Ensuring health and recreation in the enterprise. Organization of the health of citizens' health in the Russian Federation. TB at the end of work

Medical and sanitary service

Workers industrial enterprises

And agriculture

Ryazan, 2006.

Methodical guidelines for practical student classes

Therapeutic and dental faculties

Medical and sanitary service of workers industrial enterprises and agriculture

TEST QUESTIONS:

1. General features of labor hygiene in agriculture.

2. Hygienic features of working conditions, incidence of working in the field and ways of their recovery.

3. Hygienic features of working conditions, morbidity of workers of animal husbandry and ways of their recovery.

4. Scientific Organization of Labor (notes) - definition, main tasks, directions and ways of permission.

5. Features of the organization of health care workers industrial enterprises and agriculture. The main directions and institutions that are implemented.

6. The medical and sanitary part of the enterprise, its structure, organization and amount of medical care provided.

7. The essence of the workshop of the workshop of the workers, the volume and form of its organization at industrial enterprises.

8. Tasks and responsibilities of a workshop-therapist.

9. Guidelines in the activities of the workshop, their essence and objectives.

10. Preliminary medical examinations, objectives, tasks and procedure for their conduct.

11. Periodic medical examinations, goals, tasks and procedure for their conduct.

12. Investigation of acute and chronic occupational diseases (poisoning).

13. Study and analysis of incidence in production.

14. Basic measures for the prevention of general and occupational diseases.

Medical and sanitary service of workers industrial enterprises and agriculture is carried out in two other destinations:

1) security and improvement of working conditions;

2) therapeutic and preventive assistance to workers.

The first of them is ensured by the territorial departments of the Federal Service for Supervision in the Sector of Consumer Rights Protection and the Welfare of Human (TU Rospotrebnadzor) in the form of state sanitary supervision. Wherein supervisionincludes:

Monitoring compliance with sanitary standards and rules in the design, construction, reconstruction and commissioning of industrial and agricultural facilities, the introduction of new technological equipment, machines, mechanisms, new chemicals, etc.;

Monitoring compliance with sanitary-anti-epidemic norms and rules on existing enterprises;

Study of the hygienic characteristics of working conditions and morbidity in industrial and agricultural production;

Organization in conjunction with therapeutic institutions of the organization of preliminary and periodic medical examinations, accounting, registration and investigation of the causes of occupational diseases, monitoring the protection of women and adolescents, participation in the development of comprehensive plans for sanitary and recreation activities aimed at preventing professional diseases and reduce the overall incidence of workers.

For an objective assessment of working conditions and improving the efficiency of state sanitary surveillance on occupational health supervision, laboratory methods of study of the forces of sanitary-chemical laboratories of the FGUZ "Center of Hygiene and Epidemiology" and departmental sanitary and chemical laboratories organized at large industrial enterprises are used.

Events on the prevention of occupational diseases are primarily determined by the creation of the most favorable working conditions on the basis of integrated mechanization, automation, sealing of harmful or hazardous health manufacturing processes and the wide use of the most advanced local and common industrial ventilation systems.

Therapeutic and prophylactic assistance of industrial workers turns out to be on the production principle on the basis of the workshop, a specially organized network of health institutions in industrial enterprises, including medical and sanitary parts (MSH) , factory polyclinics , Medical and Feldsher healthy health , as well as medical institutions of the territorial network: polyclinics, hospitals, dispensaries, clinical departments (hospitals) of research institutes and medical universities.

Medical and sanitary parts Organized in enterprises with the number of more than 4,000 people working, and in the oil, coal, mining and chemical industries - over 2000 people.

Medical healthcare organized in shops, industries and individual enterprises with the number of workers at least 800 people, in enterprises and shops with the number of 300 to 800 people working from 300 to 800 people feldsher Sweep CupsAnd at the enterprises of the chemical, coal and mining industries, they are organized with 200 workers.

Swells are included in urban hospitals or clinics. Small enterprises, as well as agricultural facilities that do not have their healthy sites are serviced by a district or city hospital, in the territory of which they are located.

At the same time, the hospital for their service highlights a special district physician.

Structure and objectives of the health part.

The health care part is a comprehensive hospital and polyclinic institution, including a hospital, clinic, medical and medical schools, located directly in the workshops of the industrial enterprise.

The health care part organizes and conducts its work together with that Rospotrebnadzor, the administration and public organizations of an industrial enterprise on the basis of a single integrated plan of medical and recreational activities.

The main tasks of the health part are the maximum approach to the work of qualified and specialized medical care workers and employees, the development and conduct of activities aimed at rehabilitation of working conditions and life, prevention and reduction of professional morbidity, industrial injuries, incidence with temporary disability and disability .

The work of the health part is based on the workshop principle. For each workshop, a doctor is attached responsible for therapeutic and preventive work. The workshop is organized at the calculation of the service of a doctor of 2000 workers, and at the enterprises of the coal, chemical and oil refining industry - 1000 workers.

For the purpose of comprehensive medical care, workshop medical teams were created, as part of which, in addition to the workshop, therapist include doctors of the main specialties: a otolaryngologist, a neuropathologist, surgeon, traumatologist, an obstetrician-gynecologist.

Medical and sanitary part doctors, knowing specific working conditions in the workshop, more accurately solve issues on the working capacity and appointment of a targeted complex of medical and preventive measures to a sick worker. MSC provides all kinds of medical care, and in the absence of a hospital in its composition - takes measures to hospitalize workers in hospitals or other institutions of an open medical network.

Tasks and responsibilities of a workshop-therapist.

The main task of the workshop-therapist is the struggle for reducing the incidence and creating healthy, safe working conditions.

The duties of workshop doctors include:

Provision of workers and employees of the fixed workshop, a plot of qualified medical care; in necessary cases with the involvement of other specialists or hospitalization in the hospital;

Examination of temporary disability;

Selection of patients in need of sanatorium-resort treatment, direction in the preference, appointment and substantiation of diet food;

Providing first aid in sudden diseases, injuries, professional poisoning in production;

Dispensary observation of the health of working, organization and conducting preventive medical examinations;

Organization and conduct of preventive vaccinations of working;

Organization and participation in investigating accidents, professional poisoning (diseases) in production;

Study and analysis of the incidence of workers;

Participation in conducting preventive measures to prevent and reduce morbidity with VUT (temporary disability), professional diseases and injuries;

Improving sanitary and hygienic working conditions;

Sanitary and educational work.

For prophylactic work in the shops of workshop district registry physicians, 9 hours of working time per week (permanent days) are given, and one of the days is completely for preventive work. A certain time for the same goal is given to the doctors of other specialties operating in MSC.

When conducting preventive work, the work doctor:

Studying the technology of the production process in the workshop and its influence on the working conditions of the workers;

Together with the specialists, the work of Rospotrebnadzor on labor hygiene monitors the state of working conditions and safety, in compliance with the sanitary legislation in the enterprise, especially in workshops with adverse production factors;

Conducts accounting and analysis of the causes of professional morbidity, industrial injuries, incidence with temporary disability and disability, develops measures to reduce them;

Takes out the selection of contingents of patients for closerization, conducts dynamic observation of their health, treatment and prevention of exacerbations, complications of diseases;

Conducts the preparation of the public sanitary asset of the enterprise, the training of workers to the provision of self-conformity, conducting broad sanitary and educational work;

Conducts sanitary-anti-epidemic work.

Guidelines in the work of shop doctors.

1. Order of the Ministry of Health and Social Development of the Russian Federation of August 16, 2004 No. 83 "On approval of lists of harmful and (or) hazardous production factors and works, when performing preliminary and periodic medical examinations (surveys), and the procedure for conducting these inspections (surveys) "

2. The current provisions of the orders:

Ministry of Health and Medical Industry of the Russian Federation dated 14.03.96 No. 90 "On the procedure for conducting preliminary and periodic medical examinations of workers and medical regulations of admission to the profession";

Ministry of Health of the USSR dated 09.29.89 №555 "On improving the system of medical examinations of workers and drivers of individual vehicles";

3. Resolution of the Government of the Russian Federation of December 15, 2000 No. 967 "On Approval of the Regulation on the Investigation and Accounting of Professional Diseases"

It is provided by the organization and carrying out mandatory preliminary when admitting work, associated with hazardous, harmful substances and adverse production factors, as well as periodic examinations of employees.

Employees engaged in hard work and work with harmful or dangerous working conditions, as well as on the work related to traffic movement, undergo mandatory preliminary when admitting work and periodic (persons under the age of 21 - annual) medical examinations.

Preliminary medical examinations (surveys) when entering work are carried out in order to determine the compliance of the health status of the employee entrusted to him.

Periodic medical examinations (surveys) are carried out with the goal:

1. Dynamic observation of the health of employees, timely detection of initial forms of occupational diseases, early signs of impact of harmful and (or) hazardous production factors on the health of employees, the formation of risk groups;

2. Detection of common diseases that are medical contraindications to continue work related to the impact of harmful and (or) hazardous production factors;

3. timely conduct of preventive and rehabilitation measures aimed at preserving the health and restoration of workers' workability.

The frequency of periodic medical examinations (surveys) is determined by the territorial bodies of the Federal Service for Supervision in the Protection of Consumer Rights and Welfare (TU Rospotrebnadzor), together with the employer, based on a specific sanitary and hygienic and epidemiological situation, but periodic medical examinations (surveys) should not be conducted Less frequently than once every two years.

Preliminary and periodic medical examinations (surveys) of employees are conducted by medical organizations that have a license for the specified activity.

The employer determines contingents and constitutes a lost list of persons subject to periodic medical examinations (surveys), indicating plots, workshops, industrial, harmful work and harmful and (or) hazardous production factors that affect employees, and after agreeing with the territorial bodies of the Federal Service According to the supervision of the protection of consumer rights and the well-being of a person, he sends it 2 months before the start of inspection into the medical organization, with which an agreement was concluded for periodic medical examinations (surveys).

Medical organization based on the employer received from the employer of employees to be periodic medical examinations (surveys) approves together with the employer the calendar plan for medical examinations (surveys).

The head of the medical organization, carrying out preliminary and periodic medical examinations (surveys), approves the composition of the Medical Commission. The Commission determines the types and volumes of the necessary studies, taking into account the specifics of existing production factors and medical contraindications to the implementation or continuation of work on the basis of existing regulatory legal acts.

Worker for passage preliminary Medical inspection (examination) represents a direction issued by the employer, which indicates harmful and (or) hazardous production factors and harmful work, as well as a passport or other document, replacing it, an outpatient card or an extract from it with the results of periodic inspections at the place of previous works. And in the cases stipulated by the legislation of the Russian Federation, the decision of the medical psychiatric commission.

Registration of the results of preliminary and periodic medical examinations:

1. Conclusion medical commission and the results of medical examination (examination), both preliminary and periodic as well as extract From the outpatient map of the employee are made in map preliminary and periodic medical examinations (surveys).

2. Medical organization in conjunction with the territorial bodies of the Federal Service for Supervision of Consumer Rights Protection and Welfare of Human and the Employer Representative summarizes the results of the preliminary and periodic medical examinations (surveys) of employees and is Final Akt. According to its results in four copies.

After examination with respect to each person passing preliminary Medical Inspection, the conclusion of professional fitness is made in relation to each person passing periodic Medical examination, doctors conducting medical examination, outlines therapeutic and recreation activities:

Dynamic observation and necessary treatment of persons who have revealed deviations from organs and systems, in the etiologists of which a professional factor plays a major role;

Direction to stationary and sanatorium-resort treatment, diet, in the holiday homes and sanatorium-pretentia (depending on the nature of the identified diseases);

A temporary translation for health to another work with the exception of contraindicated professional factors, while WCC determines the nature of the recommended work, taking into account the qualifications of the patient;

Translation to work in lightweight conditions in the presence of consequences after a moved professional disease, which is contraindicated to continue working in the previous conditions;

Direction to MCEC to establish a constant disability, interest (degree) of disability.

If, during a periodic medical examination (examination), suspicions arise for the existence of a professional illness, a medical organization sends it in the prescribed manner to the Center of Profitology on the examination of the communication of the disease with the profession.

All persons with identified professional diseases or disabilities in the state of health that can be associated with a professional factor should be on a dispensary observation in the attending physician or doctor of a specialist in the profile of the disease, or at a professional profession.

Introduction

1. Organization of health protection in the enterprise.

Personnel Health Management as a successful personnel policy tool

3. Management of personnel security in the organization.

List of used literature.

Introduction

Studies of leading international companies in personnel management show that the efficiency of business processes is largely determined by the state of health of the company's employees from which the motivation, loyalty and productivity of labor are largely depends. In addition, it is the state of the health of employees determines the level of abssenttenance. Therefore, it is obvious that the management of personnel health is one of the most important tasks HR, a tool of successful personnel policy.

A survey of the management of a number of European companies conducted by BusinessWeek European Leadership Forum, proved that companies rather need to make a priority to the well-being of their employees, rather than care for customers. Interestingly, the concept of developing people is the most important factor affecting the success of the business. Company executives reported that the presence of capable, initiative employees - professionals more valuable than the knowledge of customer needs. Companies can make a client happy only if their employees are surrounded by care and respect. To be accurate, then ultimately the employees are responsible for relationships with customers and represent the value proposal of your organization. According to the British insurance company BUPA, people with strong health on average are 20% more efficient than people with weak health. The latter include up to 30% of the staff of the team, which are experiencing stress, lack of sleep, suffer from poor diet and hypodynamia.

1. Organization of health care in the enterprise

Any work carries the potential danger of professional health defeat. The degree of this lesion is different and depends on many reasons. There is a certain inconsistency of the health and safety of a working person. Attempts by a breakthrough of private approaches to ensuring security and improve persons were unsuccessful. It took a comprehensive system analysis of the basics of security and health culture. Accordingly, the security culture acts as an integral reflection of regulatory processes by the employee of psychophysiological professional and important qualities of the quantitative characteristics of health and professional performance in the process of its activities and communication (within the framework of the sociotechnical system) is the most important safety factor. Culture Production is closely related to the culture of security, and in turn with the culture and state of health of employees.

In addition to the security culture, there is still psychophysical culture. Psychophysical culture includes physical exercises of motor and static character in combination with respiratory gymnastics. The skills of psychophysical culture should be an integral part of the human psyche worker in the energy sector. They train the will, the entire psychomotor personality center and are an efficient and effective means of self-education.

to move the social consciousness of people to healthy - in the initial meaning of this word - thinking? In the Soviet past, consciousness was determined by life. Reformers developed this position: now consciousness is determined not by being, not by life, but money (monetarism). The interests of the worker, the owner, the employee was sacrificed to numerous reforms. As a result, the labor consciousness of workers is clearly deformed. Most people no longer compares the results of their employment capacity with the desire to take a higher level in society, improve material well-being.

To optimize the processes of recovery and the creation of an appropriate motivation in a person, a clear specific goal is required. There must also be due to the results of the results and the developed criteria for evaluating the effectiveness of the events held. Unlike theoretical health studies that allow the approximity of the wording and the "blur" of concepts, health formation is practical activity that requires clear goals and tangible criteria at all stages of work. For the practice of recovery, there must be concretized - clarity of representations and the practical development of rank criteria; The ability to measure the amount of health in each particular individual, as well as the ability to control the accuracy of measuring the amount of health and the efficiency of modifying behavior.

Health is such a form of vital activity that provides the necessary quality of life and its sufficient duration. Any disease is considered to be the disease only because it violates the quality of life and leads to premature old age.

Unfortunately, the doctrine of the quality of life is still in its infancy, although one of the most important areas of preventive medicine seems to be seen.

The interaction of a person with many social and medial factors, taking into account individual resistance and susceptibility. It is necessary to take into account human satisfaction with their activities, life, and this should be decisive.

Human health cannot be determined and understanding in the separation from a particular environment in which a person lives. The lifestyle of a person is the cast of dominating relations in society. At the same time, there should be no hypertrophied idea of \u200b\u200bthe possibilities of an individual in the formation of real conditions for a healthy or unhealthy lifestyle. There must be an adequate assessment of responsibility. Individual responsibility - 60-70%, state - 10%, public -10%, enterprises - 10%.

