Dante and Kuromaku are doctors

Dante has red hair of medium length, styled with "fire" - strands up. He has red eyes, red eyebrows. Regular skin tone. The physique is average (but there are muscles). He is usually dressed in a white T-shirt and red pants (yes.. red), and, of course, a white robe with sleeves, just above the knees, white socks and white sneakers (change of shoes). He is very calm (it is literally almost impossible to anger him), he is a kind and lazy philosophist-quote, often sleepy, optimistic. He likes to sleep and drink tea (but Kuromaku does not allow him to sleep at work). He has also been working in this hospital for 1 year. He works in the day shift. He is a psychotherapist. He is 190 cm tall and 27 years old. Best friends with Kuromaku.

Kuromaku has medium-length gray hair with two strands of hair sticking out on top of his head. The hair is styled with a small volume on top and strands on the sides of the face. Pale skin tone, gray eyes, wears semicircular glasses with such lices - without them he sees poorly, gray eyebrows. The physique is average (but still a little closer to thin). He is usually dressed in a white T-shirt and gray (or dark gray, light pants) and, of course, a white robe with sleeves, just above the knees, shoes - replaceable, black socks, white sneakers. He is serious, calm, straightforward, very smart, but generally kind (although this is hidden under seriousness), very rarely panics, an introvert. He has been working for 1 year in this mental hospital. He likes to drink coffee, he can often work at night (he works both the day shift and the night shift - but at night it is up to him). He is a psychiatrist. He is 184 cm tall and 25 years old. Best friends with Dante.

Psychiatrist This is a key specialist. He has a medical education, he was trained in psychiatry. Its main tasks are:

To make a diagnosis. He conducts an examination: collects anamnesis, assesses the mental state, and identifies symptoms. Prescribe treatment. Including prescribing medicines. Conduct an examination. For example, to assess whether there is a danger to the person himself or others, to decide on hospitalization (including involuntary hospitalization - but such a decision is made only by a doctor or a commission of doctors).

Coordinate the work of the entire team. He looks at the whole picture and, if necessary, involves other specialists.

Psychotherapist This is also a doctor (medical education + residency/retraining in psychotherapy). His strength is a combination of drug treatment and "treatment with words": he conducts psychotherapy (individual, family, group). It is often involved when, along with drug correction, it is necessary to work out the psychological causes of the condition, to teach a person to cope with the symptoms. Sometimes a psychotherapist may refer a patient to a psychiatrist if they see that more serious medication support is needed.

What exactly is being inspected There are two blocks here.

Mental state. The doctor evaluates: Speech: pace, coherence, the presence of obsessive or delusional ideas. Emotions: adequacy of reactions, depth, lability (drops). Thinking and perception: logic, the presence of hallucinations or illusions. Cognitive functions: memory, attention, orientation in time and space. Criticality: whether a person is able to realize his condition and the need for help. Behavior: how the patient interacts with others, whether he follows the regimen, whether there are impulsive or self-injurious actions. Somatic (bodily) state. A psychiatrist looks not only at the psyche, but also at general health: he checks the skin, lymph nodes, cardiovascular and nervous systems. This is important because some mental disorders are accompanied by somatic symptoms, and medications can have side effects. If necessary, a therapist is involved in the examination.

Behavior: how the patient interacts with others, whether he follows the regimen, whether there are impulsive or self-injurious actions.

Somatic (bodily) state. A psychiatrist looks not only at the psyche, but also at general health: he checks the skin, lymph nodes, cardiovascular and nervous systems. This is important because some mental disorders are accompanied by somatic symptoms, and medications can have side effects. If necessary, a therapist is involved in the examination.

Sometimes narrower examinations are also carried out in the hospital - for example, to assess the risks (tendency to escape, self-harm) or to check how the patient tolerates the prescribed therapy.

How the examinations are carried out It all depends on the stage.

