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Technological map of the lesson "providing first aid first aid". Optimization of the diagnostic and treatment process with the introduction of a patient management flow chart

Subject "Fundamentals of life safety" Class 7kl.
Technological map of the study of the section "Fundamentals of first aid".
Lesson topic: first aid and self-help.

- personal safety rules in the provision of first aid;
- rules for first aid and self-help.
Teach to use acquired knowledge and skills

The main content of the topic

Concept terms

General information about the rules, the principle of operation of first aid and self-help
Stopping bleeding, applying a hemostatic tourniquet, treating a wound, applying a bandage

Planned result

Cognitive Skills:
- explain the meaning of new concepts and use them in an active vocabulary;

Know the algorithm of actions in first aid and self-help
- comply with safety norms and rules in the provision of first aid and self-help;
- use acquired knowledge

Regulatory Skills:
- perform the training task using the plan and technological documentation;

- perform a learning action using conditional knowledge;
- to carry out mutual checks and correction of the educational task.
Communication skills:
- adequately use speech means when working in a group;

Formulate clear statements within the framework of the educational dialogue, using terms;
- to formulate own opinion;
-

Recognize types, injuries and choose ways to provide first aid and self-help;
-know what medical materials and supplies are needed in a particular case of first aid and self-help;
- choose and apply;
Observe the norms and rules for the safety of activities in the provision of first aid and self-help, the rules of sanitation and hygiene.

Organization of educational space


Posters:
- "Algorithm for providing first aid for a cut"; "Algorithm for providing first aid for a fracture", "Types of wounds". "Types of fractures"
Cards: - "Instructions on the sequence of first aid";
- "Types of dressing material"
Crossword template:
Diagnostic task on the board.
Interactive material:
Electronic presentation: "Types of injuries"

Front;
Group work

Topic study technology

Stage 1 : Self-determination to activities

One of the three girlfriends, on a walk, received a foot injury - a cut. On the advice of one of her friends, the injured girl applied a cobweb to the wound and tied it with a piece of tissue found. What would you do?
The students came up with many different versions. The discussion showed the need for new knowledge. Proposed solution to the problem: one had to use plantain, call an ambulance, go home and seek advice and help from elders ...

How to provide first aid in case of a foot cut in autonomous, natural conditions?

In what order should help be given in such a case? What happens if you give first aid the way the girls did?

Personal Skills:

Show interest in learning about the topic;
- show a desire to solve a problem that may be caused by a lack of first aid skills.

Stage 2: Educational and cognitive activity

Stimulate interest in the process andlearning the basics of medical knowledge.
Update knowledge:
- about the possibility and importance of timely provision of first aid;
- on the principle of action and the rules for providing first aid and self-help;

Enter into the active dictionary the concepts: “medical material for first aid”, “types of dressing material (list), wound care products (list)

Teach:

Use speech means in the framework of the educational dialogue;
- to carry out the educational task according to the plan, with mutual verification;
- perform a training task using symbols on the packaging of medical materials and devices

    Teacher's message

Today in the lesson we will get acquainted with the basics of medical knowledge. "First Aid and Self-Help". We will learn safe first aid and self-help techniques. With types of dressing material, types of injuries, bleeding, features of the use of a hemostatic tourniquet. (viewing the video material "Types of wounds").

What wounds can most often be obtained at home? In what cases will you provide assistance yourself, and when will you call an ambulance?

- (view video material about the types of bleeding and how to stop it).

The use of medications when receiving a wound at home.

Demonstration of a set of "medical first aid kit".

Independent work with the textbook: find and write out in a notebook the rules for the safe use of a first-aid kit at home.

(presentation "First Aid Kit" ).
Presentation discussion.
- Today we will get acquainted with the rules for applying a hemostatic tourniquet
1 . Harness demonstration.

-What can be used in the absence of a medical tourniquet?

Viewing the video material "Imposition of a hemostatic tourniquet"

Harness overlay demonstration

An example from one of the students.

Rules for the safe application of a tourniquet (for what time in summer and winter, if there is initially tissue on the limb, a note indicating the application time)

Task: work in pairs - application of a hemostatic tourniquet

Personal Skills :
- show interest in the process of providing first aid

Cognitive Skills:
-explain the meaning of new concepts and use them in an active vocabulary.
Regulatory Skills:
- perform the training task according to the instructions;

Carry out the training task according to the plan, with mutual verification.
Communication skills:

Adequately use speech means in the framework of the educational dialogue.
Item Skills:

Perform correct first aid procedures

Stage 3 Intellectual and transformative activity

choice of task option: andinformative, improvisational, heuristic.