As part of this article, consider the concept of health and responsibility for health at two levels - enterprises and individuals. The management of the enterprise (company) should take care of the health of their employees and in every way to encourage employees. For example, at the end of the year, everyone who did not have a single time, receive a decent prize. And those who do not smoke, get a small remuneration. It is necessary to accustom workers to take care of their body and keep it in perfect order. It is necessary to determine the effectiveness of the stay of workers on vacation and materially celebrate those persons who can not only work well, but to rest effectively. The company's task should include to organize the determination of the amount of health from workers and stimulating employees to achieving the level of safe health. The organization should provide transport, that is, bring to work and take away from the work of its employees, in addition, it is necessary to feed employees at work on specially developed nutritional rations. In a word in the enterprise there must be a health service. And at the enterprises in addition, there must be a service reliability service. The tasks that would have to create a monitoring system for each employee of psychophysiological performance indicators of professional efficiency.

The most weighty share of overall responsibility is individual responsibility for their health.

2. Personnel health management as a tool of successful personnel policy

In modern conditions, many aspects of production activities negatively affect the health of the staff: it is constant stress, and insecurity, and poor ecology, which is especially important for large cities, but the main thing is a zadietot. Lack of personal time does not allow employees to take place in a timely manner and seek medical attention, pay attention to sports, rest and healthy nutrition. When analyzing the answers to the question of prevention barriers, it was revealed that the main reason for the low efficiency of preventive interventions is related to the lack of funds (76%) and time (68%).

In a situation where the employee does not have enough time, the employer should manage his employees himself. For this, the HR-s Western countries has already been used by HEALTH Management technology, which is becoming increasingly relevant to us.

In the most general form, Health Management includes two components. The first is a comprehensive study of medical risks, the purpose of which is to identify and rank for significance factors negatively affecting the health of employees. In other words, experts explore production processes and pay attention to HR-s on all sharp corners: stressful points and other aspects, negatively affecting personnel health.

At this stage, statistics are studied in the most frequent diseases, their causes and consequences are established, a stress audit is carried out. Further, according to the results of the study, a plan of preventive events are drawn up, which must be carried out to reduce the incidence. Preventive events cover all areas, one way or another, affecting employees. These are not only regular medical examinations and vaccination, but also corporate fitness, programs that stimulate smoking, healthy eating, as well as ergonomics and an office ecology.

To motivate employees to engage in their health, it is necessary, first of all, link career growth and economic well-being with the state of health. In many Western companies, they have long become the norm of the Prize to employees who refrain from smoking and lead a healthy lifestyle. Insurance company Humana Inc. He conducted a survey among their employees to find out if they used tobacco products in previous twelve months. Those who abstraced from smoking received a monthly increase to the complaint of $ 5. And General Mills Inc. Monthly deducted $ 20 from the smokers from the disease benefits.

Not only bonuses play an important role, but also various activities aimed at introducing the ideology of a healthy lifestyle at the enterprise. It is very difficult to track whether a person really refused to be a bad habit or he quietly continues to smoke at the open time, whether he really is seriously engaged in fitness or visits the gym "for the tick". It is important to create a whole ideology of a healthy lifestyle. Not only internal brochures and posters work on the formation of such ideology, but also corporate sporting events: trips, competitions, fitness.

More and more organizations believe that employees are the most important and main factor in the normal functioning of the organization, and take active steps in order to create the best conditions for their staff: provide employees with all the necessary means to maintain health (starting with the gymnastic hall and ending Precilakery), use training programs for removing stress, professional counseling, etc.

On the other hand, today many people are really sick or truly healthy. They are victims of a new lifestyle in which they are not oriented. For our country, this is a sharp transition to market relations. For highly developed countries, the progressive development of technology. But both sets the tasks that they are not always on the shoulder. They sometimes do not understand how to give their lives meaning and use their abilities and opportunities. Many doctors adhere to the opinions that a person who no longer sees the goal for him, formerly incentive and support, is deprived of his strength. Therefore, most people today fell into a situation in which their mental and physical resistance of disease weakens.

All this should encourage the heads of organizations more deeply to the analysis of the causes of the absence of an employee at work.

Today, certain categories of workers have fear of work, before colleagues, before the head, especially causeing harm to the growing nervous system. Fear harms more than excessive requirements for working. Therefore, a large influence on the predisposition to the disease is provided by the installation and the degree of satisfaction of the working, obtained from their activities. In such cases, the overload at work and underload leads to one result - lack of in the workplace. Many studies have been proven that with an increase in responsibility for the results of work and satisfaction from its activities, the absence time is reduced.

Today it becomes generally accepted that accidents and absence in the workplace are very often caused by stressful situations, alcohol abuse or drug use - all three reasons are interrelated. In tab. 1 lists some symptoms of the stress of physical, emotional and behavioral nature.

Knowing and understanding as a head of his own, as well as the reaction of other people to stress and how it is manifested in the observed behavior, you can recognize its symptoms much faster. This is the first step in determining the causes of stress and identify what it is due to: organizational factors or tension at work. With similar causes of stress, the manager can modify the work or mitigate the impact of adverse factors, or somehow change the surrounding environment.

You need to be able to properly use employees at work. They are satisfied, if the requirements that set them are not too high, but not too low. They prefer the requirements to meet their experience, so that they work in a small group, and not in the team of great numbers. With a high morbidity, the situation is also the same as with great employee fluidity: the cause of the phenomenon should often be sought in the level of manual management.

Losses of working time due to the lack of employees at work crucially dependent on satisfaction and the relationship of employees to each other. By his behavior, the head is able to significantly affect the loss of time. A very important factor at the same time is the leadership style, rational use of an employee at work and good working conditions.

3. Personnel security management in the organization

A thorough analysis of the conditions that generate accidents, again and reaffirms: the technical factors themselves are rarely the cause. In addition, it is always easier to investigate and understand the safety of the production facility, which to find out the exact circumstances of the accident, since it is not most often a manager nor an employee want to bear personal responsibility and hide the actual reasons. To determine the states under which there are violations of safety regulations, hazardous objects are best distinguished. For each object, you need to establish compliance with the required safety standards. Thus, if you analyze accidents on the unified catalog of conditions that contribute to accidents, the leader will be able to quickly establish the cause of violation of the rules of labor safety.

Errors based on people's behavior are harder. If the safety engineer, and any leader, will ask, whether equipment is not exploited with violation of safety regulations, then most often he will receive a biased response. Who is aware that the accident is explained by his own shortcomings? What director admits that the case is associated with unsatisfactory learning or dismissive attitude to the briefing or because an unprepared worker was allowed to work? However, it is these mistakes that underlie most of the accidents. According to statistics, approximately half of all accidents occurs due to inattention, excessive diligence, indifference responsible for carrying out work.

It is very easy to find a person who can shove the whole guilt and think that the problem is solved. It is probably sometimes this is one of the options to solve the issue, but it is more important to ask the question: "How did the organization allowed the person to act in this way?" If there is a person who can be imposed on all the guilt, this does not release the head and the organization from repeating such a situation. It is necessary to figure out the main cause of what happened.

As a leader, you can refer to what you will accurately follow the requirements and thereby fulfilling your duties to ensure the safety of labor. But this is an incomplete understanding of the tasks of the head, since the responsibility for the security of its employees cannot be shifted to the prescriptions or, for example, to the safety department represented by his chief or engineer of this service. Unfortunately, such an incorrect installation occurs often.

Therefore, it is necessary to awaken and strengthen the consciousness of responsibility for the safety of labor from managers and employees. The manager must clarify to employees and bring all that is required from them, and take the necessary steps to implement it successfully. The safety regulations should be clearly formulated and any violation of these rules should entail the adoption of disciplinary measures.

In labor safety management systems, organizations often use the division of all employees with which accidents may occur for three typical groups:

Employees who do not adhere to safety rules for ignorance. Often these are newbies in the organization, inexperienced and not enough instructions in the process of introducing a position;

Employees, although those who know, how to act, but not fulfilling the rules, since they are distracted for various reasons, they are overloaded, nervous. Sometimes due to fatigue, personal troubles or illness, strong excitement, they become not able to perform certain activities;

Employees who are although they know how to work correctly, and know how to do this, but do not attach the values \u200b\u200bto comply with the safety rules. Usually the reason for this is excessive diligence, hurry, false heroism. Such employees do not consider their risky working methods dangerous and do not realize that they can lead to an accident. A large proportion of violations of safety regulations has a similar incorrect attitude of employees to security issues.

Personnel management necessarily includes special training for employees by their safety regulations. And this is the responsibility that will not be avoided by any leader. Teaching safety and health safety regulations is the only form of training that is mandatory by law.

Although, undoubtedly, there are certain specific needs depending on the particular industry or a specific work, but the list of various categories of employees who need learning will obviously be the same. These are new employees undergoing an introduction to the position, managers and low-level managers, responsible (staffing and public) for safety, representatives of trade unions and permanent personnel of the organization. One of the serious problems among people working for a long time in an organization is their "addictive" to dangerous situations. It is very difficult to change the attitude towards these or other phenomena. Therefore, it is necessary that the staff members constantly passed on safety training. Partially, this question can be solved by persistent implementation of these rules to life, but most often some other measures should be taken. For example, you can offer a new security scheme, which can increase the interest of employees to these issues and encourage them to pay more attention to possible dangerous situations. It is necessary to carefully consider each such situation at the staff meeting. To this end, it is good to use video or movies designed to create personnel ideas about the necessary safety technician and in order for the staff to look at these questions on the other hand.

In any control system, the control is essential. In order to be confident that safety rules are performed, any supervisor needs to control their observance. We will discover attention on two very useful approaches for monitoring the safety regulations that contribute to the prevention of accidents.

The first approach is the "regular trial" method. It assumes the presence of trained observers who bypass the organization (department) on the prescribed route and identify deficiencies in the field of safety. This task can be imposed on the employee of the TB department. The main thing here is that the control level of possible violations must be specified, and the task of controlling is to prevent its exceedances. The method allows you to identify dangerous situations until they are outraged into accidents and incidents.

The second is the "critical case" method. He suggests a survey of employees to identify the causes of situations close to dangerous. And this approach is focused on preventing accidents.

All of the above assumes that the head is familiar with the "desired standards," can evaluate how these tasks are running, what steps it is necessary to take to improve the state of affairs. It carries out a regular safety test check in order to ensure that the behavior of employees has established established standards for a long period of time.

If the organization wants to make a matter as required by law and standards, it is necessary to pay attention to all cases of safety disorders and fix them. Only then, personnel and safety experts will be able to help the head, providing the necessary statistical data and an analysis of accidents, as well as conclusions made on the basis of their study.

findings

In the modern economic and political conditions of the development of our country, characterized by the emergence of various forms of ownership, the concept of "security" becomes increasingly significant. Next to the Safety and Protection of Personnel, commercial services, ensuring the economic security of entrepreneurship appear for each enterprise. New content acquire processes for the protection of the results of creative scientific, engineering and artistic and design activities. Today's approach to the disclosure of the concept of security management is primarily based on the legal regulation of relations of all types of ownership.

Safety in the workplace is not only a question of technology or organization of production, but first of all, the moral duty of each leader. Accidents that occurred due to technical and organizational disadvantages are gradually leaving in the past, while most of the injuries and material damage occurs because of the wrong behavior of people.

Legal protection against industrial accidents and occupational diseases, as well as preventive health measures, are reflected in labor legislation, in the state insurance situation, in the system of labor safety standards. Responsibility for the safety status lies with the organization's management.

List of used literature

1. Balabanova L. Governance staff: Increases Square / Lyudmila Balabanova, Ole Sardak; Mіn-in Oswet and Science of Ukraine, gives іm. M. Tugan-Baranovsky. - K.: Professional, 2006. - 511 p.

2. Cruzelnitzka O. Governance staff: Inhabitant Poskubnik / Olga Krizhelnitka, Dmitro Melnichuk,. - 2nd view., Rub. th added .. - K.: Condor, 2005. - 304 p.

3. Pribranri V. Personnel Management in Japan: Essays / V. A. Prikrynik, I. D. Ladanov. - M.: Science, 1999. - 205 p.

4. Savelєva V. Governance staff: Inach Savelєva, Oleksіy єskov ,; Mr. Oswet and Science of Ukraine. - K.: Professional, 2005. - 335 s.

5. Slinkov V. Personnel Management: (Practical recommendations) / Vladimir Slinkov,. - 2nd ed., Corrected. - K .: Alert: CST, 2006. - 239 p.

6. Governance staff: inhabitant Poskibnik / Mikola Vinogradskiy, Svitlan Belyaєva, Alla Vinogradska, Oleon Solova,; M-in Oswet and Science of Ukraine, Kyiv. Eko-Mr. ІН-T management. ("Energy"). - K.: The Center of Inincidences Liteaturi, 2006. - 500 s.

7. Controlling staff by Fіrmi: Inthrivance Poskiknik for the stud. Econ. special / ed. Valentina Kramarenko, Boris Cold,. - K.: Tsul, 2003. - 271 p.

8. HMIL F. Governance staff: Pedrichnik / Fedіr HMIL, - K.: Akademvidav, 2006. - 487 p.

9. More than A. Management: Textbook / Anatoly Sever ,. - 3rd ed., Act. and ext .. - k.: Valley, 2006. - 645 p.

Labor protection at the enterprise is a combination of events aimed at preserving the health and life of workers working on it. Its provision is one of the key activities of the company's management. In our article, you will find information about the basic elements of labor protection, the peculiarities of its collateral in the practice and role of the leadership in the implementation of this kind of events.

Labor protection at the enterprise (general provisions)

According to the provisions of Art. 212 Labor Code of the Russian Federation, ensuring the safety of workers and the creation of a labor protection system in the enterprise is the obligation of the employer. This means that there is no action aimed at preserving the life and health of the working people, he simply has no right.

Moreover, according to Art. 217 of the Labor Code of the Russian Federation, at any enterprise, whose state is more than 50 employees, a division must be formed, the main activity of which is the organization of labor protection. However, at the discretion of the leadership, these duties can be assigned to one profile specialist. But even if the number of employees at the enterprise does not exceed 50, the management is worth thinking about how to ensure their safety during the workflow.

What is necessary for labor protection at the manufacturing enterprise

Ensuring the safety of workers' work activities and minimizing the risk of industrial injuries and occupational diseases - this is why labor protection is needed in the organization. In addition, the correct approach to the organization of labor protection has a positive impact on the entire process of functioning of the enterprise as a whole: the number of payments on hospital sheets decreases, the amount of compensation paid for work in harmful production conditions is reduced, the time of downtime associated with the lack of in the workplace of the injured worker.

The introduction of the labor protection system in the enterprise implies:

1. Training of employees with the rules of safe activities in workplaces.
2. Equipment of jobs in accordance with legislatively established sanitary rules and norms.
3. The formation of the correct regime of labor and recreation that does not have a negative impact on the human body.
4. Supply of participants in the production process necessary means of individual protection against the influence of negative external factors.
5. Development of a methodology for the exit from critical situations related to the receipt of a manufacturing injury.
6. Ensuring the proper treatment of employees who received injury or professional care in the process of performing the labor function.

Labor protection by enterprise: where to start

The introduction of activities aimed at ensuring the safety of work provides for several stages.

1. Creating a labor protection service or receiving a profile specialist
   The first option is advisable to apply if the organization is large, has units and branches, as well as due to the peculiarities of conducting production and business activities, it needs to prepare a large number of documentation. The second option is optimal for small enterprises, on which there is no need for the content of several specialists responsible for labor protection.
2. Development of documentary base
   It is formed from such internal regulatory documents as:
   • labor protection guide;
   • job descriptions of employees responsible for the safety of work;
   • provision on the department of labor protection;
   • instructions for labor protection (for each position available in the organization);
   • orders' orders regarding the work of labor protection service, etc.

   In addition, you will need to make magazines in which information on the instructions available existing fire extinguishing equipment, production injuries, etc. will be recorded.

