Equipping a treatment room in a hospital. P. Execution of the procedure. I. Preparation for the procedure
Topic: Drug treatment v nursing practice
Prepared by the teacher
A. N. Aforkina
chairman of the CMC
Osmirko E.K.
Orenburg -2015
I. Routes and methods of administration medicines into the body.
Drug therapy is the most important component of the entire treatment process.
Medicinal substances have both local and general (resorptive) effects on the body.
Medicines are introduced into the human body in various ways. The way in which the drug is introduced into the body depends on:
1) the speed of the onset of the effect,
2) the magnitude of the effect,
3) duration of action.
Tab. 1 Ways and methods of drug administration
II. Rules for prescribing, receiving, storing, recording and distributing medicines.
Rules for prescribing medicines for the department.
1. The doctor, conducting daily examination of patients in the department, writes down in the history of the disease or a list of prescriptions the drugs necessary for this patient, their doses, frequency of administration and routes of administration.
2. The ward nurse makes a selection of prescriptions on a daily basis, copying the prescribed drugs into the Prescription Book separately for each patient. The injection information is passed on to the procedural nurse who performs the injection.
3. The list of prescribed drugs that are not on the post or in the treatment room is submitted to the head nurse of the department.
4. The head nurse (if necessary) writes out an invoice (requirement) in a certain form for obtaining medicines from the pharmacy in several copies, which is signed by the head. branch. The first copy remains in the pharmacy, the second is returned to the financially responsible person. The invoice f. No. 434 must indicate the full name of the medicinal products, their sizes, packaging, dosage form, dosage, packaging, quantity.
Order of the Ministry of Health of the Russian Federation of August 23, 1999 N 328 "On the rational prescription of drugs, the rules for writing prescriptions for them and the procedure for their dispensing pharmacies(organizations) "as amended on January 9, 2001, May 16, 2003.
Medicines are dispensed by the pharmacy to the departments in the amount of the current need for them: poisonous - 5 days' supply, narcotic - 3 days (in the intensive care unit), all others - 10 days.
Order of the Ministry of Health of the Russian Federation No. 330 of 12.11.97 “On measures to improve the accounting, storage, prescribing and use of NLS”.
5. Requirements for poisonous (for example, for strophanthin, atropine, proserin, etc.) and narcotic drugs (for example, for promedol, omnopon, morphine, etc.), as well as for ethyl alcohol are written out on separate forms of the senior m / s for Latin... These requirements are stamped and signed by the head physician of the healthcare facility or his deputy for the medical part, indicating the route of administration, concentration ethyl alcohol.
6. In the requirements for acutely deficient and expensive medicines, name and surname are indicated. patient, medical history number, diagnosis.
7. Receiving medicines from the pharmacy, the head nurse checks their compliance with the order. When dispensing ampoules with narcotic drugs from the pharmacy, the integrity of the ampoules is checked.
On dosage forms made in a pharmacy, there must be a certain color of the label:
for external use - yellow;
for internal use, white;
For parenteral administration - blue (on vials with sterile solutions).
The labels must have clear names of drugs, designations of concentration, dose, date of manufacture and the signature of the pharmacist (details of the manufacturer) who made the data. dosage forms.
Rules for storing medicines in the department.
1. For storage of medicines at the nurse's station, there are cabinets that must be locked with a key.
2. In the cabinet, medicinal substances are arranged in groups (sterile, internal, external) on separate shelves or in separate cabinets. Each shelf must have a corresponding indication ("For external use", "For internal use", etc.).
3. It is advisable to place medicinal substances for parenteral and enteral administration on the shelves according to their intended purpose (antibiotics, vitamins, antihypertensive drugs, etc.).
4. Larger dishes and packages are placed at the back, and smaller ones at the front. This makes it possible to read any label and quickly take the right medicine.
6. Medicinal substances included in list A, as well as expensive and acutely deficient drugs are stored in a safe. On the inner surface the safe should contain a list of them indicating the highest daily and single doses, as well as a table of antidote therapy. Inside any cabinet (safe), medications are divided into groups: external, internal, eye drops, injection.
7. Preparations that decompose in the light (therefore they are released in dark bottles), store in a place protected from light.
8. Strong-smelling medicines (iodoform, Vishnevsky's ointment, etc.) are stored separately so that the smell does not spread to other medicines.
9. Perishable drugs (infusions, decoctions, potions), as well as ointments, vaccines, serums, rectal suppositories and other drugs are stored in the refrigerator.
10. Alcohol extracts, tinctures are stored in vials with tightly ground stoppers, as due to the evaporation of alcohol, they may become more concentrated over time and cause an overdose.
11. The shelf life of sterile solutions made in a pharmacy is indicated on the bottle. If during this time they are not implemented, they must be discarded, even if there are no signs of unsuitability.
Temperature and light conditions must be observed. Infusions, decoctions, emulsions, serums, vaccines, organic preparations should be stored only in the refrigerator.
The signs of unsuitability are:
Sterile solutions have a change in color, transparency, the presence of flakes;
For infusions, decoctions - turbidity, discoloration, appearance bad smell;
Ointments have discoloration, flaking, rancid odor;
For powders, tablets - discoloration.
A nurse is not allowed to:
Change the form of medicines and their packaging;
Combine identical medicines from different packages into one;
Replace and correct drug labels:
Store medicinal substances without labels.
Documentation treatment room
Posted on /
Introduction
Functions of a nurse in a treatment room
Treatment room documentation
General documentation for the treatment room
Conclusion
Literature
Introduction
To provide effective and qualified assistance to a sick person, a nurse must perfectly master the necessary volume of deep knowledge, skills, practical skills, that is, be a professional in her field.
