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Occupational safety instructions for anesthesiologist-resuscitator. Full document

Occupational Safety and Health / Standard instructions for labor protection

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Safe Operation

1. General requirements for labor protection

1.1. A person is allowed to work in the department of anesthesiology and resuscitation as an anesthesiologist-resuscitator:

• with completed higher education;
• certified for the specified position;
• who has undergone special training in labor protection in accordance with GOST 12.0.004-90;
• having group II approval for electrical safety;
• having no medical contraindications to work in the position.

1.2. The anesthesiologist-resuscitator should be guided by:

• Instructions for the organization and implementation of sanitary and hygienic measures for the prevention of nosocomial infection (order of the Ministry of Health of the USSR dated July 31.07.78, 720 No. XNUMX);
• OST 24-21-2-85 Sterilization and disinfection of medical devices. Methods, means, modes;
• Order of the Ministry of Health of the Russian Federation of March 21.03.03, 109 No. XNUMX "On the improvement of anti-tuberculosis measures in the Russian Federation";
• By order of the Department of Health of the Krasnodar Territory dated July 5, 2001 No. 184-0D / 61-P "Standards for epidemiological surveillance of nosocomial infections for health care facilities of the region" and by order of the head of the department of anesthesiology and resuscitation No. 23/1 dated September 28.09.2004, XNUMX "On ensuring the epidemiological safety of personnel departments of anesthesiology and resuscitation";
• other regulatory documents related to the production process;
• this instruction.

1.3. In the process of performing his duties as an anesthesiologist-resuscitator, he may be exposed to the following dangerous and harmful production factors:

• an increase in the voltage value in the electrical network, the closure of which can occur through the human body;
• infection from patients with open forms of tuberculosis and (or) their secretions;
• infection with hepatitis B viruses, HIV when working with virus carriers;
• constant psycho-emotional stress associated with working with patients in an unconscious state or with altered forms of consciousness;
• inhalation of a gas-narcotic mixture when working with inhalation anesthetics.
• contact with open areas of the skin and (or) mucous membranes of drugs, disinfectants.

1.4. In order to minimize factors that worsen working conditions, the anesthesiologist-resuscitator must be provided with the following certified protective equipment:

• special clothing and footwear;
• protective disposable medical masks (at least 3 pieces for a 6-hour shift), and when working with virus carriers - masks with a protective screen;
• disposable surgical gloves;
• rooms in which narcotic gas mixtures are used must be equipped with forced supply and exhaust ventilation;
• In all work areas, sanitary and hygienic standards for temperature and lighting must be observed.

1.5. In order to prevent the occurrence of diseases, an anesthesiologist-resuscitator must undergo medical examinations at least once a year (Order of the Ministry of Health of the Russian Federation dated March 14.03.96, 90 No. XNUMX “On conducting preliminary medical examinations upon employment and periodic medical examinations”).

1.6. An anesthesiologist-resuscitator is obliged to comply with internal regulations and current labor protection rules. Eating (smoking) in a specially designated area

1.7. The victim or his eyewitness must immediately notify the immediate supervisor - the head of the department of anesthesiology and resuscitation of each accident at work.

1.8. Persons who have committed violations of this instruction are subject to disciplinary action in accordance with the internal regulations and an extraordinary examination of knowledge of labor protection issues.

2. Labor protection requirements before starting work.

2.1. Before starting a work shift, the anesthesiologist-resuscitator must change into special clothes. clothes;

2.2. Check the readiness for operation of equipment, devices, devices and make sure that they are in good working order. If any defects are found, immediately notify the head of the department and the head nurse of the department;

2.3. Check the serviceability of lines with medical gases and their connecting elements. Make sure medical gases are available. In case of detection of malfunctions or lack of medical gases, immediately inform the head of the department and the head nurse of the department;

2.4. Conduct a visual inspection of the fire extinguishing equipment available at the workplace;

2.5. Make sure that you have personal protective equipment (medical masks, gloves), if necessary, get them from the head nurse of the department

3. Labor protection requirements during work

3.1. Depending on the nature of the activity, the anesthesiologist-resuscitator can work in a sitting or standing position. It is recommended to work sitting no more than 60% of the time, the rest of the time standing or moving

3.2. While working, the anesthesiologist-reanimatologist must strictly comply with the requirements of asepsis and antisepsis, and the rules of personal hygiene. Demand the same from the personnel subordinate to him. Before and after each manipulation, the anesthesiologist-resuscitator must wash his hands and then treat them with one of the licensed bactericidal drugs;

3.3. To maintain the normal condition of the skin of the hands in the process of work, you should:

• wash hands with water not lower than room temperature;
• dry them with an individual towel;
• do not allow drugs to come into contact with the skin of the hands.

4. Labor protection requirements after the end of work

4.1. After the end of the work shift, the anesthesiologist-resuscitator should:

• clean your workplace, make sure that devices and equipment not currently in use are disconnected from the power supply, and that there are no leaks of medical gases;
• carry out the necessary sanitary and hygienic measures (if necessary, wash hands thoroughly again and treat them with a licensed bactericidal preparation), take a hygienic shower, change into normal clothes;
• place work clothes in a cabinet specially designated for them, separate from the cabinet in which ordinary clothes are stored.

4.2. The anesthesiologist-resuscitator must report all detected malfunctions and shortcomings to the head of the department and the head nurse of the department.

5. Labor protection requirements in emergency situations

5.1. In the event of an explosion or fire, the anesthesiologist-resuscitator must:

• call the fire brigade by phone 01 or report a fire to the emergency department (via intercom);
• organize the evacuation of personnel and patients from the danger zone;
• de-energize the room;
• take measures to extinguish the fire with fire extinguishing equipment available at the workplace;
• provide first aid to the injured.

5.2. In case of electric shock, the anesthesiologist-resuscitator must:

• release the victim from the effects of electric current (disconnect faulty equipment from the electrical network, and if this is impossible, turn off the power to the entire room);
• provide first aid to the victim.

5.3. In the event of an emergency equipment failure, the anesthesiologist-resuscitator must: