Modern requirements for a physiotherapy room. Alphabetical index

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.

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. Stationary devices for UHF and microwave therapy are located in specially equipped shielded rooms or cabins.

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

In each room for electrolight therapy, a group panel with a common switch or starter having a designated “on-off” position is installed in an easily accessible place.

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 you start nurse is obliged to 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 batteries as grounding heating system, water and sewer pipes. They should be covered with wooden casings painted with oil paint.

4. Before turning on of the device, check that all switches are in their original positions. Change exposure settings or turn off. the device is permissible only with the zero position of the amplitude or intensity knobs.

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 honey. 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 managed by the head of the department (office), who supervises the treatment and preventive work personnel, ensures the organization of the work of the department (office), equipping it with equipment, is responsible for the correctness of prescriptions and implementation of treatment procedures, is responsible for the safety of work on physiotherapy equipment, and controls the proper maintenance of medical documentation.

The choice of physiotherapeutic method, area of ​​influence, dosage, frequency of exposure and number of procedures are the prerogative of the attending physician, about which he makes an appropriate entry in the medical history or outpatient card. 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. In this card, the nurse makes notes on the completion of each procedure, the actual dosage is noted physical factor and duration of exposure. 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 journal for registering primary patients, a diary for daily recording of medical work. nurses, registration log of introductory briefing upon hiring, log of briefing at the workplace, control

technical maintenance log, passport of the physiotherapy department (office).

Physiotherapeutic procedures are carried out only by average medical professionals. employees who have passed special training. Some procedures are carried out only by a physiotherapist (rehabilitation doctor).

Honey. the nurse must 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, honey. the nurse should stay in the medical clinic, 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. helping patients in situations where it is necessary. Responsibilities: Med. Sisters also include keeping records and submitting reports on the work done. Every 5 years, a physical therapy nurse must undergo advanced training in their specialty.

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 carrying out 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 conduct 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 the elderly, should slowly move into 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 serviced at a specially allocated time 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.

Electrotherapy

Electrotherapy (or electrotherapy) is the use of therapeutic purpose various types electricity.

During electrotherapy, energy is supplied to the body in the form of electric current, magnetic or electric fields and their combinations.

With all methods, so-called nonspecific reactions common to many physical factors appear in the form of increased blood circulation, metabolism, and tissue trophism. At the same time, the action of each factor is characterized by specific reactions unique to it.

Constant and alternating pulse currents can cause, depending on the frequency, intensity and other parameters, an increase in inhibitory processes in the central nervous system, an analgesic and blood circulation-improving effect, and muscle contraction.

Contraindications for electrotherapy are malignant neoplasms, tendency to bleeding, fresh significant hemorrhages in the cavity or tissue, severe cardiac failure, pregnancy.

The most lasting effect is achieved when treating patients in subacute, and in some cases in acute period diseases. Some types of electrotherapy are contraindicated in some cases, for example, the use of tetanizing current for spastic paralysis, diathermy (long- and medium-wave) - for purulent processes that do not have a way for the pus to exit, etc. Electrotherapy should not be used in patients with stage III circulatory insufficiency, hypertension Stage III, at acute bleeding, malignant diseases etc. Some patients cannot tolerate individual species electrotherapy.

Electric current is applied in continuous and pulsed mode. Types of electric current used for medicinal purposes.

Continuous DC low voltage. Galvanization improves the permeability of cell membranes, enhances lymph circulation, promotes the resorption of decay products, improves trophism and tissue regeneration processes, and accelerates the restoration of impaired nerve conduction.

Pulse direct currents low voltage. Pulsed current enhances inhibitory processes in the brain and is used for electrosleep therapy; tetanizing (formerly called faradic) current contracts skeletal muscles, used for electro-gymnastics and classical electrodiagnostics; Exponential current (Lapika) in structure resembles the current of a nerve, causes a motor reaction in deep-lying muscles, and is used mainly for electro-gymnastics.