Choice of mode of activity: individual or collective.

self-organization to complete the task:
- activity planning;

Personal Skills:

Show interest in learning the basics of medical knowledge

Completion of the task;
- presentation of results of activity.

Using handouts:

Instructions for first aid in various situations "cut," burn "," bruise "," open fracture with venous bleeding ".

It is possible to perform tasks in groups according to the issued cards.

Discussion of completed tasks.

Regulatory Skills:

Complete the learning task as planned.
Communication skills:

Adequately use speech means to present the result.
Item Skills:
- identify and select types of medical materials and items for a specific injury
- determine the cooking time in a microwave oven using symbols;
- apply personal safety rules when providing first aid

Diagnostic task:
Using the crossword template on the board, guess the keyword that relates to the topic of the lesson. Questions:
1. Type of injury when using hot dishes.
2. .
3. It will keep food fresh.
4. A device that can cut everything.
5. A device that helps curl hair.
6. From it we learn the news of the world.

1. LAMP BUT
2. SAMOVAR
3. COLDAnd LNIK
4. KOMB Ain
5. PLO YKA

6. TVR You guessed the word for the type of injury "BURN"

Stage 4 Reflective activity (student)

Introspection: Complete the sentences:
1. It is important for me to know the rules of first aid because…
2. It is important for me to be able to choose medical material when providing first aid, because ...

3. I learned how to properly stop bleeding because it is…..
4. To stop bleeding, you need ...
5. To ensure the safety of the wound, it is necessary ...

1) Self-assessment:

I coped with the task on my own "excellent"
- I did a good job, but they helped me ...
- I could not cope with the task the way I wanted. I need to learn more...
2) Self-assessment of one's own activities
Are you satisfied with your work in class?
If you're very happy, raise your two hands.
If you are satisfied, then raise two hands and put them together in a handshake.
If you're not happy, raise one hand.

Stage 5 Reflective activity (teacher)

Introspection and self-assessment of the teacher

Form an idea about types, principle and sequence of first aid

Enter
- Algorithm for preparing to safely provide first aid to another person

- rules for stopping bleeding;

Rules for applying a hemostatic tourniquet
- rules for wound care

Bandage rules.
Teach to use acquired knowledge and skills in practical activities
Key Skills
Cognitive Skills:
- use the acquired knowledge in the provision of first aid.
Regulatory Skills:
- perform a learning action using conventional signs ;
Communication skills:
- come to an agreed opinion in joint activities.

Compare the result with the goal.
- Evaluate the results of your activities.

At the Medical Center of the Bank of Russia, the solution of this problem was facilitated by the creation and use in the treatment and diagnostic work of a patient management flow chart - a methodological manual for doctors, which defines the algorithm for providing medical care for certain diseases.

Step 12. In the "Education of the patient" section, the main tasks of patient education at each stage are listed, the necessary activities are indicated.

Step 13. The criteria for discharge from the hospital, i.e. the expected results of treatment, are listed.

Stage 14. The time, place and method of assessing the correctness of the flow of the technological process are indicated, i.e., the control points of the process are set.

Checkpoints are characteristic sections of the process in which systemic (associated with improper organization of work) deviations of the process from the project most often occur. Measuring the process at these points allows you to monitor it most effectively. The control point includes the place, time, object of evaluation.

Step 15. Quality indicators are listed.

If there is no accurate information about the characteristic systemic deviations of a process or its stage, it is difficult to set control points. Then, to evaluate the process, they resort to constructing a hypothesis that assumes the most probable deviations. To denote these hypothetical deviations in medical technological processes, American researchers have proposed using the term "quality indicators".

Quality indicators - quantitative or qualitative indicators aimed at finding possible deviations, the presence of which is assumed by an expert, but whose significance for assessing the correctness of the process has not been proven.

Quality indicators for the technological map of the management of somatic patients suffering from depressive disorders

Indicator 1

Indicator

Clinicians should ask about the presence of depressive episodes in patients:

  1. with a history of depression;
  2. who have experienced the death of loved ones in the next 6 months;
  3. with alcohol or drug addiction

Screening for depression is necessary:

  1. for early appointment of adequate therapy, prevention of chronic depression;

These risk factors for depression were found in cross-sectional studies.

Indicator 2

Indicator

When diagnosing depression, specific comorbid disorders should be documented:

  1. alcohol (drug) dependence;
  2. taking medications;
  3. somatic disorders

Rationale for the introduction of the indicator

Timely detection of depression is necessary:

  1. for the appointment of adequate therapy, prevention of chronic depression;
  2. prevention of complications of treatment due to the patient's dependence on psychoactive substances;
  3. reducing symptoms of depression;
  4. reduction of periods of incapacity for work

These comorbid disorders can cause depression. The doctor should take them into account when planning treatment for depression.