3. Conducting training
   All employees of the organization, including managers, must be able to periodically undergo labor protection instructions in the enterprise. If the implementation of the system in the enterprise just began, it is necessary to carry out a massive familiarization of employees with the developed instructions. After all the necessary information is brought to the workers, they must sign on the list of familiarization and specify the date of reading the document in it.

Requirements for labor protection in production

In accordance with Art. 211 Labor Code of the Russian Federation, labor protection requirements at the enterprise determine the rules and criteria aimed at ensuring the safety of the life and health of employees.

In particular, the list of such requirements includes:

• mandatory medical examinations of workers, the frequency of which depends on the type of activity;
• requirements for production lighting, percentage of moisture in the air, room temperature;
• compliance with regulations relating to the influence of harmful and hazardous industrial factors;
• compliance with the rules for the location of communications, as well as the organization of jobs;
• compliance with the recommendations on the use of personal protective officers;
• ensuring the safety of the process of loading and unloading semi-finished products, raw materials, materials, blanks and finished products;
• compliance with the timing of the special evaluation of jobs.

Management work on labor protection in the organization, requirements for managers and specialists

In accordance with the provisions of the I Annex to the Decree of the Ministry of Agriculture of the Russian Federation "On Approval ..." of 08.02.2000 No. 14, the Office of Labor Protection at the enterprise is carried out by its leader. In order to organize work on labor protection, they create an appropriate service operating under its direct control or under its deputy. Features of the organization of the work of this service establishes a section V of the specified regulatory act. The head must provide conditions for fulfilling their duties imputed to employees. In addition, the head is recommended to systematically organize training activities aimed at improving the professional level of workers, as well as to conduct a periodic verification of their profile knowledge.

The direct leadership of labor protection activities at the enterprise is carried out by an employee who, in accordance with the internal regulatory documents in force in the organization, entrusted such duties. The management of labor protection in the enterprise is expressed in the preparation, adoption and implementation of decisions aimed at carrying out activities that allow for the safety of the organization's work.

According to the provisions of Art. 225 of the Labor Code of the Russian Federation, all persons held in the state of the Organization should undergo training to ensure the safety of labor and the subsequent test of knowledge in this area. The rules for the implementation of this procedure are established by the provisions of the Resolution of the Ministry of Labor of the Russian Federation and the Ministry of Education of the Russian Federation "On Approval ..." dated January 13, 2003 No. 1/29, in accordance with paragraph 2.3 of which employees must undergo training during the calendar month after receiving the organization. Repeated training is performed at least once every 3 years. Educational events can be carried out both on the basis of the enterprise itself and beyond, with the involvement of specialists of third-party educational institutions.

Heads and specialists will be able to embark on their job responsibilities only after a representative of the employer acquaint them with the provisions of internal regulations existing in the enterprise, which determine the organization of work on labor protection.

This agreement is between the employer and the representative of the labor collective (for example, the chairman of the trade union). The sample of the document is not regulated by the current legislation, so it can be drawn up in arbitrary form.

However, when developing such an agreement, it is important to remember that it is necessary to include such items in it as:

• the name of the document and the date of its adoption;
• the list of terms used in the Agreement and their decoding;
• rights and obligations of the parties;
• play-schedule plans for organizational, technical, medical and preventive and sanitary events, as well as fire safety measures and providing employees with personal protective equipment;
• applications (if necessary).

For example, such a document may look like this:

1. First, the introductory part goes:

   Agreement on labor protection at the enterprise

   for 2018-2021

   Moscow

   09.01.2018

   Approve

   Do not know your rights?

In our country, workers industrial enterprises are served on the production principle. In large enterprises, health parts were created, which are essentially an integrated association of a hospital with a polyclinic and in which all major medical specialties are presented. Personnel of health parts controls the working conditions of industrial enterprises, studies the incidence of workers with temporary disability. Based on the analysis of these data, medical professionals together with the Directorate, the Party and Trade Union Organization of Factories (Factory) take concrete measures to reduce it. Each plant or factory is divided into workshop. Medical workshop sites at the enterprises of the chemical, coal, mining industry are organized at the rate of 1,500 working on one site, in other industries and construction organizations, one plot accounts for 2000 working.

In the absence of a medical and sanitary part, medical schools are organized. Each doctor is fixed a certain workshop. In the workshop, the doctor and medical sister spend the whole complex of sanitary and hygienic and medical and preventive measures.

Small industrial enterprises that do not have health parts are serviced by territorial polyclinics. At the same time, one of the doctors of the clinic works on the principle of workshop precision, i.e. it serves the working enterprises of the manufacturing principle.

In a number of industrial enterprises in the shops there are paramedic or nursing health health. Head their paramedic or medical sisters. Under conditions, when employees of this industrial enterprise receive medical and prophylactic assistance from a doctor of territorial clinic, Feldsher or Nursing and Sweatbook is its main base, where he takes patients. If you need to assist the forces of specialists, patients are sent by a doctor to the above-mentioned territorial clinic.

The main tasks of the Feldsher or Nursing Swells are broader preventive measures among the workers of this workshop, providing them with prefabricated medical care in injuries, sudden diseases, professional poisoning and organizing preventive measures.

Feldscher or medical sisters working on these healthy programs should know the features of this production, working conditions and professional pathology of workers and employees of the served workshop. Under the guidance of the workshop, they perform great work on the protection of workers' health: study the incidence of the temporary disability of the workshop workers and in close contact with the trade union organization takes effective measures to reduce it; Help the workshop doctor to conduct periodic medical examinations of workshops; participate in all activities related to workers' dispensing; Perform all the appointments of the doctor in the treatment of patients. Each healthy must be an hourly reception schedule for a shop physician and specialist physicians in a health care unit or a clinic, which is attached to this healthy. If necessary, the Feldsher or a medical sister working on a health care can be directed to them.

Head of the health care doctor prepares patients who are on dispensary observation, records the instructions of the doctor relative to the further treatment of the patient and conducts the necessary manipulations. As an indication of the workshop, health workers conduct vaccinations to all workers and employees of the workshop.

The health care is monitored by the sanitary and hygienic condition of the workshop, household premises, food facilities, identifies factors contributing to the incidence of workers. This health workers rely on the sanitary assets prepared by them.

Head of healthy health, according to plan, teaches them to the skills of providing self-confidence in injuries under the program of a sanitary minimum.

Sanitary posts are created from among sanitary activists. They are supplied with first aid first aid, follow their replenishment. In the first-aid kit there should always be iodine tincture, individual sterile packages, bandages of different sizes, hemostatic harness, ammonia alcohol, valerian drops. For the preservation of a first-aid kit is responsible to the duty officer at the sanitary post.

About each case of injuries or professional poisoning is drawn up with an act, and health workers are observing the management and trade union organization of the workshop, effective measures have been taken to eliminate the causes caused by injury or illness.

Every day, the head of the health center informs the head of the workshop on persons who did not go to work on illness or due to injury. Large attention, health workers are paying for revealed from the workers of mercury diseases. Most often, they arise as a result of small injuries or chemicals. The fight against mineral diseases is an important task of medical workers, since these diseases can lead to severe complications - abscesses and phlegmons, under which the worker can lose disability for a long time.

Healthcare workers read lectures and conduct conversations among working workshops, organize sanitary exhibitions, exhibitions on labor hygiene and health corners.

Health Protection Federal Law

First about the concept healthwhich, according to the World Health Organization (WHO), is a state of full physical, spiritual and social well-being (and not only the absence of diseases or physical defects). Pay attention to the last two defining, and it will become clear that complete harmony in the human health is associated with non-medical concepts: spirituality and social well-being. And this means that it has already been noted above that not all in achieving health depends on medicine and physicians.

Individual health protection.

There are public health and individual health. The first is considered as the concept of statistical and characterized by such demographic indicators, like fertility, mortality, incidence, level of physical development, the average life expectancy. These indicators are within a certain dependence on the conditions of the population and its specific group. The health of a separate person, in addition, is heavily associated with the numerous individual characteristics of the body and the diversity of external factors affecting its health. The proportion of people evaluating their health as good in Russia is only 22%, and, for example, in these Nordic countries as Finland or Norway, respectively, 69% and 81%! It is important to note the predicted state of the health of our future - the younger generation. Of the 31.6 million children in our country, only a third were healthy at the time of the examination. According to the Ministry of Education, only 10% of high school graduates can be considered absolutely healthy. This is truly a doctor who believes that you are absolutely in order with health, it works in the military commissar. Meanwhile, it is noteworthy that, despite the growth of market relations, people began to appreciate health more, which can be seen from a public opinion survey, in which 80% noted the main wish to children and grandchildren - good health, and only 41% - material wealth.

Health protection statistics.

There are also some statistical indicators about the unfavorable state of health of the people in Russia, some of which should be brought. The average life expectancy of men in Russia is 59.8 years and 18 years less than in leading countries; Women - 72.2 (for example, the average life expectancy of women in Spain is more than 90 years). Anxiety causes a medium life expectancy forecast for the near future. In this indicator, we are behind the developed countries for 100 years or more. Mortality in us exceeds the birth rate of 1.8 times. In terms of mortality from infections, tuberculosis we occupy the first place in Europe. Especially a large number of people die from cardiovascular diseases. Only the ischemic heart disease is 55% of men and 40.7% of women. In this sad indicator, at the end of last century we were ahead of England, Germany, Finland 3.5 times ( Medical newspaper, №8, 2003). All this is the basis for some sociologists to believe that the state is affected by a terrible disease - depopulationWhen a stable excess of the number of those who died over the number of born for 10 years leads to natural loss of the population. It is estimated that the population in Russia by 2011 will decrease by 10 million people.

Health Concepts and definition.

What should I understand under the health of citizens? This is a combination of measures of a political, economic, legal, social, cultural, scientific, medical, sanitary and hygienic and anti-epidemic nature, aimed at preserving and strengthening the physical and mental health of each person, maintaining its long-life active life, providing him with medical care in the event of health loss . It should immediately noticize that health protection and medical care is not the same and no wonder in Article 41 of the Constitution of the Russian Federation are designated separately. If health protection is a wide multifaceted concept, which can be seen from the above definition, then medical care represents an individual approach and is a health care system that is a small part of the health care system. These two systems complement each other, but have different directions. We assume that we will come to the health of the population, we will come to the health of a separate person, and rather it would be - by providing an individual approach and, welling for a separate person, come to the health of the entire population.

Basic health principlescitizens are:

1) Compliance with human rights and citizen in the field of health care;
2) priority preventive measures;
3) accessibility of medical and social assistance;
5) the responsibility of government and management bodies, enterprises, institutions and organizations, as well as officials for ensuring the rights of citizens in health care.

In ensuring health, in addition to the Ministry of Health and Social Development of the Russian Federation, such state bodies as the Department of State Sanitary and Epidemiological Supervision of the Ministry of Health of the Russian Federation, the Ministry of Emergency Situations, Federal Funds of Social and Mandatory Medical Insurance, as well as in The limits of their departments of the management authorities of medical and sanitary services of the Ministry of Defense, internal affairs, communication paths and others. This is the public sector.

Video: Health Protection

the federal law

"On the basis of the health of citizens' health in the Russian Federation"

from 11/21/2011 N 323-FZ
(Accepted GD FS RF 11/01/2011)

Chapter 1. General

Article 1. Subject to regulation of this Federal Law

This federal law regulates relations arising in the field of health care in the Russian Federation (hereinafter referred to as health), and determines: 1) legal, organizational and economic foundations of the health of citizens; 2) rights and obligations of a person and a citizen, individual groups population in the field of health protection, guarantees of the implementation of these rights; 3) the powers and responsibilities of the state authorities of the Russian Federation, the state authorities of the constituent entities of the Russian Federation and local governments in the field of health protection; 4) the rights and obligations of medical organizations, other organizations, individual entrepreneurs In carrying out activities in the field of health protection; 5) the rights and obligations of medical workers and pharmaceutical workers.

Article 2. Basic concepts used in this Federal Law

For the purposes of this Federal Law, the following basic concepts are used: 1) Health is the state of the physical, mental and social well-being of a person, in which there are no diseases, as well as disorders of the functions of organs and systems of the body; 2) Protection of citizens (hereinafter - health) - System measures of political, economic, legal, social, scientific, medical, including sanitary-anti-epidemic (preventive), the nature carried out by the state authorities of the Russian Federation, the state authorities of the constituent entities of the Russian Federation, local governments, organizations, their officials and other persons, citizens to prevent diseases, preserve and strengthen the physical and mental health of each person, maintaining his long-term active life, providing him with medical care; 3) Medical assistance - a set of measures aimed at maintaining and (or) health and comprising the provision of medical services; 4) medical service - medical intervention or a complex of medical interventions aimed at preventing, diagnosis and treatment of diseases, medical rehabilitation and having an independent completed value; 5) Medical intervention - performed by a medical worker in relation to Patient affecting the physical or mental state of a person and having a preventive, research, diagnostic, medical, rehabilitation orientation Types of medical examinations and (or) medical manipulations, as well as artificial abortion; 6) Prevention - a set of activities aimed at preserving and promoting health and Including the formation of a healthy lifestyle, prevention and (or) dissemination of diseases, their early detection, identification of the causes and conditions of their occurrence and development, as well as aimed at eliminating the harmful effects On the human health factors of its habitat; 7) Diagnostics - a complex of medical interventions aimed at recognizing states or establishing the fact that either the absence of diseases carried out by collecting and analyzing the patient's complaints, its history and inspection, laboratory, instrumental, pathological and anatomical and other studies in order to determine the diagnosis, the choice of patient treatment measures and / or control over the implementation of these activities; 8) treatment - a complex of medical interventions performed on the appointment of a medical worker, the purpose of which is to eliminate or alleviating the manifestations of diseases or diseases or patient states , restoration or improvement of its health, working capacity and quality of life; 9) The patient is an individual who provides medical care or which has applied for medical care, regardless of the presence of disease and its state; 10) medical activities - Professional activities to provide medical care, medical examinations, medical examinations and medical examinations, sanitary-anti-epidemic (preventive) activities and professional activities related to transplantation (transplantation) of organs and (or) tissues, donor blood circulation and (or) Components for medical purposes; 11) Medical organization - a legal entity Regardless of the organizational and legal form, which provides medical activities as the main (statutory) type of activity on the basis of a license issued in the manner prescribed by the legislation of the Russian Federation. The provisions of this Federal Law, regulating the activities of medical organizations, apply to other legal entities regardless of the organizational and legal form, exercising along with the main (statutory) activities of medical activities, and apply to such organizations regarding medical activities. For the purposes of this Federal Law, individual entrepreneurs carrying out medical activities are equal to medical organizations; 12) a pharmaceutical organization, regardless of the organizational and legal form, carrying out pharmaceutical activities (the organization of wholesale trade in medicines, pharmacy organization). For the purposes of this Federal Law, individual entrepreneurs carrying out pharmaceutical activities are equated; 13) a medical worker - an individual who has a medical or other education, works in a medical organization and in labor (official) responsibilities of which include medical activities or physical A person who is an individual entrepreneur directly carrying out medical activities; 14) a pharmaceutical worker - an individual who has a pharmaceutical education, which works in a pharmaceutical organization and in the labor duties of which includes wholesale trade in medicines, their storage, transportation and (or) retail trade Medicinal preparations for medical use (hereinafter - drugs), their manufacture, vacation, storage and transportation; 15) The attending physician - a doctor who is entrusted with the functions of organization and immediate To patient a patient with medical care in the period of observation of it and its treatment; 16) The disease - the impact on the impact of pathogenic factors violation of the activities of the body, performance, the ability to adapt to the changing conditions of the external and internal environment while changing protective compensatory and protective-adaptive changes The reactions and mechanisms of the body; 17) the state - changes in the body arising from the impact of pathogenic and (or) physiological factors and requiring medical care; 18) the underlying disease - a disease that owns or in connection with complications causes the priority need to provide medical care due to the greatest threat of working capacity, life and health, or leads to disabilities, or causes death; 19) a concomitant disease - a disease that does not have a causal relationship with the main disease gives him a degree of need to assist Ditinsko help, influence on performance, danger to life and health and is not the cause of death; 20) the severity of the disease or condition is a criterion that determines the degree of damage to organs and (or) human body systems or a violation of their functions caused by a disease or state or complication ; 21) The quality of medical care is a set of characteristics reflecting the timeliness of medical care, the correctness of the choice of prevention, diagnosis, treatment and rehabilitation methods in the provision of medical care, the degree of achievement of the planned result.

