Procedure for providing assistance to adults with infectious diseases. On approval of the procedure for providing medical care to adult patients with infectious diseases. Application. The procedure for providing medical care to adult patients with infectious diseases

In accordance with the Government Decree Russian Federation dated April 26, 2012 N 404 “On approval of the Rules for maintaining the Federal Register of persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms lymphoid, hematopoietic and related tissues, multiple sclerosis, persons after organ and (or) tissue transplantation" (Collected Legislation of the Russian Federation, 2012, No. 19, Art. 2429, No. 37, Art. 5002) I order:

1. Approve:

The procedure for submitting information contained in a referral for inclusion of information (amending information) about a patient in the Federal Register of Persons with Hemophilia, Cystic Fibrosis, Pituitary Dwarfism, Gaucher Disease, Malignant Neoplasms of Lymphoid, Hematopoietic and Related Tissues, Multiple Sclerosis, Persons After Transplantation organs and (or) tissues, and notification of the exclusion of information about the patient from this Federal Register and about dispensed medications in accordance with Appendix No. 1;

form N 01-FR "Referral to include information (amend information) about a patient in the Federal Register of persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of lymphoid, hematopoietic and related tissues, multiple sclerosis, persons after transplantation organs and (or) tissues" in accordance with Appendix No. 2;

form N 02-FR "Notice on the exclusion of information about a patient from the Federal Register of persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of lymphoid, hematopoietic and related tissues, multiple sclerosis, persons after organ and (or) tissue transplantation "according to Appendix No. 3;

form N 03-FR "Register of issuance of referrals for inclusion of information (amending information) about a patient in the Federal Register of Persons with Hemophilia, Cystic Fibrosis, Pituitary Dwarfism, Gaucher's Disease, Malignant Neoplasms of Lymphoid, Hematopoietic and Related Tissues, Multiple Sclerosis, persons after transplantation of organs and (or) tissues, and the issuance of notices of exclusion of information from this Federal Register" in accordance with Appendix No. 4;

form N 04-FR "Information about the patient submitted to the Ministry of Health of the Russian Federation for the formation and maintenance of the Federal Register of persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of lymphoid, hematopoietic and related tissues, multiple sclerosis, persons after organ and (or) tissue transplantation" in accordance with Appendix No. 5;

instructions for filling out form N 04-FR "Information about the patient submitted to the Ministry of Health of the Russian Federation for the formation and maintenance of the Federal Register of persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of lymphoid, hematopoietic and related tissues, multiple sclerosis , persons after organ and (or) tissue transplantation" in accordance with Appendix No. 6;

form N 05-FR "Information on dispensed medicinal products, provided for in the list of medicinal products, to persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of lymphoid, hematopoietic and related tissues, multiple sclerosis, persons after organ transplantation and (or ) fabrics, pharmacy organization" in accordance with Appendix No. 7;

form N 06-FR "Information on prescribed and dispensed medicinal products, provided for in the list of medicinal products, submitted to the Ministry of Health of the Russian Federation for the formation and maintenance of the Federal Register of persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of the lymphoid, hematopoietic and related tissues, multiple sclerosis, persons after organ and (or) tissue transplantation" in accordance with Appendix No. 8;

instructions for filling out form N 06-FR "Information on prescribed and dispensed medicinal products, provided for in the list of medicinal products, submitted to the Ministry of Health of the Russian Federation for the formation and maintenance of the Federal Register of persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of the lymphoid , hematopoietic and related tissues, multiple sclerosis, persons after organ and (or) tissue transplantation" in accordance with Appendix No. 9.

2. To recognize as invalid:

order of the Ministry of Health and social development of the Russian Federation of April 4, 2008 N 162n “On the procedure for maintaining the Federal Register of patients with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of lymphoid, hematopoietic and related tissues, multiple sclerosis, as well as after organ and (or) tissue transplantation "(registered by the Ministry of Justice of the Russian Federation on April 28, 2008, registration No. 11599);

Order of the Ministry of Health and Social Development of the Russian Federation dated June 3, 2008 N 255n "On amendments to the order of the Ministry of Health and Social Development of the Russian Federation dated April 4, 2008 N 162n "On the procedure for maintaining the Federal Register of patients with hemophilia, cystic fibrosis, pituitary dwarfism , Gaucher's disease, myeloid leukemia, multiple sclerosis, as well as after organ and (or) tissue transplantation" (registered by the Ministry of Justice of the Russian Federation on June 24, 2008, registration N 11868);

Order of the Ministry of Health and Social Development of the Russian Federation dated May 20, 2009 N 255n "On amendments to the order of the Ministry of Health and Social Development of Russia dated April 4, 2008 N 162n "On the procedure for maintaining the Federal Register of patients with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, myeloid leukemia , multiple sclerosis, as well as after organ and (or) tissue transplantation" (registered by the Ministry of Justice of the Russian Federation on June 19, 2009, registration N 14113);

Order of the Ministry of Health and Social Development of the Russian Federation dated December 1, 2010 N 1061n “On amendments to the Procedure for maintaining the Federal Register of patients with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of lymphoid, hematopoietic and related tissues, multiple sclerosis, and also after transplantation of organs and (or) tissues, approved by order of the Ministry of Health and Social Development of the Russian Federation dated April 4, 2008 N 162n" (registered by the Ministry of Justice of the Russian Federation on March 3, 2011, registration N 19990).