Upon admission, the doctor on duty conducts an initial examination. He collects anamnesis: asks about complaints, life and medical history, heredity, previous requests for help. At the same time, the doctor observes behavior, speech, emotional background - this is already part of the psychopathological examination. At this stage, the doctor decides whether hospitalization is indicated, and if so, which department profile is suitable.

In the process of treatment, examinations become regular. The attending physician (psychiatrist) assesses the dynamics daily or with other periodicity: how the mental state changes, whether there are side effects from medications, how the patient copes with the regimen. Sometimes other specialists are involved - a therapist, a neurologist, a psychologist.

If necessary, additional studies are prescribed: laboratory tests, EEG, MRI, pathopsychological tests (to assess memory, attention, thinking more deeply).

As a result, the doctor records all the data in the medical record: complaints, anamnesis, examination and test results, conclusions and treatment plan.

An important rule: as a general rule, the examination is carried out with the informed voluntary consent of the patient. But there are exceptions: if there are serious reasons (a person is dangerous to himself or others, helpless, and without help, his health will be significantly harmed), the examination can be carried out without consent - the decision is made by the doctor.

Bathrooms (for patients and staff)

There is also a clear separation here.

For patients. The wards have bathrooms equipped with a sink, toilet and shower. An important detail: the doors in such bathrooms should open outwards. This is a safety requirement so that in an emergency (for example, if a person becomes ill), the staff can quickly enter.

For staff. Bathrooms for employees are isolated from those intended for patients. They also have washbasins with hot and cold water supply, often with elbow or other touchless faucets.

Showers:

They are designed with special attention to safety. It is often organized on the principle of a sanitary checkpoint: there is a dressing room, a shower area itself and a dressing room. What is typical:

Safety. Faucets and taps are placed so that the patient cannot reach them (for example, outside the shower cabin). This is necessary to eliminate the risk of auto-aggression.

Non-slip floor coverings.

Water temperature. According to sanitary standards (SanPiN), the temperature of hot water at the points of analysis in psychiatric departments should not exceed 37 °C - this is also a measure to prevent burns.

Sometimes thermostatic faucets are installed, which automatically maintain the set temperature.

A straitjacket is a special garment that is worn on a patient in a psychiatric hospital to limit his movements: to fix his arms, and in some cases, legs. Its main task is to ensure the safety of the person himself and others when the patient is in a state of strong excitement, aggression, tries to harm himself or is in an acute psychotic state.

How it works Usually, these are durable clothes (made of cotton, polyester, canvas or other materials) with a backward wrap, which are laced at the back like a corset. Long sleeves cover the fingers and are tied with a ribbon at the ends. Belts or ropes are sewn to the sleeves, which fix the patient's hands. Sometimes additional straps are added to fix the legs.

When and how to use The decision to use is made by a doctor on the basis of strict indications: aggressive behavior, self-injurious action, acute psychotic state with delusions or hallucinations, catatonic stupor.

The procedure includes: Explaining to the patient the reason for application (if possible). Ensuring the safety of the patient and staff. Choosing the size of the shirt. Putting on and fixing the sleeves. Constant monitoring of the patient's condition while wearing a shirt, control of breathing, blood circulation, provision of needs (drinking, toilet).

Important restrictions:

Tight fixation, elbow straps, fixation of the arms back are allowed only in exceptional cases (for example, during transportation). Tightening is allowed for no more than 2 hours, and fixing the hands back for no more than 30 minutes, otherwise it turns into torture.

The shirt should be selected so as not to restrict breathing and blood circulation.

Basic requirements for clothing Hidden closure on the back. This prevents clothing from being used as a weapon. Anatomical cut. Provides freedom of movement, which is critical when working with agitated patients. Fixed buttons. They eliminate the risk that the patient will tear them off. Muted color scheme. Calm shades (beige, gray, pinkish) help reduce stress levels in patients. Antistatic impregnation. Prevents static electricity from accumulating, which reduces the risk of accidental sparks. Materials. Blended fabrics (cotton with polyester, wool with polypropylene) are used, resistant to wear, with antibacterial and water-repellent treatment. Summer options are often made of cotton for better ventilation.

