Rules for filing emergency notifications for infectious diseases. The procedure for filling out an emergency notice and transferring information to the territorial sanitary and epidemiological station. Registration of infectious diseases

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Approved

By order of the Ministry

health care of the USSR

GUIDELINES FOR RECORDING AND REPORTING OF INFECTIOUS DISEASES

The system of registration, recording and reporting of infectious diseases, adopted in the USSR, provides:

1) timely awareness of sanitary and epidemiological institutions and health authorities about the occurrence of cases infectious diseases in order to take all necessary measures to prevent their spread or the occurrence of epidemic outbreaks;

2) correct accounting of infectious diseases, which guarantees the possibility of checking and clarifying diagnoses;

3) the possibility of statistical development, summary and analysis of materials on infectious diseases.

List of diseases

subject to mandatory registration and accounting

The following diseases are subject to mandatory registration and registration throughout the USSR:

1. Typhoid fever.

2. Paratyphus A, B, C.

3. Other infections caused by salmonella.

4. Brucellosis.

5. Dysentery - all forms.

6. Scarlet fever.

7. Diphtheria.

8. Whooping cough, including parapertussis, bacteriologically confirmed).

9. Meningococcal infections (diplococcal, cerebrospinal, epidemic meningitis; acute and chronic meningococcemia; other types of meningococcal infection).

10. Tularemia.

11. Tetanus.

12. Anthrax.

13. Leptospirosis.

14. Poliomyelitis is acute.

15. Acute infectious encephalitis (transmissible encephalitis: tick-borne spring-summer (taiga), Japanese autumn-summer mosquito; acute lymphocytic choriomeningitis; lethargic encephalitis, other infectious encephalitis and unspecified forms).

16. Measles.

17. Chicken pox.

18. Parotitis epidemic.

19. Infectious hepatitis (Botkin's disease).

20. Rabies.

21. Hemorrhagic fever.

22. Ornithosis.

23. Louse typhus and other rickettsiosis (lousy typhus, including Brill's disease with and without indication of lice, KU fever, other rickettsiosis).

24. Malaria.

25. Acute infections of the upper respiratory tract multiple and unspecified localization (laryngotracheitis, rhinolaringotracheitis, acute catarrh of the upper respiratory tract).

26. Flu.

27. Gastroenteritis and colitis (except ulcerative) at the age of 4 weeks and older (gastroenteritis, enteritis, colitis, enterocolitis, gastroenterocolitis, gastrocolitis, ileitis, inflammation of the jejunum, sigmoiditis, simple and toxic dyspepsia in children aged 4 weeks to 1 years, intestinal co-infection, diarrhea of ​​an unspecified nature in children aged 4 weeks to 2 years).

28. Parenteral hepatitis (jaundice, hepatitis resulting from vaccinations, injections, transfusions of blood and blood-substituting fluids and other drugs produced for prophylactic or therapeutic purposes).

Note. Order of the Minister of Health of the USSR N 21 of February 5, 1957 established a special procedure for extraordinary reports on outbreaks of certain infectious diseases and diseases in particular dangerous infections in case of their appearance on the territory of the USSR.

Emergency notification of a patient with an infectious disease

(account file N 58)

1. For each case of a disease or suspected disease, according to the list above (except for diseases with acute infections of the upper respiratory tract and influenza), an "Emergency notification of an infectious disease, food, acute occupational poisoning" is drawn up (account file N 58) .

2. Notifications are filled out by doctors and paramedical personnel who have detected or suspected a disease in medical institutions of all departments, regardless of the conditions under which the disease was detected: when contacting a polyclinic, when visiting a patient at home, during examination in a hospital, when preventive examination etc.

Notifications are also drawn up by doctors and paramedical staff of nurseries, nurseries, kindergartens, orphanages, kindergartens, schools and boarding schools, orphanages if they detect infectious diseases among the pupils of these institutions; hospital doctors in cases where patients were admitted without a referral from a polyclinic institution (including those delivered by ambulance) or if an infectious disease was diagnosed in a hospital (including cases nosocomial infections), doctors of sanatoriums and rest homes.

3. The notices drawn up at the medical institution are registered in the register of infectious diseases (account f. N 60-lech), in which a separate sheet is assigned for each infection, and within 12 hours are sent to the sanitary and epidemiological station (sanitary and epidemiological department of the district hospitals) at the place of detection of the disease (regardless of the place of residence of the patient).

If in the district, in addition to the district sanitary and epidemiological station, there are sanitary and epidemiological departments at numbered regional hospitals, notifications are sent to the sanitary and epidemiological department of the hospital in the service area of ​​\u200b\u200bwhich the medical institution that identified the patient with an infectious disease is located.

4. When an infectious disease is detected by the staff of paramedical service points (paramedical and obstetrical stations, collective farm maternity hospitals, paramedical health centers), an emergency notice is drawn up in two copies: the first copy is sent to the sanitary and epidemiological station (sanitary and epidemiological department of the district hospital), the second - to the medical institution in charge of which this point is located (a rural district or district hospital, an outpatient clinic, a medical health center, city ​​hospital or clinic, etc.).

In cases where the feldsher-obstetric station is directly under the jurisdiction of a district hospital that has a sanitary and epidemiological department, the notice may be drawn up in one copy.