For this, nursing documentation is being developed and implemented, standards that contribute to a complete analysis of the patient's problems, ways of solving them, allowing to assess the quality of nursing care. Along with this, programs for assessing the quality of nursing care have been developed, as well as a model of the final result with the possibility of economic incentives for the work of a nurse. The functional responsibilities of the nurse in the treatment room are: Correct organization of the work of the room for the implementation of diagnostic and treatment measures, according to the profile of the department. Immediately inform the doctor about complications associated with the procedure. Provision of first aid medical care. Strict adherence to asepsis, antiseptics, infectious safety standards, OST 42-21-2-85 "Sterilization and disinfection of medical devices." Strict implementation of measures for the prevention of serum hepatitis and HIV infection. Compliance with the sanitary and epidemiological regime of the office in accordance with the current orders.
Timely replenishment of the office with medicines, instruments. Ensuring the correct storage of medicines, serums, monitoring the expiration dates. Clear documentation. Compliance with safety regulations. Improve qualifications and professional skills.
1. Functions of a nurse in a treatment room
I. Implementation of diagnostic and treatment measures:
The introduction of drugs and the conduct of medical manipulations in accordance with the regulation of the types of activities of a nurse;
Blood sampling from a vein for diagnostic studies;
Assisting a doctor with:
a) carrying out manipulations in a serious condition of the patient;
b) determining the blood group and Rh factor;
c) approbation of a new drug.
II. Office work. Logging:
Appointments;
Accounting for the work of the treatment room;
Accounting for intravenous fluids and droppers;
Accounting for intramuscular, subcutaneous injections and antibiotics;
Delivery of bixes to the central sterilization room;
Registration of general cleaning;
Accounting for patients who have had hepatitis;
Complications associated with medical procedures.
III. Relief of complications associated with medical procedures with a doctor's notice.
IV. Organization of work of junior medical personnel.
V. Participation in the preparation of a reserve of nurses in the treatment room.
2. Documentation of the treatment room
In order to comply with the sanitary and epidemiological regime, an order was put into effect, which is used in health care institutions, the order contains the following provisions:
Order of the Ministry of Health of the USSR No. 770 of 06/10/1985 on the introduction of the industry standard ost 42-21-2-85 sterilization and disinfection of medical devices. Methods, means and modes (together with the industry standard approved by the USSR Ministry of Health on 06/07/1985)
GOST 42-21-2-85 “Sterilization and disinfection of medical devices. Methods, means, modes ".
Guideline R.3.1.683-98 “Use of ultraviolet bactericidal radiation for disinfection of air and surfaces in rooms);
Order of the Ministry of Health of the USSR No. 408 of 12.06.89. "On measures to reduce the incidence of viral hepatitis in the country"
Order of the Ministry of Health and the Ministry of Health of the Russian Federation No. 170 of 08.16.94 "On measures to improve the prevention and treatment of HIV infection in Russia."
SanPiN 2.1.3.1375-03 of 06.06.2003 “Hygienic requirements for the placement of the device, equipment and operation of hospitals, genus. houses and other medical hospitals ".
Order of the FGU TsGSEN RME No. 130/84 SE of 1.06.2001 "On improving measures for the prevention of nosocomial infections in health care facilities of the republic."
SanPin 2.1.5.980-99 "Rules for the collection, storage and disposal of waste from health care facilities."
SP 3.1.958-00. "Prevention of viral hepatitis. General requirements for epidemiological surveillance of viral hepatitis ".
Order of the Ministry of Health and the Ministry of Health of the Russian Federation No. 170 of August 16, 1994 "On the introduction of
preventive vaccinations against hepatitis B ".
Order of the Ministry of Health of the Russian Federation No. 25 of January 1998 "On strengthening measures to prevent influenza and other acute respiratory infections."
Regulatory documents governing the accounting, storage and dispensing of medicines of various groups:
Order of the Ministry of Health of the USSR dated 08/30/91. No. 245 "On the standards for the consumption of ethyl alcohol for health care, education and social security institutions."
Order of the Ministry of Health of the USSR dated 2.06.87 No. 747 “Instructions for the registration of medicines, dressings. medical instruments "
Order of the Ministry of Health of the USSR No. 720 of July 31, 1978 "On improving medical care for patients with purulent - surgical diseases and strengthening measures to combat nosocomial infections"
Order of the USSR Ministry of Health of 30.0891 No. 245 "On standards for the consumption of ethyl alcohol for health care, education and social security institutions"
Order of the Ministry of Health of the USSR dated 2.06 198. No. 747 "Instruction for the registration of medicines, dressings, medical instruments"
Appendix No. 2 № Approximate consumption rates of ethyl alcohol in the departments of health care facilities "
All medicines are divided into three groups: "A", "B" and "General list". According to the method of application, medicines are divided into: parenteral, internal and external.
Group "A" includes narcotic and poisonous drugs that are kept by the head nurse in a metal safe under lock and key and shot to the floor. On the back of the safe is a white letter "A" on a black background and the word "VENENA" in black letters on a white background. On the left side wall there is an inscription "narcotic drugs", on the right wall of the safe - "poisonous". On the inner wall of the safe door there is a list of narcotic and poisonous drugs, their highest daily and single doses.
