The structure of the city hospital. The order of referral to hospital. Organization of the hospital emergency room

At the head of the combined hospital chief doctor. He has assistants in medical, outpatient and administrative part. The structure consists of a hospital emergency department, department of differential diagnosis, treatment and diagnosis ¬ The statistical office (therapeutic, surgical, neurological, physical therapy, laboratory diagnostics, etc.). May also include specialized departments and wards.

Hospitals are differentiated by type of categorization and profile. The direct treatment of the patients are medical residents, the main elements of which are the maintenance history of the disease, diagnosis and treatment, examination of disability, rehabilitation and restorative treatment advice. At one resident has 20-25 patients. Among the medical records, which are hospital interns, are the main hospital record (case), the tally sheet of patients, the card left a hospital, sick leave, various registers and other WHO suggests divisions between hospitals for treatment and rehabilitation, prevention, training and research.

Typically, patients in hospitals come under the direction of medical clinics, health centers, dispensaries and other institutions such as community-acquired, as a matter of urgency and delivers them to send "ER." Some of the patients (5%) come to the hospital, "gravity" that is treated in the emergency department, which, if necessary, their hospitalizes. At the hospital the doctors clinics draw up special documents (the direction of a planned hospitalization, which specifies the need for patient examinations and patient survey data.)With financial calculations clinics with hospital admission for each case are extremely crucial moment accounting and validity of direction. At the clinics, universities and research institutes, which carries out scientific research work, carried out with the admission selection of the required number of relevant patients. To this end, work selection boards. In some cities, work centers (offices) of hospitalization.

Admissions Office can be centralized and decentralized. In the emergency department of a diagnosis and resolve the question of the validity of hospitalization. Failures are detected in the reasons. Record incoming and dropped out of the hospital, part of the passport is filled with history and with the patient card, or an extract from it is transmitted to the department. Admissions Office has everything you need for emergency assistance in a state of shock or poisoning. The front desk staff convey information about their sick relatives, conduct sanitization of patients admitted to the hospital, for the prevention of nosocomial infections.In the emergency room to be diagnostic chamber for sorting and isolation of febrile patients. For children required certificate of previous infectious diseases. Children are isolated in the pits. In contagious or infectious hospital wards arranged special boxes with separate entrance and exit. There may be insulating chamber with special care for the sick. During the period of intense epidemic situation in the department established quarantine.