5. Medical workers medical and preventive institutions of water transport, medical workers of the system of the main medical and sanitary department of the Ministry of Railways and other ministries and departments draw up emergency notices also in two copies: the first is sent to the territorial sanitary and epidemiological station of the system of the Ministry of Health at the place where the disease is detected, the second - to departmental sanitary and epidemiological institution (medical institutions of the USSR Glavgaz system - to the linear medical health center, medical institutions of water transport, to the linear SES of the water health department).

6. Medical workers of medical institutions of the Ministry of Defense, the Ministry of Public Order Protection and the State Security Committee shall submit emergency notices to the territorial sanitary and epidemiological stations only for civilian employees and family members of employees of these departments.

7. If there is a telephone connection, a message about a detected patient, regardless of sending an emergency notice, is transmitted to the sanitary and epidemiological station by phone.

8. In the event of a change in the diagnosis of an infectious disease, the medical institution that changed the diagnosis is obliged to draw up a new emergency notice (account file N 58) for this patient and send it to the sanitary and epidemiological station at the place where the disease was discovered, indicating in paragraph 1 the changed diagnosis, the date of its establishment and initial diagnosis.

Sanitary and epidemiological stations, upon receiving notifications of a changed diagnosis, are obliged, in turn, to notify the medical institution at the place where the patient was detected, which sent the first notification (the message is also made if the diagnosis of an infectious disease has not been confirmed and the patient has a disease not subject to notifications).

9. When filling out notices, Special attention to fill in clause 11, which indicates the anti-epidemic measures taken, as well as laboratory confirmation of the established diagnosis. An indication of laboratory confirmation of the diagnosis is mandatory when filling out notices for patients with bacillary dysentery, parapertussis, intestinal coli infection.

Note. If at the time of sending the notification the diagnosis has not yet been confirmed by laboratory, then information about the results laboratory research must be included in the notification by the sanitary and epidemiological station upon receipt from the medical institution.

Special instructions for the preparation of notices

for certain types of diseases

1. Paratyphoid - it is obligatory to indicate the type of paratyphoid: paratyphoid A, B or C, and not just paratyphoid.

2. Brucellosis - first diagnosed cases of diseases, as well as all diseases registered in previous years at the first request for brucellosis in the current year, are subject to mandatory registration on notices.

3. Dysentery - all forms of dysentery are subject to mandatory registration, indicating its form (bacillary, amoebic, etc.).

Cases of chronic dysentery are registered on notifications only at the first diagnosis of chronic dysentery, if acute dysentery was not previously registered in this patient.

4. Parawhooping cough - the diagnosis is made only in case of its laboratory confirmation.

5. Acute poliomyelitis - an indication of the presence or absence of paralysis is required.

6. Infectious hepatitis (Botkin's disease) and parenteral hepatitis. In cases where infectious hepatitis is considered as a consequence of injections, transfusions, infusions made for prophylactic or therapeutic purposes, the notifications indicate the diagnosis "Parenteral hepatitis".

7. Typhus and Brill's disease - necessarily an indication of lice. In a relationship differential diagnosis should use the guidelines of the Ministry of Health of the USSR.

8. Malaria - first diagnosed cases of diseases, reinfection, as well as cases of recurrence of the disease at the first appeal about them in the current year are subject to mandatory registration. The notice must clearly indicate which disease is being reported.

9. Toxic and simple dyspepsia - the diagnosis is made only in children aged 4 weeks to 1 year. All intestinal diseases under the age of 4 weeks are diagnosed as diseases of the newborn, notifications are not made for them. Diseases aged 1 year and older are recorded as diseases of gastroenteritis and colitis.

10. Intestinal co-infection - the diagnosis is made only with its bacteriological confirmation.

Register of Infectious Diseases

(Accounting fund N 60-lech)

1. The journal is maintained in all outpatient and inpatient medical and preventive institutions, as well as in nurseries, nurseries, kindergartens, orphanages and other children's institutions.

Separate sheets of the journal are allocated for each infection recorded according to emergency notifications. In large institutions for mass infections (measles, whooping cough, gastroenteritis, etc.), separate journals can be created.

3. An entry in the journal is made simultaneously with the preparation of the notice - columns 1 - 8 and 10 are filled in. Column 9 is filled in after receiving confirmation of the patient's hospitalization.

Note. Rural precinct and district hospitals (outpatient clinics) that have feldsher-obstetric stations and collective farm maternity hospitals in the service area are registered in the journal according to f. N 60-to treat also notices of infectious diseases identified by paramedical staff of paramedical services on the basis of emergency notices received from them.

4. Every month, at the end of the month, for each infection separately, totals are summed up containing information on the total number of registered diseases and the number of diseases detected in children under the age of 14 inclusive (14 years 11 months 29 days).

For measles, whooping cough, dysentery, infectious hepatitis, gastroenteritis and colitis, intestinal coli, in addition, the number of sick children under the age of 1 year and from 1 year to 2 years is counted.

Statistical coupons for registration of updated

(final) diagnoses (account file N 25-c)

1. Statistical coupons for registration of updated (final) diagnoses are not filled out for diseases registered according to emergency notifications (account f. N 58) and in the register of infectious diseases (account f. N 60-lech).

2. Registration of patients with acute infections of the upper respiratory tract of multiple and indeterminate localization, as well as patients with influenza, is carried out in outpatient clinics only according to statistical coupons for registering updated (final) diagnoses, followed by recording quarterly results in a consolidated statement of records of diseases (account f No. 271).

