{"id":735,"date":"2020-05-22T12:30:28","date_gmt":"2020-05-22T09:30:28","guid":{"rendered":"http:\/\/www.dspvn.ro\/?p=735"},"modified":"2020-05-26T10:25:05","modified_gmt":"2020-05-26T07:25:05","slug":"activitatea-la-nivelul-cabinetelor-stomatologice","status":"publish","type":"post","link":"https:\/\/www.dspvn.ro\/index.php\/2020\/05\/22\/activitatea-la-nivelul-cabinetelor-stomatologice\/","title":{"rendered":"Activitatea la nivelul cabinetelor stomatologice"},"content":{"rendered":"\n<p><span class=\"has-inline-color has-vivid-red-color\"><strong>A FOST<\/strong> <b>MODIFICAT DE<\/b><\/span><b> <a href=\"http:\/\/www.dspvn.ro\/wp-content\/uploads\/2020\/05\/O873_2020.pdf\">ORDINUL M.S. NR 873\/2020<\/a><\/b><\/p>\n\n\n\n<p><span class=\"has-inline-color has-very-dark-gray-color\">I<strong>. M\u0103suri generale pentru desf\u0103\u0219urarea activit\u0103\u021bii \u00een cabinetele stomatologice<\/strong><\/span><\/p>\n\n\n\n<p>Trebuie evitat, pe c\u00e2t posibil, contactul cu personalul (nu str\u00e2nge\u021bi m\u00e2na, men\u021bine\u021bi o distan\u021b\u0103 de mai mult de 1,5 m \u00een timpul unei discu\u021bii etc.).<\/p>\n\n\n\n<p>\u00cen afara manoperelor de tratament, trebuie evitat, pe c\u00e2t posibil, contactul cu pacientul.<\/p>\n\n\n\n<p><a href=\"http:\/\/www.dspvn.ro\/wp-admin\/edit.php?post_type=post\"><\/a><\/p>\n\n\n\n<p>Accesul \u00een camera de tratament este permis doar pacientului; prin excep\u021bie, este permis \u0219i accesul unei persoane care \u00eenso\u021be\u0219te un minor, o persoan\u0103 dependent\u0103 sau alte asemenea.<\/p>\n\n\n\n<p>Nu se permite sta\u021bionarea \u00een sala de a\u0219teptare \u0219i se recomand\u0103 dezinstalarea\/scoaterea din func\u021biune a oric\u0103rui aparat de cafea \u0219i\/sau dozator de ap\u0103, precum \u0219i eliminarea revistelor, pliantelor, juc\u0103riilor etc.<\/p>\n\n\n\n<p>La intrarea \u00een cabinetul stomatologic se amplaseaz\u0103 dispensere cu solu\u021bii dezinfectante (antiseptice pe baz\u0103 de alcool).<\/p>\n\n\n\n<p>Se realizeaz\u0103 dezinfec\u021bia regulat\u0103 a m\u00e2nerelor u\u0219ilor, s\u0103lii de a\u0219teptare \u0219i recep\u021biei.<\/p>\n\n\n\n<p>Se realizeaz\u0103 dezinfec\u021bia toaletei, dup\u0103 utilizarea acesteia de c\u0103tre un pacient.<\/p>\n\n\n\n<p>Este recomandat\u0103 plata cu cardul \u0219i, c\u00e2t mai des posibil, dezinfec\u021bia POS.<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-very-dark-gray-color\">II. Accesul la tratament<\/span><\/strong><\/p>\n\n\n\n<p>Se face doar cu programare telefonic\u0103\/online prealabil\u0103.La momentul program\u0103rii pacientul va fi \u00eentrebat dac\u0103:<br>a) are simptome de r\u0103ceal\u0103, str\u0103nut, tuse, dureri \u00een g\u00e2t, dificult\u0103\u021bi de respira\u021bie \u0219i\/sau febr\u0103 (&gt;37,3\u00baC);<br>b) membrii familiei cu care locuie\u0219te\/gospod\u0103re\u0219te au aceste simptome;<br>c) are v\u00e2rsta de 65 de ani sau mai mult;<br>d) sufer\u0103 de o patologie cronic\u0103 sau o afec\u021biune care \u00eei reduce imunitatea;<br>e) este s\u0103n\u0103tos \u0219i se simte \u00een prezent s\u0103n\u0103tos.<\/p>\n\n\n\n<p>Pacien\u021bii cu risc crescut (peste 65 de ani sau care sufer\u0103 de o patologie cronic\u0103) sunt programa\u021bi \u00een prima parte a programului de lucru.<\/p>\n\n\n\n<p>Pacien\u021bii care necesit\u0103 proceduri generatoare de aerosoli sunt programa\u021bi la sf\u00e2r\u0219itul programului de lucru.<\/p>\n\n\n\n<p>La prezentarea \u00een cabinet se efectueaz\u0103 termometrizarea pacientului \u0219i se solicit\u0103 dezinfec\u021bia m\u00e2inilor.<\/p>\n\n\n\n<p>\u00cenainte de \u00eenceperea tratamentului, medicul stomatolog va ob\u021bine acordul scris informat al pacientului.