Resolution 822. As amended and supplemented from. Regulations on the department of organization of medical care for minors in educational institutions
Catalog :: 1. Equipment for honey. offices by orders of the Ministry of Health of the Russian Federation
"\u003e :: :: Order No. 822 dated 05.11.2013 On approval of the Procedure for the provision of medical care to minors, including during the period of education and upbringing in educational institutions
:: :: Equipment for honey. offices ( indicative list) :: 2. Bactericidal irradiators
"\u003e :: :: Irradiators Dezar, recirculators, bactericidal
"\u003e :: :: Bactericidal irradiators-recirculators SN
:: :: :: Irradiators of the "SN" series (one-lamp) :: :: :: Irradiators of the "SN" series (two-lamp) :: :: :: Irradiators of the "CH" series (three-lamp and five-lamp)
"\u003e :: :: OBN irradiators in the absence of people (wall-mounted and mobile)
:: :: Irradiators-recirculators of the OBRN series and OBRPe "Blue lamp"\u003e :: :: Irradiators Solnyshko and
"Blue lamp" germicidal "\u003e :: :: Lamps
bactericidal :: 3. Physiotherapy equipment :: :: REFTON :: :: :: Apparatus of the "Refton-01-FS" series (1 channel) :: :: :: Apparatus of the "Refton-01-FLS" series (1 channel) :: :: :: Devices of the "Refton-01-FS" series (2 channels) :: :: :: Devices of the "Refton-01-FLS" series (2 channels) :: :: :: Devices of the "Refton-01" series -RFTLS "(for acupuncture) (2 channels) :: :: :: In addition to REFTON devices :: :: Amplipulse and diadynamic therapy :: :: UHF-therapy :: :: UST-therapy :: :: EHF-therapy :: :: UHF-, SMV- and wave therapy :: :: Magnetotherapy :: :: Electrotherapy, galvanization and electrophoresis :: :: Darsonval-therapy :: :: Electrostimulation and myostimulation :: :: ELECTROSON :: :: Phototherapy :: :: Thermal therapy :: 4. Medical kits for first aid :: :: First-aid kits according to orders No. 169; 325; 333; 498; 697; 905; 907; 408; 61 :: :: First-aid kits for enterprises, offices, production (with medicines) :: :: First-aid kits for children's institutions and school classrooms:: :: First-aid kit for various professions (industry, specialized) :: :: Medical equipment for civil defense and emergency situations :: 5. Medical bags, bags and kits :: :: Medical bags and boxes (empty, without attachments) ::: : Bags and packing, completed by order No. 100 of the Ministry of Health of the Russian Federation :: :: Medical kits, complete for the provision of various specialized medical care :: :: Transportation and first aid in emergency situations :: 6. Medical furniture. Laboratory furniture:: :: Medical cabinets :: :: :: METAL medical cabinets (single-leaf) :: :: :: METAL medical cabinets (double-leaf) :: :: :: Medical cabinets made of laminated chipboard (single-leaf) :: :: :: Medical cabinets made of laminated particle board (double-leaf) :: :: :: File cabinets :: :: Medical screens :: :: Medical couches, banquettes and sofas :: :: :: Medical couches :: :: :: Medical benches :: :: :: Medical sofas :: :: Stands for intravenous infusion :: :: Medical height meters :: :: Medical tables and tables :: :: :: Instrumental tables :: :: :: Tables for manipulation, procedure :: :: :: Tables for doctor's office and hospital wards :: :: :: Changing tables and bedside trolleys for newborns "\u003e :: :: :: Tables
