Tashkent Medical Academy COMMUNAL AND LABOUR HYGIENE DEPARTMENT

Theme: "Consideration of the draft and assessment of land allotted for the construction of various types of hospitals" CHAIR: COMMUNAL HYGIENE

PURPOSE OF ACTIVITY Familiarize students with the basic hygiene requirements for the project land Hospitals Teaching students the methods and techniques of consideration of draft teaching students to give opinions on draft

The student should know: The value and the law governing the relationship of man to chelove-ku, society and the environment The value and the law governing the relationship of man to man, society and the environment Features of the organization and conduct of sanitary and epidemiological- ing measures to reduce the adverse effects of risk factors on health and the environment.

The student should be able to: Check hygienic sanitary inspection of supervision and make appropriate documentation Carry out the current sanitary supervision on controlled communal facilities Perform a visual, laboratory and instrumental methods of calculation for determining the hygienic assessment of environmental factors.

Educational Trust Matters Hygiene requirements for the hospital site. Placement of hospitals in terms of settlements. The health section of its structure. Functional zoning of the hospital. The types of chambers, sanitary requirements for their equipment

Lesson Content  According to project materials provide hygienic assessment of natural factors, the terrain, the capacity of the hospital (number of beds), its placement in the town plan. Then the estimated size and functional zoning of the land, the percentage of its individual elements that make up the balance of the territory, landscaping area hospital.  Particular attention should be paid to the sanitary equipment Hospital (water, sanitation, waste removal and disposal). At elevations checked the slope terrain, the elements of a vertical layout.

 further acquainted with the placement of green spaces, driveways and walkways, entrances to the territory of the hospital buildings located on a plot at the site and orientation gaps between buildings, floors, interposition of admissions in relation to the department (therapeutic, infection, obstetric, children's ). Consider plans for branches, starting from the entrance to the building and ending with the last location.

 In the study of the therapeutic department of the project should pay attention to the relevant therapeutic space planning process, relationship with treatment chambers, dining room, toilet and bathroom, bathroom, on the adequacy of therapeutic areas, procedural and other premises in the capacity of hospital units and departments, the composition of the sections, the availability of premises admission and discharge of patients, diagnostic and treatment rooms. When placing the sanitary characterization of individual buildings on a plot of hospitals need to find out the orientation of the chambers, diagnostic and treatment rooms. Using vertical sections of drawings, set the light quotient of these spaces.

 Considering the project  infectious hospital, find out, first of all, as the lay-out is provided lockdown offices kinds of infections, isolation of some patients in the pits and poluboks, receiving and viewing boxes, compliance timetable patients, staff, food intake to prevent nosocomial infections. In certain childhood infections, check the capacity of chambers, their orientation, the training, game rooms, and in the liner chamber of hot and cold water.

 acquaintance with the project obstetric and gynecological department (maternity hospital) begins with an analysis of the filter device for the reception of women in childbirth, and of questionable physiological compartments, and then it turns out the schedule of food planning and catering departments. Particular attention is drawn to the relative position of the maternity and gynecology wards, where there should be ensured lockdown planning methods (different timetable patients and pregnant women, the presence of the gateway in the transition from one office to another).

  in the maternity ward to check the relative position of children's and obstetric wards, which should be separate from each other, the orientation and the creation of an optimal microclimate in the children's wards.   The analysis projects clinics need to pay attention to the adequacy of the area and convenient ozhidalen their location in relation to the receiving offices, the proper placement of offices on the floors (first aid, casualty department).   Particular attention should be paid to planning the children's clinic and the filter device and receiving and viewing box for the reception of sick children.

CONTROL QUESTIONS:  1. Features planning of infectious hospitals.  2. Boxes, poluboks, receiving and viewing boxes.  3. Features planning maternity.  4. Features of planning of children's hospitals.  5. Features planning children's clinic.  6. Hygienic requirements planning clinics.  7. Calculation of capacity of hospitals (number of beds).  8.Gigienicheskie requirements for planning and building the hospital territory.  9. How hospitals should be located outside of the village?

References:  “ Summary:  1. "Health" under the guidance of prof. Demidenko NM T  2. Guide to laboratory work on environmental sanitation Goncharuk EI Moscow 1990  3. Sh.T.Otaboev, T.I.Iskandarov, G.T.Iskandarova "Kommunal hygiene" Tashkent 2010 th.  4 "Kommunal gigienadan Amal mashgulotlar Uchun ukuv  kullanma. "Edited by Academician TI Iskandarov T. 2006y  5. "Communal Hygiene" E.I.Goncharuk Kiev in 2007 I, II part

Further Reading:  1. Otabaev bt, Iskandarov TI, "Communal Hygiene" T., 1994  2. KI Akulov, Bushueva KA, "Communal Hygiene" M., 1986  3. Goncharuk EI "Guide to laboratory work on environmental sanitation" M., 1990 Ch. pp  4. "Health", ed. NM Demideko 2002, Chapter XII p. 216: 327  5. "Kommunal hygiene fanidan Amal mashgulotlar Uchun kullanma" under. Ed. Acad. Iskandarov TI T Ch. V page 195  Additional:  1. The laws of the Republic of Uzbekistan, Uzbek State Standards, SRN, KMK, orders  2. Tutorials on EMC  3. Lecture Materials