<\/p>\n\n\n\n<p>Sunt permise urm\u0103toarele tipuri de proceduri:a) proceduri f\u0103r\u0103 generare de aerosoli: consulta\u021bie, extrac\u021bie simpl\u0103, sutur\u0103, incizie \u0219i drenaj abces, obtura\u021bie provizorie, radiografie, tratamente ortodontice de men\u021binere;b) proceduri generatoare de aerosoli: utilizarea pieselor de m\u00e2n\u0103 rotative (\u00een special turbina), a sprayului ap\u0103-aer, a aparaturii ultrasonice, a dispozitivelor cu jet de particule.<\/p>\n\n\n\n<p>\u00cenaintea unei proceduri generatoare de aerosoli, pacientul va cl\u0103ti \u00een prealabil gura timp de 1 minut cu solu\u021bie 1% peroxid de hidrogen (prin diluarea unei solu\u021bii de H2O2 3% cu ap\u0103).<\/p>\n\n\n\n<p><strong><span class=\"has-inline-color has-very-dark-gray-color\">III. Echipament de protec\u021bie<\/span><\/strong><\/p>\n\n\n\n<p>Personalul va utiliza echipament de protec\u021bie &#8211; masc\u0103 chirurgical\u0103, vizier\u0103 \u0219i m\u0103nu\u0219i.<\/p>\n\n\n\n<p>Pentru procedurile generatoare de aerosoli se va folosi masca tip FFP2\/3 sau echivalent.<\/p>\n\n\n\n<p><strong>I<span class=\"has-inline-color has-very-dark-gray-color\">V. Dup\u0103 fiecare pacient se va efectua:<\/span><\/strong><\/p>\n\n\n\n<p>-aerisirea camerei de tratament;<\/p>\n\n\n\n<p>-dezinfectarea riguroas\u0103 a suprafe\u021belor (unit dentar, blat de lucru etc.), cu dezinfectant de suprafa\u021b\u0103 conform standardelor;<\/p>\n\n\n\n<p>&#8211; dac\u0103 exist\u0103 o contaminare vizibil\u0103 pe suprafe\u021be, se va \u00eendep\u0103rta mai \u00eent\u00e2i cu o lavet\u0103 umed\u0103 (ap\u0103) de unic\u0103 folosin\u021b\u0103 cu ap\u0103 \u0219i s\u0103pun;<\/p>\n\n\n\n<p>&#8211; dezinfec\u021bia cu alcool 80% a tuturor dispozitivelor medicale care nu sunt rezistente la sterilizare cu aer cald. Dac\u0103 exist\u0103 o contaminare vizibil\u0103 pe dispozitive, aceasta trebuie mai \u00eent\u00e2i \u00eendep\u0103rtat\u0103 cu o lavet\u0103 umed\u0103 (cu ap\u0103) sau cu o lavet\u0103 de unic\u0103 folosin\u021b\u0103, ap\u0103 \u0219i s\u0103pun. Pentru un dispozitiv medical (sau p\u0103r\u021bi ale acestuia) care nu este rezistent la alcool se folosesc \u0219erve\u021bele de cur\u0103\u021bare \u0219i dezinfectare pentru suprafe\u021be sensibile;<\/p>\n\n\n\n<p>-este de preferat utilizarea unor materiale de cur\u0103\u021bare de unic\u0103 folosin\u021b\u0103, c\u00e2t mai mult posibil;<\/p>\n\n\n\n<p>-dezinfectarea aspiratorului \u0219i a vasului scuip\u0103tor;<\/p>\n\n\n\n<p>-dezinfectarea complet\u0103 a unitului stomatologic cu dezinfectant cu efect virucid, prin pulverizare;<\/p>\n\n\n\n<p>-sterilizarea complet\u0103 a pieselor \u00eenainte de reutilizare (autoclav) sau utilizare de piese de unic\u0103 folosin\u021b\u0103;<\/p>\n\n\n\n<p>-schimbarea m\u0103\u0219tii, m\u0103nu\u0219ilor, cur\u0103\u021barea \u0219i dezinfectarea vizierei;<\/p>\n\n\n\n<p>-sp\u0103larea m\u00e2inilor cu ap\u0103 \u0219i s\u0103pun sau dezinfec\u021bia cu solu\u021bie hidroalcoolic\u0103 \u00eenainte de a pune alt\u0103 pereche de m\u0103nu\u0219i.<\/p>\n\n\n\n<p><br><span class=\"has-inline-color has-very-dark-gray-color\"><strong>Pacien\u021bii simptomatici (astfel cum sunt ace\u0219tia desemna\u021bi \u00een defini\u021biile de caz publicate periodic de Centrul Na\u021bional de Supraveghere \u0219i Control al Bolilor Transmisibile din cadrul Institutului Na\u021bional de S\u0103n\u0103tate Public\u0103 la adresa http:\/\/www.cnscbt.ro), respectiv pacien\u021bii afla\u021bi \u00een izolare\/carantin\u0103 sau pozitivi confirma\u021bi cu coronavirusul SARS-CoV-2 (COVID-19) vor fi trata\u021bi doar \u00een cabinete sanitare avizate de c\u0103tre direc\u021biile de s\u0103n\u0103tate public\u0103 \u00een acest sens.