bedside :: :: Chairs, armchairs, stools :: :: Medical beds :: :: :: General hospital beds (1-section) :: :: :: Multifunctional mechanical beds :: :: :: Multifunctional electric beds ::: : Medical cabinets :: :: Medical trolleys :: :: Additional care accessories :: 7. Laboratory equipment :: :: Water distillers and water collectors :: :: Thermostats :: :: :: Thermostats (manufactured by Kasimov) :: :: :: Thermostats ELMI (Latvia) :: :: Cooler bags and thermal containers :: :: :: Medical cooler bag with VomMark indicator :: :: :: Medical cooler bag with electronic indicator :: :: Laboratory centrifuges :: :: :: OPN series centrifuges (Kyrgyzstan) :: :: :: Liston series centrifuges (Russia) :: :: :: ELMI centrifuges (Latvia) :: :: Medical and laboratory scales :: :: Refrigerators medical :: 8. Sterilization equipment :: :: Steam sterilizers :: :: Air sterilizers :: :: :: Air sterilizers, 10 and 20 liters :: :: :: Sterilizer 40 l air sterilizers :: :: :: air sterilizers 80 l :: :: Drying ovens :: :: Ultraviolet germicidal chambers for storing sterile instruments :: :: :: UFK series germicidal chambers :: :: :: Chambers bactericidal series "KB" :: :: Disinfection boilers :: :: Sterilization boxes :: :: Destructors and shredders of needles and syringes :: :: Ultrasonic baths :: :: Containers and trays for disinfection :: :: :: Containers: : :: :: Trays :: 9. Breathalyzer and breathalyzer :: :: Breathalyzer (for self-control and pre-trip examinations) :: :: Breathalyzer (professional devices) :: 10. Diagnostic and resuscitation equipment :: :: Electrocardiographs ::: : :: Electrocardiographs manufactured in Russia :: :: :: Electrocardiographs "Fukuda" (Prices in $) :: :: :: Electrocardiographs "Alton" :: :: :: Electrocardiographs Cardiovit (SCHILLER - Switzerland) :: :: Defibrillators :: :: Patient monitors :: :: :: Monitors "MITAR" :: :: :: Monitors "MMK-ALTON" :: :: :: Bedside monitors (China) :: :: Pulsox Imeters :: :: Tonometers :: :: :: Automatic tonometers :: :: :: Semi-automatic tonometers :: :: :: Mechanical tonometers :: :: Negatoscopes :: :: :: Medical negatoscope 1 frame :: :: :: Medical negatoscope for 2 frames :: :: :: Medical negatoscope for 3 frames :: :: Stethoscopes and phonendoscopes :: :: Diagnostic devices and devices for medical offices of various specialists :: 11. Buckwheat pillows and orthopedic pillows :: :: Buckwheat pillows :: :: :: Classic buckwheat pillows under the head (BIO series) :: :: :: Combined buckwheat pillows (COMBI series) :: :: Natural latex pillows :: 12. Wheelchairs, wheelchairs, wheelchairs, toilet chairs :: :: Mechanical wheelchairs :: :: Electric wheelchairs :: :: Wheelchairs :: :: Wheelchairs with sanitary equipment :: :: Armchairs -toilets :: 13. Aspirators, Concentrators and Cocktails :: :: Aspirators :: :: Oxygen concentrators :: :: Oxygen cocktails :: 14. Inhalers and nebulizers :: :: Compressor inhalers :: :: Ultrasonic inhalers ::: : Spare parts for inhalers Boreal F400, Delphinus F1000 :: :: Halo inhalation and aromatherapy :: 15. Walkers, crutches, canes :: :: Walkers-supports :: :: :: Walkers-supports ON WHEELS :: :: Axillary crutches: : :: Elbow crutches :: :: Walking sticks :: 6. Medical furniture. Laboratory furniture. :: 16. Mechanotherapy apparatus and equipment for exercise therapy :: :: Trainers for upper extremities :: :: Trainers for lower extremities :: :: Traction devices :: 17. ELECTROENCEPHALOGRAPHERS (EEG) :: 18. Compression hosiery :: :: Knee-highs :: :: Stockings :: :: Tights :: :: For pregnant women
Federal law of November 21, 2011 N 323-FZ "On the basics of health protection of citizens in Russian Federation"(Collected Legislation of the Russian Federation, 2011, No. 48, Art. 6724; 2012, No. 26, Art. 3442, 3446; 2013, No. 27, Art. 3459, 3477; No. 30, Art. 4038) I order:
1. This procedure establishes the rules for the provision of medical care to minors, including during the period of education and upbringing in educational institutions.
