Order 822n dated November 5, Procedure for the provision of medical care to minors, including during the period of education and upbringing in educational organizations - Rossiyskaya Gazeta
federal law dated November 21, 2011 N 323-FZ "On the basics of protecting the health of citizens in Russian Federation"(Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2012, N 26, Art. 3442, 3446; 2013, N 27, Art. 3459, 3477; N 30, Art. 4038) I order:
1. This procedure establishes the rules for the provision of medical care to minors, including during the period of education and upbringing in educational organizations.
3. Minors, including during the period of education and upbringing in educational institutions, are guaranteed the provision of medical care in accordance with the procedures for the provision of medical care, as well as on the basis of standards of medical care within the framework of the program of state guarantees of free provision of medical care to citizens, in the form of:
4. Organization of health care for minors during the period of education and upbringing (with the exception of the provision of primary health care, medical examinations and prophylactic medical examinations) in organizations carrying out educational activities is carried out by these organizations.
The organization of the provision of primary health care to minors during the period of education and upbringing, their passage of medical examinations and medical examinations, is carried out by the executive authorities in the field of healthcare. The educational organization is obliged to provide free of charge medical organization premises that meet the conditions and requirements for the implementation of medical activities.
5. Primary health care for minors under the age of 18 studying in educational institutions implementing basic educational programs (hereinafter referred to as students), in order to provide them with primary health care in an emergency and emergency form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention, is provided in the department of organization of medical care for minors in educational organizations (hereinafter referred to as the department of medical care for students).
6. In the absence of a department of medical care for students, primary health care in accordance with this Procedure may be provided in offices, health centers of a medical organization or other legal entity carrying out, along with the main (statutory) activities, medical activities.
7. In the structure of the medical care department, students are provided with a medical unit, which is located in the premises of the educational organization.
9. The premises provided by the educational organization must comply with the established sanitary and epidemiological norms and rules and established requirements for medical activities.
10. If the educational organization does not provide premises with appropriate conditions for work medical workers or the medical organization does not have a license for certain works (services) at the location of the premises of the educational organization, it is allowed to provide medical care to minors, during the period of their education and upbringing, in the premises of the medical organization.
13. Primary health care for students is provided by pediatricians, hygienists for children and adolescents, paramedics and nurses of the medical care department for students.
14. Primary health care for students in need of treatment, rehabilitation and recreational activities is provided by pediatricians, hygienists for children and adolescents, specialist doctors, paramedics and nurses of the department for organizing medical care for students.
15. Additional views and the volume of medical care for students, the provision of medical care on other conditions than provided for by this Procedure, is organized and carried out by an educational organization in compliance with the requirements of the Russian Federation in the field of health protection.
17. If there are indications, pediatricians, medical specialists, paramedics of the medical care department send the minor to the medical organization for the medical care of which the minor is.
18. A prerequisite for medical intervention is the giving of informed voluntary consent of a minor or other legal representative to medical intervention in compliance with the requirements established by the Federal Law of November 21, 2011 N 323-FZ "On the basics of protecting the health of citizens in the Russian Federation" (hereinafter - Federal Law N 323-FZ).
19. When organizing medical examinations (screenings) of minors, during the period of training and education in educational organizations, and providing them with primary health care in a planned form, the educational organization assists in informing minors or their parents (legal representatives) in the preparation of informed voluntary consent to medical intervention or their refusal of medical intervention in relation to certain types of medical intervention.
20. When providing medical assistance to a minor for emergency reasons to eliminate the threat to life without the consent of the parents (legal representatives), according to the Federal Law, the medical worker informs his parents (legal representatives) about the medical assistance provided.
1. This Regulation establishes the procedure for organizing the activities of the department for organizing medical care for minors in educational organizations (hereinafter referred to as the department for medical care for students).
2. The department of organization of medical care for students is structural unit a medical organization or other legal entity that, along with its main (statutory) activities, carries out medical activities and provides medical care to minors under the age of 18 studying in educational organizations implementing basic educational programs (hereinafter referred to as students).
3. The purpose of the department of medical care for students is to provide students with primary health care in an emergency form and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention.
4. For the position of head of the medical care department, students are assigned a medical worker 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 the Russian Federation of July 7, 2009 N 415n (registered by the Ministry of Justice of the Russian Federation on July 9, 2009, registration N 14292) as amended by the order of the Ministry of Health and Social Development of Russia of December 26, 2011 N 1644n (registered by the Ministry of Justice of the Russian Federation on April 18, 2012 , registration N 23879) (hereinafter - Qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare), in the specialty "pediatrics", with at least 5 years of work experience in this specialty, in accordance with the order of the Ministry of Health and Social development of the Russian Federation dated July 23, 2010 N 541n "On approval of the Unified qualification handbook positions of managers, specialists and employees, section " Qualification characteristics positions of workers in the healthcare sector" (registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration N 18247).
7. In the structure of the medical care department, students are provided with a medical unit, which is located on the premises of an educational organization and consists of a pediatrician's (paramedic's) office and a treatment room.
Registration N 31045
In accordance with Article 54 of the Federal Law of November 21, 2011 N 323-FZ "On the fundamentals of protecting the health of citizens in the Russian Federation" (Collected Legislation of the Russian Federation, 2011, N 48, article 6724; 2012, N 26, article 3442 , 3446; 2013, N 27, items 3459, 3477; N 30, item 4038) I order:
Approve the procedure for providing medical care to minors, including during the period of education and upbringing in educational organizations in accordance with the appendix.
Minister V. Skvortsova
Appendix
The procedure for providing medical care to minors, including during the period of education and upbringing in educational organizations
1. This procedure establishes the rules for providing medical care to minors, including during the period of education and upbringing in educational organizations.
2. This procedure applies to educational organizations and organizations providing training (hereinafter referred to as educational organizations) 1 .
3. Minors, including during the period of education and upbringing in educational institutions, are guaranteed the provision of medical care in accordance with the procedures for the provision of medical care, as well as on the basis of standards of medical care within the framework of the program of state guarantees of free provision of medical care to citizens, in the form of:
primary health care, including pre-medical, medical and specialized;
specialized medical care, including high-tech;
ambulance, including specialized ambulance;
palliative care in medical organizations.
4. The organization of health protection of minors during the period of education and upbringing (with the exception of the provision of primary health care, medical examinations and medical examinations) in organizations engaged in educational activities is carried out by these organizations.
The organization of the provision of primary health care to minors during the period of education and upbringing, their passage of medical examinations and medical examinations, is carried out by the executive authorities in the field of healthcare. An educational organization is obliged to provide a medical organization free of charge with a room that meets the conditions and requirements for the implementation of medical activities.
5. Primary health care for minors under the age of 18 studying in educational institutions implementing basic educational programs (hereinafter referred to as students), in order to provide them with primary health care in an emergency and emergency form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention, is provided in the department of organization of medical care for minors in educational organizations (hereinafter referred to as the department of medical care for students).
6. In the absence of a department of medical care for students, primary health care in accordance with this Procedure may be provided in the offices, health centers of a medical organization or other legal entity that, along with the main (statutory) activity, carries out medical activities.
7. In the structure of the medical care department, students are provided with a medical unit, which is located on the premises of the educational organization.
8. The medical block of the department of medical care for students consists of an office of a pediatrician (paramedic) and a treatment room.
9. The premises provided by the educational organization must comply with the established sanitary and epidemiological norms and rules and the established requirements for the implementation of medical activities.
10. If the educational organization does not provide premises with appropriate conditions for the work of medical workers or the medical organization does not have a license for certain works (services), at the location of the premises of the educational organization, it is allowed to provide medical care to minors, during their training and education, in the premises of the medical organization .
11. The premises of the medical block are equipped by the educational organization with furniture, office equipment and medical products in accordance with the equipment standard (Appendix N 3 to this Procedure).
12. The medical organization provides the department of medical care to students with medicines for medical use.
13. Primary health care for students is provided by pediatricians, hygienists for children and adolescents, paramedics and nurses of the medical care department for students.
14. Primary health care for students in need of treatment, rehabilitation and recreational activities is provided by pediatricians, hygienists for children and adolescents, specialist doctors, paramedics and nurses of the department for organizing medical care for students.
15. Additional types and volumes of medical care for students, the provision of medical care on other conditions than provided for by this Procedure, are organized and carried out by an educational organization in compliance with the requirements of the legislation of the Russian Federation in the field of health protection.
16. In educational organizations, positions of medical workers may be provided.
17. If there are indications, pediatricians, medical specialists, paramedics of the medical care department send the minor to the medical organization for the medical care of which the minor is.
18. A prerequisite for medical intervention is the giving of informed voluntary consent of a minor or other legal representative to medical intervention in compliance with the requirements established by Article 20 of the Federal Law of November 21, 2011 N 323-FZ "On the Fundamentals of Protecting the Health of Citizens in the Russian Federation" ( hereinafter - Federal Law N 323-FZ).
