1. DEPARTMENT TASHKENT MEDICAL ACADEMY General and radiation hygiene DEPARTMENT « CONTROL OF PERFORMANCE OF REQUIREMENTS SANITARY-AGAINST EPIDEMIC A MODE IN MPI

2. The employment purpose: future doctors to increase awareness and knowledge treasure. public health on the health care system and the laws of the state sanitary and building on the nature of justification Preventive treatment institutions dealing with the hygienic requirements for the students to familiarize students in patient care institutions being created to deepen understanding of physiological and hygienic conditions, To acquaint students with the basic actions for performance maintenance sanitary- against epidemic a mode in MPI according to SanNandR 0292-11 and to train in carrying out of an objective estimation of performance of these requirements on an example of any MPI

3. Pedagogical tasks: To the analysis and generalization of materials on performance in MPI sanitary- against epidemic mode, to revealing of defects and working out of recommendations about their elimination To work with standard documents concerning preventive maintenance IHI-deepening awareness of hospital hygiene requirements ; -To gathering of the information concerning performance of requirements sanitary- against epidemic a mode in MPI -To the analysis and generalization of materials on performance in MPI sanitary- against epidemic mode, to revealing of defects and working out of recommendations about their elimination The devolopment of communicative skills.

4. Талаба билиши керак: - Concept about an out-patient and hospital, intra hospital infection - A general characteristic of three directions on preventive maintenance of intra hospital infections - Requirements SanNandR 0292-11 rather sanitary- against epidemic a mode in MPI On termination of training students should know

5. ON TERMINATION OF TRAINING STUDENTS SHOULD BE ABLE : To survey any branch MPI about an estimation of performance of requirements SanNandR 0292-11 on sanitary- against epidemic mode -The realization of the facts of the violation of the requirements of sanitary and anti-epidemic - To make recommendations to resolve identified deficiencies and defects

6. The general practice doctor for preventive treatment facilities is one of the most important tasks of the treatment of the most important treatment for patients and hospital staff is the most suitable working conditions. Ensure implementation of this system of healing called protected mode. This procedure is the most important part of the implementation of sanitary and epidemiological order, aimed to prevent hospital phase response.

8. hospitals (which has a capacity of various hospitals); dispensary institutions (tuberculosis, skin and venereal diseases, oncology, and others); Outpatient-clinics (city, county, medical, sanitary, industrial plants, medical centers); maternal and child protection institutions (maternity, women, counseling rooms, children's consultation); -art-recreational facilities; emergency medical care institutions; the state sanitary-epidemiological control centers. Specific tasks and perform a variety of tasks in the Republic of Uzbekistan in various medical facilities are available. These include the following:

10. Hospitals should be allocated in the following areas: Сommunicable and non- communicable diseases (pediatric psychosomatic, skin-venereal, radiological corps, maternity and obstetric departments) treatment of buildings, gardens, polyclinic, pharmacy, laboratory, central sterilization department, pathological corps, Works economic and engineering facilities.

11. EKSPLICATION: 1.Reception 2. polyclinic; 3. the treatment (therapeutic, surgical, cardiology departments) 4. Infectious Diseases; 5. laboratory and diagnostic department; 6. boiler; 7 Pathomorphologic corps; 8. economic сorps; 9 fountains

12. A multi-hospital, as well as specialized hospitals are also available; psychiatricinfectious diseaseschildrenagainst tuberculosisophthalmologicaloncologicalradiologicalobstetric and gynecologic.

13. Modern hospitals - hospitals complex, characterized by the following features: 1. To create the best conditions for the patients (treatment-protection mode) 2.Inside the hospital infection prevention 3. To ensure the safety of hospitals around 4. The most appropriate working conditions for medical staff

14. Therapeutic protective order

15. 1. Designed to mobilize the body's protective and compensatory properties in accordance with the conditions and in accordance with the external environment to overcome the factors. 2. Each patient treatment and procedures for the establishment and implementation of its control. 3. Psychopreventive and psychotherapeutic work The main objectives of the therapeutic- protected mode consists of the following:

16. treatment as part of a protective order, TPI patients to provide the best conditions for the appropriate working conditions for employees, hospital conditions determining the status of the hospital building features, building material, soft and hardequipped with supplies, medicines, medical equipment supply, microclimate and sanitary favorable environment. The sanitary and anti-epidemic order

17. TPI sanitation and anti-epidemic main elements: - The territory of the hospital and its structure is part of the of rational plan;- The correct selection of rooms according to their internal design; -TPI communal improvement (water supply, sewerage, improvement); - Bed of rational lighting, heating and ventilation;- The necessary materials and supplies to build quality sterilization; - Medical and health service staff; - Room proper cleaning and proper cleaning equipment; - The right to use of insulator; - Hospital staff and patients by the implementation of the rules of personal hygiene;- Peace and tranquility of the health conditions of patients;- Patients and the quality of its food, food storage conditions.