3. Minors, including during the period of education and upbringing in educational institutions, are guaranteed the provision of medical care in accordance with the procedures for the provision of medical care, as well as on the basis of medical care standards within the framework of the program of state guarantees of free provision of medical care to citizens, in the form of:
4. Organization of health care for minors during the period of education and upbringing (except for the provision of primary health care, passing medical examinations and clinical examination) in organizations carrying out educational activities, carried out by these organizations.
The organization of the provision of primary health care to minors during the period of education and upbringing, their medical examinations and medical examination, is carried out by the authorities executive power in health care. The educational organization is obliged to provide free of charge medical organization premises that meet the conditions and requirements for the implementation of medical activities.
5. Primary health care for minors under the age of 18 studying in educational institutions that implement basic educational programs (hereinafter - students), in order to provide them with primary health care in an emergency and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention, appears in the department of medical care for minors in educational organizations (hereinafter - the department of medical care for students).
6. In the absence of a medical aid department, primary health care in accordance with this Procedure may be provided to students in offices, health centers of a medical organization or other legal entitycarrying out, along with the main (statutory) activities medical activity.
7. In the structure of the department of medical care for students, a medical unit is provided, which is located in the premises of the educational organization.
9. The premises provided by the educational organization must comply with the established sanitary and epidemiological norms and rules and the established requirements for the implementation of medical activities.
10. If the educational organization fails to provide premises with appropriate conditions for work medical professionals or the absence of a license for a medical organization for certain works (services) at the location of the premises of an educational organization, it is allowed to provide medical care to minors, during their training and education, in the premises of a medical organization.
13. Primary health care for students is provided by pediatricians, doctors on hygiene of children and adolescents, paramedics and nurses of the department of medical care for students.
14. Primary health care for students in need of treatment, rehabilitation and recreational activities is provided by pediatricians, children and adolescents hygiene doctors, specialist doctors, paramedics and nurses of the department of organization of medical care for students.
15. Additional types and volumes of medical assistance to students, the provision of medical assistance on other terms than provided for by this Procedure, are organized and carried out by the educational organization in compliance with the requirements of the Russian Federation in the field of health protection.
17. In the presence of indications, pediatricians, medical specialists, medical assistants of the department of medical aid to students shall send the minor to a medical organization that provides medical care to the minor.
18. A necessary precondition for medical intervention is the giving of informed voluntary consent of a minor or other legal representative to medical intervention in compliance with the requirements established by the Federal Law of November 21, 2011 N 323-FZ "On the basics of protecting the health of citizens in the Russian Federation" (hereinafter - Federal Law N 323-FZ).
19. When organizing medical examinations (screenings) of minors, during the period of training and upbringing in educational organizations, and providing them with primary health care in a planned form, the educational organization assists in informing minors or their parents (legal representatives) in the preparation of informed voluntary consent to medical intervention or their refusal to medical intervention in relation to certain types of medical intervention.
20. When providing medical assistance to a minor on urgent grounds to eliminate the threat to life without the consent of the parents (legal representatives), according to the Federal Law, the medical worker informs his parents (legal representatives) about the medical assistance provided.
1. This Regulation establishes the procedure for organizing the activities of the department for organizing medical care for minors in educational institutions (hereinafter - the department of medical care for students).
2. The department of organization of medical care for students is structural unit a medical organization or other legal entity carrying out, along with the main (statutory) activity, medical activity, and provides medical care to minors under the age of 18 studying in educational organizations that implement basic educational programs (hereinafter - students).
3. The purpose of the activity of the department of medical aid to students is to provide students with primary health care in an emergency form and in an urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention.
4. A medical worker is appointed to the position of the head of the department of medical care for students who meets the qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of health care, approved by order of the Ministry of Health and Social Development of the Russian Federation of July 7, 2009 N 415n (registered by the Ministry Justice of the Russian Federation on July 9, 2009, registration N 14292) as amended by order of the Ministry of Health and Social Development of Russia dated December 26, 2011 N 1644n (registered by the Ministry of Justice of the Russian Federation on April 18, 2012, registration N 23879) (hereinafter - Qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of health care), in the specialty "pediatrics", having work experience in this specialty for at least 5 years, in accordance with the order of the Ministry of Health and Social Development of the Russian Federation ation of July 23, 2010 N 541n "On the approval of the qualification handbook positions of managers, specialists and employees, section "Qualification characteristics of positions of workers in the field of health care" (registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration N 18247).
