel-smelting furnaces are located. Sinter, limestone, scrap metal, liquid iron and other components (fuel + oxygen) are loaded into the furnace. The main hazards of this site: silicate-containing dust, metal aerosols, heat, thermal radiation, sudden changes in temperature.
bottling department- serves for pouring finished steel into ladles and its further pouring from the ladle into molds. Here, the preparation of ladles for melting, their lining with refractory bricks, the preparation of steel troughs, sopors, slag bowls, cleaning and receiving slag are carried out.
Hazards of this area: silico hazardous dust, metal aerosols, high temperature, light and thermal radiation, noise up to 89 dB.
mixing department serves to receive and store liquid iron obtained from the blast furnace, which is poured into mixing barrels. As needed, cast iron from the barrel is poured into cast-iron ladles and fed by an electric locomotive to the furnace department for refueling steel-smelting furnaces. Hazards: metal aerosols, high temperature, thermal radiation, noise.
The charge yard is intended for storage of scrap metal and bulk production components. Hazards: noise, hazardous dust.
Compound preparation department is engaged in the preparation of compositions for pouring steel. Hazards: silico hazardous dust, metal aerosols, high temperature, temperature fluctuations.
Number of employees in the workshop: 800, of which:
steelworkers and assistants - 130 people.
pourers and ladle - 95 people.
crane operators - 163 people.
refractories - 50 people.
locksmiths - 69 people.
electricians - 36 people.
gas welders - 34 people.
preparers of compositions - 38 people.
others - 161 people.
Engineers - 50 people
Of these, 65 are women.
Working from 16 00 - 145 people, in night shift- 145 people.
Table 1
Distribution of employees by observation groups
|
Number of employees |
The first group - practically healthy |
The second group - threatened by profession |
The second B group - threatened by diseases |
DN |
35 group ChDB |
health center open-hearth shop works around the clock. States of the health center: senior paramedic, 3 paramedics on duty, 1 nurse. The health center is located on the 1st floor of the administrative building of the open-hearth shop, occupies an area of 122 m 2 .
There are the following cabinets:
Reception office - 13 m 2 , treatment room - 13m 2 , dressing room - 13 m 2 , massage room 18 m 2 , office F.T.L. - 18 m 2 , doctor's office 16 m 2, household 3 m 2, bathroom - 3 m 2.
The physiotherapy room is equipped with the following equipment: UFO tube; UGN-1 stationary mercury-quartz irradiator; UFO portable; UHF-66; Iskra-1; ultrasonic inhaler "Volkan-1" 4 mechanotherapy table; vacuum massager. stockwith dressings, alcohol, emergency sanitary bag, anti-shock pack, artificial respiration apparatus, oxygen bags, a set of splints, gastric lavage tubes, a sufficient number of sterile dishes for collecting vomit, a stretcher; breathalyzer, refrigerators for storing medicines, manipulation tables, couches, centralized oxygen supply, steam sterilizer GP-10- 1 , first-aid kits "Anti AIDS" with a set of funds for the prevention of AIDS; a set of tableted and injectable medicines for providing I assistance and anti-relapse treatment; disinfectants and detergents.
I work in accordance with the orders of the Ministry of Health of the Russian Federation:
No. 408 dated 07/12/89. on measures to reduce the incidence of viral hepatitis in the country point 3.1. SP 958-00
No. 720 dated July 31, 1978 on improving medical care for purulent surgical diseases and strengthening measures and combatingnosocomial infections.
OST 42-21-2-85 on sterilization of medical supplies. Quality control of pre-sterilization cleaning of instruments for the presence of blood: azopyram test, for the presence of a detergent - phenolphthalein. From 2.88.
Order No. 254 dated 09/03/91 on the development of false affairs in the country.
No. 28-6/13 dated 05/08/88. Quality control of pre-sterilization cleaning of medical devices using azopyram.
In order to improvediagnostics and prevention of infectious diseases I am guided in my work by the following regulatory documents.
Order No. 288 of 03/23/76. “On the sanitary and anti-epidemic regime of hospitals and honey. institutions."
No. 475 dated 16.89 "On measures to further improve the prevention of acute intestinal infections."
No. 1089 dated 13.08.86. "On strengthening the fight against helminthiases".
No. 139 dated 02.03.89 "On measures to reduce the incidence of typhoid fever and paratyphoid fever in the country."
No. 171 dated 04/27/90. "On Epidemiological Surveillance for malaria."
No. 342 dated 11/28/98. "About the futurestrengthening and improving measures for the prevention of typhus and the fight against pediculosis.
No. 36 dated 03.02.97. "On the improvement of measures for the prevention of diphtheria".
No. 174 dated 05/17/99. "Tetanus Prevention".
SP 3.1096-96 Vet. Rules 13.3, 1103-96 "On the prevention of rabies".
No. 297 M.Z. RF dated 3.10.97 "On the procedure for the prevention of rabies."
No. 324 dated 11/22/95. “On the improvement of anti-tuberculosis care,Instructions of the Ministry of Health of the USSR dated 27.08.73.
