|
Arabic
Bengali
Chinese
English
French
German
Hebrew
Hindi
Italian
Japanese
Korean
Malay
Polish
Portuguese
Spanish
Turkish
Ukrainian
Vietnamese|
OCCUPATIONAL SAFETY AND HEALTH
Instruction on labor protection for personnel of operating units. Full Document
Occupational Safety and Health / Standard instructions for labor protection 1. General safety requirements 1.1. Operating blocks must meet the requirements:
1.2. Personnel in operating units must be guided by:
1.3. Persons with completed higher and secondary medical education, as well as junior medical personnel who have undergone special training, trained in labor safety in accordance with GOST 12.0.004-79 and have Group I in electrical safety, are allowed to work independently in operating units. Instead of GOST 12.0.004-79, by the Decree of the USSR State Standard of November 5, 1990 No. 2797, GOST 12.0.004-90 was approved and put into effect 1.4. In order to prevent the occurrence of diseases and accidents, all personnel must undergo medical examinations in accordance with the guidelines "On conducting preliminary medical examinations for employees of health care institutions upon admission to work" in accordance with the order of the Ministry of Health of the USSR dated June 19, 1984 No. 700. 1.5. The personnel of operating units should be provided with sanitary clothing and footwear, overalls, footwear and other personal protective equipment in accordance with the current standard industry standards, agreed with the Central Committee of the trade union of medical workers and approved by order of the USSR Ministry of Health dated January 29.01.88, 65 No. XNUMX. 1.6. The personnel of operating units are obliged to comply with the internal labor regulations of the institution. 1.7. Eating and smoking in the workplace is prohibited. For eating, it is necessary to equip special rooms. 1.8. During the operation, entry into the operating room for personnel not participating in the operation is prohibited. 1.9. It is strictly forbidden to store items in the operating room that are not used during the operation. 1.10. When working with electrical equipment, be sure to follow the operating rules and safety precautions set out in the instructions attached to the device by the manufacturer. 1.11. Persons responsible for the operational process must ensure that equipment tests are carried out regularly and in a timely manner and the results are recorded. The results of inspections must be documented in an act or protocol. 1.12. The personnel of operating units must know and comply with the current safety rules, since operating rooms and anesthetic rooms of the operating unit are classified as high-risk rooms in terms of fire safety, explosion hazard and danger of electric shock. 1.13. At the entrance to the operating room, a warning sign "CAUTION! USE EXPLOSIVE ANESTHETICS" in accordance with GOST 12.4.026-76. "SSBT. Signal colors and safety signs", sign No. 2.9. 1.14. Carbon dioxide fire extinguishers of the OU type should be provided in the preoperative and anesthesia rooms. 1.15. The victim or eyewitness must immediately notify the immediate supervisor of each accident at work. The head is obliged to urgently organize first aid to the victim, inform the head doctor of the institution, the labor protection engineer or the person performing his functions, and the trade union committee about the incident, keep the situation at the workplace and the condition of the equipment as it was at the time of the incident for investigation, if it does not threaten the life and health of the surrounding workers and does not lead to an accident. 1.16. Persons who have failed to comply with or violate labor protection instructions are subject to disciplinary action in accordance with the internal labor regulations and, if necessary, an extraordinary examination of knowledge of labor protection issues. 2. Safety requirements before starting work 2.1. Before the operation, the personnel involved in it must take a hygienic shower and put on sterile sanitary clothing. 2.2. It is strictly forbidden for personnel in the operating unit to wear clothes made of wool, silk, nylon, capron and other synthetic materials that are highly electrified when moving, which leads to a rapid accumulation of electric charges on the human body. 2.3. It is strictly forbidden for personnel in the operating room to wear bracelets, rings, chains and other metal objects. 2.4. The hands of the personnel servicing anesthesia machines, as well as the patient's face, should not have traces of oils, ointments and lipstick. 2.5. Before operating the equipment, personnel must carefully check the integrity of the wires used to connect to the network and the wires going from the device to the patient. 2.6. Before starting work, personnel must ensure that all metallic and electrically conductive non-metallic parts of the equipment are grounded to dissipate static electricity. 2.7. In case of detecting a “breakdown to the body” of electric current, the personnel must de-energize (switch off) the electric device and report to the head of the department. 2.8. All devices, devices and other equipment imported and brought into the operating unit are subject to the necessary sterilization and disinfection. 2.9. Personnel should check the presence of absorbent filters necessary for the normal operation of anesthesia machines. 2.10. Before and during the operation, the personnel must monitor the relative humidity of the air in the operating room using instruments (hygrometer or psychrometer), as well as its temperature. Relative air humidity in the operating room should be 60+-5%, air temperature - +21:+25°C. 2.11. Before starting anesthesia, personnel should be checked for the presence of an electrostatic charge. To remove it, one must intentionally ground themselves by touching a metal object with their hand, such as a metal part of an operating table. In the event of an electrostatic discharge, the employee must immediately leave the operating room to eliminate the causes of its accumulation. For example, changing shoes or clothes. 2.12. In order to prevent bacterial contamination of the operating room, it is recommended that personnel at least once a week determine the purity of the supplied air for the presence of suspended particles and bacterial flora in it by bacteriological examination. 