Article 3. Health legislation

1. Health legislation is based on the Constitution of the Russian Federation and consists of this federal law taken in accordance with it of other federal laws, other regulatory legal acts of the Russian Federation, laws and other regulatory legal acts of the constituent entities of the Russian Federation. The health protection standards contained in other federal laws, other regulatory legal acts of the Russian Federation, laws and other regulatory legal acts of the constituent entities of the Russian Federation should not contradict the norms of this Federal Law.3. In the event of a non-compliance of the health protection standards contained in other federal laws, other regulatory legal acts of the Russian Federation, laws and other regulatory legal acts of the constituent entities of the Russian Federation, the norms of this Federal Law apply the norms of this Federal Law.4. Local governments, within their competence, have the right to publish municipal legal acts containing health protection standards, in accordance with this Federal Law, other federal laws, other regulatory legal acts of the Russian Federation, laws and other regulatory legal acts of the constituent entities of the Russian Federation. If the International Agreement of the Russian Federation has established other rules than the rules of international treaty provided for by this Federal Law, the rules of the International Treaty applies.

Chapter 2. Basic Principles of Health Protection

Article 4. Basic Principles of Health Protection

The basic principles of health protection are:
1) compliance with the rights of citizens in the field of health protection and ensuring related government guarantees;
2) the priority of the patient's interests when providing medical care;
3) the priority of child health protection;
4) Social security of citizens in case of health loss;
5) the responsibility of state authorities and local governments, officials of organizations for ensuring the rights of citizens in health care;
6) availability and quality of medical care;
7) the inadmissibility of refusing to provide medical care;
priority of prevention in the field of health protection;
9) Compliance with medical mystery.

Article 5. Compliance with the rights of citizens in the field of health protection and ensuring related rights of state guarantees

1. Health measures should be carried out on the basis of recognition, compliance and protection of citizens' rights and in accordance with the generally recognized principles and norms of international law.

2. The state provides citizens to protect health regardless of gender, race, age, nationality, language, the presence of diseases, conditions, origin, property and official position, place of residence, relations to religion, belief, belonging to public associations and from other circumstances.

3. The state guarantees citizens to protect against any forms of discrimination, due to the presence of any diseases.

Article 6. Priority of the interests of the patient when providing medical care
1. The priority of the interests of the patient during the provision of medical care is implemented by:

1) compliance with ethical and moral norms, as well as a valid and humane relationship from medical professionals and other employees of a medical organization;

2) the provision of medical care to the patient, taking into account his physical condition and compliance with the patient's cultural and religious traditions as possible;

3) care of care when providing medical care;

4) organizing the provision of medical care to the patient, taking into account the rational use of its time;

5) the establishment of requirements for the design and placement of medical organizations, taking into account compliance with sanitary and hygienic standards and ensuring comfortable conditions for the stay of patients in medical organizations;

6) the creation of conditions that ensure the possibility of visiting the patient and stay relatives with it in a medical organization, taking into account the state of the patient, compliance with the anti-epidemic regime and the interests of other persons working and (or) in a medical organization.

2. In order to implement the principle of the priority of the patient's interests in the provision of medical care, the state authorities of the Russian Federation, the state authorities of the constituent entities of the Russian Federation, local governments authority, and medical organizations, within their competence, interact with public associations, other Non-commercial organizations carrying out their health activities.

Article 7. Children's health protection priority

1. The state recognizes the protection of children's health as one of the most important and necessary conditions for the physical and mental development of children.

2. Children regardless of their family and social well-being are subject to special protection, including concern for their health and adequate legal protection in the field of health protection, and have priority rights when providing medical care.

3. Medical organizations, public associations and other organizations are obliged to recognize and abide by the rights of children in the field of health.

4. The state authorities of the Russian Federation, the state authorities of the constituent entities of the Russian Federation and local governments in accordance with their powers are developing and implement programs aimed at preventing, early detection and treatment of diseases, a decrease in maternal and infant mortality, the formation of children and their parents Motivation to a healthy lifestyle, and take appropriate measures to organize children with drugs, specialized medicinal food products, medical products.

5. The state authorities of the Russian Federation and the state authorities of the constituent entities of the Russian Federation in accordance with their powers create and develop medical organizations that provide medical care to children, taking into account the provision of favorable conditions for children in them, including children with disabilities, and opportunities. Stay with them parents and (or) other family members, as well as social infrastructure, focused on organized leisure, recovery of children and restoring their health.

Article 8. Social security of citizens in case of health loss

Social security of citizens in case of loss of health is ensured by establishing and implementing legal, economic, organizational, medical and other measures that guarantee social security, including at the expense of compulsory social insurance, determining the needs of a citizen in social protection in accordance with the legislation of the Russian Federation, in rehabilitation and care in the event of a disease (state), the establishment of temporary disability, disability or other cases determined by the legislation of the Russian Federation.

Article 9. Responsibility of state authorities and local governments, officials of organizations for ensuring the rights of citizens in health

1. Public authorities and local governments, medical organizations and other organizations carry out cooperation in order to ensure citizens' rights in health. Public authorities and local governments, officials of organizations carry responsibility for ensuring guarantees in the field of health protection established by the legislation of the Russian Federation.

Article 10. Availability and quality of medical care

Availability and quality of medical care are provided:
1) the organization of medical care on the principle of approaching the place of residence, place of work or training;
2) the presence of the required number of medical workers and the level of their qualifications;
3) the possibility of choosing a medical organization and a physician in accordance with this Federal Law;
4) applying the procedures for providing medical care and medical care standards;
5) by providing a medical organization a guaranteed amount of medical care in accordance with the program of state guarantees of free provision of medical care citizens;
6) the establishment in accordance with the legislation of the Russian Federation requirements for the placement of medical organizations of the State Health System and the Municipal Health System and Other Health Infrastructure Objects based on the needs of the population;
7) transport accessibility of medical organizations for all groups of the population, including persons with disabilities and other population groups with disabilities;
The possibility of unhindered and free use by a medical personnel of communications or vehicles to transport the patient to the nearest medical organization in cases that threaten his life and health.

Article 11. Inadmissibility of refusal to provide medical care

1. Failure to provide medical care in accordance with the program of state guarantees of free provision of medical care to citizens and charging for its provision of a medical organization involved in the implementation of this program, and medical employees of such a medical organization are not allowed.2. Medical assistance in emergency form turns out to be a medical organization and a medical worker to a citizen immediately and for free. Refusal to provide it is not allowed.3. For violation of the requirements provided by parts 1 and 2, the requirements of medical organizations and medical workers are responsible in accordance with the legislation of the Russian Federation.

Article 12. Priority of health prevention priority

The priority of prevention in the field of health protection is provided by: 1) developing and implementing programs for the formation of a healthy lifestyle, including programs to reduce alcohol and tobacco, preventing and combating non-medical consumption of narcotic drugs and psychotropic substances; 2) implementation of sanitary-anti-epidemic (preventive ) Events; 3) implementation of measures to prevent and early detection of diseases, including the prevention of socially significant diseases and the fight against them; 4) carrying out preventive and other medical examinations, dispensarization, dispensary monitoring in accordance with the legislation of the Russian Federation; 5) implementation of activities To preserve the life and health of citizens in the process of their training and employment in accordance with the legislation of the Russian Federation.

Article 13. Compliance with medical mystery

1. Information on the appeal of a citizen for the provision of medical care, his health and diagnosis, other information obtained during its medical examination and treatment, is a medical mystery. It is not allowed to disclose the information components of a medical secret, including after the death of a person, those who have become known in the training, execution of labor, official, official and other duties, except in cases established by Parts 3 and 4 of this Article.3. With the written consent of a citizen or his legal representative, the disclosure of information constituting a medical secret, other citizens, including officials, for medical examination and treatment of the patient, conduct research, their publication in scientific publications, use in the educational process and otherwise Goals.4. The provision of information components of a medical secret, without the consent of a citizen or his legal representative is allowed:
1) In order to conduct a medical examination and treatment of a citizen, which as a result of his condition is not able to express its will, taking into account the provisions of paragraph 1 of part 9 of Article 20 of this Federal Law; 2) in the threat of the spread of infectious diseases, mass poisoning and lesions; 3) At the request of the bodies of the inquiry and investigation, the court in connection with the conduct of an investigation or trial, at the request of the body of the penitentiary system in connection with the execution of criminal punishment and the implementation of the control over the behavior of the conditionally convicted person convicted in respect of which the sentence is delayed, and persons, exempted conditional early;
4) if medical assistance is provided to a minor in accordance with paragraph 2 of part 2 of Article 20 of this Federal Law, as well as a minor who has not reached the age established by part 2 of Article 54 of this Federal Law to inform one of his parents or other legal representatives;
5) In order to inform the internal affairs bodies on the patient's arrival in respect of which there are sufficient grounds to believe that harm to its health is caused as a result of unlawful actions; 6) in order to conduct military medical examination at the request of military commissariators, personnel services and military medical (medical-flight) commissions of the federal executive bodies in which the Federal Law provides for military and service-equalized service; 7) in order to investigate the accident at the production and occupational disease; 8) when exchanging information with medical organizations, including the medical institution information systems, in order to provide medical care taking into account the requirements of the legislation of the Russian Federation on personal data; 9) in order to carry out accounting and control in the system of compulsory social insurance; 10) in order to monitor the quality and safety of medical activities in accordance with this Fed by the law.

Chapter 3. Powers of federal state bodies, state authorities of the constituent entities of the Russian Federation and local governments in the field of health

Chapter 4. Rights and obligations of citizens in health

Article 18. The right to health care

1. Everyone has the right to protect health.
2. The right to health protection is ensured by environmental protection, the creation of safe working conditions, favorable working conditions, life, recreation, education and training of citizens, the production and sale of appropriate quality, high-quality, safe and affordable drugs, as well as the provision of affordable and Qualitative medical help.

Article 19. The right to medical care

1. Everyone has the right to medical care.

2. Each has the right to medical assistance in a guaranteed amount provided without charging the fee in accordance with the program of state guarantees of free provision of medical care to citizens, as well as to receive paid medical services and other services, including in accordance with the Volunteer Health Agreement.

3. The right to medical care for foreign citizens living and staying in the Russian Federation is established by the legislation of the Russian Federation and the relevant international treaties of the Russian Federation. The stateless persons permanently residing in the Russian Federation enjoy the right to medical assistance on par with citizens of the Russian Federation, unless otherwise provided by international treaties of the Russian Federation.4. The procedure for providing medical care to foreign citizens is determined by the Government of the Russian Federation.

5. The patient has the right to:
1) the choice of a doctor and the choice of a medical organization in accordance with this Federal Law;
2) prevention, diagnosis, treatment, medical rehabilitation in medical organizations in conditions corresponding to sanitary and hygienic requirements; 3) receiving consultations of medical professionals;
4) facilitating pain associated with the disease and (or) medical intervention, accessible methods and drugs;
5) obtaining information about their rights and obligations, the state of their health, the choice of persons who may be transferred information about his state of health in the interests of the patient;
6) obtaining therapeutic nutrition in case of finding a patient on treatment in stationary conditions; 7) the protection of information constituting a medical secret;
refusal of medical intervention;
9) compensation for harm caused to health with medical care;
10) tolerance of a lawyer or legal representative to protect their rights;
11) The admission to it is a priest, and in case of finding a patient on treatment in stationary conditions - to providing conditions for the administration of religious rites, which is possible in stationary conditions, including the provision of separate premises, if this does not violate the internal regulation of the medical organization.

Article 20. Informed voluntary consent to medical intervention and the refusal of medical intervention

1. The necessary prerequisite for medical intervention is the date of informed voluntary consent of a citizen or his legal representative for medical intervention on the basis of a medical person provided in the affordable form of full information about the objectives of the methods of providing medical assistance related to the risk, possible options for medical intervention, The consequences, as well as the estimated results of the provision of medical care.
2. Informed voluntary consent to medical intervention gives one of the parents or other legal representative regarding:
1) persons under the age of age established by part 5 of Article 47 and part 2 of Article 54 of this Federal Law, or the person recognized in the procedure established by law, if such a person is not able to give consent to medical intervention;
2) a minor drug addict in providing drugs or with a medical examination of a minor in order to establish a state of narcotic or other toxic intoxication (with the exception of cases established by the legislation of the Russian Federation, the acquisition of minors of complete legal capacity to achieve eighteen-year-old age).
3. A citizen, one of the parents or other legal representative of the person specified in Part 2 of this article, have the right to refuse medical intervention or require its termination, except in cases provided for by part 9 of this article. The legal representative of the person recognized in the procedure established by law is incapacitated, performs the specified right if such a person is not able to abandon medical intervention for its state.
4. If a citizen is refusing a medical intervention, one of the parents or other legal representative of the person specified in Part 2 of this article, the possible consequences of such a refusal should be explained in the form available for it.
5. If one of the parents or other legal representative of the person specified in part 2 of this article, or the legal representative of the person recognized in the procedure established by the law is incapable, from the medical intervention necessary to save his life, the medical organization has the right to apply to court for Protection of the interests of such a person. The legal representative of the person recognized in the procedure established by law is incapacitated, informs the body of the guardianship and guardianship at the place of residence of the ward about the refusal of the medical intervention necessary to save the life of the ward, no later than the day following the day of this refusal.
6. The persons specified in parts 1 and 2 of this article for obtaining primary health care when choosing a physician and a medical organization for their choice give informed voluntary consent to certain types of medical intervention, which are included in the list established by the authorized federal executive authority authorities.
7. Informed voluntary consent to medical intervention or the refusal of medical intervention is issued in writing, signed by a citizen, one of the parents or a different legal representative, a medical worker and is found in the patient's medical records. The procedure for the present of informed voluntary consent to medical intervention and refusal of medical intervention in relation to certain types of medical intervention, the form of informed voluntary consent to medical intervention and the form of refusal of medical intervention are approved by an authorized federal executive body.9. Medical intervention without the consent of a citizen, one of the parents or other legal representative is allowed:
1) If medical intervention is necessary for emergency testimony to eliminate the threat of a person's life and if its condition does not allow to express his will or there are no legal representatives (in relation to those specified in paragraph 2 of this article); 2) in relation to persons suffering from diseases representing danger to others;
3) in relation to persons suffering from severe mental disorders;
4) in relation to persons who committed socially dangerous acts (crimes);
5) when conducting forensic examination and (or) forensic psychiatric examination.
10. The decision on medical intervention without the consent of a citizen, one of the parents or other legal representative is adopted:
1) In the cases specified in paragraphs 1 and 2 of Part 9 of this article, - by the consultation of doctors, and in the event that it is impossible to assemble a concermine, - directly attending (on duty) by a doctor with such a decision to the patient's medical record and the subsequent notification of medical officers Organizations (Head of Medical Organization or Head of the Department of Medical Organization), a citizen in respect of whom medical intervention, one of the parents or other legal representative, which is indicated in Part 2 of this article and in respect of which medical intervention has been carried out;
2) in relation to persons specified in paragraphs 3 and 4 of Part 9 of this article, the court in cases and in the manner established by the legislation of the Russian Federation.
11. Forced medical measures for the grounds and in the manner prescribed by federal law can be applied to persons committed crimes.

