chav txhaj tshuaj tiv thaiv yog ib chav kho mob uas tsim nyog uas yuav tsum tau teeb tsa hauv txhua lub tsev kho mob me nyuam yaus, nrog rau cov tsev kawm ntawv preschool thiab tsev kawm ntawv. Tsis tas li ntawd, cov chaw txhaj tshuaj tau nruab rau hauv sanatoriums, tub rog, tsev kho mob - hauv ib lo lus, txhua lub tsev kho mob uas ua haujlwm cuam tshuam txog kev muab cov txheej txheem kho mob rau cov pej xeem.
chav txhaj tshuaj tiv thaiv ntawm lub tsev kho mob menyuam yaus hauv qhov chaw nruab nrab-qhov ntom ntom
Nws yuav tsis yog xov xwm rau leej twg uas feem ntau ntawm yav dhau los paub thiab zoo li tsis muaj kev phom sij rau cov kab mob sib kis tau dhau los ntawm ntau qhov kev hloov pauv loj hauv xyoo tas los no, qee qhov ua rau tib neeg lub neej thiab kev noj qab haus huv hnyav. Nws yog ib qho tseem ceeb los daws cov kab mob pathogenic no kom raws sijhawm thiab ua tau zoo, yog li ntawd, cov kev xav tau ntawm kev tsim cov chav txhaj tshuaj niaj hnub no kuj nce ntxiv. Tseeb tiag, rau kev saib xyuas ntawm qee cov kab mob bacteriological, tshwj xeeb cia tej yam kev mob yog xav tau.
Dab tsi yog qhov yuav tsum tau muaj ntawm lub xeev niaj hnub tus qauv, tswj hwm los ntawm ntau tus neeg muaj feem cuam tshuam (cov thawj coj tseem ceeb ntawm cov uas nyob hauv SanPiNu) txhawm rau txhim kho thiab tswj kev ua haujlwm ntawm chav txhaj tshuaj?
Cov khoom siv sab nraud ntawm chav txhaj tshuaj raws li SanPiNu rau cov menyuam yaus kho mob lossis tsev kawm preschool-tsev kawm ntawv
Thaum muab chav rau txhaj tshuaj tiv thaiv, ua ntej ntawm tag nrho cov, nws yuav tsum nco ntsoov tias cov neeg kho mob no yuav tsum muaj thaj chaw tsim nyog. Raws li txoj cai, chav txhaj tshuaj tus qauv yuav tsum tau muab faib ua 2 ntu: kev ua haujlwm thiab txheej txheem. Qhov chaw ua haujlwm (nws tuaj yeem yog ib qho chaw ua haujlwm sib cais lossis ib qho thaiv me me hauv ib qho uas twb muaj lawm) khaws cov ntawv hla tebchaws tsim nyog thiab cov ntaub ntawv tam sim no. Hauv cov txheej txheem, kev txhaj tshuaj tiv thaiv ncaj qha yog ua tiav. Hauv ntau lub tsev kho mob (tshwj xeeb tshaj yog tias lub tsev kawm ua haujlwm pabcuam rau cov menyuam kawm ntawv ntxov), raws li cov khoom siv, chav txhaj tshuaj ntawm cov menyuam yaus lub tsev kho mob tuaj yeem muab faib ua cov haujlwm:
- Sector rau dilution ntawm kev daws thiab kev npaj ua ntej txhaj tshuaj.
- Sector rau kev ncaj qha ntawm cov txheej txheem ntsuas.
Txawm li cas los xij, tag nrho cheeb tsam ntawm ob qhov chaw yuav tsum tsis pub tsawg dua 14 m², thiab nyob rau hauv cov tsev kawm ntawv preschool lossis tsev kawm ntawv, ntau dua li daim duab no.
Raws li nws yuav tsumYuav tsum chav txhaj tshuaj ntawm cov menyuam yaus lub tsev kho mob polyclinic yuav tsum tau dai kom zoo nkauj?
