The work of a doctor is statistic attestation. Report for the category of medical statistics essays and term papers
Abstract on medical statistics ... Introduction Solving improvement problems medical service population is impossible without the analysis of statistical data on the work of medical institutions contained in the annual statistical report , periodic reporting, primary accounting documentation. The activity of each type of health care institution is assessed using certain statistical indicators. It is important not only ...
5996 Words | 24 p.
MEDICAL
MEDICAL (sanitary) STATISTICS - is one of the industries statistics , examines issues related to medicine, hygiene, public health, studies the health of the population, the use of health care resources, the activities of health care institutions, applies statistical methods in clinical and experimental practice, in health planning, analysis and forecasting. STATISTICS INCIDENCE SECTION statistics public health studies primary ...
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POSITION of the statistics office
APPROXIMATE REGULATIONS about the office medical statistics city \u200b\u200bpolyclinic 1. Office medical statistics is a structural unit of the city polyclinic. 2. Cabinet management medical statistics carried out by the head, appointed and dismissed in accordance with the established procedure by the chief physician of the polyclinic. 3. In their work, the cabinet staff medical statistics are guided by the regulatory legal acts of the Republic of Belarus, the Regulations on the Polyclinic, this Regulations, orders ...
2002 Words | 9 p.
practice report in fap
in the specialty 060101 General medicine (advanced training) Organization - developer: GAOU SPO JSC "Arkhangelsk medical college" Developers: Nevzorova L.V., teacher of the first qualification categories GAOU SPO JSC "Arkhangelsk medical college ", Dresvyanina N.V., teacher of the first qualification categories GAOU SPO JSC "Arkhangelsk medical college". 2 CONTENTS Page 1. PASSPORT OF THE WORKING PROGRAM OF THE PROFESSIONAL MODULE ……………………………………. 5 2 ....
4745 Words | 19 p.
Social statistics
tasks and organization of social statistics Social statistics - industry statistics studying quantitative and qualitative characteristics of mass social phenomena and processes. Object of social statistics is a society, an individual, collective groups, it can also be organizations that provide the population with any types of services. At the stage of collecting information and processing it, it is important to clearly understand the object of research. The subject of social statistics is the method of summary indicators ...
4524 Words | 19 p.
Galicia Report 2013 2015
characteristic medical organizations, places of work… .p. 3. Brief description of the organizational and methodological department ... ..p. 4. Activity characteristics medical statistics department medical statistics … ..P. 5. Key performance indicators of the OGBUZ Ziminsky City Hospital ... ..p. 6. Conclusion… .p. 7. References… .page 8. Appendix… ..p. 1. Introduction Report about the work of Svetlana Vladimirovna Galichina, medical statistics organizationally ...
3380 Words | 14 p.
Statistics of educational institutions in the Kaliningrad region from 2009 to 2013
discipline project " Statistics " on the topic of: " Statistics educational institutions "Completed: student of the group Checked: Kaliningrad 2014 Contents Introduction 3 1. Theoretical foundations statistics education 5 1.1. Basic concepts statistics education 5 1.2 Scorecard statistics education 6 1.2.1 Indicators statistics preschool education. 6 1.2.2 Indicators statistics general education 8 1.2.3 Indicators statistics higher professional ...
8444 Words | 34 p.
Honey statistics
Medical statistics 1. Statistics health status of the population health morbidity statistics ability to work Methods of studying public health Medicine is based on two fundamental concepts - "health" and "disease". With these basic categories all theoretical and practical problems of health care are connected, since any medical activities are aimed primarily at maintaining and strengthening people's health, preventing and treating diseases. In modern literature ...
3548 Words | 15 p.
Practice report
areas of activity City Polyclinic No. 88 of the FMBA of Russia was licensed by the Federal Service for Surveillance in Healthcare and social development and received a license No. 99-01-0005214 dated 03/13/2008 to implement medical activity and certificate 4B categories , which corresponds to the level of the urban district. The main functions of the institution's activities are reflected in table 1. Table 1. - Information about the main directions of the institution's activities (functions) Name of function Brief description ...
1345 Words | 6 p.
Report
which the organization's training motor vehicles participated. - participates in the work of the pedagogical council, the methodological commission, and also the examination committee of the organization. - in the prescribed manner passes the pre-trip medical examination and control of the technical condition of a training motor vehicle before leaving for training routes. - monitors students' compliance with the requirements of traffic rules, instructions for labor protection and fire safety ...
2951 Words | 12 p.
Socio-economic statistics Ref
CONTENTS Introduction ……………………………………………………………………… ... 3 Chapter 1. Theoretical aspects of socio-economic statistics health care ………………………………………………………………… ..6 1.1 Basic indicators of population health ………………………………… .6 1.2 Sources of information …………………………………………………… .10 1.3 Statistical analysis of the main indicators of population health …………………………………………………… ……………………… 12 Chapter 2. Analysis of statistical indicators of health care in the Ulyanovsk region …………………………………………………………………………… 17 2.1 Statistical ...
8456 Words | 34 p.
Operating room nurse professional performance report
secondary vocational education "REPUBLICAN BASIC MEDICAL COLLEGE named after E.R. Radnaeva "CALENDAR-THEMED MEDIUM TRAINING CYCLE PLAN MEDICAL EMPLOYEES AND PHARMACISTS for the 2011-2012 academic year Ulan-Ude MINISTRY OF HEALTH OF THE REPUBLIC OF BURYATIYA State educational institution of secondary vocational education "REPUBLICAN MEDICAL COLLEGE named after E.R. Radnaev "" AGREED "...
2076 Words | 9 p.
Practice report
"State and Municipal Administration" REPORT PRE-DEGREE PRACTICE Municipal medical and preventive institution Healthcare City Hospital No. 6 of the Kopeysk urban district from September 30, 2013 to November 24, 2013. Completed by student Borisovsky Konstantin g Content: Assignment for pre-diploma practice Base of practice Notes on the passage of pre-graduation practice Diary of pre-graduation practice Report on undergraduate practice Introduction ...
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UNIRS Automated personnel management system in a medical school.
Personnel department - management 4. Personnel department - bodies statistics 5. Hiring 6. Dismissal 7. Personnel movement 8. Personnel information about the employee 9. Order for leave 10. Sick leave 11. Questionnaire of the insured person 12. Individual information 13. Application for assignment of TIN 14. Other documents and reports Conclusion Introduction The purpose of this work is to create an automated personnel management system for medical schools. Hardly anyone will disagree with the famous ...
3266 Words | 14 p.
Report on educational practice Ivanov A
Individual assignment for practice Name of the student Ivanova Anna Igorevna Course 4 Form of study Full-time Direction of training / specialty Bachelor Institute / Faculty INE Profile Statistics Group 1 Type of practice Industrial Method of conducting practice Stationary Form of conducting practice Discreetly by allocating a continuous period of study time in the calendar training schedule for conducting this type of practice. Type of internship Research work Place of internship ...
2388 Words | 10 p.
report on the passage of practice in accounting
control managers or help make management decisions. Preparation of financial statements is an important activity that needs to be done, observing all established rules and requirements, otherwise the company or the person responsible for reports a penalty will be imposed. Of course, the requirements and rules change every year, so professionals need to be aware of all the innovations. We can say that the preparation and use of financial statements is an important aspect of the activity ...
6303 Words | 26 p.
Practice report
institution of higher professional education "Siberian State Industrial University" Institute of Information Technologies and Automated Systems Department of Informatics and Control Systems Report on industrial practice Completed: st.gr. Ips-091 Bondarenko ...
7792 Words | 32 P.
Practice in statistics (honey)
federation Murmansk College of Economics, statistics and informatics Department: day Specialty: 080601 « Statistics »Report on technological practice STUDENT HEAD V.D. Fedoseeva E.E. Ivanova group 3C1 Score: _______ 2011 CONTENTS 1. Regulations on the State Committee of the Russian Federation for statistics ……… ... 2 1.1. General provisions ………………………………………………… ...