Article 21. Selection of a doctor and medical organization

1. When providing a citizen of medical care in the framework of the program of state guarantees of free provision of medical care to citizens, he has the right to choose a medical organization in the manner approved by an authorized federal executive authority, and to choose a doctor, taking into account the consent of the doctor. Features of the choice of medical organizations by citizens living in closed administrative and territorial entities, in areas with human health, chemical, chemical and biological factors included in the relevant list, as well as employees of organizations included in the list of organizations of individual industries with particularly dangerous working conditions are established by the Government of the Russian Federation.
2. To obtain primary health care, a citizen chooses a medical organization, including in a territorial-precinct principle, no more than once a year (except for the cases of changes in the place of residence or the place of stay of the citizen). In the chosen medical organization, a citizen carries out a choice of more than once a year (except for the cases of replacing a medical organization's medical organization), a medical director, a pediatrician doctor, a pediatrician doctor, a general practitioner (family doctor) or paramedics by Applying an application personally or through its representative to the head of the medical organization.
3. Provision of primary specialized health care is carried out:
1) in the direction of the doctor-therapist of the district, a pediatrician-pediatrician, a physician general practice (family doctor), paramedic, a specialist doctor;
2) In the case of an independent appeal of a citizen to a medical organization, including the organization chosen by him in accordance with Part 2 of this article, taking into account the procedures for the provision of medical care.
4. To obtain specialized medical care in a planned form, the choice of a medical organization is carried out in the direction of the attending physician. In case the implementation of the territorial program of state guarantees of free provision of medical care to citizens, several medical organizations that provide medical care for the relevant profile take part, the attending physician is obliged to inform citizens about the possibility of choosing a medical organization, taking into account the fulfillment of the conditions for the provision of medical care established by the territorial program of state Warranties of free provision of medical care citizens.
5. Medical assistance in emergency or emergency form is citizens, taking into account compliance with the established requirements for its provision.
6. With a citizen of medical care within the framework of the program of state guarantees of free provision of medical care to citizens, the choice of a medical organization (except in cases of emergency medical care) outside the territory of the constituent entity of the Russian Federation, in which a citizen lives, is carried out in the manner established by the authorized federal executive body authorities.
7. When choosing a physician and medical organization, a citizen has the right to receive information in the form available to it, including the Internet posted in the information and telecommunications network (hereinafter - the Internet network), about the medical organization, about medical activities and doctors, about the level of their education and qualifications. The choice of a doctor and a medical organization with military personnel and persons equivalent to military personnel, citizens passing alternative civil service, citizens to be called for military service or sent to alternative civil service, and citizens entering the military service under contract or equivalent to it The service, as well as detainees enclosed in custody serving a sentence in the form of restriction of freedom, arrest, imprisonment or administrative arrest is carried out taking into account the peculiarities of the provision of medical care established by Articles 25 and 26 of this Federal Law.

Article 22. Information on the state of health

1. Everyone has the right to receive information available to him available in a medical organization information on its health status, including information on the results of a medical examination, the presence of the disease, the established diagnosis and the forecast of the disease development, methods of providing medical care associated with them risk, possible types of medical intervention, its consequences and the results of medical care.
2. Information on the state of health is provided to the patient by a personally attending physician or other medical professionals who are directly involved in medical examination and treatment. With respect to persons under the age of age established in part 2 of Article 54 of this Federal Law, and citizens recognized in the procedure established by law are incapable, information on health status is provided to their legal representatives. Information on health status cannot be provided to the patient against his will. In case of an unfavorable forecast of the development of the disease, information should be reported in a delicate form to a citizen or his spouse (spouse), one of the close relatives (children, parents, adopted, adoptive parents, siblings, grandchildren, grandchildren), if the patient did not forbate To inform them about it and (or) did not identify another person to whom such information should be transferred.4. The patient or his legal representative has the right to directly get acquainted with medical records reflecting the state of its health, and receive consultation on other specialists on the basis of such documentation. The patient or his legal representative has the right on the basis of a written statement to obtain reflective health status of medical documents, their copies and discharge from medical documents. The grounds, order and deadlines for the provision of medical documents (their copies) and extracts from them are established by an authorized federal executive body.

Article 23. Information on the factors affecting health

Citizens have the right to receive reliable and timely information about factors that contribute to the preservation of health or harmful influence, including information on the sanitary and epidemiological well-being of the area of \u200b\u200bresidence, the state of habitat, rational nutritionals, quality and safety of production and industrial products, food Products, products for personal and domestic needs, potential hazard to human health performed works and services provided. Such information is provided by state authorities and local governments in accordance with their powers, as well as organizations in the manner prescribed by the legislation of the Russian Federation.

Article 24. Rights of workers employed on certain types of work, health care

1. In order to protect the health and conservability of labor, warnings and timely identification of occupational diseases workers engaged in working with harmful and (or) hazardous production factors, as well as in cases provided by the legislation of the Russian Federation, workers engaged in certain types of work. Mandatory medical examinations are undergoing. A list of harmful and (or) hazardous production factors and works, when performing mandatory preliminary medical examinations under admission to work and periodic medical examinations are approved, approved by an authorized federal executive authority. In the case of identifying for compulsory medical examinations of medical contraindications to the implementation of certain types of work, the list of which is established by an authorized federal executive body, an employee can be recognized as a medical commission of a medical organization based on the results of the examination of professional suitability temporarily or constantly unsuitable for health to the fulfillment of individual species. works.4. In order to protect health, employers have the right to enter into the staff of medical professionals and create divisions (doctor's office, health care, medical office, medical part and other divisions) providing medical care to employees of the organization. The procedure for organizing the activities of such divisions and medical workers is established by an authorized federal executive authority.5. Employers are required to provide conditions for passing by employees of medical examinations and clinical examination, and also freely release workers for their passage.

Article 25. The rights of military personnel and persons equivalent to military personnel, as well as citizens undergoing alternative civilian service, citizens subject to military service (sent to alternative civil service), and citizens entering military service or equivalent to it Contract service, health care (not given)

Article 26. The rights of persons detained, imprisoned, serving a sentence in the form of restriction of freedom, arrest, imprisonment or administrative arrest, to receive medical care (not given)

Article 27. Responsibilities of health care

1. Citizens are obliged to take care of the preservation of their health. Citizens in cases stipulated by the legislation of the Russian Federation are required to undergo medical examinations, and citizens suffering from diseases that are dangerous to others in cases provided by the legislation of the Russian Federation are required to undergo a medical examination and treatment, as well as to engage in the prevention of these diseases. Citizens who are on treatment are obliged to observe the treatment regime, including those defined for the period of their temporary disability, and the rules for the patient's behavior in medical organizations.

Article 28. Public associations to protect the rights of citizens in the field of health (Not given)

Chapter 5. Organization of Health Protection

(Not given)

Article 31. First aid

1. First aid before the provision of medical care is citizens in accidents, injuries, poisoning and other states and diseases that threaten their lives and health, persons who are obliged to provide first aid in accordance with federal law or with a special rule and relevant training, including employees of the internal affairs bodies of the Russian Federation, employees, military personnel and employees of the State Fire Service, rescuers of emergency-rescue formations and rescue services.2. The list of states under which first aid is provided and the list of first aid activities are approved by an authorized federal executive body.3. Exemplary training courses, subject matter and first aid disciplines are developed by an authorized federal executive body and are approved in the manner prescribed by the legislation of the Russian Federation. Vehicle drivers and other faces have the right to provide first aid in the presence of appropriate training and (or) skills.

Article 32. Medical assistance

1. Medical assistance is provided by medical organizations and is classified by types, conditions and form of providing such assistance.2. The types of medical care include: 1) primary health care; 2) specialized, including high-tech, medical care; 3) ambulance, including the ambulance, medical care; 4) Palliamentary medical care.3. Medical assistance can be provided in the following conditions: 1) Outside a medical organization (at the place of calling a team of ambulance, including emergency specialized, medical care, as well as in a vehicle during medical evacuation); 2) outpatient (in conditions that do not provide for round-the-clock medical observations and treatment), including at home when calling a medical worker; 3) in day hospital (under conditions providing for medical observation and treatment during daytime, but not requiring round-the-clock medical observation and treatment); 4) stationary (in conditions, providing round-the-clock medical observation and treatment) .4. Forms of medical care are: 1) Emergency - medical assistance provided with sudden acute diseases, states, exacerbation of chronic diseases pose a threat to the patient's life; 2) emergency - medical assistance provided with sudden acute diseases, states, exacerbation of chronic diseases without explicit Signs of the patient's life threat; 3) Planned - medical assistance, which is provided during preventive measures, for diseases and conditions that are not accompanied by the threat of a patient who do not require emergency and emergency medical care, and delaying the provision of which for a certain time will not entail deterioration The state of the patient, the threat of his life and health.5. The provision on the organization of medical care for the species, conditions and forms of providing such assistance is established by an authorized federal executive body.

Article 33 - 38.(Not given)

Article 39. Medical Power

1. Therapeutic nutrition - nutrition that ensures the satisfaction of the physiological needs of the human body in foods and energy, taking into account the mechanisms for the development of the disease, the features of the course of the main and concomitant diseases and performing preventive and therapeutic tasks. Therapeutic nutrition is an integral component of therapeutic process and preventive measures, includes food diet that have a established chemical composition, energy value, consist of certain products, including specialized food products subjected to the appropriate technological processing. Specialized food products are food products with established chemical composition, energy value and physical properties, proven therapeutic effect, which have a specific impact on the restoration of the organism disturbed or lost as a result of the disease, the prevention of these violations, as well as to increase the adaptive capabilities of the body. . The norms of therapeutic nutrition are approved by an authorized federal executive body.

Article 40. Medical rehabilitation and sanatorium treatment

1. Medical rehabilitation - a set of medical and psychological measures aimed at full or partial restoration of disturbed and (or) compensation for lost functions of the affected organ or system of the body, maintaining the functions of the body in the process of completion of an acutely developed pathological process or exacerbation of a chronic pathological process in the body, as well as for warning, early diagnosis and correction of possible violations of damaged organs or body systems, prevention and reduction in the degree of possible disability, improving the quality of life, preservation of the patient's performance and its social integration into society.2. Medical rehabilitation is carried out in medical organizations and includes the integrated use of natural medical factors, drugs, non-drug therapy and other methods. Sanatorium-resort treatment includes medical care carried out by medical organizations (sanatorium-resort organizations) in preventive, therapeutic and rehabilitation purposes based on the use of natural medical resources in the conditions of stay in medical and wellness areas and in resorts. Sanatorium-resort treatment is directed to: 1) activation of protective-adaptive reactions of the body in order to prevent diseases, recovery; 2) recovery and (or) compensation for the functions of the body, disturbed due to injuries, operations and chronic diseases, reducing the number of exacerbations, lengthening the remission period, The slowdown in the development of diseases and the prevention of disability as one of the stages of medical rehabilitation.5. The procedure for organizing medical rehabilitation and sanatorium treatment, a list of medical testimony and contraindications for medical rehabilitation and sanatorium-resort treatment is approved by an authorized federal executive authority.

Article 41 - 44.(Not given)

Medical workers are prohibited from the implementation of euthanasia, that is, the acceleration at the request of the patient of his death with any actions (inaction) or means, including the cessation of artificial measures to maintain the patient's life.

Article 46. Medical inspections, clinical examination

1. Medical inspection is a complex of medical interventions aimed at identifying pathological conditions, diseases and risk factors of their development. For types of medical examinations are: 1) Preventive medical examination conducted for early (timely) detection of pathological conditions, diseases and risk factors for their development, non-medical consumption of narcotic drugs and psychotropic substances, as well as in order to form health status groups and developing recommendations for patients ; 2) a preliminary medical examination conducted upon admission to work or studies in order to determine the compliance of the health status of the employee entrusted to it to work, compliance with the student learning requirements; 3) a periodic medical examination conducted with established periodicity in order to dynamically monitor the health of workers, students, timely detection of initial forms of occupational diseases, early signs of impact of harmful and (or) hazardous production factors of the working environment, labor, educational process on the health of workers, students, in order to form a GRU PP risk of development of occupational diseases, detecting medical contraindications to the implementation of certain types of work, continued study; 4) Predicious, pre-trip medical examinations conducted before the start of the working day (shift, flight) in order to identify signs of impact of harmful and (or) hazardous production factors, states and diseases impeding the implementation of employment duties, including alcoholic, narcotic or other toxic intoxication and residual phenomena of such intoxication; 5) post-free, post-track medical examinations held at the end of the working day (shift, flight) in order to identify signs of impact of harmful and (or) hazardous production factors of the working environment and the employment process on the health of employees, acute professional disease or poisoning, signs of alcohol, narcotic or other toxic intoxication. In cases stipulated by the legislation of the Russian Federation, in-depth medical examinations may be carried out in relation to certain categories of citizens, which are periodic medical examinations with an extended list of specialist doctors and methods of survey participating in them. The dispensarization is a set of events, including medical examination by doctors of several specialties and the application of the necessary methods of survey carried out in relation to certain groups of the population in accordance with the legislation of the Russian Federation. 5. Dispensary observation is a dynamic observation, including the necessary examination, for the state of health of persons suffering from chronic diseases, functional disorders, other states, for the purposes of timely detection, prevention of complications, exacerbations of diseases, other pathological conditions, their prevention and medical examination The rehabilitation of these persons conducted in the manner established by the authorized federal executive body. In cases established by the legislation of the Russian Federation, the passage and conduct of medical examinations, dispensarization and dispensary observation are mandatory. The procedure for conducting medical examinations, clinical examination, dispensary observation and the list of studies included in them are approved by an authorized federal executive authority.

Article 47. Donation of organs and tissues of man and their transplantation (transplantation)

1. Transplantation (transplantation) of human organs and tissues from a living donor or corpse can only be applied if other treatment methods cannot ensure the preservation of the patient's life (recipient) or restoration of its health. The withdrawal of organs and tissues for transplantation (transplantation) in a living donor is permissible only if it is not possible to make a significant harm to the medical commission of a medical organization with the conclusion of the medical commission of a medical organization with the attraction of the relevant medical professionals. The withdrawal of organs and tissues for transplantation (transplantation) is not allowed in a living person who has not reached an eighteen-year-old age (except for the cases of bone marrow transplant) or recognized in accordance with the procedure established by law.4. The withdrawal of organs and tissues for transplantation (transplantation) is allowed in a living donor in the presence of its informed voluntary consent. Transplantation (transplantation) of human organs and tissues is allowed in the presence of informed voluntary consent of an adult recipient, and in relation to a minor recipient, as well as with respect to the recipient recognized in the procedure established by law, if it is not able to give informed voluntary consent for its state, - In the presence of informed voluntary consent of one of the parents or other legal representative given in the manner established by the authorized federal executive body.6. A professional capable citizen may be orally in the presence of witnesses or in writing, certified by the head of a medical organization or notarily, express its will to express his consent or disagreement on the withdrawal of organs and tissues from his body after death for transplantation (transplantation) in the manner prescribed by law Russian Federation.7. In the absence of an exception of an adult capacitive deceased right to declare his disagreement to the removal of organs and tissues from the body of the deceased for transplantation (transplantation), there are a spouse (spouse), and in its (its), there is one of the close relatives (children, parents adopted, Adopters, native brothers and siblings, grandchildren, grandfather, grandmother) .8. In the event of the death of a minor or a person recognized in the prescribed manner incapable, the withdrawal of organs and tissues from the body of the deceased for transplantation (transplantation) is allowed on the basis of the appreciated consent of one of the parents. 9. Information on the presence of a citizen specified in Part 6 of this article, other persons in cases stipulated by parts 7 and 8 of this article, expressed in oral or writing, certified in the manner prescribed by part 6 of this article, is made to the medical documentation of the citizen .ten. The withdrawal of organs and tissues for transplantation (transplantation) at the corpse is not allowed if the medical organization at the time of the removal in the procedure established by the legislation of the Russian Federation is informed that the person in life or other persons in the cases indicated in parts 7 and 8 of this Articles, declared disagreement on the withdrawal of its organs and tissues after death for transplantation (transplantation) .11. Authorities and fabrics for transplantation (transplantation) may be withdrawn from the corpse after the statement of death in accordance with Article 66 of this Federal Law. In case of the need for a forensic examination, permission to withdraw organs and tissues in a transplantation corpse (transplantation) should be given by a forensic expert with a notice of this prosecutor.13. It is not allowed to be forced to the withdrawal of human organs and tissues for transplantation (transplantation) .14. In the Russian Federation, donor organs and tissues are recorded, as well as persons who need treatment with transplantation (transplantation) of organs and tissues. The donation of human organs and tissues and their transplantation (transplantation) are carried out in accordance with the Federal Law.

