Physiotherapy room equipment. Description of the project and its advantages

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, the regulatory framework, the basic rights and responsibilities of personnel, and sanitary standards.

Job objectives:

Chapter 1. Department of Physiotherapy. General issues 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

· Passed a medical examination

· Not having 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

· Order from the management of the 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 of 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 dated October 4, 2012 No. 1006 “On approval of the Rules for the provision medical organizations paid medical services";

· Decree of the Government of the Russian Federation of November 28, 2014 No. 1273 “On the program of state guarantees of free provision to 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 foreign citizens on the territory of the Russian Federation";

Chapter 2. Responsibilities of the doctor and nurse in the 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 records approved by the Ministry of Health.

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

· Managing the work of a junior medical personnel, assistance in the performance of their official 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

Duration norm working week physiotherapy staff is 33 hours, this duration is established for full-time physiotherapists 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 stable when using detergents and disinfectants permitted for use in accordance with the established procedure.

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.

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 walls of the kitchen 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 with 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 installations, the main source of danger, except electric current high (3-5 kV) and low (200 V) voltage is laser radiation (direct, reflected and scattered). 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 of the beam (rings, watches, mirrors, etc.), which cause reflection of light and increase the possibility of it getting into the beam. ocular 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. Ministry of Labor and social protection 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.

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 nurse before the start of the 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 the internal parts of 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 comply with fire safety requirements and have necessary funds fire prevention and fire protection.

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;

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

The standard equipment option is 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 steady need to provide physiotherapeutic equipment (PTA) that implements the classic set 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 for all medical specialties general hospitals.

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 a high 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 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, equipment location 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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Physiotherapy is today a very popular and popular method of treatment for many diseases. This is due to its high efficiency combined with maximum safety for the patient’s body. Medication methods treatments, for all their effectiveness, tend to have negative side effect on the body. At the same time, physiotherapy in some cases can completely replace other treatment methods or significantly reduce, for example, the need for medicinal drugs. In addition, physiotherapeutic treatment is an integral component rehabilitation programs prescribed in the post-traumatic and postoperative periods. Thus, physiotherapy can act as an independent method of treatment and prevention, or be a component of complex treatment.

Physiotherapeutic treatment allows the use of a wide variety of methods, which are based on the use of natural and artificially created physical effects on the body’s tissues. In particular, heat and cold, electric current, magnetic fields and ultrasound, laser radiation, etc. can be used.

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 patient to determine the general condition of the patient’s body, other chronic diseases and pathologies, the presence of hereditary factors, etc.

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 an 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 exposing the patient’s body to 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, lasers are 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 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 recovery processes in organism.
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 a wide variety of diseases. In particular, it provides 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 is of 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 By specific disease and the general condition of the patient. In addition, do not forget that physical therapy is also excellent preventive method on prevention large quantity a wide variety of 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 the halo chamber (effect salt caves) etc. Physiotherapeutic procedures are also indispensable during 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.

At the present transitional stage of development of medical science and practical healthcare, there is a widespread use of physical factors in medical and sanatorium-resort institutions, the introduction the latest methods physical diagnostics, which involves a significant contingent of medical workers and engineers in the field of servicing physiotherapeutic equipment.

Widespread computerization further increases this circle.

Therefore, the mastery and implementation by medical workers of the basic rules of organization and safety precautions when conducting physiotherapy procedures is the key to long work equipment and high-quality procedures.

The design, operation and safety precautions of physiotherapy departments (offices) are regulated by the state standard OST 42-21-16-86, approved by the USSR Ministry of Health by Order No. 1453 of November 4, 1986, which is still in effect today. This standard should be in every physiotherapy department, regardless of its size. Order No. 1440 of December 21, 1984 approved the regulations on the physiotherapy clinic and hospital, the coefficients of procedures performed by nurses in physiotherapy rooms.

The positions of physiotherapists and nurses are determined by order of the USSR Ministry of Health No. 999 of October 11, 1982, No. 600 of June 6, 1979 and No. 900 of September 26, 1978. The position of nurses is established at the rate of 15,000 conventional procedural units per year for one unit. A senior nurse is allocated if there are 4 nursing positions. For every 2 positions of a nurse, one position of a nurse is established.

