WORK AREAS
1. Clinical and diagnostic outpatient department with a day hospital
The Clinical and Diagnostic Outpatient Department with a day hospital provides consultative care to patients with nonspecific bronchopulmonary pathology who are referred by primary care physicians and healthcare facilities in the region. The department provides a wide range of services for patients with pulmonary diseases: clinical, therapeutic and diagnostic, and differential diagnostic. The department employs a powerful team of narrow specialists:
Pulmonologist, cardiologist, endocrinologist, family doctor, urologist, surgeon, otolaryngologist, gynaecologist, ophthalmologist, neurologist, orthopedic traumatologist, paediatric pulmonologist.
At the same time, the department provides a wide range of diagnostic tests: bacteriological, clinical diagnostic, X-ray, ultrasound, endoscopic, and functional diagnostics. The department also has a day hospital and physiotherapy facilities.
2. Outpatient department for the treatment of tuberculosis patients
The department provides assistance to patients with tuberculosis, including children. In the department, patients with tuberculosis can receive the following services:
- Dynamic health monitoring at the outpatient stage.
- Conducting laboratory tests.
- Collection and transportation of biomaterial for bacteriological tests.
Conducting instrumental examinations, in particular:
- measurement of height and body weight; electrocardiography (ECG).
- Determining, together with the patient, an outpatient model of treatment under direct supervision of anti-TB drugs. TB treatment based on the recommendations of a physiotherapist and other doctors.
- Control over the administration of anti-tuberculosis drugs prescribed by a phthisiologist (under direct supervision and/or using other modern means of control over the administration of anti-tuberculosis drugs).
- Building patient adherence to treatment.
- Adherence to the tactics of actions in case of detection of an adverse drug reaction, with notification of each such case to the physician who prescribed the appropriate treatment.
- Initial assessment of hearing, visual acuity and symptoms of polyneuropathy.
- Assessment and correction of nutritional status.
- Referral of patients with TB for secondary (specialised), tertiary (highly specialised) medical care for diagnosis, treatment of comorbidities exacerbated by TB, or other medical services, including medical rehabilitation.
- Conducting individual preventive work with TB patients aimed at teaching sanitary and hygienic skills and reducing the likelihood of transmitting TB mycobacteria to others.
3. Outpatient department for the treatment of HIV-positive/AIDS patients
The unit provides medical care from an infectious disease specialist, paediatrician, gynaecologist, ultrasound doctor, and social and psychological assistance from a psychologist and social worker.
The department carries out medical surveillance of HIV-positive and AIDS patients, works towards early detection of signs of HIV progression and timely prescription of treatment, prescription and implementation of antiretroviral therapy, prevention, diagnosis and treatment of viral hepatitis B and C in people people living with HIV, psychological, counselling support, medical care for HIV-positive people and people with AIDS, people from vulnerable groups, HIV-positive pregnant women, HIV-positive children and children born to HIV-positive women, prevention of HIV infection among the population, etc.
At the same time, the HIV laboratory diagnostics department, which operates as part of the outpatient department for the treatment of HIV-positive/AIDS patients, conducts a wide range of tests:
- screening tests for the presence of antibodies to HIV
- confirmatory tests for the presence of antibodies to HIV
-Determination of antibodies and antigens to viral hepatitis and opportunistic infections of HIV-positive persons under medical supervision - Haematological and biochemical examinations of HIV-positive people
- determination of the number of CD4 lymphocytes by flow cytometry
- biochemical and haematological blood tests
- determination of the erythrocyte sedimentation rate
- molecular genetic research
- determination of HIV RNA in blood plasma by PCR, etc.
The Lung’s health center treats patients with pulmonary tuberculosis with a positive sputum smear of category I in the intensive phase and CO-associated tuberculosis.
In addition, highly specialised care is provided to patients with multidrug-resistant and extensively drug-resistant pulmonary tuberculosis (category 4) until smear-positive bacterial isolation is stopped and/or satisfactory tolerance to chemotherapy is achieved.
The institution treats patients with drug-susceptible tuberculosis. At the same time, there is an opportunity to treat children with TB.
Patients of categories 1, 2, 4 in the intensive phase with concomitant pathology of the nervous system (neuritis, polyneuritis, tuberculous meningitis) receive appropriate qualified care in the institution: neurological consultations are held, neuroimaging techniques, liquor diagnostics and modern rehabilitation are used.