Minister V. Skvortsova

Appendix No. 1

1. This procedure regulates the issues of submitting information about patients necessary for the formation of the Federal Register of persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of lymphoid, hematopoietic and related tissues, multiple sclerosis, persons after organ transplantation and (or) tissues (hereinafter referred to as the Federal Register), as well as information on dispensed drugs provided for in the list of drugs purchased from the federal budget intended for the treatment of patients with malignant neoplasms of lymphoid, hematopoietic and related tissues, hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease , multiple sclerosis, as well as after organ and (or) tissue transplantation, approved by order of the Government of the Russian Federation of December 31, 2008 N 2053-r 1 (hereinafter referred to as the list of drugs).

2. When establishing for the first time the diagnosis specified in paragraph 1 of this procedure, medical organizations of the constituent entities of the Russian Federation, medical organizations municipal system health care in the event of transfer to them, in the prescribed manner, of the powers of state authorities of the constituent entities of the Russian Federation in the field of health care, in which patients are receiving medical care, and medical organizations under the jurisdiction of Federal service execution of punishment (FSIN of Russia), are submitted no later than five working days from the date of diagnosis on paper and (or) in in electronic format to the authorized executive body of a constituent entity of the Russian Federation, a referral to include information (amend information) about the patient (hereinafter referred to as the referral) in the Federal Register of Persons with Hemophilia, Cystic Fibrosis, Pituitary Dwarfism, Gaucher Disease, Malignant Neoplasms of Lymphoid, Hematopoietic and Related Tissues , multiple sclerosis, persons after organ and (or) tissue transplantation, in form N 01-FR according to Appendix N 2.

Medical organizations under the jurisdiction of the Federal Medical and Biological Agency (hereinafter referred to as the FMBA of Russia) submit information in accordance with paragraph one of paragraph 2 of this Procedure to the FMBA of Russia.

3. Notices about the exclusion of information about patients from the Federal Register (hereinafter referred to as the notice) are submitted by medical organizations of the constituent entities of the Russian Federation, medical organizations of the municipal healthcare system in the event of transfer to them in the prescribed manner of powers of state authorities of the constituent entities of the Russian Federation in the field of health protection and by medical organizations, under the jurisdiction of the Federal Penitentiary Service of Russia, to the authorized executive body of the constituent entity of the Russian Federation on paper and (or) in electronic form within five working days from the date of receipt of such information in Form No. 02-FR in accordance with Appendix No. 3.

Medical organizations under the jurisdiction of the FMBA of Russia provide information in accordance with paragraph one of clause 3 of this Procedure to the FMBA of Russia.

4. Referrals and notices are registered by medical organizations in a journal in Form N 03-FR in accordance with Appendix No. 4.

5. The authorized executive body of the constituent entity of the Russian Federation and the FMBA of Russia, for the formation of the Federal Register, within five working days from the date of receipt of the referral and (or) notification from medical organizations, submit information on paper and (or) electronically to the Ministry of Health of the Russian Federation about the patient in form N 04-FR in accordance with Appendix No. 5.

Information about the patient (referrals, notices) submitted electronically must be certified by an electronic signature official authorized executive body of a constituent entity of the Russian Federation or FMBA of Russia.

6. Pharmacy organizations, the list of which is approved by the authorized executive body of the constituent entity of the Russian Federation, and medical organizations under the jurisdiction of the FMBA of Russia, monthly no later than the 10th day of the month following the reporting month, submit to the authorized executive authorities of the constituent entities of the Russian Federation or FMBA of Russia, respectively, information about dispensed medicinal products provided for in the list of medicinal products, on paper and in electronic form in form N 05-FR in accordance with Appendix No. 7.