9106 Words | 37 P.
Statistics
budgetary educational institution of higher professional education Nizhny Novgorod State Pedagogical University named after Kozma Minin Department of Management, Finance and Insurance Course work in the discipline " Statistics " on the topic of: " Statistics Healthcare "Head: Ph.D., Associate Professor Gurtovaya NS Completed: student of the EZS group - 12 - 1 course 1 ...
5797 Words | 24 p.
Attestation report of a paramedic at a therapy site
from. 6 5. Working with TAP and preferential prescriptions p. 8 6. Mortality p. 9 7. Conclusions p. ten 1. General information. Report written by paramedic A.R. Yakupov Date of birth 13.08.1975. Graduated from Krasnoturyinskoe municipal medical college in 1998 with a degree in general medicine. At work in the MU Volchansk city hospital as a district paramedic since 02/14/2000. Continuous work experience of 14 years. Into various ...
1858 Words | 8 p.
practice report
submits in the prescribed manner to the Civil Registry Office under the Government of the UR reports on the movement of forms of certificates of state registration of acts of civil status. h) Compiles, analyzes and submits monthly, quarterly annual statistical reports on state registration of acts of civil status within the established time frame to the Civil Registry Office Affairs Committee under the Government of the UR, to the authorities statistics ... i) Provide a solemn atmosphere during state registration of birth ...
3037 Words | 13 p.
Electronic medical record
MIDIALOG) 6 conclusions 9 conclusion 10 list of references 11 Introduction Relevance: in modern conditions, the treatment of one disease can represent a complex complex of many hospitalizations (including in different medical institutions) and outpatient follow-up, while a lot of case histories and outpatient cards are created, access to which for the attending physician is very difficult even within one organization. This often leads to unnecessary repeated ...
1663 Words | 7 p.
Report on industrial practice based on the territorial compulsory health insurance fund
report medical insurance table of contents table of contents Introduction 3 Section 1.Management 1.1 object characteristics 4 1.1.1 From history medical insurance 4 1.1.2. Forms medical medical insurance in the Russian Federation 5 1.1.4 Organizational and legal framework of CHI and TF CHI 6 1.1.5 Main technical and economic indicators of the activity of CHI TF in 1995-1996 ...
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Programmer Practice Report
Introduction Automated information systems are widely used in various fields of activity people, in particular in the field of personnel management of the enterprise and the formation of various reports and orders. This work is devoted to the collection of materials necessary for the development of an automated information system "Accounting for the payment of benefits, additional payments and compensations" for the Department of Social Protection of the Population of the *** district administration ...
4362 Words | 18 p.
Annual report
Chief physician ______________________ (name medical organizations) ______________________ (signature) (full name) "___" _________ 20___ ANNUAL REPORT FOR 2014 main medical sisters __________________________________________ (name medical organization) Full name _________________________________________________________________________ ...
1047 Words | 5 p.
Report on industrial practices based on the territorial compulsory health insurance fund
REPORT ON PRODUCTION PRACTICE ON THE BASIS OF THE TERRITORIAL FUND OF OBLIGATORY MEDICAL INSURANCE CONTENTS CONTENTS 2 INTRODUCTION 3 SECTION 1. MANAGEMENT 4 1.1 CHARACTERISTICS OF THE OBJECT 4 1.1.1 From history medical insurance 4 1.1.2. Forms medical insurance 4 1.1.3. Transition to mandatory medical insurance in the Russian Federation 7 1.1.4 Organizational and legal framework of CHI and TF CHI 8 1.1.5 Main technical and economic indicators of the activity of CHI TF in 1995-1996 ...
8430 Words | 34 p.
Medical statistics
specialty General Medicine, the qualification of a paramedic is assigned. I have been working since September 1, 2008 as medical sports medicine sisters. In 2009, she underwent advanced training at OOAUSPO " medical college "on the cycle of specialization" Medical statistics »From May 4, 2010 transferred to the position medical statistician ... Total work experience 5 years. 1. Characteristics of the institution. State health care institution "medical and physical ...
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Programmer's industrial practice report
report on industrial practice on the basis of the Territorial Fund of compulsory medical insurance table of contents table of contents Error: Reference source not found Introduction 4 Section 1. management Error: Reference source not found 1.1 characteristics of the object 5 1.1.1 From history medical insurance 5 1.1.2. Forms medical insurance 5 1.1.3. Transition to mandatory medical insurance in the Russian Federation 6 1.1.4 Organizational and legal framework of CHI and TF CHI 7 1.1.5 Main ...
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report
Chelyabinsk base medical College Diary of industrial (professional) practice in the section: "Nursing management" Surname Guzey Name Valentina Patronymic Ivanovna Specialty: Nursing Qualification Medical sister - organizer and teacher Practice leader: Methodical full name Kozyrina Tamara Anatolyevna, deputy chief physician for medical care Direct full name Specht Lidia Nikolaevna, main medical sister of the clinic ...
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precedents of the developed information system to implement the functions assigned to it in the form of a separate client part of the information system (level client views) in a high-level programming language; create a generation subsystem reports in the form of a server web application on the web server side (business process layer) and a group of stored procedures - data providers on the data management server side (addition to the data management layer). 2 1.2. Requirements for completing coursework ...
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Neurology report
___________________________ «___» _______________ 20___ g. REPORT about work for 2011___ - 2013___ years of _ Physician-neurologist LLC Medical center "Zdravgorod" for the assignment of a qualification categories in neurology Barnaul, 2014 Contents I. Medical practice 3 II. Job responsibilities. Organizational and methodological ...
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abstract on legal statistics
SCIENCES OF THE RUSSIAN FEDERATION NOVOKUZNETSK INSTITUTE (BRANCH) OF THE FEDERAL STATE BUDGETARY EDUCATIONAL INSTITUTION OF HIGHER PROFESSIONAL EDUCATION "KEMEROVSK STATE UNIVERSITY" FACULTY OF LAW Abstract LEGAL STATISTICS STATISTICAL ANALYSIS OF THE CAUSES OF CRIME, THE PERSONALITY OF THE OFFENER AND THE MOTIVATION OF CRIMINAL BEHAVIOR A 3rd year student, group J-12-1 Mishchenko Ksenia Dmitrievna Scientific adviser: Nikitina Tatiana Aleksandrovna ...
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head nurse
20 ___ REPORT about the work done MEDICAL SISTERS OF THE OPERATIONAL (URGENT) GBUZ "Aleksandrovskaya RB "KASKINOVA SAVIA ZHALILEVNA CHARACTERISTICS Kaskinova Savia Zhalilevna graduated from Orenburg medical school in 1989 with a degree in "Nursing", and in 2006 she graduated from the GOU VPO "Orenburg State medical Academy of the Federal Agency for Healthcare and Social Development ". Medical activities have a wide profile: ...
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Practice report
Branch of the Non-State Educational Institution of Higher Professional Education "Moscow Psychological and Social Institute" in Magnitogorsk Chelyabinsk region Report on industrial practice In the Abzelilovsky District Court Completed by: A.A. Gainullina student gr YURZ-6-06 ...
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field practice report revised 2
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Report Olga1
APPROVED Chief Physician GBUZ RK "Ukhta City Polyclinic" __________________ A.P. Peshkova "____" __________________ 2016 CERTIFICATION REPORT About work medical sisters of the ultrasound diagnostics room of the State Budgetary Healthcare Institution of the Republic of Kazakhstan "Women's Consultation" for 2015 KOSYREVA OLGA NIKOLAEVNA for the assignment of the first qualification categories in the specialty "Nursing" AGREED BY: Chief Nurse of the GBUZ RK "Ukhta City Polyclinic" EV Kirsch Ukhta 2016 CONTENTS 1. Introduction ...