Calculation of the quality indicator The numerator is the number of patients in whom the quality indicator is met (in the controlled period of time).

The denominator is the number of patients treated for depression (in a controlled period of time).

Stage 16. Typical technological violations are indicated.

Step 17. The application reflects the protocols of the main activities (for example, psychopharmacotherapy, risk assessment, physical rehabilitation, etc.).

Step 18. A bibliography is presented (attached).

Stage 20. A draft order is being prepared for the implementation of a technological map in a medical institution.

After the development of the technological map at the final meeting of the working group, the final approval procedure is carried out and the corresponding protocol is drawn up.

Scheme of the technological map of an inpatient

Name of the nosological form _______________________________________

Duration of hospitalization _______ days + _______ days in the rehabilitation department

Parameter

Stage of patient management

reception

department

hospital

Rehabilitation department

Duration of treatment

Attending doctor

Expert advice

Physical data

Evaluation of an important parameter for the tactics of managing a patient:

Manipulations and instrumental studies:

Laboratory research:

Disease prognosis, risk class assessment

Therapeutic measures:

Physical activity

Patient Education

Criteria for discharge (at the inpatient and rehabilitation stages):

Control points / quality indicators:

Typical technological violations:

The provision of medical care based on the developed flow chart allows you to coordinate the actions of all participants in the process of providing medical care. The information provided herein is intended to assist practitioners in making sound clinical decisions. The roadmap is not a substitute for professional clinical thinking.

In the Medical Center, all technological maps are compiled in electronic format, which greatly facilitates the work with them, allows you to make changes and additions without unnecessary difficulties.

Quality management of medical care using flow charts of patient management

Based on the information-analytical knowledge base, a patient management project is created and its management is organized according to the developed technological map. The implementation of the medical technological process is monitored during the current and final examination, the completeness, timeliness and effectiveness of medical care are monitored, as well as the degree of compliance with technological discipline and the patient's opinion. The examination is carried out by leading specialists, heads of departments.

In inpatient treatment, the current examination is performed while the patient is in the hospital. This is done so that treatment can be adjusted in the presence of violations. After the patient is discharged, the medical history together with the technological map is transferred to the specialist for a final expert assessment of how the treatment and diagnostic process for a particular patient corresponded to the technological process developed in this medical institution, quality indicators for this somatic nosology.

One of the differences of the modern model of the quality of medical care is the focus on the needs and expectations of consumers, in particular, the focus on an objective study of the opinions of the patients themselves.

The Medical Center analyzes the opinions of patients on the achieved results of treatment, which is one of the most important final stages of quality control of the diagnostic and treatment process. At the final stage of the stay in the hospital, the patient is asked to answer the questions of the questionnaire.

The final stage of quality management is making changes to the technological map based on the analysis of technological deviations - process improvement, its reengineering. Thus, the quality management process is continuous and closed.

The introduction of patient management flow charts at the Medical Center made it possible to improve the quality of care provided: to reduce the number of technological deviations by 3 times, to achieve the desired result of treatment for individual nosologies in 70% of patients, to increase patient satisfaction several times (currently it is 95-98% ).

The technological approach to the provision of medical care is universal: the technological map can be used for any nosology and in any medical institution at various stages of medical care.

Discipline / MDK

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1. Subject:

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Technological map of the lesson

Discipline / MDK

PM. 04 Performance of work in one or more professions of workers and positions of employees,

MDK 04.03. Technology for the provision of medical services.

Specialty: ____ Nursing ______

  1. Subject: Technique for performing intramuscular injections.
  2. Lesson no. 16 (Section 4)
  3. Venue of the lesson: preclinical practice room "Technologies for the provision of medical services"
  4. Form of conduct and type of lesson:

Practical lesson. Combined lesson

  1. Lesson objectives:

Common goal: The student owns the technique of intramuscular injection on a phantom.

Specific goals:

The student must be able to:

  • choose a place for an intramuscular injection and create the most comfortable position for the patient during the injection
  • treat the patient's skin during injection
  • draw up the prescribed dose of the drug from the ampoule of the vial
  • perform an IM injection
  • to assess the complications that arose in the patient during the injection
  • to teach the patient and their family members how to perform an IM injection
  • apply deontological communication skills with the patient during the injection

The student must know:

Anatomical areas for intramuscular injections

  • places for i / m injections
  • possible complications of intramuscular injections, measures for their prevention
  • universal precautions for handling syringes, needles, contact with blood
  • rules for handling syringes, needles, trays, cotton balls

Contribute to the formation of OK and PC

general competencies:

OK. 2 Organize their own activities, choose typical methods and methods for performing professional tasks, evaluate their performance and quality.

professional:

PC 4. Provide medical services within their powers. Implement the nursing process.

