Physiotherapy nurse job description. Physiotherapy Nurse. Responsibilities of a Physical Therapy Nurse

Before starting work, the nurse prepares her office for receiving patients, checks the serviceability of the devices and their accessories, monitors the heating and therapeutic mud.

A nurse accepts a patient for treatment after being examined by a doctor if he has a medical and procedural card, which indicates the procedure and method of treatment.

Having familiarized herself in detail with the contents of the latter, the nurse finds out the details of the procedure (localization, dosage, etc.), after which she proceeds to the exact implementation of the doctor's prescriptions indicated in the medical procedure card. If the appointment is not clear, the nurse should consult a doctor.

In the medical and procedural card, the nurse makes notes about the treatment performed, signing at the end of the procedure.

It should be remembered that the same nurse and on the same apparatus should do the procedure for the patient. The patient should be laid or planted in a position convenient for him.

To fix the electrodes on the face and neck, individual bandages should be used, and the same bandage should not be used on different parts of the body. It is advisable to have individual bags in which the sheet (diaper) and pads are stored.

Before turning on the device, the nurse should carefully check it and make sure that the preparation for the procedure is done correctly.

The nurse should not exceed the dose indicated by the doctor. If the patient does not tolerate the dose indicated in the treatment card, smaller doses should be used.

During the procedure, the nurse monitors monitors the patient's condition, inquires about his well-being, monitors the operation of the apparatus, the readings of measuring instruments, hourglasses or alarm clocks.

If the patient feels unwell, has a headache, dizziness, palpitations, nausea, or a sharp increase in pain, stop the procedure and call a doctor. If during the procedure malfunctions are found in the operation of the device, it should be immediately turned off, it can be used again only after the defect has been eliminated.

Having discovered a burn (for example, during galvanization), the nurse is obliged to provide the patient with first aid and find out the cause of the burn. She must inform the doctor about what happened and make an appropriate note in the medical and procedural card.

The nurse makes sure that there is a wall-mounted first-aid kit with the necessary medicines and dressings in the office.

The nurse should show the maximum attention and the most careful attitude to the patient. All actions of the nurse must be such that the patient is imbued with her confidence and consciousness that she is doing everything necessary for his recovery. To do this, the nurse must be neat, constantly monitor her every movement, she must not speak loudly, cause discomfort in the patient during preparation for the procedure, and carefully do her job.

When the patient leaves the cabin, it should be put in proper order and wet and soiled sheets and pillowcases should be replaced with dry and clean ones.

The nurse registers patients and registration of procedures according to established forms .

The duties of the nurse also include monitoring the storage of equipment and taking care of the timely discharge of medicinal solutions from the pharmacy.

At the end of the working day, the nurse must turn off all devices and the general cabinet switch.

I. General part

The main task of the nurse of the physiotherapy department (office) is the release of physiotherapy procedures

Patients according to the prescriptions of a physiotherapist.

The appointment and dismissal of a nurse of the physiotherapy department (office) is carried out by the chief physician of the polyclinic in the prescribed manner.

Reports to the head of this department (office), in his absence - to the responsible person for the department (office) from among

Paramedical workers, approved by the order of the chief

Polyclinic doctor.

Nurse of the physiotherapy department (office)

In his work, he is guided by the rules for the release of physiotherapy procedures and safety precautions when working with equipment,

Orders of a physiotherapist, internal labor regulations and this job description.

II. Responsibilities

Nurse of the physiotherapy department (office)

1. Follow all orders of a physiotherapist, and in his

Absence - physiotherapy appointments of the attending physicians.

2. Prepare your workplace, equipment and everything in a timely manner

Necessary to start receiving patients.

3. Strictly observe the order, cleanliness in the physiotherapy

department (office).

4. To receive a patient after examination by a physiotherapist and in the presence of a procedural card, note the completion of procedures, inform the patient of the time of arrival for treatment.

5. Follow up:

The condition of the patient during the procedure, inquiring about his well-being;

The operation of the device, the readings of measuring instruments, signal clocks.

6. Stop the procedure if the condition worsens

The patient, if necessary - to provide him with first medical

Help and inform the doctor immediately, and in the procedure card do

The corresponding mark.

7. To acquaint patients arriving for treatment with the internal regulations and rules of conduct during the procedure.

8. Determine the order of patients for certain types of procedures in accordance with the hours of their work or office work.

9. Keep records of the work performed and control the receipt

Patients of the entire prescribed course of treatment.

10. Keep a record approved by the Ministry of Health

Documentation.

11. Be constantly at the workplace during the holidays

procedures.

12. Observe the timeliness and rules for processing hydrophilic pads, tubes, tips, and other medical equipment.

13 Monitor the heating of paraffin, ozocerite, therapeutic mud.

15. Turn off all equipment at the end of the working day; lighting and heating devices, a general cabinet switch,

Check whether the taps of washbasins and hydrotherapy installations are closed, follow the safety regulations.