1 Collection of Legislation of the Russian Federation, 2009, No. 2, Art. 334; 2011, N 2, art. 433.

Appendix No. 9

Instructions for filling out form N 06-FR "Information on prescribed and dispensed medicinal products, provided for in the list of medicinal products, submitted to the Ministry of Health of the Russian Federation for the formation and maintenance of the Federal Register of persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of the lymphoid , hematopoietic and related tissues, multiple sclerosis, persons after organ and (or) tissue transplantation"

1. Form N 06-FR "Information on prescribed and dispensed medications submitted to the Ministry of Health of the Russian Federation for the formation and maintenance of the Federal Register of persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of lymphoid, hematopoietic and related tissues , multiple sclerosis, persons after organ and (or) tissue transplantation" (hereinafter - form N 06-FR) is filled out by the authorized executive body of the constituent entity of the Russian Federation and the FMBA of Russia for each case of treatment of persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease , malignant neoplasms of lymphoid, hematopoietic and related tissues, multiple sclerosis, as well as after transplantation of organs and (or) tissues (hereinafter referred to as patients) to medical organizations of the constituent entities of the Russian Federation, medical organizations of the municipal health care system in the event of the transfer of powers of bodies to them in the prescribed manner state authorities of the constituent entities of the Russian Federation in the field of health care, medical organizations under the jurisdiction of the Federal Penitentiary Service of Russia and the FMBA of Russia (hereinafter referred to as medical organizations), for the prescription of medications based on the final diagnosis and (or) receipt of medications.

Form N 06-FR must be submitted to the Ministry of Health of Russia on paper and (or) in electronic form with submission on electronic media or by transmission via telecommunication channels with mandatory provision of information protection in accordance with the legislation of the Russian Federation.

2. When filling out form N 06-FR:

in line 1 “Full name of the patient” the full last name, first name, and patronymic of the patient are indicated in accordance with the identity document. The "unknown" entry is not made;

line 2 “Unique register record number” indicates the unique register record number assigned by the Russian Ministry of Health (13 digits);

line 3 “Main state registration number of the medical organization that issued the prescription for the drug” indicates the main state registration number of the medical organization that issued the prescription for the drug:

line 4 “Identification number of the doctor who wrote the prescription” indicates the identification number of the doctor according to the directory generated by the constituent entity of the Russian Federation;

in line 5 “Series and number of the recipe” the series and number of the recipe are indicated according to the recipe numbering in force in the constituent entity of the Russian Federation;

in line 6 “Date of prescription” the date, month, year (DD/MM/YYYY) corresponding to the prescription are indicated;

in line 7 "International generic name discharged medicinal product"indicates the international nonproprietary name of the medicinal product provided for in the list of medicinal products;

line 8 “Prescribed number of doses of the medicinal product” indicates the prescribed number of doses of the medicinal product in accordance with the prescription;

in line 9 “Code of the territory where the medicinal product is dispensed according to the All-Russian Classifier of Administrative-Territorial Entities”, the code of the territory of the Russian Federation (according to OKATO) where the pharmacy and (or) medical organization that dispensed the medicinal product is located;

line 10 “Main state registration number of the pharmacy and (or) medical organization that dispensed the drug according to the prescription” indicates the main state registration number of the pharmacy and (or) medical organization that dispensed the drug (according to OKPO);

line 11 “Date of dispensing of the medicinal product by the pharmacy and (or) medical organization” indicates the date of dispensing of the medicinal product by the pharmacy and (or) medical organization (DD/MM/YYYY);

in line 12 “Name of the dispensed medicinal product” the name of the dispensed medicinal product in Russian is indicated;

line 13 “Disease code according to ICD-10” indicates the disease code in accordance with the International Statistical Classification of Diseases and Related Health Problems (tenth revision), corresponding to the disease code specified in the prescription;

in line 14 "Issue form medicine“indicates the form of release of the medicinal product in accordance with the prescription according to which the medicinal product was dispensed;

line 15 “Dose of the medicinal product, number of doses in the package” indicates the dose and number of doses in the package of the medicinal product in accordance with the prescription for which the medicinal product was dispensed;

line 16 “Number of prescription packages of the medicinal product” indicates the number of prescription packages of the medicinal product in accordance with the information specified in the prescription for which the medicinal product was dispensed (units);

in line 17 “Operation code” code “1” is indicated when prescribing the medicinal product; code "2" - when dispensing a medicinal product; code "3" - when prescribing a medicinal product and dispensing it; code "4" - indicated when making changes.

If information is missing, the corresponding fields are not filled in.

MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION

ORDER

In accordance with Article 37 of the Federal Law “On the Protection of the Health of Citizens in the Russian Federation” dated November 21, 2011 N 323-FZ (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724)

I order:

Approve the Procedure for providing medical care adult patients with infectious diseases according to the application.

Minister
T.A. Golikova

Registered
at the Ministry of Justice
Russian Federation
April 4, 2012,
registration N 23726

Application. The procedure for providing medical care to adult patients with infectious diseases

Application

1. This Procedure regulates the provision of medical care to adult patients with infectious diseases (hereinafter referred to as patients with infectious diseases) in medical organizations, with the exception of the provision of medical care to adult patients with a disease caused by the human immunodeficiency virus (HIV infection).

2. Medical care for patients with infectious diseases is provided in the form of emergency, primary health care and specialized medical care in medical organizations and their structural divisions operating in accordance with Appendices No. 1-8 to this Procedure.

3. Within the framework of emergency medical care, including emergency specialized medical care, medical care for patients with infectious diseases is provided by paramedic mobile ambulance teams, medical mobile emergency medical teams, specialized mobile emergency medical teams and includes measures to eliminate life-threatening conditions followed by medical evacuation to a medical organization providing inpatient medical care to patients with infectious diseases.

4. Patients with infectious diseases that do not pose a danger to others, mild degree or if such diseases are suspected, medical care is provided in the form of primary health care on an outpatient basis by general practitioners, local physicians, general practice and medical specialists who carry out a set of therapeutic and diagnostic measures, including those aimed at identifying the causative agent of infectious diseases and carrying out primary anti-epidemic measures carried out medical workers medical organization.

5. Specialized care for patients with infectious diseases is provided in medical organizations or their structural divisions that provide specialized medical care, including in infectious diseases departments of multidisciplinary hospitals and infectious diseases hospitals.

6. The provision of medical care in inpatient conditions to patients with infectious diseases is carried out according to medical indications - in cases of severe and moderate course of the infectious disease, the inability to establish a diagnosis on an outpatient basis, the need for additional laboratory and instrumental methods research to conduct differential diagnosis, absence clinical effect from the therapy performed on an outpatient basis, as well as for epidemiological indications in accordance with current sanitary legislation.

Treatment of patients with infectious diseases in a hospital setting is carried out under the direction of a general practitioner, a local physician, or a general practitioner ( family doctor), emergency physician, infectious disease doctor, medical specialists who have identified an infectious disease.

Providing medical care in a hospital setting to patients with infectious diseases in the presence of medical indications specified in paragraph one of this paragraph is also possible upon self-referral of a patient with infectious diseases.

7. Medical care for patients with infectious diseases with life-threatening acute conditions, including infectious-toxic, hypovolemic shock, cerebral edema-swelling, acute renal and liver failure, acute cardiovascular and respiratory failure, it turns out:

outside a medical organization - emergency medical care teams (including intensive care units);

in stationary conditions - in boxes, intensive care wards (blocks), intensive care units multidisciplinary hospital, as well as in intensive care wards (blocks), intensive care units of infectious diseases hospitals in compliance with established sanitary and anti-epidemic standards.

8. The provision of medical care to patients with infectious diseases in combination with diseases of other organs is carried out taking into account the recommendations of medical specialists of the relevant profile (obstetricians-gynecologists, urologists, ophthalmologists, coloproctologists, gastroenterologists, surgeons, other medical specialists). The provision of medical care to pregnant women with infectious diseases is carried out taking into account the recommendations of an obstetrician-gynecologist in observational departments of maternity hospitals or in hospitals of medical organizations providing medical care to patients with infectious diseases.

9. Discharge of patients with infectious diseases from the hospital of a medical organization is carried out in accordance with sanitary and epidemiological rules after completion of the course of treatment and control tests laboratory research. Convalescents of infectious diseases are subject to dispensary observation.

10. Dispensary observation and treatment of patients who have suffered infectious diseases, as well as treatment of patients with infectious diseases in the convalescence stage is carried out in the department (office) of infectious diseases of a medical organization providing primary health care, or its structural divisions and structural divisions of infectious diseases hospitals, providing outpatient medical care.

11. Information about an identified case of disease is sent by the medical organization to territorial body, authorized to carry out sanitary and epidemiological surveillance at the place of registration of the disease, within 2 hours from the moment of diagnosis (by telephone), and then within 12 hours (in writing) on the form emergency notice.

A medical organization that has changed or clarified the diagnosis, within 12 hours in writing, using the form of an emergency notification, informs the territorial body authorized to carry out sanitary and epidemiological surveillance at the place of registration of the disease about the changed (clarified) diagnosis, the date of its establishment, and the original diagnosis.

Appendix No. 1. Regulations on the organization of activities of the department (office) of infectious diseases of a medical organization providing primary health care

Appendix No. 1
to Order

1. These Regulations regulate the activities of the department (office) of infectious diseases of a medical organization providing primary health care (hereinafter referred to as the Department (office).

2. The department (office) of infectious diseases is a structural unit of a medical organization or a unit of a medical organization providing primary health care in an outpatient setting.

3. The structure of the Department (office), as well as the staffing level of medical and other personnel, are established based on the volume of medical care provided and the size of the population served.

For medical organizations of state and municipal health care systems, the staffing level of medical and other personnel is established taking into account the recommended staffing standards for medical and other personnel of the Department (office) in accordance with Appendix No. 2 to the Procedure for providing medical care to adult patients with infectious diseases, approved by this order.

4. To ensure the functions of the Department (office), its structure may include, among other things:

infectious disease doctor's office;

epidemiologist's office;

procedural.

5. A specialist corresponding to the approved ones (registered by the Ministry of Justice of Russia on July 9, 2009, registration N 14292), as well as approved

7. Specialists who meet the Qualification characteristics of positions of workers in the healthcare sector, approved by order of the Ministry of Health and Social Development of Russia dated July 23, 2010 N 541n, are appointed to the positions of nursing staff of the Department (office).