19. When organizing medical examinations (screenings) of minors, during the period of training and education in educational organizations, and providing them with primary health care in a planned form, the educational organization assists in informing minors or their parents (legal representatives) in the preparation of informed voluntary consent to medical intervention or their refusal of medical intervention in relation to certain types of medical intervention.
20. When providing medical assistance to a minor for emergency reasons to eliminate the threat to life without the consent of the parents (legal representatives), in accordance with clause 1 of part 9 of Article 20 of the Federal Law, the medical worker informs his parents (legal representatives) about the medical care provided.
21. The department of medical care for students carry out their activities in accordance with Annexes N 1-6 to this Procedure.
1 Article 2 of the Federal Law of December 29, 2012 N 273-FZ "On Education in the Russian Federation" (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2012, N 53, Art. 7598; 2013, N 19, Art. 2326).
Appendix N 1 to the Procedure
Regulations on the Department of Organization of Medical Care for Minors in Educational Organizations
1. This Regulation establishes the procedure for organizing the activities of the department for organizing medical care for minors in educational organizations (hereinafter referred to as the department for medical care for students).
2. The department of organization of medical care for students is a structural subdivision of a medical organization or other legal entity that, along with the main (statutory) activities, carries out medical activities and provides medical care to minors under the age of 18 studying in educational organizations implementing basic educational programs (hereinafter - students).
3. The purpose of the department of medical care for students is to provide students with primary health care in an emergency form and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention.
4. For the position of head of the medical care department, students are assigned a medical worker 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 the Russian Federation of July 7, 2009 N 415n (registered by the Ministry of Justice of the Russian Federation on July 9, 2009, registration N 14292) as amended by the order of the Ministry of Health and Social Development of Russia of December 26, 2011 N 1644n (registered by the Ministry of Justice of the Russian Federation on April 18, 2012, registration N 23879) (hereinafter - Qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare), specializing in pediatrics, having at least 5 years of experience in this specialty, in accordance with the order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On approval of the Unified Qualification Handbook for the positions of managers, specialists and employees, section" Qualification characteristics of positions of workers in the field of healthcare "(registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration N 18247).
5. The number of medical workers of the medical care department for students is determined taking into account the volume of medical care provided and preventive work carried out, the number of minors in educational organizations and is established by the head of the medical organization or educational organization in which it was created.
7. In the structure of the medical care department, students are provided with a medical unit, which is located on the premises of an educational organization and consists of a pediatrician's (paramedic's) office and a treatment room.
8. In the structure of the medical care department, students are recommended to provide:
office of the head of the department;
office of the head nurse of the department;
doctor's office for the hygiene of children and adolescents.
9. In the structure of the department of medical care for students providing primary health care to minors in need of treatment, rehabilitation and recreational activities, it is recommended to provide offices of specialist doctors and other offices in accordance with the procedures for providing medical care of the corresponding type, profile of medical care, disease or condition (groups of diseases or conditions).
10. Equipping the medical block of the medical care department by students is carried out in accordance with the equipment standard provided for in Appendix No. 3 to the Procedure for the provision of medical care, approved by this order.
11. Equipment of other rooms and divisions of the medical care department for students is carried out in accordance with the requirements of the procedures for the provision of medical care according to the profile.
12. The department of medical care for students carries out:
organizing and conducting work on immunoprophylaxis in educational institutions;
organization of medical examinations of minors before and during the industrial practice in organizations whose employees are subject to medical examinations;
interaction with district pediatricians, medical specialists of medical organizations, psychologists and teachers of educational organizations on the issues of determining the professional suitability of minors;
participation in the rehabilitation of students during the rest period and in assessing the effectiveness of its implementation;
transfer of information to the responsible medical worker of the medical organization to inform the internal affairs bodies about the admission (appeal) of patients (students) in respect of which there are sufficient grounds believe that harm to their health was caused as a result of unlawful actions.
13. The department of medical care for students interacts with the educational organization, medical organizations, territorial bodies Federal Service on supervision in the field of consumer rights protection and human well-being, guardianship and guardianship authorities, social protection and etc.
14. The department of medical care for students maintains medical records in the prescribed manner and submits reports on the types, forms, on time and in the amount established by the authorized federal executive body.
15. This Regulation applies to offices, health posts of a medical organization or other legal entity that, along with the main (statutory) activity, carries out medical activities that provide medical care to minors under the age of 18 studying in educational organizations implementing basic educational programs, in the absence of a department medical care for students.
Appendix N 2 to the Procedure
Appendix N 3 to the Procedure
Appendix N 4 to the Procedure
Regulations on the organization of the activities of a pediatrician (paramedic) of the department for organizing medical care for minors in educational organizations
1. This Regulation establishes the procedure for organizing the activities of a pediatrician (paramedic) of the department for organizing medical care for minors in educational organizations (hereinafter referred to as the department of medical care for students), an office, a health center of a medical organization or other legal entity that, along with the main (statutory) activity, carries out medical activities that provide medical care to minors under the age of 18 studying in educational institutions that implement basic educational programs, in the absence of a department of medical care for students.
2. For the position of a pediatrician in the medical care department, students are assigned 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 the Russian Federation of July 7, 2009 N 415n (registered Ministry of Justice of the Russian Federation on July 9, 2009, registration N 14292) as amended by the order of the Ministry of Health and Social Development of Russia dated December 26, 2011 N 1644n (registered by the Ministry of Justice of the Russian Federation on April 18, 2012, registration N 23879), specializing in pediatrics without presenting requirements for work experience in accordance with the order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On approval of the Unified Qualification Handbook for the positions of managers, specialists and employees, section" Qualification characteristics ki positions of workers in the field of healthcare" (registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration N 18247).
3. A specialist is appointed to the post of paramedic of the medical care department for students in accordance with the order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On approval of the Unified Qualification Handbook for the positions of managers, specialists and employees, section" Qualification characteristics of positions of employees in health care" specialty "medical assistant".
4. The pediatrician (paramedic) of the department of medical care for students performs:
participation in monitoring compliance with sanitary and hygienic requirements for the conditions and organization of education and training, including nutrition, physical education, labor training of minors in educational organizations;
providing students with primary health care in an emergency form and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases;
referral of students in the presence of medical indications to a medical organization that provides medical services to a minor;
organization and implementation of activities for the immunoprophylaxis of infectious diseases (in accordance with the National calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications, approved by order of the Ministry of Health and Social Development of the Russian Federation of January 31, 2011 N 51n - according to the conclusion of the Ministry of Justice of the Russian Federation in state registration does not need (letter dated February 17, 2011 N 01/8577-DK);
organizing and conducting annual screening examinations, periodic medical examinations of students;
organization of preventive medical examinations of students, analysis of the data obtained from the results of preventive medical examinations in order to monitor the health status of minors and develop recommendations for the prevention of diseases and the improvement of students;
development of an individual plan of preventive and recreational activities for students, taking into account the health status group, the medical group for classes physical education based on the results of preventive medical examinations, examination data from medical specialists and ongoing monitoring;
organization of medical examinations of minors before and during the internship in organizations whose employees are subject to medical examinations;
preparation of proposals for the medical and psychological adaptation of minors to an educational organization, the processes of training and education, as well as for the correction of violations of adaptation of students;
work on the formation of groups of minors with an increased medical, social and biological risk of developing health disorders for the optimal organization of the processes of education and upbringing, the provision of medical care, including the correction of health disorders and development;
analysis of the state of health of minors, preparation of proposals on priorities in the development of preventive, corrective measures implemented in educational organizations;
preparation of proposals and implementation of specific medical, social and psychological technologies for preserving, strengthening and restoring the health of minors in the context of educational institutions;
methodological support, together with psychologists and teachers of educational organizations, work on the formation of stable stereotypes among students healthy lifestyle life and behavior not associated with a risk to health;
assessment of completeness and analysis of the presented data medical examination children entering first grade;
ensuring medical and psychological adaptation of minors to an educational organization, the process of training and education, as well as carrying out work to correct adaptation disorders;
participation in preventive work in an educational organization to prevent minors from early onset of sexual activity, sexually transmitted diseases, HIV / AIDS;
carrying out work to identify the prevalence among minors of risk factors for chronic non-communicable diseases (high blood pressure, overweight, smoking, alcohol, drugs, toxic substances, etc.), as well as stereotypes of diviant behaviors;
participation together with the medical and social department of the children's polyclinic (department) and other medical organizations (centers for family planning, reproductive health, etc.) educational programs preparation of minors for the creation of a family, proper reproductive behavior;
carrying out in the conditions of an educational organization work to correct health disorders of minors, reducing the possibility of their social adaptation, limiting the possibilities of training, choosing a profession, preparing for military service(pathology of the organs of vision, digestion, musculoskeletal system, nervous system, etc.);
informing parents and (or) legal representatives of a minor about the state of health, issuing recommendations for parents and (or) legal representatives;
analysis of the state of health of minors, preparation of proposals for priorities in the development of preventive, corrective, measures implemented in an educational organization;
participation in the rehabilitation of students during their rest and in assessing the effectiveness of its implementation;
organization of accounting and analysis of cases of injuries received in educational institutions, development of a set of measures for the prevention of injuries in educational institutions;
organization of work of medical workers with secondary medical education, including on immunoprophylaxis, on monitoring compliance with hygienic requirements for the organization of the learning process and the process of education, physical education, nutrition, etc .;
interaction with the territorial bodies of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare and other institutions on the issue of protecting the health of minors;
organization of advanced training of doctors, medical workers with secondary medical education of the department of medical care for students;
registration medical records in accordance with the established procedure and reporting on the types, forms, within the time limits and to the extent established by the authorized federal executive body.
