Thursday, February 7, 2008

Own safety

Looking after the sick person, it is especially important to secure itself against physical overloads, traumas, from an infectious disease of which our ward is sick. For this purpose, what to save long working capacity, looking after the seriously ill patient the person, it is necessary for you:

* to Have the good physical form.
* the Nobility and to be able to use rules of a raising and moving of gravities.
* to Care of the health.
* to Observe sanitation and hygiene rules.
* to Spend bacterination at care of the infectious patient.

Maintenance of the good physical form

* As the nosotrophy demands physical strength and flexibility application, it is necessary for you not less than 4 times a week to do physical charging. Proceeding from personal features, pick up to itself a complex of exercises by duration 20 - 40 minutes Important that in the chosen complex, besides others, there were exercises on a stretching of joints, exercises for back and neck muscles.
* it is rather desirable to make daily 40-minute walks on fresh air fast step. If you have hobbies, skating type, skis, run, swimming it is good that they were regular. The nobility and to be able to use rules of a raising and moving of gravities
* the Clothes should be free
* the Footwear should fit densely a foot, the sole - minimum to slip on a floor. The footwear from a skin or dense h/b tissues is preferable, with a wide heel in height no more than 4 - 5 see
* do not lift gravity and do not work in position of an inclination of a trunk forward. The load (pressure upon intervertebral disks) with augmentation of an angle of an inclination increases in 10 - 20 times. It means, that at a raising or transferring of a subject in weight to 10 kg in position of an inclination of a trunk forward you are exposed to a load in 100 - 200 kg.
* At a raising of a serious load have it as it is possible more close to a breast and only on the arms incurvated and as much as possible pressed to a breast. The further you discharge a subject of yourselves, the more load lays down on your backbone.
* Distribute a load on arms in regular intervals and a back always hold directly.
* If it is necessary to lift a subject from low position, for example, from a floor, sit down near to a subject, saving direct position of a back, take a subject in arms and press it to a trunk, and then rise, saving a direct back.
* If it is necessary to help the patient laying in a bed, for example, to move of it or to help to accept a sitting position, it is admissible not to be declined over it and not to reach for it to deep edge of a bed, and to rise on bed edge on one knee and, strong resting on it, to help the patient.
* Feet put on width of shoulders, and stops - in parallel each other.
* If it is necessary to displace the load lifted by you aside - do not turn only the top part of a body (shoulders and arms, saving feet in former position), and turn all case.
* Always search for possibility to facilitate a load: use the help of the patient (its possibility to be tightened, make a start, lean, etc.) and associates. Do not hesitate and be not lazy to ask to help to lift or transfer the patient.
* Use special adaptations for simplification of the job: legs, transport boards, rotary circles, elevators for patients, etc.
* to Care of the health
* Care of serious patients, especially long, care of the dying, mental patients sick with the expressed painful syndrome etc. is the serious work which is taking away many of physical and sincere forces. To hope only for an impulse, on the call of duty, the emotions - it is impossible! It is necessary to raise a sincere and corporal fortress of the organism, what you could adequately, long time without harm for itself to serve the patient.
* Our health and working capacity in many respects depend on night rest. Take care of a high-grade dream! The convenient bed, pure cool air and silence is for this purpose necessary. The ideal surface for rest is an orthopedic mattress. At its absence it is possible to use moderately rigid bed or a couch with an equal, smooth surface. The blanket is better for using easy and warm, well passing air. The deep relaxation of a body during a dream allows to restore completely a circulation, including in a backbone.
* do not forget to pass preventive prophylactic medical examination once a year.
* Monotonous serious work is very unhealthy! Therefore long high-grade annual rest is important, it is desirable on the nature. At care of the serious oncologic or mental patient rest can be demanded more often. It is impossible to neglect it as both the subsequent physical and nervous breakdowns will bring your overfatigue to you and your ward of more harm, than periodic (we will tell, for a week in a quarter) parting with the patient for rest and the health amendment.
* In the course of job if it proceeds some hours, it is necessary to provide possibility of high-grade short-term rest (during 15-20 mines each 2 hours).
* a Food should correspond to an exercise stress. If you work much at bed of the patient, you should enlarge caloric content of the diet, as the person who is engaged in serious physical work. Avoid reception of exciting preparations on purpose to enlarge the period of wakefulness at bed of the patient (the period of excitation after reception, for example, coffee, always comes to an end with the inhibition period), alcohol, fat and fried nutrition.
* to Observe sanitation and hygiene rules
* Resist to external influence of an infection the pure both healthy skin and a mucosa can only.
* the Infection gets to an organism immediately through a mouth of the patient or from leaving subjects, through a touch or through air.
* 99 % of originators of infectious diseases can be removed from a surface of a skin by means of washing of arms with usual soap.
* Daily take after the termination of job with the patient of souls with soap.
* As it is possible wash arms with soap is more often. For this purpose, that the skin on arms would dry up less, it is necessary to use soap with Glycerinum both nutritious and wetting creams for arms.
* Even on a skin of arms (a scratch, a graze, the lifted up agnails) it is necessary to process insignificant damages by diamond greens and to stick with a water-proof adhesive tape.
* Antibacterial soap is better be not to using, as in due course there is an appreciable depression of protective properties of a skin.
* Helping the patient at physiological departures, at contacts to blood, at a dressing of wounds it is necessary to use medical gloves. Better the disposable. If such possibility is not present, reusable gloves should be strictly individual (they cannot be used at job with other sick or healthy person).
* premise Cleaning where there is a patient, it is necessary to spend in rubber gloves.
* Looking after the patient it is necessary to put on special clothes: a dressing gown and a kerchief. The special clothes are necessary for erasing separately from other linen.
* Handles of washrooms of cocks, handles of doors, as most often used subjects in the house it is necessary to wash and wipe switches and phone tube daily a disinfectant solution.
* Before to close the cock after washing of arms, it is necessary to wash up it the same as also arms.
* At a nosotrophy have an individual towel.
* For washing of arms it is better to use not lumpy, but liquid soap and a batcher.
* If the patient has an infectious disease passed air by, it is necessary to work with it in a mask. For a mask it is possible to use a bandage on the person from a four-layer gauze.
* In one mask it is impossible to work more than 4 hours if you observe a regimen of silence and more than 1 hour if you speak in a mask.
* For protection of a mucosa of a nose during a flu it is possible to use 0,25 % Oxolinum ointment.
* leaving Subjects are necessary for processing according to the accepted rules. Leaving Components / the infectious control see.
* At beds filling it is not necessary to shake up pillows and to stir up bedsheets and a blanket in a room of the patient. It promotes a raising and dust moving, and together with it - microbes and viruses.
* Daily spend cleaning of a room of the patient, it is better after change bed and underwear.
* Accept nutrition out of a room of the patient and necessarily take out thus a working dressing gown.
* to Spend bacterination at care of the infectious patient
* At a nosotrophy with an infectious disease, for example, a tuberculosis, a poliomyelitis, a diphtheria, etc. to you it is necessary to make preventive inoculations.

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