Teeb pom kev
Muaj qhov yuav tsum tau ua rau teeb pom kev zoo, txij li cov haujlwm uas yuav muab rau hauv qhov chaw ua haujlwm no yog nyob rau hauv chav kawm ntawm kev hloov maj mam. Nrog rau lub ntsiab teeb pom kev zoo ntawm lub suab txias, ob peb lub teeb sov incandescent yuav tsum tau muaj. Lawv lub xub ntiag yog ib qho tseem ceeb rau kev ntsuam xyuas qhov tseeb ntawm lub xeev ntawm qee cov ntawv txhaj tshuaj (piv txwv li, cov tshuaj tiv thaiv Mantoux). Koj kuj xav tau ntau yam khoom seem, nyob ze cov cuab yeej yog tias lub ntsiab tsis ua haujlwm. Nrog rau cov hom phiaj tseem ceeb ntawm cov teeb ci qab nthab, cov teeb ci ntsa iab tau pom zoo, tshwj xeeb tshaj yog tias muaj cov khoom siv tshwj xeeb rau kev ua haujlwm nrog cov menyuam mos (hloov rooj) hauv chav tsev thiab qhov pom tseeb ntawm qhov chaw muab yog qhov tseem ceeb.
Ntxiv rau cov qauv teeb pom kev zoo hauv chav ntawm kev phais mob (uas suav nrog chav txhaj tshuaj), yuav tsum muaj cov kab mob bactericidal, uas tau qhib thaum lub sijhawm ua haujlwm tam sim no ntawm lub txee (quartz) thaum nruab hnub, xws li zoo li hloov thaum hmo ntuj, thaum lub txee tsis ua haujlwm.
Tshuaj tiv thaiv kab mob hauv ob sab phlu
Cov phab ntsa thiab hauv pem teb ntawm chav tsev tshuaj tiv thaiv tus qauv, txawm hais tias nws nyob qhov twg (txawm nws yog lub tsev kho mob poj niam cev xeeb tub lossis chav tub rog), yuav tsum tau npaj kom qhov kev tu tam sim no thiab dav dav tsis nyuaj rau kev ua haujlwm., thiab tseem tshuav tsis muaj prerequisites rau txoj kev loj hlobcov kab mob pathogenic nyob rau hauv lub plab zom mov ntawm qhov kawg. Raws li txoj cai, feem ntau ntau yam thiab pom zoo rau cov hom phiaj no yog cov vuas hom ntawm cov phab ntsa thiab cov plag tsev. Lub qab nthab yog dai kom zoo nkauj nrog cov txiv qaub tshwj xeeb.
Lub suab ntawm cov phab ntsa, qab nthab thiab hauv pem teb yog txais tos lub teeb - txhawm rau txhawm rau txheeb xyuas thiab tshem tawm cov pa phem raws sijhawm, nrog rau kev tiv thaiv kev laus ntawm cov khoom siv raws sijhawm.
Yuav tsum muaj qhov rais, nkag / tawm ntawm chav txhaj tshuaj
Chav tsev uas txhaj tshuaj tiv thaiv txhua yam yuav tsum tau tiv thaiv zoo los ntawm qhov muag tsis pom. Qhov no yog vim qhov tseeb tias qee zaum, nrog rau kev npaj tshuaj tiv thaiv kim, muaj ntau cov cuab yeej siv rau kev txhaj tshuaj, hu ua syringes kho mob, hauv chaw ua haujlwm. Cov cuab yeej no nthuav tawm qhov kev sim siab loj heev kom nkag mus rau hauv chaw ua haujlwm ntawm cov neeg raug kev quav yeeb quav tshuaj. Kev coj cwj pwm ntawm pawg neeg pej xeem no feem ntau ua rau muaj kev phom sij rau kev sib raug zoo thiab kev sib kis rau cov pej xeem nyob sab hauv, thiab tshwj xeeb tshaj yog menyuam yaus.
Txhua lub qhov rooj sab nraud rau pawg ntawm thaj chaw no yuav tsum yog hlau thiab muaj ob peb lub xauv. Yog tias qhov chaw kho mob muaj ob peb qhov chaw sab nraud, tag nrho cov ntawm lawv yuav tsum raug kaw kom raug. Cov khoom siv ntawm chav txhaj tshuaj ntawm polyclinic yuav tsum muaj tsawg kawg yog 2 lub xauv rau txhua lub qhov rooj nkag.
Yog tias chav kho mob thiab tshuaj tiv thaiv nyob rau ntawm 1st lossis 2nd pem teb, cov tuav yuav tsum tau nruab rau ntawm qhov rais.
Documentary puag ntawm txhua chav kho mob thiab tshuaj tiv thaiv
Yog tias lub tsev kho mob me me, ces feem ntau chav kho mob sib xyaw ua haujlwm txhaj tshuaj tiv thaiv. Hauv lwm lo lus, nws tsis yog tsuas yog ua cov tshuaj tiv thaiv niaj hnub nkaus xwb, tab sis kuj muab cov tshuaj tsim nyog los ntawm kws kho mob (cov tshuaj tua kab mob, cov vitamins thiab lwm yam). Nyob rau hauv cov ntaub ntawv no, ntau hom tshuaj tiv thaiv yog ua raws li lub sij hawm los yog nyob rau hauv tej hnub faib rau txhua subspecies. Txhua qhov kev txiav txim los ntawm tus kws saib xyuas neeg mob yuav tsum tau sau tseg thiab cuam tshuam rau hauv daim ntawv teev npe tsim nyog ntawm cov txheej txheem kho mob.