All potent drugs belong to group "B" and are stored in lockers with markings: on the back wall there is a red letter "B" on a white background and the word "HEROICA" in black on a white background. List "B" includes 14 groups of medicines, determined by the mechanism of action:
1. Antibiotics
2. Sulfonamides
3. Some digitalis drugs
4. Analgesics
5. Antispasmodics
6. Hypotensive
7. Sedatives
8. Sleeping pills
9. Hormonal
10. Diuretics
11. Anticonvulsants
12. Antiarrhythmic
13. Stimulating CNS
14. Excitatory respiratory center.
In the cabinets they are arranged according to the mechanism of action, according to the application. Internal drugs are separate from parenteral drugs.
On a quantitative basis, there are psychotropic drugs from list No. 3 - 16 names.
Medicines of the "general list" are stored in cabinets with the inscription inside: on a white background in black letters "general list". Parenteral drugs are stored separately from internal and external drugs are located according to the mechanism of action.
3. General documentation for the treatment room
The treatment room should contain:
1. Professional job description.
2. Orders, instruction letters of the Ministry of Health of the Russian Federation, institutions of the State Sanitary and Epidemiological Supervision, local administration, regulating the activities of the nurse in the treatment room.
3. List of documentation for the treatment room:
Quartz cabinet notebook.
General cleaning notebook
Notebook for accounting for azopyram and phenolphthalein samples.
Sterilization control log for instruments and soft inventory.
Treatment room appointment log.
Notebook for recording intravenous blood sampling for biochemical analysis, HbSAg, blood group Rh factor.
Intravenous blood sampling record book on RW.
Notebook for recording intravenous blood sampling for HIV infection.
Fridge temperature control notebook.
Register of prof. Vaccinations.
Hepatitis vaccination register.
4. List of equipment, equipment for the treatment room.
5. List of the sequence of the workflow.
6. List of medicines required for emergency assistance.
7. List of medicines, a list of measures to be taken in case of anaphylactic shock.
8. List of medicines, expiration dates.
9. Instructions for the storage of drugs.
10. Higher single doses of narcotic drugs.
11. Table of antidotes for drug poisoning.
12. Higher single and daily doses of potent and poisonous medicines.
13. Incompatibility of medicines.
14. List of medicines stored in the refrigerator, the sequence of their placement.
15. A complex of anti-epidemic measures for the prevention of HIV / AIDS, hepatitis in the treatment room.
16. Precautions when working with disinfectants and detergents.
17. First aid for poisoning with disinfectants.
18. Methods of sterilization.
Standards:
Treatment room equipment standard;
Standard for equipping a treatment room with solid inventory
Antibiotic dilution standard;
Intramuscular injection standard;
Subcutaneous injection standard;
Intravenous injection standard;
Blood sampling standard for biochemical research;
General cleaning standard;
Current cleaning standard;
Sterile table cover standard;
Bix stacking standard;
The standard for the preparation of 10% of the original clarified solution of bleach.
treatment room nurse document
Conclusion
The quality of medical care is determined, first of all, by the health care organization system as a whole and by each of its branches separately. The functioning of the health care system is determined by laws and regulations.
In the treatment room of the healthcare facility, all the appointments of the attending physicians are carried out. In the office, everything should be provided for carrying out various medical procedures: performing injections - subcutaneous, intramuscular, intravenous; taking blood from a vein for laboratory research; providing emergency assistance in emergency situations.
The procedural nurse is responsible for: the correct organization of the work of the procedural room around the clock; For the timely fulfillment of the doctor's prescriptions for the procedures; For the implementation of the sanitary and epidemiological regime at their workplace, the rules of asepsis and antiseptics; For providing the office during the day with the required number of instruments, drugs, solutions, sterile material for performing procedures; For compliance with the conditions and rules for storing medicines, inventory, tools, cabinet equipment; For the high-quality documentation of the office and making notes on the procedures performed. For the correct organization of the work of the nurse's office.
Literature
Agkatseva S.A. Teaching practical skills in the system of secondary medical education. Algorithms of manipulations in the activities of a nurse. Phoenix, 2006 - 168s.
Fundamentals of nursing: Textbook Weber V.R., Chuvakov G.I., Lapotnikov V.A., et al. - M .: Medicine, 2001- 496s.
A Nurse's Guide to a Treatment Room. Chernova O.V. - Rostov n / a: Phoenix, 2006 - 15p.
Handbook for nurses in the treatment room Grinenko A.Ya. WORD ,. 2005 - 20s.
Posted on
Similar abstracts:
X-ray department is a structural unit that serves a polyclinic. X-ray department documentation. Qualitative indicators of work. Occupational Safety and Health. Sanitary and educational work. Emergency Medicine.
The admission department as an independent structural unit of the hospital, the main goals of its organization and the functions it performs. general characteristics and specific signs of the work of the children's admission department, responsibilities nurses.
Study of the work of a nurse in the treatment room of the inpatient department of the Republican dermatovenerologic dispensary. Room equipment, disinfection modes and procedure general cleaning... The main measures for injections.
Concept of drugs ah, psychotropic substances and precursors. Organization of supply, transportation, storage and supply of narcotic drugs and psychotropic substances of medical and preventive institutions, estimated standards of need.
Features of the midwife's work postpartum department obstetric clinic. Obstetric clinic as a specialized hospital for pregnant women with extragenital pathology. Tasks of the midwife in the postpartum ward. Working day in the postnatal ward.
a brief description of health care institutions. Characteristic structural unit... The structure of the activity of the district nurse. Organizational activities of the district nurse. Innovative technologies and professional development of nurses.