8. The department (office) is equipped in accordance with the equipment standard of the Department (office) in accordance with Appendix No. 3 to the Procedure for providing medical care to adult patients with infectious diseases, approved by this order.

Appendix No. 2
to Order

_______________


Job title	Number of positions
Head of department (office) - infectious disease doctor	when the number of infectious disease doctor positions is 5-8 - instead of 0.5 infectious disease doctor positions
Infectious disease physician	1 per 20 thousand population
Epidemiologist	1 for 300 or more visits per day
Nurse	1 for 1 doctor position
	1 per 10 doctor positions
Senior nurse of the department	1 for 1 position of head of department
Assistant epidemiologist	1 for the number of visits up to 300 per day; 1 (together with an epidemiologist) for 700 or more visits per day
Nurse-cleaner of doctors' offices	1 for 3 positions of an infectious disease doctor, 1 for each position of a procedural nurse, but no more than 1 position per shift

Appendix No. 3. Standard equipment for the department (office) of infectious diseases of a medical organization providing primary health care

Appendix No. 3
to Order


	Required quantity, pcs.
	department

Workplace of an infectious disease doctor	by number of offices
Workplace nurse	by number of offices
Tool table
Mobile procedural table
Cabinet for tools and medicines
	by number of offices
Medical couch	by number of offices
Medical sterilizers
	by number of offices
Language supporter
Ambu bag
Safety glasses	by number of offices


Universal installation for collecting material from people and objects environment for testing for particularly dangerous infectious diseases
A set of protective clothing for working in areas of particularly dangerous infection	according to need	according to need
	according to need	according to need

_______________
For the treatment room.

Appendix No. 4. Regulations on the organization of activities of the infectious diseases department of a multidisciplinary hospital (infectious diseases hospital)

Appendix No. 4
to Order

1. These Regulations determine the organization of activities of the infectious diseases department of a multidisciplinary hospital (infectious diseases hospital).

2. The infectious diseases department of a multidisciplinary hospital (infectious diseases hospital) (hereinafter referred to as the Department) is a structural unit of a medical organization that provides specialized medical care to patients with infectious diseases in a hospital setting in accordance with approved standards of medical care.

3. The department can be mixed (for hospitalization of patients with various infections) or specialized (for hospitalization of patients with a specific infection).

4. The department must have at least 50% of the total number of beds in boxed wards.

5. The structure and staffing level of the medical and other personnel of the department are determined based on the volume of diagnostic and treatment work carried out and the number of the population served, taking into account the recommended staffing standards for the medical and other personnel of the department in accordance with Appendix No. 5 to the Procedure for providing medical care to patients with infectious diseases, approved by this by order.

6. A specialist who meets the Qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare, approved by Order of the Ministry of Health and Social Development of Russia dated July 7, 2009 N 415n (registered by the Ministry of Justice of Russia on July 9, 2009, registration N 14292), in the specialty "infectious diseases", as well as the Qualification characteristics of positions of workers in the healthcare sector, approved by order of the Ministry of Health and Social Development of Russia dated July 23, 2010 N 541n (registered by the Ministry of Justice of Russia on August 25, 2010, registration N 18247).

7. A specialist who meets the Qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare, approved by Order of the Ministry of Health and Social Development of Russia dated July 7, 2009 N 415n, in the specialty “infectious diseases,” is appointed to the position of infectious disease doctor of the Department.

8. Specialists who meet the Qualification characteristics of positions of workers in the healthcare sector, approved by order of the Ministry of Health and Social Development of Russia dated July 23, 2010 N 541n, and who have passed additional professional education majoring in Nursing.

9. The department is equipped in accordance with the Department’s Equipment Standard in accordance with Appendix No. 3 to the Procedure for providing medical care to adult patients with infectious diseases, approved by this order.

Appendix No. 5
to Order

_______________
The regulations do not apply to medical organizations private system healthcare.


Job titles	Number of positions when working around the clock
Head of department - infectious disease doctor	1 for 30 beds
Infectious disease physician	1 for 15 beds
Senior nurse
Ward nurse	5,5 (1 24-hour post) for 15 beds
Treatment room nurse	1 for 15 beds
Sister-hostess
Junior nursing nurse	1 for 15 beds
Ward nurse	1 for 15 beds

Appendix No. 6. Standard equipment for the infectious diseases department of a multidisciplinary medical organization (infectious diseases hospital) (with an intensive care ward for 3 beds)

