Work in outpatient dressing
There are a number of differences in the work of the surgical dressing room of the polyclinic.
It is the sister's responsibility to differentiate the flow of patients into primary and with re-dressings. It is advisable to invite one primary patient to the doctor's office and one re-appointment to the dressing room. While the doctor gets acquainted with the history of the illness of the primary patient, gives him a sick list and prescribes treatment, the sister in the dressing room removes the bandage from the wound of the re-patient. Removed bandages are collected in a tray and together with other dirty materials are thrown into a bucket with a lid. Weakened and timid patients must always be packed. The bandage in the outpatient dressing is fixed with a bandage, adhesive plaster, glue. It is necessary to find out from the doctor the purpose of the dressing: should it only protect the surface of the wound from the effects of the external environment or strictly fix, support or squeeze the affected area. The method of dressings in a polyclinic dressing does not differ from the method of bandaging in a hospital. The aseptic condition is maintained as strictly as in the hospital.
Cleaning dressing
Daily wet cleaning is performed twice: before work starts and at the end of the working day.
The current cleaning is carried out during dressings, picking up the napkins, balls, and after each patient. At the end of the dressing of a patient with a purulent process, they make an extraordinary disinfection of the dressing, once a week they make a large( final) cleaning with washing the walls, floors and equipment with antiseptic solution;General cleaning( disinfection) is planned once a month. When dressing a patient with an anaerobic infection, this treatment is performed off-schedule.
Preparing the dressing room for further work
After cleaning, the dressing sister along with the nurse prepare and place in the bixies dressings, underwear, tools. The nurse gives the beads to the sterilization. For a round-the-clock readiness of dressing for urgent dressings, the sister repeatedly sterilizes the necessary set of instruments and covers the instrument dressing table.
Necessary stock of tools: syringes of different sizes with needles from the thinnest to Dudy needles, metal and rubber catheters, needle holders and needles, drainage tubes, beakers, cups, tweezers, straight and curved scissors, hemostatic clamps. In addition, for the night and for the weekend the dressing sister leaves the beads with sterile material and linens at the rate of one bix per night, two bixas per day. Consequently, on Friday evening, 5 bikes are left to work until Monday. On each bix, the nurse makes an inscription when to use its contents. Before leaving the office, the sister fills the jars with an antiseptic and disinfectant solution, checks if there are any necessary medicines in the cabinet, if necessary, writes them out at the pharmacy for receipt the next day. Upon termination of work the dressing sister includes bactericidal lamps, closes a door on a key. The key is kept by the nurse on duty at the surgical department.