Note. When filling out a consolidated statement (f. N 271), it is necessary to ensure that the number of cases of influenza and acute infections of the upper respiratory tract of multiple and indefinite localization correspond to the sums of the numbers of these diseases shown in the reports for f. N 85-to treat for three months of the quarter.

The numbers shown in the summary sheet (f. N 271) may be less than the sum of the numbers in the reports on f. N 85-treat only due to diseases detected in patients living outside the service area of ​​​​this medical institution.

Coupons filled out for these patients should be kept separate from coupons issued for patients living in the service area.

3. In hospitals, nurseries, nurseries, kindergartens, orphanages, orphanages and boarding schools, diseases with acute infections of the upper respiratory tract and influenza are registered not on coupons (form N 25-c), but only in registers of infectious diseases (account . f. N 60-lech), and columns 1 - 3, 6 and 7 are to be filled.

Accounting for hospitalized patients

Hospitals that have hospitalized a patient with an infectious disease are obliged to inform the sanitary and epidemiological station within 24 hours from the moment of hospitalization, and the latter, in turn, to the medical institution that referred the patient for hospitalization.

If an admitted patient is referred for hospitalization by a medical institution of another district, then a confirmation of hospitalization must be sent to the sanitary and epidemiological station of the district in which the patient was registered.

Preparation of medical institutions monthly and annual

reports on the movement of infectious diseases

(otch. f. N 85-lech)

Since June 1, 1965, the program of monthly reports on f. N 85-lech was changed in accordance with the new statistical classification of diseases, injuries and causes of death, introduced on the territory of the USSR by Order of the Minister of Health of the USSR N 385 of 07/29/1963.

The Central Statistical Bureau of the USSR for N 17-36 of 02/08/1965 approved new forms of reports on the movement of infectious diseases compiled by medical institutions f. N 85-to lay down - monthly and f. N 85-to lay down - annual.

These reports are compiled by all medical institutions: hospitals, polyclinics, medical health centers, orphanages and mother and child homes, as well as doctors from orphanages and boarding schools. Reports are not compiled by special dispensaries and paramedical service points.

Information about diseases recorded on emergency notices detected by feldsher-obstetric stations is included in the report of district, district and other hospitals (polyclinics) directly subordinate to which these points are located (information on patients with acute infections of the upper respiratory tract and influenza identified by feldsher points services, are not included in the report on f. N 85-lech).

Reports on f. N 85-lech are compiled on the basis of entries in the register of infectious diseases (f. N 60-lech), as well as statistical coupons for registering final (refined) diagnoses (f. N 25-c), filled out per month for patients with acute infections of the upper respiratory tract of multiple and indefinite localization and on patients with influenza.

The report includes information about all identified diseases, regardless of the place of residence of the patient.

Information about infectious diseases is included in the report only on the final diagnosis, information about patients with suspected infectious disease is not included in the report.

Note. If at the time of reporting final diagnosis is not established, information about such a patient is not included in the report of this month, but should be included in the report of the next month, after the diagnosis is clarified.

Infectious disease information should be carefully checked before reporting, especially influenza and acute upper respiratory tract infections where double ticketing is possible.

Monthly reports provide information on the total number of registered patients, in the annual report - information on the number of patients under the age of 14 inclusive is given, and for whooping cough, measles, dysentery, gastroenteritis and colitis, including intestinal diseases detected in children under the age of 1 year and from 1 year to 2 years. Among the cases of acute infections of the upper respiratory tract and influenza in monthly and annual reports, diseases identified among rural residents (at the place of residence, regardless of the place of registration) stand out. Thus, in the report of urban institutions, diseases of rural residents can also be shown if they were discovered when residents of rural areas applied to urban medical institutions.

The deadline for submitting the monthly report is the 2nd day of the month following the reporting month, the annual report is January 5th.

Reports on f. N 85-lech are represented by a sanitary and epidemiological station, in the service area of ​​\u200b\u200bwhich there are medical institutions. In rural areas, where, in addition to the district sanitary and epidemiological station, there are sanitary and epidemiological departments of numbered district hospitals, reports from medical institutions located in the service area of ​​these numbered hospitals are submitted to their sanitary and epidemiological departments, while reports from medical institutions directly subordinate to the central district hospital - to the district sanitary and epidemiological station.

Medical institutions of the system of the water health department reports on f. N 85-lech is presented to 2 addresses: to the territorial SES and to the linear sanitary and epidemiological station of the water health department.

Linear medical health centers of the sanitary department under Glavgaz of the USSR submit a report only to the medical unit according to subordination, which consolidated reports on f. N 85-lech presents to the sanitary department at Glavgaz of the USSR.

When compiling the annual report on f. N 85-to treat, it is necessary to ensure that the total number of registered diseases for each infection corresponds to the sums of the numbers shown in the monthly reports of the institution.

Registration of infectious diseases

in sanitary and epidemiological stations - journal

registration of infectious diseases - uch. f. N 60-SES

1. Emergency notifications received from medical institutions of all departments are registered by sanitary and epidemiological stations in the register of infectious diseases (account file N 60-SES).

Separate log sheets are allocated for each infection (separate logs for mass infections).