Diadynamic current (Bernard)- constant pulsating, straightened sinusoidal current, used in various modifications (single- or two-phase, with short or long periods, etc.); one of the most effective analgesic agents for acute, subacute and chronic lesions of the peripheral nervous system, muscles, joints, etc.

Constant high electric field voltage. Franklinization. There is an electric field and charged air particles - ozone air ions and nitrogen oxides. The entire body is affected, peripheral blood circulation expands, the trophic function of the nervous system is enhanced, and the processes of hematopoiesis and metabolism are stimulated.

Low voltage alternating current- interfering (ionomodulation). The current is formed by adding two alternating current circuits with a frequency of 3900-4000 Hz and 3990-4000 Hz; interference is created in the frequency range 10-100 Hz; ionomodulation acts directly on deeply located tissues and organs, causing a blockade of the path between the lesion and the central nervous system.

Sinusoidal modulated current, received from the Amplipulse-3 apparatus, is characterized by a carrier frequency of 5000 Hz and modulations in frequency from 10 to 150 Hz and amplitude from 0 to the maximum value; has a pronounced analgesic effect and an effect on nervous trophism.

High frequency currents. High frequency pulse current and high voltage- local darsonvalization - with a frequency of 300-400 kHz and a voltage of up to 10-15 kV causes reflex reactions of all systems (and internal organs), reduces the excitability of the neuromuscular system, has a pronounced analgesic, antipruritic, antispastic effect, improves trophism, promotes the growth of granulations and epithelium. Diathermy - frequency 500-1500 kHz, voltage 100-150 V, current up to 1-2 A; endogenous heat is formed in the tissues, activated biochemical processes and trophism, metabolism and phagocytosis increase, analgesic and especially antispastic effects are expressed.

High frequency electromagnetic field. With general darsonvalization (autoinduction), weak high-frequency currents arise that the patient does not feel; inhibitory processes in the central nervous system increase, arterial blood pressure decreases slightly blood pressure in patients with stage I B, II A hypertension, metabolic processes are enhanced and functional disorders of the nervous system are corrected.

Relevance of the issue

Physiotherapy is a branch of medicine that studies the effects of physical factors on the human body. There are many hardware physiotherapeutic methods - electrical, light, heat, hydrotherapy using special devices, etc.

Physiotherapeutic treatment can reduce the number of complicated forms of diseases, speed up the recovery process, and reduce the medication load.

Physiotherapeutic methods are effective, well tolerated by the body and safe. They have been used since ancient times, and to this day their demand and development trends in this area are obvious.

Physiotherapeutic procedures are carried out in a specially equipped room (order of the USSR Ministry of Health dated December 21, 1984 to Regulation No. 4 “On the physiotherapy department (office) of a medical institution”). Besides, modern offices equipped with devices approved by the Committee on New medical equipment Ministry of Health of the Russian Federation. They must have a quality certificate and registration documents.

Where to open an office

Usually it is opened on the basis of a medical institution - a hospital, sanatorium, dispensary, center with a minimum of 50 beds. The office also operates on the basis of a clinic if it has at least 10 outpatient doctors.

Staff

The office is staffed by a physiotherapist and a nurse.

The doctor has a higher education medical education(specialization in general medicine or pediatrics) and received special training in physiotherapy. He receives patients, prescribes necessary procedures, evaluates the effectiveness of treatment, maintains documentation and is responsible for the work of the office.

The nurse has a secondary medical education and has completed training in physiotherapy. She carries out the procedures prescribed by the doctor and also prepares the patient for them; monitors the serviceability of equipment and safety precautions (grounding, insulation, etc.). During the entire procedure, the nurse stays next to the patient and monitors his condition.

It also takes care of the equipment and prevents overloads, dampness, and dust, which can lead to malfunction of the devices.

Premises requirements

A room with an area of ​​at least 30 square meters must be allocated for a physiotherapy room. m. One couch accounts for a minimum of 6 square meters. m, and if there is only one couch in the office, then at least 12 sq. m.

