Instruction on labor protection for the staff of gynecological rooms

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Instruction on labor protection for the staff of gynecological rooms

Occupational Safety and Health

Occupational Safety and Health / Standard instructions for labor protection

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Safe Operation

1. General requirements for labor protection

1.1. Persons at least 18 years of age who have received a completed medical education, as well as special instruction, who do not have contraindications in accordance with the order of the Ministry of Health of the Russian Federation No.

1.2. The staff of the office must undergo a mandatory medical examination upon admission to work and periodically at least once every 12 months.

1.3. All new entrants to work, regardless of their position, must undergo an introductory briefing by an OT engineer. The results of the briefing are recorded in the journal of introductory briefing on labor protection. After that, the final registration of the newly arriving employee is carried out and he is sent to the place of work.

1.4. Each newly hired to the office must undergo an initial briefing at the workplace. Re-instruction at least 1 time in 6 months. The results of the briefing are recorded in the briefing log at the workplace.

1.5. Upon admission to work and at least once every 1 months, an examination of the knowledge of personnel on labor safety issues must be carried out according to a program approved by the chief physician.

1.6. The staff of the office is obliged to comply with the rules of the internal labor schedule, the regime of work and rest.

1.7. When working in a gynecological office, a trace is possible. dangerous and harmful factors.

the risk of infection through contact with patients with a history of hepatitis B or other viral diseases;
increased neuro-physical stress;
tension of the organs of vision;
increased voltage in the electrical network, the closure of which can pass through the human body.

1.8. The office staff must.

be guided in the work by their job description;
know how to provide first aid, know the location of the first aid kit;
know the rules of fire safety and the location of fire extinguishing equipment.

1.9. The administration of the institution is obliged to uninterruptedly provide the employees of the department with sanitary clothing, overalls, safety shoes and others. PPE.

The office staff is obliged to follow the rules of personal hygiene, the rules for wearing sanitary clothing and footwear, PPE.

1.10. An eyewitness or victim is obliged to immediately notify the head of the office about each accident related to production. The head of the cabinet must provide first aid, notify the heads of the doctor and the OT engineer. To investigate an accident, it is necessary to maintain the workplace environment and the condition of the equipment as it was at the time of the accident, if this does not threaten the life and health of others and does not lead to an accident.

1.11. Persons who violated the OT instructions are subject to disciplinary action, and, if necessary, an extraordinary knowledge test.

2. Safety requirements before starting work

2.1. Before starting work, you must: put on sanitary clothing and shoes, prepare PPE, rubber gloves, if necessary, a respirator, an apron.

2.2. The office staff must check the readiness for operation of the equipment, its grounding, make appropriate notes in the medical equipment maintenance log, inform the head of the office about any malfunctions and not start work until they are eliminated.

2.3. It is necessary to start working with electromedical equipment after checking the elimination of previously recorded defects in the maintenance log.

3. Safety requirements during work

3.1. Gynecologists, depending on the nature of the medical intervention, can work in a sitting or standing position.

3.2. It is recommended to work while sitting no more than 60% of the working time, and the rest while standing and moving around the office.

3.3. To prevent the possibility of transmission of infection, it is necessary to treat the hands with a bactericidal preparation after treating a patient with a history of infectious diseases.

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

wash hands with water at room temperature (20°C) before and after each patient;
thoroughly dry the skin of the hands after washing with a dry individual towel;
do not allow medicinal allergens (antibiotics, novacoin) to come into contact with open skin surfaces;
it is advisable to use neutral, over-fatted soaps, treat the skin of the hands before starting work with creams of the "Protective" type, and soften the skin of the hands with special creams.

3.5. In gynecological rooms it is prohibited:

work on faulty devices, devices, devices with faulty devices, alarms without grounding;
leave unattended devices, appliances, devices connected to the electrical network, electric heaters, keep cotton wool, alcohol and other flammable liquids near them;
store and use drugs without labels, as well as in damaged packaging;
taste and smell the drugs used;
work with a disconnected water supply, sewerage and ventilation system;
work without the established overalls and safety devices;
eating, wearing cosmetics and smoking in the workplace.

3.6. When performing electrosurgical operations, to prevent burns of the patient under the passive electrode of the electrosurgical apparatus, it is necessary:

ensure a tight fit of the passive electrode to the patient's body over the entire surface;
place the passive electrode as close as possible to the surgical field, periodically monitor its contact with the patient's body during the operation;
before laying, ensure that the surface of the passive electrode is free of corrosion, dirt, wrinkles and irregularities;
degrease the patient's skin at the site of the passive electrode and moisten it with saline, ensure a low transient resistance (about 1 Ohm) between the electrode and the body;
before each operation, check the operability of the electrosurgical apparatus, the functioning of its control and monitoring bodies;
turn on the high-frequency generator only for the time necessary for electrocoagulation or electrocannization, it is forbidden to keep the generator turned on in the pauses between exposures.

3.7. In case of inefficient action of high-frequency current, it is forbidden to increase the output power of the device without first checking the continuity of the electrode circuits.

3.8. Personnel must monitor the health of the power cable and wires going to the patient, preventing them from breaking, exposing or deforming.

3.9. When working with electrosurgical equipment, it is prohibited:

check the performance of the electrosurgical apparatus "for a spark" by touching the active electrode to grounded objects;
to impose on the patient an electrode of a smaller area than indicated in the technical description of the apparatus, the maximum specific power of the apparatus should not exceed 1,5 W/cmXNUMX;
carry out any manipulations inside the devices, use wires with insulation that has defects.
wash hands with water at room temperature (20°C) before and after each patient.

4. Labor protection requirements in emergency situations

4.1. In the event of an accident, office staff should:

notify the head of the gynecological office;
disconnect the equipment from the mains;
in case of short circuit, breakage in power supply systems, turn off the main switch in the room.

4.2. In case of electric shock or other injuries, act according to the instructions for providing first aid to victims of electric current.

4.3. In the event of a power outage, a short circuit, a break in the power supply systems, or if there is a smell of burning, the personnel must turn off the electrical equipment and call an electrician.

4.4. In the event of a fire, evacuate the patient, call the fire brigade, and before the arrival and meeting of the fire brigade, extinguish the fire with primary fire extinguishing equipment.

4.5. In case of breakdowns in the communication systems of water supply, sewerage, heating and ventilation, which impede the performance of technological operations, stop work until the accident is eliminated.

5. Labor protection requirements at the end of work

4.6. The office staff is obliged to put the workplace in order, turn off the ventilation, take off the sanitary clothes and put them in the designated place. Hand over gauze bandages for sanitization. Dispose of disposable respirators for recycling.

4.7. Personnel operating medical equipment and devices must turn them off or switch them to the mode specified in the operating instructions.

4.8. Wet cleaning of all premises is carried out daily. Periodically, at least once a month, a complete cleaning should be carried out with washing of walls, floors, doors, window sills, and the inside of windows.

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