Health part (Medsanchast)

Health part (Medsanchast) - a complex of medical institutions on rendering of medical aid to workers and employees of industrial enterprises.
Health part is organized as a rule, in large enterprises. This form of service brings medical care to the place of work; along with the assistance of General territorial medical network in the place of residence, workers receive medical assistance in production. Medical-sanitary unit can be of different structure and capacity. Development of specialised kinds of medical aid for the last time practiced organization of large medical unit to serve several enterprises.
The main institution of the medical unit is a clinicwhere doctors for the main professions; in addition, the composition of the medical unit, as a rule, includes a hospital, medical (nursing) health centres in the main shops of the enterprise; in many medical organizations are night sanatorium: major medical unit have in the States sanitary doctor, sanitary-hygienic laboratory. All these institutions operate under the leadership of chief physician head of the medical unit, who are appointed by the relevant zdravotnica. The medical unit provide workers and employees outpatient and inpatient care; in the absence of the patient hospitalized patients in territorial hospital. Health authorities provide for the health of places in these hospitals.
The medical unit develop an emergency plan in case of an accident at the enterprise and create untouchable the emergency stock of drugs, bandages , etc.
Working in the medical unit is serviced by a shop principle: to workshops with the total number of work about 2 thousand attached Guild therapeutist, who along with treatment of these workers in the clinic of the medical unit organizes and conducts preventive work in the attached workshops, where should be not less than one working day per week. Shop physician examines working conditions, identifies adverse production factors and environmental factors that may be the cause of disease and injury, and takes measures to eliminate them. Doctors and nurse of the medical unit monitor the health condition of plants and working places, as well as canteens, shower rooms, and so on, carry out the sanitary-educational work, participate in preparation of sanitary asset produce vaccination.
The Guild doctor of the medical unit systematically analyze the morbidity with temporary loss of ability to work in some professions; conducts periodic medical examinations of workers in contact with various toxic substances, and working adolescents for early detection of possible occupational diseases, timely treatment, and the right of employment. In guilds district principle are all physicians of the medical unit: surgeons, midwives and others, They study the causes of disease and injury, the influence of working conditions on workers, seeking the path of injury prevention, pustular diseases, examined the work of shop medical centers, conduct sanitary-educational work.
In the work of the medical unit is essential medical examination, proper implementation of which plays a role in the prevention of morbidity with temporary disability. Very important in the work of the medical unit is a single complex plan recreational activities, drafting and implementation of which involved the management of the enterprise, factory Committee, health part and district sanitary and epidemiological station. This plan provides health activities performed by the administration of the enterprise (for example, sanitary nature - improving ventilation, heating, lighting, and others), trade uion organization (development plans of housing, diet, health-resort assistance and others), the medical unit (organization of medical aid, in particular vaccinations, health examinations, periodic medical examinations, San. education). Cm. the Health center.