No. 1142 "On the procedure for mandatory professional examinations, on the procedure for admission to work in certain professions of persons with tuberculosis."
No. 286 dated 7.12.93 guidelines dated 08.29.68 No. 06 19/15 "On the prevention of scabies."
No. 25 dated January 27, 1998 of the Ministry of Health of the Russian Federation "On strengthening measures to prevent influenza and other A.R.V.I."
No. 170 dated 16.08.94 "On the prevention of AIDS".
No. 295 dated 05/30/95. “On measures to improve the prevention and treatment of V.I.Ch. infections in the Russian Federation, on the entry into force of the rules for conducting a mandatory examination for V.I.Ch. infection."
Order No. 616 of September 29, 1989 "On pre-shift medical examinations."
No. 198/64 dated 03/31/89. joint order for the plant and the city health department "On conducting pre-shift and pre-trip inspections."
No. 141 dated May 9, 1990 "On improving measures for the prevention of tick-borne encephalitis."
No. 229 "On the national calendar of professional vaccinations"
No. 202 dated 9.03. 78. "On the approval of instructions for professional vaccinations against tuberculosis."
No. 90,409 Orders for prof. examinations with the participation of narrow specialists.
№330 dated 11/12/97 Responsibility for obtaining N.L.S. and their followers. Organization of medication accounting.
No. 328 dated 08/23/95 "On medicines subject to subject and quantitative accounting"
No. 130 Appendix No. 6 of 23.0694 “Regulations on the medical assistant's health center.
Job description from 1.03. 99 according to the UI of OAO MMK and A.G. Magnitogorsk, approved by the head. doctor "Oh functional duties employees of health centers of MCH MMK" in accordancewith which you need:
observe the rules of sanitary-hygienic and anti-epidemic regimes, asepsis, properly store and process, sterilize and use medical devices for the patient and medical personnel.
I rationally organize my work in accordance with the criteria for the quality of work. I follow the rules of personal hygiene. I work in overalls: a clean dressing gown, cap, removable shoes. I take precautions when processing instruments: careful handling of sharp objects, using goggles, a mask, latex gloves of sufficient thickness, a waterproof apron, remove foreign organic and inorganic substances from the instruments with a brush and a cotton-gauze swab before disinfection in a disinfectant solution in 0.2% solution Javel Solida. Disinfection is carried out according to the classification of objects according to the risk categories of the transfer of V.B.I.
Disinfection is carried out in a solution of Javel Solid. Working solutions are prepared in enameled, glass or plastic containers by dissolving Javel Solid tablets in water. A 0.1% solution of Javel Solid is obtained by dissolving 7 tablets in 10liters of water.02% solution of Javel Solid - when 14 tablets are dissolved in 10 liters of water.
0.06% solution of J.S. when dissolving 4 tablets in 10 liters of water
Medical products made of corrosion-resistant materials, glass, rubber, plastics (pipettes, probes, gloves, dishes, beakers, tubes) are disinfected in a 0.1% solution of Javel Solid for an hour with full immersion. Disposable syringes and instruments contaminated with blood are disinfected in a 0.2% solution of Javel Solid at full immersion, filling all channels, putting a load on top for an hour. Dispose of the syringes. Linen, dressings contaminated with blood 0.2% - within an hour. Surfaces in rooms, couches, tables are treated with 0.06% solution of Javel Solida. Exposure for an hour. Aqueous solutions of Jevel Solid have a shelf life of 72 hours. Then the instrumentation is washed with running water until the disinfectant is completely removed.
Pre-sterilization processing of instruments is carried out by soaking the instrument with full immersion in a washing solution heated to 50 ° for 15 minutes. We wash the tools in a washing solution with a ruff or a cotton-gauze swab. We prepare the washing solution: 5.0 detergent: Lotus, Astra, Aina, Progress, Marichka, Zifa and 17.0 -33% solution of perhydrol; add up to 1 liter of water. We use washing solution during the day.
Rinse the tools with running water until the remnants of the detergent are removed for 10 minutes.
Rinse with distilled water 2-3 times and dry.
According to order 254 “On the development of a deceitful case in the country”, self-control of the quality of processing is carried out daily with a coverage of 1% or 3 products at least for residual or occult blood, an azopyram test. Azopyram with 3% solution H 2 O 2 in a ratio of 1:1 is applied to the test products with a pipette. In the presence of traces of blood, immediately or no later than 1 minute after the contact of the reagent with the contaminated area, a color appears, at first violet, then quickly, turning into pinkish-lilac or brownish within a few seconds. Staining that occurs later than 1 minute is not taken into account.
The residue of the detergent is checked with a 1% alcohol solution of phenolphthalein. In the presence of detergent, a clear solution of phenolphthalein will be pinkish purple. The results are recorded in the register of the quality of pre-sterilization treatment. Honey. documentation F No. 366-4, approved by the MHSUSSR 4.10.80. order number 1030.