Pulmonary departments of the Lung’s health center are medical diagnostic and consulting centres in the region for pulmonary diseases. Our doctors introduce modern methods of diagnosis and treatment of patients with pulmonary diseases and promote their implementation in the practice of other medical institutions. We provide round-the-clock emergency care for patients with acute and severe complications of pulmonary diseases, and hospitalise patients who require special tests for differential diagnosis of bronchopulmonary diseases, and patients with pneumonia of prolonged or severe course, acute lung abscesses without complications, chronic obstructive pulmonary disease with pulmonary insufficiency of II-III degree, chronic purulent lung diseases, disseminated lung processes, pulmonary embolism, highly qualified treatment of patients with respiratory sarcoidosis, atypical pneumonia, pulmonary diseases of fungal and parasitic etiology, lung lesions in connective tissue diseases and other autoimmune pathologies, intrathoracic lymphadenopathy of unclear genesis, and newly diagnosed bronchial obstruction syndrome.
The institution also treats patients with complications of coronavirus disease - covid pneumonia.
The Lung’s health center has 2 surgical departments.
This is a multidisciplinary surgical department - Surgery №1. It provides high-quality planned and urgent thoracic surgery: care for patients with chest injuries, nonspecific lung diseases and pleural effusions, exudative pleural effusions, pleural empyema, neoplasms of the lungs, pleura, mediastinum, diaphragm, foreign bodies of the trachea and bronchi, esophagus pathologies, spontaneous pneumothorax of various etiologies, funnel-shaped deformity of the sternum.
In addition, high-quality emergency abdominal and ENT surgery is provided.
There is also a department of reconstructive orthopaedics and restorative surgery, where a multidisciplinary team of specialists provides a wide range of services:
- reconstructive surgery on bones and joints;
- arthroplasty of large joints;
- spinal surgeries;
- orthoplastic surgeries;
- arthroscopy
The department's specialists use leading technologies in the treatment of congenital and acquired pathologies of the musculoskeletal system.
Our institution provides highly specialised anaesthetic care and intensive care in pulmonology, thoracic surgery and phthisiology.
The Department of Anaesthesiology and Intensive Care is a place of concentration for seriously ill patients from all medical institutions in the Lviv region. This specificity makes it possible to develop and apply the most advanced treatment regimens for the most severe pulmonary pathologies, which makes the department's experience unique.
It provides comprehensive intensive care that is constantly being improved. Respiratory therapy is performed with the help of modern Carina Drager respirators, which allows us to provide qualified care to patients with lung pathology complicated by respiratory distress syndrome and multiple organ dysfunction syndrome.
The department is equipped with syringe pumps, pulse oximeters, infusomats, defibrillators, respirators, plasmapheresis, haemosorption, laser therapy, ozone therapy, and ultraviolet therapy.
The complex of anaesthetic measures during surgical interventions is carried out in full using modern techniques and drugs: general anaesthesia with a ventilator, with preserved spontaneous breathing, conduction anaesthesia, etc.
The main areas of the department's work are the development and implementation of new modern methods and techniques of anaesthesia and intensive care for patients with chest diseases.
During the Covid-19 pandemic, the unit provided high-quality care to the most serious patients from all over Lviv region with severe coronavirus complications.
The department's employees are guided in their daily work by professionalism and a sensitive attitude towards patients.
1. X-ray diagnostic department
The department has an inpatient X-ray diagnostic room and an outpatient X-ray diagnostic room, as well as a fluorography room. There are mobile fluorographs and mobile X-ray machines for inpatient departments, as well as mobile X-ray vehicles for work in the region, according to requests from districts and enterprises.
The department is equipped with a modern X-ray diagnostic system Apollo EZ DRF X-ray diagnostic system of the new generation with an innovative tomosynthesis function. It allows for radiography, tomography and fluoroscopy. The system can be used to examine all organs and parts of the body. The system produces high quality images, provides detailed images, and is more informative than conventional examinations.
The X-ray diagnostic rooms provide radiography of all organs and systems in various projections, lung tomography with direct and oblique and transverse stratification.Contrast pleuroscopy and chest radiographs to clarify the location of chest wall lesions, lung pathology, or pleural cavity.
In addition, the institution has a computed tomography room with a high-end Canon (Toshiba) Aquilion Prime SP CT system. Routine non-contrast and contrast examinations of the chest, abdomen and pelvis, CT coronography, and antiography of all vessels (brain, aorta, upper and lower extremities) are performed.
The department also provides assistance in functional diagnostics and physiotherapy. There are rooms for electrocardiography (ECG) and external respiratory function (ERF), which are equipped with modern diagnostic equipment to determine the functional state of the cardiovascular and respiratory systems.
The physiotherapy department includes rooms for ultrasound, solux, therapeutic and intra-organic electrophoresis, inhalation, massage and exercise therapy, where qualified physiotherapy and reflexology treatment, ultrasound and nebulisation inhalation are provided.
