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COMMUNICATION ROOM AND ALGORITHM FOR PERFORMING
COMMUNICATION OPERATION IN IT
Tashpulatova Diloromkhon Ne'matjonovna
Highly educated nurse in the Department of Emergency Vascular and Microsurgery,
Fergana branch of the Republican Research Center of Emergency Medicine
Jobirov Mirzakhalil Anvarovich
Head of the infection control committee, Fergana branch of the Republican Research Center
of Emergency Medicine
Rozikov Dilshod Abdigopporovich
An employee of the Neurosurgical intensive care department, Fergana branch of the
Republican Research Center of Emergency Medicine
Abstract:
This scientific article provides information about the medical dressing room,
which is used for dressing procedures in medicine, and about performing dressing
procedures in it. It is known that today every surgical department should be well-equipped,
meet the requirements of asepsis and current sanitary standards. The article provides useful
concepts about the dressing room equipment, the procedure for using equipment, and
dressing procedures. In addition, the 5 stages of performing dressing procedures are
explained in detail.
Keywords:
medical dressing room, “clean” and “purulent” dressing procedures, dressing
table, nurse, individual set, medical dressing materials, disinfectant, bandage.
In modern medicine, each surgical department should be well-equipped, meet the
requirements of asepsis and current sanitary standards. The dressing room is a room
intended for medical dressing procedures, and is specially allocated for “clean” and
“purulent” dressing procedures. Sometimes the dressing room can be used for diagnostic
purposes. The square area of the dressing room should be 15 square meters - this is for
one dressing table, and 30 square meters if there are two. The dressing room should be fully
equipped with the necessary equipment, devices and instruments. If there is only one
dressing room, the treatment of purulent wounds is carried out after the treatment of clean
wounds, then the rooms and all equipment are thoroughly treated with disinfectant solutions.
The sequence of dressings is planned taking into account the cleanliness of the wounds.
When performing dressing work, medical dressing sets should be individual for each person.
The composition of dressing sets is determined by the simplicity or complexity of the type
of dressing. Each department equips the set based on its own work methods. If there is no
individual set for each patient, the dressing table is spread out once a day for 6 hours. In this
case, a sterile bag with dressing materials should be kept in reserve for emergency situations.
Before starting work, the surfaces of all equipment in the room are wiped with a disinfectant.
After making sure that the room is ready for work, work begins. The ward nurse should wear
a simple gown, white pants, a hat, slippers (with closed toes), and a mask, without
unnecessary decorations, jewelry, nails should be cut off, and not painted with varnish. The
ward nurse is directly assisted by a junior medical worker in organizing work. After putting
on the mask, the nurse performs hygienic treatment of hands with liquid soap. It should be
noted that if hands are washed hygienically once, the number of transient microbes on the
hands decreases by 40%, and when washed again, by 70%. The clamps are fastened to both
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tables, the date and time are written on the labels, and the temperature indicator is recorded
in the appropriate notebook. Work begins.
The connection process consists of 5 steps:
1- Removing the bandage. There is also a special method for removing the bandage. We
remove the bandage carefully from the wound, using circular movements. If it is wet
(soaked) or contaminated with a large amount of blood, in this case we cut it off with
Richter scissors, and when removing the adhesive bandages, we soak the ends in alcohol to
avoid irritating the skin.
2- Cleaning the wound area. The wound area is gently wiped with alcohol. Fabric threads
and blood residues stuck to the wound are removed. The tampon, drains, rubber tubes from
the wound are removed, and dead tissue around the wound is removed with scissors.
3- Treatment procedures. First, the wound is washed with antiseptics. Dry. Hypertonic
solutions, the use of furacilin or antibiotics, regenerating drugs, ointments, in general, local
treatment procedures are performed depending on the condition of the wound.
4- Applying an aseptic dressing. When applying an aseptic dressing (sterile napkin), it is
necessary to take into account the location of the wound, its small size or spread.
5- Fastening the bandage. The nurse fastens the bandage with a plaster or bandage. The
bandages are wrapped in a spiral, not tightening, overlapping each other. The plaster
bandages are fastened without tension, avoiding hairy areas of the skin.
After each dressing, medical dressing table is wiped with a disinfectant, gloves are changed.
Here it is worth mentioning one thing. There is a time interval between dressings, which
depends on the chlorine activity of the disinfectant we use, and the sensitivity of
microorganisms to it. The higher the chlorine activity, the shorter the interval time and vice
versa.
Repeatedly used medical instruments are disinfected after each dressing (according to the
instructions for each disinfectant) by immersing them in a chlorine-containing solution for
10 minutes. Then, repeated medical instruments are transferred to centralized sterilization
departments for sterilization. Waste is sorted into classes and disposed of in accordance with
current sanitary rules and regulations. The room is finally cleaned and disinfected for 30
minutes using a bactericidal lamp.
The list of used literature:
1.
De Moya, M. A., & Bruns, B. R. (2020). Trauma-induced liver injury: Diagnosis and
management.
Trauma
Surgery
&
Acute
Care
Open,
5(1),
e000284.
https://doi.org/10.1136/tsaco-2020-000284
2.
Kemp, P. K., & Lewis, M. (2022). Minimally invasive techniques in liver trauma
surgery. Journal of Hepatobiliary Surgery, 12(4), 101-107. https://doi.org/10.1002/jhs.360
3.
Salokhitdinov, N. A., Rayimov, G. N., & Abdullayev, M. K. (2024).
ΟΡΤΙΜΙΖΑΤION OF METHODS OF DIAGNOSIS AND SURGICAL TREATMENT OF
LIVER DAMAGE IN CLOSED ABDOMINAL TRAUMAS. Science and innovation,
3(D10), 242-246.
Sectoral sanitary rules and regulations of the Ministry of Health of the Republic of
Uzbekistan
