Individual task № 4. Organization of in-patient hospital surgical aid.

General information about a hospital.

Name of a hospital, its capacities. Its service area, number and structure of the attended population.

Present order of planned and emergency hospitalization of patients. Composition, structure and organization of the work of the hospital reception.

Surgical departments, their bed fund. Presence of «clean» and «purulent» departments. Documents, regulating rendering of hospital surgical and traumatological aid.

Description of a surgical department.

Medical staff of the department: number of staff and employed posts, labor supply, staffing, coefficient of second employment.

Number of beds in the department, their specialization. Number of beds in wards, square per one bed. Department facilities. Operating, dressing and plaster rooms etc., their capacities. Keeping of medical protective regimen. Sanitary condition of the department, prophylaxis of intra-hospital infections, regulating documents. Activities of paramedical personnel to keep sanitation and antiepidemic regimen.

Organization and working conditions of doctors and paramedical staff, their factual workloads. Functions of a resident doctor and governor of the department. Duties of a doctor in charge.

Surgical activity, order of rendering emergency medical aid. Use of high technology treatment methods.

Description of succession of activities with a polyclinic.

Account and analysis of the work of the department.

Primary medical documentation used in the department. Yearly accounts based on primary data obtained in the department.

Account of patients` movements and control over the use of the bed fund. Analysis of the main indicators characteristic of the effectiveness of the bed fund usage for the previous year.

Composition of the patients in the department, description of an average duration of treatment and lethality in single cases of hospitalization. Analysis of rendering emergency surgical aid.

Conclusions and suggestions.

On the basis of the analysis, carried out in comparison with known normative meanings and factual data a student must formulate conclusions about the work of the specialized department and make suggestions to improve its activity, rendering of in-patient surgical aid in a particular hospital and the system of public health service in general.

Individual task № 5. Organization of medical service of female population.

General information about a maternity welfare clinic (obstetric- gynecologic department in an out-patient polyclinic organization) and description of obstetric-gynecologic aid.

Capacities of a maternity welfare clinic. Service area, number and structure of the attended female population.

Structure and organization of the work of the maternity welfare clinic: shifts, work at week-days and holidays. Organization of making appointments to doctors. Doctors schedule.

Maternity welfare clinic staff: number of staff and employed posts, labor supply, staffing, coefficient of second employment.

Functional duties of a district obstetrician-gynecologist and the governor of the maternity welfare clinic.

Forms of the participation of obstetrician-gynecologists in yearly prophylactic medical examination of the population. Number and structure of patients under dispensary observation. Description of the indicators of the organization and quality of mass medical examination. Work to reveal malignant new growths at early stages.

Assessment of the work in the registration and observation of the pregnant. Home-nursing work.

Succession in the activities of the maternity welfare clinic with the in-patient department and children`s polyclinic. Organization of social and legal assistance to women.

Work to prevent artificial abortions.

Keeping of sanitation and antiepidemic regimen, prophylaxis of intra-hospital infections, regulating documents.

Primary medical documentation used in the maternity welfare clinic. Yearly accounts based on primary data obtained by the district obstetrician-gynecologist.

Health condition of the attended population.

Description of the gynecologic incidence of the attended female population: level, structure, dynamics. Prevalence and structure of abortions. Sickness-rate of pregnant women. Perinatal mortality.

Conclusions and suggestions.

On the basis of the analysis, carried out in comparison with known normative meanings and factual data a student must formulate conclusions and make suggestions to improve the activity of obstetric-gynecologic service of a particular out-patient polyclinic organization and the system of public health service in general.