5. If violations of the sanitary and epidemiological legislation and (or) factors that affect or pose a threat to the life and health of students are detected, the pediatrician informs in writing the head of the department of medical care for students or the head of the medical organization and the head of the educational organization about the identified violations and risk factors .
Appendix N 5 to the Procedure
Regulations on the organization of the activities of a doctor for the hygiene of children and adolescents of the department for organizing medical care for minors in educational organizations
1. This Regulation establishes the procedure for organizing the activities of a doctor for the hygiene of children and adolescents of the department for organizing medical care for minors in educational organizations (hereinafter referred to as the department of medical care for students), an office, a health center of a medical organization or other legal entity that, along with the main (statutory) activity, carries out medical activities that provide medical care to minors under the age of 18 studying in educational institutions that implement basic educational programs, in the absence of a department of medical care for students.
2. A specialist who meets the requirements of the Qualification requirements to 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 the Russian Federation of July 7, 2009 N 415n (registered by the Ministry of Justice of Russia on July 9, 2009, registration N 14292) as amended by the order Ministry of Health and Social Development of Russia dated December 26, 2011 N 1644n (registered by the Ministry of Justice of Russia on April 18, 2012, registration N 23879), specializing in hygiene of children and adolescents.
3. The doctor for the hygiene of children and adolescents shall:
participation in monitoring compliance with sanitary and hygienic requirements for the conditions and organization of education and training, including nutrition, physical education, labor training of minors in educational organizations;
hygienic assessment of the architectural and planning solutions used, the school environment (microclimate, anthropogenic air pollution, illumination, noise, vibration, electromagnetic fields) and the current sanitary condition of the educational organization;
assessment of the conditions and technologies for the education and upbringing of minors, compliance with sanitary and hygienic norms and rules;
participation in the hygienic control of the means of education and upbringing and their use in the processes of education and upbringing;
organizing and conducting sanitary and hygienic education and training of minors and their parents (legal representatives) on the prevention of childhood diseases and the formation of a healthy lifestyle;
assessment production control for ensuring the sanitary and epidemiological well-being of an educational organization;
introduction of new preventive and hygienic diagnostic technologies;
participation in the clinical and epidemiological analysis of the level and structure of the incidence of minors, including during the period of training and education in educational organizations;
planning activities aimed at maintaining and strengthening health, eliminating the harmful effects on the health of minors, including during the period of training and education in educational organizations, factors of the intra-school environment;
preparation of proposals to the authorities local government to create optimal conditions for the life of minors, the formation of a healthy lifestyle for them and the development of interdepartmental programs for the prevention of diseases;
control over the observance in the educational organization of the sanitary and hygienic standards of the educational process, including the state of the surrounding territory, the catering unit, educational premises, places of recreation for minors, sanitary and hygienic rooms, etc .;
development of programs and measures for the prevention, correction and rehabilitation of students, taking into account professional and production factors;
making proposals to the head of the educational organization to improve the sanitary and epidemiological well-being of the educational organization;
organization in the conditions of educational organizations of work on the correction of health disorders of minors, which reduce the possibility of their social adaptation, limiting the possibilities of education, choosing a profession, preparing for military service (pathology of the organs of vision, digestion, musculoskeletal system, nervous system, etc.);
participation in the hygienic control of the means of education and upbringing and their use in the processes of education and upbringing;
conducting sanitary and hygienic educational work among minors, their parents (legal representatives) and teachers on the prevention of diseases of minors and the formation of a healthy lifestyle;
development and implementation of medical, social and psychological technologies for preserving, strengthening and restoring the health of minors in an educational organization;
carrying out (together with the teaching staff) in the educational organization of activities and monitoring their effectiveness to form in minors (at the group and individual level) stable stereotypes of a healthy lifestyle, including the prevention of alcoholism, drug addiction, substance abuse;
organization and methodological support of work to identify the prevalence among minors of risk factors for chronic non-communicable diseases (high blood pressure, overweight, smoking, alcohol, drugs, toxic substances, etc.), as well as stereotypes of deviant behaviors;
interaction with the territorial bodies of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare and other institutions on the issue of protecting the health of minors;
conducting sanitary and hygienic educational work among minors, their parents (legal representatives) and teachers on the prevention of diseases of minors and the formation of a healthy lifestyle;
methodological support, together with psychologists and teachers of educational organizations, work on the formation of stable stereotypes of a healthy lifestyle and behavior in students that are not associated with a risk to health;
promptly informs the responsible medical worker for timely informing territorial bodies internal affairs on the facts of admission (appeal) of students in respect of which there are sufficient grounds to believe that harm to their health was caused as a result of unlawful actions.
4. If violations of the sanitary and epidemiological legislation and (or) factors that affect or pose a threat to the life and health of students are detected, the hygiene doctor for children and adolescents informs in writing the head of the department of medical care for students or the head of the medical organization and the head of the educational organization about the violations found and risk factors.
Appendix N 6 to the Procedure
Regulations on the organization of the activities of a nurse (paramedic) of the department for organizing medical care for minors in educational organizations
1. This Regulation establishes the procedure for organizing the activities of a nurse (paramedic) of the department for organizing medical care for minors in educational organizations (hereinafter referred to as the department of medical care for students), an office, a health center of a medical organization or other legal entity that, along with the main (statutory) activity, carries out medical activities providing medical care to minors under the age of 18 studying in educational institutions that implement basic educational programs, in the absence of a department of medical care for students.
2. A specialist is appointed to the position of a nurse (paramedic) in accordance with the order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 N541n "On approval of the Unified Qualification Handbook for the positions of managers, specialists and employees, section" Qualification characteristics of positions of workers in the field health care" (registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration N 18247) in the specialty " nurse"," paramedic.
3. The nurse (paramedic) of the department of medical care for students performs:
providing students with pre-medical primary health care in an emergency and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases;
preventive measures aimed at protecting and strengthening the health of students in an educational organization;
calling an ambulance and (or) organizing transportation to a medical organization of students in need of emergency medical care;
participation in monitoring compliance with sanitary and hygienic requirements for the conditions and organization of education and training, nutrition, physical education and labor training of minors in educational organizations;
carrying out measures for the immunoprophylaxis of infectious diseases (in accordance with the National calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications, approved by order of the Ministry of Health and Social Development of the Russian Federation dated January 31, 2011 N 51n - according to the conclusion of the Ministry of Justice of the Russian Federation, it is not in state registration needs (letter dated February 17, 2011 N 01/8577-DK);
participation in the organization and conduct of annual screening examinations, periodic medical examinations of minors;
participation in the organization of preventive medical examinations of minors;
participation in the development of an individual plan of preventive and health-improving measures for students, taking into account the health status group, the medical group for physical education based on the results of preventive medical examinations, examination data from medical specialists and current monitoring;
participation in the organization of medical examinations of minors before and during the internship in organizations whose employees are subject to medical examinations;
participation in the formation of risk groups among minors in order to conduct differentiated medical supervision and determine priorities in the development and implementation of preventive, health-improving, correctional and rehabilitation programs in educational organizations at the individual and group levels based on medical, social, psychological, pedagogical and other information ;
participation in the assessment of the completeness of the data presented by the medical examination of children entering the first grade;
participation in the assessment of the functional readiness of a minor for schooling, when transferring a student to a class of compensatory education, when a minor moves to an organization with a higher level of education, etc.;
participation in the preparation and conduct of a comprehensive medical and psychological-pedagogical assessment of the health status of minors;
interaction with district pediatricians, medical specialists of a medical organization and psychologists and teachers of an educational organization on issues of professional suitability of minors;
participation in carrying out (together with the teaching staff) in the educational organization of events and in monitoring their effectiveness in the formation of stable stereotypes of a healthy lifestyle in minors (at the group and individual level), including the prevention of alcoholism, drug addiction, substance abuse;
participation in carrying out preventive work in an educational organization to prevent minors from early onset of sexual activity, sexually transmitted diseases, HIV / AIDS;
interaction in the manner prescribed by law with psychiatrists, narcologists, social educators, psychologists, employees law enforcement, guardianship and guardianship services and others in identifying deviant and asocial forms of behavior of minors (alcoholism, drug addiction, substance abuse, smoking, vagrancy, involvement in criminal activity etc.);
participation, together with the medical and social department of the children's polyclinic (department) and other medical organizations (centers of family planning, reproductive health, etc.) in the implementation of medical and psychological educational programs for preparing minors for creating a family, proper reproductive behavior;
participation in the work carried out in the conditions of an educational organization to correct health disorders of minors, which reduce the possibility of their social adaptation, limiting the possibilities of education, choosing a profession, preparing for military service (pathology of the organs of vision, digestion, musculoskeletal system, nervous system, etc.);
informing parents and (or) legal representatives of a minor about the state of health of students, making copies and (or) extracts from medical records;
participation in the rehabilitation of minors during their vacation;
accounting and analysis of cases of injuries received in educational institutions;
transfer of information to the responsible medical worker of the medical organization to inform the internal affairs bodies about the admission (appeal) of patients (students) in respect of which there are sufficient grounds to believe that harm to their health was caused as a result of unlawful actions;
disinfection, pre-sterilization cleaning and sterilization of instruments;
storage of medicines, including medical immunobiological preparations, safety of labels on bottles, control over the terms of use of medicines;
compliance with the rules of labor protection and fire safety at the workplace;
compliance with the rules of asepsis and antisepsis;
analysis of the implementation of the monthly plan of preventive vaccinations;
accounting of medical equipment, medicines, grafting material, their timely replenishment;
interaction with district pediatricians, medical specialists of medical organizations, psychologists and teachers of educational organizations:
registration of medical documentation in the prescribed manner and reporting on the types, forms, within the time limits and to the extent established by the authorized federal executive body;
transfer of information to the responsible medical worker of the medical organization to inform the territorial internal affairs bodies about the facts of admission (appeal) of patients (students) in respect of which there are sufficient grounds to believe that harm to their health was caused as a result of unlawful actions, and the appointment of medical workers responsible for the facts admissions (contacts) of such patients;
maintains approved forms of accounting and reporting medical documentation.