  1. Resources:

methodical: technological map of the lesson, reference notes, slide accompaniment; control materials, handouts.

TCO

computer, TV;

Tools and equipment:. manipulation tables. trays, syringes, cotton balls, antiseptics, gloves, waste containers, injection simulator

  1. Information sources:

Main

Name

Publisher and year of publication

A practical guide to the subject "Fundamentals of Nursing".

Mukhina S. A., Tarnovskaya I. I.

Fundamentals of nursing.

Obukhovets T.P., Sklyarova T.A., Chernova O.V.

Rostov n/a: Phoenix, 2014.

Fundamentals of nursing. manipulation algorithms.

Ostrovskaya I.V., Shirokova N.V., Klyuykova I.N.

Moscow Publishing group Geotar-Media, 2012

Additional

Name

Publisher and year of publication

"General Nursing". Textbook.

N.V. Turkina, A. Filenko

Association of Scientific Publications KMK 2007.

Order of the Ministry of Health of the Russian Federation No. 342 of November 26, 1998 "On strengthening measures for the prevention of typhus and the fight against pediculosis"

Order of the Ministry of Health of Russia dated January 24, 2003 No. 4 “On measures to improve the organization of medical care for patients with arterial hypertension in the Russian Federation”.

Order of the Ministry of Health of the Russian Federation dated 05.08.03 No. 330 "On measures to improve clinical nutrition in medical institutions of the Russian Federation"

Order of the Ministry of Health of Russia dated April 17, 2002 No. 123 “Protocol of patient management. Bedsores."

OST 42-21-2-85. Sterilization and disinfection of medical devices. Methods, means and modes;

SanPiN 2.1.3. 2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities." Approved by the Decree of the Chief Sanitary Doctor of the Russian Federation dated May 18, 2010 No. 58

Internet resources

http://dezsredstva.ru/ - guidelines for disinfectants, regulatory documents;

http://www.consultant.ru/- regulations;

http://www.recipe.ru/ - regulations;

www.med-pravo.ru - regulations.

www.rosmedlib.ru – medical student library

http://www.fcior.edu.ru/ - FCIOR - Federal Center for Information and Educational Resources.

Catalog of training modules by disciplines.

  1. Lesson progress:

No. p / p

Lesson stage

Time

Methods

learning

Teacher activity

Student activities

Organizing time

20 minutes

verbal method

Creation of indicative bases

Announces the topic of the lesson, sets its goals and objectives, briefly outlines the structure of joint work.

Checks those present

Listening, understanding, summarizing

Goal-setting, updating of basic knowledge -

40min.

Control of the initial level of knowledge

Distributes tests-tasks for input control and offers to complete them

Analyzes the mistakes most often made when answering test questions

Perform test

tasks, marking the correct answers in writing

Motivation for learning activities

20 minutes

Activation of cognitive activity of students

Forms the need of students for cognitive activity: explains the need to study and master this topic, revealing the practical significance of the knowledge and skills acquired in the classroom for professional activities

Listen, take notes, perceive and realize cognitive tasks

Learning new material

40min.

Formation of skills and abilities;

explanation of the material using illustrations, diagrams, tables.

They acquire new knowledge and skills.

Generalization and systematization of knowledge (Mastering and consolidating practical skills)

120min

Supervises the progress of students' independent work.

Provides assistance in overcoming difficulties.

Corrects the actions and words of students.

Analyzes and evaluates each work

They learn new knowledge, skills and instructions from the teacher in the course of performing practical tasks.

They analyze by comparing the knowledge and skills gained during the lesson with the professional competencies already formed in them.

Reflection

10 minutes

Conduct an internal self-assessment of their understanding of the new educational material, draw appropriate conclusions

Lesson results

30 min

Summarizes the lesson.

Evaluates the work of individual students and the group as a whole, reading out the marks put in the educational journal.

Sets homework

Listen to the teacher

Write down homework

Total class time (min)

270min
  1. Lesson content

Technique for performing intradermal and subcutaneous injections.

Possible complications associated with the use of drugs. Nursing tactics.

  1. Forms and methods of controlling the development of OK and PC (assessment of knowledge and skills included in the competence):

Learning Outcomes

(OK and PC)

Main indicators for evaluating the result

Forms and methods of control and evaluation

general competencies:

OK 1, Understand the essence and social significance of your future profession, show a steady interest in it.