The first 8 columns and column 13 are filled in immediately after receiving a notification (telephone message). Column 9 - upon receipt of confirmation of hospitalization from the hospital. Column 10 is filled in the lists of those infections in which disinfection is required after the hospitalization of the patient, it indicates the date of the final disinfection.

2. If the diagnosis is changed and the SES receives a notice of the changed diagnosis, the changed diagnosis is entered in column 11.

If the diagnosis of one infectious disease is replaced by the diagnosis of another infectious disease subject to registration on emergency notifications, then information about such a patient must be transferred to the sheet designated for registration of this infectious disease.

For example, the first notification for a patient was received with a diagnosis of "colitis" and was entered on the sheet "gastroenteritis and colitis", later a notification was received about changing the diagnosis to "bacillary dysentery, bacteriologically confirmed." On the sheet "gastroenteritis and colitis" against the name of the patient in gr. 11, “bacillary dysentery, bacteriologically confirmed” is entered, and on the sheet “bacillar dysentery” all information about the patient is recorded, and column 2 indicates the date of receipt of not the first notification, but a notification of a change in diagnosis.

3. Column 12 indicates the date of the epidemiological examination and the name of the epidemiologist (epidemiologist's assistant) who conducted the examination of the focus of the disease (families, apartments, hostels, schools, etc.). During an epidemiological survey, its results are recorded in special cards of the epidemiological survey (account file N 171-a-g).

4. When registering notices in the SES, it is necessary to carefully monitor the correctness of registration, especially to ensure that all received notices are registered in the journal and that no disease is registered twice: on the basis of a telephone message and a received notice.

Upon receipt of notifications from two institutions for the same patient, a duplicate must be withdrawn.

5. On a monthly basis, on the first days of the month following the response month, for each infection, the results of notifications received for the month are calculated: the total number of registered diseases (when calculating, entries in column 11 must be taken into account and not included in the calculation of diseases whose diagnosis has been changed), the number of diseases registered in rural residents (according to column 5 of the journal), the number of all hospitalized (according to column 9), the number of diseases detected in children under the age of 14 inclusive (according to column 4), including rural residents.

For diseases of dysentery, measles, whooping cough, Botkin's disease, gastroenteritis and colitis, including intestinal coli infection, bacteriologically confirmed, the number of diseases detected in children under the age of 1 year and from 1 year to 2 years (1 year 11 months 29 days).

Monthly totals should be clearly recorded on the sheets assigned to each infection, so that monthly totals can be easily calculated when compiling the annual report.

Sample summary entry:

Total for january month- 26, incl. among rural residents - 5, of which children - 14, incl. for rural residents - 2, for children under 1 year old - no; from 1 year to 2 years - 1.

Preparation of monthly reports for N 85-SES

1. Monthly reports on f. N 85-SES are compiled according to reports on f. N 85-lech received from medical institutions of the system of the Ministry of Health (including institutions of water health departments), and emergency notifications received from medical institutions of the Ministry of Railways and other departments (as well as from nurseries, sanatoriums and other medical institutions, not components of reports according to f. N 85-lech), and data from journals according to f. N 60-SES on the number of diseases registered among rural residents, and on the number of hospitalized patients.

2. To obtain a summary report for the district, it is recommended to monthly draw up development tables with the inclusion in them of information from reports received from individual medical institutions. The sums of monthly totals according to reports f. N 85-to treat for each infection must correspond to the results of counting information on the number of registered diseases in the register of infectious diseases (account f. N 60-SES).

The difference may be due to notifications received from nurseries, sanatoriums and medical institutions of other departments. It is calculated on the basis of entries in column 13 of the journal.

If discrepancies are found, it should be established at the expense of which medical institution there are discrepancies in the number of registered diseases, and organize a check of the correctness of the report on f. N 85-lech received from this institution (correction of the report on f. N. 85-lech according to the journal f. N 60-SES without preliminary verification is strictly prohibited).

3. In monthly reports on f. N 85-SES does not include information about diseases of meningococcal infections, incl. cerebrospinal meningitis, chicken pox, mumps, hemorrhagic fever, psittacosis, parenteral hepatitis, as well as the number of cases of laboratory-confirmed parapertussis (reported together with whooping cough - line 13) and KU fever (shown in reports along with typhus and other rickettsiosis - line 25).

Information about these diseases on a monthly basis is shown once a year in the annual report on f. N 85-SES.

4. Monthly reports drawn up by district (city) sanitary and epidemiological stations (sanitary and epidemiological departments of district hospitals) are sent to the regional (territorial), republican (ASSR and SSR that do not have regional divisions) sanitary and epidemiological station no later than the 5th day of the month following the reporting month.

Notes. 1. For cities that have a district division, the reports of district SES are submitted on the 4th day of the month following the reporting month to the city SES, and the last - on the 6th day of the month following the reporting month - to the regional (territorial), republican SES.

2. For rural areas that, in addition to the district sanitary and epidemiological station, have sanitary and epidemiological departments of numbered district hospitals, reports on f. N 85-SES are submitted last to the district sanitary and epidemiological station - on the 4th day, and by the district sanitary and epidemiological station summary reports for the district as a whole - to the regional (regional), republican SES - on the 6th day of the month following the reporting month.

