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MODULE 3. HYGIENE OF HEALTH CARE FACILITIES

Hygiene of medical institutions is a section of hygiene that studies the problems of preserving the health of medical personnel and more fully restoring the health of patients.

The tasks of hospital hygiene:

1. Development of hygienic standards for the effective placement, construction and operation of health facilities for sanitary and epidemio-logical well-being of patients and medical personnel.

2. Hygienic regulation of staff working conditions.

3. Prevention of nosocomial diseases among patients and staff.

4. Practical implementation of the scientific provisions of hospital hygiene.

This section is devoted to the assessment of the internal environment of treatment-and-prophylactic organizations.

ALGORITHM OF ACTIONS

1. Assess the microclimate.

2. Assess insolation regime.

3. Assess air cleanness.

4. Assess ventilation effectiveness.

5. Assess natural lighting.

6. Assess artificial lighting.

7. Assess sufficient of hospital ward area for 1 bed.

8. Assess air disinfection.

9. Do the total conclusion about indoor environment. 1. Assess microclimate and thermal state of the human body.

Microclimate is assessed according to the all criteria listed in the Table 3.1. If you do not have data for any indicator in your task, write only standard for this indicator.

Table 3.1. Indicators of microclimate and indicators of the thermal state of the human body

Indicator

Standard

Air temperature, °С

see Table 3.3

Temperature difference in horizontal plane, °С

≤2.5

Temperature difference in vertical plane, °С

≤2

Humidity, %

≤60

Velocity of air, m/s

0.1-0.2

The difference in skin temperature of the forehead and back of the feet in patients, °С

2-4

Skin temperature of back of foot, °С

30-31

Skin temperature of forehead, °С

33-34

Skin temperature of chest, °С

34-35

Subjective patient's assessment of heat sensation, points

2.8-3.6

Microclimate

Indicators

Value (from task)

Standard

Your assessment

Air temperature, °С

Temperature difference in horizontal plane, °С

Temperature difference in vertical plane, °С

Humidity, %

Velocity of air, m/s

The difference in skin temperature of the forehead and back of the feet in patients, °С

Skin temperature of back of foot, °С

Skin temperature of forehead, °С

Skin temperature of chest, °С

Subjective patient's assessment of heat sensation, points

Conclusion: cooling microclimate.

Make a total conclusion about microclimate in the premise. Microclimate may be allowable, heating or cooling.

Example.

Assess the microclimate in the ward for adults of the therapeutic department.

Indicators

Value (from task)

Standard

Your assessment

Air temperature, °С

19

20-26

↓ Standard

Temperature difference in horizontal plane, °С

3

≤2.5

↑ Standard

Temperature difference in vertical plane, °С

no data

≤2

-

2. Assess insolation regime.

Insolation - direct sunlight exposure of surfaces and spaces. Insolation in-

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