7. In the structure of the department of medical care for students, a medical unit is provided, which is located in the premises of the educational organization and consists of an office of a pediatrician (paramedic) and a treatment room.
Registration number 31045
The procedure for the provision of medical care to minors, including during the period of training and education in educational organizations
1. This procedure establishes the rules for the provision of medical care to minors, including during the period of education and upbringing in educational institutions.
2. This procedure applies to educational organizations and organizations providing training (hereinafter - educational organizations) *.
3. Minors, including during the period of education and upbringing, are guaranteed the provision of medical care in accordance with the procedures for the provision of medical care, as well as on the basis of medical care standards within the framework of the program of state guarantees of free provision of medical care to citizens, in the form of:
primary health care, including pre-medical, medical and specialized;
specialized medical care, including high-tech;
ambulance, including specialized ambulance;
palliative care in medical organizations.
4. The organization of health protection for minors during the period of education and upbringing (with the exception of the provision of primary health care, medical examinations and medical examination) in organizations carrying out educational activities is carried out by these organizations.
The organization of the provision of primary health care to minors during the period of education and upbringing, their medical examinations and medical examination, is carried out by the executive authorities in the field of health care. The educational organization is obliged to provide the medical organization free of charge with premises that meet the conditions and requirements for the implementation of medical activities.
5. Primary health care for minors under the age of 18 studying in educational institutions that implement basic educational programs (hereinafter - students), in order to provide them with primary health care in an emergency and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention, appears in the department of medical care for minors in educational organizations (hereinafter - the department of medical care for students).
6. In the absence of a medical aid department for students, primary health care in accordance with this Procedure may be provided in offices, health centers of a medical organization or other legal entity carrying out medical activities along with the main (statutory) activity.
7. In the structure of the department of medical care for students, a medical unit is provided, which is located in the premises of the educational organization.
8. The medical block of the department of medical care for students consists of an office of a pediatrician (paramedic) and a treatment room.
9. The premises provided by the educational organization must comply with the established sanitary and epidemiological norms and rules and the established requirements for the implementation of medical activities.
10. If the educational organization does not provide premises with appropriate conditions for the work of medical workers or the medical organization does not have a license for certain works (services) at the location of the premises of the educational organization, it is allowed to provide medical care to minors, during their training and education, in the premises of the medical organization ...
11. The premises of the medical unit are equipped by the educational organization with furniture, office equipment and medical products in accordance with the equipment standard (Appendix No. 3 to this Procedure).
12. The medical organization provides the medical aid department for students with drugs for medical use.
13. Primary health care for students is provided by pediatricians, doctors on hygiene of children and adolescents, paramedics and nurses of the department of medical care for students.
14. Primary health care for students in need of treatment, rehabilitation and recreational activities is provided by pediatricians, children and adolescents hygiene doctors, specialist doctors, paramedics and nurses of the department of organization of medical care for students.
15. Additional types and volumes of medical care to students, the provision of medical care on other terms than provided for by this Procedure, are organized and carried out by the educational organization in compliance with the requirements of the legislation of the Russian Federation in the field of health protection.
16. In educational organizations, the positions of medical workers may be provided.
17. In the presence of indications, pediatricians, medical specialists, medical assistants of the department of medical aid to students shall send the minor to a medical organization that provides medical care to the minor.
18. A necessary precondition for medical intervention is the giving of informed voluntary consent of a minor or other legal representative to medical intervention in compliance with the requirements established by Article 20 of the Federal Law of November 21, 2011 No. 323-FZ "On the basics of protecting the health of citizens in the Russian Federation" ( hereinafter - Federal Law No. 323-FZ).
19. When organizing medical examinations (screenings) of minors, during the period of training and upbringing in educational organizations, and providing them with primary health care in a planned form, the educational organization assists in informing minors or their parents (legal representatives) in the preparation of informed voluntary consent to medical intervention or their refusal to medical intervention in relation to certain types of medical intervention.
20. When providing medical care to a minor on urgent grounds to eliminate the threat to life without the consent of the parents (legal representatives), in accordance with clause 1 of part 9 of article 20 of the Federal Law, the medical worker informs his parents (legal representatives) about the medical care provided.
