Hygiene of medicalpreventive establishments

Содержание

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Main problems of lecture Tasks of hospital hygiene Hygienic requirements to

Main problems of lecture

Tasks of hospital hygiene
Hygienic requirements to the hospital

location
Functional zones at the hospital area
The systems of hospital planning
Internal design of hospital
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Main Tasks of Hospital Hygiene Preference to acceleration of recovery the

Main Tasks of Hospital Hygiene

Preference to acceleration of recovery the pa­tient,

medical and psychological rehabilitation.
Achievement for psychological and somatic comfort for the patients during stay in hospital in­stitutions.
Prevention of nosocomial infection.
Maintenance of epidemic and radiologic safety.
Maintenance of healthy occupational environ­ment for the medical personnel.
A regulation of use of new materials, equipment and technologies in medical institutions.
Formation of a healthy life style bases.
Minimization of harmful environmental influence on an constructing and operating of medical institutions.
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Hospital Environment a set of all factors of physical, chemical, biological

Hospital Environment

a set of all factors of physical, chemical, biological and

information nature, which carries out influence on the organism of the patient during treatment
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Functions of hospitals Treatment of patients; Diagnostic of diseases; Preventive measures

Functions of hospitals

Treatment of patients;
Diagnostic of diseases;
Preventive measures for health protection;
Prophylaxis

of diseases;
Prevention of relapses and complications of diseases;
Medical and social rehabilitation of patients;
Training of medical staff;
Improvement of qualification of medical staff;
Research work
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Hygienic requirements to the hospital location far from the railways, airports,

Hygienic requirements to the hospital location

far from the railways, airports, high-speed

high­ways and other powerful sources of pollution
ground should be clean, dry, without sharp differences of a relief, gardened and com­fortable
should be electrify, supply with water-pipes and water drain, bordered on perimeter and pro­tect by a strip of green plantings
maximal ap­proximation to groups of the population, which they are served
distance not less than 30 m from a red line of build­ing and 30-50 m from apartment houses
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Situational and general plans of hospital

Situational and general plans of hospital

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General plan of hospital 1 – main medical building 2 –

General plan of hospital

1 – main medical building
2 – polyclinic
3 –maternity

department
4 – infectious department
5 – nutritional unit
6 – utility building
7 – morgue
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Requirements to hospital territory The area of buildings – 10 –

Requirements to hospital territory
The area of buildings – 10 – 15%
The

area of green plantings - not less than 60%
The area of a garden zone — 25 m3 on a bed
Distance between buildings – not less 25 m
Sanitary distance between an in-patient department and:
a morgue — not less than 30 m,
economic zone — not less than 50 m,
infectious department — not less than 30 m,
radiological department — not less than 25 m,
polyclinic — not less than 50 m
economic zone — not less than 50 m,
Bordered on perimeter and between functional zones pro­tect by a strip of green plantings with width no less than 15 m
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The systems of hospital planning Centralised Decentralised Mixed Centralised-blocked

The systems of hospital planning

Centralised
Decentralised
Mixed
Centralised-blocked

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The systems of hospital planning Centralized system - all departments are situated in the same building

The systems of hospital planning

Centralized system - all departments are situated

in the same building
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The systems of hospital planning Decentralized system - each department is situated in the separate building

The systems of hospital planning

Decentralized system - each department is situated

in the separate building
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The systems of hospital planning Mixed system – the basic somatic

The systems of hospital planning

Mixed system – the basic somatic departments

are situated in one multi-storied building.
Other departments are placed in a separate buildings.
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The systems of hospital planning Centralized -block system - isolated blocks

The systems of hospital planning

Centralized -block system - isolated blocks in

multi-storied buildings:
a block of wards,
a medical-diagnostic block,
a block of material and technical service.
H-form
T-form
X-form
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Modern systems of hospitals planning

Modern systems of hospitals planning

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Hygienic meaning of vegetation Positive: Protection against wind, dust and noise.

Hygienic meaning of vegetation

Positive:
Protection against wind, dust and noise.
Optimization of microclimatic

conditions.
Bactericidal influence of phytoncides.
Oxygenation of the air.
Fixing of dust.
Architectural-planning.
Aesthetic and psychohygienic.
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Hygienic meaning of vegetation Negative: А potential source of allergens. Some

Hygienic meaning of vegetation

Negative:
А potential source of allergens.
Some plants are poisonous.
Danger

of traumatization
Adsorption of dust particles
by plants surface
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Types of hospital corridor

Types of hospital corridor

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LIST OF PREMISES AND AREAS OF WARD SECTIONS AND DEPARTMENTS

LIST OF PREMISES AND AREAS OF WARD SECTIONS AND DEPARTMENTS

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AREA OF WARD IN DIFFERENT DEPARTMENTS

AREA OF WARD IN DIFFERENT DEPARTMENTS

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AIR TEMPERATURES AND THE NUMBER OF AIR EXCHANGES IN THE HOSPITAL PREMISES

AIR TEMPERATURES AND THE NUMBER OF AIR EXCHANGES IN THE HOSPITAL

PREMISES
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INDICES OF AIR CLEARANCE

INDICES OF AIR CLEARANCE

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