Cov khoom siv ntawm cov ntaub ntawv pov thawj ntawm chav txhaj tshuaj ntawm polyclinic:
- Daim ntawv qhia hnub rau kev npaj thiab muab tshuaj tiv thaiv rau txhua pab pawg hnub nyoog ntawm cov pej xeem nyob rau hauv cov hnub teem tseg nruj me ntsis rau cov xwm txheej no, nrog rau cov hnub kawg thaum muaj xwm txheej ceev tshaj tawm los ntawm tsoomfwv cov koom haum cuam tshuam nrog ntau dhau ntawm kev kis tus kabmob kis rau qhov no kab mob.
- chav txhaj tshuaj tiv thaiv raws li SanPiNu yuav tsum muaj daim ntawv tso cai lees paub txoj cai ua ib lossis lwm hom kev tswj hwm.
- Daim ntawv txhaj tshuaj tiv thaiv kab mob tiv thaiv kab mob rau cov neeg ua haujlwm ntawm lub tsev kho mob no, ob qho tib si feem ntau lees txais thiab hauv ib tus neeg tshwj xeeb (cov tshuaj tiv thaiv tau ua tiav raws li cov ntaub ntawv ntawm cov ntawv kho mob tus kheej).
- Cov ntawv xov xwm ntawm cov ntaub ntawv npaj tseg ntawm txhua qhov kev ua haujlwm tau ua nyob rau hauv lub chaw kho mob no, suav nrog kev txhaj tshuaj tiv thaiv (f. 112 / y, 025-1 / y, 025 / y, 026 / y thiab lwm yam tsim los ntawm lub tsev kawm ntawv cais).
- Magazinesau tawm ntawm cov nyiaj siv (syringes, koob, ampoules, thiab lwm yam).
- Receipt log of consumables.
- Lus phau ntawv kom tau txais cov khoom muaj cawv.
- Sau npe rau kev noj tshuaj ntxiv (yog tias chav txhaj tshuaj nrog rau chav kho mob).
- daim ntawv txhaj tshuaj rau txhua pawg tshuaj tiv thaiv, suav nrog cov nyiaj seem.
- Phau ntawv xov xwm ntawm kev tu tam sim no thiab dav dav hauv chav kho mob (txhaj tshuaj tiv thaiv).
- Gericidal lamp operation log.
- Log ntawm kev ua haujlwm ntawm cov tub yees units.
- Journal of operation of sterilization txee (yog muaj) los yog autoclaves.
Khoom siv nrog cov ntaub ntawv qhia
Nrog rau cov ntaub ntawv qhia txog lub sijhawm ua haujlwm tam sim no, chav kho mob yuav tsum muaj cov ntaub ntawv qhia txog cov ntsiab lus:
- Kev piav qhia ntawm tus nais maum.
- Phau ntawv qhia txog kev hloov pauv cov ntaub ntawv los ntawm kev hloov pauv ntawm kev hloov pauv tshuaj tiv thaiv los ntawm qee tus neeg mob, yam lawv tsis nco qab, xaj los ntawm tus thawj coj, thiab lwm yam - yog ua raws li kev txiav txim siab.
- Cov lus qhia thaum muaj kev tsis haum tshuaj hnyav - yuav tsum tau dai rau ntawm phab ntsa saum rooj kho.
- Tus lej xov tooj tsim nyog (tus thawj coj, kws kho mob, kev pabcuam xwm txheej ceev, thiab lwm yam).
- Cov lus qhia rau cov tshuaj tiv thaiv thiab tshuaj (zoo tshaj yog ib daim ntawv tais ceev tseg).
- phau ntawv txhaj tshuaj tiv thaiv kab mob.
- Handbooks on Pediatrics.
- Nurse Handbooks.
- Tej zaum muaj cov npe ntawm cov tshuaj raws li ICD sib raug(e.g. ICD-X).