21. The department of medical care for students carries out its activities in accordance with Appendices No. 1-6 to this Procedure.
* Article 2 of the Federal Law of December 29, 2012 No. 273-FZ "On Education in the Russian Federation" (Collected Legislation of the Russian Federation, 2012, No. 53, Art. 7598; 2013, No. 19, Art. 2326)
Appendix No. 1
minors, including
during training and education
in educational organizations,
approved by order
dated November 5, 2013 No. 822n
Regulations on the department of organization of medical care for minors in educational institutions
1. This Regulation establishes the procedure for organizing the activities of the department for organizing medical care for minors in educational institutions (hereinafter - the department of medical care for students).
2. The department of the organization of medical care for students is a structural subdivision of a medical organization or other legal entity carrying out, along with the main (statutory) activities, medical activities, and provides medical assistance to minors under the age of 18 studying in educational organizations that implement basic educational programs (hereinafter - students).
3. The purpose of the activity of the department of medical aid to students is to provide students with primary health care in an emergency form and in an urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention.
4. A medical worker is appointed to the position of the head of the department of medical care for students who meets the qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of health care, approved by order of the Ministry of Health and Social Development of the Russian Federation dated July 7, 2009 No. 415n (registered by the Ministry Justice of the Russian Federation on July 9, 2009, registration No. 14292) as amended by order of the Ministry of Health and Social Development of Russia dated December 26, 2011 No. 1644n (registered by the Ministry of Justice of the Russian Federation on April 18, 2012, registration No. 23879) (hereinafter - Qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of health care), in the specialty "pediatrics", having work experience in this specialty for at least 5 years, in accordance with the order of the Ministry of Health and Social Development of the Russian Federation ation dated July 23, 2010 No. 541n "On Approval of the Unified Qualification Handbook of the Positions of Managers, Specialists and Employees, Section" Qualification Characteristics of Positions of Workers in the Healthcare Sector "(registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration No. 18247).
5. The staffing of medical workers of the department of medical care for students is determined taking into account the volume of medical care provided and preventive work carried out, the number of minors in educational organizations and is established by the head of the medical organization or educational organization in which it was created.
7. In the structure of the department of medical care for students, a medical unit is provided, which is located in the premises of the educational organization and consists of an office of a pediatrician (paramedic) and a treatment room.
8. In the structure of the medical aid department, students are recommended to provide:
the office of the head of the department;
the office of the senior nurse of the department;
doctor's office for hygiene of children and adolescents.
9. In the structure of the medical aid department for students providing primary health care to minors in need of treatment, rehabilitation and recreational activities, it is recommended to provide offices of specialist doctors and other offices in accordance with the procedures for the provision of medical care of the corresponding type, profile of medical care, disease or condition (groups of diseases or conditions).
10. The equipment of the medical unit of the medical aid department for students is carried out in accordance with the equipment standard provided for by Appendix No. 3 to the Procedure for the provision of medical care, approved by this order.
11. The equipping of other offices and units of the medical aid department for students is carried out in accordance with the requirements of the procedures for the provision of medical care according to the profile.
12. The department of medical care for students carries out:
organization and implementation of work on immunization in educational organizations;
organization of medical examinations of minors before and during the period of practical training in organizations whose employees are subject to medical examinations;
interaction with district pediatricians, specialist doctors of medical organizations, psychologists and teachers of educational organizations on determining professional suitability minors;
participation in the health improvement of students during the period of rest and in assessing the effectiveness of its implementation;
transfer of information to the responsible medical worker of a medical organization to inform the internal affairs bodies about the admission (treatment) of patients (students) in respect of whom there are sufficient grounds to believe that harm to their health was caused as a result of illegal actions.
13. The department of medical care for students interacts with the educational organization, medical organizations, territorial bodies Federal Service for supervision in the field of consumer protection and human well-being, guardianship and guardianship authorities, social protection authorities, etc.
14. The department of medical care for students maintains medical records in the prescribed manner and submits reports by types, forms, within the time frame and in the amount established by the authorized federal executive body.
