Personal hygiene magazine at work. Personal hygiene of staff. Sanitary clothing

Compliance with the rules personal and industrial hygiene by employees of enterprises Catering has social and anti-epidemic significance. The personnel of enterprises that do not comply with these rules can cause infectious diseases, food poisoning or helminthiasis .

Compliance with the rules of personal hygiene involves keeping the body and hands of personnel clean, correct use sanitary clothing, timely medical examinations and examinations.

On the surface of the skin sweat secretion accumulates during the day sebaceous glands constantly listening epithelial cells the upper layer of the epidermis, dust and others mechanical pollution from the air and from clothes. Contaminated skin is a good breeding ground for microorganisms, which can lead to the development of pustular, fungal and other skin diseases. To maintain clean skin, you should regularly wash your face, neck, hands, feet, body and hair. hot water using soap or special detergents, use individual towels and a separate foot towel.

Dental and oral care has special meaning in personal hygiene. Food debris between teeth, plaque is favorable environment for microbes. Substances formed during the decomposition of food contribute to the destruction of enamel and the development of caries. Brush your teeth in the morning and in the evening, and rinse your mouth after each meal.

The most important thing for food service workers is to keep their hands clean. Most of the technological operations in catering establishments are performed manually, therefore there is real danger microbial contamination of semi-finished products and finished products.

Employees are required to thoroughly wash their hands with soap and a brush before starting work, when moving from working with raw materials to clean operations, after using the toilet, after smoking or touching contaminated objects, money, etc.

Hands follow several times to lather and wipe with a brush from all sides, between fingers and under nails, rinse with running water and dry with an electric towel or disposable paper napkins... In children's, treatment-and-prophylactic, centralized enterprises, employees are required to disinfect their hands after washing with the help of special devices - dispensers disinfectants... When working with finished products (portioning, packaging, etc.), it is recommended to use disposable gloves.

Cooks should cut your nails short, as there may be microorganisms and worm eggs under the nails, and do not varnish them. When making culinary and confectionery products, remove Jewelry(rings, bracelets, etc.), watches and other fragile items. Hands should be well-groomed, there should be no cuts, burns, suppurations, dermatitis on the skin of the hands.

Smoking and eating are not allowed in workplaces. Workers should eat in the staff break room or other designated areas.

The head of the enterprise is responsible for the supply of detergents and disinfectants, the availability of electric towels, a first aid kit and other conditions for the personnel to comply with the rules of personal hygiene.

Sanitary clothing . Employees of the catering establishment must be provided with the necessary set of sanitary clothes, put on them before starting work, and outerwear, shoes, headwear, personal belongings must be left in the dressing room.

Sanitary clothing is designed to protect food products from possible contamination by the worker himself. Sanitary clothing includes a robe or jacket, an apron, a cap or a kerchief, as well as a towel, arm ruffles, trousers.

Sanitary clothes are sewn from cotton fabric white... It should be lightweight, comfortable, of an appropriate size and should cover well the employee's personal clothing. Sanitary clothing without pockets or buttons is recommended.

Caps and kerchiefs should completely cover the hair.

The staff working at low temperatures, must be provided with a jacket (quilted jacket) and mittens. Waterproof aprons and footwear are essential for workers in washing departments and a vegetable shop. At work, you should wear light, comfortable, non-slip removable shoes with low heels.

Sanitary clothing should be worn neatly; you should not pin clothes with pins, hairpins, wear badges, necklaces and brooches. Pockets should be free of sharp and fragile objects. Mirror, powder box, comb, lipstick and other toilet items, as well as money should be left in the dressing room.

Sanitary clothing should be removed before using the toilet. Sanitary clothes should not be taken home; they should be kept in a special section of the employee's individual lockers and should not come into contact with personal and outer clothing. Cabinets should be cleaned and disinfected periodically.

Clothes should always be clean, they are replaced as soon as they become dirty, but at least once every two to three days. Do not wash sanitary clothes at home. You must have at least three sets of clothing for each employee.