16. Systematically improve your professional qualifications.

17. Follow the principles of deontology.

Physiotherapy nurse (department)

Has the right to:

Access to medical records and other documents necessary to obtain additional information when performing physiotherapy appointments;

Supervise the work of the equipment repair technician;

Give instructions and supervise the work of junior staff;

Improve your skills at the workplace and in other specialized medical and preventive institutions, at courses

Improvements in due course;

Submit the requirements of the administration to create the necessary conditions at the workplace, ensuring the high-quality performance of their duties;

Take part in meetings (meetings) when discussing

Physiotherapy office work;

Receive the necessary information to perform their functional duties from a physiotherapist responsible

Persons in the department (cabinet) from among the middle staff;

Require visitors to comply with internal regulations;

Master a funny specialty;

Give instructions and supervise the work of junior staff

Physiotherapy department (office).

IV. Job evaluation and responsibility

The assessment of the work of a nurse in a physiotherapy department (office) is carried out by a physiotherapist or a responsible person for the department (office) on the number of nursing staff based on the performance of her functional duties, compliance with internal regulations, labor

Disciplines, moral and ethical standards, social activity.

Nurse of the physiotherapy department (office)

All responsibility for fuzzy and untimely implementation

All items in this job description.

Types of personal liability are determined in accordance

with current legislation.

During her work, she has established herself as a skilled, knowledgeable, responsible specialist, competently and accurately performs nursing manipulations, knows the basics of emergency care and cardiopulmonary resuscitation. Assists with central venous catheterization, tracheal intubation, electrical impulse therapy and other procedures. Able to work with medical-diagnostic and control equipment PRIiT. Carefully monitors and cares for patients. Conducts sanitary and educational work among patients, their relatives, talking with them about the characteristics of diseases, taking medications, proper nutrition and regimen. Constantly improves her professional level by participating in nursing conferences, classes in the department, studying special literature. He enjoys respect and well-deserved authority among patients and colleagues. Has I qualification category.

Characteristics for a medical worker - sample

Provides infectious safety of patients and medical personnel, fulfills the requirements of infection control in the physiotherapy department. Maintains medical records. Provides proper storage, accounting for the use of medicines. Carries out sanitary-educational work. Provides first aid in emergencies.
Collects and disposes of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the room, the rules of asepsis and antisepsis, the conditions for sterilizing instruments and materials, the prevention of post-injection complications, hepatitis, HIV infection.

Characteristics for a nurse sample free certification report

Attention

Microwave therapy procedures are carried out in the supine or sitting position. The affected area is exposed, all metal objects are removed. The exposure time is from 5 to 15 minutes. For children, the power and time are dosed depending on age: From 2 to 3 years - 2W - 5-6 minutes From 3 to 7 years - 4W - 5-7 minutes From 7 to 14 years - 6W - 5-10 minutes .A mixture of paraffin 25% and ozocerite 75% is used.

Ozokerite heated in a paraffin heater is poured into cuvettes.

The work of a nurse in a physiotherapy department

Application templates will help you figure out what exactly needs to be indicated in a statement of claim to the court. More Compensation for damage It happens that our property is damaged. Harm can be non-material, material. It depends on the guilt of wanting or not wanting to harm. Depending on the signs, the obligation to cover the damage caused arises.
And the one whose property has been harmed demands its compensation. Responsibility for a minor, an animal, and more More Accidents A traffic accident is not a pleasant time. Everyone who met this event will support this statement.
But if this has come, you will have to somehow get out of the situation.
Conducts daily classes with middle and junior medical staff according to the plan for improving business skills: - Implementation of individual plans for improving business skills. Constantly conducts work on the development of a related specialty by paramedical personnel. Under the constant supervision of the Council of Sisters, she adheres to the norms of sanitary legislation in the department where she works. Attentive to patients, demanding of others, respectable, disciplined. Possesses dexterity in critical situations. Owns the technique of i / v, i / m, s / c, i / c injections. Knows and executes orders No. 288, 408, ... (indicate the orders that are used on the territory of your state), OST 42-21-2-85.
Given the professionalism in the work, the experience gained, Ivanova Irina Petrovna is recommended for confirmation of the highest qualification category in the specialty "Nursing".

Feature - Representation

Enjoys a certain authority in the team. I believe that nurse Dudko E.N. according to her professional and personal qualities, she deserves the highest qualification category. Head of Department D.A. Vanyukov CERTIFICATION SHEET middle medical worker

1. Information about the certified
2. Introduction by the administration (review)
3. The decision of the attestation commission

1. Information about the certified person

• Surname, name, patronymic: Ekaterina Nikolaevna Dudko.
• Year of birth: 1949.
• Name of the institution and position held: military sanatorium SibVO "Yeltsovka", ward nurse.
• Education: secondary medical.

  She graduated in 1970 from a two-year nursing course of the Union of Red Cross and Red Crescent Societies of the USSR at the Zaeltsovsky District Committee of the Red Cross Society of the RSFSR in Novosibirsk.