Appendix No. 6
to Order


Name of equipment/equipment	Quantity, pcs.
Trolley for transporting patients	at least 1
Medical tripod	by number of beds
Medical cabinet for storing solutions and medicines	according to need
Fridge	at least 2
Tool table	at least 3
Stationary wall-mounted bactericidal irradiator	according to need
Mobile irradiator-recirculator	at least 1
Medical couch	at least 2
Medical air sterilizers	according to need
Thermostat	at least 1
Tonometer for measuring blood pressure	at least 2
Language supporter	at least 2
Bedside cardiac monitor recording electrocardiogram, arterial pressure, heart rate, respiratory rate, hemoglobin oxygen saturation, carbon dioxide concentration in the exhaled gas mixture, body temperature (two sensors), with the possibility battery life for intensive care unit	at least 2
_______________ If there is no centralized sterilization facility in the structure of the medical organization.
Portable electrocardiograph with autonomous operation	at least 1
Glucometer	at least 1
Vacuum electric suction	at least 2
X-ray viewer	at least 1
Resuscitation console	1 per ICU bed
Inhaler	at least 2
Manipulation mobile table	at least 1
Mobile surgical lamp 3-reflector	at least 1
Safe for medicines	at least 1
Ambu bag	at least 1
Set for drainage of the pleural cavity	at least 2
Blind liver biopsy kit	at least 1
Laying for assistance with anaphylactic shock	at least 2
Universal installation for collecting material from people and from environmental objects for testing for especially dangerous infectious diseases (in accordance with the requirements of sanitary and epidemiological rules)	at least 1
First aid kit emergency prevention parenteral infections	according to need
Individual protection means	according to need
A set of protective clothing for working in areas of particularly dangerous infections	according to need
Styling with pediculocidal agents

Appendix No. 7. Regulations on the organization of activities of an infectious diseases hospital

Appendix No. 7
to Order

1. These Regulations determine the organization of activities of an infectious diseases hospital.

2. An infectious diseases hospital is a medical organization that provides medical care to patients with infectious diseases.

3. The structure and staffing level of medical and other personnel of an infectious diseases hospital of the state and municipal health care system are established depending on the volume of medical care provided, taking into account the recommended staffing standards for medical and other personnel of an infectious diseases hospital in accordance with Appendix No. 8 to the Procedure for providing medical care to patients with infectious diseases, approved by this order.

4. A specialist is appointed to the position of chief physician of an infectious diseases hospital who meets the Qualification characteristics of positions of workers in the healthcare sector, approved by order of the Ministry of Health and Social Development of Russia dated July 23, 2010 N 541n (registered by the Ministry of Justice of Russia on August 25, 2010, registration N 18247).

5. The equipment of the infectious diseases department of an infectious diseases hospital is carried out in accordance with the standard of equipment for the infectious diseases department of a multidisciplinary medical organization, an infectious diseases hospital, installed application N 6 to the Procedure for providing medical care to adult patients with infectious diseases, approved by this order, equipping specialized departments (offices) for providing individual species Medical care (by profile) for patients with infectious diseases is carried out in accordance with equipment standards, established procedures for providing certain types of medical care (by profile), as well as sanitary and epidemiological rules.

Appendix No. 8. Recommended staffing standards for medical and other personnel of an infectious diseases hospital