Health part of complex treatment-and-prophylactic institutions serving workers and employees of industrial enterprises, buildings, mines, farms and other
The main task of the medical unit is to offer qualified medical treatment and preventive, recreational activities at the enterprise.
Medsanchast brings medical care to the place of work, enables doctors to examine the working environment, to identify the causes of disease and injury, to develop and conduct in cooperation with the administration of the enterprise and the trade Union organization of sanitary-preventive and curative measures for reducing morbidity and improvement of working conditions. Medsanchast organized at the enterprises with the number of workers and employees of 4000 people and more, and at the enterprises of coal, oil, oil refining, mining and chemical industries - from 2000 people.
Recently, quite often one M-n-o'clock is generated for a group of nearby businesses. It allows to organize it more powerful a polyclinic and a hospital with large specialized sections.
Medical-sanitary unit there are different structures and capacity, usually they include a hospital, clinic or dispensary, health centres, dispensaries.
Most M-C. H. serves only workers and employees of their enterprises. Some of the medical-sanitary unit, in addition, serve and family workers and employees, as well as the population living in the region of their activities.
At the head of the Medical-sanitary unit is the chief appointed by the relevant zdravotnica. The work is based on the principle of a shop providing local service.
Guild site is organized based maintenance workshop doctor 2000 workers and employees, and on the enterprises of chemical, coal, mining and oil refining industry - 1000 workers and employees.
Shop the local doctor, specialty internist, has a curative care in a clinic or outpatient work attached to it departments and conducts preventive work directly in workshops where he should be not less than one working day per week. Here the doctor examines working conditions, identifies adverse production factors and environmental factors that could be the cause of disease and injury, and takes measures to eliminate them.
The Guild doctor of the medical unit systematically study and analyze the morbidity with temporary disability of individual professions.
In guilds local principle of work and other medical specialists of the medical unit: surgeons, midwives and others, They study the causes of injury and disease, the impact of working conditions on the body, seeking the path of injury prevention, pustular diseases, examined the work of shop medical centers, conduct of sanitary-educational work.
The medical unit provides workers and employees outpatient and inpatient care, if it has its own hospital; in the absence of the latter hospitalitynet patients in territorial hospital. To ensure the priority of hospitalization employed health authorities provide for the M-C. H. place in these hospitals.
In the work of the medical unit of the big place is occupied by the organization of medical care for injuries, periodic and targeted preventive medical examinations, clinical supervision of individual groups of workers (see clinical examination).
Medical assistance for injuries is provided on the enterprise around the clock. First aid should be as close as possible to the place of work. In large departments with Guild medical or medical health units (see), medical aid is rendered directly by the health units, working around the clock. In the rest of the workshops for the first aid for injuries in each shift organized sanitary posts of workers trained in providing first aid measures (the imposition of tires, sterile bandages, tourniquet, transportation of the victim, and so on). In the conduct of sanitary and fasting are the Guild first-aid kits, stretchers, tyres.
Working alone or in small groups at a considerable distance from the medical point (in mines, timber cutting, tractor and combine operators in the fields and so on), are taught the rules of self-help and mutual aid, provide individual packages.


If necessary for more serious injuries are sent to the clinic or hospital M-n-o'clock or hospital.
The medical unit develop an emergency plan in case of possible accident at the enterprise and untouchable emergency supply of medicines, dressing material, vehicles, etc.
Shop precinct doctors carry out periodic medical examinations of workers in contact with various toxic substances, and of working adolescents (aged from 16 to 18 years) for early detection of possible occupational diseases, prompt treatment of cases and the right of employment. The timing of follow-up visits are special orders and instructions of the Ministry of health of the USSR. Periodic medical examinations are also taking part doctors prescribed by orders for each profession, and provided all the necessary laboratory tests, x-ray examination.
Specialists of M-C. H. organize targeted mass medical examination of workers for early detection of tuberculosis, cancer and other diseases. Cases publichealth specialists M-n-o'clock or special clinics for treatment and systematic observation.
In the activities of M-C. H. big place is occupied by the sanitary-hygienic and anti-epidemic work at the enterprise.
Shop precinct doctors, medical assistants and nurses of the health units routinely observe sanitary condition of workshops and workplaces, and community institutions (canteens, buffets, showers, etc), conduct of sanitary-educational work, participate in preparation of sanitary asset.
The medical unit and the health units involved in the control over observance of safety measures and labour protection.
All sanitary-preventive work M-C. H. carried out in close contact with the trade Union organization, with the involvement of the working of the asset (commissioners of labour protection and Advice social insurance factory Committee, public inspectors for labor protection, strandlage, members of sanitary posts of the red cross). Manual sanitary-preventive work carried out by the sanitary epidemiological station (Promservice). The medical unit directly participate in the preparation of a single comprehensive plan recreational activities on the production and control over its execution.
The plan is constructed on the basis of analysis of disease and injury of workers and provides for various measures to reduce sickness, injury prevention and the improvement of the sanitary condition of the company.
The plan is drawn up together with the administration and the factory Committee and approved by the Director of the enterprise. It records the specific activities of the sanitary-technical, sanitary-hygienic and treatment-and-preventive specific performers (the administration, the trade Union organization, M-C. H.) and deadlines.