How to organize paid services in a physiotherapy office. Physical office what procedures

Introduction

Conclusion

Bibliography

Introduction

A physiotherapy room is one of the structural divisions of a medical and preventive institution, which is a complex of auxiliary equipment and equipment that are designed to perform physiotherapeutic procedures.

The organization of a physiotherapy department (office) includes the process of rational placement and arrangement of equipment for subsequent ease of use and safety of procedures.

It is permitted to open a physical therapy office subject to compliance with safety and sanitary standards.

The purpose of the work is to explore all aspects of the organization of a physiotherapy room, regulatory framework, basic rights and responsibilities of personnel, sanitary standards.

Job objectives:

Chapter 1. Department of Physiotherapy. General questions of the organization, as well as a list of documents and regulations of the physiotherapy department (office)

The physiotherapeutic department is a structural unit of an institution for treatment and prevention of inpatient, rehabilitation or outpatient clinic type.

In the physiotherapy department, electric current treatment is carried out with low, ultra-high and high frequencies; electrosleep and ultrasound; laser therapy; microwave therapy, magnetotherapy; as well as heat therapy, hydrotherapy and inhalation.

The necessary premises are provided for all types of treatment.

Physiotherapeutic departments must comply with hygienic and sanitary standards, as well as radiation and fire safety requirements.

The following persons should be allowed to work in the physiotherapy room:

· With high relevant professional qualifications, in accordance with current regulations;

· Those who have undergone instruction and training in the appropriate manner, as well as a knowledge test regarding labor protection requirements

· Past medical checkup

· No medical contraindications

In each treatment and prevention institution, if there is a physiotherapy room, there must be a passport of the physiotherapy department. The following documents are also attached to the passport:

· Permission from the Sanitary and Epidemiological Service (SES) to open a physiotherapy office (department) in the institution

· Diagram showing the placement of equipment

· Diagram showing grounding, indicating the depth of grounding, cross-section of wires and material, as well as soldering of joints; including a certificate of testing the effectiveness of grounding, submitted once a year

· Management order medical institution, indicating positions and professions, hazardous working conditions, additional payment for persons working in hazardous conditions in the amount of 15%

· A journal in which a note is made about the current repairs and routine inspection of the physiotherapy room equipment

· Briefing log

· List of nurses

· Instructions for actions in case of fire

· Periodic personnel inspection log

· Procedure log

· Register of primary patients

· List of staff of the medical institution, indicating telephone numbers and addresses

· Nurses' work schedule

· Office work plan

· Job Descriptions nurses and doctors in the physical room

Copies of the following documents are required:

· Copy of the certificate and attachment of the accreditation and licensing commission

· License and protocol

· Act on checking the hygienic and sanitary condition of the department premises

· Annual and monthly reports on the work of nurses and doctors in the physical therapy office

physiotherapy room sanitary standards

The working hours of the physiotherapy room are set from 07.00 to 18.00.

The doctors' workload is five patients per hour, forty per day.

Regulations

· Federal Law "On Compulsory Medical Insurance in the Russian Federation";

· Decree of the Government of the Russian Federation of October 4, 2012 No. 1006 “On approval of the Rules for the provision of paid medical services by medical organizations”;

· Decree of the Government of the Russian Federation of November 28, 2014 No. 1273 “On the program of state guarantees free provision citizens medical care for 2015 and for the planning period 2016 and 2017";

· Decree of the Government of the Russian Federation of March 6, 2013 No. 186 “On approval of the Rules for the provision of medical care to foreign citizens on the territory of the Russian Federation”;

Chapter 2. Responsibilities of a doctor and nurse physiotherapy room

Responsibilities of a physical nurse:

.The need to follow all doctor's orders

2.Prepare equipment in a timely manner and workplace to receive patients

3. Maintain order and cleanliness in the office/department

Monitor the patient's well-being during the procedure

Monitor the operation of the equipment, as well as the time during the procedure

If a deterioration in the patient’s condition is detected, provide first aid if necessary, as well as immediately inform the doctor and make a note about what happened in the patient’s procedural record.

It is necessary to keep records of work and monitor the condition of patients throughout the entire treatment phase.

Maintain accounting documentation approved by the Ministry healthcare.

You must be at your workplace during the procedure.

Process medical equipment in a timely manner.

At the end of the working day, it is necessary to turn off all equipment. Heating and heating devices, as well as comply with safety regulations

Improve your skills

Observe the principles of deontology.

Responsibilities of a physiotherapist

· Providing qualified medical care, using modern diagnostic and preventive methods

· Purpose of treatment

· Providing consulting assistance to other doctors

· Supervising the work of junior medical personnel, assisting them in the performance of their duties

· Control of prescribed treatment

· Monitoring the correctness of treatment procedures and the consumption of materials

· Monitoring compliance with labor safety

· Participation in advanced training of junior and nursing staff

· Planning and analysis of your activities

· As well as systematic improvement of your qualifications

Working hours for physiotherapy room staff

The standard working week for physical therapy room staff is 33 hours; this duration is established for full-time physical therapists conducting outpatient visits.

The duration of additional leave is 6 days for doctors in physiotherapy rooms and junior medical personnel.

Chapter 3. Sanitary standards for physiotherapy departments

All newly built, reconstructed and existing medical institutions, including day hospitals, must be equipped with water supply, sewerage, and centralized hot water supply.

The quality of water for domestic and drinking purposes must comply with the requirements of SANPIN 2.1.3.1375-03.

The buildings of medical institutions in which medical treatment facilities are located must be equipped with supply and exhaust ventilation systems with mechanical drive and natural exhaust without mechanical drive.

FTO premises may only be used for their intended purpose. Carrying out any other work in them that is not related to the operation of physiotherapeutic equipment is prohibited. All treatment rooms and doctors' offices must be equipped with washbasins with hot and cold water.

In addition to treatment rooms, the physical technical department must have the following premises: the office of the head of the physical technical department (12 m 2), physiotherapist's office (12 m 2), head nurse's office (12 m 2), storage room for storing portable medical equipment and consumable medical equipment (6 m 2), equipment maintenance room (18 m 2), linen room for storing clean linen (6 m 2), pantry for storing cleaning items and dirty linen (4 m 2), storage room for storing carbon dioxide cylinders (8 m 2), a compressor room (according to SNiP standards), bathrooms with washbasins in the airlocks for men and women for patients and staff (according to SNiP standards).

The surface of the walls, floors and ceilings of the premises must be smooth, easily accessible for wet cleaning and resistant to the use of detergents and disinfectants approved for use in the prescribed manner.