OK 2, Organize your own activities based on the goal and ways to achieve it, determined by the head

OK 3; Analyze the working situation, carry out current and final control, evaluation and correction of their own activities, be responsible for the results of their work.

OK 4; Search for information necessary for the effective performance of professional tasks.

OK 6. Work in a team, communicate effectively with colleagues, management, consumers.

OK 7 Carefully treat the historical heritage and cultural traditions, respect social, cultural and religious differences.

OK 8 Comply with labor protection, fire safety and safety regulations.

professional:

PC 1.1, 1.2, 1.4, Observe the principles of professional ethics: communicate effectively with the patient and his environment in the course of professional activities, advise the patient and his environment on care and self-care.

PC1.5, Prepare medical documentation.

PC1.6, Provide medical services within their powers.

PC2.1. 2.2, 2.4, 2.5. Provide a safe hospital environment for patients and staff, including infection safety, industrial sanitation, and personal hygiene in the workplace.
  1. tests
  2. test questions
  3. situational tasks
  1. Homework (indicating extracurricular independent work)

. * Educational literature:

L1 Mukhina S.A., Tarnovskaya I.I., Theoretical foundations of nursing: Textbook. - 2nd ed., Rev. and additional - Moscow, Geotar-Media Publishing Group, 2010 (2011).

L2 Mukhina S. A., Tarnovskaya I. I., “A practical guide to the subject “Fundamentals of Nursing” Moscow, Geotar-Media Publishing Group, 2010 (2011).

L1. p.355-361

L2. p.500-510

Extracurricular independent work- Theoretical substantiation of each stage of the manipulation algorithm, development of the execution technology.


On approval of flow charts for medical services in ophthalmology

Accepted Ministry of Health of the Ryazan Region
  1. In order to equalize the cost of paid medical services of the same name provided by state medical organizations of the Ryazan region, I order:
  2. 1. Approve technological maps:
  3. - consultation with an ophthalmologist,
  4. - appointment with an ophthalmologist (repeated),
  5. - study of color perception according to polychromatic tables,
  6. - probing of the lacrimal ducts (and washing),
  7. - measurement of the angle of strabismus,
  8. - exophthalmometry,
  9. - skiascopy,
  10. - localization of ruptures of foreign bodies of the retina,
  11. - selection of spectacle correction,
  12. - para- and retrobulbar injections of emoxipine,
  13. - para- and retrobulbar injections of dexazone,
  14. - Examination of the fundus with a three-mirror Goldman lens,
  15. - perimetry on the Foerster perimeter (one color),
  16. - computer perimetry,
  17. - panretinal laser coagulation,
  18. - preventive, peripheral, delimiting laser coagulation of the retina,
  19. - iridotomy,
  20. - discission of secondary cataract,
  21. according to the appendix to this order.
  22. 2. To the chief doctors of state medical organizations of the Ryazan region to provide paid medical services on consultations of doctors - specialists in accordance with the approved technological maps.
  23. 3. To impose control over the execution of this order on the Deputy Minister Mitin O.V.
  24. And about. minister
  25. V.I.GRACHEV