Change of shoes. Ensures compliance with sanitary and hygienic standards.

Prohibition of dangerous accessories. In psychiatric departments, it is often forbidden to wear neckerchiefs, ties, hanging jewelry to eliminate the risk of suffocation or injury.

Hospital clothes for patients are, first of all, practical and safe things designed for long-term wear in the hospital and the convenience of medical manipulations.

The main types of hospital clothing Hospital shirt (shirt). Most often, this is a loose model of a straight cut, usually made of cotton or a blend of fabric. On the front or back there are ties or buttons so that the medical staff can quickly open access to the body for examination or procedures. The length is approximately to the middle of the thigh or slightly lower.

Bathrobe. It can be with ties, buttons or zippers. Often wrapped to make it easy to put on and take off. Sleeves are usually short or three-quarters so as not to interfere with blood pressure measurements, injections, etc.

A set of top (T-shirt/sweater) and pants. The pants are with a soft elastic band, without hard fittings. The top is often with a round neckline, without tight collars.

Disposable clothing. Made of non-woven fabric (spunbond, spunlace). These can be gowns, shirts, examination kits. They are used where sterility or a high level of hygiene is important (procedural, operating rooms, infectious diseases departments).

Special kits (for example, for maternity hospitals, surgery). In maternity hospitals, loose shirts and gowns; in surgery, sometimes disposable suits or shirts of a special cut, which are worn before surgery.

Physiotherapy room. There is an electrophoresis device here - with its help, drugs (tranquilizers, neuroleptics, nootropics) are injected through the skin or mucous membranes. Nearby there may be installations for other methods: galvanization, electrosleep, diadynamic therapy, darsonvalization, magnetotherapy or phonophoresis (ultrasound with ointments).

Treatment room. For manipulations that do not require complex physioequipment: intramuscular injections, taking tests, preparing patients for procedures.

Preparation and recreation room. Patients need time to change clothes, calm down before the procedure, or rest after it. Inventory can also be stored here. Storage and sterilization room. A separate area or a small room where electrodes, handpieces, and other consumables are processed and disinfected.

Staff. A physiotherapy nurse works on the floor. She monitors the progress of procedures, monitors the reaction of patients, and maintains logs. Sometimes there is also a physiotherapist who prescribes courses.

The office of the head of the department More administrative space, but with the ability to receive patients and analyze complex cases.

Features:

more cabinets and racks for documents, logs, reports;

internal and landline phone, often a separate line for emergency messages;

a board or screen with a duty schedule, lists of high-risk patients;

sometimes a small conference table for 4-6 people for short medical meetings.

What does the head do:

distributes the workload between doctors;

analyzes incidents (aggression, escapes, conflicts);

signs documents for involuntary hospitalization and other legally significant papers;

interacts with the hospital administration and external services.

Admission office (doctor's office of the admission department) Here it is decided whether a person needs to be hospitalized and to which department he should be sent.

Specifics of the environment:

reinforced doors, panic button, sometimes - observation through glass or camera;

minimum furniture: table, chairs, wardrobe, safe;

Equipment for rapid condition assessment: tonometer, thermometer, pulse oximeter.

Processes:

collection of anamnesis from accompanying persons and the patient himself;

risk assessment (suicidal, aggressive, helpless);

decision on voluntary/involuntary admission by law;

initial examination and prescription of emergency measures (for example, sedation in acute agitation).

Medical psychologist's office Not a psychiatrist, but an important part of the team.

Equipment:

table, cabinets for tests and forms;

separate boxes or safes for storing techniques (they are considered confidential and secure);

Place for testing: a table and chairs, sometimes a partition so that the patient does not see the answers of others.