Each room must have an alarm system to invite patients to a procedure and call medical personnel into the treatment room to assist the patient.

Cabinets electro- and phototherapy. The composition and area of newly built and reconstructed electro- and phototherapy rooms, the requirements for ventilation, heating, air conditioning, and lighting of premises must comply with the current SNiP.

The walls of rooms in offices to a height of 2 m should be painted with light-colored oil paint, the rest of the walls and ceilings should be painted with adhesive paint. Wall cladding with ceramic tiles is prohibited. The floor should be wood without potholes or covered with linoleum, which does not generate static electricity. It is prohibited to use synthetic materials that can create static electric charges to cover the floors and make curtains of treatment booths.

The area of electro- and phototherapy rooms must be planned at the rate of 6 m 2per couch, and if there is one couch - at least 12 m 2. A separate room for intracavitary procedures with an area of 18 m should be equipped 2for one gynecological chair.

To carry out medical procedures, treatment cabins should be equipped, the frame of which is made of plastic or well-polished wooden racks, or metal (nickel-plated or oil-painted) pipes.

Metal structures of cabins must be insulated from stone walls and floors by installing flanges on pads made of non-conductive material 40-50 mm thick (wood pads, pre-boiled in paraffin and painted with oil paint). Flange mounting screws (bolts) should not be longer than the height of the gasket. The dimensions of the cabins should not be less than 2 m in height and 2.2 m in length. The width of the cabins is calculated depending on the type of device: for HF and microwave therapy devices, powerful UHF generators, devices for general galvanization with baths for limbs and stationary for light therapy devices - 2 m, for other devices - 1.8 m. Each cabin must have a wooden couch with a lifting headrest (chair with a headrest), a chair, a hanger, a device for local lighting, one stationary or two portable physiotherapy devices placed on movable tables.

In laser therapy rooms, the walls and ceiling should have a matte finish. In this case, the walls are painted with oil paint in a color that promotes maximum absorption of reflected rays (green, light green). In the office next to the laser (0.7 m from it), it is necessary to place a couch for the patient, as well as provide free access for service personnel to the control panel and for the patient to pass to the couch.

The distance between the installation and the wall of the office (the wall of the treatment cabin, another apparatus) must be at least 1 m. The doors of the premises must be equipped with internal locks and have a sign “No unauthorized entry!” and a laser danger sign.

In rooms for electro- and phototherapy there should be supply and exhaust ventilation with a supply of heated air, providing 3-4 times air exchange per hour, and window transoms. In UHF therapy rooms, fotaria with DTR dumps (PRK), the supply and exhaust ventilation performance should provide 4-5 air exchanges per hour. The air temperature in the premises must be at least 20°C.

Each room must have an independent power supply line coming from the distribution board, laid with wires of the required cross-section according to calculation. To distribute the load across current phases, the inputs should be laid with a voltage rating of 380/110 or 220/127 V four-wire. Connecting household electrical equipment to this line is prohibited.

In each room it is necessary to equip a group switchboard (for example, AP-50, A-3114/7) with a common switch, and at a height of 1.6 m from the floor, trigger panels (type A-50) or NVD buttons with a plug socket are placed on the walls and terminals in an insulating frame.

The group board should be mounted with U-27 fuses or 16 A maximum current circuit breakers with the number of groups corresponding to the number of devices (the number of devices also includes sterilizers and other devices). The distribution voltage for powering the devices is 127 or 220 V.

Grounding wires and grounding strips in the physiotherapy room are fixed to the walls at a distance of 5-10 cm from the floor. The cross-section of the grounding line inside the building is 24 mm 2(with a tire thickness of 3 mm), outside the building - 48 mm 2(tire thickness 4 mm).

Inhalation therapy rooms. The area of the room, temperature and humidity conditions and ventilation must comply with sanitary standards: 4 m 2per seat, air temperature within 20°C, supply and exhaust ventilation with 8-10 air exchanges per hour. It is prohibited to carry out inhalation therapy in light therapy rooms.

To connect portable inhalation devices, ultrasonic aerosol and electro-aerosol devices, it is necessary to provide plug sockets with protective (grounding) contacts.

Thermotherapy room. For heat treatment (paraffin and ozokerite treatment), it is necessary to allocate an isolated room at the rate of 6 m 2for one couch, but not less than 12 m 2if there is one couch, equipped with supply and exhaust ventilation, providing 4-5 air exchanges per hour. To heat paraffin (ozokerite), a special room (kitchen) with an area of at least 8 m2 must be provided .

The floors of the premises should be covered with linoleum, the kitchen walls should be tiled to a height of 2.5 m with glazed tiles. Tables for heaters and pouring paraffin (ozokerite) into cuvettes must be covered with heat-resistant material. Heating of paraffin (ozokerite) should only be done in special heaters or in a water bath.

Hydrogen sulfide hospital.

Treatment hydrogen sulfide baths must be carried out in a separate room or dead-end section of the hydropathic clinic, isolated from other treatment rooms.

The block of premises should consist of: a hall with an area of 8 m2 2for one bath, the minimum area of the hall with one bath is not less than 12 m 2; laboratories for the preparation of solutions with an area of at least 10 m 2one place with a fume hood; premises for storing solutions with an area of at least 8 m2 ;

The walls in the bathroom and laboratory should be tiled with glazed tiles or painted with oil paint on zinc white. Baths must be made of corrosion-resistant materials. A hydrogen sulfide hospital must have a ventilation system isolated from other rooms with air exchange in the bathroom + 3-5, in the airlocks + 3-4, in the locker room + 3-3. The exhaust pipe for air exhaust must be higher than the ridge of the building's roof.

Pipes supplying hydrogen sulfide water, as well as highly concentrated brine or sea water, must be made of materials resistant to aggressive environments. Fittings (taps, handles, etc.) must be made of corrosion-resistant materials. Wooden parts and objects should be coated with oil paint on zinc white. Coating with oil paint on white lead is prohibited.

Chapter 4. Safety precautions

The physiotherapy room (department) is organized on the above-ground floors of the medical institution.

The basement can be used for mud storage, boiler room, compressor room. The air temperature in the rooms is maintained within +20°C with humidity up to 70%. Therefore, all offices must have supply and exhaust ventilation.

Pipes, water heating radiators and all metal objects connected to the ground must be covered with protective grilles and other devices that would prevent even accidental contact of the patient with them. For this purpose, electrical fittings (panels, sockets, switches, etc.) are covered with insulating, non-conducting material.