We carry out sterilization in a steam autoclave GK10-1. all products are autoclaved at a pressure of 2 atmospheres, a temperature of 132 ° 20 minutes in
2-layer calico packaging in the form of pockets, for dressing material, treatment room, eye table and spatulas.
Shelf life 3 days.
We control the quality of sterilization with thermo-temporal paper indicators, comparing with the standard carried out by the head of the health center upon receipt of the indicator. The results are noted in the logbook of the steam sterilizer.
By chemical method we sterilize the tubes in 6% hydrogen peroxide solution at a temperature of 18 ° for 6 hours with full immersion. After sterilization, rinse with running water until the hydrogen peroxide solution is completely removed for 10 minutes. Then rinse with distilled water for 2-3 minutes. Dry and store in a sterile box for 3 days.
The sampling of sterile material is carried out with sterile tweezers, forceps, which are stored in a dry, sterile form.
Current disinfection is carried out according to order No. 288 3 times a day with 0.06% solution of Javel Solida with irradiation with a bactericidal lamp in the dressing and procedural rooms for 25 minutes based on the formula for irradiation. Cubature of treatment room 46 m 3 and a dressing room 45 m 3.
46 m 3 * 45 m 3 / 60 = 25 minutes
General cleaning is carried out once a week according to the schedule of the senior paramedic. Disinfection with 5% solution of chloramine or 0.2% solution of Javel Solida. Exposure 1 hour. Walls, ceiling, household items are processed, washing with a washing 0.5% solution. Wash off clean water. We irradiate with a bactericidal lamp for 25 minutes.
The quality control of instrumentation processing is carried out by azo pyrava, phenolphthalein samples, thermo-temporal indicators, the results of control are recorded in the appropriate journals, checked every shift by the senior paramedic.
Quarterly, the head of health centers accepts offsetsat paramedics in the specialty and according to the san.epid. to the mode on 5 point system, organizes exit commissions with inspection a dignity. epid mode and expertiselabor activity of the health center with registration of the results of the survey on a 5-point system in the journal of comments and suggestions for the health center. During the second departure, the commission checks the implementation of the recommendations given during the previous departure. The results of the checks are discussed in the reports; sum up the results, outline an action plan to eliminate the identified shortcomings. Every year the work of the s/point is checked by the doctor S.E.S. with control of sanitary epidemic. regime with the drawing up of an act of verification, a copy of the act is transferred to the head doctor, draws the appropriate conclusions.
In the workplace, I take precautions against infection. I carry out preventive vaccinations against influenza, diphtheria, tetanus, B. hepatitis. I wash my hands before and after any contact with the patient.
I consider the blood and fluid secretions of all patients as potentially infectious and work with them only with gloves.
I carry out injections, dressings and disposal of waste materials in strict accordance with the existing orders and recommendations. I use eye protection - goggles and masks to prevent possible splashes of blood and liquid secretions into my face. I use waterproof aprons to protect the body from possible splashes of blood or liquid secretions. The most real risk of infection occurs when gloves are torn and punctured, which can lead to contact with contaminated material on the skin. The composition of the first-aid kit for the prevention of HIV infections: 5% iodine solution, fingertips, gloves, bactericidal adhesive plaster, dry sample for preparing 0.05% potassium permanganate solution, glasses, 70 ° alcohol, 1% chloramine solution, 20% solution of sodium sulfacyl - eye drops.
If the patient's secretions or blood come into contact with the skin, treat it with 70 ° alcohol, wash it with soap and water, and re-disinfect it with 70 ° alcohol. Treat mucous membranes with 0.05% potassium permanganate solution; mouth, throat rinse with 70 ° alcohol. Don't rub. In case of injections and cuts, squeeze blood out of the wound with 1% chloramine solution, then with 70 ° alcohol and treat the wound with 5% iodine, seal it with a bactericidal adhesive plaster, put on a fingertip. Make an entry in the Anti-AIDS journal indicating the date when contact with someone else's blood occurred, full name. persons with whom contact occurred. Face painting.
Help with anaphylactic shockmust be carried out as quickly as possible. An anti-shock set of medicines and tools necessary for emergency care is available at the health center: adrenaline solution 0.1% in amp. No. 10, mezaton 1%, norepinephrine- 0,2 % -10 amps, suprastin 2% -10 amps, tavegil 0.1% -10 amps, prednisolone solution 5 ml for IV - 10 amps, aminofillin 2.4% - 10 ml - 10 amps, solution corglicon - 0.06% in ampoules, sodium chloride solution 0.85% - 10 amp., glucose solution 40% in amp. No. 20, solution "chlosol", air duct for mouth breathinginto the mouth, an artificial respiration apparatus, a disposable sterile intravenous infusion system - 2 pcs., sterile syringes (20,10.5, 2 and 1 ml), needles for them, rubber tourniquet, ethyl alcohol70° - 100 ml., mouth expander, tongue holder - 1 pc., gauze swabs to remove mucus, metal swab holder - 1 pc., scalpel, sterile scissors, oxygen cushion.