Activity:

pathopsychological diagnostics (attention, memory, thinking, emotions);

suicide risk tests, anxiety and depression levels;

drawing up conclusions for the medical commission.

The office of the attending psychiatrist (in the department) This is the main office where the doctor receives patients of his area/department, makes appointments and communicates with relatives.

What it looks like:

A minimum of "dangerous" items. There are no sharp corners, removable handles on the windows, breakable things. Often - anti-vandal coatings, blind or lattice windows.

Doctor's workplace. A table, a chair, a computer with a medical information system, a printer, a safe for prescription forms and potent drugs.

Conversation area. 1-2 chairs in front of the table, sometimes a small table. The location of the chairs is made so that the patient cannot abruptly rush at the doctor, and the doctor has direct access to the door.

Storage of documents. Metal cabinets or file cabinets for paper medical records (duplicate electronic ones).

Emergency first aid kit. In case of deterioration of the condition, right in the office.

What happens in the office:

initial and scheduled examinations;

adjustment of therapy (doses, substitution of drugs);

conversations with relatives (within the framework of medical confidentiality);

Paperwork: extracts, referrals, sick leaves.

Consultation/conference room A place for medical discussions when the opinion of several specialists is needed.

What to eat:

a long table, chairs for 6-10 people;

a screen or board for demonstrating data (extracts, scales, examination results);

Cabinets with literature and clinical recommendations.

When used:

analysis of complex and controversial cases;

discussion of the transfer of the patient between departments;

Discharge and social rehabilitation planning.

Functional diagnostics room. ECG, EEG, sometimes rheoencephalography. It is important to rule out somatic causes of psychosis (e.g., encephalopathy).

Treatment room. It has already been mentioned, but for the doctor this is the place where they are sent for injections and tests.

Labor and Social Rehabilitation Room. Space for group classes, training in household skills, career guidance.

Admission NurseLocated in the emergency room of a psychiatric hospital.

What it does:

Initial inspection and registration. Collection of anamnesis from accompanying persons, recording of complaints, measurement of vital signs.

Paperwork. Filling out admission logs, obtaining informed consent (or registration of involuntary hospitalization according to the law).

Sort by priority. Determination of the urgency of care: acute psychosis, suicidal risk, somatic complications.

Preparation for a doctor's examination. Organization of inspection, ensuring safety during the conversation.

Features and rules important for the bot setting Security first. Nurses never enter the room of an excited patient alone.

Strict accounting. All potent drugs are under lock and key and in logs, keys are handed over to the shift with recounting.

Documentation. Any change in the state, every injection, every episode of aggression is recorded.

Professional distance. Communication is friendly, but without excessive emotionality: this reduces the risk of manipulation and escalation.

Ethics and Law. Information about the patient cannot be transferred to relatives without consent; diagnosis is specially protected information.

Fasting in the children's/adolescent department Here the emphasis shifts to a gentle regimen, psychological support and age-specific considerations.

What does a nurse do:

Adaptation of the child. It helps to get used to the department, explains the rules in simple words, and reduces anxiety.

Control of medication intake, taking into account weight and age. Dosages are strictly prescribed by a doctor, taking into account the peculiarities of metabolism in children.

Support for a regime close to the school one. Organization of classes, recreation, walks, communication with teachers if necessary.

Work with parents. Informing about the child's condition (with the consent and according to the rules of medical confidentiality), training in basic support skills.

Features of the post: "softer" design, game elements in the waiting area, separate rooms for conversations with parents.

Isolation Ward Post (Observation Ward) An isolation ward is a room with enhanced observation for patients with acute psychosis, aggression, or a high risk of self-harm. The post is often located right next to the door of the detention center or in an adjacent room with an observation window.

What a nurse does:

Continuous observation. Visual inspection every 15-30 minutes according to the protocol (or more often if there is a high risk).

Assistance in care. Feeding, hygiene, linen change for patients who cannot take care of themselves.