15. This Regulation applies to offices, health centers of a medical organization or other legal entity carrying out, along with the main (statutory) activities, medical activities, providing medical assistance to minors under the age of 18, studying in educational institutions that implement basic educational programs, in the absence of a department medical assistance to students.
Appendix No. 2
to the Procedure for the provision of medical care
minors, including
during training and education
in educational organizations,
approved by order
Ministry of Health of the Russian Federation
dated November 5, 2013 No. 822n
Recommended staffing standards for medical workers of the department of organization of medical care for minors in educational institutions
| P / p No. | Job title | Number of staff units |
|---|---|---|
| 1. | Department Head - Pediatrician | 1 for 10 positions of pediatricians (paramedics) |
| 2. | Pediatrician (paramedic) | 1 for: 180-200 minors in nurseries (nursery groups of nursery schools) of preschool educational organizations; 400 minors in kindergartens (corresponding groups in kindergartens-kindergartens) of preschool educational organizations; 1,000 minor educational organizations or professional educational organizations |
| 3. | Hygiene doctor for children and adolescents | 1 per 2,500 students in all types of educational institutions |
| 4. | Older nurse | according to the posts of heads of departments provided for in paragraph 1 |
| 5. | Nurse (paramedic) | 1 for: 100 pupils in preschool educational institutions; 100-500 students in general educational organizations or professional educational organizations |
| 6. | Nurse | by the number of staff members of nurses |
| 7. | Children's psychiatrist | 1 in: 100 minors with central nervous system impairment and mental retardation in nurseries (nursery groups of nursery schools); 200 minors with lesions of the central nervous system and mental retardation in preschool educational organizations; 300 minors with central nervous system impairment and mental retardation in educational institutions |
| 8. | Otorhinolaryngologist | 1 per: 100 minors with hearing impairment in nurseries (nursery groups of nursery schools); 200 minors with hearing impairment in preschool educational institutions; 300 minors with hearing impairment in educational institutions |
| 9. | Ophthalmologist | 1 per: 200 minors with chronic diseases of the eye, its adnexa and orbit in preschool educational institutions; 300 minors with chronic diseases of the eye, its adnexa and the orbit in educational institutions |
| 10. | Traumatologist-orthopedist | 1 per: 250 minors with central nervous system damage and other disorders of the musculoskeletal system in preschool educational institutions; 350 minors with lesions of the central nervous system and other disorders of the musculoskeletal system in educational institutions |
| 11. | Phthisiatrician | 1 for 200 minors in sanatorium nurseries, nurseries-kindergartens and kindergartens, as well as forest schools |
| 12. | Physiotherapist | 1 in 400 minors with central nervous system damage and other disorders of the musculoskeletal system |
| 13. | Physician in physiotherapy exercises | 1 per: 200 minors with central nervous system damage and other disorders of the musculoskeletal system in nursery groups; 300 minors with lesions of the central nervous system and other disorders of the musculoskeletal system in preschool educational institutions; 500 minors with lesions of the central nervous system and other disorders of the musculoskeletal system in general educational organizations |
| 14. | Nurse | 1 on: 25 minors with chronic eye diseases in preschool educational institutions; 150 minors with chronic eye diseases in educational institutions; for each position of an orthopedist-traumatologist provided for in paragraph 8 |
| 15. | Massage nurse | |
| 16. | Physical therapy instructor | depending on the amount of assistance provided to minors with damage to the central nervous system and other disorders of the musculoskeletal system and the current design load norms |
Notes:
1. For areas with low population density and limited transport accessibility of medical organizations, the number of medical staff departments for organizing medical care for children in educational institutions of a children's polyclinic (department) is established based on the smaller number of students.
2. For organizations and territories subject to service by the Federal Medical and Biological Agency, in accordance with the order of the Government of the Russian Federation dated August 21, 2006 No. 1156-r "On approval of the lists of organizations and territories subject to service by the FMBA of Russia" (Collection of laws of the Russian Federation, 2006 , No. 35, Art. 3774; No. 49, Art. 5267; 2008, No. 11, Art. 1060; 2009, No. 14, Art. 1727; 2010, No. 3, Art. 336; No. 18, Art. 2271; 2011 , No. 16, Art. 2303; 2011, No. 21, Art. 3004; 2011, No. 47, Art. 6699; 2011, No. 51, Art. 7526; 2012, No. 19, Art. 2410) the number of staff positions of medical specialists established regardless of the number of attached minors.