2. Clinical and diagnostic laboratory
The Clinical and Diagnostic Laboratory of the Lung’s health center performs clinical and diagnostic tests in accordance with the requirements and needs of the treatment process. It performs a wide range of haematological, general clinical, biochemical, immunological and cytological tests on a scheduled and urgent basis.
Modern automatic equipment and well-coordinated work of qualified specialists allow us to respond accurately and successfully to the most difficult tasks in the diagnosis and treatment of patients.
The process of introducing new research methods with high analytical accuracy and diagnostic reliability is ongoing. The laboratory is equipped with the necessary measuring instruments, standard samples, auxiliary equipment and diagnostic kits.
3. Bacteriological laboratory
The bacteriological laboratory of the third level carries out bacteriological examination of biological material for the diagnosis of tuberculosis, pneumonia, bronchitis and other infectious diseases of the respiratory system, which ensures timely and high-quality detection of infectious cases of tuberculosis, monitoring of the treatment process and documentary confirmation of the patient's recovery.
To obtain high-quality, reliable results of microbiological tests for tuberculosis, the laboratory is fully equipped with consumables, media and the latest equipment. Both modern and classical diagnostic methods are used. Two automated Bactec MGIT 960 systems allow for bacteriological diagnosis of tuberculosis and determination of the pathogen's drug susceptibility to first- and second-line drugs within two weeks.
The bacteriological laboratory carries out molecular genetic studies of biological material using the real-time polymerase chain reaction method.
Two Gene-Expert systems can identify the presence or absence of a tuberculosis pathogen and determine its susceptibility to rifampicin within 3 hours of receipt of the material.
The laboratory annually successfully passes the external quality control of tests performed by the reference laboratory for microbiological diagnosis of tuberculosis of the Ministry of Health of Ukraine.
The Lung’s health center has a therapeutic inpatient department, which provides high-quality round-the-clock medical care to patients with the necessary laboratory and instrumental studies, using modern methods of treatment, according to unified protocols.
The therapeutic staff includes highly professional pulmonologists, a cardiologist and a therapist.
The statistics specialists of the Lung’s health center coordinate the activities of the institution's structural units in collecting, processing and analysing medical statistical information.
- The quality of medical records is monitored, and the accuracy of statistical data on the work of doctors and structural TB units in the region is checked.
- The department organises work with the medical staff of TB facilities on accounting and reporting on tuberculosis, organisational and methodological work.
- Provides generalised information on the state of the TB epidemic to the management of the institution for management decision-making.
- Carries out statistical audits of the institution's structural units, makes proposals to eliminate deficiencies identified during the audits.
- Prepares statistical reports, analyses statistical data characterising the quality and scope of medical care provided to the population.
- It generates statistical characteristics of the medical institution's activities.
- Prepares operational medical and statistical information for the management of the institution. The scope and frequency of this information is determined by the management of the institution.
- Monitors key performance indicators of the institution.
The main tasks of the unit are: collecting, processing and analysing statistical information, submitting recommendations for improving the institution's performance, ensuring the reliability, objectivity, efficiency and integrity of statistical information, and generating key sectoral reports on tuberculosis.
The infection control department is is an important structural unit of the Lung’s health center, whose specialists work to prevent the occurrence and spread of infectious diseases associated with the provision of medical care.
Infection control includes organisational, preventive and anti-epidemic measures and is crucial for improving patient safety and preventing infections in a healthcare facility.
In accordance with the tasks assigned to it, the infection control department carries out:
- development of action plans/measures of our institution to implement regulatory acts on infection prevention and infection control;
- monitoring, evaluation and feedback on the implementation of infection prevention and infection control measures by the healthcare facility and its structural units, implementation of improved hand hygiene, prevention of infectious diseases associated with the provision of medical care, implementation of antimicrobial drug administration;
- epidemiological surveillance and keeping records of infectious diseases in the institution in accordance with the procedure established by law;
- dissemination of the latest data in the field of infection prevention and infection control, support of the safety culture in the institution;
- preparing reports and providing advice to the management, structural units and employees of the institution on infection prevention and infection control, implementation of improved hand hygiene, prevention of infectious diseases associated with the provision of medical care, implementation of antimicrobial drug administration;
- development of standard operating procedures;
- Implementation of new clinical protocols for empirical antimicrobial therapy and perioperative antibiotic prophylaxis in accordance with the procedure established by law;
- сonducting a retrospective audit of the compliance of antimicrobial prescriptions;
- training and testing of the knowledge of healthcare facility staff on infection prevention and infection control, improving hand hygiene, prevention of healthcare-associated infections, and administration of antimicrobials;
- promotion and popularisation of infectious disease prevention measures among employees and patients/visitors, cooperation with the public sector;
- other functions related to infection prevention and infection control.
Tel. 236-89-46
Head of the department Victoria Cherkasova
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