The treatment room is equipped with isolated cabins for patients. The cabin dimensions are 2 m high, 2.2 m long, 1.8–2 m wide. The cabin is designed for only one stationary device or several portable ones.

Cabin frames are made of wooden or plastic racks or metal pipes. Metal structures must be insulated from stone floors and walls using a special material.

A separate shielded room or cabin is allocated for the installation of stationary UHF and microwave devices.

Another room is allocated for storing and processing materials (pads), preparing medicinal solutions for procedures, and performing preparatory procedures. The box must be isolated from the main room, its area is at least 8 square meters. m. Here they install a drying hood, sinks, a medical cabinet, washing machine, disinfection boilers and work table.

Safety precautions

Treatment in the office must be safe for patients and staff. Therefore, safety must be taken care of even at the stage of designing the office and performing repair work.

The floor is covered with a material that does not generate static electricity, such as wood or special linoleum.

The walls to a height of 2 m are painted with light-colored oil paint, and the rest with adhesive paint. It is prohibited to cover walls with ceramic tiles.

A switchboard with a common switch is installed in each room of the office, and a starting panel is installed in each procedure cabin.

The wires must be flexible, well insulated, intact, and the electrical wiring must be sealed.

Devices in metal cases of 01st and 1st electrical safety classes must be grounded (grounded).

At least once a week, a physical technician conducts preventive examination all devices. The nurse monitors the timeliness of checks and notes them in the registration log.

It is necessary to install a supply and exhaust ventilation system in the office.

Physiotherapeutic equipment

There are many types of physical therapy office equipment. Therefore, it is selected depending on the specifics of the treatment carried out in a medical institution.

As a standard, the offices are equipped with devices for UHF and microwave therapy, magnetic, electro-sound and laser therapy, electrophoresis, galvanization apparatus, Darsonval, mercury-quartz irradiator, Sollux, inhalers.

Developers offer physiotherapeutic complexes that perform the functions of several devices at once and provide electric pulse, wave, magnetic and other types of physical effects.

In addition to the equipment, the office needs: a gala inhaler, an ultrasound inhaler, a tonometer, UV irradiators (for the nasopharynx and closed), a paraffin heater, and a treatment clock.

All devices are installed at a remote distance from the couch or blocked with a non-conductive shield.

Necessary furniture

The physiotherapy room is equipped with special furniture. Minimum required: examination couches separated by screens; cabinets for appliances, a desk, a storage cabinet and a fume hood.

Couches are selected depending on what procedures will be performed. For example, comfortable ergonomic models are needed for electric sleep, massage or acupuncture.

Rubber gloves, a stopwatch, a measuring tape, and safety glasses are stored in the table.

All equipment and furniture must meet quality and safety standards and requirements.