If a patient is suspected of anaphylactic shock, it is urgent to call a doctor through the staff on duty. Immediately stop the administration of the medication, lay the patient on the couch (head below the legs): turn the head to the side, push the lower jaw, remove dentures (if any). In case of s / callergen injection, apply a tourniquet above the injection site (for 25 minutes). Prick the injection site with 0.3-0.5 ml of 0.1% adrenaline solution with 5 ml of saline. Solution. Apply a heating pad with cold water to the injection site for 10-15 minutes. Inject 0.3 ml of 0.1% adrenaline solution into the limb free from the tourniquet. With the intravenous administration of the allergen, we immediately stop the administration and inject 0.15-0.5 adrenaline 0.1% with 9.0 physical saline into this needle with another syringe. solution, with suprastin or diphenhydramine. We measure blood pressure, P S . We give oxygen through the duct. If blood pressure does not stabilize, we urgently start intravenous drip administration of “chlosol” with norepinephrine. Glucocorticosteroid drugs are administered intravenously: prednisolone 60-120 mg, dexamethasone -8-16 mg, or hydrocortisone 125-250 mg. Intramuscularly injected 2 ml of 0.1% solution of tavegil or 2 ml of 2% solution of suprastin. With bronchospasm in/venously10 ml of a 2.4% solution of eufillin are injected into the physical. solution. Cardiac glycosides - corglicon and respiratory analeptics are used according to indications.
If necessary, the accumulated secret and vomit are sucked out of the respiratory tract, and oxygen therapy is started. In case of cardiac arrest and breathing, we do an indirect heart massage and artificial respiration, calling the resuscitation room through the staff. ambulance. We are hospitalized on a stretcher.
traumatic shock- severe reactive general condition of the body, developingshortly after injury, is characterized by a sharp decrease in tissue perfusion, which, without adequate treatment, quickly leads to a generalized dysfunction of cells and death. The main symptoms of shock: skin - cold, pale, moist; symptom of "white spot" - delayed filling of skin capillaries after their compression (more than 2 seconds), tachycardia, first excitation, then lethargy, decrease in systolic blood pressure less than 100 mm Hg, decrease in pulse pressure less than 20 mm Hg, decrease diuresis. After examining the patient, call the resuscitation team. In case of respiratory disorders, the airways are freed from mucus, blood, and vomit.
To improve the conductivity of the respiratory tract, the patient's head is thrown back as much as possible, lifting the chin up and bringing the lower jaw forward. Having opened the patient's mouth, they are convinced that there are no food masses or foreign bodies in the oral cavity. If there are, they are removed through a napkin. We introduce an endotracheal tube, advancing its end into the trachea by 5-7 cm. After making sure that the tube is in the correct position, we fix it to the patient's head and start artificial ventilation of the lungs using the Ambu bag.
We stop the bleeding. With external bleeding, it is stopped by packing the wound, applying a pressure bandage, or clamping on the bleeding vessel, as well as pressing it along the outside of the wound. In case of arterial bleeding, we apply a tourniquet, indicating the time of its installation. We process the edges of the wound with a 5% iodine solution. We apply an aseptic bandage
2. We are afraid. analgin 50% - 2.4 ml, baralgin, tramal, if there is pain.
3. We immobilize limbs in case of fractures.
4. We carry out intensive infusion-transfusion therapy. Crystalloid solutions (5% glucose solution 400, electrolyte mixtures such as Ringer's solution, Ringer-Locke - 800), colloidal solutions - polyglucin, reopoliglyukin, while conducting a compatibility test in 3 stages of 15-25 ml after 5 minutes. We introduce corticosteroid drugs: prednisolone, hydrocortisone, dexamethasone;antihistamines (suprastin, diphenhydramine). When the pressure drops, adrenaline is injected, which is diluted in 200-500 ml of liquid.
Transportation of a patient in a state of shock is carried out under the control of vital functions with a raised foot end of the stretcher. For uncertain blood pressure, bolus infusion into two veinsin one - crystalloid solutions, in the other - polyglucin.
For hypertensive crisisa triad of signs is characteristic: a relatively sudden onset, an individually high rise in blood pressure, the presence of complaintscardiac, cerebral (cerebro) and general vegetative character. After the examination, if you suspect: acute myocardial infarction, hemorrhagic stroke, with a convulsive form of crisis and pulmonary edema, with nosebleeds, a rapid decrease in blood pressure to individually “familiar” figures is required, if they are not known, then to 160/90 mm Hg. Introducing/slowly clonidine 1 ml 0.01% solution per 9 ml solution NaCL under the control of blood pressure, if the pressure does not decrease, then we do lasix 2 ml / m, diazepam 2 ml / m. For pain in the heart, we give nitroglycerin sublingually, we make fentanyl 1 ml of 0.005% solution with droperidol 1 ml IV in dilution. With convulsions - sodium hydroxybutyrate 10-20 ml 20% IV very slowly, Lasix. All patients with complicated crises are hospitalized (with heart failure, cardiac arrhythmia, cerebrovascular accident, vascular complications, nosebleeds, hemorrhages in the eyes). In the case of relief of a hypertensive crisis and a stable condition of the patient, he can be left at work with repeated measurement of blood pressure after 3 hours.