By order of the Ministry of Health of the USSR No. 1000 dated September 23, 1981, the working day of a doctor and nurse of the medical technical department is 6.5 hours (38.5 hours per week). Physiotherapist appointment rate is 5 people per hour.

Order of the Ministry of Health of the USSR No. 1440 of 1984 defined one conventional physiotherapeutic unit as work prepared and completed in 8 minutes. To obtain conventional units for large time expenditures, it is divided by 8. A physical technical nurse per shift must perform work in 50 (15,000 per year) procedural conventional units.

By Order of the Ministry of Health of the USSR No. 817 of June 18, 1987 “On the norms of workload for nurses in massage”, the time of 10 minutes spent on directly performing massage was taken as 1 conventional unit. massage procedure. The working day is 6.5 hours, during which the nurse must perform 30 conventional massage units.

Currently, all orders regarding staffing levels, standards and workloads are advisory in nature and should be considered taking into account the opinion of the head of the medical institution.

Responsibilities of a nurse

The responsibilities of a nurse in a physical therapy room are determined job description, approved by the head of the institution on the basis of order of the USSR Ministry of Health No. 1440. The nurse is obliged to monitor the order and sanitary condition in the office, the operation of physiotherapeutic equipment, water supply, heating, ventilation. She prescribes the necessary medications and dressings semi-frequently.

The nurse is responsible for the safety of the equipment and equipment of the office and maintains the necessary medical documentation. After work, she turns on and off the switches that supply the network of physiotherapy equipment, water supply and lighting. The nurse introduces patients to the rules for conducting physiotherapeutic procedures and the work schedule of the office, carries out procedures as prescribed by the doctor, warns patients about the sensations during physical influences, monitors the patient’s condition during the procedure, prescribes patients for a repeat procedure. In all complex and unclear cases, inform the doctor.

As a rule, the nurse has to keep the following documentation: 1) a log of admission of primary and repeat patients, which notes the date, the patient’s name, medical history number, age, diagnosis, the name of the referring doctor and where the patient was referred from, the prescribed treatment for physical factors; 2) a daily work diary, in which procedures and conventional procedural units are noted; 3) calendar reports on the work done by type of treatment (electrophoresis, UHF therapy, etc.); 4) equipment logbook indicating the passport number, manufacturer, release date, date of receipt of the device; 5) a journal for recording routine and preventive repairs of equipment, in which the following columns should be noted: a) date, b) name of the device and manufacturer’s passport, c) note of the noticed defect, d) signature of the nurse, e) what was done, what parts were replaced , what condition the device is in, permission to operate, f) the signature of the specialist who carried out the repairs, g) the signature of the head of the department confirming the work performed.

By order of the Ministry of Health of the Russian Federation No. 318 dated November 17, 1995, nurses of the medical technical service are required to undergo training in their specialty and receive a state certificate, which is valid in Russia and is confirmed every 5 years with mandatory retraining within this period. The qualification characteristics of specialists with secondary medical and pharmaceutical education are given in the order of the Ministry of Health of the Russian Federation No. 249 dated August 19, 1997.

The qualifications of nurses are determined by 3 categories: second, first, highest with a corresponding bonus to wages. To be certified for the second category, a nurse must have 3 years of work experience, the first - 5 years, the highest - 8 years and provide documents to the certification commission: 1) application; 2) a typewritten certification sheet certified by the head of the institution and sealed; 3) a work report for the first certification for 1 year, for subsequent certification for 3 years; 4) a copy of the institution’s payment order when agreeing with the certification commission on payment for certification. Certifying commission is obliged to review the documents within 3 months from the date of receipt.

By order of the Ministry of Health of the Russian Federation No. 90 dated March 14, 1996, medical personnel of the medical technical service must undergo a mandatory medical examination upon entry to work and then periodically - at least once every 12 months. The inspection is registered in a special medical card, where a conclusion will be given on admission to work in the technical technical service.