Appendix
to the Order of December 26, 2014 № 2124
Routing

Technological map consultation of an ophthalmologist

  1. 1 Collection of complaints and anamnesis Ophthalmologist 30 min. Slit lamp 5 min. Alcohol wipe 5 pcs. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"2 Visual examination and palpation of the eyes. Ophthalmoscopy Ophthalmoscope 5 min. Cotton wool n / sterile surgical 3 gr.3 Examination of the anterior segment of the eye by the method of lateral illumination and the media of the eye in transmitted light Nurse 30 min. Binocular ophthalmoscope 5 min. Medical sterile gauze wipes 3 pcs.4 Visometry. Biomicroscopy of the anterior segment of the eye with a slit lamp Automatic sign projector 5 min. Sterile gauze wipes 1 pc.5 Examination of the fundus with a direct and indirect ophthalmoscope Midriacil 0.5%% 0.3 ml6 Examination of the fundus with a binocular ophthalmoscope Cyclomel 1%% 0.5 ml7 Eye tonometry Inocaine 0.4%% 0.5 ml8 Determination of refraction using a set of trial lenses Levomycetin 0.25%% 0.5 ml9 Prescription of treatment and recommendations to the patient Sulfacyl sodium 20%% 0.5 mlCollar head dye for tonometry 0.1 ml
    Executor Used equipment
  2. ROUTING
  3. Appointment with an ophthalmologist (repeated)
  4. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 Collection of complaints and anamnesis in eye pathology Ophthalmologist 30 min. Slit lamp 5 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"2 Visual examination and palpation of the eyes. Ophthalmoscopy Nurse of the ophthalmological department 15 min. Ophthalmoscope 5 min. Cotton wool n / sterile surgical 3 gr.3 Examination of the anterior segment of the eye by the method of lateral illumination and the media of the eye in transmitted light Binocular ophthalmoscope 5 min. Sterile gauze wipes 1 pc.4 Visometry. Biomicroscopy of the anterior segment of the eye with a slit lamp Automatic sign projector 5 min. Midriacil 0.5%% 0.3 ml 2. Standards of care for eye diseases (if available)Sulfacyl sodium 20%% 0.5 ml5 Eye tonometry Solution of chloramphenicol 0.25%% 1 ml6 Determination of refraction using a set of trial lenses Collar head stain for tonometry 0.1 ml7 Prescription of treatment and recommendations to the patient Inocaine 0.4%% 0.6 ml
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  5. ROUTING
  6. Study of color perception according to polychromatic tables
  7. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 Collection of complaints and anamnesis Ophthalmologist 20 min. Polychromatic tables 15 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"2 Explanation of the research methodology to the patient Nurse 10 min.3 Study of color perception according to polychromatic tables4 Evaluation and registration of the result of the study 2. Standards for the provision of medical care for diseases of the eye (if any)
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  8. ROUTING
  9. Probing the lacrimal ducts (and flushing)
  10. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 Examination of the lacrimal openings visually and with a slit lamp Ophthalmologist 20 min. Slit lamp 5 min. Solution of chloramphenicol 0.25%% 0.3 ml 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population in diseases of the eye, adnexa and orbit"2 Lacrimal probing (and flushing) Nurse 10 min. Cotton wool n / sterile surgical 6 gr.Alcohol wipe 1 pc.Inocaine 0.4%% 0.2 ml 2. Standards of care for eye diseases (if any)Sodium chloride solution 0.9%% 10 mlDisposable syringe 5 ml. 1 PC.Disposable irrigation cannula 1 pc.Examination gloves 1 pc.Surgical gloves 1 pc.
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  11. ROUTING
  12. Measurement of the angle of strabismus
  13. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 Strabismus angle measurement Ophthalmologist 10 min. Cotton wool n / sterile surgical 3 gr. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"Alcohol wipe 2 pcs.2. Standards for the provision of medical care for diseases of the eye (if any)
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  14. ROUTING
  15. Exophthalmometry
  16. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 History taking Ophthalmologist 10 min. Exophthalmometer 10 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"2 Visual examination of the eye3 Exophthalmometry4 Formulation of the conclusion2. Standards for the provision of medical care for diseases of the eye (if any)
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  17. ROUTING
  18. Skiascopy
  19. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 History taking Ophthalmologist 10 min. Slit lamp 10 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"2 Visometry. Biomicroscopy of the anterior segment of the eye with a slit lamp Nurse 10 min. Automatic sign projector 5 min.3 Determination of refraction with a set of trial lenses4 Skiascopy5 Drawing up a conclusion 2. Standards for the provision of medical care for diseases of the eye (if any)
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  20. ROUTING