With a lack of insulin in the body, a diabetic coma (hyperglycemic coma) may occur. Develops gradually. Its appearance is preceded by malaise, loss of appetite, headache. With hyperglycemic coma, the patient is in a state of prostration, consciousness is darkened, pallor of the skin, dryness of the mucous membranes and skin, Kussmaul breathing - with a sharp deepening of the breath and a decrease in the respiratory rate. Exhaled air smells of acetone. The pulse is weak, blood pressure is reduced by 70-80 mm Hg (systolic). Collapse, vomiting, abdominal pain. The temperature is normal. There is a high concentration of sugar in the blood (27-30 mmol / l). emergency care: injected into / in 40 units. insulin with 20mm 5% glucose solution. The patient is admitted to the hospital for further treatment.
Hypoglycemic coma occurs in diabetic patients after an injection of too much insulin.
Hypoglycemic coma develops acutely. There is agitation, loss of consciousness, delirium, convulsions, increased skin moisture, hyperemia. Respiration is not changed, the pulse is quickened, often arrhythmic. BP is reduced. The tone of the eyeballs is normal, the pupils are dilated. Blood sugar 3mmol/l and below. With a similar development of coma, loss of consciousness is preceded by the appearance of hunger, weakness, sweating, dizziness, drowsiness, tachycardia, convulsive muscle twitches, transient speech disorders, paresthesia and paresis. Urgent care. In / vein inject 20-40 ml of 40% glucose solution with 6.8 units of insulin. In case of hypo condition 4-6 pieces of sugar with hot tea. In severe cases, we introduce 0.3-0.1% of the solution of adrenaline in / m. In severe hypoglycemic coma, emergency hospitalization in the therapeutic department is indicated.
In case of mass food poisoning: prohibit the trade in a product that is suspicious in this case of poisoning, weigh it, draw up an act. Report heads. medical unit doctor about the incident and request the organization of assistance by specialized ambulance teams with sterile kits, with consultants.
Report epidemic. department of SES, head doctor SES tank. laboratory. At the same time, call the head of the shop and ask for an order to organize work to identify the victims, with explanatory work among the workers, avoiding panic and taking personal safety measures. Make a list of victims according to the form. With the help of activists, organize a) current disinfection in the workshop, do not use the sink of the water supply, dress according to the instructions. In case of food poisoning, when washing the stomach with 2% solution of baking soda - to clean washings. The vomit is taken for bacteriologicalstudy in sterile dishes, tightly closed with lids. Attach accompanying document, which indicate: full name, age, diagnosis of the patient, date of taking the material, nature of the material, surname honey. worker.
Provide the patient with the necessary honey. assistance with cases of moderate severity and heavy - intravenous saline solutions, in the lungs - saline solutions inside (regidron, citroglucosalan). Upon arrival of consultants, provide basic information, transfer lists of victims, issue referrals to the hospital.
If a patient has a myocardial infarction (ischemic necrosis of a section of the heart muscle with the loss of its ability to contract. This is an emergency requiring urgent hospitalization. Mortality is maximum in the first two hours). I'm calling the resuscitation team. I'm doing a survey. I measure blood pressure, P S , I do inhalation with oxygen, I give aspirin 0.25 inside, chewed. With systolic blood pressure greater than 100 mm Hg. sublingually I give 1 ton of nitroglycerin, after 5 minutes, if the pain has not stopped, then I repeat (under the control of blood pressure). If blood pressure is less than 100 mm Hg, then we do 50% - 4.0 analgin with diazepam 1 ml IV. If the paindid not stop at systolic blood pressure more than 100 mm Hg, we do fentanyl 0.005% 1 mlwith droperidol 1 ml IV in dilution, and if blood pressure is less than 100 mm Hg, then we make fentanyl 1 ml - 0.005% IV in dilution of inhalation nitrous oxide with oxygen 1:1. Transport on a stretcher under the control of vital signs.
In 2001, I carried out the following work:
She received 4252 patients with the necessary examinations, with the provision of first aid and sent 96 patients to medical institutions, of which K.S.P. - fifteen; with information from the head of the workshop about persons who did not come out to work.
Conducted 7,715 pre-trip medical examinations of workerswith measurement of blood pressure, P S , body temperature and psychological examination. Examined 460 people for pediculosis, 10 for epidermophytosis.
Inspected 780 workers with sanitation of 34 microtrauma workers.
Carried out control over the sanitary and technical condition of the bottling bay, the area around the workshop, the operation of ventilation, the illumination of workplaces, the presence of drafts, the presence and proper use of personal protective equipment, the presence and condition of special equipment. clothes, the state of prom. atmosphere. Drafted 11 acts with the engineer for t/b, gave 18 proposals, of which 16 were completed.
Checked the sanitary condition of the drinking regime, with thermometrydrinking water, checked the presence of saline, gas. water, tea, illumination of drinking points, the presence of mugs, the functioning of devices for washing glasses. She made 11 acts in the presence of the person responsible for the drinking regime, made 14 proposals, of which 13 were implemented.