Fixation control. If physical restraint measures (belts) are used, the nurse monitors blood circulation, the condition of the skin, regularly changes the position of the patient, records the time and condition in the journal.

Emergency care. Readiness to stop excitement, call the resuscitation team, carry out basic resuscitation measures before its arrival.

Features: a minimum of furniture, anti-vandal design, the absence of sharp corners, bars on the windows, reinforced doors.

The post of the head nurse of the department Usually combined with the head nurse's office. This is the administrative and organizational center of the department.

What it does:

Shift work planning. Distribution of responsibilities between nurses and junior staff, scheduling.

Documentation control. Drug logs, observation logs, reporting, control of drug expiration dates.

Interaction with doctors. Transfer of information about the condition of patients, organization of rounds, registration of appointments.

Work with junior staff. Control of nurses, safety briefings, analysis of incidents.

Material and technical support. Requests for medicines, linen, consumables, control of their consumption.

Workplace: a separate office with a safe, computer, filing cabinets, telephone.

Procedure Station (Procedure Nurse) A separate room with a treatment room and a storage area for medicines.

What it does:

Injections and infusions. Intramuscular and intravenous injections of psychotropic drugs, vitamins, drugs to correct side effects.

Taking tests. Blood (general analysis, biochemistry, level of drugs in the blood), preparation of samples for sending to the laboratory.

Sterility and disposal control. Work strictly according to Sanitary Rules and Regulations: disposable syringes, containers for sharp waste, disinfection of surfaces.

Accounting for potent drugs. Keeping logs of receipt/expense, storage in a safe, handing over keys on shift.

Equipment: treatment table, refrigerator for medicines, cabinet with consumables, containers for disposal, first aid kit.

Duty (post) nurse's post on the floor of the department This is the central post in the department - usually located in the corridor so that there is a view of the wards and main passages, next to the nurse's office. Often there is a partition/glass to see the hallway and an internal door to the service area.

What it does:

Round-the-clock surveillance. Records the behavior of patients in the observation log: episodes of agitation, aggression, suicidal statements, refusal to eat, etc.

In psychiatry, it is critically important to make sure that the patient has swallowed the pill (examination of the oral cavity according to the protocol, if there is a risk of "packing" - when the pills are hidden behind the cheek).

Measurement of vital signs. Pressure, pulse, temperature – especially when starting therapy with neuroleptics, when side effects are possible.

Organization of the daily regimen. Control of waking up, lights out, walks, visits; Accompaniment to procedures.

Security. It is forbidden to leave unattended piercing and cutting objects, cords, belts, household chemicals. Regular inspections of bedside tables and wards.

Actions in emergency cases. In case of psychomotor agitation, he calls a doctor and a team, applies retention measures strictly according to the protocol and only as part of a team.

Workplace: desk, computer/paper journals, safe or cabinet for potent drugs with keys, telephone, panic button, sometimes video monitoring of the corridor.

Ergonomics and safety.

When arranging furniture and equipment, it is important to ensure free access to the patient, as well as the ability to freely clean the room, maintain appliances and furniture.

What they do there:

they put droppers;

intravenous and intramuscular injections are made;

blood is taken for tests;

drugs are administered parenterally (bypassing the gastrointestinal tract).

Sometimes other manipulations can be performed in such treatment rooms, for example, the placement of central venous catheters or other invasive procedures, if necessary as part of the treatment of a particular patient.

Who works. A nurse usually works in the treatment room. Its tasks are not only to perform the procedure, but also to properly prepare everything necessary: sterile instruments, consumables, medicines, and follow the rules of asepsis

About the room (premises)

Finishing. The floor is usually covered with linoleum or plastic - such materials are easy to wash and disinfect. The walls are also faced with glazed tiles.

Lighting and ventilation. The room should be well lit. It is desirable to provide supply and exhaust ventilation (or vents with latches).