To connect devices, the electric light therapy room is equipped with starting panels "PNV-30" and "PV-30" at a height of 1.6 m, which have a fuse, a switch, terminals for connecting stationary devices, a white terminal for grounding, 1-2 sockets for portable devices. The distance from the socket to the device should not exceed 2 m. The starting panels are connected to the cabinet's main 100 A switchboard, which has a common switch, voltmeter, E-27 fuses or circuit breakers. For most offices, a cabin system for placing equipment is acceptable. In addition to the apparatus, a wooden couch, a chair, and a hanger are installed in the cabin, which is 2 m high and long and 1.6 m wide. The office outside the cubicles houses the nurse's desk, which contains log books, procedure charts, and an electric procedure clock.

In dental institutions, taking into account the specifics of procedures in the oral cavity, in the physiotherapy room, equipment can be placed on the walls or bedside tables, without dividing into booths, since constant visual monitoring of the patient during the procedure is required. Estimated area per device in such conditions: 3-4 m2 .

When working with laser systems, the main source of danger, in addition to high (3-5 kV) and low voltage (200 V) electric current, is laser radiation(direct, reflected and diffuse). The best way to organize laser therapy is a separate room with an area of 20-25 m 2, the ceiling and walls of which are painted with matte blue-green paint that absorbs red light. There is a sign on the outside of the office door: “Caution! Laser radiation!” In difficult circumstances, you can allocate a booth in the light therapy room. The office should not have devices with a shiny reflective surface. The lighting should be bright (300-500-1000 lux), which causes constriction of the pupils and reduces the likelihood of damage to the retina due to accidental exposure to scattered-reflected laser light. A laser hazard sign with the inscription “Caution! Do not look along the beam” is placed next to the laser device. During the procedure, the nurse (doctor) puts on sunglasses "ZN62-OZH", and the patient wears glasses with blue-green lenses ("SZS-18", "SZS-22"), which are included with the device.

When aiming the beam at the site of the disease, you should not look towards or along the laser beam, since with unprotected eyes there is a danger of damage to the retina by direct or reflected light. It is prohibited to bring shiny objects into the area of exposure to the beam (rings, watches, mirrors, etc.), which cause reflection of light and increase the possibility of it entering the eye structures.

To protect the skin of service personnel, a regular long-sleeved medical gown is sufficient. Laser devices are operated in intermittent mode (50-60 minutes of operation, 30 minutes break). The HeNe laser tube should be kept on at all times to prolong its service life. The Ministry of Labor and Social Protection of the Russian Federation, by resolution of June 8, 1992, No. 17, section 2, paragraph 24, determined for personnel (doctors, nurses) working with laser systems of any class a 15% increase in official salary.

The preparation of a concentrated radon solution is carried out in special laboratories with appropriate equipment. Medical personnel working with radon are provided with special clothing and are required to follow all safety regulations. Ventilation in the office should work throughout the day.

The paraffin-ozokerite treatment room is equipped with a room with a fume hood for preparing the coolant mass. Heating of paraffin (ozokerite) is carried out in special paraffin heaters or a water bath, which is boiled on a closed electric stove in a fume hood.

Since these substances are easily flammable, the cabinet table must be covered with fire-resistant material and the cabinet must be equipped with a fire extinguisher. Due to the increased fire hazard, open fires, open electric stoves and electric boilers should not be used in the office.

Special rooms are equipped for inhalation and electromud therapy, since these procedures lead to an increase in air humidity. This can negatively affect electrical wiring and devices in ordinary offices where there is no hermetically sealed insulation. In physiotherapy rooms, equipment is arranged according to a diagram approved by the head of the department so that it and the trigger panels are easily accessible.

All changes can be made only with appropriate permission. Passports of devices in operation must be kept by the head nurse of the department.

All devices with electrical safety class 01 and I are subject to mandatory grounding to the building circuit.

Daily monitoring of the condition of the equipment is carried out by a nurse before starting work shift.

For normal and long-term operation, it is necessary to systematically care for the equipment. Therefore, every day at the beginning and end of the working day, the nurse removes dust from the switched off devices with a slightly damp cloth. Dust from internal parts The device is removed with a vacuum cleaner by a technician during routine inspections. To reduce dust, when not in use, devices are covered with sheets or special covers. To prevent the effects of dampness, physiotherapy rooms are located in a dry, bright, ventilated room, where the equipment is placed away from windows.

When bringing the device in from a frosty street, keep it inoperative at room temperature for 24 hours. This time is usually indicated in the technical instructions for the device. It is necessary to protect the devices from impacts and shocks. Therefore, it is best to move them in wheelchairs with good shock absorption. To avoid overheating, it is necessary to operate intermittently, which will extend their service life.

A special hanger is equipped for the wires, where they hang along their entire length, which eliminates kinks and extends their service life. Twisting and bending wires during storage leads to rapid damage not only to the insulation, but also to the wire itself. The metal plates of the electrodes are stacked and periodically remove lead oxide from the surface with sandpaper. The plates are straightened on a solid base with a special roller.

Rice. 1. Laser hazard sign according to GOST R 50723-94

The finishing of premises should be made only from non-combustible materials. Premises must meet fire safety requirements and have the necessary fire prevention and fire protection equipment.

Chapter 5. Hardware organization of the physiotherapy room

The physiotherapy room is designed to carry out therapeutic rehabilitation procedures due to the influence of such physical factors as light, heat, water, eclectic and magnetic fields, ultrasonic waves, laser radiation. Depending on the size and scale of the activity, it is possible to use one type of treatment or several at once.

When choosing equipment and furniture for your office, you should pay attention to three most important criteria:

patient safety and comfort;

convenience, ergonomic conditions for normal operation personnel;

compliance of the equipment with the latest developments in the field of physiotherapy, high clinical effectiveness.

Standard option equipment - several regular or massage couches, separated by screens. Nearby there are cabinets for equipment<#"justify">Among various health services, physiotherapy occupies one of the leading places in terms of the number of visits and treatment procedures provided. At the end of the 80s, the physiotherapy service of the Russian Federation was characterized by the following statistical indicators (approximate estimates are given):

Over the past decade, the qualitative and quantitative equipment of physiotherapy rooms in medical institutions of the Ministry of Health of the Russian Federation has remained virtually unchanged. However, there remains a strong need to provide physiotherapeutic equipment (PTA), which implements a classic set of therapeutic techniques.

The persistence of this need is determined by the following factors:

· Commissioning of new facilities.

· The need for a planned replacement of the FTA, which has reached material and moral wear and tear.

· Replenishment of physical therapy service strategic reserves.