Increasing uniqueness

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The office is equipped with an isolated box - an electric kitchen, for preparing for medical procedures. There is a sink with two sections, a table, a cabinet for storing hydrophilic pads and electrophoresis drugs, a boiler for boiling hydrophilic pads. A UHF therapy room. It has 4 booths with wooden couches. Devices: "UHF-30", "Undaterm", "UHF-66", tube quartz. Microwave therapy room. 2 cabins.

Devices: "Ranet", "LUCH-3".Heat treatment room.Consists of two adjacent rooms. In one there are 4 couches for patients, in the other, a paraffin heater, a table for preparing ozokerite - paraffin applications. The cabinet is equipped with supply and exhaust ventilation. Scope of work My working day starts at 8.30 am and ends at 4 pm.

Before starting work, I prepare the office for receiving patients.

Unified qualification directory of positions of managers, specialists and other employees (CEN), 2017 Section "Qualification characteristics of positions of workers in the field of healthcare" The section is approved by Order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 N 541n Nurse anesthetist Table of contents Massage nurse Job responsibilities. Performs preventive, therapeutic, rehabilitation measures prescribed by a doctor in the physiotherapy department. Performs physiotherapy procedures.

Prepares physiotherapy equipment for work, monitors its safety and serviceability, correct operation, timely repair and write-off. Prepares patients for physiotherapeutic procedures, monitors the patient's condition during the procedure.

Important

The electrodes are fixed with cloth, rubber bandages or sandbags. Before galvanization or drug electrophoresis, I check the absence of cracks and scratches on the skin areas to be treated. If necessary, cover them with non-conductive material. Before the procedure, the area of ​​the skin to be treated is wiped with a cotton swab moistened with boiled water.

This treatment improves the electrical conductivity of the skin. The wires from the electrodes are positioned so that they do not touch the patient's body. When carrying out the procedure for children, I will definitely monitor the condition of the child. Treatment is carried out on low-power devices, the exposure time is reduced.

It is impossible to influence the growth zones of the bones, the region of the heart. The electrodes are always fixed with bandages.

Characteristics for a physiotherapy nurse

The characteristic was not changed. Attestation report of a ward nurse in Novosibirsk, 2008. To the head of the sanatorium from an employee of the Republic of Armenia Dudko E.N. statement. I ask you to allow me to pass certification in the certification commission of the medical service of the Siberian Military District for the assignment of the highest qualification category in the specialty "nursing in therapy." Date and signature. To the Chairman of the Attestation Commission of the Medical Service of the Siberian Military District I petition on the merits of this application. Head of the sanatorium, lieutenant colonel of the medical service N.V. Shevchenko Service record Nurse Ekaterina Nikolaevna Dudko has been working in the military sanatorium of the Siberian Military District "Yeltsovka" since 1996. Over the past time, she has established herself on the positive side. She has extensive experience, has good practical knowledge in her specialty, which allows her to successfully cope with the work.
When conducting drug electrophoresis, irritation of the skin under the electrode may occur. I explain to the patient that this medicinal substance is contraindicated for him, stop the procedure, inform the doctor. For children, the current is dosed depending on age. Up to a year 0.01-0.03 mA / cm1-7 years 0.03-0.05 mA / cm7 -10 years 0.05-0.08 mA/cm The procedure time for adults is from 10 to 40 minutes, depending on the technique. For children under one year old, 8 minutes. UHF therapy. This is the effect on the body of an electric field of ultrahigh frequency. When working with high-frequency equipment, you need to be extremely careful. Check the grounding, the integrity of the capacitor plates, the position of the wires (they should not come into contact with each other and the patient's body).

Introduction

Conclusion

Bibliography

Introduction

The physiotherapy room is one of the structural divisions of a medical institution, which is a complex of auxiliary equipment and apparatus that are designed to perform physiotherapy procedures.

The organization of the department (cabinet) of physiotherapy includes the process of rational placement and arrangement of equipment, for the subsequent convenience of its operation and safety of procedures.

It is allowed to open a physiotherapy room subject to safety regulations and sanitary standards.

The purpose of the work is to explore all aspects of the organization of the physiotherapy room, the legal framework, the basic rights and obligations of personnel, and sanitary standards.

Work tasks:

Chapter 1. Department of Physiotherapy. General issues of organization, as well as a list of documents and regulations of the physiotherapy department (office)

The physiotherapy department is a structural subdivision of an institution for the treatment and prevention of inpatient, rehabilitation or outpatient-polyclinic type.

In the physiotherapy department, electric current treatment is carried out with a low frequency, ultrahigh and high; electrosleep and ultrasound; laser therapy; microwave therapy, magnetotherapy; as well as thermotherapy, hydrotherapy and inhalation.

For all types of treatment, the necessary premises are provided.

Physiotherapy departments must comply with hygienic and sanitary standards, as well as radiation and fire safety requirements.