Examples of attestation reports of doctors [go]
Examples of Nursing Assessment Reports [go]
5. Write the certification work.
It should be said that the overwhelming majority of doctors' certification works are not interesting. Because usually colleagues limit themselves to simply listing statistical facts. Sometimes, to add volume, statistics are diluted with textbook inserts. Some doctors generally engage in outright plagiarism: they go to the archive, take reports from other doctors for the past years and only change the numbers. I have even seen attempts to turn in copied sheets of paper. It is clear that such a "creative approach" only causes contempt. Well, absolutely stupid and lazy medical workers simply buy (for example, via the Internet) ready-made certification papers.
What to write about in your attestation report is described in the document "Approximate diagram and content certification work "
How the certification work should look like can be found in the file "Standards and design requirements attestation report "
6. Submit the necessary documents to the certification commission.
The papers that must be submitted to the attestation commission are contained in List of documents for medical certification.
List of orders for attestation
The very first order that I know is dated January 11, 1978. It was the order of the Ministry of Health of the USSR No. 40 "On the certification of specialist doctors."
4 years later, the order of the Ministry of Health of the USSR No. 1280 "On measures to further improve the certification of doctors" was issued. The order provided for 2 types of certification: compulsory and voluntary ( more ...).
At the beginning of 1995, the Ministry of Health and Medical Industry of the Russian Federation issued Order No. 33 “On Approving the Regulation on the Certification of Doctors, Pharmacists and Other Specialists with Higher Education in the Healthcare System of the Russian Federation”. This order left only one certification - voluntary.
In 2001, order No. 314 "On the procedure for obtaining qualification categories" was issued.
After 10 years, the old order was replaced with a new one - Order of the Ministry of Health of the Russian Federation No. 808n " On the procedure for obtaining qualification categories", Which is valid to the present.
107. Remuneration of medical workers. The principles of the formation of the system of remuneration of workers of budgetary institutions.
Features of the formation of payment systems for employees of state and municipal health care institutions
38. State authorities of the constituent entities of the Russian Federation, local self-government bodies, heads of state and municipal health care institutions should take into account the following in the formation of employee remuneration systems:
a) an increase in the remuneration of employees of health care institutions operating in the compulsory health insurance system is carried out at the expense of subventions from the Federal Compulsory Health Insurance Fund, taking into account the increase in financial support for expenses carried out within the framework of the basic compulsory health insurance program, as well as interbudgetary transfers from the budgets of the constituent entities of the Russian Federation. Federation for additional financial support of Territorial programs of state guarantees;
b) making monetary payments to district general practitioners, district pediatricians, general practitioners (family doctors), district nurses, district therapists, district pediatricians and nurses of general practitioners (family doctors) for the provided medical care in outpatient setting; medical workers of feldsher-obstetric points (heads of feldsher-obstetric points, feldshers, obstetricians (midwives), nurses, including nurses) for the provided medical care on an outpatient basis; doctors, paramedics and nurses of medical organizations and emergency medical units for the emergency medical care provided outside the medical organization; medical specialists are paid for the provided medical care on an outpatient basis at the expense of compulsory medical insurance funds, which are taken into account in terms of wage costs in the tariffs for payment of medical care, formed in accordance with the methods of payment for medical care adopted in the territorial program of compulsory medical insurance;
c) the formation of staffing tables of healthcare institutions is carried out taking into account the recommended staffing standards contained in the procedures for the provision of medical care and the Nomenclature of positions of medical workers and pharmaceutical workers, approved by order of the Ministry of Health of Russia dated December 20, 2012 N 1183n;
d) when establishing incentive payments, provide indicators and criteria for the effectiveness of employees' activities aimed at achieving specific results of their work, reflected in the Model Provisions on remuneration of employees of institutions, local regulations and labor contracts with employees of institutions;
e) in order to preserve human resources, increase the prestige and attractiveness of work in institutions, it is recommended to improve the procedure for establishing the size of official salaries of employees by redistributing funds in the structure of wages for a significant increase in official salaries.
To this end, it is recommended to revise the mechanism for setting official salaries depending on the qualifications and complexity of employees 'work, to optimize the structure and size of incentive payments, based on the need to focus them on achieving specific results of employees' activities.
Remuneration of health workers.
When calculating the salaries of medical workers, an accountant of a budgetary institution, first of all, is guided by the Regulation on the remuneration of healthcare workers of the Russian Federation. This Regulation was approved by the order of the Ministry of Health of Russia dated October 15, 1999 No. 377, as amended by the Order of the Ministry of Health of Russia dated April 26, 2003 No. 160.
Health care institutions that are on budget financing, within the allocated budget allocations, independently determine the types and amounts of allowances, additional payments and other incentive payments. The salary of medical workers can be accrued:
\u003e salary increases;
\u003e seniority allowances;
\u003e allowances for special conditions;
\u003e allowances for additional work;
\u003e incentive premiums;
\u003e additional payments for work at night;
\u003e cash payments under the state program, etc.
The introduction of new sizes of salaries (rates), additional payments and allowances for the duration of continuous work is carried out in the following terms:
1) when changing the category of remuneration, the amount of additional payment - according to the date of the order for the institution;
2) upon conferring the honorary title "People's Doctor" and "Honored Doctor" - from the date of conferring the honorary title;
3) upon assignment of a qualification category - from the date of the order of the body (institution) under which the attestation commission was created;
4) upon awarding an academic degree - from the date of entry into force of the decision on awarding an academic degree by the certification commission;
5) when changing the length of service of continuous work - from the date of achievement of the length of service, which gives the right to increase the size.
The qualifications of employees and the complexity of the work they perform are taken into account in the salaries (rates) determined on the basis of the Unified Wage Scale.
Since May 1, 2006, the RF Government Decree of January 29, 2006 No. 256 established the tariff rate (salary) of the first category of the Unified Tariff Schedule for the remuneration of employees of federal state institutions in the amount of 1100 rubles. and approved inter-rate tariff coefficients of the Unified Tariff Schedule.
The rates and salaries of employees of health care institutions are determined on the basis of the Unified tariff scale:
Since October 1, 2006, by the Resolution of the Government of the Russian Federation of September 30, 2006 No. 590, the categories have been increased by a factor of 1.11.
Salaries for the positions of medical and pharmaceutical workers are established according to the categories of the Unified Tariff Schedule, taking into account the availability of a qualification category, an academic degree and an honorary title.
The salaries (rates) for specialists working in rural areas are increased by 25% in comparison with the salaries (rates) for specialists engaged in these types of activities in urban conditions.
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GENERAL REQUIREMENTS
to the preparation of a certification report for the assignment of a qualification category in diagnostic specialties
(roentgenology, ultrasound diagnostics, endoscopy, functional diagnostics, clinical laboratory diagnostics, bacteriology,
laboratory genetics, pathological anatomy, forensic medical examination)
The attestation report of a doctor on the work done is a scientific and practical work in which a doctor analyzes the results of his professional practice and service activity over the past three years on all issues of his specialty.
1. Registration of the attestation report
1.1. General requirements (in accordance with GOST 7.32–91 and international standard ISO 5966–82): The attestation report should reflect the author's own contribution to the activities of a medical organization as much as possible. The report should be printed on one side of a standard A4 sheet of white paper, Times New Roman font, font size 12, line spacing - 1.5. The pages of the attestation report must have the following margins: left - at least 30 mm, right - at least 10 mm, top - at least 15 mm, bottom - at least 20 mm; paragraph indentation - 1-1.5 cm. The main text of the work should be aligned “in width”. The volume of the attestation report for the highest qualification category should be on average 30-35 sheets, for the first and second categories - 20-25 sheets, including printed text, tables, figures. Found errors and misprints should be corrected by shading with white paint (corrector) and then entering the corrections in black ink.
1.2. Title page of the doctor's attestation report: Above right - a statement signed by the head of the medical institution, certified by the round seal of the medical institution in which the doctor works (or worked). In the center - the heading: “Report on work for such and such years (indicate the reporting period for doctors - 3 years), full name. doctor (write in full), position, in accordance with the entry in the work book, full name of the institution in accordance with the registered Charter, the requested category, specialty (in accordance with the current nomenclature of specialties). At the bottom of the sheet - the name of the settlement, the year of work.