Thus, employees of catering establishments are obliged to observe the following rules of personal and industrial hygiene:

Leave outerwear, shoes, hats, personal items in the dressing room;

Before starting work, wash your hands thoroughly with soap and water, put on clean sanitary clothes, pick up your hair under a cap or kerchief (mesh);

Work in clean sanitary clothes, change them as they become dirty, but at least once every two days;

Store sanitary clothes separately from personal in a special section of your personal locker;

Do not pin clothes on clothes, do not wear sharp, breakable or foreign objects in pockets;

When visiting the toilet, take off sanitary clothes in a specially designated place, after visiting the toilet, wash your hands thoroughly with soap and water;

In the manufacture of culinary and confectionery products, remove jewelry, watches and other bangs and objects, cut short nails and do not varnish them;

Wash your hands before starting a new technological operation and after it;

When signs appear colds or intestinal dysfunction, as well as suppuration, cuts, burns, inform the administration and contact medical institution;

Report all cases of illness intestinal infections in the employee's family;

Do not smoke or eat in the workplace.

The concept of skin and sexually transmitted diseases. Employees of catering establishments should have an understanding of infectious skin and sexually transmitted diseases, since they can be transmitted from a sick person to a healthy person through dishes, linens, household items, sanitary appliances (toilets, baths, washbasins, etc.) or by direct contact.

The most common skin infections are fungal lesions skin, nails, hair, ringworm, scabies, tuberculous lupus, etc. Through contaminated bed linen and sanitary appliances, pinworms can become infected with the development of helminthic disease - enterobiasis.

The most common sexually transmitted diseases are syphilis , gonorrhea , trichomoniasis... Syphilis disease begins 3-4 weeks after infection with the appearance of a hard chancre - a compacted painless ulcer at the site of introduction of the pathogen. After 6-8 weeks, the secondary period of syphilis begins with the appearance of a rash on different parts of the body and in the mouth. During this period, the syphilitic patient is especially dangerous in relation to domestic infection. The disease proceeds in outbreaks and after 3-4 years passes into the tertiary stage with damage to the nervous and skeletal systems, internal organs and etc.

Gonorrhea and trichomoniasis are characterized by inflammation of the mucous membranes of the urogenital organs with abundant purulent discharge... At chronic form disease symptoms are mild. Possible not only sexual, but also the household route of infection with gonorrhea and trichomoniasis.

Awareness of the staff about AIDS, acquired immune deficiency syndrome, is important. The causative agent of AIDS is a virus that can be transmitted sexually and through blood. Patients with sexually transmitted diseases and AIDS are not allowed to work.

Medical examinations and examinations of personnel ... Persons applying to work in public catering organizations undergo preliminary and periodic medical examinations, professional hygienic training and certification in accordance with the established procedure. For each employee, a personal medical record of the established sample is entered, in which the results of medical examinations are entered and laboratory research, a mark on the passage of hygienic training and certification, information about the transferred infectious diseases and vaccinated.

Upon admission to work, employees are examined by a therapist and dermatovenerologist; fluorography; take a blood test for syphilis; tests for the carriage of pathogens of intestinal infections, for sexually transmitted diseases (gonorrhea, trichomoniasis), for eggs of worms and enterobiasis; get vaccinated against diphtheria.

Persons with open forms tuberculosis(tuberculosis of the lungs, bones or joints with fistulas) and cutaneous tuberculosis and patients with intestinal, skin, venereal infections, enterobiasis or bacteria carriers of intestinal infections are not allowed to work.

With periodic examinations, fluorography is done once a year, examination in a dermatovenous dispensary - every six months, tests for worms - once a year.

Every day before the start of the shift in the cold, hot and confectionery shops, a health worker or a designated responsible person examines the open surfaces of the body (hands, faces) of workers for the presence of pustular diseases. Workers with pustular skin diseases, festering cuts, burns, abrasions, and inflammatory diseases upper respiratory tract and angina are not allowed to work in these workshops.

The head of the enterprise must organize the timely passage of medical examinations, ensure regular centralized washing of linen, sanitary and special clothing and conditions for the personnel to comply with the rules of personal hygiene, organize at least 1 time in 2 years hygiene training staff.

Production control of compliance with the rules of personal hygiene should be done daily. The effectiveness of compliance with the rules of personal hygiene is monitored regularly by taking swabs for bacteriological studies.

Washes are taken from the hands, clothes and personal towels of the personnel working in the cold and confectionery shops, at the distribution and other places of work with ready-to-eat foods and food. One swab is used to wipe the palmar surfaces of both hands, nails and under nails, as well as interdigital spaces. On each palm and fingers, hold at least 5 times.

On sanitary clothes, use a tampon to wipe 4 areas of 25 cm 2 each - on top and in the middle of the front of the clothes and on lower parts sleeves. The washings are taken from the towel from four different places of 25 cm 2 each.

