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10 The patient can be transported on a gurney sitting or lying down, or the patient goes himself accompanied by a nurse. In any method of transporting the admission nurse must pass the patient and his «Medical card» to the ward nurse. The duties of the ward nurse include the following: • to take the patient from the admission Department and participate in mov- ing him from the wheelchair to the bed or accompany to the bed of a walking patient; check the quality of sanitary procedures of the patient, to acquaint him with the regime and rules of the department; • to monitor the cleanliness and order in the wards, the regularity of their ven- tilation (at least 3 times a day), the temperature in the rooms (18–20 °C), com- pliance with the rules of personal hygiene; • to provide medical and protective regime in the Department. Medical and protective regime is a complex of preventive and therapeutic measures aimed at ensuring maximum physical and mental peace of patients. It includes the following elements: 1. Providing treatment of mental care of the patient; 2. Strict compliance with regime rules; 3. Provision of the regime of rational physical (moving) activity. In medical institutions, usually use 4 modes of physical (moving) activity, determined by the severity of the patient’s condition: strict bed, bed (rest), semi- strict (ward), General regime. In strict bed regime, the patient is forbidden not only to get up, but even to sit and turn in bed. In bed regime, the patient is forbidden to get out of bed, however, it is allowed to turn and sit in bed; The ward regime allows the patient to move around the ward and measures of personal hygiene within the ward; The patient is allowed to walk in the Department and within the hospital with the free (General) regime. The sanitary regime in the Department is supported by Junior medical staff, the control is carried out by the ward nurse. Keeping its rules is necessary to prevent hospital-acquired infections and it includes adequate lighting, ventilation and wet cleaning.
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