Cov khoom muag sab hauv ntawm chav txhaj tshuaj tiv thaiv
Qee zaum, nws tsis tuaj yeem faib chav txhaj tshuaj tiv thaiv thiab chav kho mob sib cais - tom qab ntawd txhaj tshuaj tiv thaiv hauv chav kho mob dav dav thaum teev tshwj xeeb rau qhov xwm txheej no. Lub sijhawm no, lwm cov txheej txheem raug cais tawm. Tsis txhob txhaj tshuaj tiv thaiv hauv:
- Enema room.
- cov kws kho mob.
- chav soj ntsuam.
- chav ua haujlwm.
- chav hnav khaub ncaws.
- chav txais tos.
- chav kho hniav.
- Lub tsev npaj rau kev cais cov menyuam muaj mob ib ntus.
Lub chaw txhaj tshuaj tiv thaiv menyuam yaus hauv tsev kho mob: khoom siv khoom muag
Cov khoom siv ntawm chav txhaj tshuaj muaj xws li cov hauv qab no:
- Lub tub yees rau khaws cia cov tshuaj tiv thaiv thiab, yog tias tsim nyog, lwm yam tshuaj thiab khoom siv. Qhov zoo tshaj plaws, yuav tsum muaj ob qhov kev teeb tsa - ib qho nruj me ntsis rau cov tshuaj tiv thaiv, lwm yam rau lwm yam tshuaj. Txhua lub txee hauv ob lub cuab yeej yuav tsum tau sau npe.
- Kho mob txee nrog cov khoom siv tiv thaiv kev poob siab:
- 0.1% tshuaj, adrenaline, norepinephrine, mezaton.
- 5% ephedrine tov.
- Glucocorticosteroids: dexamethasone, prednisolone, hydrocartisol.
- Antihistamines: Suprastin, Tavegil, Diazolin.
- Mob plawv glycosides:corglicon;
- Saline, qabzib - rau kev taw qhia ntawm cov tee dej.
- Txee nrog cov tshuaj tseem ceeb txhua hnub: ammonia, iodine, ci ntsuab, hydrogen peroxide.
- Cov cuab yeej txheem thiab xaiv tau: cov hnab looj tes roj hmab, cov txheej txheem tsim nyog ntawm cov koob txhaj tshuaj sib txawv thiab cov koob sib txawv rau lawv, hluav taws xob nqus, ob peb lub hnab roj hmab, tsis muaj menyuam, tweezers, forceps, spatulas.
- Ntim rau cov tshuaj tua kab mob thiab lub tog raj kheej nrog rau hauv cov ntu qis ntawm cov txee.
- Hlau bix nrog cov khoom tsis muaj menyuam.
- Ntim rau kev pov tseg cov cuab yeej siv thiab pov tseg.
- Lub rooj thauj mus los, cov cuab yeej twg tau npaj ua ntej thiab npaj tau sau.
- Couch npog nrog cov ntawv pov tseg, ntxiv yob xav tau kev nplij siab.
- Hloov lub rooj, ua ntej.
- Rau qhov tshwj xeeb yog cov tshuaj tiv thaiv nyuaj (polio, BCG, thiab lwm yam), nws raug nquahu kom siv lub rooj sib cais, cim tshwj xeeb.
- rooj thiab rooj zaum rau tus nais maum.
- Lub rooj zaum rau tus neeg mob khoom.
- tshuaj ntsuam tshuaj.
- Zoo ntxuav tes nrog xab npum dispenser thiab phuam.
- Kev kho mob khib nyiab nrog lub hau kaw.
- Lub moos ntawm phab ntsa thiab ob peb yam khoom ua si roj hmab uas yooj yim los ntxuav tau tso cai.
chav tshuaj tiv thaiv ntawm chaw kho neeg laus
Raws li txoj cai, cov cuab yeej ntawm chav txhaj tshuaj tiv thaiv ntawm ib tus neeg laus polyclinic tsis txawv ntau ntawm cov menyuam yaus cov chav sib xws. Qhov txawv tsuas yog qhov tsis muajhloov cov rooj thiab hloov lawv nrog ntau couches. Tsis tas li ntawd, rau chav txais tos neeg laus, muaj ntau qhov kev tiv thaiv cov ntxaij vab tshaus. Phab ntsa moos tso cai. Hauv qee lub nroog polyclinics, thiab tshwj xeeb tshaj yog garrison-type polyclinics, muaj ib chav ntxiv rau pem hauv ntej ntawm chav kho mob, hu ua "Changing Room", uas tus neeg mob tuaj yeem tso nws cov khaub ncaws thiab khoom ntiag tug. Qhov tseeb no ua rau muaj txiaj ntsig zoo rau qhov chaw ua haujlwm tsis muaj menyuam.