Nurses working in physiotherapy rooms enjoy benefits according to the order of the Ministry of Health of the Russian Federation No. 377 of October 15, 1999, which determines the remuneration of healthcare workers. Based on this document, a 15% salary increase is received by nurses who perform at least 10 procedures during the day on UHF therapy devices of any power, as well as medical staff working in radon, hydrogen sulfide, hydrogen carbon and ozokerite-mud-peat treatment rooms. and for heating, transporting dirt, preparing artificial hydrogen sulfide water.

By order of the USSR Ministry of Health No. 06-14/7-14 dated February 17, 1988 “On the free distribution of milk and other equivalent food products workers and employees engaged in work with harmful conditions labor", workers of radon laboratories have the right to free lunches and retirement upon reaching 50 years of age (women - 45 years), with work experience of at least 20 years (women - 15 years), including 10 years (women - 7, 5 years) in contact with occupational hazards. Persons under 18 years of age are not allowed to work in hazardous conditions. Workers associated with hazardous working conditions are provided with additional leave to the main one (Article 68 of the Labor Code of the Russian Federation), according to which nurses have the right to 12, and workers of radon laboratories - 24 working days.

By decision of the administration, bonuses may be introduced to the official salary: I) for the duration of continuous work for the first 3 years - 20%, for the next 2 years - 10% of the basic salary, but not more than 30%; 2) for the application of scientific achievements and advanced labor methods in work, high achievements in work, performance of particularly important or urgent work (for the period of their implementation), as well as tension in work. All labor disputes are resolved in the trade union organization and then in court.

Staff medical institutions working in the compulsory health insurance system (CHI), it is necessary to familiarize yourself with the Law of the Russian Federation “On medical insurance of citizens of the RSFSR” dated June 28, 1991; Decree of the Government of the Russian Federation No. 41 of January 23, 1992 “On measures to implement the law”; “Fundamentals of the legislation of the Russian Federation on the protection of the health of citizens” dated July 22, 1993, No. 5487-1; standard rules of compulsory health insurance; register of medical services; tariffs for medical services in the system;

By the Law of the Russian Federation “On the Protection of Consumer Rights” No. 2-FZ of January 9, 1996, the administration of a medical institution, together with the insurance company, must conduct classes with medical personnel on the directive documents of the compulsory medical insurance system and instructions on working with medical documentation.

Organization of a physiotherapy room

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 forced 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 switchboards 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. The estimated area per device under such conditions is 3-4 m2.

When working with laser systems, the main source of danger, in addition to high (3-5 kV) and low (200 V) voltage electric current, is laser radiation (direct, reflected and scattered). The best way to organize laser therapy is a separate room with an area of 20-25 m2, the ceiling and walls of which are painted with matte blue-green paint that absorbs red light. On the outside of the office door there is a sign “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! Don't look along the beam." During the procedure, the nurse (doctor) wears 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 (rings, watches, mirrors, etc.) into the area of exposure to the beam, 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.

Intracavitary procedures (rectal, urological, bronchopulmonary, vascular, etc.) are carried out in treatment rooms equipped in accordance with safety requirements.

Water and mud rooms are separated into a block connected by closed passages to the physiotherapy department. The air temperature in them is maintained at 25 ° C with a humidity of no more than 75%. The sloping floor is covered with wooden grating or rubber mats. All electrical wiring and starting devices are hermetically sealed to prevent moisture ingress.

It is better to place cylinders with compressed gases (air, carbon dioxide, nitrogen) in utility rooms that exclude the influence of direct sun rays, at a distance of 1 m from water heating radiators and 10 m from open fire. The cylinders are protected from falls and secured to the wall with a metal bracket. Oxygen cylinders, due to their explosion hazard, are placed in special storage facilities, where impacts and oil and oily rags from entering oxygen-carrying parts are prevented. All cylinders can be operated with a special gear valve.

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.