The following persons should be allowed to work in the physiotherapy room:

· With high relevant professional qualifications, in accordance with applicable regulations;

· Those who have been instructed and trained in the appropriate manner, as well as tested knowledge regarding labor protection requirements

· Passed medical examination

· No medical contraindications

In each institution of treatment and prevention, if there is a physiotherapy room, there must be a passport of the physiotherapy department. The following documents are also attached to the passport:

· Permission from the Sanitary and Epidemiological Service (SES) to open a physiotherapy cabinet (department) in an institution

· Scheme showing the placement of equipment

· Diagram depicting grounding, indicating the depth of grounding, cross-section of wires and material, as well as soldering joints; including an act on checking the effectiveness of grounding, handed over once a year

· Order of the management of a medical institution, indicating positions and professions, harmful working conditions, additional payment for persons working in harmful conditions, in the amount of 15%

· Journal, in which there is a mark on the current repair and current inspection of the equipment of the physiotherapy room

· Briefing log

· List of nurses

· Instructions for actions in case of fire

· Personnel Periodic Inspection Log

· Procedure Log

· Register of Primary Patients

· List of hospital staff, with phone numbers and addresses

· Working hours of nurses

· Cabinet work plan

· Job descriptions of nurses and doctors of the physiotherapy room

Copies of the following documents are required:

· A copy of the certificate and the application of the accreditation and license commission

· License and Protocol

· The act of checking the hygienic and sanitary condition of the premises of the department

· Annual and monthly reports on the work of nurses and doctors of the physiotherapy room

physiotherapy room sanitary standard

The working hours of the physiotherapy room are set in the interval from 07.00 to 18.00.

The workload of doctors is five patients per hour, forty per day.

Regulations

· Federal Law "On Compulsory Medical Insurance in the Russian Federation";

· Decree of the Government of the Russian Federation of October 4, 2012 No. 1006 "On approval of the Rules for the provision of paid medical services by medical organizations";

· Decree of the Government of the Russian Federation of November 28, 2014 No. 1273 "On the program of state guarantees of free provision of medical care to citizens for 2015 and for the planning period of 2016 and 2017";

· Decree of the Government of the Russian Federation of March 6, 2013 No. 186 "On approval of the Rules for the provision of medical care to foreign citizens on the territory of the Russian Federation";

Chapter 2. Obligations of the doctor and nurse of the physiotherapy room

Physiotherapy Nurse Responsibilities:

.The need to comply with all orders of the doctor

2.Timely prepare equipment and work area for receiving patients

3. Keep order and cleanliness in the office / department

Monitor the patient's well-being during the procedure

Monitor the operation of the equipment, as well as the time during the procedure

If a deterioration in the patient's condition is detected, if necessary, provide first aid, as well as immediately inform the doctor, and make a note about what happened in the patient's procedural chart.

It is necessary to keep records of work and monitor the condition of patients at all stages of treatment.

Maintain records approved by the Ministry of Health.

During the procedure, you must be at the workplace.

Handle medical supplies in a timely manner.

At the end of the working day, you must turn off all equipment. Heating and heating appliances, as well as comply with safety regulations

Improve your skills

Follow the principles of deontology.

Responsibilities of a Physiotherapist

· Providing qualified medical care, using modern diagnostic and preventive methods

· Purpose of treatment

· Providing advice to other doctors

· Management of the work of junior medical personnel, assistance in the performance of their duties

· Control of prescribed treatment

· Control over the correctness of medical procedures, over the expenditure of materials

· Labor safety control

· Participation in advanced training of junior and middle medical personnel

· Planning and analysis of your activities

· As well as a systematic improvement of their qualifications

The norms of the working day of the staff of the physiotherapy room

The standard working week for physiotherapy staff is 33 hours; this duration is set for full-time outpatient physiotherapists.

The duration of additional leave is 6 days for doctors of physiotherapy rooms, junior medical personnel.

Chapter 3. Sanitary standards for physiotherapy departments

All newly built, reconstructed and operating medical institutions, including day hospitals, must be equipped with water supply, sewerage, and centralized hot water supply.

The quality of water for household and drinking purposes must comply with the requirements of SANPIN 2.1.3.1375-03.

Buildings of medical institutions, in which PTOs are located, must be equipped with supply and exhaust ventilation systems with mechanical stimulation and natural exhaust without mechanical stimulation.

The FTO premises may only be used for their intended purpose. Carrying out any other work in them that is not related to the operation of physiotherapy equipment is prohibited. All treatment rooms and doctors' offices should be equipped with wash basins with hot and cold water.

In addition to treatment rooms, the PTO should have the following premises: the office of the head of the PTO (12 m 2), physiotherapist's office (12 m 2), office of the head nurse (12 m 2), pantry for storing portable medical equipment and consumable medical equipment (6 m 2), equipment maintenance room (18 m 2), linen for storing clean linen (6 m 2), pantry for storing cleaning items and dirty linen (4 m 2), pantry for storage of cylinders with carbon dioxide (8 m 2), compressor room (according to SNiP standards), bathrooms with washbasins in locks for men and women for patients and staff (according to SNiP standards).