Organization of a workplace for a senior nurse dispensary department of the regional clinical anti-tuberculosis dispensary. Preventive actions... First aid to the patient, diagnosis and inpatient treatment of open pneumothorax.
The device, equipment, equipment of the physiotherapy room. Varieties of procedures. Instruction on safety and labor protection, organization of the work of the physiotherapy room. General rules carrying out physiotherapy procedures.
Brief description of the republican clinical hospital... Work with the medical means and equipment. Compliance with the sanitary and epidemiological regime in the department. Rendering first aid at acute diseases and accidents.
Bed fund of the therapeutic department. Compliance with the sanitary and epidemiological regime in the department, wards, department premises. Record keeping at the nursing post. Distribution of medicines. Caring for and monitoring patients.
Characteristics of the automated control system in healthcare. Tasks, functions, goals of the automated control system. Socio-psychological, organizational, financial, technical problems of the implementation of the health care management system.
Characteristics of the children's city polyclinic number 6 and structural departments. Branch healthy child... Vaccination work, sanitary and hygienic and anti-epidemic measures. Functional responsibilities of the chief nurse of the polyclinic.
Characteristics and main tasks of the intensive care unit and intensive care Novoselytsky central regional hospital. Deontology and Medical Ethics. The activities of the anesthesia service in the hospital. The main responsibilities of a nurse anesthetist.
Organization of the work of the medical statistics department of the Regional TB Dispensary, regulatory and accounting documents governing its activities. Statistical analysis of the main quantitative and qualitative indicators of the work of health care facilities.
1.OST 42-21-2-854: order No. 222/80 dated 06/27/00 Equipment: tweezers, microscope slides, scissors, folkman's spoon. Indications: fungal diseases.
Characteristics of the regional clinical tuberculosis dispensary. Highlights of patient care, disease prevention. Functions of the ward nurse. Documents for the organization of the pharmaceutical order. Basic insurance program.
Send your good work in the knowledge base is simple. Use the form below
Students, graduate students, young scientists who use the knowledge base in their studies and work will be very grateful to you.
Similar documents
Methodological recommendations for organizing and holding a competition for filling a vacant position in the state civil service of the Vologda region (can also be used for holding a competition for filling a vacant position in a municipal service)
GuidelinesAs rightly emphasized in the scientific literature: “ Public service needs an influx of new people capable of managing in a new way in accordance with the requirements of market relations.
Methodological recommendations for the preparation and conduct of the municipal August meetings
GuidelinesMethodological recommendations for the preparation and holding of municipal August meetings were drawn up by teachers of TOGIRRO in accordance with the main directions of the educational initiative "Our new school", Long-term target
Methodological recommendations for the preparation for the final certification in the Russian language in grade 9 Dear colleagues!
GuidelinesI am familiar with the difficulties that Russian language teachers face when preparing 9th grade students for the exam presentation. This is a large amount of material offered for independent work(the collection contains 73 texts,
Methodological recommendations for the preparation and conduct of state (final) certification of graduates of IX and XI (XII) classes of educational institutions
GuidelinesConcise presentation is the most difficult form of presentation, because when writing condensed presentation it is necessary to achieve the construction of such a text in which the necessary meaning is maximally expressed when minimum cost speech means.
Methodological recommendations for the preparation and conduct of the exam at the points of the exam Contents
GuidelinesStudents who have mastered the basic general education programs of secondary (complete) education in having state accreditation educational institutions regardless of their organizational and legal form and subordination (hereinafter
Officials responsible for the storage and consumption of medicines in the department. Overview of equipment for storing medicines. Preventive measures to prevent professional errors. Distribution procedure drugs.
presentation added on 11/05/2013
Original medicines and generics. Features of storage of medicines and products medical purpose... Ensuring patient safety rules when using medications. Teaching the patient how to take medications.
term paper added 03/15/2016
Features of the analysis of the usefulness of drugs. Discharge, receipt, storage and accounting of medicines, ways and methods of their introduction into the body. Strict rules for accounting for some potent drugs. Rules for the distribution of medicines.
abstract, added 03/27/2010
Information about the state register of medicines, medical devices and medical equipment permitted for medical use and implementation on the territory of the Republic of Kazakhstan. Formular system... Information about the registration of medicines.
presentation added on 10/05/2016
Premises and storage conditions pharmaceutical products... Features of quality control of medicines, Good Storage Practice rules. Ensuring the quality of medicines and drugs in pharmacy organizations, their selective control.
abstract, added 09/16/2010
State guarantee of the quality of medicines, its social significance for the protection of public health. Physicochemical properties of pharmaceutical products and materials; organizational, legal and technological conditions and standards for their storage.
abstract added 03/17/2013
Russian regulations regulating the production of medicines. The structure, functions and main tasks of the testing laboratory for quality control of medicines. Legislative acts RF on ensuring the uniformity of measurements.