5. Regional (territorial) republican (ASSR) sanitary-epidemiological stations, on the basis of reports received from district and city SES, draw up a summary report for the region (krai), ASSR according to f. No. 85-SES and no later than the 10th day of the month following the reporting month, submit it to the Ministry of Health of the Union Republic and the statistical department of the region, territory, ASSR.

Notes. 1. In the monthly report on f. N 85-SES district and city SES fill in all columns; regional, regional, republican SES - only one column "Registered diseases - total".

2. For the convenience of compiling a monthly report and subsequent control when accepting annual reports, it is recommended that regional, regional, republican SESs maintain development tables for the entire report program, in which they monthly enter information from reports received from each district and city separately.

6. Basin sanitary and epidemiological stations of the system of the water health department monthly reports on f. 85-SES is not submitted to the Ministry of Health of the Union Republic.

7. In the report on f. N 85-SES monthly (and annual) information on patients with acute infections of the upper respiratory tract of multiple and indeterminate localization and patients with influenza is given only for institutions of the Ministry of Health on the basis of reports on f. N 85-lech, received from medical institutions (including institutions of the system of water health departments), and do not include information from medical institutions of other departments that do not draw up reports on f. N 85-to lay down.

Preparation of annual reports on f. N 85-SES

1. Annual reports of sanitary and epidemiological stations (according to f. N 85-SES annual) are compiled by district (urban in cities that do not have district division) sanitary and epidemiological stations on the basis of annual reports of medical institutions according to f. N 85-lech (annual) and emergency notices received during the year from nurseries, sanatoriums and institutions of other departments that do not draw up reports under f. N 85-to lay down.

2. When controlling annual reports received from medical institutions, it is mandatory to reconcile them with the amounts of monthly reports f. N 85-to treat for each institution separately. Cases of discrepancies should be carefully checked and compared with the results of monthly and as a result of annual calculations in the register of infectious diseases according to f. N 60-SES.

3. Unlike monthly reports, in the annual report of sanitary and epidemiological stations, as well as in the annual report on f. N 85-to treat, information about diseases detected in children under the age of 14 inclusive (14 years 11 months 29 days) is allocated, and in addition, about the number of children identified among the rural population; latest data for all diseases except acute infections upper respiratory tract and influenza are counted according to the journal form N 60-SES.

4. Under the main table containing information on the total number of registered diseases among children, there is information on the number of whooping cough, measles, dysentery, gastroenteritis and colitis, and of them intestinal coli infection, detected in children under the age of 1 year (11 months 29 days) and aged 1 to 2 years (1 year 11 months 29 days); information is taken from reports on f. N 85-lech annual and replenished with entries in the register of infectious diseases (f. N 60-SES) in relation to diseases identified in nurseries, sanatoriums and institutions of other departments.

5. On the back f. N 85-SES contains information about diseases of meningococcal infections, incl. cerebrospinal meningitis, chickenpox, mumps, hemorrhagic fever, psittacosis, parenteral hepatitis, parapertussis and CU fever registered during the reporting year in total and monthly.

Information is taken from the annual and monthly reports of medical institutions according to f. N 85-lech and are replenished with information from the register of infectious diseases f. N 60-SES.

It is only from this journal that information is taken on the number of diseases registered among rural residents and among them children under the age of 14 inclusive.

The sums of the numbers shown in columns 5 - 16 of the table, for all lines, must be equal to the numbers shown in column 1.

6. District and city SES submit annual reports on f. N 85-SES to regional (regional), ASSR sanitary and epidemiological stations on January 15 of the year following the past year.

District stations within cities (sanitary and epidemiological departments of numbered district hospitals) - city (district) sanitary and epidemiological station January 10.

7. Republican (ASSR), regional and regional sanitary and epidemiological stations, on the basis of reports received from district and city sanitary and epidemiological stations (as well as basin SES of the water health department system, based on reports from linear SES), draw up summary reports on f. N 85-SES (annual) for the republic, krai, region (basin) and submit them to the Ministry of Health of the Union Republic and the statistical department of the region, krai, ASSR - February 1.

Boss

department of medical statistics

USSR Ministry of Health

M. SKLYUEVA

The Association assists in the provision of services in the sale of timber: at competitive prices on an ongoing basis. Timber products of excellent quality.

Case No. 5-37/2015

P O S T A N O V L E N I E

Judge of the Ust-Koksinsky District Court of the Republic of Altai Plotnikova M.V., having considered the case of an administrative offense against legal entity BUZ RA "Ust-Koksinskaya district hospital”, brought to administrative responsibility under Art. Code Russian Federation about administrative offenses,

installed:

The territorial department of the Office of Rospotrebnadzor for the Republic of Altai in Ust-Koksinsky, Ust-Kansky districts from DD.MM.YYYY to DD.MM.YYYY in relation to the Ust-Koksinskaya Regional Hospital conducted an administrative investigation into the fact of untimely filing of emergency notifications of cases registration of bite wounds among the population of the Ust-Koksinsky district.

According to the protocol on an administrative offense dated DD.MM.YYYY No., DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY , DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD .MM.YYYY, DD.MM.YYYY, DD.MM.YYYY Citizens applied to the BHI RA "Ust-Koksinskaya District Hospital" about bitten wounds, however, the primary alarm of the Territorial Department of the Office of Rospotrebnadzor for the Republic of Altai in Ust- Koksinsky, Ust-Kansky districts were not carried out within 2 hours after the identification of patients, emergency notifications were filed in violation of the deadline for their submission.