Appendix No. 3
to the Procedure for the provision of medical care
minors, including
during training and education
in educational organizations,
approved by order
Ministry of Health of the Russian Federation
dated November 5, 2013 No. 822n
Standard for equipping the medical unit of the department for organizing medical care for minors in educational institutions *
| P / p No. | Name | Amount |
|---|---|---|
| 1. | Medical scales | 1 |
| 2. | Stadiometer or anthropometer | 1 |
| 3. | Tonometer with age cuffs | 2 |
| 4. | Stethophonendoscope | 2 |
| 5. | Stopwatch | 2 |
| 6. | Tape measure | on demand |
| 7. | Hand dynamometer of 2 types (for children of different age groups) | 4 |
| 8. | Plantograph | 1 |
| 9. | Medical thermometer | on demand |
| 10. | Otorinoscope with a set of funnels | 1 |
| 11. | Metal spatula or disposable | on demand |
| 12. | Exhaled carbon monoxide analyzer with determination of carboxyhemoglobin (smokelizer) ** | 1 set |
| 13. | Hardware and software complex for screening assessment of the level of psychophysiological and somatic health, functional and adaptive reserves of the body ** | 1 set |
| 14. | Fridge | 2 |
| 15. | Bactericidal air irradiator, including portable | calculated taking into account the area of \u200b\u200bthe room and the type of irradiator |
| 16. | Disposable syringe with needles (set of 100 pcs.) | |
| for 1 ml | 1 | |
| for 2 ml | 5 | |
| 5 ml | 5 | |
| for 10 ml | 1 | |
| 17. | Medical kidney tray | 2 |
| 18. | Roth apparatus with Sivtsev-Orlova table | 1 |
| 19. | Medical gloves | on demand |
| 20. | Pipettes | 10 |
| 21. | Airway kit for mouth-to-mouth artificial respiration | 1 |
| 22. | Ambu ventilator (Ambu bag) | 1 |
| 23. | Medical heating pad | 2 |
| 24. | Ice bubble | 2 |
| 25. | Rubber hemostatic tourniquet | 2 |
| 26. | Stretcher | 2 |
| 27. | Traumatological placement, including: | 1 set |
| pneumatic tires (children and adults) | ||
| vacuum mattress | ||
| kerchief | ||
| clavicle anchor | ||
| Shants collar (2 sizes) | ||
| hemostatic tourniquet | ||
| gloves | ||
| sterile bandage | ||
| sterile wipes | ||
| gel cooling and warming package | ||
| scissors | ||
| adhesive plaster 2 cm - 1 pc., 5 cm - 1 pc. | ||
| 28. | Gastric tubes of different sizes | 4. |
| 29. | Dressing material: bandages, sterile bandages, sterile napkins, sterile cotton wool, adhesive plaster, antiseptics for treating wounds | on demand |
| 30. | Thermal container for transportation of medical immunobiological preparations | 1 |
| 31. | Soap dispensers, paper towels, hand sanitizer | on demand |
| 32. | Ethanol | 0.5 ml per injection |
| 33. | Alcohol napkins made of soft material for treatment of the injection field | on demand |
| 34. | Syndrome stacking of medicines and dressings for emergency medical care *** | 1 set |
| 35. | Disinfectants | on demand |
| 36. | Bucket with pedal lid | 2 |
| 37. | Container for disinfectants | on demand |
| 38. | Container - a puncture-proof container with a lid for disinfection of used syringes, swabs, used vaccines | on demand |
| 39. | Work table | 2 |
| 40. | Chair | 6 |
| 41. | Couch | 2 |
| 42. | Medical screen | 2 |
| 43. | Medical cabinet for storing medicines | 1 |
| 44. | Cabinet for storing medical records | 1 |
| 45. | Medical table | 1 |
| 46. | Tool table | 1 |
| 47. | Manipulation table | 1 |
| 48. | Table lamp | 2 |
| 49. | Bix big | 2 |
| 50. | Bix small | 2 |
| 51. | Tweezers | 4 |
| 52. | Kortsang | 4 |
| 53. | Scissors | 2 |
| 54. | Personal Computer | 1 set |
| 55. | a printer | 1 set |
| 56. | Calculator | 2 |
| 57. | Safe for storing medicines | 1 |
| 58. | Medical gown | 2 |
| 59. | Beanies | 2 |
| 60. | Masks | on demand |
| 61. | Mat (1 mx 1.5 m) | 1 |
| 62. | A set of equipment for visual propaganda healthy way life | by number of classrooms |
______________________________
* If there are other offices and units in the structure of the department, they are equipped in accordance with the requirements of the procedures for the provision of medical care by profile.