One stationary or two portable devices can be installed in each cabin, provided they are used alternately. To prevent accidental contact of the patient with the device, it is installed at the maximum distance from the couch or blocked with a shield made of non-conductive material. Portable devices are connected to the network through the socket of the starting panel, and stationary ones only to the terminals of the panel.

All devices with electrical safety class 01 and 1 are subject to mandatory grounding to the building circuit. Heating and water pipes must not be used for grounding. Each device is connected to the ground terminal of the starting panel with a separate wire. The reliability of grounding must be monitored once every 1-2 months.

Devices made according to electrical safety class II are not grounded, and the insulation efficiency is checked monthly. Stationary high-quality devices are operated in separate rooms or grounded shielded cabins made of fabric with microwire V-1, article 4381, or better metallized fabric of the “Voskhod” type. Portable devices can be used in a general electrotherapy room without shielding, placing them at a distance of 3 m from the nurse’s desk, as well as at a distance from other devices, since the resulting electromagnetic field can create interference and distortion of measuring instruments in the patient circuit.

Currently, to completely eliminate the impact of electromagnetic waves on the personnel of physiotherapy rooms, special clothing is produced from metallized fabric of the “Bekar” type (robes, jackets, etc.).

Daily monitoring of the condition of the equipment is carried out by a nurse before the start of the work shift. If a malfunction is detected, the device is switched off and an entry is made in the “Routine and preventive maintenance of equipment” log. Once a week, a preventive inspection of the equipment is carried out by a physical technician, which is recorded in the journal.

Every year, in special institutions, a control check of equipment measuring instruments should be carried out, which will ensure the correct dosage of physiotherapeutic procedures. The serviceability of the equipment is certified in the log by the personal signature of the technician who performed the preventive inspection or repair, and the signature of the head of the department, confirming the work performed. After a major overhaul, the workshop makes a record in the passport that the electrical wiring diagram of the device complies with the approved medical and technical standard, which is certified by the technician servicing the department.

Dust from the internal parts of 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 it is advisable to place the equipment 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, the devices must be operated intermittently, which will extend their service life.

Medical personnel who have documents on special training and have undergone safety training, which is carried out annually, are allowed to work in a physiotherapy room (department). An entry about this is made in the journal “Registration of workplace briefing upon hiring and periodic (repeated) briefing.”

Procedures, as a rule, are performed by a nurse (rarely a doctor) only if there is a procedure card with a doctor’s prescription. It is a gross violation to involve nurses in performing procedures on patients. When a new device enters the office, the nurse must undergo instruction in the methods and techniques of its operation. During the procedure, the nurse is required to be in the office and monitor the patient’s well-being, the readings of the device indicators, and, if necessary, make any necessary adjustments.

Patients should not be allowed to sleep or read during the procedure. She must immediately inform the doctor about any malfunctions in the operation of the devices and changes in the well-being of patients. Leaving the office during the procedure is a gross violation of the rules for conducting physiotherapeutic procedures and can lead to extremely undesirable consequences. Offices in which there are no patients or staff must be locked.

At the beginning of the work shift, the nurse checks the serviceability of the equipment, grounding, integrity of the electrodes, and insulation on the wires. Faulty devices, electrodes with cracks, tears, and wires with damaged insulation are excluded from operation. Particular attention is paid to the places of connections, contacts, and soldering.

During the procedure, the electrodes are fixed on the patient’s body so that they cannot move.

Therefore, it is best to bandage them with gauze, elastic, rubber bandage or fix them with an elastic mesh tubular bandage. Electrodes can be applied, changed or adjusted only after turning off the current in the patient circuit. The wires from the electrodes must fit tightly into the mounting sockets to prevent the patient from accidentally breaking the circuit during the procedure.

Before turning on the device, check that all switches are set to zero. It is possible to switch the form and operating mode, output voltage and break the patient circuit only when the voltage, power or intensity knobs are in the zero position. The device is turned on only after the current in the patient’s circuit has dropped to zero.

When working with high-frequency equipment, all the above requirements must be observed with special care. In addition, from electrical magnetic field remove all metal objects from both the patient and the couch. Medical personnel should not be in the electromagnetic field unless necessary.

