From Big Medical Encyclopedia

DRESSING ROOM — specially equipped room for production of bandagings and carrying out a number of surgical procedures including small operative measures. The removal of sutures, carrying out transfusions, surgical treatment of small wounds, opening of abscesses, etc. concern to them.

In Russia P., to-rye performed also functions of operating rooms in the beginning, appeared in the Moscow hospital and the St. Petersburg sea hospital constructed under Peter I's decree. During a doantiseptichesky era P. quite often was the center of spread of an intra hospital infection that was promoted, in particular, by lack of division of P. on pure and purulent. For the first time in Russia pure and purulent P.' division was carried out by N. I. Pirogov.

Items are developed in surgical departments of hospitals to lay down. institutions and in institutions of out-patient type (policlinics, health centers, MSCh, etc.). In surgical hospitals are, as a rule, created pure and purulent by P. Kolichestvo of pure P., their sizes, the equipment, number of dressing tables and so forth are defined by quantity of beds of department and a profile of its work. So, e.g., the number of bandagings in departments of an urgent surgery, are much higher, than in departments of planned surgery. In institutions on 100 surgical beds most often develop two pure P. on 2 tables in everyone and one in purulent department. P. Square is defined at the rate of 22 m 2 on each dressing table. In policlinics, reception, out-patient clinics the sizes P. can fluctuate depending on the capacity of establishment.

In specialized (ophthalmologic, otorhinolaryngological, etc.) hospitals in addition to P. for inpatients the so-called reception and diagnostic P. for the ambulatories observed by this clinic expected big capacity are created.

Requirements imposed to P. are as follows. In P., as well as in the operating room (see. Surgery block ), walls and a floor shall be adapted for wet cleaning. Tiled floors are convenient; the wooden floor is covered with linoleum. A floor is done slightly sloping to the center where the hatch for a drain of water covered with a protecting screen is located. Walls cover with a tile of light tones, a ceiling — an oil paint.

For creation in P. of necessary natural lighting (see) the relation of a surface of windows to a floor surface there have to be not less than 1: 4. In order to avoid an overheat in yuzh. districts of a window P. have on sowing., sowing. - zap. and sowing. - vost. parties. Artificial illumination of P. is provided with plafonds with electric lamps with power not less than 500 W on 50 m 3 rooms. For illumination of a surgery field over a dressing table the shadowless lamp like Saturn, «Tseys» or other, providing illumination of a surgery field, equal not less than 130 lx is located, in the absence of shadowless apply a usual lamp with power not less than 200 W with a reflector. It is desirable to have also portable lamp for side lighting. It is necessary to provide emergency lighting in P. P.'s heating shall provide air temperature within 22 °. The vent system of P. shall provide double change of air in an hour. Forced-air and exhaust is used ventilation (see) or system air conditionings (see).

The equipment P. consists from dressing tables (see), cases with tools and medicines, a table with sterile material, on Krom the most often used tools and the prepared sterile bandages are located. Near this table there are drums with a sterile dressing material and linen, and at dressing tables — Tazy on supports for the used tools and a dressing material. At a headboard of dressing tables establish small auxiliary little tables. Besides, in P. there have to be supports for hemotransfusion and solutions, necessary furniture (stools, a support to a table, etc.). Bring hoses from an oxygen collector to a headboard of dressing tables, and for giving an anesthesia use portable narcotic devices. A set of tools, the equipment and other specialized equipment P. depends on a profile of department.

In P.'s work the accurate order shall be observed. In P. intended for rendering acute management, the sterile table is in readiness round the clock. Once a day (during the change of personnel on duty) sterile material on a table is changed even if did not use a table for the expired watch. In P. for planned work the sterile table is prepared for the beginning of bandagings every morning. In P.'s work, as well as in work as the operating room, governed asepsises (see) shall be observed with all severity, without any eases. It is necessary to monitor bystry removal of the used dressing material, to-ry in the course of work from Tazy collect in hermetic containers with the subsequent burning, and also behind systematic change of oilcloths, linen, etc. Purulent P.'s linen shall have special marking; its use in pure the Item is inadmissible.

The sterilization of instruments in order to avoid excess moistening of air P. is made in the neighboring room — sterilizing (see) from where the sister accepts tools through a window with a transom.

And bacterial, control make P.'s cleaning (preliminary, current, final, general) also carefully, as well as in the operating room. For the period of cleaning and after it it is recommended to include germicidal lamps of UF-radiation in the next few hours, and also to carefully air the room.

The special dressing nurse services P., edges together with the manager of department is responsible for the organization of work in it and for observance of an asepsis. In pure and purulent P. there have to be separate personnel.

Features of work of P. in field conditions — see. Operative-dressing block .

Bibliography: Akzhigitov G. N. Organization and work of a surgical hospital, page 133, M., 1979; Ananyev M. G. and Geselevich A. M. The modern surgical equipment and small-scale mechanization in the operative-dressing block, M., 1963; Spezielle Chirurgie, hrsg. v. H. J. Serfling, Lpz., 1978.

M. H. Anichkov.