18. In the sanitary rules and norms in 0292- 11 TPI sanitary-epidemiological related to providing peace of mind of the 40 specific activities will be undertaken. These events TPI's territory, the department of planning and procedures, internal pardozlanishi room, equipped chambers in the medical-technical equipment, bed room ventilation and cleaning of equipment and replacement procedures, waste collection and disposal, personal hygiene concerns.

19. GENERAL PRACTICE DOCTOR OF THEIR WORK AT ANY TPI (FAMILY CLINICS, RURAL HEALTH CENTERS, URBAN HEALTH CENTERS, HOSPITALS, AND OTHERS), THIS REQUIRES STRICT COMPLIANCE WITH THE REQUIREMENTS. SAN.R.AND.N. STUDENTS LEARN 0292-11 DOCUMENT AND THE REQUIREMENTS RELATED TO SANITARY AND ANTI-EPIDEMIC EXPLAINED TO DOWNLOAD. The next phase, the students will be able to handle personal: any hospital or clinic, hospital departments will be commissioned to examine the implementation of sanitary and anti-epidemic. To guard the students' clinical departments, and the majority of students to work in the hospital, he or taken into account, sanitary and anti-epidemic order to control their own affairs because they are allowed to spend in order to check the results of the training is completed and may not have legal force.

20. ACT "......."............... 2014 I, GPD.................. (full name)......................................................................................................... (TPI's name and department) at the fulfillment of the requirements for sanitary and anti-epidemic inspection. Examination of the head of the section........................................ (Head of the Department of or half a housewife). Are identified in the course of inspection :............ ( San.R and N 0292-11 are described in accordance with section)....................................... So, control of the TPI San.R.and. N. does not meet the requirements of the following were identified: 1............... 2............... 3............... and members In order to overcome these shortcomings are advised to do the following: 1....... 2...... 3....... and members GPD's signature Met with an act........................................ (check the signature of the person involved) ACT "......."............... 2014 I, GPD.................. (full name)......................................................................................................... (TPI's name and department) at the fulfillment of the requirements for sanitary and anti-epidemic inspection. Examination of the head of the section........................................ (Head of the Department of or half a housewife). Are identified in the course of inspection :............ ( San.R and N 0292-11 are described in accordance with section)....................................... So, control of the TPI San.R.and. N. does not meet the requirements of the following were identified: 1............... 2............... 3............... and members In order to overcome these shortcomings are advised to do the following: 1....... 2...... 3....... and members GPD's signature Met with an act........................................ (check the signature of the person involved)

21. THE ANALYTICAL PART Situational issue No 1. Combined 500-seat city hospital for 40000m2 of land in the area. Hospital site in the following areas: for the treatment of cases of infectious diseases, non-communicable diseases for the medical corps, clinics, pathological-anatomical corps, the Agriculture Department. As well as for the treatment of both buildings park and garden area 5000m2 in area. Construction density of 25%, 40% of the gardening zone. Hospital hygienic evaluation of the parcel.

22. Situational issue No 2 30,000 m2 land with an area of 300 seats, the city hospital following treatment and agricultural zones. 25% of the total construction area of density planting area of 40%. 60% of the window on the north side of the chambers. Hospital and body orientation and hygienic evaluation of the treatment of the parcel.

23. Situational issue No 3 The district hospital for children older than 1 in 6 seats and 1 for children under the age of 4 seats in the chamber. For a place in the area of 5 m2. In addition, section 1 gateway 1 seats of the House chamber for parents, doctors room, hallway, toilet available. Children's Department of hygienic evaluation of the project. Situational issue No 3 The district hospital for children older than 1 in 6 seats and 1 for children under the age of 4 seats in the chamber. For a place in the area of 5 m2. In addition, section 1 gateway 1 seats of the House chamber for parents, doctors room, hallway, toilet available. Children's Department of hygienic evaluation of the project.