5. If violations of the sanitary and epidemiological legislation and (or) factors that affect or pose a threat to the life and health of students are detected, the nurse (paramedic) informs in writing the head of the department of medical care for students or the head of the medical organization and the head of the educational organization about the identified violations and risk factors.
Catalogue:: 1. Medical equipment. offices on the orders of the Ministry of Health of the Russian Federation
">:: :: Order No. 822 dated 05.11.2013 On the approval of the Procedure for the provision of medical care to minors, including during the period of training and education in educational institutions
:: :: Medical equipment cabinets (approximate list) :: 2. Bactericidal irradiators
">:: :: Irradiators Dezar bactericidal recirculators
">:: :: Bactericidal irradiators-recirculators CH
:: :: :: Illuminators of the "SN" series (single lamp) :: :: :: Illuminators of the "SN" series (two lamps) :: :: :: Illuminators of the "SN" series (three and five lamps)
">:: :: OBN irradiators in the absence of people (wall-mounted and mobile)
:: :: Irradiators-recirculators of the "OBRN" and OBRPe "Blue Lamp" series>:: :: Irradiators Sun and
"Blue lamp" bactericidal ">:: :: Lamps
bactericidal:: 3. Physiotherapy equipment:: :: REFTON:: :: :: Devices of the "Refton-01-FS" series (1 channel) :: :: :: Devices of the "Refton-01-FLS" series (1 channel) :: :: :: Devices of the "Refton-01-FS" series (2 channels) :: :: :: Devices of the "Refton-01-FLS" series (2 channels) :: :: :: Devices of the "Refton-01" series -RFTLS" (for acupuncture) (2 channels) :: :: :: In addition to REFTON devices:: :: Amplipulse and diadynamic therapy:: :: UHF therapy:: :: Ultrasound therapy:: :: EHF therapy :: :: UHF-, SMW- and wave therapy:: :: Magnetotherapy:: :: Electrotherapy, galvanization and electrophoresis:: :: Darsonval-therapy:: :: Electrical stimulation and myostimulation:: :: ELECTROSON:: :: Light therapy :: :: Thermotherapy:: 4. Medical first aid kits:: :: First aid kits according to orders No. 169; 325; 333; 498; 697; 905; 907; 408; 61:: :: First aid kits for enterprises, offices, production (with medicines) :: :: First aid kits for children's institutions and school rooms:: :: First aid kit for various professions(industry, specialized) :: :: Medical equipment for civil defense and emergency situations:: 5. Medical packs, bags and kits:: :: Medical bags and packs (empty, without attachments) :: :: Bags and packs, completed by order No. 100 of the Ministry of Health of the Russian Federation:: :: Medical kits, complete for the provision of various specialized medical care:: :: Means of transportation and first aid in emergency situations:: 6. Medical furniture. Laboratory furniture:: :: Medical cabinets:: :: :: Medical cabinets METAL (single-wing) :: :: :: Medical cabinets METAL (two-wing) :: :: :: Medical cabinets made of chipboard material (single-wing) :: :: :: Medical cabinets made of laminated chipboard material (two-leaf) :: :: :: File cabinets:: :: Medical screens:: :: Medical couches, banquettes and sofas:: :: :: Medical couches:: :: :: Medical banquettes :: :: :: Medical sofas:: :: Stands for intravenous infusions:: :: Medical stadiometers:: :: Tables and medical tables:: :: :: Instrumental tables:: :: :: Tables manipulation, procedural:: :: :: Tables for doctor's office and hospital wards:: :: :: Bedside changing tables and trolleys for newborns">:: :: :: Tables
bedside:: :: Chairs, armchairs, stools:: :: Medical beds:: :: :: General hospital beds (1-section) :: :: :: Multifunctional mechanical beds:: :: :: Multifunctional electric beds:: : : Medical cabinets:: :: Medical trolleys:: :: Care accessories:: 7. Laboratory equipment:: :: Water distillers and water collectors:: :: Thermostats:: :: :: Thermostats (produced by Kasimov) :: :: :: Thermostats ELMI (Latvia) :: :: Cooler bags and thermal containers:: :: : : Medical cooler bag with indicator "VomMark" :: :: :: Medical cooler bag with electronic indicator:: :: Laboratory centrifuges:: :: :: OPn series centrifuges (Kyrgyzstan) TEMPORARILY NOT SUPPLIED!!! :: :: :: Liston series centrifuges (Russia) :: :: :: ELMI centrifuges (Latvia) :: :: Medical and laboratory scales:: :: Medical refrigerators:: 8. Sterilization equipment:: :: Steam sterilizers: : :: Air sterilizers:: :: :: Air sterilizers for 10 and 20 l:: :: :: Air sterilizers for 40 l:: :: :: Air sterilizers for 80 l:: :: Drying cabinets:: :: UV bactericidal chambers for storage of sterile instruments:: :: :: Bactericidal chambers UVK series:: :: :: Bactericidal chambers "KB" series :: :: Disinfection boilers:: :: Sterilization boxes:: :: Destructors and destroyers of needles and syringes:: :: Ultrasonic baths:: :: Containers and trays for disinfection:: :: :: Containers:: :: :: Trays:: 9. Breathalyzers and breathalyzers:: :: Breathalyzers (for self-control and pre-trip inspections) : : :: Breathalyzers (professional devices) :: 10. Diagnostic and resuscitation equipment:: :: Electrocardiographs:: :: :: Electrocardiographs manufactured by Ross iya:: :: :: Electrocardiographs "Fukuda" (Prices in $) :: :: :: Electrocardiographs "Alton" :: :: :: Electrocardiographs Cardiovit (SCHILLER - Switzerland) :: :: Defibrillators:: :: Patient monitors :: :: :: Monitors "MITAR" :: :: :: Monitors "MMK-ALTON":: :: :: Bedside monitors (China) :: :: Pulse oximeters:: :: Tonometers:: :: :: Automatic blood pressure monitors:: :: :: Semi-automatic blood pressure monitors:: :: :: Mechanical blood pressure monitors:: :: Negatoscopes:: :: :: Medical negatoscope for 1 frame:: :: :: Medical negatoscope for 2 frames:: :: :: Negatoscope medical for 3 frames:: :: Stethoscopes and phonendoscopes:: :: Diagnostic instruments and devices for medical. cabinets various specialists:: 11. Buckwheat pillows and orthopedic pillows:: :: Buckwheat pillows:: :: :: Classic buckwheat head pillows (BIO series) :: :: :: Combined buckwheat pillows (COMBI series) :: : : Pillows made of natural latex:: 12. Wheelchairs, wheelchairs for invalids, toilet chairs:: :: Mechanical wheelchairs:: :: Electric wheelchairs:: :: Wheelchairs:: :: Wheelchairs wheelchairs with sanitary equipment:: :: Toilet seats:: 13. Aspirators, Concentrators and Cocktails:: :: Aspirators:: :: Oxygen concentrators:: :: Oxygen cocktails:: 14. Inhalers and nebulizers:: :: Compressor inhalers :: :: Ultrasonic inhalers:: :: Spare parts for inhalers Boreal F400, Delphinus F1000:: :: Haloinhalation and aromaphytotherapy:: 15. Walkers, crutches, canes:: :: Walkers-supports:: :: :: Walkers-supports ON WHEELS:: :: Axillary crutches:: :: Elbow crutches:: :: Walking sticks:: 6. Medical furniture. Laboratory furniture. :: 16. Mechanotherapeutic devices and equipment for exercise therapy:: :: Exercise equipment for upper limbs:: :: Exercise equipment for lower limbs:: :: Traction devices:: 17. Electroencephalographs (EEG) :: 18. Compression stockings:: :: Stockings:: :: Stockings:: :: Tights:: :: For pregnant women
Registration number 31045
The procedure for providing medical care to minors, including during the period of education and upbringing in educational organizations
1. This procedure establishes the rules for providing medical care to minors, including during the period of education and upbringing in educational organizations.