It is strictly forbidden to troubleshoot, change fuses, switch voltage, or wipe panels on a device connected to the network. To avoid rapid damage to the device, do not leave it under high voltage in an inoperative state.

After the procedure is completed, the device is turned off in the reverse order of turning it on and the electrodes are removed from the patient. At the end of the working day, the nurse turns off the switchboards, distribution board, water supply and electrical network of the office.

Carrying out physiotherapeutic procedures at home, in the dressing room, in the ward requires special attention and thoroughness. To do this, it is better to use portable portable models of the device. First of all, prepare the workplace.

If the floor is stone, then it is covered with a rubber mat measuring at least 1x1 m. The bed is installed away from the pipes of water heating radiators or they are insulated with improvised material. Metal parts of the bed or operating table covered with a mattress, woolen blanket or rubberized fabric and sheets so that they hang on both sides to the floor. Before the procedure, the nurse checks the functionality of the device and accessories. After this, the patient and the device are prepared according to all the rules of the procedure.

Qualified performance of physiotherapeutic procedures requires clear and correct organization of the work of the department (office) and workplace. Therefore, in the corridor of each office, information is posted for the information of patients: the office’s opening hours, the time the doctor sees patients, the time of procedures for various groups of patients, the rules for the patient when receiving procedures.

Bogolyubov V.M., Vasilyeva M.F., Vorobyov M.G.

ORGANIZATION OF THE WORK OF THE PHYSIOTHERAPY DEPARTMENT

Guiding documents on labor organization.

The organization of the work of the FTO and the functional responsibilities of its employees are regulated:

1. By order of the People's Commissariat of Health dated February 22, 1939, “Regulations on the head of physical education and physiotherapist.”

2. Order of the USSR Ministry of Health No. 817 dated September 1, 1949 “Regulations on the physiotherapy room and department.”

3. Order of the Ministry of Health of the USSR No. 100 dated February 8, 1968 “On measures to improve and further development therapeutic assistance to the population."

4. Order of the USSR Ministry of Health No. 245 of August 30, 1991 “On alcohol consumption standards for healthcare, education and social security institutions.”

5. Order of the Ministry of Health of the USSR No. 1092 of December 29, 1972 “On the maintenance and installation of medical equipment.”

6. Order of the Ministry of Health of the Russian Federation No. 35 of February 20, 1995 “On remuneration of healthcare workers in the Russian Federation.”

7. Order of the Ministry of Health of the Russian Federation No. 33 dated February 16, 1995 “On approval of the Regulations on the certification of doctors, pharmacists and other specialists with higher education in the healthcare system of the Russian Federation."

8. Order of the Ministry of Health of the USSR No. 1440 of December 21, 1984 “On approval of conventional units for the performance of physiotherapeutic procedures, time standards for massage, regulations on physiotherapeutic units and their personnel.”

9. Order of the USSR Ministry of Health No. 693 dated May 25, 1981 “On the name of the position of acupuncturist.”

10. SSBT. Departments, physiotherapy rooms. General safety requirements. OST 42-21-1686 Ministry of Health of the USSR, 1987.

11. Order of the USSR Ministry of Health No. 850 dated July 4, 1988 “On additional leave of medical and pharmacy workers.”

12. Order of the Ministry of Health of the Russian Federation No. 126 of April 29, 1997 “On the organization of work on labor protection in management bodies, institutions, organizations and enterprises of the system of the Ministry of Health of the Russian Federation.”

13. Order of the Ministry of Health of the USSR No. 1000 dated September 23, 1981. Estimated standards of service for doctors in outpatient clinics.

14. Order of the Ministry of Health and MP of the Russian Federation No. 286 of December 19, 1994 “On approval of the Regulations “On the procedure for admission to professional (medical and pharmaceutical) activities.”

15. Order of the Ministry of Health and MP of the Russian Federation No. 318 dated November 17, 1995 “On the regulation on qualifying exam to obtain a specialist certificate."

Principles of rational placement of physiotherapy units.

