The daily routine in the hospital is a document that regulates the requirements for both patient behavior and the organization of work of employees of a healthcare institution. It is approved by order of the chief physician and must be observed without fail.
Main sections
The daily routine in the hospital includes the scheduled hours of action of the patient and medical staff. It is of somewhat greater importance precisely for those people who undergo examination and / or treatment in a health care institution. This is due to the fact that the functional responsibilities of the hospital staff are also regulated by other documents, which include a more detailed description of the tasks and goals of their activities.
Currently, the daily routine in a hospital most often includes the following sections:
- Awakening and going to bed.
- Eating
- Medical events.
- Patient's leisure.
- Sanitary events.
- Time to visit patients.
- Night period.
The daily routine in the hospital is prominently displayed so that everyone has the opportunity to become familiar with it.
Approval Procedure
The Russian Federation is a multinational and multicultural country. As a result, it is impossible to develop a single document that will unify the daily routine in hospitals. As a result, the Ministry of Health of Russia did not develop an order of this type, but normative acts were brought to the leadership of each medical institution, which should not contradict a document approved at the hospital level. Among them:
- Federal Law No. 323-Federal Law of November 21, 2011;
- Federal Law No. 15-Federal Law of February 23, 2013;
- Law of the Russian Federation No. 2300-1 of February 7, 1992;
- other acts and regulatory documents, including laws adopted at the federal level, orders of the Ministry of Health of the Russian Federation and SanPiN 2.1.3.2630-10.
As a result, the heads of healthcare institutions in various regions have every opportunity to create a document regulating the daily routine in hospitals, in accordance with not only the regulatory acts of the Russian Federation, but also the real wishes of patients.
Patient value
The daily routine of hospital departments is much more important and informative for those people who undergo examination or treatment at the health facility. Thanks to this document, each patient has the opportunity:
- Get the necessary information about the schedule of the department.
- Clarify exactly when certain medical procedures are performed.
- Determine at what time he can invite visitors.
- Find out exactly when he has free time to relax.
This routine is especially important for those patients who are in the hospital for the first time. Often they don’t know at what time they should be in the ward, and when you can go out for a walk in the yard and breathe in fresh air.
Importance for Medical Professionals
The daily routine in a healthcare facility is designed not only for patients, but also for healthcare providers. They are obliged to plan their working day in such a way that it corresponds to the document approved by the head physician. This significantly improves the quality of medical care, and also eliminates the need to search for patients during medical visits, diagnostic and therapeutic measures.
The approved daily routine is quite significant for junior employees - nurses. The fact is that it is they who carry out the ventilation of the chambers, as well as their cleaning according to the schedule. Nurses and doctors supervise their activities.
Each department has its own characteristics of the organization of medical and diagnostic processes. For this reason, the heads of departments in most hospitals have the opportunity to correct the approved daily routine by contacting the head physician with a request to amend the corresponding paragraph of the document.
Sample content
There are many different daily routine options for healthcare providers. In most cases, they are quite similar and are presented approximately as follows:
- From 07:00 to 07:30, patients rise, measuring blood pressure and body temperature according to medical prescriptions. Also during this period, airing of the chambers can be carried out.
- From 07:30 to 08:00 cleaning of the chambers, morning toilet of patients is carried out.
- From 08:00 to 08:45 a medical meeting of employees with the participation of the head of the department. Within its framework, the shift of duty, the transfer of information about the condition of patients, primarily seriously ill and received in the evening or at night, is carried out. Also during the meeting, the department head sets specific tasks for his subordinates to monitor, treat and diagnose patients.
- From 08:00 to 08:45, patients have breakfast.
- From 08:45 a.m. to 09:30 p.m., a general medical meeting is held in the hospital with doctors, department heads, senior nurses, deputy chief physicians and the head of the healthcare institution. Depending on the need, it can be carried out from 1 time per week or more.
- From 08:45 to 12:00 the nurses carry out medical appointments, conduct medical and diagnostic procedures, dressings, and take care of patients.
- From 09:30 to 12:00, doctors also go around the patients, correct their treatment and diagnosis.
- From 12:00 to 13:00, patients are given time for leisure. In the same period, patients are discharged from the department.