Ascertained dignity. the condition of the showers and washing facilities, the work
washing and shower facilities, the operation of sanitary equipment (washbasins, shower heads, flushing toilets), availabilityand the use of disinfectants and detergents funds.
Compliance with the rules for the preparation of disinfectants. Controlled the operation of supply and exhaust ventilation and heating systems, the illumination of showers.
Checked the implementation of the plan for washing and repairing specials. clothes. The quality of washing repair spec. clothes. 11 acts were drawn up for the inspection of shower rooms, together with the distributor of works responsible for the condition of amenity rooms. Given 15 proposals that were implemented.
Conducted a survey of the canteen of the workshop, gave 72 suggestions, which were implemented immediately. When examining the dining room, she checked the implementation of sanitary rules for cooking,storage, tradefoodstuffs, availability of disinfectants and detergents, the operation of technological and refrigeration equipment, the condition of kitchen and tableware, the rules for its use and processing, checkedcompliance with the rules of personal hygiene by employees of the canteen, the availability and condition of special clothes. I checked the marriage journal and the Health magazine. All examination results were noted in the sanitary journal of the canteen. Conducted individual interviews.
During the year, she registered 250 sick leaves with temporarydisability, with individual conversations about the improvement and prevention of this disease, about healthy way life, if necessary, prescribed physiotherapy.
On a monthly, quarterly and yearly basis, she analyzed the incidence of temporary disability by profession and compared the results with the previous year. The results of the morbidity analysis are brought to the attention of the shop doctor and the shop administration.and measures are being taken to reduce the incidence, issues are being addressedpreparation of workplaces for work in the autumn-winter and summer periods, compliance with the drinking regime, timely repair of ventilation systems and air conditioners, revision and repair of heating systems, sufficient illumination and safety of workplaces. Improvement of workers in recreation, dispensaries and resorts.
For the purpose of early detection of diseases, in particular occupational diseases, as well as to resolve the issue of professional suitability, a periodic medical examination is carried out annually according to order No. 90.
Professional examination by order No. 90
|
year |
Number of subjects |
Number of people examined |
% coverage |
Identified threatened |
|||
|
Quantity revealed. with prof. Yogo pathology |
Taken under supervision. |
Revealed with other diseases. |
Taken under supervision. |
||||
|
2001 (reporting) |
98,36 |
||||||
|
2000 |
92,03% |
||||||
After the professional examination, together with the shop doctor, she controlled the implementation of the recommendations, sent those in need for further examination to the diagnostic center, as well as for a consultation with narrow specialists. Together with the administration of the workshop and the workshop doctor, the issue is resolvedon the employment of workers who are recommended to limit certain harmful conditions labor.
Morbidity analysis for 2001
The morbidity in 2001 in comparison with the morbidity in 2000 in the open-hearth shop decreased in cases by 5% and in days of disability by 7%, which amounted to 584 cases of disability or 78.49 per 100 workers, 8889 days of disability or 1194.75 per 100 working. The first place in terms of morbidity is occupied by machinists - 124 cases of morbidity
Of them:
By ageby seniority
Up to 20 years - 5 peopleup to 5 years - 47 people
20-30 years old - 24 people5-15 years old - 40 people
30-40 years old - 50 people15-30 years old - 32 people
40-50 years old - 40 people30 or more - 5 people
50 years and older - 40 people
More often people over 30 years of age with little work experience get sick. The growth in this category of workers can be explained by the difficulties of the adaptation period to work in a hot shop, where sudden temperature changes, especially in winter, drafts lead to a decrease in immunity.
In second place op morbidity is occupied by steelworkers and assistants.- 83 cases of n/s.
Of them:
By ageby seniority
Up to 20 years old - 4 peopleup to 5 years - 35 people
20-30 years old - 21 people5-15 years old - 24 people
30-40 years old - 30 people15-30 years old - 24 people
40-50 years old - 20 people
50 years and older - 8 people
In third place are pourers- 51 cases of n/s.
Of them:
By ageby seniority
Up to 20 years old - 8 peopleup to 5 years - 8 people
20-30 years old - 12 people5-15 years old - 14 people
30-40 years old - 6 people15-30 years old - 24 people
40-50 years old - 20 people30 or more - 5 people
50 years and older - 5 people
More often people over 40 years of age with a long work experience of more than 15 years get sick.
All types of injuries decreased in 2001. In drawing up the work plan for 2002, taking into account the morbidity, measures were outlined to improve the health of the workers. It is necessary to pay attention to those professions (crane operators, steelworkers, casters) as well as to the DN and risk groups. Individual conversations are held with the workers, when sick leave is issued, if necessary, treatment courses are prescribed in a physiotherapy room, and health improvement. Together with the administration of the workshop, issues are resolved on preparing workplaces for work in the autumn-winter and summer periods, compliance with the drinking regime, timely repair of ventilationinstallations and air conditioners, revision and repair of heating systems, sufficient lighting and safety of workplaces.