3. Safety requirements during work 3.1. All participants in the operation are required to strictly observe the rules of asepsis and antisepsis in the operating unit. 3.2. The personnel of the operating unit is prohibited from working on faulty devices, devices, devices with faulty fixtures, alarms, etc. 3.3. The staff should exclude the possibility of the patient coming into contact with metal objects, for example, with the operating table, for which the operating table must be covered with a cotton blanket, over which a rubberized fabric and a sheet are spread so that their edges hang from all sides of the operating table. 3.4. In the case of using explosive inhalants or flammable disinfectants (for hand treatment), it is forbidden to use non-explosion-proof electrosurgical devices, defibrillators, flash lamps, etc. that can act as a source of ignition. 3.5. During the operation, air samples should be taken in the area where members of the operating team are located for the presence of anesthetic vapors in it. Their content should not exceed the established maximum permissible levels. 3.6. The dressing material and tools used during the operation must be collected by the personnel in specially allocated containers. 3.7. Sending biopsies and preparations taken during operations should be carried out by personnel in closed containers. 4. Prevention of fires and explosions, safety requirements in an emergency 4.1. To prevent self-ignition of drugs, it is necessary to drain them after work from the evaporator into a hermetically sealed vessel. The ether must be drained slowly, avoiding splashing. The ether remaining after anesthesia must not be drained into the sink. It is not allowed to pour ether from the evaporator into the receiving vessel with a freely falling jet. To do this, it is necessary to use funnels made of electrically conductive material, the funnels must be grounded, the end of the funnel must reach the bottom of the vessel. Otherwise, the end of the grounded conductor must be passed through the funnel to the bottom of the vessel, so that the ether flows into the vessel along this conductor. 4.2. After draining the drug, rinse the evaporator, hoses and all removable parts of the anesthesia machine with warm water. 4.3. In the operating room, the transfer of gases from one cylinder to another and the introduction of additional gases or drugs into a cylinder containing compressed gases is prohibited. Transfusion should be carried out in specially equipped rooms by trained personnel. 4.4. In operating rooms and anesthesia rooms, it is prohibited to use an open flame (alcohol lamps, gas burners, lighted matches, etc.) and electric heaters. 4.5. It is forbidden to use faulty and sparking electrical equipment when using inhalation anesthesia devices. 4.6. The floors in the operating room must be cleaned regularly to prevent the formation of a non-conductive film (due to dirt build-up, etc.) that could cause the floor to lose its electrically conductive properties. Surface treatment of floors with wax or varnish is prohibited. 4.7. Belt drives of equipment should not be placed in areas of high concentration of anesthetic substances. Do not lubricate belts with rosin, wax or other substances that increase surface resistance. 4.8. It is forbidden to seal parts of the anesthesia machine with adhesive tape (other dielectric), use hoses made of non-antistatic rubber to remove narcotic mixtures into the atmosphere, replace worn-out parts made of electrically conductive material with parts made of dielectric. Note. All elements of anesthesia machines are made of electrically conductive materials: bags, hoses, masks, breathing tubes and other parts of the respiratory circuit of the apparatus, as well as gaskets, wheel tires are made of electrically conductive rubber; adapters - from non-ferrous metal or electrically conductive plastic. 4.9. In the event of an explosion or fire in the operating unit, you must:
4.10. In case of electric shock to a person, it is necessary:
4.11. When rendering assistance to the victim, it is necessary to act in accordance with the "Instructions for the provision of first aid to victims of electric current and other accidents", agreed with the Main Directorate of Medical and Preventive Care of the USSR Ministry of Health on December 18, 1985, letter No. 10-13 / 328-36. 5. Safety requirements at the end of work 5.1. The personnel of the operating unit at the end of the operation must count the collected tools, napkins. 5.2. Operations personnel are required to:
5.3. The removal from the operating room of the used dressing material and waste (for the purpose of disposal) must be carried out in closed containers. 5.4. Dispose of used dressings and waste in muffle furnaces outside the operating unit. 5.5. All shortcomings and malfunctions found during operation, the personnel must make appropriate entries in the maintenance log and report to the manager. Notes: clause 1.1. valid SNiP 2.08.02-89 "Public buildings" with amendments and "Manual for the design of health care institutions" to it, developed by Gipronizdrav, 1989 clause 1.3. GOST 12.0.004-90 "SSBT. Organization of labor safety training. General provisions" is valid. clause 1.4. the Order of the Ministry of Health of the Russian Federation of March 14.03.96, 90 No. XNUMX "On the procedure for conducting preliminary and periodic medical examinations of workers and medical regulations for admission to the profession" is in force.
▪ Work on the risograph. Standard instruction on labor protection ▪ Abrasive tool testing. Standard instruction on labor protection
Artificial leather for touch emulation
15.04.2024 Petgugu Global cat litter
15.04.2024 The attractiveness of caring men
14.04.2024
▪ Magnetic nano-probes for cell research ▪ How many computers in the world ▪ Specifications of glasses-computer Glass ▪ The biological clocks of day and night animals differ in their neural structure.
▪ section of the site Power supply. Article selection ▪ article Instead of fuel - wave and wind. Tips for a modeler ▪ Warehouse manager article. Standard instruction on labor protection ▪ Article Liquid Bronze. Simple recipes and tips
Home page | Library | Articles | Website map | Site Reviews
www.diagram.com.ua |
We recommend interesting articles Section 
See other articles Section 
Latest news of science and technology, new electronics:
All languages of this page