The optimal solution to the problem of meeting the annual healthcare need in FTA is an integrated approach. At the same time, the basis of such equipment should be the idea of a multivariate hardware complex.

This diversity is explained by the fact that the physiotherapy service is part of the majority of medical institutions of various levels and profiles: from a district clinic to a regional multidisciplinary hospital, from a factory dispensary to a large specialized sanatorium.

In each medical institution, the physiotherapy service solves its own range of tasks, determined by the specifics of a particular institution. This circumstance gives rise to a variety of qualitative and quantitative requirements for the hardware of physiotherapy departments (PTD).

The optimal solution to the problem of hardware equipping medical and treatment-and-prophylactic departments of various profiles can be found on the basis of a systemic variable approach to the formation of hardware complexes. As a basic equipment option (BVO), a hardware complex has been formed that provides physiotherapeutic procedures in all medical specialties of a general hospital.

The structure of such a BVO physiotherapy department is given below. Based on the BVO, it is possible to easily create special equipment options, expanded in comparison with the BVO both in the range and in the number of physiotherapeutic devices, taking into account the profile and level of a particular medical institution or some local healthcare system.

This expansion is carried out on the basis of a formed and regularly updated database of physiotherapeutic equipment.

As an example, below is an expanded version for equipping the FTO, built on the basis of the BVO.

The formation of the BVO was carried out taking into account the following criteria:

· Preservation of the classic office structure of the FTO.

· Minimizing the range of devices that implement the required set of techniques for each office.

· Minimizing the number of devices in each office.

· Priority activation of devices with the following parameters:

o With high rate ratio " quality/price;

o backed by guaranteed delivery and service.

o designed and manufactured by the supplier.

Equipment for the physiotherapy department. Basic and advanced options are presented in Appendix B.

Conclusion

During the writing of the work, all aspects of the organization of the physiotherapy room, the regulatory framework, the basic rights and responsibilities of personnel, and sanitary standards were examined.

The main tasks of the work were solved

.Consider the regulatory framework and basic sanitary standards for organizing a physiotherapy room

2.Consider the main responsibilities of a doctor and junior medical staff

.Consider the basic requirements for organizing a physiotherapy room, including footage, location of equipment and safety precautions

Bibliography

1.Ulashchik, V.S. Physiotherapy. Universal medical encyclopedia / V.S. Ulashik. - M: Book House, 2012. - 640 p.

2.Klyachkin, L.M. Physiotherapy / L.M. Klyachkin. - M: Medicine, 1988. - 270 p.

.Bogolyubov, V.M. Physiotherapy and balneology / V.M. Bogolyubov. - M: Binom, 2015. - 312 p.

.Sokolova, N.G. Physiotherapy / N.G. Sokolova. - M: Phoenix, 2014. - 352 p.

.Obrosov, A.N. Handbook of physiotherapy / A.N. Obrosov. - M: Medicine, 1976. - 344 p.

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* The calculations use average data for Russia

Having undergone treatment from a therapist, a person does not always completely get rid of the disease or complications caused by it. Often, the patient needs subsequent prevention or additional health procedures to avoid relapse of the disease. However, the cured patient should no longer be on pills; he is offered an alternative - physiotherapy; This area of medicine is based on the healing capabilities of natural and artificially created physical factors, which makes it a safe and kind of environmentally friendly branch of medicine. In this case, physiotherapy refers to clinical treatment, is recommended and prescribed by a doctor as a full-fledged health practice or prevention. Its usefulness has long been proven; the effectiveness of the methods used makes it possible to successfully treat patients, for which special equipment was developed.

Physiotherapy differs from naturopathy, traditional medicine and other pseudoscientific methods precisely in that it actually cures the patient and is a full-fledged (albeit perhaps somewhat non-standard) medicine. A physiotherapist is not a deceiver, not a charlatan or a fraudster (unlike all healers who try to treat in alternative ways), he is a specialist with a medical education. Therefore, the provision of physiotherapeutic services is a socially useful activity that heals the patient, and does not kill him for his own money, as all kinds of shamans and witches do.

Physiotherapy services can be provided to the public either in a physical therapy department (PTD) or in a physical therapy office (PTO). Opening a department involves a full range of physical therapy services, but the office provides only a limited range of services. A department is, at its core, a small clinic that only specializes in a certain branch of medicine, while offices are opened in clinics to provide additional services.

For an entrepreneur, the difference is primarily in the amount of investment; Of course, opening a medical treatment facility is much more expensive and will require further advertising and “promotion” of your department as an independent medical institution, but an office can be opened in an already well-known hospital, which will also reduce the cost of an advertising campaign, since the hospital already has its own clientele, which will have the opportunity to benefit from physiotherapy services. A disadvantage of the FTC, in addition to the limited list of services, is accountability to the parent institution, the need to comply with the rules established by the hospital in whose territory the office is opened. However, for a cash-strapped entrepreneur, a physiotherapy office is a much more promising, faster-paying and less expensive undertaking. Physiotherapy includes the following branches:

Laser therapy is a non-natural method of treatment based, as the name implies, on therapeutic effect directed light energy (laser).

Diadynamic therapy (DDT) is treatment with low-frequency electric current.

Amplipulse therapy is a treatment method similar to DDT, involving exposure to weak sinusoidal currents of different frequencies.

Micropolarization is another method based on the effect of electricity on the patient in order to change the state of his central nervous system.

Electromyostimulation is stimulation of muscles and nerves in order to restore their functionality.

Massage is specifically therapeutic, aimed at the prevention and treatment of diseases.

Therapeutic physical education (PT) is a set of various activities to support, rehabilitate and treat patients through certain physical activities.

Heat therapy is various methods of applying heat to the human body.

Cryotherapy is a kind of reverse treatment method based on the effect of cold on the outer layer of skin.

Halotherapy is the inhalation of purified sodium chloride aerosol in a specially equipped room. They are used as an additional treatment in pulmonology and allergology.

Ionophresis is a method of introducing drugs into the human body using galvanic current.

Phonophresis (sonophresis) – ultrasonic influence on a drug applied to the body for the purpose of deeper penetration medicinal substance in fabric.

Hydrotherapy is the use of fresh water for physiotherapeutic purposes ( similar method is also used in pseudo-medicine, but is represented by other procedures).

Mud therapy (peloidotherapy) – the name fully reveals the essence of the method.

If you plan to open a physical therapy office, then you need to select one or more industries in order to focus on them and provide the client with complete treatment. Despite the non-drug and even “natural” and natural treatment of most methods of physical therapy, such activities must be licensed. But before contacting the Federal Service for Surveillance in Healthcare, you need to register a business entity.