2. This procedure applies to educational organizations and organizations providing training (hereinafter referred to as educational organizations)*.
3. Minors, including during the period of education and upbringing, are guaranteed the provision of medical care in accordance with the procedures for the provision of medical care, as well as on the basis of medical care standards within the framework of the program of state guarantees of free provision of medical care to citizens, in the form of:
primary health care, including pre-medical, medical and specialized;
specialized medical care, including high-tech;
ambulance, including specialized ambulance;
palliative care in medical organizations.
4. The organization of health protection of minors during the period of education and upbringing (with the exception of the provision of primary health care, medical examinations and medical examinations) in organizations engaged in educational activities is carried out by these organizations.
The organization of the provision of primary health care to minors during the period of education and upbringing, their passage of medical examinations and medical examinations, is carried out by the executive authorities in the field of healthcare. An educational organization is obliged to provide a medical organization free of charge with a room that meets the conditions and requirements for the implementation of medical activities.
5. Primary health care for minors under the age of 18 studying in educational institutions implementing basic educational programs (hereinafter referred to as students), in order to provide them with primary health care in an emergency and emergency form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention, is provided in the department of organization of medical care for minors in educational organizations (hereinafter referred to as the department of medical care for students).
6. In the absence of a department of medical care for students, primary health care in accordance with this Procedure may be provided in the offices, health centers of a medical organization or other legal entity that, along with the main (statutory) activity, carries out medical activities.
7. In the structure of the medical care department, students are provided with a medical unit, which is located in the premises of the educational organization.
8. The medical block of the department of medical care for students consists of an office of a pediatrician (paramedic) and a treatment room.
9. The premises provided by the educational organization must comply with the established sanitary and epidemiological norms and rules and the established requirements for the implementation of medical activities.
10. If the educational organization does not provide premises with appropriate conditions for the work of medical workers or the medical organization does not have a license for certain works (services), at the location of the premises of the educational organization, it is allowed to provide medical care to minors, during their training and education, in the premises of the medical organization .
11. The premises of the medical block are equipped by the educational organization with furniture, office equipment and medical products in accordance with the equipment standard (Appendix No. 3 to this Procedure).
12. The medical organization provides the department of medical care to students with medicines for medical use.
13. Primary health care for students is provided by pediatricians, hygienists for children and adolescents, paramedics and nurses of the medical care department for students.
14. Primary health care for students in need of treatment, rehabilitation and recreational activities is provided by pediatricians, hygienists for children and adolescents, specialist doctors, paramedics and nurses of the department for organizing medical care for students.
15. Additional types and volumes of medical care for students, the provision of medical care on other conditions than provided for by this Procedure, are organized and carried out by an educational organization in compliance with the requirements of the legislation of the Russian Federation in the field of health protection.
16. In educational organizations, positions of medical workers may be provided.
17. If there are indications, pediatricians, medical specialists, paramedics of the medical care department send the minor to the medical organization for the medical care of which the minor is.
18. A prerequisite for medical intervention is the giving of informed voluntary consent of a minor or other legal representative to medical intervention in compliance with the requirements established by Article 20 of the Federal Law of November 21, 2011 No. 323-FZ "On the Fundamentals of Protecting the Health of Citizens in the Russian Federation" ( hereinafter - Federal Law No. 323-FZ).
19. When organizing medical examinations (screenings) of minors, during the period of training and education in educational organizations, and providing them with primary health care in a planned form, the educational organization assists in informing minors or their parents (legal representatives) in the preparation of informed voluntary consent to medical intervention or their refusal of medical intervention in relation to certain types of medical intervention.
20. When providing medical assistance to a minor for emergency reasons to eliminate the threat to life without the consent of the parents (legal representatives), in accordance with clause 1 of part 9 of Article 20 of the Federal Law, the medical worker informs his parents (legal representatives) about the medical care provided.
21. The department of medical assistance to students carry out their activities in accordance with appendices No. 1-6 to this Procedure.
* Article 2 of the Federal Law No. 273-FZ of December 29, 2012 "On Education in the Russian Federation"
Application No. 1
minors, including
during the period of education and upbringing
in educational organizations,
approved by order
dated November 5, 2013 No. 822n
Regulations on the Department of Organization of Medical Care for Minors in Educational Organizations
1. This Regulation establishes the procedure for organizing the activities of the department for organizing medical care for minors in educational organizations (hereinafter referred to as the department for medical care for students).
2. The department of organization of medical care for students is a structural subdivision of a medical organization or other legal entity that, along with the main (statutory) activities, carries out medical activities and provides medical care to minors under the age of 18 studying in educational organizations implementing basic educational programs (hereinafter - students).
3. The purpose of the department of medical care for students is to provide students with primary health care in an emergency form and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention.
4. For the position of head of the department of medical care, students are assigned a medical worker 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 the Russian Federation dated July 7, 2009 No. 415n (registered by the Ministry of Justice of the Russian Federation on July 9, 2009, registration No. 14292) as amended by the order of the Ministry of Health and Social Development of Russia dated December 26, 2011 No. 1644n (registered by the Ministry of Justice of the Russian Federation on April 18, 2012, registration No. 23879) (hereinafter - Qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare), specializing in pediatrics, having at least 5 years of experience in this specialty, in accordance with the order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 No. 541n "On Approval of the Unified Qualification Handbook for the Positions of Managers, Specialists and Employees, Section "Qualification Characteristics of Positions of Workers in the Sphere of Health Care" (registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration No. 18247).
5. The number of medical workers of the medical care department for students is determined taking into account the volume of medical care provided and preventive work carried out, the number of minors in educational organizations and is established by the head of the medical organization or educational organization in which it was created.
7. In the structure of the medical care department, students are provided with a medical unit, which is located on the premises of an educational organization and consists of a pediatrician's (paramedic's) office and a treatment room.
8. In the structure of the medical care department, students are recommended to provide:
office of the head of the department;
office of the head nurse of the department;
doctor's office for the hygiene of children and adolescents.
9. In the structure of the department of medical care for students providing primary health care to minors in need of treatment, rehabilitation and recreational activities, it is recommended to provide offices of specialist doctors and other offices in accordance with the procedures for providing medical care of the corresponding type, profile of medical care, disease or condition (groups of diseases or conditions).
10. Equipping the medical block of the medical care department by students is carried out in accordance with the equipment standard provided for in Appendix No. 3 to the Procedure for the provision of medical care, approved by this order.
11. Equipment of other rooms and divisions of the medical care department for students is carried out in accordance with the requirements of the procedures for the provision of medical care according to the profile.
12. The department of medical care for students carries out:
organizing and conducting work on immunoprophylaxis in educational institutions;
organization of medical examinations of minors before and during the period of internship in organizations whose employees are subject to medical examinations;
interaction with district pediatricians, medical specialists of medical organizations, psychologists and teachers of educational organizations on the issues of determining the professional suitability of minors;
participation in the rehabilitation of students during the rest period and in assessing the effectiveness of its implementation;
transfer of information to the responsible medical worker of the medical organization to inform the internal affairs bodies about the admission (appeal) of patients (students) in respect of which there are sufficient grounds to believe that harm to their health was caused as a result of unlawful actions.
13. The department of medical care for students interacts with an educational organization, medical organizations, territorial bodies of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare, guardianship and guardianship authorities, social protection authorities, etc.
14. The department of medical care for students maintains medical records in the prescribed manner and submits reports on the types, forms, on time and in the amount established by the authorized federal executive body.
15. This Regulation applies to offices, health posts of a medical organization or other legal entity that, along with the main (statutory) activity, carries out medical activities that provide medical care to minors under the age of 18 studying in educational organizations implementing basic educational programs, in the absence of a department medical care for students.