Article 48. Medical Commission and Consilium Doctors

1. The Medical Commission consists of doctors and is headed by the head of a medical organization or one of his deputies. The medical commission is created in a medical organization in order to improve the organization of medical care, making decisions in the most difficult and conflict cases on the prevention, diagnosis, treatment and medical rehabilitation, determining the working capacity of citizens and the professional suitability of certain categories of workers, the implementation of quality assessment, validity and efficiency. Medical and diagnostic measures, including the appointment of drugs, ensure the appointment and correction of treatment in order to account for patients with drugs, transplantation (transplantation) of human organs and tissues, medical rehabilitation, as well as making a decision on other medical issues. The decision of the medical commission is issued by the Protocol and is made to the patient's medical documentation. Consilium doctors - a meeting of several doctors of one or more specialties necessary to establish the health status of the patient, diagnosis, the definition of the forecast and tactics of medical examination and treatment, the feasibility of the direction in the specialized branches of a medical organization or other medical organization and to solve other issues in cases provided for in this Federal Law. Consilium doctors convenes on the initiative of the attending physician in a medical organization or outside the medical organization (including remote consultation doctors). The decision of the Consilium doctors is issued by the Protocol, signed by the participants in the Consilium doctors and is made to the patient's medical documentation. In the protocol of the Doctors, the names of doctors included in the composition of the Consilium doctors, information about the reasons for the conservima of doctors, the course of the patient's disease, the patient's condition at the time of the consultation of doctors, including the interpretation of clinical data, laboratory, instrumental and other research methods and the decision of the Consilium doctors. In the presence of a special opinion of the participant of the consultation of doctors, the corresponding entry is introduced into the protocol. The opinion of the participant of the remote consultation of doctors with his words is made in the protocol with a medical person who is next to the patient.

Article 49. Medical waste (Not given)

Article 50. People's Medicine

1. People's medicine is the methods of recovery that established in the folk experience, which is based on the use of knowledge, skills and practical skills to assess and restore health. The folk medicine does not apply to the provision of services of an occult-magical nature, as well as the commission of religious rites. The right to occupation of folk medicine has a citizen who received permission issued by the executive authority of the subject of the Russian Federation in the health sector. The decision to issue permission to occupation of national medicine is made on the basis of a citizen's statement and the submission of a medical professional non-commercial organization or a statement of a citizen and a joint representation of a medical professional non-commercial organization and a medical organization. The permit gives the right to occupation of folk medicine on the territory of the constituency of the Russian Federation, the authority of the executive power of which such permission is issued. The person who received permission is engaged in traditional medicine in the manner prescribed by the executive authority of the subject of the Russian Federation.5. The deprivation of a citizen of permission to occupation of folk medicine is made by the decision of the executive authority of the constituent entity of the Russian Federation, which issued such permission, and can be appealed to the court. The traditional medicine is not included in the program of state guarantees of free provision of medical care to citizens. Illegal occupation of folk medicine, as well as causing harm to life or health of citizens in the occupation of traditional medicine entails the responsibility provided for by the legislation of the Russian Federation.

Chapter 6. Mother and Child Health Protection, Family and Reproductive Health

Article 51. Family rights in the field of health

1. Each citizen has the right to medical testimony for consultation without charge on family planning fees, the availability of socially significant diseases and diseases representing the danger to others, on the medical and psychological aspects of family-marital relations, as well as on medical and genetic and other consultations. and surveys in medical organizations of the state health care system in order to prevent possible hereditary and congenital diseases in offspring. The child's father or other family member is provided with the right if there is a consent of a woman, taking into account the state of its health, attend the child's birth, with the exception of cases of operational delivery, subject to the establishment of the relevant conditions (individual generic halls) and the absence of a father or other family member of infectious diseases . The implementation of such a right is carried out without charge charges with the father of a child or other family member. One of the parents, other family member or other legal representative is given the right to free joint finding with a child in a medical organization when providing him with medical care in stationary conditions during the entire period of treatment, regardless of the age of the child. With a joint finding in a medical organization in stationary conditions with a child before the age of four years, and with a child, older than this age - in the presence of medical testimony, the fee for creating conditions for staying in stationary conditions, including for the provision of bed and nutrition, from the specified Persons are not charged.

Article 52. The rights of pregnant women and mothers in the field of health 1

Maternity in the Russian Federation is protected and encouraged by the state. Each woman during pregnancy, during childbirth and after childbirth, is provided by medical care in medical organizations within the framework of the program of state guarantees of free assistance to citizens of medical care.3. Providing a full nutritional nutrition of pregnant women, nursing mothers, as well as children under the age of three, including through special facilities and trade in trade, is carried out on the conclusion of doctors in accordance with the legislation of the constituent entities of the Russian Federation.

Article 53. Birth of a child

1. The child's birth moment is the moment of separating the fetus from the body of the mother by means of childbirth.2. When birth at the birth of a living child, a medical organization in which childbirth issues a document of the established form. Medical criteria for birth, including the period of pregnancy, the mass of the child's body at birth and signs of alignment, as well as the procedure for issuing a birth document and its form are approved by an authorized federal executive authority.

Article 54. Rights of juvenile health in the field of health

1. In the field of health protection, minors are entitled to: 1) the passage of medical examinations, including when entering educational institutions and during the training period in them, in physical culture and sports, the passage of climbing, dispensary observation, medical rehabilitation, medical rehabilitation assistance, including during the period of training and education in educational institutions, in accordance with the procedure established by the authorized federal authority of the executive branch, and on the conditions established by the state authorities of the constituent entities of the Russian Federation; 2) the provision of medical care during the recovery and organized recreation is in order, established by an authorized federal executive body; 3) sanitary and hygienic education, training and labor in the conditions corresponding to their physiological characteristics and health status and excluding the influence of adverse factors; 4) medical advice without charging the fees in determining The Research Institute of Professional Fitness is in order and on the conditions established by the state authorities of the constituent entities of the Russian Federation; 5) obtaining information on the state of health in the form available to them in accordance with Article 22 of this Federal Law.2. Minors, patients of drug addicts, older than sixteen years old and other minors older than fifteen years have the right to informed voluntary consent to medical intervention or to refuse him in accordance with this Federal Law, except in cases of medical care in accordance with parts 2 and 9 of Article 20 of this Federal Law.3. Syroids, children who are left without parental care, and children in a difficult life situation, until they reach the age of four years inclusive can be included in the medical organizations of the State Health System and the Municipal Health System in the manner established by the authorized federal executive authority, and On the conditions established by the state authorities of the constituent entities of the Russian Federation.

Article 55. Application of auxiliary reproductive technologies

1. Auxiliary reproductive technologies are methods of treating infertility, with which the use of individual or all stages of conception and early development of embryos are carried out outside the maternal organism (including using donor and (or) cryopreserved sex cells, tissues of reproductive organs and embryos, as well as surrogate motherhood) .2. The procedure for using auxiliary reproductive technologies, contraindications and restrictions on their application are approved by an authorized federal executive body.3. A man and a woman, both consisting and not married, have the right to apply auxiliary reproductive technologies in the presence of mutual informed voluntary consent to medical intervention. A single woman also has the right to apply auxiliary reproductive technologies in the presence of its informed voluntary consent to medical intervention.4. When using auxiliary reproductive technologies, the choice of the floor of the future child is not allowed, except in cases where the possibility of inheritance of diseases associated with Paul.5. Citizens are eligible for cryopreservation and storage of their sex cells, tissues of reproductive organs and embryos at the expense of personal funds and other funds provided for by the legislation of the Russian Federation.6. Sex cells, fabric reproductive organs and human embryos cannot be used for industrial purposes. Being sexual cell donors have the right to citizens aged from eighteen to thirty-five years, physically and mentally healthy, which have passed a medical and genetic examination. When using donor sex cells and embryos, citizens have the right to receive information on the results of medical, medical and genetic surveys of the donor, about its race and nationality, as well as on external data. Surrogate motherhood is the hatching and birth of a child (including premature delivery) under the contract concluded between the surrogate mother (a woman who is carrying fruit after the transfer of a donor embryo) and potential parents whose genital cells were used for fertilization, or a lonely woman for whom to wear And the birth of a child is impossible for medical testimony. The surrogate mother can be a woman aged from twenty to thirty-five years old, having at least one healthy own child who received a medical conclusion about a satisfactory state of health, who gave written informed voluntary consent to medical intervention. A woman who is registered in the manner prescribed by the legislation of the Russian Federation may be a surrogate mother only with the written consent of the spouse. Surrogate mother cannot be at the same time the egg donor.

Article 56. Artificial abortion of pregnancy

1. Each woman independently decides the issue of motherhood. Artificial pregnancy interruption is carried out at the request of a woman in the presence of informed voluntary agreement.2. Artificial abortion of pregnancy at the request of a woman is carried out under a pregnancy rate to twelve weeks. Artificial pregnancy interruption is carried out: 1) Not earlier than 48 hours from the time of the conversion of a woman into a medical organization for artificial abortion of pregnancy: a) with a pregnancy rate of the fourth-seventh week; b) under a pregnancy rate of the eleventh-twelfth week, but no later than the end of the twelfth week of pregnancy ; 2) Not earlier than seven days from the date of the conversion of a woman in a medical organization for artificial interruption of pregnancy under a pregnancy term of the eighth-tenth of pregnancy. Artificial interruption of pregnancy on social indications is carried out under a pregnancy rate of up to twenty-two weeks, and in the presence of medical testimony - regardless of the term of pregnancy. Social testimony for artificial interruption of pregnancy is determined by the Government of the Russian Federation.6. The list of medical testimony for artificial interruption of pregnancy is determined by an authorized federal executive body. Artificial abortion of pregnancy in an adult, recognized in the procedure established by law, if it is not able to express his will, perhaps, by the court decision taken on the statement of its legal representative and with the participation of adult, recognized in the procedure established by law. The illegal conduct of artificial abortion of pregnancy entails criminal liability established by the legislation of the Russian Federation.

Article 57. Medical sterilization

1. Medical sterilization as a special medical intervention in order to deprive a person's ability to reproduce offspring or as a method of contraception can be carried out only by a written statement of a citizen over the age of thirty-five years or a citizen who has at least two children, and in the presence of medical testimony and informed Voluntary consent of the citizen - regardless of the age and the presence of children. According to a legal representative of an adult person recognized in accordance with the procedure established by law, if such a person is not able to express his will, medical sterilization is possible by a court decision taken with the participation of an adult person recognized in the procedure established by law. The list of medical testimony for medical sterilization is determined by an authorized federal executive authority.

Chapter 7. Medical Examination and Medical Examination

Article 58. Medical Examination

1. Medical expertise is a study conducted in the prescribed manner aimed at establishing the health of the citizen, in order to determine its ability to carry out labor or other activities, as well as the establishment of the causal relationship between the impact of any events, factors and the state of health of the citizen.2 . In the Russian Federation, the following types of medical examinations are carried out: 1) examination of temporary disability; 2) Medical and social expertise; 3) Military medical examination; 4) Forensic medical and forensic examination; 5) examination of professional suitability and expertise Profession; 6) examination of the quality of medical care. Part 3 of Article 58 enters into force on January 1, 2015 (paragraph 5 of Article 101 of this document). 3. Citizens are entitled to conduct an independent medical examination in the manner and in cases established by the Regulations on the Independent Medical Examination Approved by the Government of the Russian Federation.4. In the case provided for in Article 61 of this Federal Law, an independent military medical examination may be carried out.

Article 59. Examination of temporary disability

1. Examination of the temporary disability of citizens in connection with diseases, injuries, poisoning and other states related to temporary disability, fogging in sanatorium-resort organizations, if necessary, care for a sick family member, in connection with quarantine, during prosthetics in stationary conditions , in connection with pregnancy and childbirth, with the adoption of the child, it is carried out in order to determine the ability of an employee to carry out work, the need and timing of the temporary or permanent translation of the employee for the state of health to another work, as well as decisions on the direction of a citizen on a medical and social expertise. . Examination of temporary disability is carried out by the attending physician who only issues citizens with disability sheets to fifteen calendar days inclusive, and in cases established by an authorized federal executive body, "by paradise or a dental physician who alone issued a disability sheet for up to ten calendar days inclusive. 3. Extension of a disability sheet for a longer period than indicated in part 2 of this article (but no more than fifteen calendar days at the same time) is carried out by addressing the medical commission appointed by the head of a medical organization from among the doctors who have been trained on the examination of temporary disability. . With an obvious unfavorable clinical and labor forecast no later than four months from the date of commencement of temporary disability, the patient is sent to the passage of medical and social expertise in order to assess the restriction of life, and in case of refusal to pass the medical and social examination, the disability leaves closes. With a favorable clinical and labor forecast no later than ten months from the date of commencement of temporary disability in a state of injury and reconstructive operations and no later than twelve months in the treatment of tuberculosis, the patient is either issued to work on labor activity, or is sent to the medical and social expertise. When making a sheet of disability in order to comply with medical secrecy, only the cause of temporary disability (disease, injury or other reason) is indicated. According to a written statement, a citizen in a disability certificate may be made about the diagnosis of the disease. The procedure for the examination of temporary disability is established by an authorized federal executive body. 7. The Social Insurance Fund of the Russian Federation in order to assess the validity of consumption of compulsory social insurance for the payment of temporary disability benefits in the manner established by the authorized federal authority of the executive authority, has the right to check compliance with the procedure for issuing, extension and registration of disability leaves.

Article 60. Medical and Social Examination

1. Medical and social expertise is held in order to determine the needs of a surveyed person in social protection measures, including rehabilitation, federal agencies of medical and social expertise on the basis of assessing the limitations of vital activity caused by a resistant disorder of the functions of the body. Medical and social expertise is held in accordance with the legislation of the Russian Federation on the social protection of persons with disabilities.

Article 61. Military-Medical Examination

1. Military-medical examination is held in order to: 1) determining the shelf life of military service (service equivalent to it), training (service) on specific military-accounting specialties (specialties in accordance with the post occupied); 2) establishing a causal relationship of injury ( injuries, injuries, contusions), diseases in military personnel (persons equated to them, citizens designed for military fees) and citizens dismissed from military service (equivalent to her service, military fees), with the passage of military service (service (equivalent service) ; 3) solutions to other issues stipulated by the legislation of the Russian Federation. Regulations on the military medical examination, which provides for the procedure for military examination in the federal executive bodies, in which the Federal Law provides for military service (service equal to it), and in the military-established special formations, including the procedure for medical examination and medical examination of citizens when making military registration, call for military service, admission to military service under the contract, admission to military educational institutions of vocational education, call for military fees, citizens who were previously recognized as limited to military service for health, citizens, Alternative civil service, as well as requirements for the state of health of citizens to be called for military service, invoking on military fees (passing military fees) entering military service under the contract, in military educational institutions of professional images An alia, military personnel and citizens who are in stock are approved by the Government of the Russian Federation. Requirements for the health of citizens, with the exception of this article specified in paragraph 4, are established by the relevant federal executive bodies in which citizens pass military service (service equivalent to it) .4. Requirements for the health of citizens sent to alternative civil service or passing alternative civil service are similar to the requirements for citizens calling for military service or passing military service. The conclusions of military medical examination are mandatory for execution by officials in the Russian Federation.6. In disagreement of citizens with the conclusion of a military medical examination, an independent military medical examination is being carried out on their application. The Regulation on the independent military medical examination is approved by the Government of the Russian Federation. Examination is recognized as independent if its expert or members of the expert commission are not in service or other dependence on the establishment or commission who conducted a military-medical examination, as well as from bodies, institutions, officials and citizens interested in the results of independent military medical examination .8. When conducting an independent military medical examination, citizens are given the right to choose an expert institution and experts. In cases established by the legislation of the Russian Federation, the passage and conduct of military medical examination are mandatory.