When constructing new or reconstructing existing FTOs (FTC), an approved standard design is required, which indicates the placement of equipment, electricity, water and heat supply, ventilation. The commissioning of a medical technical service (FTC) is formalized by a special act, which is kept by the head physician of a medical institution or the head of a medical technical institution (FTC).

When planning FTO and FTC in hospitals and clinics under construction, they use Construction Norms and Rules - SANPIN 2.1.3.1375-03, introduced by Decree of the Chief State Sanitary Doctor of the Russian Federation No. 124 of June 6, 2003 (reg. No. in the Ministry of Justice 4709 of June 18, 2003 ). They define a list of premises for technical training (FTC) with detailed description areas and interior.

The optimal organization and layout of individual physiotherapy rooms and the entire physiotherapeutic complex should ensure the use of modern methods of physiotherapy during all operating hours of the hospital and clinic in accordance with current labor protection standards, sanitary hygiene and occupational safety regulations.

The rational design, layout and equipment of the physical technical department (FTK) should provide the following general conditions: efficient use modern methods of physiobalneotherapy; creating the most for patients comfortable conditions during treatment and rest; ensuring labor safety standards for medical workers (mechanization of labor-intensive processes, protective equipment, rest rooms, wardrobes, shower facilities).

Expedient, economically justified placement of the physiotherapy department and equipment in it reduces the downtime of the devices and increases the efficiency of physiotherapeutic care. Comparative study of economic and therapeutic effectiveness physiotherapy service in large integrated hospitals with different types placement of physical training allowed us to establish the advantage of institutions where work is carried out in a single physiotherapeutic department for the hospital and clinic.

In each medical and preventive institution, it must be developed and approved by the head "Regulations on the physiotherapeutic department (PTD) or on the physiotherapeutic office (PTK)", approved by Order of the USSR Ministry of Health No. 1440 of December 21, 1984.

REGULATIONS ON THE DEPARTMENT (OFFICE) OF PHYSIOTHERAPY OF A TREATMENT AND PREVENTIVE INSTITUTION

1. The physiotherapy department (office) is a structural unit of a medical institution that provides qualified physiotherapeutic care to the population. If there is a department (office) in a medical institution rehabilitation treatment, the physiotherapy department (office) is part of it.

2. The opening and closing of the physiotherapy department (office) is carried out in accordance with the established procedure.

3. The physiotherapy department (office) is located in specially equipped premises that fully meet the requirements of the Rules for design, operation and safety.

4. The management of the work of the physiotherapy department (office) is carried out by a physiotherapist, and in his absence - by the head of the institution or by a doctor trained in physiotherapy.

5. The staffing levels of medical personnel in the physiotherapy department (office) are established according to current staffing standards.

6. The equipment of the physiotherapy department (office) is carried out in accordance with the current report card. Preventive surveillance and repair of physiotherapeutic equipment in the physiotherapy department (office) is carried out by the relevant enterprises for servicing medical equipment.

7. The activities and scope of work of the physiotherapy department (office) are determined depending on the profile of the medical institution and the relevant regulatory documents.

8. The main objectives of the physiotherapy department (office) are:

– carrying out therapeutic, restorative and preventive measures using physical factors;

– monitoring the implementation of prescribed physiotherapeutic procedures and analysis of errors in the prescription of physiotherapeutic procedures by doctors of other specialties;

– organization of events for training and advanced training of doctors and nursing staff in the field of physiotherapy;

– introduction into practice of new methods of physiotherapy and physioprophylaxis;

– organizing the promotion of physiotherapy methods among medical workers;

– recording the work of the department (office) in accordance with the accounting and reporting documentation approved by the Ministry of Health of the Russian Federation within the established time frame.

9. The work of the physiotherapy department (office) is carried out according to a schedule, the responsibility for drawing up which is assigned to the head of the department (office).

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?

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

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

- Comfort for visitors. Many types of physiotherapeutic procedures require complete relaxation, which has a beneficial effect on the progress 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 Required documents, registration certificates and certificates. 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:

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