Depending on the working conditions, the main code may be (OKPD 2) 86.10 Services of hospital organizations, (OKPD 2) 86.22 Services in the field of specialized medical practice, (OKPD 2) 86.90 Other medical services. You can contact the licensee only after finding a place of work, purchasing and installing equipment and hiring personnel. federal Service for supervision in the field of healthcare will require to pay a fee (6 thousand rubles) for consideration of the application, and then provide notarized copies of all documents on the ownership or lease of premises, equipment, notarized copies of all documents confirming the experience and qualifications of employees ( work books, diplomas of higher education, certificates of completion of internship and residency, and so on). Only legal entities can obtain a license, so you must also provide all documents confirming the legal status of the license applicant. In addition, you also need to draw up a passport for the physiotherapy room with a description of its location, equipment used, staff employed and a list of services. It is worth noting that in the case of technical training, it is necessary to create a passport for each structural office. Consideration of the application may take up to 45 working days if the FTC is opened on the basis of an already operating medical institution, the latter's guidance may help resolve this issue more quickly.

Ready ideas for your business

Competition in this type of business is not too great; in many cities with a million inhabitants no more than ten companies offer similar services. Their number is greater in settlements that are traditionally considered health, rehabilitation and recreational centers, but there are mainly physiotherapy rooms and departments offering use of natural sources - mud baths, salt caves, water therapy places and the like. Wherein similar business can also be successful in small towns, because such services are accessed regardless of place of residence.

Difficulties may arise when searching for a clinic that will agree to open a physiotherapy office of a third-party company on the basis of its institution. However, the opposite situation is also quite likely, when the hospital will be happy to open a FTC without investing significant funds, but receiving rent for a previously empty premises. It is possible that a small building will have to be completed. In the best case scenario, getting the premises will require about 30 thousand rubles for the first month’s rent, but there is a possibility that you will have to build your own building or carry out major repairs, which will require several million.

The opening of a PTO is generally the construction of a full-fledged building on the purchased territory, to which all communications must also be connected; here the bill can already reach tens of millions of rubles. You can rent a separate building, but although the initial investment will be significantly lower, monthly expenses will increase, and there will be no real estate ownership. In general, you need to proceed from the available resources, remembering that the best option is your own physiotherapy department in your own building.

Depending on the list of services, personnel are hired and equipment is purchased. In general, devices for such medicine cannot be called expensive (especially in comparison with equipment from any other subsection of medicine); a rare unit costs more than 50 thousand rubles, although for some copies the price can reach 200 thousand. Providing one type of procedure will cost an average of 200 thousand rubles - so massage will not require significant investments, but for electrotherapy you will have to pay much more. It is also necessary to take into account that some types of physiotherapeutic services are difficult to provide in some cities (full-fledged mud baths - you can only purchase therapeutic mud for local procedures, but the effect will still not be the same) or it will require significant amounts (to provide halotherapy - a replacement for speleotherapy - you need equip a special room, while in natural sources of salt deposits clinics are organized without additional equipment). The least expensive complexes to open are also the busiest (massage is offered, for example, by many organizations, even non-medical ones).

Ready ideas for your business

It is best to study the market rather than discover something that is not yet in the city - it is quite possible that the population does not need such a service. It is also good to work in a hospital in your own physiotherapy office because other doctors will initially tell you what the population needs, and in the future they will refer patients to the FTC of their own clinic. An independent entrepreneur must carefully study supply and demand, understand the organization of each of the areas, and only then get down to business. But an entrepreneur may well not have a medical education, so initially you need to find a knowledgeable physiotherapist who will tell you what equipment is best to purchase and how to start and continue working. Subsequently, he will become the head physician of the institution.

For a small office, you will also need to hire a manager, who will be a knowledgeable physiotherapist with the highest medical education and work experience of at least 5 years. He will be able to work with all patients himself, and junior medical staff will be hired to help him - head nurse, a general physical therapy nurse, an orderly, and nurses (nurses) one for each branch of physical therapy that is offered in the organization. A doctor will receive from 40 thousand rubles, junior medical staff - from 20 thousand, elder sister- from 25, orderly - from 15. Thus, if an office with one type of service operates, then the monthly provision of the fund wages will cost an amount equal to 120 thousand rubles.

If you work in a hospital, then she can take over all Accounting and transfer it to your employees (this will be included in the rental price), utility bills will be common, and you won’t have to worry about security. That is, ideally, you will need 150 thousand monthly to cover expenses, the price Supplies will be included in the cost of services. Physiotherapy does not use much medication, so this amount will not be significant.

The amount of starting capital for opening your own physiotherapy office on the basis of an existing clinic starts from 400 thousand rubles (with the condition that 50 thousand rubles should be enough for all registration, licensing and registration). As mentioned above, the start-up capital can be several million rubles if you open an independent physiotherapy department and even a full-fledged medical center specializing in physiotherapy. This is already a complex business with many factors and elements that make it up.

Ready ideas for your business

The amount of initial investment varies greatly depending on the city of opening, and this is due not only to the fact that the standard of living in cities is different, but also to what resources the city has. Settlements on sea coast may have salt caves, in which it is possible to open an inhalation therapy center with the opportunity to visit healing natural springs. Here you can open your own physiotherapy office not only in medical institutions, but also on the territory of resort and health complexes and even hotels. It all depends on the market, what it lacks and what is already too much. There are too many options to list any general scheme work.

A significant advantage of a large physiotherapeutic complex over a small office is increased profitability. A physiotherapist can conduct several procedures, meaning even a small staff can support the work major center. When a small office opens, employees do not fully demonstrate their potential to earn money. And the prices for services cannot be called high - this is formed on the basis of competitors’ offers and the low cost of one procedure. It is likely that the highest price tag can be posted for an appointment with a physiotherapist, and even here the amount does not exceed 1000 rubles. average cost one-time procedures cost 500 rubles, but an entrepreneur will earn significantly more from one client, because the treatment is scheduled for many months, and sometimes even multi-year sessions. It turns out that just twenty clients a day will provide 220 thousand in income, and the operating profit will be 70 thousand rubles. The net tax, subject to a simplified taxation system with the “income minus expenses” calculation scheme, will be almost 60 thousand rubles. But in order to provide yourself with such amounts, you need to provide either services in which group therapy is possible, or open at least three offices - otherwise such a flow of clients will be impossible. The center can work on different schedules, but usually it is a six-day work week with a shortened working day on Saturday. But even a small physiotherapy office has many prospects for development if you start working in new directions. Additional staff in this case, it will only be required with a significant expansion, so the profitability of such a project is higher, the more industries are used.