The main work of the paramedic of the health center is to carry out therapeutic and preventive measures, the provision of pre-hospital medical trauma care, sudden illnesses, occupational poisonings. I know the specifics of the work of the open-hearth shop, working conditions and occupational pathology of the workers in this section. I conduct an analysis of morbidity with temporary disability. I own the technique of subcutaneous, intradermal, intramuscular, intravenousinjections, I know how to put a dropper. I impose asepticfixing, immobilized dressings,tires. I own the production of small technical operations, such as: catheterization, probing and gastric lavage, enemas. I can take smears from the pharynx, nose, stop nosebleeds, I know all kinds of conservativemedical care for diseases of the ear, throat, nose, eyes, I can remove floating foreign bodies from the eyes. I carry out measures to comply with the dignity. epid. regimen in the health center. I carry out the processing and sterilization of honey. tools, dressings, preparing disinfectant solutions. I know the technique of working on the physiotherapy equipment of the health center.
One of the main points preventive work are anti-epidemic measures. This scope of work includes preventive vaccinations against tetanus, diphtheria, and influenza.
Grafting work
|
Name of vaccinations |
Subject to |
Made |
% completion 2001 |
% completed 2000 |
||
| 2001 | 2000 |
2001 |
2000 |
|||
|
PS.S. |
100% |
100% |
||||
|
Against tetanus |
100% |
100% |
||||
|
against diphtheria |
100% |
100% |
||||
|
Against the flu |
28,7% |
6,09% |
||||
The workshop carried out immunization of workers against tetanus and diphtheria by 97.5%. Vaccinations against tetanus and diphtheria are given for injuries. If more than 5 years have passed since the last revaccination, then we do 0.5 tetanus toxoid.
Flu vaccinations in 2001 were made by Grippol, an effective anti-flu agent and it was popular with shop workers.
TB work
The basis for the primary prevention of lung diseases is engineering and technical measures aimed at improving working conditions and reducing dust levels. It is obligatory to use personal respiratory protective equipment against dust - respirators.
In the medical prevention of lung diseases, the leading role is played by preliminary and periodic fluorographic examinations, which allow the selection of persons in need of preventive and therapeutic measures.
Four people with pneumosilicosis work in the shop. All of them are employed in jobs not associated with exposure to dust, toxic, irritating and allergenic substances, as well as adverse meteorological factors, with dynamic medical supervision 2 times a year. From the anamnesis, they find out their professional route, the duration of work in conditions of increased dustiness, the sanitary and hygienic characteristics of working conditions (quantitative and qualitative composition of dust). Certification of SES workplaces is carried out with the preparation of acts.
Gynecological examination
|
Year |
Subject to F.G. |
Viewed |
% coverage |
revealed |
Taken on DN account |
|
2001 |
100% |
||||
|
2002 |
100% |
There are 3 women in the workshop, who are on the DN-registration. The paramedics of the health center control the working conditions and the attendance of dispensary patients to the gynecologist for anti-relapse treatment and rehabilitation.
The main task of the health center is to conduct extensive therapeutic and preventive measures. For this purpose, a record is kept of the dispensary group of patients, NCH, risk groups, as well as measures to improve these accounting groups. All these activities are carried out jointly with the shop doctor, who conducts preventive appointments at the health center 3 times a month, and conducts the main appointment at the clinic. Dispensary patients are periodically prescribed an examination, and then, in accordance with this, anti-relapse treatment is carried out.
Twice a year, the health center organizes the work of a day dispensary. Close proximity to production sites gained popularity of this type of improvement among workers. In the day dispensary, patients with hypertension, peptic ulcer, coronary artery disease, as well as CHD, a risk group with borderline hypertension, threatened by coronary artery disease, bronchitis, undergo preventive treatment of DN. We carry out active promotion of health improvement in sanatoriums and dispensaries. Rehabilitation and preventive measures with CSD are carried out mainly in the health center. In the spring-autumn period, physiotherapy procedures are prescribed for this category of workers: UV irradiation, both general and prolonged, inhalations with herbs, as well as vitamin therapy. Workers who often give sick leave with osteochondrosis undergo a course of mechanomassage in order to prevent exacerbations.
Recovery of accounting groups
|
Type of recovery |
DN |
Disease risk group |
Risk group by profession |
|
|
SKL dispensary Day dispensary health center F.T.L. |
||||
An important role in the preventive work of the medical assistant is played by the work on the hygienic education of workers. I attend shift-reciprocal meetings, where I hold conversations with workers on the promotion of a healthy lifestyle, the prevention of diseases, both acute and chronic exacerbations. I organize visits to shift meetings by doctors with lectures on topical topics. In the promotion of a healthy lifestyle, an important role is played by individual conversations with workers, which are held when workers apply to a health center, as well as when I visit work sites.
Along with conversations, I distribute leaflets at workplaces, periodically update leaflets and brochures in health corners, once a year I issue a sanitary bulletin. In 2001, she published a health bulletin. In 2001, she published the sanitary bulletin "Prevention of osteochondrosis." When visiting shift-oncoming meetings and working areas, in order to prevent skin and pustular diseases, I carry out the rehabilitation of microtraumas.