When conducting sanitary and bacteriological studies of washings, they are mainly limited to the isolation of bacteria of the group colibacillus(BGKP) as sanitary indicative microorganisms. Their detection is regarded as a fact confirming violations of personal hygiene of the personnel.

INTERVIEW

1. What are the requirements for materials for the manufacture of equipment, dishes, inventory?

2. What are the sanitary requirements for the placement and use of equipment?

3. How is inventory marked, what is the meaning of marking on cutting boards?

4. What methods of disinfection are used at catering establishments?

5. What are the main disinfectants?

6. Name the types of cleaning and the frequency of its implementation.

7. What are the rules for using detergents and disinfectants?

8. How is the tableware washed?

9. How is the efficiency of washing dishes and utensils monitored?

10. What medical examinations and examinations should catering workers undergo when applying for work and periodically?

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SANITARY RULES FOR PUBLIC CATERING INSTITUTIONS - SanPiN 42-123-5777-91 (approved by the USSR Ministry of Health 19-03-91) (together with ... Actual in 2017

14. Sanitary requirements for personal hygiene of personnel

14.1. Persons applying to work at public catering establishments are required to undergo a medical examination in accordance with the current Order of the USSR Ministry of Health N 555 dated 09.29.89 "On improving the system of medical examinations of workers and drivers of individual vehicles" and take a course on hygienic training with a test.

Before submitting the results of medical examinations and passing the test for the sanitary minimum, these persons are not allowed to work.

14.2. For each employee, a personal medical book must be kept, in which the results of medical examinations, information about the transferred infectious diseases, about the delivery of the sanitary minimum must be entered.

14.3. The staff of the catering establishment is obliged to comply with following rules personal hygiene:

Come to work in clean clothes and shoes;

Leave outerwear, headwear, personal items in the dressing room;

Cut your nails short;

Before starting work, wash your hands thoroughly with soap and water, put on clean sanitary clothes, tuck your hair under a cap or kerchief, or put on a special hairnet;

When visiting the toilet, take off sanitary clothes in a specially designated place, after visiting, wash your hands thoroughly with soap, preferably disinfectant;

If signs of a cold or intestinal dysfunction appear, as well as suppuration, cuts, burns, inform the administration and contact a medical institution for treatment;

Report all cases of intestinal infections in the employee's family.

14.4. At public catering establishments it is strictly prohibited:

In the manufacture of dishes, culinary and confectionery wearing jewelry, varnishing nails, pinning up sanitary clothes;

Eating, smoking in the workplace; eating and smoking are allowed in a specially designated room or place.

14.5. Every day before the start of the shift in the cold, hot and confectionery shops, as well as at the enterprises producing soft ice cream, the head of the shop or a health worker on the staff inspect the open surfaces of the body for the presence of pustular diseases. Persons with pustular skin diseases, festering cuts, burns, abrasions, as well as catarrh of the upper respiratory tract are not allowed to work in these workshops, but are transferred to another job. The results of the inspection are recorded in the journal of the established form.

14.6. Each enterprise must have a first aid kit with a set of medicines for first aid.

14.7. Students of secondary vocational schools, students of higher educational institutions and technical schools before undergoing practical training at catering establishments in mandatory must pass medical examination and hand over the sanitary minimum.

14.8. Locksmiths, electricians and other workers employed renovation works in the production and warehouse premises of the enterprise, they are obliged to work in the shops in clean sanitary clothes, carry tools in special closed boxes, during work to prevent contamination of raw materials, semi-finished products and finished products.

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Personal hygiene of service personnel. Special clothing

INTRODUCTION

1. PERSONAL HYGIENE OF SERVICE STAFF

2. HYGIENIC TREATMENT OF THE HANDS OF THE MEDICAL PERSONNEL

3. THE EFFICIENCY OF WEARING MEDICAL CLOTHING

4. RULE OF WEARING A MEDICAL CAP, BOTTOM, FOOTWEAR

5. REQUIREMENT FOR PERSONAL LINEN, CLOTHING, FOOTWEAR. RULES FOR WEARING

6. WEARING RULES AND HYGIENIC TREATMENT OF WATCHES, BRACELETS, RINGS, ETC.

CONCLUSION

LIST OF USED LITERATURE

INTRODUCTION

Medical personnel must strictly adhere to the rules of personal hygiene, because personal hygiene medical staff it is something that should never be neglected. This is necessary both for the employee himself and for all patients he serves. And for this reason, every medical worker is obliged to be a real living example of the highest sanitary culture.