You can recoup the investment within the first year of operation, even if you make allowances for a small number of patients in the first couple of months. But a small level of competition will soon allow you to have a permanent clientele, while the patient is unlikely to go to another organization, because this is where his treatment has already been taken up, he has an attending physician and all procedures are scheduled for many months in advance. This allows you to immediately earn a name for yourself as soon as you enter the market, and the principle of “word of mouth” will attract new visitors. The main condition is not to inflate prices too much and keep the level of service at a decent level, because from private medical institutions the client expects attentive and careful treatment.

To open a private dentistry, you will need from 3 million rubles. Monthly expenses – 370 thousand rubles. A successful dental clinic pays for itself in 3 years.

The amount of starting capital for opening a private ambulance should be approximately 7 million rubles. Despite significant investments, such a start...

Ministry of Education and Science of Ukraine

Open International University of Human Development “Ukraine”

Gorlovka branch

TEST

discipline: Fundamentals of physiotherapy

TOPIC: “Organization of physiotherapeutic care

to the population"

Performed:

Milyaeva Anastasia Valentinovna

1. Design, equipment and equipment of a physiotherapy room

1.1 Safety and health instructions for the physiotherapy department (office)

2. Organization of the work of the physiotherapy room

3. General rules carrying out physiotherapeutic procedures

1. Design, equipment and equipment of a physiotherapy room

To provide physiotherapeutic care, physiotherapy departments (offices) are organized in all treatment and preventive, sanatorium and resort institutions and rehabilitation centers.

Depending on the capacity of the treatment and prevention institution, it can either use separate devices for physiotherapy, or create physiotherapy rooms or physiotherapy departments. Physiotherapeutic rooms are designed to provide basic types of electrical, light and heat treatment. Physiotherapeutic departments are created on the basis of large multidisciplinary hospitals, clinics, rehabilitation centers, sanatorium institutions and are capable of providing the full range of physiotherapeutic care. They also usually include reflexology, massage and manual therapy rooms.

According to this standard, the area of electrotherapy and light therapy rooms must be at least 6 m2 per couch, and if there is one couch, at least 12 m2. The room for abdominal procedures is allocated separately; the area for one gynecological chair is 18 m2. The floor should be wooden or covered with special linoleum that does not generate static electricity. The walls of the premises are painted with light-colored oil paint to a height of 2 m; for the rest of the walls and ceiling, adhesive paint is used. Wall cladding with ceramic tiles is prohibited.

For medical procedures, cabins are equipped, the frames of which are made of plastic or well-polished wooden racks or metal (nickel-plated or oil-painted) pipes. In the latter case, metal structures must be isolated from stone walls and floors by installing flanges made of insulating material. Dimensions of cabins: height - 2 m, length - 2.2 m, width - 1.8-2.0 m. Only one stationary physiotherapy device should be installed in each cabin; There may be several small portable devices. Stationary devices for UHF and microwave therapy are located in specially equipped shielded rooms or cabins.

The electrotherapy room must have a special insulated box with an area of at least 8 m2 for preparatory work, storage and processing of pads, preparation of medicinal solutions, etc., equipped with a drying hood, washing sinks, a work table, a medical cabinet, and disinfection boilers. , washing machine.

In each room for electrolight therapy, in an easily accessible place, a group panel is installed with a common switch or starter with a designated “on-off” position. In each treatment cabin, a starting panel is installed to connect devices at a height of 1.6 m from the floor level. Wires used to connect devices to the network must be made of flexible cable. Wires extending from the device to the patient must have high-quality insulation, and its integrity must be checked before each use. Electrical wiring and starting devices in rooms associated with water procedures are made of special materials that ensure tightness. Each of the premises used for procedures has certain requirements. They relate to the size of the room, supply and exhaust ventilation devices, placement of devices, etc. All devices with electrical safety class 01 and I are subject to mandatory grounding (grounding).

Safety instructions should be posted in a visible place in the office.

1.1 Safety and health instructions for the physiotherapy department (office)

1. Before starting work, the nurse must check the serviceability of all therapeutic devices and grounding wires. If defects are detected, she must inform the doctor about this and make a record of the detected defects in the control and technical journal. Until the defect is eliminated, it is prohibited to carry out procedures on a faulty device.

2. Metal grounded housings of devices during procedures with contact application of electrodes should be installed out of reach of the patient.

3. It is prohibited to use radiators of the heating system, water pipes and sewer pipes as grounding. They should be covered with wooden casings painted with oil paint.

4. Before turning on the device, check that all switches are in their original positions. Changing the impact parameters or turning off the device is only permissible when the amplitude or intensity knobs are in the zero position.

5. It is strictly forbidden to troubleshoot, change fuses or wipe the panels of devices connected to the network. Non-working devices must not be left connected to the network.

6. When carrying out ultraviolet and laser irradiation, it is necessary to protect the eyes of patients and medical personnel with dark-colored glasses and side protective (leather or rubber) frames. Do not look towards the primary and reflected laser beam.

7. The mercury-quartz irradiator and the Sollux lamp must be installed on the side of the patient to avoid the dangerous fall of hot glass fragments or parts of the lamp (irradiator) in case of accidental breakdowns. The Sollux lamp must be equipped with safety wire mesh with a window with a diameter of 4-5 mm in the outlet of the reflectors.

8. It is prohibited to carry out UHF therapy if the total gap between the tissues and the capacitor plates is more than 6 cm.

9. Before taking a bath (shower), it is necessary to measure her (his) temperature using a thermometer.

10. When heating paraffin (ozokerite) and carrying out thermotherapy procedures, it is necessary to prevent water from getting into it to avoid burns for patients.

11. When carrying out gas baths, it is necessary to protect gas cylinders from impacts and falls. Do not touch oxygen cylinders with objects containing grease or oil.

12. Hydrogen sulfide baths must be carried out in isolated compartments with supply and exhaust ventilation.

14. During the procedures, the nurse has no right to leave the physiotherapy room. She is obliged to constantly monitor the operation of the devices and the condition of the patients.

15. At the end of the working day, all switches, device switches, as well as socket plugs must be disconnected from the network.

16. Nursing personnel who do not have specialization in physiotherapy are not allowed to perform procedures.

17. Repair of physiotherapeutic equipment by random persons is strictly prohibited.

2. Organization of the work of the physiotherapy room

The work of the physiotherapy department (office) is supervised by the head of the department (office), who supervises the therapeutic and preventive work of the staff, ensures the organization of the work of the department (office), equipping it with equipment, is responsible for the correctness of prescriptions and the implementation of treatment procedures, and is responsible for the safety of work on physiotherapy equipment, monitors the proper maintenance of medical records.