Article 62. Forensic and forensic psychiatric examination

1. Forensic and forensic psychiatric examinations are carried out in order to establish the circumstances to be proof on a specific case, in medical organizations in experts in accordance with the legislation of the Russian Federation on state forensic activities. The procedure for holding forensic and forensic psychiatric examinations and the procedure for determining the severity of harm caused by human health is established by an authorized federal executive body.

Article 63. Examination of the professional suitability and examination of the communication of the disease with the profession

1. The examination of professional fitness is carried out in order to determine the conformity of the health of the employee, the ability to fulfill individual types of work. Examination of professional suitability is conducted by the medical commission of a medical organization with the involvement of specialist doctors on the results of preliminary medical examinations and periodic medical examinations. According to the results of the examination of professional suitability, the medical commission makes a medical conclusion about the suitability or unsuitability of the employee to perform certain types of work. The procedure for the examination of professional suitability, the form of a medical conclusion about suitability or unsuitability for the implementation of certain types of work is established by an authorized federal executive body. Examination of the communication of the disease with the profession is carried out in order to establish the causal relationship of the disease with professional activities.5. Examination of the communication of the disease with the profession is carried out by a specialized medical organization or a specialized structural unit of a medical organization in the field of professional pathology in identifying a professional disease. According to the results of the examination of the relationship of the disease with the profession, a medical conclusion is made on the presence or absence of a professional disease. The procedure for conducting an examination of the communication of the disease with the profession and the form of a medical conclusion about the presence or absence of a professional disease is established by an authorized federal executive body.

Article 64. Medical quality examination

1. The examination of the quality of medical care is carried out in order to identify violations in the provision of medical care, including the assessment of the timeliness of its provision, the correctness of the choice of prevention, diagnosis, treatment and rehabilitation methods, the degree of achievement of the planned result. The criteria for assessing the quality of medical care are formed by groups of diseases or states based on the appropriate procedures for the provision of medical care and medical care standards and are approved by an authorized federal executive body.3. Examination of the quality of medical care provided within the framework of compulsory medical insurance programs is carried out in accordance with the legislation of the Russian Federation on compulsory medical insurance. Examination of the quality of medical care, with the exception of medical care provided in accordance with the legislation of the Russian Federation on compulsory health insurance, is carried out in the manner prescribed by the authorized federal executive authority.

Article 65. Medical examination

1. The medical examination of the person is a set of medical examination and medical research methods aimed at confirmation of such a state of human health, which entails the offensive of legally significant consequences. For types of medical examination are: 1) examination on the state of intoxication (alcoholic, narcotic or other toxic); 2) psychiatric examination; 3) examination for medical contraindications to the management of the vehicle; 4) examination for medical contraindications to the possession of weapons; 5) Other types of medical examination established by the legislation of the Russian Federation.3. Financial support for medical examination is carried out in accordance with the legislation of the Russian Federation.4. Medical examination is carried out in medical organizations in the manner established by the authorized federal executive authority.5. Psychiatric examination is carried out in accordance with the legislation of the Russian Federation on psychiatric care and guarantees of the rights of citizens in its provision.

Chapter 8. Medical events carried out in connection with the death of man

Article 66. Determining the moment of death of a person and termination of resuscitation activities

1. The moment of death of a person is the moment of death of his brain or his biological death (irreversible death of a person) .2. The death of the brain comes with full and irreversible cessation of all its functions, recorded with the head and artificial ventilation of the lungs. The diagnosis of the death of the brain is established by the Cancerium of doctors in a medical organization in which the patient is located. Anesthesiologist-resuscitator and neurologist, who have experience in the separation of intensive care and resuscitation of at least five years should be present in the composition of the conservima of doctors. Consilium doctors cannot include specialists who participate in seizures and transplantation (transplantation) of organs and (or) tissues. The biological death of a person is established on the basis of the presence of early and (or) lateral changes. The statement of the biological death of a person is carried out by a medical worker (doctor or paramedic) .6. Resuscitation activities are terminated in case of recognition of them are absolutely unpromising, namely: 1) when the death of a person's death on the basis of the death of a brain, including against the background of the ineffective use of a full range of resuscitation measures aimed at maintaining life; 2) with the ineffectiveness of resuscitation measures aimed at On the restoration of vital functions, for thirty minutes; 3) in the absence of a newborn heartbeat after ten minutes from the beginning of resuscitation activities (artificial ventilation of the lungs, the massage of the heart, the introduction of drugs) .7. Resuscitation activities are not carried out: 1) in condition of clinical death (stopping the vital functions of the human body (blood circulation and respiration) of a potentially reversible nature, against the background of the absence of signs of brain death) against the background of the progression of reliably established incurable diseases or incurable consequences of acute injury incompatible with life; 2) if there are signs of human biological death. The procedure for determining the moment of death of a person, including the criteria and procedure for determining the death of a person, the procedure for the cessation of resuscitation measures and the form of the protocol of the death of a person are determined by the Government of the Russian Federation.

Article 67. Conducting patrol and anatomical openings

1. Patol-anatomical autopsies are carried out by doctors of the corresponding specialty in order to obtain data on the cause of human death and the diagnosis of the disease. The procedure for conducting patrol and anatomical openings is determined by an authorized federal executive body.3. According to religious reasons in the presence of a written statement of a spouse or a close relative (children, parents, adopted, adoptive parents, siblings, grandchildren, grandfathers), and in their absence of other relatives or a legal representative of the deceased or the will of the deceased During life, the path-anatomical autopsy is not produced, except in cases: 1) suspicion of violent death; 2) the impossibility of establishing the final clinical diagnosis of the disease that led to death, and (or) the immediate cause of death; 3) to provide a deceased patient with a medical organization medical care in stationary conditions less than one day; 4) suspected overdose or intolerance of drugs or diagnostic preparations; 5) death: a) related to preventive, diagnostic, instrumental, anesthesiological, resuscitation, medical measures, during or after operation is overflow ply of blood and (or) of its components; b) from the infectious disease or in suspected of it; c) from the oncological disease in the absence of histological verification of the tumor; d) from the disease associated with the effects of the environmental disaster; e) pregnant women, feminine, psivilians ( Including the last day of the postpartum period) and children under the age of twenty-eight days of life inclusive; 6) the birth of a dead child; 7) the need for forensic medical research. When conducting patrol and anatomical opening, histological, biochemical, microbiological and other necessary methods of research of individual organs, tissues of the deceased or their parts are an integral part of the diagnostic process in order to identify the causes of human death, the complications of the underlying disease and the concomitant disease, its condition. The will of the deceased, expressed in his life, or a written statement of the spouse, a close relative (children, parents, adopted, adoptive parents, siblings, grandfathers, grandparents), and with their lack of other relatives or a legal representative of the deceased Research is not required.5. The conclusion of the cause of death and the diagnosis of the disease is a spouse, a close relative (children, parents, adopted, adoptive parents, siblisters, grandchildren), and with their lack of other relatives or a legal representative of the deceased, law enforcement agencies, a body, Carrying out state quality control and security of medical activities, and the body that carries out quality control and conditions for the provision of medical care, on their demand. 6. A spouse, a close relative (children, parents, adopted, adoptive parents, native brothers and native sisters, grandchildren, grandfather, grandmother), and in the absence of other relatives or a legal representative of the deceased is given the right to invite a specialist doctor (if there is its consent) To participate in the path-anatomical opening. The conclusion of the results of the path-anatomical autopsy may be appealed to the court of his spouse, a close relative (children, parents, adopted, adoptive parents, siblings, grandfather, grandchildren), and with their lack of a different relative or a legitimate representative of the deceased in order established by the legislation of the Russian Federation.8. The pathological and anatomical autopsy is carried out in compliance with a decent attitude towards the body of a deceased person and maintaining the most anatomical form.

Article 68. Using the body, organs and tissues of the deceased person

1. The body, organs and fabrics of the deceased person can be used in medical, scientific and academic purposes in the following cases: 1) in the presence of a written willing of the person made by him during life and notarized in the prescribed manner, about the possibility of such use; 2) if the body Not in demand after the death of a person because of the lack of his spouse, close relatives (children, parents, adopted, adoptive parents, siblings, grandchildren, grandfathers, grandparents), other relatives, legal representatives or other persons who have taken obliities to carry out burial , in the manner and within the deadlines established by the legislation of the Russian Federation on the burial and funeral business. The procedure and conditions for the transfer of unclaimed body, organs and tissues of the deceased person for use in medical, scientific and educational purposes, the procedure for the use of unclaimed body, organs and tissues of the deceased person under these purposes, including the maximum life of their use, are established by the Government of the Russian Federation. After the expiration of the maximum period, the unclaimed body, the organs and tissues of the deceased person are subject to burial in accordance with the legislation of the Russian Federation on the burial and funeral business.

Chapter 9. Medical workers and pharmaceutical workers, medical organizations

Article 69. The right to the implementation of medical activities and pharmaceutical activities

(Parts 1-4 of Article 69 come into force on January 1, 2016 (paragraph 6 of Article 101 of this document). 1. The right to exercise medical activities in the Russian Federation has persons who have received medical or other education in the Russian Federation in accordance with federal state educational standards and having a certificate of accreditation of a specialist. The right to implement pharmaceutical activities in the Russian Federation are: 1) Persons who received pharmaceutical education in the Russian Federation in accordance with federal state educational standards approved in the manner prescribed by the legislation of the Russian Federation, and having a certificate of accreditation of a specialist; 2) Persons with the right for medical activities and received additional vocational education in part of retailers with drugs, subject to their work in separate divisions (ambulatory, paramedic and medical and obstetric items, centers (branches) of the general medical (family) practice) of medical organizations licensed The implementation of pharmaceutical activities and located in rural settlements, in which there are no pharmacy organizations. Accreditation of a specialist - a procedure for determining the preparation of the readiness of a person who has received higher or secondary medical or pharmaceutical education, to the implementation of medical activities on a certain medical specialty in accordance with the established procedures for providing medical care and with standards of medical care or pharmaceutical activities. Accreditation of a specialist is carried out at the end of them by mastering the main educational programs of the Middle, Higher and Postgraduate Medical and Pharmaceutical Education, as well as additional professional educational programs at least once every five years in the manner established by the authorized federal executive authority. Persons with medical or pharmaceutical education who have not worked in their specialty for more than five years may be allowed to carry out medical activities or pharmaceutical activities in accordance with the specialty received after passing on additional professional educational programs (advanced training, professional retraining) and accreditation passage .five. Persons who have not completed the development of the main educational programs of higher medical or higher pharmaceutical education programs, and persons with higher medical or higher pharmaceutical education may be admitted to the implementation of medical activities or pharmaceutical activities in the posts of medium-sized medical or secondary pharmaceutical staff in the manner established by the authorized federal executive authority authorities. Part 6 of Article 69 enters into force on January 1, 2016 (paragraph 6 of Article 101 of this document).6. Persons who received medical or pharmaceutical education in foreign countries are allowed to implement medical activities or pharmaceutical activities after establishing the equivalence of documents of foreign countries on education in the manner prescribed by the legislation of the Russian Federation on education, the exam in the specialty in the manner prescribed An authorized federal executive body, and the passage of accreditation, unless otherwise provided by international treaties of the Russian Federation. Part 7 of Article 69 enters into force on January 1, 2016 (paragraph 6 of Article 101 of this document).7. Persons who illegally engaged in medical activities and pharmaceutical activities are criminalized in accordance with the legislation of the Russian Federation.

Article 70. Attending physician

1. The attending physician is appointed by the head of the medical organization (divisions of the medical organization) or is chosen by the patient, taking into account the consent of the doctor. In the event of a patient's demand for the replacement of the doctor's doctor, the head of a medical organization (divisions of the Medical Organization) must contribute to the choice by the patient of another doctor in the manner established by the authorized federal executive body.2. The attending physician organizes a timely qualified examination and treatment of the patient, provides information on the state of its health, at the request of the patient or its legal representative invites specialist doctors for consultations, if necessary, convenes a consultation of doctors for the purposes established by Part 4 of Article 47 of this Federal Law. Recommendations of consultants are implemented only in coordination with the attending physician, with the exception of cases of emergency medical care.3. The attending physician in agreement with the appropriate official (head) of the medical organization (divisions of the medical organization) may refuse to observe the patient and its treatment, as well as notify in writing to refuse to conduct artificial abortion, if the refusal directly does not threaten the patient's life and Health surrounding. In the event of a refusal of the doctor from observing the patient and the treatment of the patient, as well as in the case of notification in writing, a refusal to conduct an artificial abortion of pregnancy, an officer (head) of a medical organization (divisions of the medical organization) should organize the replacement of the attending physician.4. The attending physician, recommending the patient a medication, a medical product, a specialized product of therapeutic nutrition or a substitute for breast milk, is obliged to inform the patient about the possibility of obtaining them the appropriate drugs, a medical product, a specialized product of therapeutic nutrition or a substitute for breast milk without charging the board in accordance with the legislation of the Russian Federation.5. The attending physician establishes the diagnosis that is based on a comprehensive examination of the patient and compiled using medical terms with medical conclusion about the disease (condition) of the patient, including the cause of the patient's death. The diagnosis, as a rule, includes information about the main disease or the status of concomitant diseases or states, as well as on complications caused by the main disease and the concomitant disease. 7. Separate functions of the attending physician for the direct provision of medical care to the patient during the observation period and its treatment, including the purpose and use of drugs, including narcotic drugs and psychotropic drugs, the head of the medical organization in organizing the provision of primary health care Aid and emergency care can be assigned to the paramedic, midwife in the manner established by an authorized federal executive body.

Article 71. Klyatva doctor

1. Persons who completed the development of the main educational program of higher medical education, when receiving a document on higher professional education, give an oath of a doctor of the following content: "getting a high title of doctor and starting professional activities, I solemnly swear: honestly perform your medical debt, devote your knowledge and the ability to prevent and treat diseases, preservation and strengthening human health; be always ready to provide medical care, keep a medical secret, carefully and carefully treat the patient, to act exclusively in his interests, regardless of gender, race, nationality, language, origin, property and property and official position, place of residence, relations to religion, belief, belonging to public associations, as well as other circumstances; show the highest respect for the human life, never resort to the exercise of euthanasia; keep gratitude and respect for their teachers, to be a demander and fair and fair to their students, contribute to their professional growth; relatively treat colleagues, to contact them for help and advice, if the interests of the patient are required, and never deny colleagues in help and advice; constantly improve their professional skills, protect and protect and Develop the noble traditions of medicine. "2 The doctor's oath is given in a solemn atmosphere.

Article 72. The rights of medical workers and pharmaceutical workers and their stimulation measures

1. Medical workers and pharmaceutical workers have the right to basic guarantees provided for by labor legislation and other regulatory legal acts of the Russian Federation, including: 1) the creation by the head of the medical organization of the relevant conditions for the employee of its employment duties, including the provision of necessary equipment in the procedure defined by the legislation of the Russian Federation; 2) professional training, retraining and advanced training at the expense of the employer in accordance with the labor legislation of the Russian Federation; 3) professional retraining at the expense of the employer or other funds provided for by the legislation of the Russian Federation, if it is impossible Perform labor responsibilities for health and when dismissing employees in connection with the reduction in the number or staff, due to the liquidation of the organization; 4) the passage of certification to obtain a qualification category Horily in order and on time determined by the authorized federal executive body, as well as to differentiate wages according to the results of certification; 5) labor stimulation in accordance with the level of qualification, with the specifics and complexity of work, with the volume and quality of labor, as well as concrete results activities; 6) the creation of professional non-commercial organizations; 7) the risk insurance of their professional responsibility.2. The government of the Russian Federation, the state authorities of the constituent entities of the Russian Federation and local governments have the right to establish additional guarantees and social support measures to medical professionals and pharmaceutical workers at the expense of the federal budget budget allocations, budget allocations of the budgets of the constituent entities of the Russian Federation and local budgets.