1.3. The second page of the doctor's attestation report: The second page of the attestation report must contain a table of contents indicating the page numbers of the main sections of the attestation work. The strict style of the table of contents should be observed, and the number "1" is never put on the title page, but it is taken into account that the next page has the number "2". The absence of a table of contents will indicate a careless and formal design of the work.
1.4. Headers: Headings in the report are highlighted in a richer and larger font, never underline or end with a period. Headings are not subject to hyphenation. There should be at least 6-12 points between the heading and the text. Higher-level headings are centered, lower-level headings are left aligned. It is possible to highlight high-level headings in capital letters or special effects (shadow, bulge). It is advisable to number the headings and start the chapter on a new page. Headings are numbered in Arabic numerals, nested subheadings - separated by a period ("1", "1.1", "2.3.1", etc.).
1.5. Registration of tables, figures, graphs: The doctor's attestation report must include such elements of non-textual information as pictures, graphs, tables. For all these types of additional information, continuous numbering is applied throughout the work. For example, if there are two charts in the first chapter, then the first chart in the next chapter will have a third number, not the first one. All these elements of non-textual information are numbered if the corresponding element occurs more than once in the work. For example, if there is only one table in the work, then it is not numbered and the designation "Table 1" is not written above it. Do not overload your work with unnecessary tables and diagrams. Existing tables and diagrams should be accompanied by comments and analytical explanations of the author, revealing the essence of the dynamics of various numbers.
1.5.1. Table decoration. The table is denoted by the word "Table" and a number written in Arabic numerals in the upper right corner (the "No." sign is not indicated). This should be followed by a centered table heading. Tables, depending on their size, are placed after the text in which they are mentioned, or on the next page. The reference to the table in the text is made as follows: see table. 1. If there is only one table in the work, then the word "table" is not abbreviated: see the table. Usually, at the first link, the word "see" not written: “From table. 1 shows that .... ". For further references, mark in brackets: (see Table 1). When using the tables, take into account the following recommendations: If possible, do not use the column "number in order" ("p / p"), \u200b\u200bsince in most cases it is not needed. Numbers are right-aligned (for ease of comparison), text is left-aligned, and headings text is left-aligned or centered. All table cells are vertically aligned in the middle. Duplicate items, for example, a percentage symbol ("%"), are placed in a column or row header. One repeated word in the table is abbreviated with quotation marks, two or more - with the phrase “the same”. The table should not contain empty cells. If you do not have the necessary data at your disposal, then it is written like this - "no information." If the table does not fit on one page and it has to be moved to the next, then on the new page they write the words "table continuation" and indicate its serial number, then repeat the cells containing the column headings and then the table continuation follows. Footnotes to the text or numbers in the table are made out only with asterisks (so that there is no confusion with the exponent) and are printed immediately below the table.
1.5.2. Registration of drawings and photographs: The name is written under the picture, preceded by the abbreviation "fig." and a sequential number in a number written in Arabic numerals (the “No.” sign is not indicated). All of this designation is centered below the figure. Photographs of macro or micropreparations, prints of X-ray images and ultrasound images, copies of ECG and other materials must be of sufficient quality.
1.5.3. Application design: Applications, unlike other types of additional information, are located outside the text of the attestation report. Applications can include text, tables, pictures, photographs, drawings. All types of additional information in the appendices are numbered in the same way as in the main part of the work. Each application must start on a new page. Applications are designated by the word "APPENDIX", typed in capital letters and a sequential number (Arabic numerals) in the upper right corner (without the "No." sign). This is followed by the centered title of the application.
2. Introduction. General characteristics of the medical organization in which the author directly works. General characteristics of the department in which the author works directly.
c) Human resources: indicate the staffing level according to the staffing table, certification and categorization of both medical and nursing staff, the author's proposals for strengthening and developing human resources.
d) Practical activities... One of the main sections of the work. Statistical data must be presented in accordance with the forms of the Federal Statistical Observation. More detailed statistics are allowed, but within reason. A comparative report of the department for the last three calendar years according to the Federal Statistical Survey must be submitted. Specific indicators of the department's work should be separately reflected in comparison with republican, Russian and, if possible, world data. You need to indicate the average annual workload for personnel and the average annual workload for a specific type of equipment. Personal assessment by the author of the effectiveness of the department is encouraged.
2.3. Analysis of the author's own activities over the past three years... The key point of the certification work. In this section, the author must isolate his personal contribution from the total work of the department. The author must specifically indicate the amount of work performed with detailing by type of research for the last three years, as detailed as possible list what specific research methods he owns. The author must support his skills and abilities with a specific volume of research on various organs and systems. It is necessary to indicate which basic techniques you do not know, but would like to master in the near future and how.
2.4. Analysis of verification of own research: Comparison of diagnoses and conclusions for the last three years with the data of pathological examination of biopsy, surgical material or autopsy, analysis of the identified inconsistencies and discrepancies, the reasons for their occurrence. If pathomorphological verification is impossible, clinical data in dynamics, data from other research methods should be provided.
2.5. The most complex, rare clinical examples and observations: It is necessary to cite 2-3 of the most significant clinical observations in which the author, as a specialist, played a key role in establishing the correct final clinical diagnosis. Each clinical example should be supported in a short form by clinical, laboratory data, the results of pathomorphological and other research methods. Imprints of objective instrumental research methods (radiographs, ultrasound, ECG and other materials, macro - micrographs) should be of sufficient quality. Clinical examples should not be cluttered with prints of all types of research.
2.6. Abstract part of the work... This section should not exceed 5 typewritten pages. The desirable context for this section is to pose a specific problem. For example: Possibilities of X-ray computed tomography in differential diagnosis of diseases of the laryngopharynx at the present stage: accumulated experience, problems and development prospects. In this section, we can restrict ourselves to some very narrow issues of diagnosing a particular disease, which have not yet been properly resolved at the present stage. In this section, you can cite one of the published works of the author himself, including in co-authorship. The abstract part of the work should not be devoted to the description of any well-known, generally accepted research methods or the description of the technical parameters of any medical device.
2.7. Conclusion... In a short, arbitrary form, the author gives reasoning about the practical activities of the department, about his own personal contribution to the work of the department, about the reasons that led to diagnostic defects and measures to eliminate them in the future.
2.8. conclusions... Conclusions should logically follow from the material presented. The clear formulation and clear context of the conclusions are indicative of the analytical ability of the author of the work.
2.9. Practical advice and suggestions... The author's recommendations and his suggestions will be analyzed by the main freelance specialists of the Ministry of Health of the Republic of Sakha (Yakutia). The most relevant practical recommendations and proposals will be taken into account for further implementation at a higher level.
2.10. Bibliographic index... The list of references should not exceed 15-20 sources. It is advisable to indicate the most significant sources of the last 5 years, including the original articles used in writing the report.
2.11. List of published works... If the author has publications, it is necessary to attach a list of his own scientific works indicating the output data (the title of the thesis of the report or article, the name of the collection or medical scientific journal, the year of issue, place of publication, page numbers, etc.), the titles of the reports with which the author spoke at symposia, meetings of scientific societies and conferences over the past 3 years. If there are patents, inventions or rationalization proposals, copies must be submitted.
The bed fund of the therapeutic department. Compliance with the sanitary and epidemiological regime in the department, wards, department premises. Record keeping at the nursing post. Distribution of medicines. Caring for and monitoring patients.