24. SITUATIONAL ISSUE № 4 "The Chamber's main health indicators“ table and fill in (therapeutic, surgical, gynecological departments) №Ko’rsatkichlarGigienik me’yorlar 1. 1 ta o’rin uchun er maydoni m 2 2. Palatadagi o’rinlar soni 3. Derazalar orientatsiyasi 4. Yorug’lik koeffitsienti 5. Tabiiy yoritilganlik koeffitsienti 6. Havo harorati 7. Nisbiy namlik 8. Havoning harakat tezligi 9. Havoda CО 2 ning miqdori 10. Havodagi umumiy mikroblar soni №IndicatorsHygienic norms 1. 1 place to land m2 2. The number of seats in the Chamber 3. Windows orientation 4. light coefficient 5. The coefficient of natural light 6. temperature of air 7. relative humidity 8. The air speed 9. Concentration of CO2 in the air 10. The total number of microbes in the air

25. "Brainstorming method" - supports the diversity of ideas.. How unusual ideas, so good; - To get many proposals - Ideas that might prevent the formation of critical thinking and discussing is not necessary, - Comments understandable and short; - Against the ideas and should be added to the groups;

26. The proposed issue options:

27. Tests 1. To tell about therapeutic protective order and fundamental element of a protective order 3: A. hospitals located outside the city B. sanitary improvement of hospital C. private placement of patients D. Personal order E. Quality of diagnosis and treatment for conditions 2.TPI hygienic requirements of the Regulations of the document name and number to the website: A. SanRvaN 0292-11 B. SanRvaN 0064-97 C. Treatment facility design, construction and operation of sanitary norms and standards D. State Standard 950-2011 E. TPI on the implementation of sanitary and anti-epidemic sanitary regulations and standards

28. Test 3. The Chamber of physiological birth in Section 3 was admitted to all the women who gave birth at the same time and a day. Chamber of postpartum fill the form of what is called and what its advantages: A. method to fill the chamber allows you to set the time-to-time with full medical treatment * B. Section birth to full fill the beds will allow maximum use of the fund C. deployed a day to fill section will allow you to use. D. simple form filling, there's no advantage E. chambers that fill the form of a normal birth, so hygiene is not important. 4. Surgical sucking fresh air into the room and in the ventilation system was installed and the air suction, which will be given to the air. Assessment of the situation: A. surgery room ventilation, because the microbes may be outside the room. B. The ventilation system meets the hygienic requirements. C. usage of air conditioning can be ensured. D. If this system can be used in air conditioners used. E. surgical volume of air expelled into the air in the room should be preferred *

29. 5. District Hospital surgical reconstruction surgery room, going to the room with a northern orientation. Can you consent to such option: A.Look at the operation room Eastern orientation Rumba. B. Yes, there is a serious possibility in the operating room and other rooms. C. must be in the operating room with a southern orientation. D. yes, surgical room to room with a northern orientation. E. No, the operating room, you can not use this orientation. 6. City hospital treatment, there are two seats in the house, they used to put patients on the basis of the money to pay. Assessment of the situation: A. This option can be used for temporary status. B. hygienic requirements because it is a gross violation of the chambers designed for other purposes * C. chambers are designed for the same purpose. D. therapy department in a proper house. E. Payment of patients treated on the basis of only three seats will be allowed to use the chamber.

30. 7. District Hospital radiological department of personal dosimeters only vrachlargagina. Assessment of the situation: A. radiological only general dosimetric control. B. of this right, because the doctor will conduct a radiological research. C. dosimetry doctors, not nurses. D. personal dosimeters ionlantiruvchi radiation sources should be working with all the staff. E. radiological dosimetric control, radiometric control. 8. Radiological treatment section, measuring the output of radioactive contamination into the device hands than permitted levels of contamination. At the same time, the nurse should do: A. procedure rooms, wash your hands again and again infection should be identified. B. The hands should be cleaned with alcohol. C. section toilet, hand washing with soap. D. hand a single pose no risk of contamination.

31. 9. Construction planning, planting of a plot of land in a maternity hospital in 20% to 60% of the construction area (total area). Evaluated on the basis of this plan: A. planting area is planned in this area should not be less than 60% * B. construction area sanitary norms, plus (should not be more than 15%) * C. The construction area is sufficiently D. gardening area, plus E. maternity is not planned for the planting area. 10. Surgical sucking fresh air into the room in the ventilation system was installed, with priority given to the production of air sucked air volume and speed of movement of the air in the room 2 m \ s. Assessment of the situation: A. surgery given the weather, the air must be removed * B. if the system air is used, can be used in the air. C. removing a cut-air ventilation system can be used. D. air speed was too high. E. surgical room ventilation is not possible, because the bacteria can be accessed by air.

32. Control questions 1. What is Hospital infection inside (HII)? What types of ? 2. Hospital infections in their TPI in the sanitary and anti-epidemic important factor in determining the status of the order that the essence of? 3.To tell hospital inside infections aimed at the prevention 3 events group?4. Hospital infection transferring to cross the road and preventive measures 5. To tell TPI, including the name of the document defines the requirements for sanitary and anti-epidemic

33. Thank you for your attention.