Appendix No. 8
to Order

_______________
The regulations do not apply to medical organizations in the private healthcare system.


Job titles	Number of positions
Chief physician
Head of structural unit	1 for 40 beds, in the department for patients with meningitis and polio - 1 per 30 beds
Head of Admissions Department	1 (in a hospital with 250 or more beds)
Head of laboratory, x-ray room, physiotherapy room	1 (in cases where the hospital is entitled to at least one doctor position of the corresponding specialty (instead of one of the doctor positions)
Head of the pathological-anatomical department	up to 5 positions of pathologists instead of 1 position of a doctor; over 5 to 10 positions of pathologists instead of 0.5-0.75 positions of a doctor; over 10 to 15 positions of pathologists instead of 0.25-0.5 positions of a doctor; more than 15 positions of pathologists in addition to the positions of doctors
Chief nurse
Deputy Chief Physician for Medical Affairs	1 for 300 beds
Infectious disease physician	1 on: 20 beds in the infectious diseases department for adults; 15 beds in the infectious diseases department; wards for meningitis patients
Specialist doctor to serve patients in specialties for which the hospital does not have appropriate departments (beds)	are established for all specialties in total: in hospitals from 75 to 150 beds - 1; in hospitals with over 150 to 300 beds - 3; in hospitals with over 300 to 500 beds - 5; in hospitals with over 500 to 1000 beds - 8; in hospitals over 1000 beds - 10
Surgeon	0.5-1 (in hospitals with 250 beds or more, which are responsible for servicing infectious patients in the city (region) requiring surgical treatment, if these hospitals have an equipped operating unit), over 400 beds - 5.5 (1 24-hour post)
Anesthesiologist-resuscitator	at least 2 (in hospitals with 400 or more beds)
Clinical doctor laboratory diagnostics	1 for 120 beds
Microbiologist	1 for 120 beds
Radiologist	if there is an equipped X-ray room: in hospitals from 75 to 500 beds at the rate of 1 for every 300 beds, but not less than 0.5; in hospitals over 500 beds at the rate of 1 for every 400 beds
Physiotherapist	1 for 300 beds
Doctor by physical therapy(or physical therapy instructor-methodologist)	1 (if there are 500 or more beds)
Nutritionist	1 per 500 beds
Doctor functional diagnostics	1 per 500 beds
Doctor (reception department)	5.5 (1 24-hour post in hospitals with 500 or more beds)
Dentist (to provide care to patients in a hospital)	1 for 400 beds
Pathologist	1 (in hospitals with 150 or more beds) for: 200 autopsies of deceased persons aged 15 years and older; 4000 studies of biopsy and surgical material
Epidemiologist	1 for 300 beds
Clinical pharmacologist	1 for 150 beds
Statistician	1 for 200 beds
Methodist doctor	1 (in one of the infectious diseases hospitals)
Ward nurse	5.5 (1 24-hour post): for 20 beds in the infectious diseases department for adults; for 10 beds in the infectious diseases department; wards for meningitis patients
Massage nurse	1 for 125 beds
Physical Therapy Nurse	1 per 15 thousand conventional physiotherapeutic units per year
Functional diagnostic nurse	according to the positions of functional diagnostic doctors, but not less than 1
Admissions department nurse	150-250 beds - 1; over 250 to 600 beds - 5.5 (1 24-hour post); over 600 beds - 5.5 (1 24-hour post) for 600 beds and additionally 1 for every subsequent 100 beds
Operating room nurse	according to the positions of surgeons
Nurse anesthetist	5.7 (1 24-hour post) in hospitals with 400 or more beds to provide intensive care
Nurse in the sigmoidoscopy room	1 per department for patients with gastrointestinal infections
Treatment room nurse	1 for 30 beds
Dietary nurse	1 per 200 beds, but not less than 1
Medical receptionist	1 on: 400 beds; to work in a help desk in an institution with 500 beds, but at least 1 in an institution with an inpatient facility of 250 or more beds; for work in the archives of an institution - for 500 beds
Medical statistician	1 for 300 beds
Senior nurse	according to the positions of heads of departments; in a physiotherapy room (department) - if the institution has at least 4 positions of physical therapy nurses instead of 1 of them
Physical therapy instructor	1 for 200 beds
Medical laboratory technician	1 for 50 beds; 3 to carry out microbiological research- in hospitals with 400 or more beds; 1.5 for each position of pathologist
X-ray technician	according to the positions of radiologists; 1 - for X-ray archive maintenance in hospitals with over 500 beds
Assistant Epidemiologist	1 for 300 beds, in a hospital with up to 300 beds - 1
Dental nurse	according to the position of a dentist
Archivist	1 for 300 beds
Archive Manager	1 for 3 archivist positions
Sister-hostess	1 per department
Nurse (ward)	according to the number of ward nurses
Nurse (barmaid)
Nurse (cleaning lady)
Nurse (bath attendant)
Nurse (operating room)	in accordance with the positions of the operating nurse at a rate of one to one
X-ray room nurse	1 per shift for each X-ray machine used
Reception department nurse	if there are 150-200 beds - 2; if there are more than 200 to 300 beds - 5.5 (1 24-hour post); if there are more than 300 to 500 beds - 11 (2 round-the-clock posts); if there are more than 500 beds - 11 (2 24-hour posts) for 500 beds and an additional 5.5 (1 24-hour post) for every subsequent 200 beds; in the reception department of a hospital with 600 or more beds, an additional position of a nurse is installed to receive things from incoming patients
Nurse in functional diagnostics, sigmoidoscopy, operating room rooms	according to the positions of nurses
Dental attendant	according to the positions of dentists
Physiotherapy room nurse	1 for 2 positions of physical therapy nurses, and when carrying out water, mud, peat, ozokerite, and paraffin treatment - for 1 position of a nurse engaged in dispensing these procedures
Laboratory nurse	1 for 4 positions of clinical laboratory diagnostic doctors, medical laboratory technicians
Nurse for carrying and accompanying patients to diagnostic and treatment departments (offices)	1 per 100 beds
Nurse at the pathological-anatomical department	1 for each position of pathologist
Disinfector	1 for 200 beds
Pharmacy Manager	1 position
Deputy Head of Pharmacy	1 position in hospitals with 500 or more beds
Pharmacist	in a hospital from 150 to 300 beds - 1 position; for 300 beds - 2; over 300 beds: 2 and additionally at the rate of 2 for every 200 beds (over 300); additionally for in-pharmacy preparation of drugs and solutions: from 500 to 600 beds - 1; over 600 beds - 1 and additionally 1 for every 500 (over 600)
Pharmacist	in a hospital with from 200 to 500 beds - 0.5; from 500 to 600 beds - 1; over 600 beds - 1 and additionally 1 position for every 600 beds (over 500); additionally for in-pharmacy preparation of drugs and solutions at the rate of 1 position per 300 beds; if there are surgical beds - at the rate of 1 position per 100 beds
Packer	in a hospital with 300 or more beds at the rate of 1 per 300 beds
Nurse (washer)	0.4 for each position of pharmacist and pharmacist, but not less than 1
Chef Cook	1 in hospitals with 400 beds or more; 1 for 50 beds
Fruit and potato peeler, dishwasher, kitchen and utility worker	1 for 50 beds