The surface of the walls, floors and ceilings of the premises must be smooth, easily accessible for wet cleaning and stable when using detergents and disinfectants that are approved for use in the prescribed manner.

In each office, it is necessary to provide an alarm system to invite patients to the procedure and call medical personnel to the treatment room to assist the patient.

Cabinets electro- and phototherapy. The composition and area of ​​newly built and reconstructed rooms for electro- and phototherapy, the requirements for ventilation, heating, air conditioning, and lighting of the premises must comply with the current SNiP.

The walls of rooms in offices to a height of 2 m should be painted with light-colored oil paint, the rest of the walls and the ceiling should be glued. Wall cladding with ceramic tiles is prohibited. The floor must be wooden without potholes or covered with linoleum, which does not generate static electricity. It is forbidden to use synthetic materials that can create static electric charges to cover the floor and make curtains for treatment rooms.

The area of ​​electro- and phototherapy rooms should be planned at the rate of 6 m 2per couch, and in the presence of one couch - at least 12 m 2. Separately, an office for intracavitary procedures with an area of ​​​​18 m2 should be equipped. 2per gynecological chair.

For medical procedures, treatment cabins should be equipped, the frame of which is made of plastic or well-polished wooden racks, or metal (nickel-plated or oil-coated) pipes.

The metal structures of the cabins must be isolated from stone walls and floors by installing flanges on linings of non-conductive material 40-50 mm thick (wood gaskets, pre-boiled in paraffin and painted with oil paint). The fastening screws (bolts) of the flanges must not be longer than the height of the gasket. The dimensions of the cabins should not be less than 2 m in height and 2.2 m in length. The width of the cabins is calculated depending on the type of device: for HF and microwave therapy devices, powerful UHF generators, devices for general galvanization with baths for limbs and stationary phototherapy devices - 2 m, for other devices - 1.8 m. Each cabin must have a wooden couch with a lifting headrest (chair with a headrest), a chair, a hanger, a device for local lighting, one stationary or two portable movable tables.

In laser therapy rooms, the walls and ceiling should have a matte finish. At the same time, the walls are painted with oil paint in a color that contributes to the maximum absorption of reflected rays (green, salad). In the office next to the laser (0.7 m from it), it is necessary to place a couch for the patient, as well as provide free access for the attendants to the control panel and the patient's passage to the couch.

The distance between the unit and the wall of the cabinet (the wall of the treatment room, other apparatus) must be at least 1 m. and a laser hazard sign.

Rooms for electro- and phototherapy should have supply and exhaust ventilation with heated air supply, providing 3-4 air changes per hour, and window transoms. In UHF-therapy rooms, photoria with DTR dumps (PRH), the performance of supply and exhaust ventilation should provide 4-5-fold air exchange per hour. The air temperature in the premises should not be lower than 20°C.

Each room must have an independent power supply line coming from the switchboard, laid with wires of the required section according to the calculation. To distribute the load over the phases of the current, the inputs should be laid with the calculation at a voltage of 380/110 or 220/127 V, four-wire. Connection to this line of household electrical equipment is prohibited.

In each room, it is necessary to equip a group shield (for example, AP-50, A-3114/7) with a common switch, and at a height of 1.6 m from the floor, start shields (type A-50) or NVD buttons with a socket are placed on the walls and terminals in an insulating frame.

The group shield should be mounted with U-27 fuses or 16 A maximum current circuit breakers with the number of groups corresponding to the number of devices (sterilizers and other devices are also taken into account among the devices). The distribution voltage for powering the devices is 127 or 220 V.

Grounding wires and grounding strips in the physiotherapy room are fixed on the walls at a distance of 5-10 cm from the floor. Cross section of the grounding line inside the building 24 mm 2(with a bar thickness of 3 mm), outside the building - 48 mm 2(tire thickness 4 mm).

Inhalation therapy rooms. The area of ​​the room, temperature and humidity conditions and ventilation must comply with sanitary standards: 4 m 2per seat, air temperature within 20°C, supply and exhaust ventilation with 8-10 air changes per hour. It is forbidden to carry out inhalation therapy in phototherapy rooms.

To connect portable inhalation devices, ultrasonic aerosol and electric aerosol devices, it is necessary to provide socket outlets with protective (grounding) contacts.

Heat treatment room. For heat treatment (paraffin and ozokerite treatment), it is necessary to allocate an isolated room at the rate of 6 m 2for one couch, but not less than 12 m 2in the presence of one couch, equipped with supply and exhaust ventilation, providing 4-5-fold air exchange per hour. For heating paraffin (ozocerite), a special room (kitchen) with an area of ​​at least 8 m2 should be provided. .

The floor of the premises should be covered with linoleum, the walls of the kitchen should be faced with glazed tiles to a height of 2.5 m. Tables for heaters and pouring paraffin (ozocerite) into cuvettes should be covered with heat-resistant material. Heating of paraffin (ozocerite) should be carried out only in special heaters or in a water bath.