Memo
nurse procedural
on medication
Trequirements for storage of potent, poisonous, narcotic drugs. In a psychiatric hospital, poisonous, potent drugs are widely used to treat patients. The use of these medicines requires the nurse special attention, high responsibility, and, accordingly, knowledge of the main regulatory orders. Order of the Ministry of Health of the USSR No. 747 of 06/02/1978 "On the approval of the instructions for accounting for medicines, dressings and medical products in health care facilities of the state budget of the USSR." invoice requirements, which are issued in 2 copies in ink or ballpoint pen... One copy remains in the pharmacy, the other is returned to the materially responsible person when the drugs are dispensed to him. Requirements-invoices must indicate the full name of the medicinal product in Latin, their sizes, packaging required to determine their cost. Corrections of the number of packaging and dosage of the medicinal product in the direction of increase is strictly prohibited. Potent, expensive and acutely deficient drugs that are subject to quantitative accounting written out in ink or ballpoint pen in 3 copies. Each name on a separate request with the stamp and seal of the institution is approved by the signature of the head of the institution. They must indicate the full name of the person. patients for whom medications are prescribed. Medicines are dispensed by the pharmacy to departments (offices) in the amount of the current need: - YV, SDV - 5 days; NS - 3 days; all others - 10 days. In departments and offices of health care facilities are subject to quantitative accounting:- Narcotic and psychotropic drugs approved by the Decree of the Government of the Russian Federation of June 30, 1998 No. 681 "On approval of the list of narcotic drugs, psychotropic substances and their precursors subject to control in the Russian Federation"; Poisonous and potent medicines approved by the Decree of the Government of the Russian Federation of December 29, 2007 for the purposes of Article 234 and other articles of the Criminal Code of the Russian Federation; Ethanol; Scarce and expensive medicines, dressings in accordance with the list approved by the orders of the chief physician of the medical facility (order No. 55-A of 01/29/2010).
| Ser. 140509 expired 06.2011 | Ser. 50208 valid until 03.11 |
| Ser. 2460609 valid until 07.11 | Ser. 0902 2009 valid until II 2011 |
- Ministry of Health of the Russian Federation No. 330 of 12.11.1997 "On measures to improve the accounting, storage, prescription and use of narcotic drugs."
- Ministry of Health of the Russian Federation No. 205 of May 16, 2003 "On Amendments and Additions to Order No. 330".
- Ministry of Health of the Russian Federation No. 523 of 03.07.1968 "On the procedure for storage, accounting, dispensing and use of poisonous, narcotic and potent medicines."
- PPRF No. 644 of 04.11.2006 "On the procedure for providing information on activities related to the circulation of narcotic drugs and psychotropic drugs, and registration of transactions related to the circulation of narcotic drugs, psychotropic substances and their precursors."
- PPRF No. 964 dated December 29, 2007 "On approval of the lists of SDV and poisonous substances for the purposes of Art. 234 and other articles of the Criminal Code of the Russian Federation, as well as for the large size of SDV and toxic substances for the purposes of Art. 234 of the Criminal Code of the Russian Federation.
- PPRF No. 892 dated 06.08.1998 “On approval of the rules for admitting persons to work with narcotic drugs and psychotropic substances”.
- PPRF from 30.06.1998, No. 681 "On approval of the list of narcotic drugs, psychotropic substances and their precursors, subject to control in the Russian Federation."
- Order of the Ministry of Health of the Russian Federation No. 377 dated 11/13/96. "On approval of instructions for organizing the storage of various groups of medicines and medical products."
- Order of the Ministry of Health of the Russian Federation No. 214 "On quality control of medicines manufactured in pharmacy organizations (pharmacies)".
- Order of the Ministry of Health of the USSR No. 747 of 06/02/1978 "On the approval of the instructions for the registration of medicines, dressings and medical products in the health care facilities of health care that are on the state budget of the USSR."
- Order of the Ministry of Health of the RSFSR No. 471 dated 09/17/1978 Appendix "Instruction to a medical worker on the storage of medicines in the departments of medical institutions."
PERFORMANCE TECHNOLOGIES
SIMPLE MEDICAL SERVICES
SUBCUTANEOUS ADMINISTRATION OF DRUGS AND SOLUTIONS
| Technology code | Technology name |
||
| Subcutaneous administration of drugs and solutions |
|||
| Scroll | 060101 Medicine 060102 Obstetrics |
||
| Absent |
|||
| Before and after the procedure, you should wash your hands with soap or treat them with an antiseptic. Use of gloves during the procedure. |
|||
| Outpatient Inpatient Sanatorium Urgent care at home |
|||
| Treatment Rehabilitation Prevention (including vaccination) |
|||
| Material resources |
|||
| Manipulation table 1 pc. Daybed 1 pc. Tray - 2 pcs. |
|||
| 5.2. | Reagents | Absent |
| 5J | And mmunobiological preparations and reagents | Vaccines |
| 5.4 | Blood products | Absent |
| 5.5 | Medicines | Antiseptic for the treatment of the injection field Antiseptic for the treatment of hands |
| 5.6 | Other consumable material | Napkins -3 pcs. Liquid soap... Gloves Dispensary with disposable towel |
| 6. | Algorithm for performing subcutaneous drug administration I. Preparation for the procedure. Prepare a syringe. Offer / help the patient to take comfortable position: sitting or lying down. The choice of position depends on the condition of the patient; injected drug Wear gloves. Treat the injection site in one direction with an antiseptic. Gather the skin with one hand in a triangular fold with the base down. Take the syringe with your other hand, holding the cannula of the needle with your index finger. Insert the syringe needle with a quick movement at an angle of 45 °. Slowly inject the drug into the subcutaneous fat. Press a napkin to the injection site or cotton ball with a skin antiseptic or dry wipe. |
|