A physiotherapeutic office is a structural unit of a medical and health resort institution that provides physiotherapeutic procedures to the population. It can function independently (in low-power institutions) or be part of a physiotherapy or rehabilitation (restoration) department. Depending on the capacity of the institution, it can use either individual devices, or groups of devices, or the whole complex devices and equipment for the operation of which several physiotherapy rooms can be organized. However, regardless of the number and type of physiotherapeutic devices, they can be used for prevention and treatment only if safety precautions are ensured in accordance with current regulatory documents and in the presence of at least an average medical worker who has undergone special training and has a document authorized to work with physiotherapeutic equipment.
Physiotherapy rooms are located in specially equipped rooms that fully meet the requirements of the “Rules for the design, operation and safety of physiotherapy departments (offices)”, approved by the ministry healthcare. When setting up and equipping a physiotherapy room, the following must be provided: 1) safety precautions; 2) convenience for patients; 3) normal conditions for staff work. When constructing new or reconstructing existing physiotherapy rooms (departments), an approved standard design is required, which indicates the placement of equipment, electricity, water, heat supply, and ventilation. Commissioning of the cabinet is formalized by a special act with a conclusion on the possibility of operating the adopted cabinets. One copy of the act must be kept by the head physician of the institution, the second - by the head of the office (department). Special attention addresses the placement of equipment and the nurse's workplace. It depends on the correct placement of the equipment. rational use and convenience during procedures.
Separate rooms must be equipped for carrying out procedures for each or similar types of treatment. Electrotherapy and light therapy may be placed in the same room. Every specialized office has some features in its design and equipment. In electric light therapy rooms, according to the number of stationary devices, cabins for carrying out procedures are equipped.
The area of ​​the office is determined at the rate of at least 6 m2 per treatment couch, including the area for aisles and staff workplaces. The sister's workplace should be equipped close to the entrance to the office. Each office must have an adjacent utility room with an area of ​​at least 6-8 m2 for preliminary preparation medical procedures. A room located no lower than the first floor is allocated for the physiotherapy room (and department). The office space should be warm, dry, bright and spacious enough. For systematic ventilation, transoms and supply and exhaust ventilation with air heating are installed in the physiotherapy room. A washbasin with a mixer is installed in the office, to which hot and cold water. The floor of the offices should be wood, oil-painted, parquet or covered with linoleum. The walls of the offices to a height of 2 m are painted with light-colored oil paint. Central heating radiators, water supply and sewer pipes must be covered with wooden casings painted with oil paint. A group electrical panel with a common switch is installed in the office, and switchboards are installed to connect individual devices. An emergency first aid kit must be available in the office.
The management of the work of a physiotherapy room is entrusted to a physiotherapist, and in his absence, to a doctor trained in physiotherapy. The physiotherapy room is equipped in accordance with the current report card. Preventive surveillance and repair of physiotherapeutic equipment is carried out by the relevant institutions (representatives) of the Medtekhnika system.
For each physical therapy room, safety instructions must be developed, approved by the administration of the institution. Instructions must be posted in a visible place. Every office should have detailed instructions, defining the actions of personnel to provide first aid in case of electrical injury, overdose of factors, as well as instructions and an evacuation plan in the event of a fire, approved by the administration of the medical institution. Each office must have a technical passport containing a list of premises, their equipment and protective devices. An inventory of the technical equipment of the office, a list of measures for routine maintenance and repair of equipment must be contained in the technical maintenance log.
The official document of the patient in the physiotherapy room is the registration card in form No. 44/U, in which the prescription of the physiotherapy procedure is specified by the physiotherapist or another doctor and signed by him.
A record of the procedures, indicating the actual dosages and duration of the procedures, is carried out when each procedure is performed by the nurse.
At the end of treatment, the card in form No. 044/U is stored in the department for a year or pasted into the medical history (outpatient card) of the patient.
The activities and scope of work of a physiotherapy room are determined depending on the profile of the medical institution by the relevant regulatory documents. To take them into account, by order of the Ministry of Health, standard units for the performance of physiotherapeutic procedures are approved.
To carry out quantitative and qualitative analysis office activities, journals are usually kept in it containing diaries of the work of the physiotherapeutic office of a hospital or clinic.
The main tasks of the staff of the physiotherapy room are: carrying out therapeutic, restorative and preventive measures using physical factors; introduction into practice of new methods of physiotherapy and physioprophylaxis; organizing the promotion of physiotherapy methods among medical workers and patients; accounting of the work of the office in accordance with the approved accounting and reporting documentation, etc.