Sanitation report. clearance work for 2001
|
№/№ |
Conversation Topics |
Number of conversations |
|||
| Reporting period 2001 | Previous year 2000 | ||||
|
Prevention of colds Prevention of cardiovascular diseases Prevention of AIDS, veins. diseases Prevention of alcoholism and drug addiction Prevention of O.Zh.K.Z. Prevention of diphtheria, tetanus On the expediency of rehabilitation in dispensaries Injury prevention Prevention of diseases of the digestive system Prevention of tuberculosis Prevention of c / gn diseases Prevention of tick-borne encephalitis About a healthy lifestyle Flu Prevention Prevention of overheating Total |
52 |
120 listen 860 listeners |
45 |
136 listen 973 listener |
|
According to the decade for 2001 Path to health
Folder - collection
On smoking "Corner and window of health"
Work on issues of civil defense, prevention and liquidation of emergency situations at OJSC MMK is carried out annually in accordance with the plan of main activities approved by the head G.O. A sanitary post was created in the open-hearth shop. the preparation of the sanitary post is carried out annually by the paramedics of the health center according to a 15-hour special program, the documentation is kept:
- logbook of combat training;
- Protocol of the lesson;
- Alert scheme in work time and non-working hours;
- Diary of the Sanitary Post, which reflects the educational activities carried out by the Sanitary Post;
- Visual propaganda.
The creation of a sanitary post and staffing it with personnel is issued by order for the workshop and is equipped according to a single report card. San. post took part in competitions civil defense in 2001. The provision of self-help and mutual assistance in case of injuries, burns, poisoning, frostbite, is included in the training program of the sanitary post.
Before being allowed to work in the workshop, each newly hired employee must be familiarized with industrial sanitation and personal hygiene rules; on the need for overalls and protective devices (helmets, balaclavas) and, depending on the type of work, individual protective devices (glasses, dielectric gloves, dielectric boots, respirators, mittens, safety belts) should be used, with self- and mutual assistance measures.
Conducting initial and repeated briefings at the workplace
Examination of disability of workers when applying to a health center
| Reporting year 2001 | Last year | Reporting year 2001 | Previous
2000 |
||
|
Sent to the clinic Released before the end of the shift |
Received b/l Received b/l |
year 2001 out of 96 referred to the polyclinic, there were 6workers diagnosed with intruding foreign bodiesin the cornea of the corner, which were removed by specialists without complications, and the workers were sent for aftercare to a health center.
In 2000 out of 89 referred to the polyclinic2 workers were diagnosed with an intruding foreign body.
Analysis of the work of a paramedic for the last year in comparison with the previous year
|
No. p / p |
Name |
Reporting year 2001 |
Last year |
| Accepted patients Served a call to the shop Industrial injuries Eye injury Made injections Physiotherapy procedures Calling K.S.P. |
4252 2 1 141 585 181 1118 15 |
3818 3 1 138 684 226 949 15 |
Arranging service medical care workers of the open-hearth shop, I put my main goal reduction of morbidity among them, strengthening of their health and increase of efficiency.
I improve my business skills by attending medical conferences, reading the medical press, reviewing special literature. I take part in surveys in the specialty and passing tests for readiness for work 1 time per quarter according to the schedule.
FUTURE PLANS
- Complete advanced training courses on the cycle “Protection of the health of industrial workers. enterprises".
- Monitor the implementation of sanitation. technical measures to improve the working conditions of workers, namely the repair of the dining room, shower rooms, rest rooms.
- To design a “Window of Health” in the hall of shift-meeting meetings of shop workers with constant updating of topics.
Paramedic salary
open-hearth shop Orlova N.E.
ANO MSCh A.G. and OJSC MMK
REVIEW
For the attestation work of the paramedic of the s / point of the open-hearth shop of the ANO MSCh A.G. and OJSC MMK Orlova N.E.
The work covers all the main sections of the work of the health center. A description of the production technology is given, indicating the main professions and factors affecting the health of workers.
Sections on the work of the health center as a whole are covered in sufficient volume, a detailed analysis of the incidence is given, taking into account the age category, professions and work experience. The analysis indicates measures aimed at reducing the incidence, eliminating factors that contribute to the growth of incidence. Work with a group of DN patients, a risk group, is highlighted. This section reflects the state of recovery and therapeutic measures carried out in close contact with the shop doctor.
A full description is given of the preventive work of the paramedic of the health center, the implementation of recreational and therapeutic measures, work on the hygienic education of workers, as well as sanitary and hygienic measures. The joint work of the paramedic of the health center with the administration of the shop, the shop doctor is highlighted.
The work is done visually, informative with a sufficient number of tables and their analysis.
The review is submitted to the attestation commission to confirm the highest category in the specialty: "General Medicine".
Head health centers
ANO MSCH AG and OAO MMK Retivykh G.A.
Deputy chapters doctor according to Shevelina V.I.
outpatient base
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