Vaccination room is one of the necessary treatment rooms, which should be organized within any children's clinic, as well as on the basis of preschool and school institutions. Vaccination facilities are also equipped in sanatoriums, military units, hospitals - in a word, any medical institutions that carry out activities related to the provision of procedural medical care to the population.
Vaccination room for a children's clinic in a medium-density village
It will not be news to anyone that in the majority of previously known and seemingly harmless infectious strains in recent years undergoes a number of colossal mutations, some of them seriously threaten human life and health. It is important to deal with these pathogenic cultures in a timely and high-quality manner, so the requirements for equipping modern vaccination rooms are increasing. Indeed, for the maintenance of certain bacteriological cultures, specialized storage conditions are sometimes necessary.
What requirements does the modern state standard impose, regulated by a number of relevant authorities (the priority authority among which belongs to SanPiN) for equipping and regulating the operation of the vaccination room?
External equipment of the vaccination room according to SanPiN for a children's medical or preschool institution
When equipping an office for vaccination injections, it should first be borne in mind that this medical audience should have an appropriate area. As a rule, a standard vaccination room should be conditionally divided into 2 parts: functional and procedural. In the functional part (it can be either a separate cabinet or a small block inside the existing one), the necessary passport and current documentation is stored. In the procedural part, direct vaccination is carried out. In many medical institutions (especially if the institution serves groups of early preschool children), the vaccination room of a children's clinic can be divided into sectors for equipping:
- Sector for dilution of solutions and pre-injection preparation of syringes.
- Direct procedural activities sector.
In any case, the total area of both parts should not be less than 14 m², and in the case of preschool or school institutions, significantly exceed this indicator.
How should a vaccination room at a children's clinic be designed externally?
Lighting
Fundamental requirements are made for lighting, since the work that will be provided in this office belongs to the class of subtle manipulative ones. Along with the main lighting of a cold tone, several warm incandescent lamps should be present. Their presence is important for the correct assessment of the state of some vaccination forms (for example, the Mantoux reaction). Also, you need several spare, nearby devices in case the main ones go out of order. Along with the main types of ceiling lamps, it is recommended to equip with wall views, especially if indoors there are specialized devices for working with babies (changing tables) and clear visibility of a given field is important.
In addition to standard illumination, surgical manipulation rooms (which include injection rooms) must have a bactericidal lamp that is switched on during the current cabinet processing (quartzization) during the day, as well as at night when the cabinet is not provided for.
Facing the vaccination room
The walls and floor of any vaccination room of the clinic according to the standard equipment, regardless of where it is located (maternity hospital or military unit), should be arranged so that the current and general cleaning are not difficult to carry out, and also do not leave preconditions for the development of pathogenic bacteria in the bowels of the finish. As a rule, the most versatile and recommended for these purposes remains tiled-tiled type of laying walls and floors. The ceiling is decorated with specialized lime.
The tone of the walls, ceiling and floor is welcomed in light - in order to timely detect and eliminate pollution, as well as to timely prevent the aging of facing materials.
Requirements for windows, entrances / exits from the vaccination room
The room in which any type of vaccination is carried out should be well protected from any prying eyes. This is because sometimes along with expensive vaccines in the classrooms, there are a large number of injection devices called medical syringes. These devices are a serious temptation to penetrate into the office of people suffering from drug addiction. The behavior of this category of citizens often carries a social and epidemic danger for those staying inside citizens, and especially minors.
All external doors to this category of premises should be metal and have several locks. If the treatment compartment has several external passages, they should all be closed in an appropriate manner. The equipment of the vaccination room of the clinic should include at least 2 locks on each of the front doors.
If the treatment and vaccination rooms are located on 1-2 floors - grilles must be installed on the windows.
The documentary base of any treatment and vaccination room
If the medical institution is small, then often the treatment room combines vaccination functions. In other words, it provides not only routine vaccination, but also the formulation of the necessary medicines prescribed by the doctor (antibiotics, vitamins, and others). In this case, different types of vaccinations are carried out on time or on certain days allotted for each subspecies. Any action of a nurse should be fixed and reflected in the appropriate journal of medical procedures.
Equipping normative documentation of the vaccination room of the clinic:
- Vaccination planning and management calendar for each age group of the population in strictly scheduled calendar dates for these events, as well as in urgent terms announced by state authorities in connection with exceeding the epidemic threshold for this infection.