Medical unit of the Central Internal Affairs Directorate for the Chelyabinsk region
CERTIFICATION WORK
for 2009 ward nurse1sthospital therapy department Hospital No. 1 Makeeva Maria Feodorovnathe confirmation the highest qualification category in the specialty "Nursing"
chelyabinsk 2010
1. Professional route
2. Characteristics of the institution
3. Characteristics of the department, workplace
bed fund
b the structure of patients
b staff
4. The main sections of the work
l functional responsibilities
b list of manipulations
sampling of material for analysis
participation in research
5. Related professions
6. Emergencies
7. Sanitary and epidemiological regime at the workplace
b regulatory orders
used disinfectants
l infectious safety of health workers
l tool processing
b quality control of pre-sterilization treatment
8. Hygienic education of the population
9. Analysis of work for the reporting period
10. Conclusions
11. Tasks
Professional routet
I, Maria Fedorovna Makeeva, graduated from the Zlatoust Medical School of the Ministry of Railways with a degree in Nursing in 1973 - diploma No. 778717 dated June 29, 1973, registration No. 736. On assignment, he was sent to the Second Road Clinical Hospital of the city of Chelyabinsk, South Ural Railways. Accepted by a nurse in the 3rd surgical department (oncology). By the principle of interchangeability, she mastered the work of a nurse in a treatment and dressing room. In 1977 she was dismissed of her own free will.
In 1977, she was enrolled as a nurse of the therapeutic department in the Hospital with a polyclinic of the Medical Department of the Internal Affairs Directorate of the Chelyabinsk Regional Executive Committee.
In 1984 she was drafted into military service in military unit No. 7438 as a medical officer of a company. At the end of the contract in 1988, she was dismissed from the ranks of the Soviet Army.
In 1988 she was accepted as a nurse of the neurological department of the Hospital with a polyclinic of the Medical Department of the Chelyabinsk Regional Executive Committee. In 1990, she passed certification at the medical department of the Internal Affairs Directorate of the Chelyabinsk Regional Executive Committee and by order of the medical department of the Internal Affairs Directorate of the Chelyabinsk Regional Executive Committee, the first qualification category was awarded, certificate No. 53 dated 06.21.1990.
In August 1993, she was appointed senior nurse of the therapeutic department. On June 20, 1995, the attestation commission at the medical sub-department of the Internal Affairs Directorate of the Chelyabinsk region and by order of the medical sub-department of June 22, 1995 No. 34 awarded the highest qualification category of a hospital nurse. In 2000, at the Chelyabinsk regional basic school for advanced training of workers with secondary medical and pharmaceutical education, she listened to a series of lectures on the program "Modern aspects of management and economics of health care" - certificate No. 4876 of November 24, 2000, protocol No. 49 - awarded the highest qualification category in the specialty "Nursing business". In February 2003. at her own request, she was transferred to the position of a ward nurse of the therapeutic department. In 2005. She improved her qualifications at the State Educational Institution of Additional Professional Education "Chelyabinsk Regional Center for Additional Professional Education of Healthcare Professionals" on the cycle of improvement "Nursing in therapy" - certificate No. 2690/05 dated 18.10.2005. No. 373l.
In 2010. improved her qualifications at the GOUVPO "Chelyabinsk State Medical Academy of Roszdrav" on the cycle of improvement "Nursing in therapy" - certificate registration number 1946/122 dated 20.02.2010.
Work experience in a healthcare institution for 33 years.
Work experience in the specialty nursing is 37 years.
Characteristics of the institution
The medical and sanitary unit of the Central Internal Affairs Directorate for the Chelyabinsk region was organized to provide medical, preventive and diagnostic assistance to employees working in the Ministry of Internal Affairs, in accordance with order No. 895 of November 8, 2006. "On the approval of the regulation on the organization of medical services and sanitary treatment in medical institutions of the Ministry of Internal Affairs of Russia." The medical and sanitary part is located in a typical five-storey building, three floors of which are occupied by a polyclinic and two floors by a hospital. The polyclinic is designed for 650 visits per day, where district therapists and narrow specialists provide medical assistance: an ophthalmologist, dermatologist, urologist, gynecologist, gynecologist, ENT, cardiologist, psychiatrist, surgeon, neurologist.
To conduct a diagnostic examination, the following services have been created in the polyclinic:
1. X-ray - conducts X-ray and fluoroscopic examinations of the chest, gastrointestinal tract, musculoskeletal system, skull, intravenous urography, irrigoscopy, fluorographic examinations.
2. Department of functional diagnostics - performs the following scope of examinations: ECG, HM-BP, XM-ECG, ECHO-cardiography, veloergometry, transesophageal electrical stimulation, neurophysiology: EEG, REG; Ultrasound diagnostics of the abdominal organs, pelvic organs, thyroid gland, mammary glands, lumbar spine, ultrasound of the vessels; the endoscopic office conducts FGDS of the stomach.
3. Laboratory department - conducts a full range of clinical, biochemical and bacteriological studies of blood, urine, feces, sputum and other biological media. All laboratories are equipped with appropriate equipment, including modern analyzers and reagents.
4. Physiotherapy department - conducts treatment with high-frequency currents, inductotherapy, magnetotherapy, UHF, laser therapy, UFO. The department has a massage room, a physiotherapy room, an inhaler, a massage shower.
5. Dental service.
Unit characteristics
The hospital of the Medical and Sanitary Unit is located on the 4th and 5th floors of the building, it is designed for 100 beds: 40 beds in the neurological department and 60 beds in the therapeutic department.
Bedfund of the therapeutic department:
Table No. 1
Therapeutic department staff
In the therapeutic department of the hospital there is the office of the head of the department, the office of the head nurse of the Medical and sanitary unit, a treatment room, an in-patient room, a manipulation room where patients are prepared for diagnostic examinations, showers for patients and medical staff, men's and women's toilets, and a toilet for staff. For patients' relaxation there is a lounge with upholstered furniture and a TV set. The department has two medical posts with the necessary equipment: work tables with a set of documents: job descriptions of a ward nurse, an algorithm for fulfilling medical appointments, work logs; a medical cabinet for storing medicines in accordance with the standard requirements, a cabinet for storing medical supplies, a cabinet for storing disinfectants and disinfection containers. The treatment room consists of two blocks: the first is for subcutaneous, intramuscular, intradermal and intravenous injections and blood sampling for biochemical and bacteriological analysis; the second is for infusion therapy. There are also cabinets for medicines, a refrigerator for storing thermolabile drugs (vitamins, hormones, chondroprotectors, insulins), a cabinet for storing sterile solutions, a bactericidal irradiator, containers for disinfection of disposable medical items that must be disposed of (syringes, systems for infusion of infusion solutions ), couches, cleaning equipment. In the treatment room there are syndromic kits for treating emergency conditions and an Anti-AIDS first aid kit.
Main sections of work
In my work, as a ward nurse, I rely on regulatory documents, orders of the Ministry of Health of the Russian Federation, decrees of the Ministry of Health of the Russian Federation, San PiNy. I try to fulfill my job descriptions conscientiously and efficiently, which include:
· Caring for and monitoring patients.
· Timely and high-quality fulfillment of medical appointments.
· Thermometry of patients with subsequent mark in the medical history.
· Monitoring of hemodynamics: blood pressure, heart rate, NPV.
· Compliance with the sanitary and epidemiological regime in the department, wards, department premises.
· Carrying out the sampling of material for laboratory research (preparation of directions, dishes, conversation with patients about the objectives of the study, about the correct preparation and technique of collecting tests).
· Compliance with the medical and protective regime in the department.
· Familiarization of newly admitted patients with the internal regulations.
· Preparing patients for X-ray, endoscopic and ultrasound examinations.
· Record keeping at the nursing post:
Patient movement log in the department,
Journal of one-time medical appointments,
Journal of consultations of narrow specialists,
Diagnostic examinations appointment log,
Register of medicines subject to quantitative accounting,
Shift change log,
· Drawing up the portion requirement, according to the diet prescribed by the doctor, in accordance with the order of the Ministry of Health of the RSFSR No. 330 dated 5.08.2003. "On measures to improve medical nutrition in medical institutions of the Russian Federation."