Hydrogen sulfide clinic.

Treatment with hydrogen sulfide baths must be carried out in a separate room or a dead-end section of the hydropathic, isolated from other treatment rooms.

The block of premises should consist of: a hall with an area of ​​8 m 2for one bath, the minimum area of ​​the hall with one bath is not less than 12 m 2; laboratories for the preparation of solutions with an area of ​​at least 10 m 2one place with a fume hood; premises for storage of solutions with an area of ​​at least 8 m2 ;

Walls in the bathroom and laboratory should be faced with glazed tiles or painted with oil paint on zinc white. Bathtubs must be made of corrosion-resistant materials. The hydrogen sulfide clinic should have a ventilation system isolated from other rooms with air exchange in the bathroom + 3-5, in locks + 3-4, in the locker room + 3-3 times. The chimney for air exhaust must be higher than the roof ridge of the building.

Pipes supplying hydrogen sulfide water, as well as highly concentrated brine or sea water, must be made of materials that are resistant to aggressive media. Fittings (faucets, handles, etc.) must be made of corrosion-resistant materials. Wooden parts and objects should be coated with oil paint on zinc white. Coating with oil paint on white lead is prohibited.

Chapter 4. Safety

A physiotherapy room (department) is organized on the above-ground floors of a medical institution.

The basement can be used for mud storage, boiler room, compressor room. The air temperature in the classrooms is maintained within +20°C at a humidity of up to 70%. Therefore, all offices must have supply and exhaust ventilation.

Pipes, water heating radiators and all metal objects that are connected to the ground should be covered with protective grilles and other devices that would exclude even accidental contact of the patient with them. To do this, electrical fittings (boards, sockets, switches, etc.) are covered with an insulating, non-conductive material.

To connect the devices, the electric light therapy room is equipped with starters "PNV-30" and "PV-30" at a height of 1.6 m, having a fuse, a switch, terminals for connecting stationary devices, a white terminal for grounding, 1-2 sockets for portable devices. The distance from the socket to the device should not exceed 2 m. For most cabinets, a cabin system for placing equipment is acceptable. In a cabin 2 m high and 2 m long and 1.6 m wide, in addition to the apparatus, a wooden couch, a chair, and a hanger are installed. In the office, outside the booths, a nurse's table is placed, on which there are registration logs, procedural cards and an electric procedural clock.

In dental institutions, taking into account the specifics of procedures in the oral cavity, in the physiotherapy room, equipment can be placed on the walls or bedside tables, without dividing into cabins, since constant visual monitoring of the patient during the procedure is required. Estimated area per unit in such conditions: 3-4 m2 .

When working with laser systems, the main source of danger, in addition to high (3-5 kV) and low (200 V) voltage electric current, is laser radiation (direct, reflected and scattered). The best way to organize laser therapy is a separate room with an area of ​​20-25 m 2, the ceiling and walls of which are painted with a matte blue-green paint that absorbs red light. On the outside of the office door is a sign "Caution! Laser radiation!". In difficult circumstances, you can select a booth in the phototherapy room. The cabinet should not have devices with a shiny reflective surface. Lighting should be bright (300-500-1000 lux), which causes constriction of the pupils and reduces the likelihood of damage to the retina in case of accidental exposure to scattered-reflected laser light. a laser hazard sign with the inscription "Caution! Do not look along the beam" is placed next to the laser device. During the procedure, the nurse (doctor) puts on sunglasses "ZN62-OZh", and the patient - glasses with blue-green lenses ("SZS-18", "SZS-22"), which are included in the apparatus.

When aiming the beam at the focus of the disease, one should not look towards and along the laser beam, since with unprotected eyes there is a danger of damage to the retina by direct or reflected light. It is forbidden to bring shiny objects (rings, watches, mirrors, etc.) into the area affected by the beam, which cause reflection of light and increase the possibility of it entering the eye structures.

To protect the skin of attendants, an ordinary medical gown with long sleeves is sufficient. Laser devices are operated in intermittent mode (50-60 minutes of work, 30 minutes - break). The helium-neon laser tube should be constantly turned on, which will prolong its service life. The Ministry of Labor and Social Protection of the Russian Federation, by resolution No. 17, section 2, paragraph 24 of June 8, 1992, determined a 15% salary increase for personnel (doctors, nurses) working with laser systems of any class.

The preparation of a concentrated solution of radon is carried out in special laboratories with the appropriate equipment. Medical personnel working with radon are provided with overalls and must comply with all safety regulations. Ventilation in the office should work throughout the day.

In the office of paraffin-ozocerite treatment, a room with an exhaust hood for preparing the mass of the coolant is equipped. Heating of paraffin (ozocerite) is carried out in special paraffin heaters or a water bath, which is boiled on a closed electric stove in a fume hood.