  21. Localization of ruptures of foreign bodies of the retina
  22. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 History taking Ophthalmologist 30 min. Slit lamp 5 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"2 Examination of the anterior segment of the eye with a slit lamp Nurse 30 min. Binocular ophthalmoscope 5 min. Cotton wool n / sterile surgical 3 gr.3 Examination of the fundus with a binocular ophthalmoscope Midriacil 0.5%% -15 ml 0.5 ml4 Examination of the fundus with a Goldmann lens or a non-contact lens Cyclomed 1%% - 5 ml 0.5 ml 2. Standards of care for eye diseases (if available)5 Localization of retinal foreign body ruptures6 Issuance of a conclusion to the patient Solcoseryl, gel 0.6 gr.Korneregel 0.6 gr.
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  23. ROUTING
  24. Spectacle correction selection
  25. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 Visometry Ophthalmologist 20 min. Automatic sign projector 5 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"2 Selection of spectacle correction2. Standards for the provision of medical care for diseases of the eye (if any)
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  26. ROUTING
  27. Para- and retrobulbar injections of emoxipine
  28. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 Injection Ophthalmologist 5 min. Emoxypin solution 1%% 1 ml N 10 1 amp. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"Nurse 3 min.Cotton wool n / sterile surgical 50 gr. 3 gr.Alcohol wipe 2 pcs.Ethyl alcohol 70%% 1 gr.Insulin syringe 1 ml 1 pc. 2. Standards for the provision of medical care for diseases of the eye (if any)
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  29. ROUTING
  30. Para- and retrobulbar injections of dexazone
  31. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 Injection Ophthalmologist 5 min. Dexamethasone 4 mg/ml 1 amp. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"Nurse 3 min. Cotton wool n / sterile surgical 3 gr.Alcohol wipe 2 pcs.Ethyl alcohol 70%% 1 gr. 2. Standards for the provision of medical care for diseases of the eye (if any)Insulin syringe 1 ml 1 pc.
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  32. ROUTING
  33. Examination of the fundus with a three-mirror lens Goldmaple
  34. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 Examination of the periphery of the fundus with a three-mirror Goldman lens Ophthalmologist 10 min. Goldman's three-mirror lens Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"Korneregel 10 gr. ch. gel 0.4 gr.Levomycetin 0.25%% 10 ml 0.5 mlBoric acid 2%% 10 ml 0.5 mlMidriacil 1%% 0.5 mlInocaine 0.4%% 0.5 ml 2. Standards of care for eye diseases (if available)Purified sterile iodine 50 mlChlorhexidine bigluconate, 0.05%% 50 ml
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  35. ROUTING
  36. Perimetry on the Foerster perimeter (single color)
  37. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 History taking Ophthalmologist 30 min. Foerster perimeter 10 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"2 Visometry Nurse 30 min. Automatic sign projector 5 min. Sterile wipes 2 pcs.3 Explanation to the patient of the research methodology Non-sterile gauze bandage 70 cm4 Conducting research5. Evaluation of the result of the study and issuance of a conclusion 2. Standards for the provision of medical care for diseases of the eye (if any)
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  38. ROUTING
  39. Computer perimetry
  40. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 Collection of complaints and anamnesis Ophthalmologist 10 min. Automatic sign projector 10 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"2 Visual eye examination Ophthalmology room nurse 40 min. Automatic perimeter 30 min. Alcohol wipe 2 pcs.3 Checking corrected vision with a set of trial lenses4 Explanation of the research methodology to the patient 2. Standards of care for eye diseases (if any)5. Conducting research6. Evaluation of the result of the study and the issuance of a conclusion
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  41. ROUTING
  42. Panretinal laser coagulation
  43. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)2 Checking visual acuity IOP3 Blood glycemic control Nurse working on laser machines 40 min. Automatic sign projector 5 min. Asparkam, tab. 4 things.4 Instillation of mydriatic to dilate the pupil in the operated eye of the patientSlit lamp 5 min. Gauze bandage 50 cm5 Administration of local anesthesia Glucometer 2 min. Cotton wool n / sterile surgical 5 gr. 2. Standards for the provision of medical care for diseases of the eye (if any)6 Installing a contact lens on the patient's eye Vidisik gel 2 gr.7 Carrying out laser coagulation Distilled sterile water 50 ml 50 gr.8 Washing the conjunctival cavity with antiseptic eye drops Gemaza 1.0 1 amp.Diakarb, 0.25 mg 1 pc.Inocaine 0.4%% 04 mlDexamethasone 4 mg/ml 1 amp.Glucose flat test 1 pc.Korneregel 1 gr.10 Prescription of treatment and recommendations for the patient Indocollir 0.5 mlMidriacil 1%% 0.5 mlProtective mask 2 pcs.Dicynon, 2 ml 1 1 amp.Alcohol wipe 5 pcs.Ethyl alcohol 70%% 2 gr.Cyclomed 1%% 0.5 mlInsulin syringe 1 ml 1 pc.Histochrome 0.02%% 1 amp.Disposable syringe 5 ml 1 pc.Dorzopt 2%% 0.3 mlBoric acid solution 2%% 0.5 ml