Application No. 2
to the Procedure for the provision of medical care
minors, including
during the period of education and upbringing
in educational organizations,
approved by order
Ministry of Health of the Russian Federation
dated November 5, 2013 No. 822n
Recommended staffing standards for medical workers of the department for organizing medical care for minors in educational institutions
| No. p / p | Job title | Number of staff units |
|---|---|---|
| 1. | Head of department - pediatrician | 1 per 10 positions of pediatricians (paramedics) |
| 2. | Pediatrician (paramedic) | 1 for: 180-200 minors in nurseries (nursery groups of kindergartens) of preschool educational organizations; 400 minors in kindergartens (corresponding groups in kindergartens) of preschool educational organizations; 1,000 minor general education organizations or vocational educational organizations |
| 3. | Physician for the hygiene of children and adolescents | 1 in 2,500 students in all types of educational institutions |
| 4. | Senior nurse | according to the positions of heads of departments provided for in paragraph 1 |
| 5. | Nurse (paramedic) | 1 per: 100 pupils in preschool educational organizations; 100-500 students in general education organizations or professional educational organizations |
| 6. | Nurse | by the number of staff units of nurses |
| 7. | Children's psychiatrist | 1 per: 100 minors with lesions of the central nervous system and mental retardation in nurseries (nursery groups of kindergartens); 200 minors with lesions of the central nervous system and mental retardation in preschool educational institutions; 300 minors with lesions of the central nervous system and mental retardation in educational institutions |
| 8. | Otorhinolaryngologist | 1 per: 100 hearing-impaired minors in nurseries (nurseries of kindergartens); 200 minors with hearing impairment in preschool educational institutions; 300 minors with hearing impairments in educational institutions |
| 9. | Ophthalmologist | 1 for: 200 minors with chronic diseases of the eye, adnexa and orbit in preschool educational institutions; 300 minors with chronic diseases of the eye, adnexa and orbit in educational institutions |
| 10. | Traumatologist-orthopedist | 1 per: 250 minors with lesions of the central nervous system and other disorders of the musculoskeletal system in preschool educational institutions; 350 minors with lesions of the central nervous system and other disorders of the musculoskeletal system in educational institutions |
| 11. | phthisiatrician | 1 per 200 minors in sanatorium nurseries, nursery-kindergartens and kindergartens, as well as forest schools |
| 12. | Physiotherapist | 1 in 400 minors with central nervous system and other musculoskeletal disorders |
| 13. | Physiotherapist | 1 per: 200 minors with lesions of the central nervous system and other disorders of the musculoskeletal system in nursery groups; 300 minors with lesions of the central nervous system and other disorders of the musculoskeletal system in preschool educational institutions; 500 minors with lesions of the central nervous system and other disorders of the musculoskeletal system in educational institutions |
| 14. | Nurse | 1 for: 25 minors with chronic eye diseases in preschool educational institutions; 150 minors with chronic eye diseases in educational institutions; for each position of an orthopedist-traumatologist provided for in paragraph 8 |
| 15. | massage nurse | |
| 16. | Physiotherapy instructor | depending on the amount of assistance provided to minors with damage to the central nervous system and other disorders of the musculoskeletal system and the current calculated load standards |
Notes:
1. For areas with low population density and limited transport accessibility of medical organizations, the number medical staff departments for organizing medical care for children in educational organizations of a children's polyclinic (department) are established based on a smaller number of students.
2. For organizations and territories subject to service by the Federal Medical and Biological Agency, in accordance with the Decree of the Government of the Russian Federation dated August 21, 2006 No. 1156-r "On approval of the lists of organizations and territories subject to service by the FMBA of Russia" (Collected Legislation of the Russian Federation, 2006 , No. 35, item 3774; No. 49, item 5267; 2008, No. 11, item 1060; 2009, No. 14, item 1727; 2010, No. 3, item 336; No. 18, item 2271; 2011 , No. 16, item 2303; 2011, No. 21, item 3004; 2011, No. 47, item 6699; 2011, No. 51, item 7526; 2012, No. 19, item 2410) established regardless of the number of attached minors.
Application No. 3
to the Procedure for the provision of medical care
minors, including
during the period of education and upbringing
in educational organizations,
approved by order
Ministry of Health of the Russian Federation
dated November 5, 2013 No. 822n
Standard for equipping the medical unit of the department for organizing medical care for minors in educational institutions *
| No. p / p | Name | Amount |
|---|---|---|
| 1. | Medical scales | 1 |
| 2. | Height meter or anthropometer | 1 |
| 3. | Tonometer with age cuffs | 2 |
| 4. | Stethophonendoscope | 2 |
| 5. | Stopwatch | 2 |
| 6. | Tape measure | on demand |
| 7. | Carpal dynamometer of 2 types (for children of different age groups) | 4 |
| 8. | Plantographer | 1 |
| 9. | Medical thermometer | on demand |
| 10. | Otorhinoscope with a set of funnels | 1 |
| 11. | Spatula metal or disposable | on demand |
| 12. | Exhaled air carbon monoxide analyzer with the determination of carboxyhemoglobin (smokelizer)** | 1 set |
| 13. | Hardware and software complex for screening assessment of the level of psychophysiological and somatic health, functional and adaptive reserves of the body** | 1 set |
| 14. | Fridge | 2 |
| 15. | Bactericidal air irradiator, including portable | calculated taking into account the area of \u200b\u200bthe room and the type of irradiator |
| 16. | Disposable syringe with needles (set of 100 pcs.) | |
| per 1 ml | 1 | |
| per 2 ml | 5 | |
| per 5 ml | 5 | |
| per 10 ml | 1 | |
| 17. | Tray medical kidney-shaped | 2 |
| 18. | Roth's apparatus with the Sivtsev-Orlova table | 1 |
| 19. | Medical gloves | on demand |
| 20. | Pipettes | 10 |
| 21. | Mouth-to-mouth artificial respiration airway set | 1 |
| 22. | Ambu ventilator (Ambu bag) | 1 |
| 23. | Medical heating pad | 2 |
| 24. | Ice bubble | 2 |
| 25. | Hemostatic rubber tourniquet | 2 |
| 26. | Stretcher | 2 |
| 27. | Traumatological styling, including: | 1 set |
| pneumatic tires (children and adults) | ||
| vacuum mattress | ||
| scarf | ||
| clavicle fixator | ||
| Shants collar (2 sizes) | ||
| hemostatic tourniquet | ||
| gloves | ||
| bandage sterile | ||
| sterile wipes | ||
| gel cooling-warming pack | ||
| scissors | ||
| adhesive plaster 2 cm - 1 pc., 5 cm - 1 pc. | ||
| 28. | Gastric tubes of various sizes | 4. |
| 29. | Dressing material: bandages, sterile bandages, sterile wipes, sterile cotton wool, adhesive plaster, antiseptics for wound treatment | on demand |
| 30. | Thermal container for transportation of medical immunobiological preparations | 1 |
| 31. | Soap dispensers, paper towels, hand sanitizer | on demand |
| 32. | Ethanol | 0.5 ml per injection |
| 33. | Soft alcohol wipes for treatment of the injection field | on demand |
| 34. | Syndromic stacking of medicines and dressings for emergency medical care*** | 1 set |
| 35. | Disinfectants | on demand |
| 36. | Bucket with pedal lid | 2 |
| 37. | Container for disinfectants | on demand |
| 38. | Container - a puncture-proof container with a lid for disinfection of used syringes, swabs, used vaccines | on demand |
| 39. | Work table | 2 |
| 40. | Chair | 6 |
| 41. | Couch | 2 |
| 42. | Medical screen | 2 |
| 43. | Medical cabinet for storing medicines | 1 |
| 44. | Cabinet for storing medical records | 1 |
| 45. | Medical table | 1 |
| 46. | Tool table | 1 |
| 47. | Manipulation table | 1 |
| 48. | Table lamp | 2 |
| 49. | Bix big | 2 |
| 50. | Bix small | 2 |
| 51. | Tweezers | 4 |
| 52. | Kortsang | 4 |
| 53. | Scissors | 2 |
| 54. | Personal Computer | 1 set |
| 55. | Printer | 1 set |
| 56. | Calculator | 2 |
| 57. | Medicine safe | 1 |
| 58. | Medical gown | 2 |
| 59. | Beanies | 2 |
| 60. | masks | on demand |
| 61. | Rug (1m x 1.5m) | 1 |
| 62. | A set of equipment for the visual promotion of a healthy lifestyle | by number of classes |
______________________________
* If there are other rooms and divisions in the structure of the department, they are equipped in accordance with the requirements of the procedures for providing medical care according to the profile.
