Individual task № 2. Organization of in-patient therapeutic aid.

General information about a hospital.

Name of a hospital, its capacities. Its service area, number and structure of the attended population.

Present order of planned and emergency hospitalization of patients. Composition, structure and organization of the work of the hospital reception. Specialized departments, rendering therapeutic aid, their bed fund.

Description of a specialized therapeutic department.

Medical staff of the department: number of staff and employed posts, labor supply, staffing, coefficient of second employment.

Number of beds in the department, their specialization. Number of beds in wards, square per one bed. Department facilities. Presence of auxiliary rooms (wards) for diagnostics and treatment. Organization of patients` meals, presence of dietary food. Keeping of medical protective regimen. Sanitary condition of the department, prophylaxis of intra-hospital infections.

Organization and working conditions of doctors and paramedical staff, their factual workloads. Functions of a resident doctor and governor of the therapeutic department. Duties of a doctor in charge.

Use of high technology treatment methods.

Description of succession of activities with a polyclinic.

Account and analysis of the work of the department.

Primary medical documentation used in the department. Yearly accounts based on primary data obtained in the department.

Account of patients` movements and control over the use of the bed fund. Analysis of the main indicators characteristic of the effectiveness of the bed fund usage for the previous year.

Composition of the patients in the department, description of an average duration of treatment and lethality in single cases of hospitalization.

Conclusions and suggestions.

On the basis of the analysis, carried out in comparison with known normative meanings and factual data a student must formulate conclusions about the work of the specialized department and make suggestions to improve its activity, rendering of in-patient aid in the particular hospital and the system of public health service in general.

Individual task № 3. Organization of surgical out-patient polyclinic aid.

General information about out-patient polyclinic organization.

Name of an out-patient polyclinic organization (OPO), its capacities. Service area, number and structure of the attended population.

Organization of the work of the out-patient polyclinic organization: shifts, work at week-days and holidays. Organization of making appointments to doctors and procedure of home visits. Order of keeping a «Medical out-patient`s card» and order of its passing to a specialist during visits in the out-patient polyclinic organization.

Description of surgical service.

Surgical staff in the polyclinic: number of staff and employed posts, labor supply, staffing, coefficient of second employment. Qualifications of the medical workers of surgical departments.

Structure of a surgical department in the polyclinic (presence of operating, dressing and plaster rooms etc.), separation of clean and purulent surgery rooms.

Organization of patients` visits to surgeons in the polyclinic and doctors` visits home, schedule of surgeons, terms of patients` examination.

Functional duties of a surgeon and the governor of the surgical department.

Rendering first and emergency medical aid. Order of rendering medical aid to traumatological patients.

Work in the examination of temporary disability. Contemporary structure of a medical consulting committee in the out-patient polyclinic organization, organization of its work in medical rehabilitation and examination of work-status.

Forms of the participation of surgeons in yearly prophylactic medical examination of the population. Organization of dispensary observation over patients with risk factors and chronic diseases. Number and structure of patients under dispensary observation. Description of the indicators of the organization and quality of mass medical examination. Work of the surgeon to reveal malignant new growths at early stages.

Keeping of sanitation and antiepidemic regimen, prophylaxis of intrahospital infections and complications after operations, regulating documents.

Succession in the activities of the polyclinic, in-patient and emergency departments, description of the main indicators. Order of patients` hospitalization, indications for hospitalization.

Contemporary system of quality control of rendering surgical medical aid.

Work of surgeons to form a healthy mode of life.

Primary medical documentation used in a surgical room.

Conclusions and suggestions.

On the basis of the analysis, carried out in comparison with known normative meanings and factual data, a student must formulate conclusions and make suggestions to improve the activity of the surgical service in a particular out-patient polyclinic organization and the system of public health service in general.