| 7. | After injection, the formation of a subcutaneous infiltrate is possible (the introduction of unheated oil solutions), therefore, when injecting oil solutions, it is necessary to preheat the ampoule in water at 90 ° (ampoule in a dry beaker). When injecting heparin subcutaneously, it is necessary to hold the needle at an angle of 90 °, do not aspirate the blood, do not massage the injection site after the injection. in a long course, 1 hour after it, apply a heating pad to the injection site or make an iodine mesh. 15-30 minutes after the injection, be sure to ask the patient about his state of health and about the reaction to the injected drug (identification of complications and allergic reactions). |
|
| 8. | The drug was administered to the patient. |
|
| 9. | The informed consent form of the patient when performing the technique and Additional Information for the patient and his family members The patient receives information about the upcoming treatment. The doctor obtains consent to the treatment and informs the medical staff. Written agreement the patient is required in the case of the use of medicinal products undergoing trials or requiring special performance regime moments(duration of use, implementation of methodological J recommendations for norms healthy way life). |
|
| 10. | ||
| 12. | simple medical services Missing |
|
| 13. | Missing |
|
Simple medical service execution technology
Intradermal administration of drugs
| Technology code | Technology name |
|||
| Intradermal drug administration |
||||
| Requirements for specialists and support staff including requirements |
||||
| Scroll specialties / who is involved in the performance of the service | A specialist with an established diploma of graduation from a secondary vocational medical educational institution in the following specialties: 060101 Medicine 060102 Obstetrics |
|||
| Additional or special requirements for specialists and auxiliary personnel | Thematic improvement in vaccine prevention |
|||
| Requirements for ensuring the safety of medical personnel |
||||
| Occupational safety requirements when performing | Before and after the procedure, carry out hygienic treatment of hands. Use of gloves during the procedure. Use of a puncture-proof container for used needles. |
|||
| Conditions for performing a simple medical service Outpatient polyclinic Stationary Ambulance transportation medical care» Sanatorium |
||||
| Functional purpose simple medical service Rehabilitation, Prophylaxis |
||||
| Material resources |
||||
| Devices, instruments, medical products | Manipulation table 1 pc. Daybed 1 pc. Non-puncture-proof container 2 pcs. Container for disinfection - 2 pcs. Disposable syringes (according to the number of prescribed drugs). Tray - 2 pcs. |
|||
| 5.2. | Reagents | Absent | ||
| 5.3 | Immunobiological preparations and reagents | Absent | ||
| 5.4 | Blood products | Absent | ||
| 5.5 | Medicines | Vaccines Allergens Antiseptic for the treatment of the injection field. Antiseptic for the treatment of hands. | ||
| 5.6 | Other consumable material | Napkins - 3 pcs. Gloves. Dispenser with disposable towel Liquid soap. | ||
| 6. | Characteristics of the methodology for performing a simple medical service Algorithm for performing intradermal drug administration I. Preparation for the procedure.Make sure that the patient has informed consent for the upcoming drug administration procedure. In the absence of such, please clarify next steps at the doctor's. Wash and dry hands (using soap or antiseptic) Prepare a syringe. Draw up the drug into the syringe. Offer / help the patient to take a comfortable position: sitting or lying down. The choice of position depends on the condition of the patient; the injected drug. Select and examine / palpate the area of the intended injection to avoid possible complications. Wear gloves. Place one hand on the patient's forearm. Stretch the skin slightly on the front surface. Treat the injection site with an antiseptic. Take the syringe with the other hand, holding the cannula of the needle with the index finger, the needle with the cut up. Insert the needle with a quick motion at an angle of 10 ° -15 ° into the skin to the depth of the needle cut. Slowly inject the drug into the skin until a papule appears, indicating that the solution has entered the dermis. Press a tissue or cotton ball to the injection site. Dispose of syringe and used material. Remove gloves, place them in a container for disinfection. Wash and dry hands (using soap or antiseptic). Make an appropriate record of the results of the execution in the medical records. |
|||
| 7. | additional information about the features of the methodology When carrying out an injection into the skin (dermis), it is necessary to choose an injection site where there are no scars, pain when touched, itchy skin, inflammation, hardening. 15-30 minutes after the injection, be sure to ask the patient about his health and about the reaction to the injected drug (identification of complications and allergic reactions). After performing the procedure, do not massage the injection site with a napkin. Intradermal injections for children are performed in the middle third of the inner surface of the forearm, the upper third of the outer surface of the shoulder |
|||
| 8. | Achieved results and their assessment The drug was administered to the patient. |
|||
| 9. | The patient receives information about the upcoming treatment. The doctor obtains consent for the treatment and informs the medical staff. The written consent of the patient is required in the case of the use of drugs undergoing trials or requiring special implementation of the regime moments (during vaccinations). |
|||
| 10. | Parameters for evaluating and controlling the quality of the methodology Absence of deviations and defects at the stages of the technique. Execution of the technique without complications. Patient satisfaction with the quality of the provided medical service. |
|||
| 11. | Graphical, schematic and tabular presentation of execution technologies simple medical service Missing |
|||
| 12. | Formulas, calculations, nomograms, forms and other documentation (if necessary) Missing |
|||
Simple medical service execution technology
INTRAMUSCULAR ADMINISTRATION OF MEDICINES
| Technology code | Technology name |
||
| Intramuscular drug administration |
|||
| Requirements for specialists and support personnel, including requirements |
|||
| List of specialties / who is involved in the performance of the service | A specialist who has a state diploma on graduation from a secondary vocational medical educational institution in the following specialties: 060101 Medicine 060102 Obstetrics |
||
| Additional or special requirements for specialists and auxiliary personnel | Absent |
||
| Requirements for ensuring the safety of medical personnel |