*** Posyndromic packing of medicines and dressings for emergency medical care is completed for individual syndromes with a description and instructions for use
Application No. 4
to the Procedure for the provision of medical care
minors, including
during the period of education and upbringing
in educational organizations,
approved by order
Ministry of Health of the Russian Federation
dated November 5, 2013 No. 822n
Regulations on the organization of the activities of a pediatrician (paramedic) of the department for organizing medical care for minors in educational organizations
1. This Regulation establishes the procedure for organizing the activities of a pediatrician (paramedic) of the department for organizing medical care for minors in educational organizations (hereinafter referred to as the department of medical care for students), an office, a health center of a medical organization or other legal entity that, along with the main (statutory) activity, carries out medical activities that provide medical care to minors under the age of 18 studying in educational institutions that implement basic educational programs, in the absence of a department of medical care for students.
2. For the position of a pediatrician in the medical care department, students are assigned 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 the Russian Federation dated July 7, 2009 No. 415n (registered Ministry of Justice of the Russian Federation on July 9, 2009, registration No. 14292) as amended by the order of the Ministry of Health and Social Development of Russia dated December 26, 2011 No. 1644n (registered by the Ministry of Justice of the Russian Federation on April 18, 2012, registration No. 23879), specializing in pediatrics without presenting requirements for work experience in accordance with the order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n "On approval of the Unified Qualification Handbook for the positions of managers, specialists and employees, section" Qualification characteristics ki positions of workers in the field of healthcare" (registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration No. 18247).
3. A specialist is appointed to the position of a paramedic of the medical care department for students in accordance with the order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n "On approval of the Unified Qualification Handbook for the positions of managers, specialists and employees, section" Qualification characteristics of positions of employees in health care" specialty "medical assistant".
4. The pediatrician (paramedic) of the department of medical care for students performs:
participation in monitoring compliance with sanitary and hygienic requirements for the conditions and organization of education and training, including nutrition, physical education, labor training of minors in educational organizations;
providing students with primary health care in an emergency form and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases;
referral of students in the presence of medical indications to a medical organization that provides medical services to a minor;
organization and implementation of activities for the immunoprophylaxis of infectious diseases (in accordance with the National calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications, approved by order of the Ministry of Health and Social Development of the Russian Federation dated January 31, 2011 No. 51n - according to the conclusion of the Ministry of Justice of the Russian Federation in the state does not need registration (letter dated February 17, 2011 No. 01/8577-DK);
organizing and conducting annual screening examinations, periodic medical examinations of students;
organization of preventive medical examinations of students, analysis of the data obtained from the results of preventive medical examinations in order to monitor the health status of minors and develop recommendations for the prevention of diseases and the improvement of students;
development of an individual plan of preventive and health-improving measures for students, taking into account the group of health status, the medical group for physical education based on the results of preventive medical examinations, examination data from medical specialists and current monitoring;
organization of medical examinations of minors before and during the internship in organizations whose employees are subject to medical examinations;
preparation of proposals for the medical and psychological adaptation of minors to an educational organization, the processes of training and education, as well as for the correction of violations of adaptation of students;
work on the formation of groups of minors with an increased medical, social and biological risk of developing health disorders for the optimal organization of the processes of education and upbringing, the provision of medical care, including the correction of health disorders and development;
analysis of the state of health of minors, preparation of proposals on priorities in the development of preventive, corrective measures implemented in educational organizations;
preparation of proposals and implementation of specific medical, social and psychological technologies for preserving, strengthening and restoring the health of minors in the context of educational institutions;
methodological support, together with psychologists and teachers of educational organizations, work on the formation of stable stereotypes of a healthy lifestyle and behavior in students that are not associated with a risk to health;
assessment of the completeness and analysis of the data presented by the medical examination of children entering the first grade;
ensuring medical and psychological adaptation of minors to an educational organization, the process of training and education, as well as carrying out work to correct adaptation disorders;
participation in preventive work in an educational organization to prevent minors from early onset of sexual activity, sexually transmitted diseases, HIV / AIDS;
carrying out work to identify the prevalence among minors of risk factors for chronic non-communicable diseases (high blood pressure, overweight, smoking, alcohol, drugs, toxic substances, etc.), as well as stereotypes of diviant behaviors;
interaction in accordance with the procedure established by law with psychiatrists, narcologists, social pedagogues, psychologists, law enforcement officers, guardianship and guardianship services and others in identifying deviant and asocial forms of behavior of minors (alcoholism, drug addiction, substance abuse, smoking, vagrancy, involvement in criminal activity, etc.);
participation, together with the medical and social department of a children's polyclinic (department) and other medical organizations (centers for family planning, reproductive health, etc.), in medical and psychological educational programs for preparing minors for creating a family, proper reproductive behavior;
carrying out in the conditions of an educational organization work to correct health disorders of minors, which reduce the possibility of their social adaptation, limiting the possibilities of education, choosing a profession, preparing for military service (pathology of the organs of vision, digestion, musculoskeletal system, nervous system, etc.);
informing parents and (or) legal representatives of a minor about the state of health, issuing recommendations for parents and (or) legal representatives;
analysis of the state of health of minors, preparation of proposals for priorities in the development of preventive, corrective, measures implemented in an educational organization;
participation in the rehabilitation of students during their rest and in assessing the effectiveness of its implementation;
organization of accounting and analysis of cases of injuries received in educational institutions, development of a set of measures for the prevention of injuries in educational institutions;
organizing the work of medical workers with secondary medical education, including immunoprophylaxis, monitoring compliance with hygiene requirements for the organization of the learning process and the process of education, physical education, nutrition, etc.;
interaction with the territorial bodies of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare and other institutions on the issue of protecting the health of minors;
organization of advanced training of doctors, medical workers with secondary medical education of the department of medical care for students;
registration of medical documentation in the prescribed manner and reporting on the types, forms, within the time limits and to the extent established by the authorized federal executive body.
5. If violations of the sanitary and epidemiological legislation and (or) factors that affect or pose a threat to the life and health of students are detected, the pediatrician informs in writing the head of the department of medical care for students or the head of the medical organization and the head of the educational organization about the identified violations and risk factors .
Application No. 5
to the Procedure for the provision of medical care
minors, including
during the period of education and upbringing
in educational organizations,
approved by order
Ministry of Health of the Russian Federation
dated November 5, 2013 No. 822n
Regulations on the organization of the activities of a doctor for the hygiene of children and adolescents of the department for organizing medical care for minors in educational organizations
1. This Regulation establishes the procedure for organizing the activities of a doctor for the hygiene of children and adolescents of the department for organizing medical care for minors in educational organizations (hereinafter referred to as the department of medical care for students), an office, a health center of a medical organization or other legal entity that, along with the main (statutory) activity, carries out medical activities that provide medical care to minors under the age of 18 studying in educational institutions that implement basic educational programs, in the absence of a department of medical care for students.
2. A specialist who meets the requirements of the Qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of health, approved by order of the Ministry of Health and Social Development of the Russian Federation dated July 7, 2009 No. 415n (registered by the Ministry of Justice of Russia on July 9, 2009, registration No. 14292) as amended by the order of the Ministry of Health and Social Development of Russia dated December 26, 2011 No. 1644n (registered by the Ministry of Justice of Russia on April 18, 2012, registration No. 23879), specializing in hygiene of children and adolescents .
3. The doctor for the hygiene of children and adolescents shall:
participation in monitoring compliance with sanitary and hygienic requirements for the conditions and organization of education and training, including nutrition, physical education, labor training of minors in educational organizations;
hygienic assessment of the architectural and planning solutions used, the school environment (microclimate, anthropogenic air pollution, illumination, noise, vibration, electromagnetic fields) and the current sanitary condition of the educational organization;
assessment of the conditions and technologies for the education and upbringing of minors, compliance with sanitary and hygienic norms and rules;
participation in the hygienic control of the means of education and upbringing and their use in the processes of education and upbringing;
organizing and conducting sanitary and hygienic education and training of minors and their parents (legal representatives) on the prevention of childhood diseases and the formation of a healthy lifestyle;
assessment of production control over ensuring the sanitary and epidemiological well-being of an educational organization;
introduction of new preventive and hygienic diagnostic technologies;
participation in the clinical and epidemiological analysis of the level and structure of the incidence of minors, including during the period of training and education in educational organizations;
planning activities aimed at maintaining and strengthening health, eliminating the harmful effects on the health of minors, including during the period of training and education in educational organizations, factors of the intra-school environment;
preparation of proposals for local governments to create optimal conditions for the life of minors, the formation of a healthy lifestyle for them and the development of interdepartmental programs for the prevention of diseases;
control over the observance in the educational organization of the sanitary and hygienic standards of the educational process, including the state of the surrounding territory, the catering unit, educational premises, places of recreation for minors, sanitary and hygienic rooms, etc .;
development of programs and measures for the prevention, correction and rehabilitation of students, taking into account professional and production factors;
making proposals to the head of the educational organization to improve the sanitary and epidemiological well-being of the educational organization;
organization in the conditions of educational organizations of work on the correction of health disorders of minors, which reduce the possibility of their social adaptation, limiting the possibilities of education, choosing a profession, preparing for military service (pathology of the organs of vision, digestion, musculoskeletal system, nervous system, etc.);
participation in the hygienic control of the means of education and upbringing and their use in the processes of education and upbringing;
conducting sanitary and hygienic educational work among minors, their parents (legal representatives) and teachers on the prevention of diseases of minors and the formation of a healthy lifestyle;
development and implementation of medical, social and psychological technologies for preserving, strengthening and restoring the health of minors in an educational organization;
carrying out (together with the teaching staff) in the educational organization of activities and monitoring their effectiveness to form in minors (at the group and individual level) stable stereotypes of a healthy lifestyle, including the prevention of alcoholism, drug addiction, substance abuse;
organization and methodological support of work to identify the prevalence among minors of risk factors for chronic non-communicable diseases (high blood pressure, overweight, smoking, alcohol, drugs, toxic substances, etc.), as well as stereotypes of deviant behaviors;
interaction with the territorial bodies of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare and other institutions on the issue of protecting the health of minors;
conducting sanitary and hygienic educational work among minors, their parents (legal representatives) and teachers on the prevention of diseases of minors and the formation of a healthy lifestyle;
methodological support, together with psychologists and teachers of educational organizations, work on the formation of stable stereotypes of a healthy lifestyle and behavior in students that are not associated with a risk to health;
promptly informs the responsible medical worker for timely informing the territorial internal affairs bodies about the facts of admission (appeal) of students in respect of whom there are sufficient grounds to believe that harm to their health was caused as a result of unlawful actions.
