Diagram of surgery and bandage premises: 1 — surgery; 2 — sterilization; 3 — switching of the equipment; 4 — anesthesia; 5 — pre surgery; 6 — equipment room; 7 — gatewaypreparatory;8 — material room; 9 — surgeon's room; 10 — nurses ' room; 11 — protocol room; 12 — anesthesiologist's room; 13 — staff room; 14 — post surgery ward; 15 —
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Diagram of a surgery consisting of 2 surgery units:
1 — surgery; 2 — pre surgery; 3 — sterilization; 4 — anesthesia
Central sterilization department
DEPARTMENTS OF ANESTHESIOLOGY AND INTENSIVE CARE
Departments of anesthesiology and intensive care should be provided in multidisciplinary republican hospitals with 500 beds or more, if there are at least 70 surgical beds, and in maternity hospitals with 300 beds or more.
Intensive care units should be provided in multi-specialty hospitals for adults with 800 beds or more and in children's hospitals with 400 beds or more.
The departments of anesthesiology and intensive care should consist of two divisions: for patients coming from the hospital's ward departments, and for patients admitted to the hospital in addition to the emergency department. Their premises include: intensive care room, preintensive care room, emergency analysis laboratory, sterilization room, equipment storeroom, intensive care unit, nurse on duty post, bedpan washing and sterilization room, pantry, office of the head of the department, office of the anesthesiologist, staff room, sanitary unit.
FUNCTIONAL DIAGNOSTICS DEPARTMENTS
In multi-specialty hospitals with 400 or more beds, two departments of functional diagnostics should be provided: one department for the reception of patients in the hospital; the other-for the reception of visitors to the polyclinic department. In hospitals with less than 400 beds, one department should be provided for the reception of in patients and visitors to the polyclinic department.
DEPARTMENTS OF REHABILITATION TREATMENT
The department of rehabilitation treatment, as a rule, should be provided for general for patients of the hospital and for visitors to the polyclinic department of the hospital. The entrances to the department of rehabilitation treatment for patients in the hospital and for visitors to the polyclinic department should be separate. Rehabilitation treatment includes physiotherapy procedures: electro-light therapy, heat therapy, mud therapy, as well as massage, physical therapy (including swimming pools, baths for the treatment of movement in water), hard and mechanical therapy. Physiotherapy departments are divided into a "dry" zone (electric, light, and heat treatment rooms) and a "wet" zone (water treatment, mud treatment), which is associated with different requirements for the level of humidity,
electrical safety, and interior decoration. |
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The electros nome treatment room should be placed in sound-proofing conditions. It is recommended to place it in an impassable area of the department, taking into account the need to focus the windows to the quietest area of the site. The cabinet should have a pass-through equipment room with an observation window which performs the function of a sound-proof gateway.
The photarium is intended for carrying out group procedures of preventive irradiation with ultraviolet rays. At the photaria, there is a changing room for patients and a control room with an area of 4 m2, where a nurse's workplace is organized. The control room must have a glazed viewing window and a sound alarm. The entrance to the control room is organized from the treatment room. The reflexology room should consist of two adjacent and isolated rooms — the doctor's office and the treatment room, equipped with 4-6 treatment places, which are arranged in separate offices. Patients are placed on beds and chairs with the possibility of staff two ways.
HEAT TREATMENT
The heat treatment room is designed for paraffin and ozokeritotherapy procedures. At the office, a utility room for heating paraffin and ozokerite, equipped with a ventilation equipment, should be designed.
An office for aerosol, electroaerosol therapy (with inhalatorium) requires the placement of a compressor to individual inhalation devices next to them or in adjacent room. Compressors for inhalation installations for several treatment places should be placed in the basement or cellar floor. Contrast baths are carried out in two adjacent pools with a size of 1.75 × 1.75 and a depth of 1.2 (1.3) m. The transition from one pool to the other is carried out by stairs between the pools.
MUD TREATMENT
Rooms for mud treatment, hydrogen sulfide and radon baths should not be located directly under the tent compartments. The mud treatment room should consist of separate cabins with adjacent shower cabins and two cabins for undressing patients. The entrance for patients is provided only through the cabins for undressing and showers. Electro-mud procedures should be carried out in a separate isolated room, which is planned to be included in the composition of the mud treatment rooms, but arranged in compliance with the requirements for electric light treatment rooms.
A mud storage area should be provided for the storage of peat mud. The therapeutic mud is fed to the mud kitchen adjacent to the mud treatment hall, where it is heated in specialized heaters and conveying devices. If the total number of mud treatment sites is seven or more, the process of transporting and heating mud should be mechanized.
Water and mud clinic in sanatorium "Gorodetsky" in Nizhny Novgorod region,1129 architect V. Bykov, A. Gelfond, 2000