|||
| Occupational safety requirements when performing the service | Before and after the procedure, you should wash your hands with soap or treat them with an antiseptic. Use of gloves during the procedure. Use of a puncture-proof container for used needles. |
||
| Conditions for performing a simple medical service Outpatient polyclinic Stationary Ambulance transportation Sanatorium Emergency home care |
|||
| The functional purpose of a simple medical service Rehabilitation Prophylaxis |
|||
| Material resources |
|||
| Devices, instruments, medical products | Manipulation table 1 pc. Daybed 1 pc. Non-puncture-proof container 2 pcs. Container for disinfection - 2 pcs. Disposable syringes (according to the number of prescribed drugs). Tray - 2 pcs. |
||
| Reagents | Absent |
||
| Immunobiological preparations and reagents | Absent |
||
| Blood products | Absent |
||
| Medicines | Antiseptic for the treatment of the injection field. Antiseptic for treating hands. |
||
| Other consumable material | Napkins -3 pcs. Gloves. Liquid soap. Dispenser with disposable towel |
||
| Characteristics of the methodology for performing a simple medical service Algorithm for performing intramuscular drug administration I. Preparation for the procedure. Make sure that the patient has informed consent for the upcoming drug administration procedure. If there is none, check with your doctor for further actions. Wash and dry hands (using soap or antiseptic) Prepare a syringe. Draw up the drug into the syringe. Offer or help the patient to get into a comfortable position. The choice of position depends on the condition of the patient; the injected drug. Select and inspect / palpate the area of the proposed Wear gloves. P. Execution of the procedure Treat the injection site with an antiseptic in one direction. Pull the skin tight with a large and forefinger one arm (for a child and an old person, grab the muscle in a fold), which will increase the muscle mass and facilitate the introduction of the needle. Take the syringe with the other hand, holding the cannula of the needle with your little finger. Insert the needle with a quick motion at an angle of 90 ° for 2/3 of its length. Pull the plunger towards you to make sure the needle is not in the vessel. Slowly inject the drug into the muscle. Press a tissue or cotton ball with a skin antiseptic to the injection site. Dispose of syringe and used material. Remove gloves, place them in a container for disinfection. Wash and dry hands (using soap or antiseptic). Make an appropriate record of the results of the execution in the medical records. |
|||
| 7. | Additional information about the specifics of the technique When injecting into the muscles of the thigh or shoulder, hold the syringe in right hand like a pen, at an angle so as not to damage the periosteum. When prescribing injections for a long course, 1 hour after it, apply a heating pad or make an iodine mesh to the injection site. 15-30 minutes after the injection, be sure to ask the patient about his health and about the reaction to the injected medicine (identification of complications and allergic reactions). |
||
| 8. | Achieved results and their assessment The drug was administered to the patient. |
||
| 9. | The informed consent form of the patient when performing the technique and additional information for the patient and his family members The patient receives information about the upcoming treatment. The doctor obtains consent to the treatment and informs the medical staff. Written consent of the patient is required in the case of the use of drugs that are being tested or requiring special performance of the regime moments (duration of use, implementation of guidelines for a healthy lifestyle). |
||
| 10. | Parameters for evaluating and controlling the quality of the methodology Absence of deviations and defects at the stages of the technique. Execution of the technique without complications. Patient satisfaction with the quality of the provided medical service. |
||
| 11. | Graphical, schematic and tabular presentation of execution technologies simple medical service Missing |
||
| 12. | Formulas, calculations, nomograms, forms and other documentation (if necessary) Missing |
||
Drug therapy is one of the most important treatment measures... The success of the treatment largely depends on how skillfully and skillfully the nurse administers the prescribed patient medications. Medicines are used strictly certain quantities... The same drug, depending on its amount, the age of a person and the state of his body, can have curative action or cause severe harm to the body, being poison, and even lead to death. Allocate solid (powders, tablets, dragees, pills), liquid (solutions, infusions, decoctions, potions, drops, emulsions), soft (ointments, pastes, suppositories) and gaseous forms of medicinal media g.
The action of medications can be aimed at eliminating the cause of the disease (etiotropic), correcting the dysfunction of the body (pathogenetic), eliminating individual symptoms (symptomatic). In order to drug therapy was successful, the patient should receive sufficient information about the medicines he is receiving.
Statement of a claim for a medicinal product. Target. Obtaining a medicine at a pharmacy.
Indications. The need for medicines in nursing posts and in treatment rooms. The need to replenish the supply of medicines from the head nurse.
Contraindications Adequate supply of medicines and dressings at the head nurse of the department.
Equipment. Forms of claims to the pharmacy in four copies.
Execution technique. I. The senior nurse writes out the claims in the department and fills in the claims for medicines and * pharmacies according to the list submitted by the ward nurses. The lists are compiled by the ward (sentry) nurses on an ordinary sheet of paper. The list includes those medicines that have run out or are on duty in insufficient quantity as well as newly prescribed drugs.
Requirements are filled in four copies in Latin, signed by the senior nurse and the head of the department. The method of using the drug is indicated (order of the Ministry of Health of Russia dated August 23, 1999 No. 328 "On the rational prescription of drugs, the rules for writing prescriptions for them and the procedure for their dispensing by pharmacies (organizations)".
Separately, on the claim forms, four copies are written out:
narcotic drugs;
poisonous agents;
potent drugs;
expensive medicines;
acutely deficient drugs;
ethanol;
dressing material (cotton wool, bandages, gauze).