When considering the case of an administrative offense, Kazantseva I.A., a representative of the RA BHI "Ust-Koksinskaya District Hospital", acting by proxy, did not deny the existence of the identified violations, expressed her agreement with the protocol on an administrative offense, explained that due to the absence of an employee exercising control over by filing emergency notices, there was a violation of the deadlines for their submission, at present, proper control is organized.

Head of the territorial department of the Office of Rospotrebnadzor for the Republic of Altai in Ust-Koksinsky, Ust-Kansky districts Kyymashtaev Yu.V. during the consideration of the case, he explained that emergency notifications regarding the treatment of citizens with bitten wounds were submitted by the BUZ RA "Ust-Koksinskaya District Hospital" only on 08/05/2015, while the mandatory columns were not filled in, in particular, there were no addresses of patients, information about the time and the place of the bite, about the animal that attacked the person, the name of the institution that sent the notice, the date and time of sending, there are no signatures of the persons who sent the notice, which led to a violation of the timing of the relevant anti-epidemic measures.

After listening to the representative of the BUZ RA "Ust-Koksinskaya District Hospital", the head of the territorial department of the Office of Rospotrebnadzor for the Republic of Altai in Ust-Koksinsky, Ust-Kansky districts Kyymashtaev Yu.V. , I come to the conclusion that the BUZ RA "Ust-Koksinskaya District Hospital" committed an administrative offense subject to qualification under Art. of the Code of Administrative Offenses of the Russian Federation - failure to submit or untimely submission to a state body (official), body (official) exercising (executing) state control (supervision), municipal control, information (information), the submission of which is provided for by law and is necessary for implementation by this body (official) of its legal activities, or submission to the state body (official), body (official) exercising (carrying out) state control (supervision), municipal control, such information (information) in an incomplete volume or in distorted form.

In accordance with Art. 29 of the Law of the Russian Federation N 52-FZ of March 30, 1999 "On the sanitary and epidemiological well-being of the population" in order to prevent the occurrence and spread of infectious diseases and mass noncommunicable diseases(poisoning) the sanitary and anti-epidemic (preventive) measures provided for by the sanitary rules and other regulatory legal acts of the Russian Federation, including measures for the implementation of sanitary protection of the territory of the Russian Federation, the introduction of restrictive measures (quarantine), the implementation of production control measures in relation to patients with infectious diseases, medical examinations, preventive vaccinations, hygiene education and training of citizens.

On the territory of the Russian Federation, federal sanitary rules are in force, approved and put into effect by the federal executive body authorized to exercise state sanitary and epidemiological supervision in the manner established by the Government of the Russian Federation (Part 1 of Article 39 federal law"On the sanitary and epidemiological well-being of the population" dated March 30, 1999 N 52-FZ).

Compliance with sanitary rules is mandatory for citizens, individual entrepreneurs and legal entities (Part 3 of Article 39 of the Federal Law of March 30, 1999 N 52-FZ).

At the same time, the medical organization of the Healthcare Institution of the Republic of Armenia "Ust-Koksinskaya District Hospital" DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM .YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY , DD.MM.YYYY, DD.MM.YYYY, DD.MM.YYYY after identifying patients with bite wounds, within 2 hours by phone, and then within 12 hours in writing (or via electronic communications), an emergency notification was not submitted to the territorial department of the Office of Rospotrebnadzor for the Republic of Altai in Ust-Koksinsky, Ust-Kansky districts. Emergency notifications that were not filled out in full were submitted only DD.MM.YYYY to the branch in Ust-Koksinsky and Ust-Kansky districts of the Center for Hygiene and Epidemiology in the Altai Republic.

During the consideration of the case, the above violations were not disputed by the representative of the legal entity brought to administrative responsibility, they were also not disputed when drawing up a protocol on an administrative offense, in addition, they are confirmed by the written materials of the case, therefore the judge concludes that the BHI RA “Ust-Koksinskaya District Hospital » emergency notifications of infectious diseases were not submitted in time and in full.

In the course of consideration of the present case on an administrative offense, in accordance with the requirements of the Article of the Code of the Russian Federation on Administrative Offenses, the circumstances of the committed administrative offense were comprehensively, fully, objectively clarified. By virtue of the requirements of the Article of the Code of the Russian Federation on Administrative Offenses, the presence of an event of an administrative offense, the person who committed the violation of sanitary rules, the guilt of the said person in committing an administrative offense, other circumstances relevant to the correct resolution of the case, as well as the reasons and conditions for committing an administrative offense were established.

Thus, the act committed by the legal entity of the BHI RA "Ust-Koksinskaya District Hospital" forms the objective side of the administrative offense provided for by the article of the Code of Administrative Offenses of the Russian Federation.

When considering the present case, the Ust-Koksinsk Regional Hospital did not name any circumstances, good reasons that could interfere with the observance of sanitary norms and rules, for the violation of which administrative liability is provided.

Wine BUZ RA «Ust-Koksinskaya district hospital» in committing an administrative offense is confirmed by protocol № from DD.MM.YYYY on an administrative offense, the definition of an administrative investigation № from DD.MM.YYYY, explanatory and.about. chief physician, nurses, assistant epidemiologist of the BUZ RA "Ust-Koksinskaya District Hospital", a memo from the acting. chief physician of the branch in Ust-Koksinsky and Ust-Kansky districts of the FBUZ "Center for Hygiene and Epidemiology in the Republic of Armenia".