Electronic document text
prepared by Kodeks JSC and verified against:
Bulletin of normative acts
federal bodies
executive power,
N 32, 06.08.2012,

4. Patients with infectious diseases that do not pose a danger to others, of a mild degree, or if such diseases are suspected, are provided with medical care in the form of primary health care on an outpatient basis by general practitioners, local physicians, general practitioners and medical specialists, who carry out a set of therapeutic and diagnostic measures, including those aimed at identifying the causative agent of infectious diseases and carrying out primary anti-epidemic measures carried out by medical workers of a medical organization.

Treatment of patients with infectious diseases in a hospital setting is carried out on the direction of a general practitioner, local physician, general practitioner (family doctor), emergency physician, infectious disease specialist, or medical specialists who have identified an infectious disease.

Providing medical care in a hospital setting to patients with infectious diseases in the presence of medical indications specified in paragraph one of this paragraph is also possible upon self-referral of a patient with infectious diseases.

In stationary conditions - in boxes, intensive care wards (blocks), intensive care units of a multidisciplinary hospital, as well as in intensive care wards (blocks), intensive care units of an infectious diseases hospital in compliance with established sanitary and anti-epidemic standards.

8. The provision of medical care to patients with infectious diseases in combination with diseases of other organs is carried out taking into account the recommendations of medical specialists of the relevant profile (obstetricians-gynecologists, urologists, ophthalmologists, coloproctologists, gastroenterologists, surgeons, others medical specialists). The provision of medical care to pregnant women with infectious diseases is carried out taking into account the recommendations of an obstetrician-gynecologist in observational departments of maternity hospitals or in hospitals of medical organizations providing medical care to patients with infectious diseases.

9. Discharge of patients with infectious diseases from the hospital of a medical organization is carried out in accordance with sanitary and epidemiological rules after completion of the course of treatment and control laboratory tests. Convalescents of infectious diseases are subject to dispensary observation.

10. Dispensary observation and treatment of patients who have had infectious diseases, as well as treatment of patients with infectious diseases in the convalescence stage is carried out in the department (office) of infectious diseases of a medical organization providing primary health care or its structural divisions and structural divisions of infectious diseases hospitals providing outpatient medical care.

11. Information about the identified case of the disease is sent by the medical organization to the territorial body authorized to carry out sanitary and epidemiological surveillance at the place of registration of the disease, within 2 hours from the moment of diagnosis (by phone), and then within 12 hours (in writing) using an emergency form notices.

A medical organization that has changed or clarified the diagnosis, within 12 hours in writing, using the form of an emergency notification, informs the territorial body authorized to carry out sanitary and epidemiological surveillance at the place of registration of the disease about the changed (clarified) diagnosis, the date of its establishment, and the original diagnosis.

Position
on the organization of the activities of the department (office) of infectious diseases of a medical organization providing primary health care

2. The department (office) of infectious diseases is a structural unit of a medical organization or a unit of a medical organization providing primary health care in an outpatient setting.

Order of the Ministry of Health and Social Development of the Russian Federation of January 31, 2012 N 69n
"On approval of the Procedure for providing medical care to adult patients with infectious diseases"

Registration No. 23726

The procedure for providing medical care to adult patients with infectious diseases (with the exception of HIV infection) has been approved.

Patients can be provided with emergency, primary health care and specialized medical care. Regulations on the organization of activities have been determined medical institutions and them structural divisions, in which the specified assistance is provided. We are talking about an infectious diseases hospital, an infectious diseases department of a multidisciplinary hospital, as well as a department (office) of infectious diseases of a medical organization providing primary health care. The standards for their equipment and recommended staffing standards for medical and other personnel are given.

Emergency (including specialized) care is provided by paramedics, doctors and specialized mobile ambulance teams. They take measures to eliminate life-threatening conditions and deliver patients to a medical facility.

Patients who do not pose a danger to others, mild cases, or those with suspected infectious diseases are provided with primary health care on an outpatient basis.

Treatment of patients in a hospital setting is possible with the referral of a therapist, general practitioner (family doctor), infectious disease specialist, or other medical specialists who have identified an infectious disease.

After completing the course of treatment and control laboratory tests, patients are discharged.

An electronic notification is sent to the territorial body that carries out sanitary and epidemiological supervision about identified infectious diseases.

Order of the Ministry of Health and Social Development of the Russian Federation of January 31, 2012 N 69n “On approval of the Procedure for providing medical care to adult patients with infectious diseases”