Article 73. Responsibilities of medical workers and pharmaceutical workers

1. Medical workers and pharmaceutical workers carry out their activities in accordance with the legislation of the Russian Federation, guided by the principles of medical ethics and deontology. Medical workers are required: 1) provide medical assistance in accordance with their qualifications, job descriptions, service and official duties; 2) comply with medical secret; 3) improve professional knowledge and skills by learning on additional professional educational programs in educational and scientific organizations in order and within the deadlines established by the authorized federal executive body; 4) to prescribe drugs and write them down on prescription forms (with the exception of drugs released without a prescription for the drug) in the manner established by the authorized federal executive body; 5) to inform the authorized official A person of a medical organization information provided for in part 3 of Article 64 of the Federal Law of April 12, 2010 N 61-FZ "On the circulation of medicines" and part 3 of Article 96 of this Federal Law.3. Pharmaceutical workers carry duties provided for in paragraphs 2, 3 and 5 of Part 2 of this article.

Article 74. Restrictions imposed on medical professionals and pharmaceutical workers in the exercise of professional activities

1. Medical workers and heads of medical organizations are not entitled to:
1) accept from organizations involved in the development, production and (or) sale of drugs, medical devices, organizations with rights to use the trading name of the drug, wholesale trade organizations drugs, pharmacy organizations (their representatives, other individuals and legal entities, carrying out their activities on behalf of these organizations) (hereinafter referred to as the Company, representative of the company) gifts, cash (with the exception of remuneration under contracts during clinical studies of drugs, clinical tests of medical devices, in connection with the implementation of the medical worker of pedagogical and (or) scientific activity), including payment for entertainment, rest, travel to the place of recreation, as well as take part in the entertainment events held at the expense of companies, representatives of companies;
2) to conclude with the company, a representative of the company on the appointment or recommendation to patients of drugs, medical devices (with the exception of contracts for clinical studies of drugs, clinical tests of medical devices);
3) receive from the company, representative of the company samples of drugs, medical devices for the presentation of patients (except for cases related to clinical studies of drugs, clinical tests of medical devices);
4) Provide when prescribing a course of treatment, the patient is inaccurate, incomplete or distorted information about drugs used, about medical products, including to hide information about the presence of similar drugs, medical devices;
5) carry out the reception of representatives of pharmaceutical companies, manufacturers or sellers of medical products, except in cases involving clinical studies of drugs, clinical tests of medical devices, participation in the manner established by the Administration of Medical Organization, in the meetings of medical professionals and other events related to an increase in their professional level or the provision of information provided for by part 3 of Article 64 of the Federal Law of April 12, 2010 N 61-FZ "On the circulation of medicines" and part 3 of Article 96 of this Federal Law;
6) Disposable drugs, medical products on blanks containing advertising information, as well as on prescription form, on which the name of the drug, medical product is printed in advance.
2. Pharmaceutical workers and managers of pharmacy organizations are not entitled:
1) take gifts, money, including payment for entertainment, recreation, travel to the place of recreation, and take part in entertainment events held at the expense of the company, representative of the company;
2) receive from the company, representative of the company samples of drugs, medical devices for presenting the population;
3) to conclude with the company, representative of the Company's agreement on the proposal to the population of certain drugs, medical devices;
4) to provide the population in unreliable, incomplete or distorted information on the presence of drugs with the same international non-specific name, medical devices, including to hide information on the presence of drugs and medical devices with a lower price.

3. For violations of this article, medical and pharmaceutical workers, heads of medical organizations and managers of pharmacy organizations, as well as companies, representatives of companies are responsible provided for by the legislation of the Russian Federation.

Article 75 - 77. (Not given)

Article 78. Rights of medical organizations

Medical organization has the right:
1) to make the founder proposals for optimizing the provision of medical care citizens;
2) to participate in the provision of medical care to citizens in accordance with the program of state guarantees of free provision of medical care citizens, which includes the basic health insurance program;
3) to issue recipes for drugs, certificates, medical conclusions and disability leaves in the manner established by the authorized federal executive authority;
4) carry out scientific and (or) research activities, including fundamental and applied scientific research; 5) to create local information systems containing data on patients and medical services provided by him, with compliance with the requirements established by the legislation of the Russian Federation Personal data and compliance with medical mystery.

Article 79. Responsibilities of medical organizations

1. Medical organization is required:
1) provide citizens with medical care in emergency form;
2) to carry out medical activities in accordance with the legislative and other regulatory legal acts of the Russian Federation, including the procedures for providing medical care and standards of medical care;
3) inform citizens about the possibility of obtaining medical care under the program of state guarantees of free provision of medical care and territorial programs of state guarantees of free provision of medical care citizens;
4) comply with medical mystery, including the confidentiality of personal data used in medical information systems;
5) Ensure the use of drugs allowed in the Russian Federation, specialized food nutrition products, medical devices, disinfection, disinsection and deratization funds; 6) to provide patients with reliable information on medical care, the effectiveness of treatment methods used by drugs and medical products ;
7) Inform citizens in an accessible form, including using the Internet network, about medical activities and medical professionals of medical organizations, on the level of their education and their qualifications; 8) to provide professional training, retraining and advanced training of medical professionals In accordance with the labor legislation of the Russian Federation;
9) inform the internal affairs bodies in the manner established by the authorized federal executive bodies, the admission of patients with respect to which there are sufficient grounds to believe that harm to their health is caused as a result of unlawful actions;
10) to insure in case of causing harm to life and (or) the patient's health in the provision of medical care in accordance with federal law;
11) to conduct medical records in the prescribed manner and represent reporting by type, forms, on time and in the amount of the authorized federal executive authority;
12) to ensure accounting and storage of medical records, including forms of strict reporting;
13) Conduct activities to reduce the risk of injury and occupational diseases, introduce safe methods for collecting medical waste and ensure protection from injury to elements of medical devices.

2. Medical organizations involved in the implementation of the program of state guarantees of free provision of medical care citizens, along with the obligations provided for by part 1 of this article, are also required:
1) to provide patients with information on the procedure, on the amount and conditions for medical care in accordance with the program of state guarantees of free provision of medical care citizens;
2) to provide medical care to citizens within the framework of the program of state guarantees of free provision of medical care and territorial programs of state guarantees of free provision of medical care citizens;
3) ensure that preventive measures aimed at preventing the risk factors for the development of diseases and their early detection;
4) hold a promotion of a healthy lifestyle and sanitary and hygienic education.

Chapter 10. Program of state guarantees of free provision of medical care to citizens

Article 80. The program of state guarantees of free assistance to citizens of medical care

1. In the framework of the program of state guarantees of free provision of medical care to citizens: 1) Primary health care, including preference, medical and specialized; 2) specialized medical care, including high-tech; 3) ambulance, including Accounts Specialized; 4) Palliamentary Medical Assistance in Medical Organizations. With the framework of the program of state guarantees of free provision of medical care to primary health care providing citizens in a day hospital and emergency form, specialized medical care, including high-tech, emergency medical care, including emergency specialized, palliative care in stationary Conditions are provided by citizens with drugs for medical use included in the list of vital and most important drugs in accordance with the Federal Law of April 12, 2010 N 61-FZ "On the circulation of medicines", and medical products that are provided for by the standards of medical care. 3. When providing medical assistance in the framework of the program of state guarantees of free provision of medical care and territorial programs of state guarantees of free provision of medical care to citizens, citizens are not payable at the expense of personal funds of citizens:
1) the provision of medical services, the appointment and use of drugs included in the list of vital and most important drugs, medical devices, blood components, therapeutic nutrition, including specialized food nutrition products, for medical testimony in accordance with medical care standards;
2) appointment and application for medical testimony of drugs that are not included in the list of vital and most important drugs - in cases of their substitution due to individual intolerance, according to life indications;
3) accommodation in the Motherboard Chambers (Boxes) of Patients - for medical and (or) epidemiological indications established by an authorized federal executive authority;
4) the creation of the conditions for staying in stationary conditions, including the provision of a bed and nutrition, with the joint finding of one of the parents, a different member of the family or another legal representative in a medical organization in stationary conditions with a child until they reach the age of four years, and with the child older than the specified age - in the presence of medical testimony;
5) Transport services, including a patient with a patient in hospital conditions, in order to fulfill the procedures for the provision of medical care and medical care standards, if necessary, to carry out such a patient of diagnostic research - in the absence of the possibility of their medical organization providing medical care to the patient;
6) Transportation and storage in the morgue received for the study of biological material, corpses of patients who died in medical and other organizations, and disposal of biological material.
4. The program of state guarantees of free provision of medical care to citizens is approved for a period of three years (for the next fiscal year and for the planning period) by the Government of the Russian Federation, which annually reviews the report on its implementation by an authorized federal executive authority. Within the framework of the program of state guarantees of free provision of medical care to citizens:
1) a list of forms and conditions of medical care, the provision of which is carried out for free;
2) a list of diseases and states, the provision of medical care under which is free;
3) Categories of citizens, providing medical assistance to which is free;
4) the basic compulsory medical insurance program in accordance with the legislation of the Russian Federation on compulsory health insurance;
5) MEDICAL NUMBER NATURAL REQUERINGS, INTERNAL CONDUCTIVE STATES per unit of medical care, medium-sized financing standards, as well as the procedure and structure of the formation of tariffs for medical care and methods for its payment;
6) Requirements for territorial programs of state guarantees of free provision of medical care citizens in terms of determining the procedure, the conditions for the provision of medical care, and medical care criteria. In terms of medical care, the provision of which is carried out at the expense of the budget allocations of the federal budget in the Government Guarantee Program, are established:
1) a list of species, forms and conditions of medical care, the provision of which is carried out at the expense of budget allocations of the federal budget;
2) a list of diseases, states, the provision of medical care under which is carried out at the expense of the federal budget budget allocations;
3) the categories of citizens, the provision of medical assistance to which is carried out at the expense of the budget allocations of the federal budget;
4) The procedure and conditions for the provision of medical care at the expense of the budget allocations of the federal budget, the target values \u200b\u200bof the accessibility criteria for medical care.
7. The program of state guarantees of free provision of medical care to citizens is formed taking into account the procedures for medical care and on the basis of medical care standards, as well as taking into account the peculiarities of the age of the population, the level and structure of the incidence of the population of the Russian Federation based on data from medical statistics.

Article 81. The territorial program of state guarantees of free provision of medical care citizens (not given)

Chapter 11. Financial Provision in Health Protection

Article 82 - 83. (Not given)

Article 84. Payment of medical services

1. Citizens are entitled to receive paid medical services provided at their request when providing medical care, and paid non-medical services (household, service, transport and other services) provided additionally when providing medical assistance. Paid medical services are in patients at the expense of personal funds of citizens, employers' funds and other means on the basis of contracts, including voluntary health insurance agreements. Part 3 of Article 84 enters into force on January 1, 2013 (paragraph 3 of Article 101 of this document).3. When providing paid medical services, the procedures for medical care should be followed. Paid medical services may be provided in the full amount of medical care or at the request of the patient in the form of individual consultations or medical interventions, including in the amount of exceeding the amount of the standard of medical care. Medical organizations involved in the implementation of the program of state guarantees of free provision of medical care citizens and the territorial program of state guarantees of free provision of medical care citizens have the right to provide patients with paid medical services: 1) on other conditions, which provides for the program of state guarantees of free provision of medical care citizens, The territorial programs of state guarantees of free provision of medical care and (or) targeted programs; 2) in the provision of medical services anonymously, with the exception of cases provided for by the legislation of the Russian Federation; 3) Citizens of foreign countries, stateless persons, with the exception of persons insured by the obligatory medical insurance, and citizens of the Russian Federation who do not constantly live on its territory and are not insured for compulsory health insurance, unless otherwise provided in public agreements of the Russian Federation; 4) with independent appeal to receive medical services, with the exception of cases and procedures provided for in Article 21 of this Federal Law. The patient's refusal from the proposed paid medical services cannot be caused by a decrease in the species and the amount of medical assistance provided to such a patient without charging the fee in the program of state guarantees of free provision of medical care and territorial program of state guarantees of free provision of medical care to citizens. The procedure and conditions for the provision of paid medical services with medical organizations to patients are established by the Government of the Russian Federation.8. The provisions of the Law of the Russian Federation of February 7, 1992 No. 2300-1 "On Consumer Rights Protection" apply to relations associated with the provision of paid medical services.

Chapter 12. Organization of Health Control

Article 85. Control in the field of health

Health Control Control includes: 1) quality control and security of medical activities; 2) state control in the field of drug circulation, carried out in accordance with the legislation of the Russian Federation on the treatment of medicines; 3) State control when contacting medical devices; 4 ) State Sanitary and Epidemiological Supervision, carried out in accordance with the legislation of the Russian Federation on the sanitary and epidemiological well-being of the population.

Article 86. Powers of the authorities carrying out state control in the field of health

1. Commissioner federal executive bodies, executive authorities of the constituent entities of the Russian Federation, carrying out state control in the field of health protection (hereinafter referred to as state control):
1) issues mandatory for the execution of the prescription in case of identifying violations of the legislation of the Russian Federation in the field of health protection, the legislation of the Russian Federation on the treatment of medicines;
2) attract responsibility for violating the legislation of the Russian Federation in the field of health protection, legislation of the Russian Federation on drug treatment Medical organizations and pharmaceutical organizations and their officials, officials of the federal executive authorities, the executive authorities of the constituent entities of the Russian Federation, local governments, state extrabudgetary funds in cases and in the manner established by the legislation of the Russian Federation;
3) make up protocols on administrative offenses in the field of health protection, drug circulation, consider cases on these administrative offenses and take measures to prevent such violations;
4) are sent to authorized materials related to impairment of mandatory requirements, to address issues on the initiation of criminal cases on the signs of crime;
5) go to court with claims, statements on violations of the legislation of the Russian Federation in the field of health protection, the legislation of the Russian Federation on the treatment of medicines;
6) participate in the consideration by the court of cases related to the application and (or) violation of the legislation of the Russian Federation in the field of health protection, the legislation of the Russian Federation on the treatment of medicines;
7) Place on the official website in the Internet "Internet" decisions and prescriptions adopted in the process of state control in the field of health care and affect the interests of an indefinite circle of persons.

2. When considering applications for violation of the legislation of the Russian Federation in the field of health protection, the legislation of the Russian Federation on the treatment of medicines and conducting the verification of employees of the state control authority upon presentation of official certificates and decisions of the head of the state control body, his deputy on conducting an inspection of the legislation of the Russian Federation In the field of health protection, the legislation of the Russian Federation on drug circulation are entitled to:
1) to organize the necessary research, tests, examinations, tests and evaluations, including research on the implementation of monitoring in the established field of activity;
2) to request and receive information necessary for making decisions on issues related to the competence of the state control authority;
3) to give legal entities and individuals explanations on issues related to the competence of the state control authority;
4) to attract in the prescribed manner to study issues in the health of scientific and other organizations, scientists and specialists;
5) freely gain access to the territory of verifiable bodies or organizations or to those used by these bodies or organizations in the implementation of its activities, buildings, structures, facilities, to the equipment used, similar objects, vehicles and cargoes;
6) to withdraw the samples of products produced in the procedure established by the legislation;
7) make copies from the documents necessary for state control in the field of health protection, in the procedure established by the legislation;
Apply the measures envisaged by the legislation of the Russian Federation, measures of restrictive, preventive and prophylactic nature, aimed at preventing and (or) the elimination of the effects of violation of the legislation of the Russian Federation in the field of health protection, the legislation of the Russian Federation on the treatment of medicines.

Chapter 13. Responsibility in Health Protection

Article 98. Responsibility in health care

1. Public authorities and local governments, officials of organizations are responsible for ensuring the implementation of guarantees and compliance with the rights and freedoms in the field of health protection established by the legislation of the Russian Federation. Medical organizations, medical workers and pharmaceutical workers are responsible in accordance with the legislation of the Russian Federation for violation of the rights in the field of health protection, causing harm to life and (or) health when providing citizens of medical care.3. Harm caused to life and (or) health of citizens in providing them with medical care is reimbursed by medical organizations in the scope and procedure established by the legislation of the Russian Federation. Reimbursement of harm caused to life and (or) health of citizens does not exempt medical workers and pharmaceutical workers from bringing them to justice in accordance with the legislation of the Russian Federation.