· Obtaining the required amount of medicines from the head nurse of the department. All medicines are arranged in groups in lockers. All medicinal products must be in their original industrial packaging, label outside and have instructions for the use of this drug, according to the orders:
Order No. 377 of 11/13/1996. "On approval of requirements for the organization of storage of various groups of medicines and medical devices."
Order of the Ministry of Health of the RSFSR dated 09/17/1976. No. 471 "Memo to a medical worker on the storage of medicines in the departments of medical and preventive institutions."
According to the order of the Ministry of Health of the USSR No. 747 dated 2.06.1987. "On the approval of the instructions for the registration of medicines, dressings and medical products in the healthcare facility" and the Ministry of Health of the Chelyabinsk region letter dated 4.06.2008. No. 01/4183 "On the organization of registration of medicines and medical supplies", strict accounting of medicines subject to quantitative accounting is kept.
· Distribution of medicines. It is carried out in accordance with the patient's prescription sheet, which indicates the name of the drug, its dosage, frequency and mode of administration. All appointments are signed by a physician indicating the appointment and cancellation dates. At the end of the treatment, the prescription sheet is pasted into the patient's medical history. I dispense medications in strict accordance with the time of appointment and adherence to the regimen (with meals, before or after meals, at night). The patient should only take medicine in my presence. I distribute medicines to bedridden patients in the ward. I definitely warn patients about possible side effects of the drug, the body's reactions to taking the drug (discoloration of urine, feces) containing iron, carbolene, bismuth. Narcotic drugs, psychotropic and potent drugs of the "A" list are given to the patient separately from other drugs in the presence of a nurse. To avoid mistakes, before opening the package and ampoule, it is necessary to read aloud the name of the drug, its dosage and check it with the doctor's prescription.
· Inspection for head lice. Order of the Ministry of Health of the Russian Federation No. 342 dated 26.11.1998. "On strengthening measures for the prevention of epidemic typhus and the fight against head lice."
· If a patient detects the first signs of an infectious disease, I immediately inform the attending physician, isolate the patient and carry out the current disinfection in accordance with San PiN 2.1.3.263010 of 08/09/2010. "Sanitary and Epidemiological Requirements for Organizations Carrying Out Medical Activities"
· Transfer of the shift according to the instructions of the ward nurse: the number of patients on the list with the indication of the ward, number of the medical history, diet; medical supplies: thermometers, heating pads, beakers; devices: nebulizer, glucometer, tonometer; medical preparations. In the presence of critically ill patients in the department, the change is carried out at the patient's bedside.
Related professions
During her work, she mastered such related professions as a nurse in a therapeutic, neurological department, an emergency room and a treatment room. I know the technique of sampling material for research:
Clinical (blood, urine, sputum, feces),
Biochemical (blood),
Bacteriological (blood, sputum, urine, feces, swabs from the nose and throat).
I am proficient in the technique of applying aseptic dressings, warming compresses, using an ice bladder, catheterizing the bladder with a soft catheter, staging cleansing, hypertonic, oil and therapeutic enemas. I know the technique of taking an electrocardiogram on a portable electrocardiograph EK1T - 07. I also know the technique of chest compressions and artificial lung ventilation. She mastered the technique of blood transfusion and blood substitutes, infusion therapy and injections: subcutaneous, intradermal, intramuscular and intravenous.
Emergencies
Diseases of the cardiovascular system, respiratory organs can be complicated by acute severe conditions:
Anaphylactic shock,
Acute myocardial infarction,
Hypertensive crisis,
Status asthmaticus,
Pulmonary edema.
For the provision of emergency medical care in the treatment room there are syndromic sets of medicines and a nurse's action algorithm. All kits are timely checked and replenished with the necessary drugs.
The technology of providing first aid in case of emergency is as follows:
Anaphylactic shock
1. Information allowing to suspect anaphylactic shock:
Against the background or immediately after the administration of the drug, serum, insect bite, weakness, dizziness, shortness of breath, feeling of lack of air, anxiety, feeling of heat throughout the body appeared,
The skin is pale, cold, moist, breathing is rapid, superficial, systolic pressure is 90 mm Hg. and below. In severe cases, depression of consciousness and respiration.
2. Nurse tactics:
Daction | justification | |
1. Provide a doctor's call | To determine further tactics of providing medical care | |
2. If anaphylactic shock has developed with intravenous administration of a drug, then: 2.2 give a stable lateral position, remove the dentures 2.3 raise the foot end of the bed 2.4 give 100% humidified oxygen 2.5 measure blood pressure and heart rate | Reducing the dose of the allergen Prevention of asphyxia Improving blood circulation in the brain Decrease in hypoxia Condition monitoring | |
3. With intramuscular injection: Stop drug administration Place an ice pack at the injection site Provides venous access Repeat steps of the standard from 2.2 to 2.4 for intravenous administration | Slowdown of drug absorption |
3. Prepare equipment and tools:
System for intravenous infusion, syringes, needles for intramuscular and subcutaneous injections, ventilator, set for intubation, Ambu bag.
Standard set of drugs "Anaphylactic shock".
4. Evaluation of the achieved: restoration of consciousness, stabilization of blood pressure, heart rate.
Myocardial infarction(typical painful form)
1.Information to suspect a medical emergency:
Severe chest pain, often radiating to the left (right) shoulder, forearm, shoulder blades or neck, lower jaw, epigastric region.
Choking, shortness of breath, heart rhythm disturbances are possible.
Taking nitroglycerin does not relieve pain.
2. Nurse tactics:
Actions | Justification | |
1. Call a doctor | ||
2. Observe strict bed rest, calm the patient | Reducing physical and emotional stress | |
3. Measure blood pressure, pulse | Control condition | |
4. Give nitroglycerin 0.5 mg sublingually (up to 3 tablets) | Reduction of spasm of coronary arteries | |
5. Give 100% humidified oxygen | Reducing hypoxia | |
6. Take an ECG | To confirm the diagnosis | |
7. Connect to heart rate monitor | To monitor the dynamics of the development of myocardial infarction |
3. Prepare equipment and tools:
As prescribed by a doctor: fentanyl, droperidol, promedol.
Intravenous system, tourniquet.
Electrocardiograph, defibrillator, cardiac monitor, Ambu bag.
4. Assessment of progress: the patient's condition did not worsen.
Bronchial asthma
1.Information: the patient suffers from bronchial asthma
Choking, shortness of breath, difficulty breathing out, dry wheezing rales heard at a distance, participation in the breathing of auxiliary muscles.
Forced position - sitting or standing with support on hands.
2. Nurse tactics:
Actions | Justification | |
1. Call a doctor | ||
2. Reassure the patient | Reducing emotional stress | |
3. Sit down with an emphasis on your hands to unbutton tight clothes | Reduce hypoxia | |
Patient monitoring | ||
5. Take 1-2 breaths from the inhaler, which is usually the patient uses. | Eliminate bronchospasm | |
6. Give 30-40% humidified oxygen | Reduce hypoxia | |
7. Give hot drink, take hot foot and hand baths | Reduce bronchospasm |
3. Prepare equipment and instruments: system for intravenous administration, syringes, tourniquet, Ambu bag.
4. Evaluation of what has been achieved: reduction of shortness of breath, cumulative discharge of sputum, reduction of wheezing in the lungs.
Sanitary and epidemic regime
In my work on the implementation of the sanitary and epidemiological regime in the department, I am guided by the following orders:
· Order No. 288 of the USSR Ministry of Health dated 23.03.1976. "On the approval of instructions on the sanitary and anti-epidemic regime of hospitals and on the procedure for the implementation by the bodies and institutions of the sanitary and epidemiological service of state supervision over the sanitary state of medical facilities."
· Order No. 720 of July 31, 1978. Ministry of Health of the USSR "On improving medical care for patients with purulent surgical diseases and improving measures to combat nosocomial infections."
· Law of the Russian Federation No. 52 of 30.03.1997. "On the sanitary and epidemiological welfare of the population."
· OST 42-21-2-85 "Sterilization and disinfection of medical devices."
