Emergency room. Admission office. Children's reception room

Why do you need a reception room in medical institutions? The answer to this question will be found in the materials in this article. In addition, we will tell you about what functions are performed by such a department, what are the duties of the staff, etc.

General information

Receiving rest is the most important medical-diagnostic department of the hospital. Practically in all modern medical institutions there is a centralized planning system. In other words, all the diagnostic and treatment units are concentrated in one building. In the same building, there is usually a receiving rest.

If the hospital has a decentralized (i.e., pavilion) building system, then such a compartment may be located in one of the medical buildings or in a separate building.

Main functions

The reception is necessary for:

• Reception and registration of incoming patients;
• Examination and initial examination of patients;
• Provision of emergency medical care;
• Filling in all medical records ;
• Transportation of patients to other treatment units.

Layout

Practically all the hospital reception rooms consist of observation boxes with separate sanitary units, as well as a nurse's office and a doctor's office.

Next to the receiving rest should be located X-ray room and clinical, serological, biochemical, bacteriological laboratory.

How can deliver?

Patients can be taken to the emergency room by one of the following methods:

• In the direction of the district doctor of the polyclinic (dispensary). But this is only if the treatment at home was ineffective.
• The ambulance. In those cases when the patient exacerbates a chronic disease that requires highly qualified treatment in a hospital.
• Transfer from other medical institutions.

It should also be noted that the hospital must also accept patients who are themselves, without any referral for hospitalization.

Principle of operation

After the patient was taken to the hospital, or he arrived there himself, the duty doctor of the admissions department should examine him. This procedure is carried out directly in the boxes. The nurse conducts thermometry, and also collects materials (according to indications) for their further bacterioscopic or bacteriological examination, electrocardiography, etc.

It should also be noted that emergency medical aid is provided in the observation boxes . But often patients who are in extremely serious condition, go to the intensive care unit or resuscitation immediately, without contacting the doctor on duty.

After examining the patient with a doctor, the nurse of the admissions department prepares all the documentation in the office or directly on the post. Also, her duties include measuring the temperature of the patient's body and performing other prescribed manipulations by the doctor. Transportation of patients to other medical and diagnostic departments is carried out by the admission principle immediately after the registration of all documentation.

Basic medical documentation of admission to rest

The children's reception department is no different from an adult, except for the presence of highly specialized specialists. When a patient enters a medical facility, all of his data is recorded at the nurse's office.

The following documents are filled in the admission department, which are maintained and executed exclusively by the senior employee of the hospital:

• Journal of the account of refusals from hospitalization and reception of patients. In such a journal, the employee records the name, patronymic and surname of the patient, his home address, year of birth, position and place of work, all data of the insurance policy and passports, telephones (office, home, close relatives), time and date of admission to the department, by whom and From where it was delivered, the diagnosis of the referring medical institution, the nature of hospitalization (emergency, planned, independent), the diagnosis of the admission department, and also where the patient was subsequently sent. If the patient refused to be hospitalized, the information about the reason for the refusal is entered in the journal.
• Medical card of the inpatient. Unofficially, this document is called the history of the disease. In the office or directly at the post, the nurse fills in his passport section, draws up the title page, and also the left half, which has the heading "Statistical card left from the hospital". If the patient is diagnosed with pediculosis, the examination log for pediculosis is also filled. In this case, the "P" mark is additionally made in the medical history.
• If the patient has an infectious disease, pediculosis or food poisoning, the nurse necessarily completes an emergency notification to the epidemiological station.
• Journal of telephone messages. In such a journal, the receptionist records the text of the telephone message, the time of its transmission, the date, and also who it was given and accepted.
• The journal is alphabetic, fixing patients who have entered. Such a document is necessary for the reference service.

Sanitary-hygienic treatment of patients

After the diagnosis is made by the doctor on duty, the patient is sent for hygienic treatment. If the patient has a serious condition, then he is taken to the intensive care unit or resuscitation department without the above procedure.

Sanitary-hygienic treatment is usually carried out in the sanitary check-out room where there is an observation room, a dressing room, a bath-shower room and a room where patients dress. It should be noted that these premises are often combined.

In the first room, the patient is undressed, examined and prepared for further hygienic treatment. If the patient's clothes are clean, then they put it in a bag, and they take the outer clothing to the storage room. At the same time, a list of items is made in two copies. If the patient has money or any valuables, they are handed over to a senior employee (nurse) with a receipt for storage in a safe.

If the patient has an infectious disease, then the laundry is placed in a tank with chlorine lime for two hours and sent to a special laundry.

So, let's consider what stages includes the sanitary-hygienic treatment of patients:

• Examination of the hair and skin;
• Hair and nails, as well as shaving (if needed);
• Washing under the shower or taking a hygienic bath.

Distribution of patients in other departments

After diagnosing and collecting information about possible contacts with infected people, the patient arrives in the necessary department.

If there is a diagnostic center in a medical facility, then some patients with a dubious diagnosis are detained in the waiting room for clarification. Patients who have been found to have diphtheria, measles or chicken pox (or suspected disease) are placed in boxes specially equipped with autonomous ventilation.

Patients in the admission department are distributed so that newly arrived patients are not next to convalescent or those who have complications.

Types of transportation of patients to hospital treatment units

Transportation is the transportation or transportation of patients to the place of medical care or treatment. What way to choose for a particular patient to get him out of the waiting room into the right department of the hospital is determined only by the doctor who conducts the examination.

Typically, vehicles such as stretchers and wheelchairs are provided with blankets and sheets. And bed linen should be changed after each use.

Patients who can move independently from the waiting room arrive in the ward with the help of a junior medical officer (for example, a nurse, a nurse or a nurse).

Patients with serious complications who are unable to walk themselves are transported to the department in a wheelchair or on stretchers.

Rules of reception of the personnel

Every medical worker in the admissions department must monitor his work clothes, health condition, appearance, etc. Particular attention should be given to the hands (absence of dermatitis, etc.).

Before starting a new job, a potential employee must undergo a medical examination and submit all the references to the Central Bank or the Central Regional Hospital. Receiving rest (especially infectious hospitals) conducts the strictest selection of nurses and doctors. So, only persons who have reached the age of 18 are accepted for work. If they have an open form of tuberculosis, venereal and other contagious diseases of the skin and mucous membranes, their candidacy is immediately rejected.

In the course of functioning of the admission department, all his employees are periodically subjected to medical examination (at least once a year). If the workers have a carrier of pathogenic microorganisms, then the question arises about their admission to the post.

With newly recruited staff, instruction is conducted on the rules for the performance of their duties, as well as labor protection. Junior medical staff is specially trained. In such classes, workers are given a minimum of knowledge and skills of work.

When instructing all the staff of the receiving dormitory, the specific features of work in the ward, rules of routine (internal) for patients and employees, anti-epidemic regimen, and personal hygiene are explained. In addition, workers should be instructed to prevent occupational exposure.

Admission to work in the reception room without studying these standards is prohibited.

In the future, repeated instruction on safety and personal prevention rules (at least 2 times a year) is held. Usually such training is carried out by the head of the department or laboratory.