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  44. ROUTING
  45. Preventive, peripheral, restrictive
  46. laser coagulation of the retina
  47. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 Medical history taking Ophthalmologist working on laser machines 40 min. Ophthalmic laser 30 min. Solcoseryl gel 0.6 gr. 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n "On approval of the procedure for providing medical care to the adult population with diseases of the eye, adnexa and orbit"2 Checking visual acuity and IOP Laser nurse 40 min. Automatic sign projector 5 min. Asparkam, tab. 4 things.3 Instillation of mydriatic to dilate the pupil on the operated eye of the patient Slit lamp 5 min. Gauze bandage 50 cm4 Carrying out local anesthesia Cotton wool n/sterile surgical 5 gr. 2. Standards for the provision of medical care for diseases of the eye (if any)5 Installing a contact lens on the patient's eye Vidisik gel 2 gr.6 Carrying out laser coagulation Distilled sterile water 50 ml 50 gr.7 Washing the conjunctival cavity with antiseptic eye drops Gemaza drops 1.0 1 amp.Diakarb, 0.25 mg 1 1 pc.Inocaine 0.4%% 0.4 mlDexamethasone 4 mg/ml 1 amp.8 Instillation of anti-inflammatory drops Inocaine 0.4%% 0.5 mlKorneregel 1 gr.Indocollir 0.5 ml9. Prescribing treatment and recommendations to the patientMidriacil 1%% 0.5 mlOftan-decamethasone eye drops, 0.1%% 0.2 mlProtective mask 2 pcs.Sterile surgical gloves 2 pairsDicynon, 2 ml 1 1 amp.Solution of chloramphenicol 0.25%% 5 ml 0.5 mlAlcohol wipe 5 pcs.Ethyl alcohol 0.5 2 gr.Cyclomed 1%% 0.5 mlChlorhexidine bigluconate solution 0.05%% 50 mlInsulin syringe 1 ml 1 pc.Histochrome 0.02%% 1 amp.Disposable syringe 5 ml 1 pc.Diprospan, 1 ml suspension for injection 1 amp.Dorzopt 2%% 0.3 mlBoric acid solution 2%% 0.5 mlMedical sterile gauze wipes 5 pcs.
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  48. ROUTING
  49. Iridotomy
  50. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 Medical history taking Ophthalmologist working on laser systems 100 min. YAG apparatus - laser ophthalmosurgical 80 min. Inocaine 0.4%% 0.5 ml2 Checking visual acuity and IOP Laser nurse 80 min. Slit lamp 10 min. Disposable syringe 5 ml 1 pc.3 Mydriatic instillation for pupil dilation Automatic sign projector 10 min. Diakarb, 0.25 mg 1 pc.4 Local anesthesia Asparkam 1 pc. 2. Standards for the provision of medical care for diseases of the eye (if any)5 Installing a contact lens on the patient's eye Non-sterile surgical cotton wool 2 gr.6 Placement of a contact lens on the patient's eye Chlorhexidine Bigluconate solution 0.05%% 50 ml8 Washing the conjunctival cavity with antiseptic eye drops Azopt 1%% 0.3 mlSolcoseryl gel 0.5 mlLevomecithin 0.25%% 0.5 mlBoric acid 20%% 0.5 mlPurified sterile water 50 ml9 Instillation of anti-inflammatory dropsChlorhexidine bigluconate solution 0.05%% 50 mlKornegonel 0.6 gr.Midriacil 1%% 0.3 mlDiclof 0.3 mlMask 3-ply 2 pairSterile surgical gloves 2 pairs
    Executor Used equipment Used medicines, dressings, low-value equipment and tools
  51. ROUTING
  52. Dissection of a secondary cataract
  53. NN pp Content of the technological process List of regulatory documentsname time for 1 procedure (min.) name working time (min.) name quantity for 1 procedure (grams, pieces - specify) terms of use of tools (normative)1 Medical history taking Ophthalmologist working on laser machines 60 min. YAG device - laser ophthalmosurgical ALOFmh 40 min. Inocaine 04%% 0.5 ml2 Checking visual acuity and IOP Laser nurse 60 min. Slit lamp 10 min. Disposable syringe 5 ml 1 pc.3 Slit lamp examination of the patient Automatic character projector 10 min. Diakarb, 0.25 mg 1 pc.4 Instillation of mydriatic for pupil dilation Asparkam 1 pc. 2. Standards for the provision of medical care for diseases of the eye (if any)5 Carrying out local anesthesia Cotton wool surgical non-sterile cotton 2 gr.6 Placement of a contact lens on the patient's eye Chlorhexidine bigluconate solution 0.05%% 50 ml7 Creating a discission hole with a laser punch Tobrex 0.3%% (tobramycin) 0.5 ml8 Washing the conjunctival cavity with antiseptic eye drops Azopt 1%% 0.3 mlSolcoseryl gel 0.5 mlLevomecithin 0.25%% 0.5 mlBoric acid 20%% 0.5 mlPurified sterile water 50 ml9 Instillation of anti-inflammatory dropsChlorhexidine bigluconate solution 0.05%% 50 lm10 Checking visual acuity, IOP and re-examination of the patient11 Issuance of a conclusion to the patient and execution of medical documentation Dexamethasone 0.1%% 0.5Kornegonel 0.6 gr.Midriacil 1%% 0.3 mlDiclofinac 0.3 mlMask 3-ply 2 pairSterile surgical gloves 2 pairs
    Executor Used equipment Used medicines, dressings, low-value equipment and tools

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