<\/strong><\/span><\/p>\n\n\n\n<p><em>Inspector Banu Cristina<\/em>, DSP Vrancea<\/p><div id=\"dspvn-1564782773\" class=\"dspvn-continut dspvn-entity-placement\" style=\"margin-bottom: 10px;margin-left: auto;margin-right: auto;text-align: center;\"><a href=\"https:\/\/www.fiipregatit.ro\/\" target=\"_blank\" aria-label=\"www.fiipregatit.ro\"><img src=\"https:\/\/www.dspvn.ro\/wp-content\/uploads\/2023\/07\/fiipreg.jpg\" alt=\"www.fiipregatit.ro\"  srcset=\"https:\/\/www.dspvn.ro\/wp-content\/uploads\/2023\/07\/fiipreg.jpg 946w, https:\/\/www.dspvn.ro\/wp-content\/uploads\/2023\/07\/fiipreg-300x25.jpg 300w, https:\/\/www.dspvn.ro\/wp-content\/uploads\/2023\/07\/fiipreg-150x12.jpg 150w, https:\/\/www.dspvn.ro\/wp-content\/uploads\/2023\/07\/fiipreg-768x63.jpg 768w, https:\/\/www.dspvn.ro\/wp-content\/uploads\/2023\/07\/fiipreg-600x49.jpg 600w\" sizes=\"(max-width: 946px) 100vw, 946px\" class=\"no-lazyload\" width=\"800\" height=\"78\"  style=\"display: inline-block;\" \/><\/a><\/div>\n","protected":false},"excerpt":{"rendered":"<p>A FOST MODIFICAT DE ORDINUL M.S. NR 873\/2020 I. M\u0103suri generale pentru desf\u0103\u0219urarea activit\u0103\u021bii \u00een cabinetele stomatologice Trebuie evitat, pe c\u00e2t posibil, contactul cu personalul (nu str\u00e2nge\u021bi m\u00e2na, men\u021bine\u021bi o distan\u021b\u0103 de mai mult de 1,5 m \u00een timpul unei discu\u021bii etc.). \u00cen afara manoperelor de tratament, trebuie evitat, pe c\u00e2t posibil, contactul cu pacientul. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":736,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-735","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"post_slider_layout_featured_media_urls":{"thumbnail":["https:\/\/www.dspvn.ro\/wp-content\/uploads\/2020\/05\/ortho350-150x113.jpg",150,113,true],"post_slider_layout_landscape_large":["https:\/\/www.dspvn.ro\/wp-content\/uploads\/2020\/05\/ortho350.jpg",350,263,false],"post_slider_layout_portrait_large":["https:\/\/www.dspvn.ro\/wp-content\/uploads\/2020\/05\/ortho350.jpg",350,263,false],"post_slider_layout_square_large":["https:\/\/www.dspvn.ro\/wp-content\/uploads\/2020\/05\/ortho350.jpg",350,263,false],"post_slider_layout_landscape":["https:\/\/www.dspvn.ro\/wp-content\/uploads\/2020\/05\/ortho350.jpg",350,263,false],"post_slider_layout_portrait":["https:\/\/www.dspvn.ro\/wp-content\/uploads\/2020\/05\/ortho350.jpg",350,263,false],"post_slider_layout_square":["https:\/\/www.dspvn.ro\/wp-content\/uploads\/2020\/05\/ortho350.jpg",350,263,false],"full":["https:\/\/www.dspvn.ro\/wp-content\/uploads\/2020\/05\/ortho350.jpg",350,263,false]},"modified_by":"Gale\u0219 C\u0103t\u0103lin","_links":{"self":[{"href":"https:\/\/www.dspvn.ro\/index.php\/wp-json\/wp\/v2\/posts\/735","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dspvn.ro\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.dspvn.ro\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.dspvn.ro\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dspvn.ro\/index.php\/wp-json\/wp\/v2\/comments?post=735"}],"version-history":[{"count":10,"href":"https:\/\/www.dspvn.ro\/index.php\/wp-json\/wp\/v2\/posts\/735\/revisions"}],"predecessor-version":[{"id":771,"href":"https:\/\/www.dspvn.ro\/index.php\/wp-json\/wp\/v2\/posts\/735\/revisions\/771"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.dspvn.ro\/index.php\/wp-json\/wp\/v2\/media\/736"}],"wp:attachment":[{"href":"https:\/\/www.dspvn.ro\/index.php\/wp-json\/wp\/v2\/media?parent=735"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.dspvn.ro\/index.php\/wp-json\/wp\/v2\/categories?post=735"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.dspvn.ro\/index.php\/wp-json\/wp\/v2\/tags?post=735"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}