Physiotherapeutic department (PTD) is a structural unit of a treatment-and-prophylactic or sanatorium-resort institution, designed to carry out physiotherapeutic procedures. FTOs are created, as a rule, on the basis of large multidisciplinary hospitals, clinics, rehabilitation centers, sanatoriums and are able to provide the full range of physiotherapeutic care. Today, FTOs often operate under the name of branches medical rehabilitation or rehabilitation treatment. The FTO includes electrical, light, water and mud treatment rooms. It also usually includes reflexology, massage and manual therapy, and sometimes - exercise therapy.
When constructing and equipping physiotherapy departments, the requirements of the industry standard OST 42-21-16-86 “SSBT. Departments, physiotherapy rooms, General requirements security." It establishes general safety requirements for conducting physiotherapeutic procedures for patients, and the safety of medical personnel in physical therapy departments and rooms.
According to general provisions of this standard:
1. Newly built or reconstructed departments are accepted (with the execution of an act) into operation by a special commission with the obligatory participation in it of representatives of the sanitary and epidemiological service, the chief physiotherapist or his deputy and the technical labor inspector of the medical workers’ trade union.
2. Separate rooms (offices) must be equipped for carrying out procedures for each type of treatment. It is allowed to place devices for electrotherapy and light therapy in the same room.
3. To equip departments (offices), equipment and equipment should be used that are approved by the Ministry of Health for use and have operational documentation.
4. Safety of work in the department must be achieved by: technologically and sanitary-hygienically justified placement, layout and decoration of premises; rational organization work and jobs; using proper equipment and protective equipment that meet safety requirements; compliance with the rules of operation of electrical installations, communications and equipment; training personnel in safe work methods and techniques; application effective means personnel protection.
5. Responsibility for ensuring the safety of work in physiotherapy departments rests: in terms of proper placement, layout, decoration of premises and equipment - with the head of the institution; regarding the operation of physiotherapeutic equipment - to the head of the department.
6. The head of the department is obliged to develop safety instructions for each physiotherapy room, which must be approved by the administration of the institution and agreed upon with the trade union committee. Instructions must be posted in a place where personnel can see them.
7. Each office must have detailed instructions defining the actions of personnel to provide first aid in case of injury electric shock, light radiation, action in case of fire, approved by the administration of the institution.
8. Each office must have a technical passport containing a list of premises, their equipment and protective devices.
Certain requirements are imposed on the placement and layout of physical technical training rooms. Premises for physiotherapeutic procedures must be dry and bright, the height of the room must be at least 3 m. The placement of physical and technical equipment in basements, semi-basements and basements, the floor of which is located below the planning level of the sidewalk by more than 0.5 m, is prohibited.
The area of ​​the electrotherapy and light therapy room is taken at the rate of 6 m2 per couch, if there is one couch - at least 12 m2; for intracavitary procedures (urological, gynecological), the area is taken in a separate room at the rate of 18 m2 per chair. The electrical and light therapy room must have a room with an area of ​​at least 8 m2 (box) for preparing and conducting procedures. When organizing group preventive UV irradiation, the following premises must be provided: a) photarium; b) dressing room; V) workplace nurses, the area of ​​which depends on the equipment used.
The area of ​​the room for aerosol and electroaerosol therapy is determined at the rate of 4 m2 per place, but not less than 12 m2.
To carry out electrotherapy procedures, cabins are equipped with the following dimensions: height - 2 m, length - 2.2 m, width - for stationary devices - 2 m, for others - 1.8 m.
In hydropathic hospitals, each bath is allocated an area of ​​6 m2 (excluding the area of ​​the working corridor) and a room for undressing and dressing patients at the rate of 2 m2 per place; For hydrogen sulfide baths a separate room is provided in the dead-end section of the hydropathic clinic: the area of ​​the hall is made at the rate of 8 m2 per bath; laboratory for preparing solutions - 10 m2; storage room for solutions - 8 m2.
For paraffin and ozokerite treatment, it is necessary to have an isolated room of 6 m2 per couch, but not less than 12 m2 if there is one couch, and an isolated room of 8 m2 for heating thermotherapeutic media. The mud bath treatment room can consist of separate cabins or be shared at the rate of 8 m2 per couch, but not less than 12 m2 if there is one couch. For washing and drying sheets and canvases, a separate room with an area of ​​at least 18 m2 is allocated; The room for storing therapeutic mud (mud storage) should have an area of ​​12 m2 per couch.