Since these substances ignite easily, the cabinet table should be covered with fire-resistant material and the cabinet equipped with a fire extinguisher. Due to the increased fire hazard, open flames, open electric stoves and electric boilers cannot be used in the office.

Special rooms are equipped for inhalation, electro-mud treatment, as these procedures lead to an increase in air humidity. This can negatively affect the wiring and devices in ordinary offices where there is no hermetic insulation. In physiotherapy rooms, the equipment is placed according to the scheme approved by the head of the department so that it and the launch shields are easily accessible.

All permutations can be made only with the appropriate permission. Passports of devices in operation must be kept by the head nurse of the department.

All devices with electrical safety class 01 and I are subject to mandatory grounding to the building contour.

Daily monitoring of the state of the equipment is carried out by a nurse before the start of the work shift.

For normal and long-term operation, it is necessary to systematically take care of the equipment. Therefore, every day at the beginning and at the end of the working day, the nurse removes dust from the turned off devices with a slightly damp cloth. Dust from the internal parts of the device is removed with a vacuum cleaner by a technician during routine inspections. To reduce dusting, the devices in the non-working state are covered with sheets or special covers. To prevent the effects of dampness, physiotherapy rooms are located in a dry, bright, ventilated room, where the equipment is placed away from windows.

When making the device from a frosty street, it is kept in a non-working state at room temperature for 24 hours. This time is indicated, as a rule, in the technical instructions for the device. Devices must be protected from impacts and shocks. Therefore, it is best to move them on wheelchairs with good shock absorption. To avoid overheating, it is necessary to operate in intermittent mode, which will extend their service life.

For wires, a special hanger is equipped, where they hang along the entire length, which eliminates kinks and extends the period of their use. Twisting and bending wires during storage leads to rapid damage not only to the insulation, but also to the wire itself. The metal plates of the electrodes are stacked and lead oxides are periodically removed from the surface with sandpaper. Straighten the plates on a solid base with a special roller.

Rice. 1. Laser hazard sign according to GOST R 50723-94

Finishing of premises should be carried out only from non-combustible materials. Premises must comply with fire safety requirements and have the necessary means of fire prevention and fire protection.

Chapter 5

The physiotherapy room is designed to carry out therapeutic restorative procedures due to the influence of such physical factors as light, heat, water, eclectic and magnetic fields, ultrasonic waves, laser radiation. Depending on the size and scale of the activity, it is possible to use one type of treatment or several at once.

When choosing equipment and furniture for the office, you should pay attention to three important criteria:

patient safety and comfort;

convenience, ergonomics of conditions for normal work of personnel;

compliance of the equipment with the latest developments in the field of physiotherapy, high clinical efficiency.

The standard equipment option is several regular or massage couches separated by screens. Nearby are stands for equipment<#"justify">Among the various health services, physiotherapy occupies one of the leading places in terms of the number of visits and treatment procedures dispensed. At the end of the 80s, the physiotherapy service of the Russian Federation was characterized by the following statistical indicators (rough estimates are given):

Over the past decade, the qualitative and quantitative equipment of physiotherapy rooms in medical institutions of the Ministry of Health of the Russian Federation has not changed much. Nevertheless, there remains a steady need to provide physiotherapy equipment (PTA) that implements the classic set of therapeutic techniques.

The persistence of this need is determined by the following factors:

· Commissioning of new facilities.

· The need for a planned replacement of the FTA, which has reached material and obsolescence.

· Replenishment of the strategic reserves of the physiotherapy service.

The optimal solution to the problem of meeting the annual need for health care in PTA is an integrated approach. At the same time, such equipment should be based on the idea of ​​a multivariant hardware complex.

Such polyvariance is explained by the fact that the physiotherapy service is part of the majority of medical and preventive institutions of various levels and profiles: from a district clinic to a regional multidisciplinary hospital, from a factory dispensary to a large specialized sanatorium.

In each medical institution, the physiotherapy service solves its own range of tasks, determined by the specifics of a particular institution. This circumstance gives rise to a variety of qualitative and quantitative requirements for the equipment of physiotherapy departments (PTO).

The optimal solution to the problem of equipping PTO for medical and treatment-and-prophylactic departments of various profiles can be found on the basis of a systematic variant approach to the formation of hardware complexes. As a basic equipment option (BVO), a hardware complex has been formed that provides physiotherapy procedures for all medical specialties of a general hospital.

The structure of such a BVO of the physiotherapy department is given below. Based on the BVO, it is easy to create special equipment options, expanded compared to the BVO, both in terms of the nomenclature and the number of physiotherapy devices, taking into account the profile and level of a particular medical institution or some local healthcare system.

This expansion is carried out on the basis of the formed and regularly updated database of physiotherapy equipment.

As an example, below is an extended version for equipping the PTO, built on the basis of the BVO.

The formation of the BVO was carried out taking into account the following criteria:

· Preservation of the classic cabinet structure of the PTF.

· Minimization of the range of devices that implement the necessary set of techniques for each cabinet.

