ENSURING THE SAFETY OF HOSPITAL COMPLEXES UNDER COVID CONDITIONS

Abstract

The article presents the results of a study of safety in medical and preventive institutions (LPU), the central hospital of the city of Syzran taken as an example. The purpose of the study was to work out measures to improve the safety of hospital complexes and hospitals in modern conditions. In the course of the study, the following tasks were solved: analysis of scientific research on the topic; study of statistical data; analysis of safety practices and calculations of fire propagation speed, evacuation time, etc.; identification of problems and search for solutions to improve the safety of hospitals and hospital complexes under COVID conditions. Based on the analysis of fire statistics in medical institutions in Russia, improvement of the safety of hospitals and hospital complexes in modern conditions is necessary. The point of view is expressed that despite compliance with the requirements of fire safety in hospitals, the analysis of routine activity indicates the need to take measures to ensure safety in modern conditions. The author shows that the equipment does not sufficiently ensure safety in COVID conditions; calculations show that along with ensuring the safety of medical facilities, due to the large number of patients, evacuating them from multi-storey buildings in case of an emergency (especially those unable to move independently) is not enough. It is concluded that in order to increase the level of safety, the following measures ought to be introduced: modern fire alarm system; video systems for monitoring and monitoring the safety of facilities on the territory of health facilities; installation of automatic fire extinguishing systems in fire-hazardous premises (warehouses, laboratories, canteen, etc.); installation of additional emergency lighting and reflectors indicating the direction of evacuation in case of fire and carrying out organizational and practical measures to ensure the safety of patients of a medical institution in an emergency, namely, it is proposed to develop a memo of the actions of patients in the hospital complex on inpatient treatment in case of an emergency with a painting in the briefing log; providing medical facilities with individual means of rescue (various types of travois, evacuation mattresses, evacuation pads, evacuation chairs) and provision of hospitals and hospital complexes of large storeys with modern means of evacuation (inclined rescue sleeves).