No lesser requirements are imposed on the equipment of physical training facilities. In particular, in rooms for electrical and light therapy, the floor should be wooden or covered with a special linoleum that does not generate static electricity, and should not have potholes or unevenness. The walls of the premises to a height of 2 m should be painted with light-colored oil paint, the rest of the walls and ceiling should be painted with adhesive paint. Wall cladding with ceramic tiles is prohibited. In rooms where laser equipment operates, the walls and ceiling must have a matte finish.
The frames of the treatment booths are made of plastic or well-polished wooden posts or metal (nickel-plated or oil-painted) pipes. Metal structures of the cabin must be insulated from stone walls and floors by installing flanges on pads made of insulating material at least 40-50 mm thick (wood boiled in paraffin and painted with oil paint).
Heating devices of the central heating system, pipes of the heating, gas, water supply and sewerage systems, as well as any grounded objects located in the electrical and light therapy room, must be covered with wooden casings coated with oil paint.
The room for inhalation therapy must be insulated, the walls are lined with glazed tiles to a height of 2 m, the floor is covered with linoleum, the ceiling is covered with lime.
In the physical therapy room, an isolated room must be allocated for hydrotherapy; the height of the rooms in hydrotherapy rooms must be at least 3 m. The walls of hydrotherapy rooms must be lined with glazed tiles, the floor with Metlakh tiles, the ceiling covered with lime. The floor should slope towards the ladder. To monitor patients, a common passage at least 1 m wide is provided along all cabins. Baths are installed so that daylight falls on the patients’ faces. Baths must be medical ceramic, stainless steel or plastic.
For paraffin and ozokerite treatment, an isolated room with a special room for heating coolants should be allocated. The floor of the premises should be covered with linoleum, the kitchen walls to a height of 2.5 m should be lined with glazed tiles; tables for heaters and coolant dispensing must be covered with heat-resistant material. The room for heating paraffin and ozokerite must be equipped with a fume hood for paraffin heaters and provided with a fire extinguisher.
The mud bath treatment room, consisting of separate cabins, must have a common passage at least 1 m wide. The walls of the cabins and partitions must be raised to a height of 10-15 cm above the floor, have a height of 2 m and be made of smooth materials that are easy to wet clean. The floors of the premises must be covered with Metlakh tiles.
Physiotherapy facilities are equipped with supply and exhaust ventilation with the supply of heated air in electrical and phototherapy rooms, providing 3-4 times air exchange per hour, and window transoms; in the inhalation room - 8-10 times, in the hydropathic clinic - 3-5 times and in thermal treatment rooms - 4-5 times air exchange per hour.
The air temperature in rooms for electrical and light therapy, inhalation rooms should be no lower than 20 ° C, in hydropathic clinics, in heat and mud therapy rooms - within 23-25 ​​° C; relative humidity should not be higher than 60-65%.
In each room for electrolight therapy, a group panel with a common switch or starter is installed in an easily accessible place. 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 intended for carrying out water procedures, are made of special materials that ensure tightness. All devices with electrical safety class 0I and I are subject to mandatory grounding (grounding).
Equipment, organizational and staffing structure and the volume of work of the medical technical department are determined by the capacity of the institution and their medical profile. The work of the physiotherapy department is led by the head of the department, appointed from among the most experienced physiotherapists. He supervises the medical and preventive work of the staff, ensures the organization of the work of the department, equips it with equipment, is responsible for the quality and effectiveness of patient treatment, is responsible for the safety of work on physiotherapy equipment, controls the proper maintenance of medical documentation, and provides advisory and methodological assistance to doctors of other specialties on issues of physiotherapy and balneology.
The physiotherapist monitors the correctness of the methods proposed by the attending physician, organizes initial appointment patients sent for treatment to the department. At the reception, he examines the patient, studies him medical documentation, clarifies the methodology for carrying out procedures, determines the order medical supervision during the treatment process, briefly introduces the patient to the nature of the upcoming treatment and its expected results. A physiotherapist has the right to cancel the attending physician’s prescriptions if they are made without due consideration of contraindications, compatibility with other therapeutic measures, or contradict the basic principles of the therapeutic and prophylactic use of physical factors.