When imposing an administrative penalty in the form, the judge takes into account the nature of the offense committed, the fact that the legal entity was held administratively liable for committing a similar offense and considers it possible to impose an administrative penalty in the form.

Based on the above, guided by Article.Article. ., ., ., ., Code of Administrative Offenses of the Russian Federation, judge

decided:

Recognize BUZ RA «Ust-Koksinskaya district hospital» guilty of committing an administrative offense under Art. Code of the Russian Federation on Administrative Offenses and to impose a punishment in the form

This decision may be appealed to Supreme Court Republic of Altai within 10 days from the date of receipt of a copy of the decision through the Ust-Koksinsky District Court of the Republic of Altai.

Judge M.The. Plotnikova

Court:

3.4. Take measures to introduce modern methods laboratory diagnostics in medical organizations.

3.5. Ensure the personal responsibility of officials of medical organizations when carrying out anti-epidemic measures: medical examination and medical monitoring of persons at risk of infection, when prescribing and following post-exposure (emergency) prophylaxis schemes, following the rules for discharge of infectious patients from the hospital and conducting dispensary observation.

3.6. Ensure compliance with the anti-epidemic regime in medical organizations.

Information about changes:

By order of the Ministry of Health of Russia and Rospotrebnadzor dated November 10, 2016 N 857n / 1147, paragraph 3 was supplemented with subparagraph 3.9

Information about changes:

By order of the Ministry of Health of Russia and Rospotrebnadzor dated November 10, 2016 N 857n / 1147, the order was supplemented with paragraph 4

about the organization preventive measures(including immunization and other specific prophylaxis).

Information about changes:

by order

5. Heads of departments of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the constituent entities of the Russian Federation, railway transport:

5.2. In accordance with the established procedure, inform the Federal Service for Surveillance in the Sphere of Consumer Rights Protection and Human Welfare about emergency situations of a sanitary and epidemiological nature.

5.3. As part of the epidemiological investigation, ensure interaction with interested government authorities.

5.5. To take part in the planned training of specialists of medical organizations on the issues of medical observation, post-exposure (emergency) prevention in epidemic foci, rules for discharge of infectious patients from hospitals, organization of dispensary observation.

5.6. To ensure the participation of specialists exercising epidemiological surveillance in medical consultations to establish final diagnoses in epidemic foci.

5.4. Timely take measures to equip laboratories modern equipment and the introduction of new research methods in order to improve the quality of work in the epidemic focus.

Information about changes:

By order of the Ministry of Health of Russia and Rospotrebnadzor dated November 10, 2016 N 857n / 1147, the order was supplemented with paragraph 6

6. The Federal Service for Supervision of Consumer Rights Protection and Human Welfare ensures that the Ministry of Health of the Russian Federation is informed of:

Information about changes:

By order of the Ministry of Health of Russia and Rospotrebnadzor dated November 10, 2016 N 857n / 1147, the paragraph numbering was changed

Project dossier

Explanatory note

In accordance with subparagraph 11 of part 2 of article 14, parts 2-3 of article 97 of the Federal Law of November 21, 2011 N 323-FZ "On the basics of protecting the health of citizens in the Russian Federation" (Collected Legislation of the Russian Federation, 2011, N 48, art. 6724; 2013, N 48, item 6165; 2014, N 30, item 4257; N 49, item 6927; 2015, N 10, item 1425; N 29, item 4397; 2016, N 1, item 9; N 15, item 2055; N 18, item 2488; N 27, item 4219; 2017, N 15, item 2136) and subparagraphs 5.2.197 and 5.2.199 of the Regulation on the Ministry of Health of the Russian Federation, approved Decree of the Government of the Russian Federation of June 19, 2012 N 608 (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2012, N 26, Art. 3526; 2013, N 16, Art. 1970; N 20, Art. 2477; N 22, Art. 2812; No. 33, article 4386; No. 45, article 5822; 2014, No. 12, article 1296; No. 26, article 3577; No. 30, article 4307; No. 37, article 4969; 2015, No. 2, article 491; N 12, item 1763; N 23, item 3333; 2016, N 2, item 325; N 9, item 1268; N 27, item 4497; N 28, item 4741; N 34, Article 5255, N 49, Article 6922; 2017, N 15, art. 2136), I order:

1. Approve:

2. Recommend the heads of the executive authorities of the constituent entities of the Russian Federation in the field of healthcare, the Federal Medical and Biological Agency, federal state budgetary and state institutions subordinate to the Ministry of Health of the Russian Federation, to ensure:

3. Recognize invalid the order of the Ministry of Health of the USSR of October 4, 1980 N 1030 "On approval of the forms of primary medical documentation of health care institutions" in terms of approval of the forms of primary medical documentation of health care institutions N 058u "Emergency notification of an infectious disease, food, acute occupational poisoning, unusual reaction to vaccination", N 060y "Journal of Infectious Diseases".

4. To impose control over the execution of this order on the Deputy Minister of Health of the Russian Federation S.A. Regional.