Neat and cultured appearance, the impeccable implementation of the rules of personal hygiene by medical personnel are necessary conditions when serving patients. Medical personnel should be a model for patients in observing the rules of personal hygiene, which has great importance for the prevention of nosocomial infections, both among staff and among patients.

1. PERSONAL HYGIENE OF SERVICE STAFF

All employees entering the hospital are subject to mandatory medical examination... Junior staff should be competent in the field of sanitary knowledge.

The medical staff of medical institutions should be provided with sets of changeable clothes: gowns, hats or kerchiefs, masks, changeable shoes (slippers) in an amount that provides a daily change of clothes. It should be stored in individual lockers. A set of sanitary clothes should always be available for emergency replacement in case of contamination. Special sanitary clothing of personnel serves as protection against the transmission of infections and distinguishes the position of the employee. Sanitary clothes should be snow-white, ironed and of appropriate size.

Outerwear is kept in the staff wardrobe.

Non-medical personnel performing work (including temporary) in the departments of medical institutions must have changeable clothes and shoes. Change of clothing and footwear should also be provided for medical personnel of other units providing advice and other assistance.

Nails should be trimmed short. The technical staff involved in cleaning the premises are not allowed to serve food.

The personnel serving the section with one infection should not have contact with the personnel and patients of the other section of the infectious diseases department during work.

For the personnel of the infectious and disinfection departments, pass-through showers are arranged.

In order to prevent various diseases associated with medical manipulations, the personnel must:

Immediately after the end of the manipulation or procedure, immerse the used medical instruments in a container with a disinfectant solution;

In case of contamination of hands with blood, serum, secretions, thoroughly wipe them with a swab moistened with a skin antiseptic, and then wash with running water and soap. Treat gloves with a napkin moistened with a disinfectant, then wash them under running water, remove them and wash your hands and treat them with a skin antiseptic;

If the patient's biological fluid gets on the mucous membranes of the oropharynx, immediately rinse the mouth and throat with 70% alcohol or 0.05% potassium permanganate solution; if biological fluids get into the eyes, rinse them with a solution of potassium permanganate in water in a ratio of 1: 10000;

In case of injections and cuts, wash your hands, without removing gloves, with running water and soap, remove the seals, squeeze blood out of the wound, wash your hands with soap and treat the wound 5% alcohol tincture iodine;

If there are microtraumas, scratches, abrasions on the hands, glue the damaged areas with adhesive plaster;

For hand skin care use softening and protective creams providing elasticity and strength to the skin.

2. HYGIENIC TREATMENT OF THE HANDS OF THE MEDICAL PERSONNEL

During hand hygiene, a medical staff member must:

1) take scissors, adhesive plaster, cotton swabs, hand sanitizer, liquid soap or disposable packaging solid soap, individual towel, gloves;

2) remove bracelets, rings and other jewelry from your hands;

3) remove varnish coating from nails, make sure that there are no microtraumas on the hands (if available, glue them with adhesive plaster);

4) cut your fingernails short;

5) wipe your hands with a cotton swab dipped in an antiseptic;

6) wet your hands under running water and soap them;

7) rub your palms together;

8) rub with the left palm on the back of the right hand, and vice versa;

9) rub your palms together with crossed fingers spread;

10) grasp the first finger with the left hand right hand and rub it in a circular motion, repeat the manipulation on the other hand;

11) rub the palm of the other with the fingertips of one hand in a circular motion, repeat the manipulation on the other hand;

12) rinse off the soap from the hands with running water so that the water flows down the hands from the fingers to the wrists;

13) Dry your hands with an individual towel.

Hand hygiene treatment is carried out in two ways:

Hygienic hand washing with soap and water to remove impurities and reduce the number of microorganisms;

Treating hands with a skin antiseptic to reduce microbial counts to a safe level.

For washing hands, use liquid soap using a dispenser (dispenser). Wipe your hands with an individual towel (napkin), preferably disposable.

Hygienic treatment of hands with alcohol-containing or other approved antiseptic (without their preliminary washing) is carried out by rubbing it into the skin of the hands in the amount recommended by the instructions for use, turning Special attention for processing fingertips, skin around nails, between fingers. A sine qua non effective hand disinfection is to keep them moist for the recommended processing time. manipulation hygienic treatment antiseptic

When using the dispenser, a new portion of the antiseptic (or soap) is poured into the dispenser after it has been disinfected, rinsed with water and dried. Preference should be given to elbow dispensers and photocell dispensers.