In this case, the physiotherapist coordinates his actions with the attending physician. After examining the patient, the physiotherapist makes an entry in the medical history or outpatient card, where he 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 at the FTO is filled out (form No. 44U). In it, the method and parameters of the impact are indicated for the nurse, and the localization of the impact (location of electrodes, inductors, etc.) is graphically marked on the silhouette diagram of a 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 completing a course of physical therapy, the result of treatment is noted in the procedural card, and the card itself is stored for a year in the medical department or pasted into the medical history. In addition to the procedural card, the FTO maintains the following documentation: a journal for registering primary patients; diary of the daily work of the nurse; log of registration of induction training upon hiring; workplace briefing log; FTO passport; technical maintenance logbook.
Physiotherapeutic procedures are carried out only by average medical workers who have undergone special training and have a certificate of completion of specialization courses in physical therapy (certificate). Every 5 years, a physical therapy nurse must undergo advanced training in their specialty.
The nurse must prepare the patient for the procedure: briefly introduce its essence and report possible sensations during the treatment process, instruct about the rules of conduct during the procedure and after it, if necessary, provide protection for the eyes and other parts of the body, etc. During the procedure, medical the nurse should be in the office, monitor the patient’s condition and take an interest in his sensations and the readings of the machine’s measuring instruments, and if the patient’s condition worsens, stop the treatment and call a physiotherapist. She must strictly adhere to safety regulations, know and be able to provide emergency medical care, when it is necessary. The responsibilities of the nurse also include keeping records and reporting on the work done. To record the work of a nurse, so-called conventional procedural units have been introduced. By current situation, 1 conventional unit (cu) is accepted for work that requires 8 minutes to prepare and complete. The standard workload for a nurse is 15,000 USD. per year (per day approximately 50 USD for 6-day and 60 USD for 5-day working week). Based on the annual workload norm, the staff of technical technical support nurses is determined. Nurses working on UHF therapy and laser therapy devices, in the premises of radon and hydrogen sulfide baths, heat-mud therapy rooms have wage benefits, etc. Medical staff must undergo mandatory training medical checkup upon admission to work and then periodically - at least once a year.
Daily monitoring of the condition of the equipment is carried out by a nurse before starting work. If any malfunction is detected, the device is not used and an entry is made in the journal “Routine and preventive repair of equipment.”
Technical control, maintenance and repair of physiotherapeutic equipment is carried out by specially trained technicians (engineers) for the repair of medical equipment of the Medtekhnika system.
It is recommended to carry out a preventive inspection of physiotherapy equipment 2 times a month and make an appropriate entry in the technical maintenance log.
The main indicators of the work of physical training are: percentage coverage of physiotherapy in the institution, by clinical departments and by type of physiotherapy, as well as the average number of procedures per patient.
At modern equipment Physiotherapeutic equipment is considered satisfactory to cover 60-70% of primary patients for general somatic hospitals, incl. in gastroenterological departments - 85-90%, neurological - 90, gynecological - 55-60, pulmonological 80-90, traumatology and orthopedic 60-70, cardiological - 40-50, children's 80-90, surgical departments- 50-60%, etc. For clinics this figure is 25-30% (per 100 visits), for sanatoriums - 90-100, for rehabilitation centers -100%. As for the number of procedures per patient treated in the department, for hospitals it should be on average 13-14, for clinics - 10-12. By type of treatment, the number of procedures is approximately distributed as follows: electrotherapy 40-50%, light therapy - 20, heat therapy 10-12, hydrotherapy - 15-18 and mud therapy 10%.
During the entire working day in the FTO must be created protective regime for the patient. It includes clear and effective organization work, silence, business-like working atmosphere, politeness, sensitivity and attentiveness to the requests of patients, adherence to rules medical ethics. Medical staff FTO must be able to provide first aid to victims of electrical injury, burns and poisoning.