4. If violations of the sanitary and epidemiological legislation and (or) factors that affect or pose a threat to the life and health of students are detected, the hygiene doctor for children and adolescents informs in writing the head of the department of medical care for students or the head of the medical organization and the head of the educational organization about the violations found and risk factors.
Application No. 6
to the Procedure for the provision of medical care
minors, including
during the period of education and upbringing
in educational organizations,
approved by order
Ministry of Health of the Russian Federation
dated November 5, 2013 No. 822n
Regulations on the organization of the activities of a nurse (paramedic) of the department for organizing medical care for minors in educational organizations
1. This Regulation establishes the procedure for organizing the activities of a nurse (paramedic) of the department for organizing medical care for minors in educational organizations (hereinafter referred to as the department of medical care for students), an office, a health center of a medical organization or other legal entity that, along with the main (statutory) activity, carries out medical activities providing medical care to minors under the age of 18 studying in educational institutions that implement basic educational programs, in the absence of a department of medical care for students.
2. A specialist is appointed to the position of a nurse (paramedic) in accordance with the order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n "On approval of the Unified Qualification Handbook for the positions of managers, specialists and employees, section" Qualification characteristics of positions of employees in healthcare sector" (registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration number 18247) with a degree in "nurse", "paramedic".
3. The nurse (paramedic) of the department of medical care for students performs:
providing students with pre-medical primary health care in an emergency and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases;
preventive measures aimed at protecting and strengthening the health of students in an educational organization;
calling an ambulance and (or) organizing transportation to a medical organization of students in need of emergency medical care;
participation in monitoring compliance with sanitary and hygienic requirements for the conditions and organization of education and training, nutrition, physical education and labor training of minors in educational organizations;
carrying out activities for the immunoprophylaxis of infectious diseases (in accordance with the National calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications, approved by order of the Ministry of Health and Social Development of the Russian Federation dated January 31, 2011 No. 51n - according to the conclusion of the Ministry of Justice of the Russian Federation in state registration is not needs (letter dated February 17, 2011 No. 01/8577-DK);
participation in the organization and conduct of annual screening examinations, periodic medical examinations of minors;
participation in the organization of preventive medical examinations of minors;
participation in the development of an individual plan of preventive and health-improving measures for students, taking into account the health status group, the medical group for physical education based on the results of preventive medical examinations, examination data from medical specialists and current monitoring;
participation in the organization of medical examinations of minors before and during the internship in organizations whose employees are subject to medical examinations;
participation in the formation of risk groups among minors in order to conduct differentiated medical supervision and determine priorities in the development and implementation of preventive, health-improving, correctional and rehabilitation programs in educational organizations at the individual and group levels based on medical, social, psychological, pedagogical and other information ;
participation in the assessment of the completeness of the data presented by the medical examination of children entering the first grade;
participation in the assessment of the functional readiness of a minor for schooling, when transferring a student to a class of compensatory education, when a minor moves to an organization with a higher level of education, etc.;
participation in the preparation and conduct of a comprehensive medical and psychological-pedagogical assessment of the health status of minors;
interaction with district pediatricians, medical specialists of a medical organization and psychologists and teachers of an educational organization on issues of professional suitability of minors;
participation in carrying out (together with the teaching staff) in the educational organization of events and in monitoring their effectiveness in the formation of stable stereotypes of a healthy lifestyle in minors (at the group and individual level), including the prevention of alcoholism, drug addiction, substance abuse;
participation in carrying out preventive work in an educational organization to prevent minors from early onset of sexual activity, sexually transmitted diseases, HIV / AIDS;
interaction in accordance with the procedure established by law with psychiatrists, narcologists, social pedagogues, psychologists, law enforcement officers, guardianship and guardianship services and others in identifying deviant and asocial forms of behavior of minors (alcoholism, drug addiction, substance abuse, smoking, vagrancy, involvement in criminal activity, etc.);
participation, together with the medical and social department of the children's polyclinic (department) and other medical organizations (centers of family planning, reproductive health, etc.) in the implementation of medical and psychological educational programs for preparing minors for creating a family, proper reproductive behavior;
participation in the work carried out in the conditions of an educational organization to correct health disorders of minors, which reduce the possibility of their social adaptation, limiting the possibilities of education, choosing a profession, preparing for military service (pathology of the organs of vision, digestion, musculoskeletal system, nervous system, etc.);
informing parents and (or) legal representatives of a minor about the state of health of students, making copies and (or) extracts from medical records;
participation in the rehabilitation of minors during their vacation;
accounting and analysis of cases of injuries received in educational institutions;
transfer of information to the responsible medical worker of the medical organization to inform the internal affairs bodies about the admission (appeal) of patients (students) in respect of which there are sufficient grounds to believe that harm to their health was caused as a result of unlawful actions;
disinfection, pre-sterilization cleaning and sterilization of instruments;
storage of medicines, including medical immunobiological preparations, safety of labels on bottles, control over the terms of use of medicines;
compliance with the rules of labor protection and fire safety at the workplace;
compliance with the rules of asepsis and antisepsis;
analysis of the implementation of the monthly plan of preventive vaccinations;
accounting of medical equipment, medicines, grafting material, their timely replenishment;
interaction with district pediatricians, medical specialists of medical organizations, psychologists and teachers of educational organizations;
registration of medical documentation in the prescribed manner and reporting on the types, forms, within the time limits and to the extent established by the authorized federal executive body;
transfer of information to the responsible medical worker of the medical organization to inform the territorial internal affairs bodies about the facts of admission (appeal) of patients (students) in respect of which there are sufficient grounds to believe that harm to their health was caused as a result of unlawful actions, and the appointment of medical workers responsible for the facts admissions (contacts) of such patients;
maintains approved forms of accounting and reporting medical documentation.
5.* If violations of the sanitary and epidemiological legislation and (or) factors that affect or pose a threat to the life and health of students are detected, the nurse (paramedic) informs in writing the head of the department of medical care for students or the head of the medical organization and the head of the educational organization about the identified violations and risk factors.
Document overview
Rules have been established for the provision of medical care to minors, including during the period of education and upbringing in educational organizations.
Children are guaranteed the provision of medical care based on its standards within the framework of the program of state guarantees of free provision of medical care to citizens.
Provided the following types medical care: primary health care, including pre-medical, medical and specialized; specialized, including high-tech; ambulance, including specialized ambulance; palliative.
The organization of health protection of minors during the period of education and upbringing in educational institutions is entrusted to the latter. At the same time, primary health care, medical examinations and medical examinations are carried out by health authorities. The educational organization is obliged to provide them with appropriate premises free of charge.
Departments for organizing medical care for minors are opening in schools. The goal is to provide primary health care in an emergency and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention. The regulation on such a department, the recommended staffing standards for its employees, and the standard for equipping the medical unit have been approved. It is spelled out how the activities of a pediatrician (paramedic), a hygiene doctor for children and adolescents, a nurse (paramedic) of the department are organized.
In the absence of a department, primary health care may be provided in offices, health centers of a medical organization or other legal entity engaged in medical activities (along with the main (statutory) one).
For medical intervention, it is necessary to obtain the informed voluntary consent of the minor or other legal representative. It is not required to provide emergency medical care to eliminate the threat to life.