Skin antiseptics for treating hands should be readily available at all stages of the diagnostic and treatment process. In units with a high intensity of patient care and a high workload on staff (intensive care units and intensive care etc.) dispensers with skin antiseptics for treating hands should be placed in places convenient for use by personnel (at the entrance to the ward, at the patient's bedside, etc.). It should also be possible to provide medical workers with individual containers (bottles) of small volumes (up to 200 ml) with a skin antiseptic.

Use of gloves.

Gloves must be worn in all cases where contact with blood or other biological substrates, potentially or clearly contaminated with microorganisms, mucous membranes, damaged skin, is possible.

It is not allowed to use the same pair of gloves when in contact (for care) with two or more patients, when moving from one patient to another, or from a part of the body contaminated with microorganisms to a clean one. After removing the gloves, hand hygiene is carried out.

If gloves are contaminated with secretions, blood, etc. in order to avoid contamination of hands during their removal, you should remove visible dirt with a swab (napkin) moistened with a solution of a disinfectant (or antiseptic). Remove gloves, immerse them in the solution, then discard. Treat hands with an antiseptic.

3. THE EFFICIENCY OF WEARING MEDICAL CLOTHING

The hygiene of personal and special clothing of medical personnel plays an important role in contact with patients.

A proper look disposes the patient to the doctor, promotes the development trusting relationship... Clean, ironed white robe can calm the patient down, convince him of high-quality and qualified treatment, direct him to fight the disease. The confident look of the doctor sets the patient up for a favorable outcome of the disease. Wearing medical clothing prevents the introduction of infections "from the outside" and the development of nosocomial infections. Wearing a mask or gauze bandage protects the doctor from infection from the patient, and vice versa: the infection of the patient from the doctor by airborne droplets. Gloves protects medical personnel from cuts when opening ampoules, making injections, performing operations, from infection through blood various infections... Replaceable footwear helps to keep the department room clean, prevents the accumulation of dust, dirt from the street, and this has a beneficial effect on the patient's condition, contributes to his recovery, and facilitates the course of respiratory diseases.

4. RULE OF WEARING A MEDICAL CAP, BOTTOM, FOOTWEAR

TO important principles personal hygiene includes the rules for wearing medical clothing - a gown and a cap - with its daily change. After coming to work, the doctor can take a hygienic bath or shower. In the departments, two individual lockers are equipped for each employee: in one of the medical personnel, when coming to work, they must leave their clothes and belongings, in the other they must store special clothing, work dress and shoes to wear before work. Upon completion of the work, personal sanitization must be carried out.

The robe and cap must be clean and ironed. They should be washed at least once a week. The dressing gown should be long enough to cover the hem of the skirt for women and down to the knees for men. Usually the dressing gown is buttoned up. It is desirable that his sleeves are long (2/3 length is allowed). Sleeve cuffs should be closed. The color scheme can vary: light and delicate shades of blue, green, pink, and of course - white. The cap should cover hairline the head completely, as dust settles in the hair (possible spread of microorganisms). The resistance of young employees, who often view hygiene requirements as excessive, must be overcome through persuasion and administrative pressure. A lot of troubles arise with those fashion lovers who have long beards and hair and do not want to understand that they are the most dangerous staphylococcal reservoir and pose a potential threat to patients.

Slippers are recommended leather with rubberized soles, they are convenient to wash and disinfect. In no case is it allowed to wear felt or fur slippers, as they quickly absorb dust and moisture and can serve as a source of nosocomial infections. Slippers should be comfortable so that you can walk in them for a long time, so that your feet do not sweat in them, so that they do not create noise when walking.

Currently, there is a transition to the use of disposable medical suits from light fabric that would not need to be sterilized.

The staff is provided with personal protective equipment in the required amount and appropriate sizes (gloves, masks, shields, respirators, aprons, etc.), depending on the profile of the department and the nature of the work being done.

For hospital staff, dressing rooms with a shower and toilet are provided.

The number of wardrobes in dressing rooms should be taken equal to 100% of the list of medical and technical staff; dressing rooms should be provided with two-section lockable wardrobes, providing separate storage of home and work clothes.

Dressing area streetwear should be taken at the rate of not less than 0.08 m2 per 1 hanger (hook) in the dressing room.

The area of ​​dressing rooms for personal and work clothes of personnel should be taken at the rate of at least 0.5 m2 per 1 wardrobe.