The choice of physiotherapeutic method, area of influence, dosage, frequency of exposure and number of procedures are the prerogative of the attending physician, which he makes an appropriate entry in the medical history or outpatient card. A physiotherapist (rehabilitation doctor) has the right to cancel the attending physician’s prescriptions if they are made without due consideration of contraindications, are incompatible with the physiotherapy already being carried out, or contradict other basic principles of the therapeutic and prophylactic use of physical factors. In this case, the appointment of the optimal therapeutic complex is carried out by a physiotherapist (rehabilitation doctor) together with the attending physician.

After examining the patient, the physiotherapist (rehabilitation doctor) makes detailed entry in the medical history (outpatient card), which indicates the name of the procedure, area of influence, technique, dosage and number of procedures. Based on the appointment, a procedural card of the patient being treated in the physiotherapy department (office), form No. 44u, is filled out. In it, the method and parameters of the impact are indicated for the nurse, and the localization of the impact is graphically marked on the silhouette diagram of the person. In this card, the nurse makes notes on the implementation of each procedure, the actual dosage of the physical factor and the duration of exposure are noted. After completion of the course of treatment, the procedural card is stored for a year. The physiotherapy department (office) must also have the following documentation: a logbook for registering primary patients, a diary for the daily work of a nurse, a logbook for registration of induction training upon hiring, a logbook for on-the-job briefing, a technical maintenance logbook, a passport of the physiotherapy department (office).

Physiotherapeutic procedures are carried out only by average medical workers, past special training and having a certificate of completion of specialization courses in physiotherapy. Some procedures are carried out only by a physiotherapist (rehabilitation doctor). The nurse should prepare the patient for the procedure: briefly introduce its essence and inform about possible sensations during the treatment process, instruct about the rules of behavior during the procedure, help to take the necessary body position, provide, if necessary, protection for the eyes or other areas of the body that are not subject to exposure. During the procedure, the nurse must be in the treatment room, monitor the patient’s condition, and if it worsens, stop the treatment and call a physiotherapist (rehabilitation doctor). She must strictly follow safety rules, know and be able to provide emergency medical care to patients in situations where it is necessary. The responsibilities of the nurse also include keeping records and reporting on the work done. Every 5 years, a physical therapy nurse must undergo advanced training in their specialty.

Since unequal time is spent on performing various procedures, so-called conventional procedural units (CU) have been introduced to account for the work of a physical therapy nurse. By current situation, for 1 USD A job has been accepted that requires 8 minutes to prepare and complete. So, for example, galvanization, UHF therapy, decimeter wave therapy, magnetic therapy are estimated at 1 USD, ultrasound therapy, treatment with dia-dynamic currents - 2, electrosleep - 3, underwater shower-massage - 4 USD . etc. The standard workload for a nurse is 15,000 USD. per year (per day approximately 50 USD with a 6-day working week and 60 USD at 5 days).

Preventive inspection of physiotherapy equipment is carried out twice a month, and a corresponding entry is made in the technical maintenance log.

3. General rules for conducting physiotherapeutic procedures

1. Each treatment room must have a work schedule posted in a visible place, which indicates:

a) the time the doctor sees patients;

b) time of procedures in the office;

c) time of procedures in the ward;

d) if the office is designed to serve inpatient and outpatient patients, the hours of reception of these groups of patients are indicated.

2. Each patient should be allocated certain time to carry out the procedure. The order of procedures is determined by the time specified in the procedure card.

4. Before the first procedure, the nurse familiarizes the patient in detail with the rules of behavior during and after the procedure and the nature of the sensations that he will experience during the procedure. Before each following procedure Patients should be briefly reminded of these rules.

5. Where possible, procedures should be performed on patients in a supine position. At the end of the procedure, patients, especially older ones, should slowly move to a vertical position to avoid dizziness.

6. When performing any procedure, the patient should be given a comfortable position. To prevent pain, numbness, and cramps in patients during the procedure, place sandbags under the lower back and knee joints. Patients with cardiac dysfunction and lung disease are given an elevated position of the head and chest during the procedure.

7. To fix the electrodes, it is advisable to allocate bandages for each patient and put them in the closet in special slots indicating the patient’s name. If there is a shortage of bandages, it is necessary to allocate bandages for the face and limbs and store them separately.

8. Patients with infectious diseases ( fungal infections etc.) must be served at specially allocated times with the obligatory use of individual linen.

9. During procedures, wires should not be left directly on the patient’s body.

10. After the procedure, patients should rest for 20-30 minutes.

Bibliography

1. Pankov E.Ya. Physical factors and recovery processes. - Kharkov, 1989. - 48 p.

2. Technique and methodology of physiotherapeutic procedures / Ed. V. M. Bogolyubova.-- M.: Medicine, 1983.--352 p.

3. Physiotherapy: Transl. from Polish /Ed. M. Weiss and A. Zembatogo.-- M.: Medicine, 1985.--496 p.

4. Physical rehabilitation: Textbook for academies and institutes physical culture/ Under the general editorship. prof. S.N. Popova. - Rostov n / D: publishing house "Phoenix", 1999. - 608 p.

Physiotherapy methods

The choice of physiotherapeutic treatment method depends on many factors and is carried out exclusively individually in each case. Firstly, the indications of the underlying disease and the stage of the underlying disease against which the treatment will be carried out are taken into account. this treatment. Secondly, a complete medical examination of the patient is carried out to determine the general condition of the patient’s body, other chronic diseases and pathologies, the presence of hereditary factors, etc. are taken into account.

Thirdly, the doctor also takes into account other external factors, capable of influencing the course of treatment - age, gender, working and living conditions, climatic zone of residence, etc. Thus, despite the prevalence and versatility, and most importantly the safety of physiotherapeutic treatment, this area of clinical medicine has a serious scientific basis and applies individual approach in each individual case.