· Minimization of the number of devices in each office.

· Priority activation of devices with the following parameters:

o with a high ratio " quality/price;

o guaranteed delivery and service.

o designed and manufactured by the supplier.

Equipment for the department of physiotherapy. Basic and advanced options are presented in Appendix B.

Conclusion

In the course of writing the work, all aspects of the organization of the physiotherapy room, the legal framework, the basic rights and obligations of personnel, and sanitary standards were studied.

The main tasks of the work were solved

.Consider the regulatory framework and basic sanitary standards for organizing a physiotherapy room

2.Consider the main responsibilities of the doctor and nursing staff

.Consider the basic requirements for organizing a physiotherapy room, including footage, equipment location and safety precautions

Bibliography

1.Ulashchik, V.S. Physiotherapy. Universal Medical Encyclopedia / V.S. Ulashik. - M: Book House, 2012. - 640 p.

2.Klyachkin, L.M. Physiotherapy / L.M. Klyachkin. - M: Medicine, 1988. - 270 p.

.Bogolyubov, V.M. Physiotherapy and balneology / V.M. Bogolyubov. - M: Binom, 2015. - 312 p.

.Sokolova, N.G. Physiotherapy / N.G. Sokolov. - M: Phoenix, 2014. - 352 p.

.Obrosov, A.N. Handbook of physiotherapy / A.N. Obrosov. - M: Medicine, 1976. - 344 p.

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JOB INSTRUCTIONS FOR THE NURSE OF THE PHYSIOTHERAPY DEPARTMENT (OFFICE)

I. General provisions

1. The main task of the nurse of the physiotherapy department (office) is the release of physiotherapy procedures to patients according to the prescriptions of the physiotherapist.
2. The appointment and dismissal of a nurse of the physiotherapy department (office) is carried out by the chief physician of the polyclinic in the prescribed manner.
3. The nurse of the physiotherapy department (office) reports to the head of this department (office), in his absence - to the responsible person for the department (office) from among the paramedical workers, approved by order of the chief physician of the polyclinic.
4. The nurse of the physiotherapy department (office) in her work is guided by:
   - rules for the release of physiotherapy procedures and safety precautions when working with equipment,
   - by order of a physiotherapist,
   - internal labor regulations,
   - this job description.
5. _________________________________________________________________.

II. Job Responsibilities

1. Follow all the orders of the physiotherapist, and in his absence - the physiotherapy appointments of the attending physicians.
2. Prepare in a timely manner your workplace, equipment and everything necessary for the beginning of the reception of patients.
3. Strictly observe the order, cleanliness in the physiotherapy department (office).
4. To accept a patient after examination by a physiotherapist and in the presence of a procedural card, note the implementation of procedures, inform the patient of the time of arrival for treatment.
5. Follow:
   - the condition of the patient during the procedure, inquiring about his well-being;
   - operation of the device, readings of measuring instruments, signal clocks.
6. Stop the procedure if the patient's condition worsens, if necessary, provide him with first aid and immediately inform the doctor, and make an appropriate mark in the procedure card.
7. To acquaint patients arriving for treatment with the internal regulations and rules of conduct during the procedure.
8. Determine the order of patients for certain types of procedures in accordance with the hours of their work or office work.
9. Keep a record of the work performed and monitor the receipt by patients of the entire prescribed course of treatment.
10. Maintain records approved by the Ministry of Health.
11. Be constantly at the workplace during vacation procedures.
12. Observe the timeliness and rules for processing hydrophilic pads, tubes, tips and other medical equipment.
13. Monitor the heating of paraffin, ozocerite, therapeutic mud.
14. Maintain medical equipment.
15. Turn off all equipment at the end of the working day; lighting and heating devices, the general switch of the office, check whether the taps of washbasins and hydrotherapy installations are closed, follow the safety rules.
16. Systematically improve your professional qualifications.
17. Follow the principles of deontology.
18. _________________________________________________________________.
19. _________________________________________________________________.

III. Rights

1. access to medical records and other documents necessary to obtain additional information when performing physiotherapy appointments;
2. supervise the work of the equipment repair technician;
3. give instructions and supervise the work of junior staff;
4. improve their skills at the workplace and in other specialized medical and preventive institutions, at advanced training courses in the prescribed manner;
5. present the requirements of the administration to create the necessary conditions at the workplace, ensuring the high-quality performance of their duties;
6. take part in meetings (meetings) when discussing the work of the physiotherapy room;
7. receive the necessary information to perform their functional duties from a physiotherapist, a responsible person for the department (office) from among the middle staff;
8. require visitors to comply with internal regulations;
9. master a funny specialty;
10. give instructions and supervise the work of the junior staff of the physiotherapy department (office).
11. _________________________________________________________________.
12. _________________________________________________________________.

IV. Responsibility

1. fuzzy and untimely implementation of all points of this job description.
2. Types of personal liability are determined in accordance with applicable law.
3. _________________________________________________________________.
4. _________________________________________________________________.