Zoning. Often the space is divided into zones to separate sterile and non-sterile zones: aseptic (for storing sterile materials), working (where the procedures themselves take place and documentation is kept) and household (for sinks, disinfectants, waste containers).

About furniture and other items Tables. Usually there are two tables: one for the procedure nurse (it may contain documentation, instruments, solutions), the other for working with the patient.

Chairs. In terms of the number of workplaces - for staff and for patients.

Medical couch. It is used for examinations and some manipulations. It is important that the surface is made of a material with low thermal conductivity – this is a matter of patient comfort and safety.

Medical cabinet. Storage is organized in it. There are separate departments: for drugs of list "A" and "B" (potent, requiring special accounting), as well as for a set of medicines for the provision of urgent (emergency) care.

Additional elements:

There is a manipulation table for storing syringes, needles, systems.

Special requirements and nuances:

Washbasin. With hot and cold water supply. There are also dispensers with antiseptic soaps and solutions.

Stove. In the treatment room, a gas or electric stove is needed to sterilize syringes and needles.

Refrigerator. It is mandatory for the storage of perishable medicines.

Fume hood. This is a specific requirement: in the treatment room, injections of neuroleptics (potent drugs) are made, there is always a fume hood - to minimize the risk of inhaling dust or vapors.

Schedule of the day:

7:00 Wake up, morning toilet.

7:30–8:00 Taking medications.

8:00–8:40 Leisure activities (watching TV, reading).

8:40–9:15 Breakfast.

9:15–10:00 Taking medications, medical procedures.

10:00–12:00 Medical rounds, medical and diagnostic procedures.

10:00–12:00 Walk (in the warm season).

12:00–12:30 Taking medications.

12:30–14:00 Lunch.

14:00–14:30 Taking medications.

14:30–15:30 Quiet hour.

15:30–16:00 Afternoon snack.

16:00–17:00 Medical rounds (if necessary).

16:00–17:30 Walk, leisure (reading, watching TV).

17:30–18:00 Taking medications.

18:00–19:00 Dinner.

19:00–19:45 Taking medications.

19:45–20:30 Leisure activities.

20:30–21:00 Drink at night.

21:00–21:30 Taking medications.

21:30–22:00 Evening toilet, preparation for bed.

22:00 Going to bed.

(Schedules may vary depending on patients' condition and other circumstances)

—Wards for 1-2 beds. Their main task is to give the patient the opportunity for privacy. Such wards are prescribed to those who need to minimize external contacts: for example, with pronounced anxiety, a desire to protect themselves from the hustle and bustle of a large team, some forms of anxiety disorders or during an acute state when maximum concentration on treatment is needed. Sometimes single-bed wards are also used for somatic indications - to isolate a patient with an infectious disease or health conditions that require special care. Such wards usually have a separate bathroom - this is one of the key differences from multi-bed rooms, where the bathroom is often shared. According to the standards, such small wards should make up at least 60% of the total number of wards in the section of the department.

Wards for 4-5 beds. These are more general, "mass" chambers. They accommodate patients with similar conditions who do not require complete isolation, but there is no urgent need for privacy. Here, too, sanitary standards are observed: for example, the distance between the ends of beds in four-bed wards should be at least 1.2 m, and between the sides - at least 0.8 m.

An important practical consequence is that the division by capacity is part of the system of medical and protective regime. Doctors and nurses select the most suitable environment for each patient: some need complete isolation, while others need the opportunity to interact with others within the therapeutic group. Sometimes special types are distinguished: for example, observation (supervisory) wards are for patients with pronounced suicidal or aggressive tendencies, gross violations of the regime. There may be a round-the-clock post of medical staff, the door is sometimes locked, and the bathroom is placed right in the ward.

This is what such a room looks like and is arranged:

Strength and safety. Everything that can be used for attack or self-harm is removed. The walls and floor are with a smooth, seamless coating (special synthetic materials are used) so that there is nothing to cling to.