As for the methods directly used in physiotherapy, their list is quite extensive and includes not only traditional ones (massage and exercise therapy), but also modern ones using the latest technology and equipment. Modern physiotherapy room has a wide offer and we will look at some of the treatments:

Cryotherapy. This method is based on the effect on the patient’s body low temperatures. For this purpose it is used a liquid nitrogen. Cryotherapy provides a general activating effect on processes in the body. In particular, it promotes pain relief, stimulates the endocrine and immune systems, helps relieve swelling and spasms, helps saturate the blood with active biological components, etc. This method can be used not only to treat a number of diseases, but also to prevent them.
Laser therapy. Today, laser is very widely used in clinical medicine and the areas of this use are very diverse - from physiotherapeutic treatment to surgery. Laser therapy is the effect on tissue of a directed light flux (radiation). In this case, the degree of impact will depend on the type of radiation (red and infrared) and its wavelength. What does this light effect give? Active saturation of cells with light leads to the activation of enzymes responsible for basic biochemical processes at the cellular level. As a result, the cells renew themselves, normalize and restore their vital functions, and start natural processes on self-regulation of life and mobilization of the body’s internal reserves. In addition, laser exposure helps improve blood microcirculation, which also has positive impact on restoration processes in the body.
Magnetotherapy. Magnetic fields are another way of influencing the body and its tissues, actively used in physiotherapy. In this case, each tissue cell acts as the final “reception point” of sent electromagnetic signals, which activate all compensatory and adaptive functions of the body at the cellular level, thus including internal recovery reserves. Magnetotherapy is prescribed for the most various diseases. In particular, it has a beneficial effect on cerebral blood supply, promotes oxygen saturation of the myocardium, which in turn helps to improve the general condition of the patient, and also normalizes blood pressure, reduces blood sugar levels, improves immunity, etc.
UV blood irradiation - ultraviolet irradiation blood, also called photohemotherapy or photomodification of blood. This method allows you to influence the blood with a light flux by one-time insertion of a special light-guide catheter into a vein using a needle. Therapeutic effect this method based on the fact that such direct light exposure helps to activate the antioxidant system of the blood and increases the amount of hemoglobin. Ultraviolet irradiation of the blood undoubtedly stimulates and improves immunity, improves tissue nutrition, which has great importance for various diseases of internal organs.

Contact physiotherapy room Our medical center guarantees patients the appointment of individually selected comprehensive physiotherapeutic treatment. In this case, doctors conduct a preliminary examination and the choice of treatment methods is carried out taking into account all existing indications for a specific disease and the general condition of the patient. In addition, do not forget that physiotherapy is also an excellent preventive method to prevent large quantity the most various diseases. Therefore, contacting our center may well be of a preventive nature. Indeed, in addition to the hardware physiotherapeutic methods discussed above, there are massage courses, exercise therapy programs (therapeutic gymnastics), inhalation procedures, visits to a halo chamber (the effect of salt caves), etc. Physiotherapeutic procedures are also indispensable during the rehabilitation period after injuries or surgery.

Thus, we can confidently say that contacting our medical center will be useful both for people who have certain health problems and for those who seek to maintain their health and prevent the occurrence of serious illnesses in future.

The standard for equipping a physiotherapy room is described in the Order of the USSR Ministry of Health dated December 21, 1984 No. 1440 “On approval of conventional units for performing physiotherapeutic procedures, time standards for massage, regulations on physiotherapy units and their personnel” In contrast to the office of an ophthalmologist or surgeon, which can be located in a children's or adult clinic, a physiotherapy room involves premises in a variety of health care facilities. These include sanatoriums, dispensaries, private clinics, and rehabilitation centers.

Physiotherapeutic procedures that are prescribed to women in maternity hospitals, patients in psychiatric hospitals, etc. have their own specifics. When choosing equipment, you should both rely on the regulations of the Order and focus on the needs of specific groups of visitors, on the services that the office will provide in a particular medical complex or department.

What is a physiotherapy office?

The physiotherapy room provides therapeutic procedures, preventive and rehabilitation measures. Recovery vitality, tone and strengthen the immunity of patients is carried out due to the influence magnetic field, heat, light, water, electrical impulses or ultrasonic, laser waves. As a rule, multifunctional devices or several portable devices are installed near each couch in one room, which makes it possible to carry out treatment various methods simultaneously.

When equipping a physiotherapy room, choose furniture and medical equipment that has the following characteristics:

- Comfort for visitors. Many types of physical therapy treatments require complete relaxation, which has a beneficial effect on the course and effectiveness of treatment as a whole. All electronic or mechanical systems must be ergonomic and do not cause discomfort to personnel.
- Safety. All devices must have the necessary documents, registration certificates and evidence. It is unacceptable to use devices other than for their intended purpose or without passing all prescribed (regular) checks. Faulty products must be disconnected from the power supply and returned to the workplace only after repair.
- Hygiene. To equip the office, furniture should be selected from durable materials that are subject to regular processing in accordance with sanitary and hygienic rules and regulations.

A simple option for equipping a physiotherapy room

In a spacious room, mounted partitions or movable screens are installed. Between them there are 1 or 2 couches, depending on the type of procedure and the type of patient preparation. Between the medical couches there are bedside tables for installing therapeutic equipment, for example, galvanizers, devices for electrophoresis, UHF, quantum therapy, etc. The range of services provided depends on the types of equipment.

Today wide use got complex systems, which combine several simple devices. While saving indoor space, they help offer visitors more services. In any case, it will be necessary to install a bactericidal irradiator-air recirculator. Such devices help to maintain optimal conditions microclimate, disinfecting the air.

Ordering comprehensive equipment for a physiotherapy room at MEDMART LLC

Specialists of the MEDMART company in short time They will select all the necessary equipment to equip a physiotherapy room and help you quickly and efficiently prepare for licensing the clinic. Along with saving time, they also optimize the organization’s budget by selecting popular and inexpensive equipment models. In our catalog you can always find alternative options for your favorite but expensive couch, UHF device, inhaler, laser therapy or electrophoresis device. The list for each new client is formed not only based on the requirements of official documents approved by the Ministry of Health of the Russian Federation, but also taking into account individual wishes, the area of the allocated premises and other important factors.

Order equipment medical offices at MEDMART LLC - plan your budget with maximum benefit for the clinic and care for patients!

Ordering goods to equip a physiotherapy room

This page contains all the equipment and tools necessary to equip a physiotherapy room and prepare the premises for the licensing procedure. To order all the necessary products, you should:

1. Follow the links of all points.
2. Select in each category that opens the products that are suitable in terms of cost, type and other characteristics.
3. Add the selected model to your order by clicking the “Add to cart” button located in the product card. After which the message “Added” should appear.
4. Click on the “Cart” icon at the top of the site page.
5. Check the list of all products, if necessary, add additional ones by reopening the catalog or the equipment account page.
6. Click the “Place an order” button, then create an application by selecting the necessary items and filling out the fields proposed by the system.
7. Wait for a call from the manager of the online store https://site

If any actions on our website cause you difficulties, call the toll-free hotline number 8 800 500 84 27, or request a call using the feedback form.

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