· Order No. 342 of 26.11.1998. Ministry of Health of the Russian Federation "On strengthening measures for the prevention of epidemic typhus and the fight against head lice."
CaN PiN 2.1.7.728-99 from 22.01.1992. "Rules for the collection, storage and disposal of waste from medical institutions."
· SaN PiN 1.1.1058-01 "Organization and implementation of production control over the observance of sanitary rules and the implementation of sanitary and anti-epidemic (preventive) measures."
· SaN PiN 3.5.1378-03 "Sanitary and epidemic requirements for the organization and implementation of disinfection activities."
· Order No. 408 of 12.07.1983. Ministry of Health of the USSR "On measures to reduce the incidence of viral hepatitis in the country."
· CaN PiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations carrying out medical activities."
After performing the manipulations, all tools are subject to processing. Medical supplies for single use are subject to disinfection and disposal, reusable - processing in 3 stages: disinfection, pre-sterilization cleaning and sterilization in accordance with OST 42.21.2.85. to use disinfectants in the department, you must have the following document:
1. License,
2. Certificate of state registration,
3. Certificate,
4. Methodical instructions.
When disinfecting instruments and processing working surfaces, we use an oxygen-containing 30% solution of Peroximed, which is also used for pre-sterilization cleaning, certificate of state registration No. 002704 dated 01.18.1996. after repeated bacteriological examination of the treatment room (tank, sowing air and flushing from work surfaces), a negative result was obtained, therefore, the work on disinfection is based on the use of this disinfectant. Since the microflora has become more stable in the external environment, it is recommended to replace the disinfectant every 6 months. For this purpose, disinfectants such as Clorsept and Javelin are used.
Table No. 2
Disinfection modes
At the workplace, for the disinfection of medical devices (thermometers, beakers, spatulas, tips), we use a 3% Peroximed solution. All containers are clearly labeled with disinfectant, concentration and date of preparation. I prepare solutions, guided by the methodological instructions, using personal protective equipment. To treat hands when performing various manipulations in the department, antiseptics are used - Kutasept and Lizhen.
Infectious safety of healthcare workers
Infectious safety is a system of measures that ensures the protection of health workers from infectious diseases, which includes immunization, the use of protective clothing, compliance with instructions and rules when performing procedures, compliance with the rules of personal prevention, annual medical examination in accordance with Order No. 90 of the Ministry of Health of the Russian Federation of 03/14/1996. "On the procedure for conducting preliminary and periodic examinations of medical workers and medical regulations and admission to work." In the context of the increasing spread of HIV infection among the population, all patients must be considered as potentially infected with HIV and other infections transmitted by blood contact, therefore, when working with blood and other biological fluids, it is necessary to observe 7 safety rules:
1. Wash hands before and after patient contact.
2. Consider the patient's blood and other body fluids as potentially infectious, therefore it is necessary to wear gloves.
3. Immediately after use and disinfection, place the used instrument in special yellow bags - class “B” waste. SaN PiN 2.1.7.728-99 "Rules for the collection, storage and disposal of waste in health care facilities."
4. Use eye protection (goggles, protective screen) and masks to avoid contact of blood and other biological fluids with the skin and mucous membranes of the medical staff.
5. Treat all blood-contaminated laundry as potentially infectious.
6. Use special moisture-proof clothing to protect your body from blood drops and other biological fluids.
7. Treat all laboratory specimens as potentially infectious material.
In order to prevent infection with HIV and viral hepatitis, I follow the rules of infectious safety recommended in the orders:
· Order of the Ministry of Health of the Russian Federation No. 170 of 08.16.1994. "On measures to improve the prevention and treatment of HIV infection in the Russian Federation."
· Order of the Ministry of Health of the Russian Federation No. 408 of 12.07.1989. "On measures to reduce the incidence of viral hepatitis in the country."
· Order of the Ministry of Health of the Russian Federation No. 254 of 3.09.1991. "On the development of disinfection business in the country"
· Order of the Ministry of Health of the Russian Federation No. 295 of 30.10.1995 "On the introduction of the rules for mandatory medical examination for HIV and the list of employees of certain professions, industries, enterprises, institutions and organizations that undergo mandatory medical examination for HIV."
· Instructional and methodological instructions of the Ministry of Health of the Russian Federation "Organization of measures for the prevention and control of AIDS in the RSFSR" dated 22.08.1990.
· CaN PiN 3.1.958-00 "Prevention of viral hepatitis. General requirements for epidemiological surveillance of viral hepatitis ”.
If a biological fluid gets on open skin areas, it is necessary:
Treat with 70% alcohol
Wash your hands with soap and water
Re-treat with 70% alcohol
In case of contact with the mucous membrane of the eyes, it should:
process (rinse abundantly) with a 0.01% solution of potassium permanganate.
On contact with the nasal mucosa:
rinse with 0.05% potassium permanganate solution or 70% alcohol.
For cuts and injections, you must:
Wash gloved hands with soap and running water
Take off gloves
Wear a clean glove on your intact hand
Squeeze blood out of the wound
Wash your hands with soap
Treat the wound with 5% iodine solution. Do not rub!
Table No. 3
Composition of the first-aid kit "Anti-AIDS"
P / p No. | Name | amount | Type of packaging | Storage period | Appointments | |
Alcohol 70% -100 ml. | Bottle with tight stopper | Is not limited | For rinsing the mouth, throat, skin treatment | |||
Manganese-sour potassium (2 weighed portions of 0.05 mg.) | Pharmacy, penicillin bottle | Indicated on the package | To prepare a solution of potassium permanganate to the norm for the purpose of washing the eyes, nose, throat | |||
Purified water (distilled) | For dilution of potassium permanganate for rinsing eyes, nose | |||||
Capacity 2 pcs. (100ml and 500ml.) | For dilution of potassium permanganate | |||||
Glass stick | To stir the solution | |||||
5% alcohol solution of iodine 10 ml. | Factory packaging | Indicated on the package | Damaged skin treatment | |||
For opening the bottle and other purposes | ||||||
Bactericidal adhesive plaster | Factory packaging | Indicated on the package | Sealing the injection site of the cut | |||
Sterile gauze swabs or sterile gauze wipes 14 * 16 | Laminated packaging | Indicated on the package | For processing leather, dressing gown, gloves, surfaces | |||
Eye pipettes | For washing eyes (2pcs), nose (2pcs) | |||||
Medical beakers 30 ml. | For a 0.05% solution of potassium permanganate for washing eyes, nose | |||||
For rinsing the mouth, throat | ||||||
Sterile gloves (pair) | Factory packaging | Indicated on the package | Instead of damaged | |||
Sterile bandage | Factory packaging | Indicated on the package | For aseptic dressing |
The first aid kit "Anti AIDS" is located in the treatment room, always available. Expired medicines are replaced in a timely manner. The algorithm for the action of a medical worker in emergency situations during procedures is also in the treatment room. Emergency situations, as well as preventive measures taken, are subject to registration in the journal "Emergencies due to contamination with biological fluids". In cases of contamination, the head of the department should be notified and immediately contact the AIDS Prevention and Control Center at Cherkasskaya, 2. There were no emergencies during the reporting period.
Processing of medical instruments
The processing of medical instruments is carried out in 3 stages:
Processing stages
disinfectionpre-sterilizationsterilization
treatment
Disinfection- a set of measures aimed at destroying pathogenic and opportunistic microorganisms in the external environment in order to interrupt the transmission routes of pathogens of infectious diseases.
Disinfection methods
physicalchemical
drying, airpresence of highapplicationdisinfectants
temperatures, exposure to steamfunds
With the chemical method of disinfection, the disassembled spent instruments are completely immersed in a disinfectant using a drowner for 60 minutes.
Pre-sterilizationcleaning - it is the removal of protein, fatty, medicinal contaminants and residues of disinfectants from medical devices.
Manual pre-sterilization treatment:
Stage 1 - rinsing the instrument under running water for 30 seconds.