Furniture (bed, bedside table) is screwed to the floor. Sharp corners, glass elements, open wiring are excluded.

Windows. Window panes are unbreakable

Ceiling. High - so that the patient cannot reach lighting fixtures, ventilation grilles or heating pipes.

Door. It is designed to provide quick and safe exit and entry: it opens outwards, the hinges are also located outside. Often a safe "peephole" is made in the door for observation, and the lock is lockable with a key (latches are not allowed).

Communications. It is desirable that the isolation ward is located near the nurse's post. There are also CCTV cameras in the detention center.

Ventilation. It should be good: patients in an excited or stuporous state often have thermoregulation disorders, so it is important to control the microclimate.

How it works in practice:

The decision to place a person in an isolation ward is made by a psychiatrist. Isolation is used only when it is impossible to prevent actions that pose an immediate danger by other methods. For example, in case of aggressive behavior, a tendency to self-harm, destructive actions in relation to property. At the same time, isolation does not mean complete isolation from the world: the staff regularly communicates with the patient - when the door is opened (for example, for 10-20 minutes every 1-2 hours), the patient is examined, fed, and otherwise manipulated. This approach is called intermittent isolation. An important rule: as soon as the patient's condition stabilizes and the threat disappears, he is transferred back to the general ward.

Features of furniture Key principle: special psychiatric furniture (with reinforced elements, fixators) is installed only in wards for patients with a restrictive regime. In the rest of the rooms, ordinary hospital furniture is used. Examples of furniture in different rooms: In the admission department: in the examination room there are tables and chairs for the doctor and nurse, a fireproof box for valuables, cabinets for files and medicines, a couch. In the dressing room of the sanitary inspection room there is a couch, a table, an armchair, a hanger, scales, a wardrobe for temporary storage of personal belongings. In the dressing room there is a sofa, a wardrobe for clean linen, a hanger. In wards with a restrictive regime: beds with latticed fences, bedside tables with strong doors, special clamps. In the treatment rooms: tables and chairs for staff and patients, a medical couch, medical cabinets. In the treatment room for injections, there is always a fume hood. In the rooms for day stay: tables and chairs, sofas, armchairs, bookcases and magazines, TV, radio. Toys are additionally provided in children's departments. Additional features The layout takes into account the need for continuous monitoring and the exclusion of the possibility of unauthorized departure. For this purpose, the following are used: bars on windows, high-security locks, video surveillance systems in the corridors, as well as zoning according to the degree of risk of patients.

The mental hospital has 5 floors (there is an elevator).

List of premises Admission department (often located on the ground floor): Vestibule-dressing room. Observation room-dressing room. Sanitary inspection room for patients (changing room, bathroom with shower, dressing room). Doctor's office on duty. Staff rest rooms. Bathrooms (for patients, staff and visitors). Premises for household equipment, information and reference service and discharge of patients.

Medical departments (located on the upper floors): Wards. Each section has a ward with 1-2 beds (at least 60% of the total number) and 4-5 beds. There are also rooms with separate bathrooms for isolating patients for somatic indications or condition. Treatment rooms (including for injections of neuroleptics). Posts of the nurse on duty. Doctors' offices. Rooms for day stay of patients (with tables for games, chairs, armchairs, cabinets for books and magazines, TV). Enema. Showers and bathrooms. Personal hygiene rooms. Smoking rooms (with forced exhaust ventilation). Pantry rooms (with a transfer window to the dining room). Linen (for clean and dirty linen). Dressing rooms for outerwear and shoes. Auxiliary and technical premises (in the basement or on the lower floors): Warehouses (medicines, food). Technical rooms (boiler rooms, switchboards). Linen pantries. Storage rooms for portable equipment, gurneys and mobile chairs.

On the second floor there is a children's department.

On the third floor there is a department for teenagers.

On the fourth floor there is an adult department.