- From 13:00 to 13:15, the chambers are aired.
- From 13:15 to 14:00 patients have lunch. At the same time, nurses are cleaning the wards.
- From 14:00 to 16:00 in the hospital there is a "quiet hour". At this time, patients can relax, as they try not to carry out medical measures during this period.
- At 16:00, patients are offered an additional meal, consisting of low-calorie foods (cottage cheese, fruits).
- From 16:00 to 18:00, patients can receive visitors. At the same time, relatives can talk with their doctor.
- From 18:00 to 18:30, patients are offered dinner. During this period, nurses carry out ventilation and cleaning in the wards. At the same time, doctors transmit information about seriously ill patients who need additional monitoring in the evening and at night to the shift duty officer.
- From 18:30 to 20:00, patients have free time.
- From 20:00 to 21:00, seriously ill patients are bypassed by a doctor on duty.
- At 21:00, patients are offered a light second dinner, most often consisting of 200-250 ml of kefir.
- From 20:00 to 22:00, nurses carry out medical appointments.
- From 22:00 to 07:30, patients go to bed. At the same time, the shift on duty carries out the necessary observations, appointments, diagnostic tests and the provision of medical care to patients whose condition requires medical intervention.
Naturally, in different hospitals, this daily routine can radically differ from others.
Special operating units
There are a number of hospitals in which the daily routine is significantly different from others. Among them are the following departments:
- psychiatric
- phthisiatric;
- infectious;
- pediatric
- resuscitation;
- narcological;
- maternity.
The special status of the functioning mode in such departments is determined by the specifics of the tasks assigned to their employees. At the same time, the daily routine in hospitals in Moscow, St. Petersburg and any other regions of the Russian Federation practically does not differ from each other, since the activity of these highly specialized hospitals is strictly regulated by regulatory acts.
Psychiatric hospital
Due to the peculiarities of observation and treatment of patients of this profile, the daily routine in a psychiatric hospital is significantly different from others. This is due to the fact that most departments of this type are closed. As a result, patients do not leave its limits. There is also a need for constant monitoring of the actions of patients by primary and secondary medical personnel. Many people undergoing treatment here are not able to independently carry out sanitary-hygienic measures and eating. In this they are called upon to help the nurse.
An exception in the operating mode of a psychiatric hospital is usually made for departments of borderline states and neuroses. This is due to the fact that patients who are able to care for themselves and give an account of their actions undergo treatment. Their daily routine is practically no different from those in general hospitals.
Phthisiology departments
Every doctor knows what the daily routine is for in hospitals where patients with identified tuberculosis are treated. It differs significantly from others due to the fact that the majority of TB departments are closed. Patients cannot freely move around the hospital and go beyond it.
Patients undergoing treatment for tuberculosis are in the hospital from several months to 2-3 years, have a diet with a high content of calories, minerals and vitamins (they are actively excreted as a result of adverse reactions to TB drugs).
Pediatric departments
Here patients under the age of 16 are treated. The daily routine in a children's hospital has its own peculiarities due to the fact that not every child can take care of himself, much less have to be able to leave the department. Some children have to be fed to medical staff. Also, the actions of minors should be constantly monitored. Often in the pediatric departments to facilitate this process, the work of special game rooms is organized.
Resuscitation departments
It is very different from the rest of the daily routine of the regional hospital in those departments in which care is provided to patients in serious and very serious condition. This is due to the fact that people undergoing treatment here are fully serviced by medical professionals. Almost all hygiene measures, changing clothes, eating and much more are carried out with the help of nurses and nurses. No visits by unauthorized persons (in order to prevent the introduction of infection from outside), as well as walks of the patients themselves, are not planned on a daily basis.
Maternity wards
They stand apart from all other hospitals. This is due to the fact that a strict anti-epidemic regime is maintained here. The daily routine of young mothers involves the implementation of care not only for themselves, but also for the newborn. In such departments, the procedure for carrying out diagnostic and therapeutic measures is common for each woman in labor and the child.
Young mothers are not allowed to leave the department before discharge. For a visit, relatives will have to undergo a number of diagnostic tests and examinations by specialists.