Stage 2 - complete immersion of products in 0.5% washing solution for 15 minutes. at a temperature of 50 *
detergent solution components:
Hydrogen peroxide
Synthetic detergent (Progress, Lotus, Aina, Astra)
Table No. 4
The ratio of the components in the washing solution
The detergent solution can be used up to 6 times during the day if the solution has not changed color.
Stage 3 - washing each instrument in the same solution for 30 seconds.
Stage 4 - rinsing with running water for 5 minutes.
Stage 5 - rinsing each instrument in distilled water for 30 seconds.
Quality control of pre-sterilization treatment is carried out in accordance with the order of the Ministry of Health of the Russian Federation No. 254 dated 03.09.1991 "On the development of disinfection business in the country." Inspection is performed on 1% of the total number of instruments, but not less than 3-5 products of the same name.
Azopyram test -detects blood residues and chlorine-containing oxidants. A working solution consisting of equal proportions of azopyram and 3% hydrogen peroxide solution is applied to the instrument and the result is assessed after a minute. The appearance of a purple color indicates the presence of blood residues on the instrument.
Phenolphthalicsample -allows you to identify residual detergent. 1% alcoholic solution of phenolphthalein is evenly applied to the product. If a pink color appears, then there are residues of detergent on the product. In this case, the entire tool is reprocessed. If the sample is negative, the processed material must be sterilized. Pre-sterilization processing of medical instruments is not carried out in our department, because we work with disposable medical items that are disinfected and disposed of in accordance with CaN PiN 3.1.2313-08 of 15.01.2008. "Requirements for the disinfection, destruction and disposal of single-use injection syringes."
Sterilization -this is a method that ensures the death of all vegetative and spore forms of pathogenic and non-pathogenic microorganisms.
All instruments that come into contact with the wound surface, that come into contact with blood or injectables, as well as diagnostic equipment that come into contact with the patient's mucous membrane are sterilized.
Table No. 5
Sterilization methods
Sterilization methods | Sterilization mode | Sterilization material | t* mode | Type of packaging | Sterilization time | |
Autoclave | Textiles, glass, corrosion-resistant material | |||||
Autoclave | Rubber, polymer products | Bix, craft package | ||||
Air | Tendon cabinet | Medical instruments | Open container | |||
Air | Tendon cabinet | Medical instruments | Open container, craft bag |
Sterilization control:
1. Visual - at the operation of the equipment;
2. Thermal indicators of sterility.
3. Temperature control with technical thermometers.
4. Biological - using biotests.
The chemical method of sterilization is the use of chemicals for the prevention of infectious diseases during endoscopic manipulations. For sterilization of endoscopes, Lysopharmine 3000 8% solution is used at a temperature of 40 *, exposure for 60 minutes, then washed twice with sterile water, dried with a sterile napkin, and the channels are purged. Store endoscopes in a sterile napkin. For sterilization of metal products (burs) and plastics (enema tips), hydrogen peroxide 6% is used
At a temperature of 18 * - 360 min.,
At a temperature of 50 * - 180 min.
Then washed twice with sterile water and stored in a sterile bix lined with a sterile sheet.
Guyhyenic education of the population
Hygienic education of the population is one of the forms of disease prevention. A healthy lifestyle: giving up bad habits, playing sports strengthens health, which allows you to avoid diseases of the respiratory system, cardiovascular system, and musculoskeletal system. Compliance with the regime of work, rest and nutrition reduces the risk of exacerbation of diseases of the gastrointestinal tract. Observance and implementation of the rules of personal hygiene prevents infection with infections such as HIV, hepatitis B, C. I carry out work on hygienic education among patients during the shift in the form of conversations.
Table 6
Topics of conversation
P / p No. | Topic | Reporting 2010 | Previous 2009 | |
Personal hygiene of patients | ||||
Hospital stay | ||||
FOG and its implications for the prevention of tuberculosis | ||||
Healthy lifestyle. Fighting bad habits | ||||
Prevention of acute intestinal infections | ||||
Prevention of HIV infection and viral hepatitis | ||||
Risk factors for cardiovascular disease |
0.1. The document comes into force upon approval.
0.2. Document developer: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
0.3. The document has been agreed: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
0.4. This document is checked periodically at intervals not exceeding 3 years.
1. General Provisions
1.1. The post "Medical statistician of the highest qualification category" belongs to the category "Specialists".
1.2. Qualification requirements - incomplete higher education (junior specialist) or basic higher education (bachelor) in the direction of preparation "Medicine", specialty "Nursing", "General Medicine" or "Obstetrics". Specialization in the specialty "Medical statistics". Professional development (refresher courses, etc.). Availability of a certificate of assignment (confirmation) of the highest qualification category in this specialty. Work experience in the specialty for over 10 years.
1.3. Knows and applies in activities:
- the current legislation on health protection and regulations governing the activities of health care institutions, health, the organization of statistical records;
- the rights, duties and responsibilities of a medical statistician;
- basics of statistics, demography;
- indicators of health and disability of the population;
- methodology for calculating and analyzing statistical indicators of health care institutions;
- international classification of diseases;
- fundamentals of informatics, the use of electronic computers for processing statistical information;
- rules for processing medical documentation;
- modern literature in the specialty.
1.4. Appointed to and dismissed from office by order of the organization (enterprise / institution).
1.5. Submits directly to _ _ _ _ _ _ _ _ _ _.
1.6. Supervises the work of _ _ _ _ _ _ _ _ _ _.
1.7. During his absence, he is replaced by a person appointed in accordance with the established procedure, who acquires the appropriate rights and is responsible for the proper performance of the duties assigned to him.
2. Description of work, tasks and duties
2.1. It is guided by the current legislation of Ukraine on health protection and regulatory legal acts that determine the activities of healthcare institutions.
2.2. Provides systematization and statistical processing of medical records and information.
2.3. Carries out control over the quality and reliability of accounting data and reporting.
2.4. He is proficient in the methodology for calculating and analyzing statistical indicators of the activities of institutions, medical services and the state of health of the population.
2.5. Adheres to the principles of medical deontology.
2.6. He is constantly improving his professional level.
2.7. Knows, understands and applies the current regulations concerning his activities.
2.8. Knows and fulfills the requirements of regulatory enactments on labor and environmental protection, complies with the norms, methods and techniques for the safe performance of work.
3. Rights
A medical statistician of the highest qualification category has the right:
3.1. Take action to prevent and remedy any irregularities or non-conformities.
3.2. Receive all social guarantees provided by law.
3.3. Demand assistance in the performance of their duties and the exercise of rights.
3.4. Require the creation of organizational and technical conditions necessary for the performance of official duties and the provision of the necessary equipment and inventory.
3.5. Get acquainted with the draft documents relating to his activities.
3.6. Request and receive documents, materials and information necessary for the performance of their official duties and orders of management.
3.7. Improve your professional qualifications.
3.8. Inform about all violations and inconsistencies identified in the course of their activities and make proposals for their elimination.
3.9. Get acquainted with the documents defining the rights and obligations of the position held, the criteria for assessing the quality of the performance of official duties.
4. Responsibility
Medical statistician of the highest qualification category is responsible for:
4.1. Failure to fulfill or untimely fulfillment of the duties assigned by this job description and (or) failure to use the granted rights.
4.2. Failure to comply with the rules of internal labor regulations, labor protection, safety, industrial sanitation and fire protection.
4.3. Disclosure of information about an organization (enterprise / institution) related to a trade secret.
4.4. Non-fulfillment or improper fulfillment of the requirements of the internal regulatory documents of the organization (enterprise / institution) and legal orders of the management.
4.5. Offenses committed in the course of their activities, within the limits established by the current administrative, criminal and civil legislation.
4.6. Causing material damage to an organization (enterprise / institution) within the limits established by the current administrative, criminal and civil legislation.
4.7. Misuse of the granted official powers, as well as their use for personal purposes.