- The vaccination room equipped according to SanPiN must have a license confirming the right to conduct this or that kind of manipulation.
- The calendar of preventive vaccinations for employees of this medical institution both in the generally accepted manner and in the particular individual case (the vaccination is completed according to the data of the individual medical book).
- The journal of planned accounting of all manipulations carried out in this medical office, including vaccinations (f. 112 / y, 025-1 / y, 025 / y, 026 / y and others established separately by the institution).
- Journal of writing off spent funds (syringes, needles, ampoules, etc.).
- Journal of receipt of expendables.
- Journal of accounting for alcohol-containing products.
- Journal of the account of the consumption of additional drugs (if the vaccination room is combined with the treatment room).
- Vaccination log for each vaccine category, taking into account the remaining funds.
- A journal of ongoing and general cleanups in the treatment room.
- The journal of the bactericidal lamp.
- Journal of the status of the operation of refrigeration units
- Journal of sterilization cabinet work (if available) or autoclaves.
Informative documentation equipment
Along with the documentation reflecting the current working moments, in any treatment room there should be documentation of informative content:
- Job description of a nurse.
- Notebook about the transfer of information on the shift regarding the transfer of the vaccine to certain patients, things they forgot, orders of the boss, etc. - is conducted arbitrarily.
- Instructions for acute allergic reactions - should hang on the wall above the treatment table.
- Necessary telephones (authorities, doctors, emergency services, etc.).
- A set of instructions for vaccines and medicines (ideally a separate folder).
- Immunization guides.
- Reference books on pediatrics.
- Directories of a nurse.
- There may be a list of drugs for the relevant ICD (for example, ICD-X).
Internal inventory of any vaccination room
In some cases, it is not possible to separate the vaccination room and the treatment room separately - then the vaccinations are carried out in the general treatment room at the hours specially designated for this event. At this time, other procedures are excluded. It is forbidden to vaccinate in:
- Enema rooms.
- Medical offices.
- General viewing rooms.
- Operating rooms.
- Dressing rooms.
- Reception rooms.
- Dental facilities.
- Premises intended for temporary isolation of sick children.
Cabinet for vaccination of children's polyclinic: inventory
The following components are included in the equipment of the vaccination room:
- Refrigeration unit for storing vaccine preparations and, if necessary, other medicines and devices. Ideally, there should be two such facilities - one strictly for vaccines, the other for other medicines. All shelves in both units must be signed.
- Medical cabinet with anti-shock kit:
- 0.1% solutions, adrenaline, norepinephrine, mesatone.
- 5% r-ephedrine.
- Glucoscorticosteroids: dexamethasone, prednisone, hydrocartisol.
- Antihistamines: Suprastin, Tavegil, Diazolin.
- Cardiac glycosides: corglycon;
- Saline, glucose - for the introduction of droppers.
- Cupboard with essential daily medicines: ammonia, iodine, brilliant green, hydrogen peroxide.
- Standard and additional tools: rubber gloves, a necessary set of syringes of different capacities and different needles for them, an electric suction pump, several rubber bands, sterile tweezers, forceps, spatulas.
- Disinfectant containers and containers with them in the lower segments of the cabinets.
- Metal bix with sterile material.
- Containers for the disposal of used tools and waste.
- A transport table on which tools are prepared in advance and drugs are collected.
- A couch covered with a disposable sheet requires an additional roller for convenience.
- Changing table, pre-treated.
- For particularly complex vaccinations (polio, BCG, etc.), it is advisable to use a separate table, specially marked.
- Table and chair for a nurse.
- Individual chair for the patient's belongings.
- Medical screen.
- Hand wash basin with soap dispenser and towel.
- Medical litter bin with lockable lid.
- Allowed the presence of a clock on the wall and several rubber toys that are easy to wash later.
Vaccination room of an adult clinic
As a rule, the equipment of the vaccination room of an adult clinic is not much different from similar children's rooms. The only difference is the absence of changing tables and replacing them with a larger number of couches. Also, for offices of adult admission, a larger number of protective screens is provided. Wall clocks are allowed. In some city polyclinics, and especially garrison-type clinics, an additional room is provided in front of the treatment room, called the “Dressing Room", where the patient can leave his clothes and personal belongings. This fact undoubtedly benefits the sterile cabinet environment.