When prescribing acutely deficient and expensive medicines, it is necessary to indicate the full name of the patients to whom they are inflicted. and their medical record numbers. The list of acutely deficient and expensive medicines was established by order of the Ministry of Health of Russia dated June 19, 1996 No. 346 "On the nomenclature of some narcotic, potent and poisonous substances" and by order of the USSR Ministry of Health dated December 22, 1989 No. 673 "List of medicines subject to specific - quantitative accounting in pharmacies and medical and prophylactic institutions ”.
Narcotic and poisonous drugs are written out in Latin on forms with a hospital stamp, seal and signature of the head of the healthcare facility.
The head nurse receives the finished medicines on the day the request is made, and those prepared at the hospital pharmacy the next day.
The senior nurse checks the correctness of the registration of the medicines received from the pharmacy, the presence of labels on the packages, the designation of the dose, the date of manufacture, the expiration date and the signature of the person responsible for the manufacture.
Notes. The supply of medicines should be enough for 10 days. In four copies, the requirements are issued to medical institutions that do not have their own pharmacies. If the hospital has its own pharmacy, then the request is written out in duplicate (spine and request).
Storage rules for medicines. Target. Correct location medicine in the closet allows the nurse to quickly find necessary medicine and provides accounting and control over the consumption of drugs.
Equipment. Medicines for external and internal use) and sterile solutions in ampoules and vials for parenteral administration.
Execution technique. 1. Medicines for external and internal use are laid out in a cupboard on different shelves marked “For external use” and “For internal use”. Medicines for external use have a yellow label, for internal use a white one.
Medicines for internal use The baby's sister groups it as follows: in one cell of the cabinet she puts drugs that lower blood pressure, in another - diuretics, in the third - antibiotics, etc.
Strong-smelling drugs (iodoform, lysol, etc.) are stored separately. Also, flammable substances (alcohol, ether, etc.) are stored separately.
Alcoholic, ethereal solutions, as well alcoholic tinctures and the extracts are stored in vials with tightly ground or well-screwed stoppers.
Medicines that decompose in the light (preparations of iodine, bromine, silver) are stored in a place protected from light.
Perishable products (water infusions, decoctions, potions, serums, vaccines) are stored in refrigerators at a temperature of +2 ... + 10 ° C.
All sterile solutions in ampoules and vials (blue label on the vials) are stored in the treatment room.
A nurse has no right to:
change the form of medicines and their packaging;
put the same medicines from different packages into one;
replace and / or correct the label on medicinal products;
store medicines without labels;
write labels myself and make your own inscriptions on the packaging of medicines.
For violation of the rules for recording and storing drugs in lists A and B, medical personnel are brought to administrative and head responsibility.
Storage of narcotic, poisonous and potent medicinal substances. Target. Ensuring the unavailability of medicines of these groups.
Indications. Order of the Ministry of Health of Russia dated August 23, 1999 No. 328.
Equipment. Safe with compartments "A" and "B".
Execution technique. Narcotic, poisonous and potent medicines are subject to special storage and accounting.
Medicines included in lists A and B are stored separately in special lockers-safes, in which separate lockers with locking doors are provided. On the inner surface doors of the safe there should be a list of drugs belonging to list A (narcotic analgesics and idiotic drugs) and list B (potent drugs), indicating the highest single and daily doses. Stocks of narcotic drugs should not exceed 3 days (by special decision, a stock of 5 days is possible), stocks of poisonous drugs - 5 days.
In the place of storage, light and temperature conditions must be observed.
The safe must always be closed. The key to it is kept by the person responsible for storage, who is appointed by the order of the chief physician.
In places of storage and at the post of a nurse, there should be tables of the highest single and daily doses of poisonous and narcotic substances, as well as a table of antidotes.
Poisonous, potent and narcotic drugs are subject to quantitative accounting in a special journal, in which all sheets are numbered, laced and sealed and signed by the head physician of the healthcare facility.
Filling out the register of narcotic drugs. Target. Accounting for narcotic substances to avoid careless or malicious use.
Indications. Consumption of the drug (administration to the patient). Transfer of duties.
Equipment. Narcotics register.
Execution technique. 1. Narcotic drugs are subject to quantitative accounting in a special journal, laced, numbered and sealed by the healthcare facility.
In the register of narcotic drugs, a certain amount of leaflets are allocated for each name of the drug or a separate journal is given for each drug, in which its name, concentration, amount, date of administration, patient history number, the amount entered and the remainder are indicated. Empty drug ampoules are not thrown away, but left in the safe.
Empty ampoules of drugs are destroyed by a special commission appointed by the chief physician of a medical facility, whose task is also to control the consumption of drugs and the correctness of keeping a register.
Every day, when changing shifts, the following is transmitted:
number of full ampoules;
number of empty ampoules;
an entry is made in the journal about the reception and transfer of each drug, the signatures of the nurses are put.
] I teeming with a medical facility doctor appoints a person responsible for the storage and use of drugs.
b. For violation of the rules for storing and spending narcotic drugs, as well as for errors in keeping a journal of their registration, the nurse is criminally liable.
In addition to narcotic drugs, poisonous, potent, acutely deficient and expensive drugs are subject to quantitative accounting.
Notes. A nurse has the right to inject drugs only with the appointment of a doctor indicated in the medical history.
In the medical history of the patient to whom drugs are prescribed, a "Drug Registration Sheet" is pasted. The nurse opens the ampoules, injects drugs in the presence of a doctor, and makes a note on the Drugs Register Sheet. After that, the nurse and the doctor sign their signatures, their signatures are certified.
The patient takes drugs orally in the presence of a nurse and a doctor. A note is made in the "Drugs registration sheet", confirmed by the certified signatures of the nurse and the doctor.