Application No. 1

1. Date of completion of the notice: __.__.____. Time __.__.

2. Notification: primary - 1, repeated - 2.

3. Surname, name, patronymic _____________________________________________

____________

4. Gender: male. - 1, female - 2.

5. Date of birth: __.__.____.

6. Address of actual residence: subject of the Russian Federation __________

district ______________ city ____________ town _________________

street ______________ building _______ apartment _______ tel. ___________________

7. Terrain: urban - 1, rural - 2.

8. Place of work (study, children's institution) _____________________________,

8.1. Date of last visit __.__.____.

9. Clinical diagnosis:

The main disease ________________________________________________ ICD-10 code _______.

External cause ________________________________ ICD-10 code _______.

10. The diagnosis was confirmed by laboratory: yes - 1, no - 2.

10.1. The result of the laboratory examination ________________________________

11. Dates: diseases __.__.____.,

initial treatment (identification) __.__.____,

establishing a diagnosis __.__.____,

hospitalization __.__.____.

12. Place of hospitalization ______________________________________________,

12.1. Left at home (reason) _______________________________________________.

13. Outcome of the disease: recovery - 1, improvement - 2, death - 3.

14. Anti-epidemic (preventive) measures taken

_________________________________________________________

__________________________________________________________

__________________________________________________________

____________________________________

15. Reported:

15.1 to the executive authority of the subject of the Russian Federation in the field of healthcare: __.__.____. Time __.__.

15.2. to the department of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the constituent entity of the Russian Federation:

Time __.__.

16. Full name of the person who filled out the notice _________________________________.

Application No. 2
to the order of the Ministry of Health of the Russian Federation
dated "___" _____________ 2017 No. ____

3. In paragraph 1 indicate the date and time of filling out the Notice.

4. If the diagnosis or suspicion of it is established for the first time, in paragraph 2 the “primary” mark is made, when the final diagnosis is established, a new Notice is filled in, which is marked as “repeated”.

5. In paragraphs 3-7 indicate the last name, first name, patronymic, gender, date of birth, address of actual residence of the patient (s), locality.

6. In paragraph 8 indicate the place of work, study, children's institution, the date of their last visit.

7. Clinical diagnosis - preliminary or final underlying disease (or suspicion of it) is indicated in paragraph 9 with the ICD-10 code. In the presence of occupational poisoning, an adverse reaction associated with immunization, or exposure to living mechanical forces, in addition to recording the wording and code of the underlying disease or injury, it is mandatory to indicate the wording external cause and its ICD-10 code.

8. In paragraph 10, the presence or absence of laboratory confirmation of the diagnosis is noted; the result of a laboratory examination.

9. In paragraphs 11-12 indicate the dates of the disease, initial treatment (detection), diagnosis, hospitalization, place of hospitalization, or in case of staying at home, the reason is indicated.

10. In paragraph 13 indicate the outcome of the disease, occupational poisoning, adverse reaction associated with immunization, or exposure to living mechanical forces at the end of the episode of medical care.

11. Paragraph 14 includes information on the anti-epidemic (preventive) measures taken.

12. Paragraph 15 includes information (date and time) on the communication of information on the Notice to:

the executive authority of the constituent entity of the Russian Federation in the field of health care within 1 hour by phone, within 10 hours - by e-mail system in compliance with the confidentiality of the transmitted information;

Department of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the constituent entity of the Russian Federation within 2 hours by phone, within 12 hours - in writing and / or by e-mail system, observing the confidentiality of the transmitted information.

Phones and e-mail addresses are brought to the performers in the prescribed manner.

13. In clause 16 indicate the full name of the person who filled out the Notice.

Application No. 3
to the order of the Ministry of Health of the Russian Federation
dated "___" _____________ 2017 No. ____

Started on "____" ____________ 20 Finished on "______" ____________ 20

f. No. 058-1/u

etc. to the bottom of the page

reversal f. No. 058-1/u

etc. to the bottom of the page

3. In column 2 indicate the date of completion of the Notice.

4. In columns 3-6, the passport data of the patient (s), the address of actual residence are noted.

5. In column 7 indicate the place of work (study, children's institution).

6. In column 8 make a mark "primary" or "repeated" Notice.

7. In columns 9 and 10 indicate the diagnosis of a preliminary or underlying disease and its ICD-10 code. If the diagnosis code is in column 10 of classes I - XVIII, then dashes are placed in columns 11 and 12. If the diagnosis code is in column 10 of the XIX class, then in columns 11 and 12 the wording of the external cause and its code from the XX class of the ICD-10 should be indicated.

8. In column 13, the presence or absence of laboratory confirmation, the result of a laboratory examination, is noted.

9. Columns 14-17 indicate the dates of the disease, initial treatment (detection), diagnosis, hospitalization.

10. In column 18, a note is made about the hospitalization of the patient (s) (place of hospitalization). In the case of leaving the patient (s) at home, the reason is indicated.

11. The column indicates the final diagnosis, the date of its establishment, the outcome of the disease (recovery, improvement, death).

12. In columns 20-23 indicate the date and time of the message to the executive authority of the constituent entity of the Russian Federation in the field of healthcare and the department of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the constituent entity of the Russian Federation.

13. In column 24, the surname and initials of the responsible person who filled out the Notice are noted.

14. Box 25 for notes.

Document overview

It is planned to improve the accounting system for primary medical records.

The order in which they are filled in is determined.

An emergency notice is sent to the regional executive authority in the field of healthcare and the Rospotrebnadzor Office for the subject of the Federation.