Offers a full range of Ems devices for physiotherapy and rehabilitation, health and beauty centers, and spa salons.

Our partners are the world's leading manufacturers of physiotherapeutic equipment for rehabilitation treatment, hydrotherapy, massage, fitness and massage training. Based on the assortment, our specialists select equipment that corresponds to the specifics of medical institutions, taking into account all the wishes of clients.

Modern equipment of rehabilitation and physiotherapy departments

The main activity of the Tech-Med company is the comprehensive equipment of clinics and departments of exercise therapy, massage, manual therapy, physiotherapy rooms, balneology, spa salons and health centers. We supply quality products.

The devices are multifunctional and will help you save money when creating a new institution or office. They have wide range adjustments and a large set of additional accessories. Among the advantages, we note modern design, light weight, convenient accessories, large base methodological recommendations.

All equipment has GOST certificates and registration certificates Ministry of Health of the Russian Federation.

Medical equipment for physiotherapy and rehabilitation Eme and BTL

Our company is a reliable and proven partner of leading European manufacturers. Over the years of successful work, we have sold hundreds of types rehabilitation equipment and furniture. Having assessed the quality of services, our new clients become regulars. We respect every customer equally.

Our research department never stands still. We keep our finger on the pulse of new technologies and strive to bring new products to the warehouse as quickly as possible. This means we offer the most modern medical equipment for rehabilitation, including Eme and BTL.

Each device and accessory carries a specific function, affecting different systems human body, thereby facilitating accelerated healing or maintaining and strengthening the patient’s health.

Multifunctionality of physiotherapy equipment for rehabilitation

A lot depends on technology. Naturally, more complex and modern devices provide more opportunities, and, accordingly, the doctors of this clinic can prescribe more effective procedures.

A multifunctional physiotherapy device is suitable for:

for electrotherapy,
UHF-,
DMV-,
SMV-,
EHF-,
TES therapy,
wave,
magnetic therapy,
amplipulse therapy.

This is not the entire list. Thus, the system can be equipped with devices for magnetic laser therapy, inhalers, ionizers, humidifiers, air purifiers, and so on.

We offer only certified plus medical equipment from the best European manufacturers.

Why is physical therapy effective?

Modern technologies and techniques give excellent results without side effects. After undergoing a course of physical therapy, the patient gets rid of the consequences of the disease, addiction, allergies, and recovers faster.

This procedure can be combined with other treatment methods: from “traditional” medicine in the form of mustard plasters, cupping, massage, foot parks, baths to a course potent drugs and surgery. Physiotherapy sessions are safe and can be done without the help of a doctor. They are prescribed individually, taking into account age, severity of the condition, chronic and acute diseases.

Our company sells therapeutic equipment of any configuration. We have a large warehouse, and if necessary we can deliver goods to order.

Physiotherapeutic equipment. Areas of use

This medical equipment is used in many areas of medicine. They are simply irreplaceable in surgery, dentistry, neurology, obstetrics, gynecology, urology, and cosmetology. Procedures are prescribed to prepare the body for the upcoming main treatment and for recovery after. They are also necessary for general strengthening health, relapse prevention.

It is worth buying devices for surgery, therapeutic, neurological, and ENT departments. They will help the body recover after surgery.

Medical equipment for physical cabinets are complex, expensive equipment, and it must be operated according to the rules. Regular maintenance and timely repairs will help increase its service life.

We offer reliable, durable, easy to maintain and operate, repairable devices. We take full responsibility for product quality. By purchasing it from us, you will open up new perspectives for yourself.

Where is the best place to buy physiotherapy equipment?

Therapeutic equipment is needed in medical institutions for effective treatment and prevention various diseases. The Tech-Med company offers advanced devices and instruments from the world's leading manufacturers and guarantees the most favorable purchasing conditions.