Accommodation and equipping of the dressing-room and obstetrical station

The paramedic half of the FAP consists of a waiting room - 15 m2, a medical assistant's office - 14 m2 and a procedural dressing room - 18 m2.There are storage rooms for cleaning items, dirty and clean linen of 2 m2.In the presence of maternity beds or an insulator, a sterilization room of 10 m2 is provided.

The FAP should be allocated a separate room for purulent operations and dressings. This is particularly important for the prevention of purulent-septic complications of injections and the transfer of purulent infection from one patient to another.

Walls and ceilings should be painted with oil paint, which creates conditions for daily wet cleaning. If possible, it is advisable to lay the walls with ceramic tiles at a height of not less than 1.8-2 m from the floor. The ceiling can be painted with water-soluble paints or whitened with chalk, but this manipulation should be repeated 2-3 times a year. The floor is covered with Metlakh tiles or linoleum with overlapping joints of 4-5 cm. For painting the dressing use light colors of pale blue or pale salad tones. The dressing windows are oriented north, north-east, east or north-west. The area of ​​windows should be sufficient for natural lighting and make up at least half of the floor area. Artificial lighting is arranged at the rate of 100 watts per 10 m2.Above the dressing table a shameless lamp of any design is installed. In its absence, you can hang three or four daylight lamps, which are closed with a cap, which allows you to make a wet cleaning. A mobile light can also be used, the design of which provides emergency power from the battery. In addition to electric lamps, the FAP must have kerosene lamps or portable lights of sufficient power with battery power.

Wiring is hidden. Sockets are located at a height of 1 -1.5 m from the floor with mandatory voltage labeling in the network.

In the dressing room, as well as in the dressing room, it should be possible to connect the anesthetic, diagnostic and resuscitation equipment.

Heating dressing, like the entire FAP, it is desirable to have a central, but where this is not possible, the furnace furnace should be located on the side of the corridor. The oven is laid with ceramic tiles or iron and covered with a paint that allows wet cleaning. If the heating is central, the heaters are made in the form of horizontal pipes or square narrow slabs, which are placed at a distance of 25-30 cm from the wall for wet cleaning.

In areas where there is no central water supply, it is necessary to provide "local" - with food from a well located on the territory of the FAP.Hot water in these cases is obtained from the water heater. A distiller is also needed.

Ventilation in rural conditions is natural. In this regard, it is unacceptable that the dressing windows go directly to the roadway. It is desirable to place the FAP in such a way that the windows of the cabinet and dressing room would go out into the garden or the garden. If there is a possibility, install the intake and exhaust ventilation and air conditioning.

A set of furniture in dressing FAP practically does not differ from recommended for dressing surgical departments. It includes:

• table dressing idle time;

• wooden table, painted with oil paint, for the deployment of a sterile dressing table;

• a smaller table or a metal table with a glass panel for medicines;

• Tool cabinet;

• cabinet for storage of linen and dressings and bikis with sterile dressings;

• stools - 2-3 pieces;

• rack hanger;

• supports;

• a bucket with a lid for collecting used dressings.

Special equipment requires sterilization boxes small( 2-3 pcs.), Medium( 2-3 pcs.), Electric boilers of different sizes( 3-4 pcs.).For persons who have had an infectious hepatitis, it is necessary to separate and label a separate reboiler. You also need to have hand and foot baths. Obligatory are the hand wash hand basin, a separate hand basin for processing tools, aprons.

Particular attention is paid to the set of tools. In addition to the individual tools needed for daily work, the FAP should have the following kits ready for use:

• for tracheostomy;

• for venesection;

• for puncture and catheterization of the central veins;

• for thoracocentesis and drainage of the pleural cavity;

• means of transport immobilization;

• for catheterization and puncture of the bladder;

• for gastric lavage;

• for resuscitation.

For dressings and operations, the following minimum tools are needed:

• anatomical forceps, surgical and labret - 8-10 pcs.,

• hemostatic clamps - 8-10 pcs.;

• Peritoneal scalpels - 2-3 pcs.;

• pointed scalpels - 2-3 pcs.;

• pointed scissors - 1-2 pcs.;

• pointed scissors - 1 piece;

• Scissors blunt-ended, curved in a plane, - 2 pcs.;

• plate hooks - 1 pair;

• General purpose needle holders - 2 pcs.;

• surgical needles different - 10-15 pcs.;

• leadzangi - 2 pieces;

• long tweezers - 2 pcs.;

• probe is bellied and grooved - 1 piece;

• kidney basins, cuvettes different - 4-5 pcs.;

• syringes for injection of 20 ml - 4 pcs.;

• for 10 and 5 ml - 1 piece;

• Janet syringe - 1 unit;

• Urethral rubber catheters are different - 6-8 pcs.;

• metal, male and female catheters - 1 pc.;

• Glasses of different sizes - 5-6 pieces;

• rubber cans with a capacity of 50 and 100 ml - 2-3 pcs.;

• Dressing material - gauze, bandages, ready-made napkins in bags, cotton wool, lignin, as well as underwear( bed sheets, bedding, pillow cases) - according to the supply norms.