The number of showers in hospitals is taken on the basis of: at least 1 shower cabin for 10 people working in infectious and tuberculosis departments; in other departments - at least 1 shower cabin for 15 people working in the largest shift. With a smaller number of personnel, at least 1 shower cabin should be provided.

Medical personnel must be provided with sets of changeable clothing: gowns, hats, changeable footwear in accordance with the equipment sheet, but at least 3 sets of overalls per worker.
In the operating unit, doctors and other persons involved in the operation must work in sterile gowns, gloves and masks. Replaceable shoes should be made of non-woven fabric.

The washing of the personnel's clothes should be carried out centrally and separately from the linen of the patients.

The change of clothes in the departments of the surgical and obstetric profile is carried out daily and as it gets dirty. In institutions of a therapeutic profile - 2 times a week and as soon as it gets dirty. Replaceable footwear for personnel working in aseptic rooms should be made of non-woven material available for disinfection. Replaceable clothing and footwear should also be provided for medical personnel of other units providing advice and other assistance, as well as for engineering and technical workers.

5. REQUIREMENT FOR PERSONAL LINEN, CLOTHING, FOOTWEAR. RULES FOR WEARING

Personal clothing should be cotton. The surgical department is not allowed to wear wool and synthetic fabric as they are a favorable environment for the spread of infections. Clothes should always be clean. Lingerie is washed at least once a week, and socks every three to four days. The clothes of medical personnel cannot be too provocative, bright colors... Wearing is not allowed short skirts, open tops... Makeup should also be kept to a minimum. In surgery, it is recommended to wear tight trousers both men and women. Eau de Toilette should not be felt too much by medical personnel, as some patients may be very sensitive to such odors, and this can cause negative emotions... Personal footwear should be leather whenever possible. Excluded high heels as they make noise when walking, and this can interfere with patients. Outdoor shoes, before entering the hospital, must be washed, or shaken off on the threshold or mat. In the room of the department, shoes are changed into clean, work slippers.

6. WEARING RULES AND HYGIENIC TREATMENT OF WATCHES, BRACELETS, RINGS, ETC.

If medical personnel wear watches, rings, bracelets, they must be sanitized (wiped with alcohol). As a result, they can lose their appearance, so it is better to exclude them altogether. The rings can break the gloves, and this can lead to infection with various infections during the operation. Also, during the operation, the clock will interfere, they are allowed only by anesthesiologists who keep track of the time and inform the surgeons. The purity of the body should be monitored. Fingernails should be trimmed short (two millimeters from the edge nail plate) as dirt can accumulate under the nails. Hands should be washed with warm running water and soap before and after each procedure for at least two minutes.

CONCLUSION

Features of work medical worker make high demands not only on theoretical knowledge and professional skills, but also on moral and ethical character nurse, the ability to behave with dignity in a team, to be merciful with the sick and polite with their relatives.

Compliance with basic personal hygiene requirements ensures correct physical development organism and helps to weaken adverse effects external environment... Strict implementation of these rules ensures the preservation of health and performance, as well as the extension of human life.

Professional knowledge and strict implementation of the orders of the Ministry of Health of the Russian Federation on compliance with the sanitary and epidemiological regime, the rules of asepsis and the technique of performing manipulations can prevent the occurrence of post-injection complications and nosocomial infection.

LIST OF USED LITERATURE

1. Order of the Ministry of Health Russian Federation No. 156 of 20.05.97 "On the employment of medical and pharmaceutical activities In Russian federation".

2. Order of the Ministry of Health of the USSR No. 916 dated 4.08.83 "On the approval of the instructions for the sanitary and anti-epidemic regime and labor protection of the personnel of infectious diseases hospitals (departments)."

3. Order of the Ministry of Health of the USSR dated 07/31/1978. No. 720 "On improving medical care patients with purulent surgical diseases and strengthening measures to combat nosocomial infections. "

4. Sanitary and epidemiological requirements for organizations carrying out medical activities. Sanitary and Epidemiological Rules and Norms SanPiN 2.1.3.2630 - 10.

5. Paleeva N.R. "Nurse's Handbook for Nursing" edited by Academician of the Russian Academy of Medical Sciences. Moscow, 1993

6. Sadikova N.B. "A modern reference book of a nurse." Minsk, 1999.

7. Khramova E.Yu., Plisov V.A. “Nurse's Handbook. A practical guide". - 2011 .-- 511 p.

8. Volkolakov Ya.V. "General Surgery 1983. Nursing of Surgical Patients" Ch. 3

9. Krasnova A.F "Nursing" Samara - 1998. - 368p.

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