*** Syndromic packing of medicines and dressings for emergency medical care is completed for individual syndromes with a list and instructions for use
Appendix No. 4
to the Procedure for the provision of medical care
minors, including
during training and education
in educational organizations,
approved by order
Ministry of Health of the Russian Federation
dated November 5, 2013 No. 822n
Regulations on the organization of the activities of a pediatrician (paramedic) of the department of organization of medical care for minors in educational organizations
1. This Regulation establishes the procedure for organizing the activities of a pediatrician (paramedic) of a department for organizing medical care for minors in educational institutions (hereinafter referred to as a department of medical care for students), an office, a health center of a medical organization or other legal entity carrying out, along with the main (statutory) activities, medical activities providing medical assistance to minors under the age of 18, studying in educational institutions that implement basic educational programs, in the absence of a medical aid department for students.
2. A specialist is appointed to the position of a pediatrician of the medical aid department, who meets the qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of health care, approved by order of the Ministry of Health and Social Development of the Russian Federation dated July 7, 2009 No. 415n (registered Ministry of Justice of the Russian Federation July 9, 2009, registration No. 14292) as amended by order of the Ministry of Health and Social Development of Russia dated December 26, 2011 No. 1644n (registered by the Ministry of Justice of the Russian Federation on April 18, 2012, registration No. 23879), in the specialty "pediatrics" without presentation of requirements for work experience in accordance with the order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n "On approval of the Unified qualification reference book of positions of managers, specialists and employees, section" Qualification characteristics ki positions of workers in the field of health care "(registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration No. 18247).
3. A specialist is appointed to the position of a paramedic of the medical aid department for students in accordance with the order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n "On approval of the Unified qualification reference book of positions of managers, specialists and employees, section" Qualification characteristics of positions of employees in in the field of health care "by specialty" paramedic ".
4. The pediatrician (paramedic) of the department of medical care for students carries out:
participation in monitoring the observance of sanitary and hygienic requirements for the conditions and organization of education and training, including nutrition, physical education, labor training of minors in educational organizations;
providing students with primary health care in an emergency and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases;
referral of students, in the presence of medical indications, to a medical organization in whose medical care the minor is;
organization and implementation of measures for the immunization of infectious diseases (in accordance with the National calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications, approved by order of the Ministry of Health and Social Development of the Russian Federation of January 31, 2011 No. 51n - according to the conclusion of the Ministry of Justice of the Russian Federation in state registration does not need (letter dated 17.02.2011 No. 01/8577-DK);
organization and conduct of annual screening examinations, periodic medical examinations of students;
organization of preventive medical examinations of students, analysis of data obtained as a result of preventive medical examinations in order to monitor the health of minors and develop recommendations for the prevention of diseases and health improvement of students;
development individual plan preventive and health-improving measures of students, taking into account the health status group, medical group for classes physical education based on the results of preventive medical examinations, data from medical examinations and current monitoring;
organization of medical examinations of minors before and during the period of practical training in organizations whose employees are subject to medical examinations;
preparation of proposals for the medical and psychological adaptation of minors to the educational organization, the processes of education and upbringing, as well as for the correction of violations of adaptation of students;
work on the formation of groups of minors with an increased medical, social and biological risk of the formation of health disorders for the optimal organization of the processes of education and upbringing, the provision of medical care, including the correction of health and development disorders;
analysis of the health status of minors, preparation of proposals for priorities in the development of preventive, corrective measures implemented in educational organizations;
preparation of proposals and implementation of specific medical, social and psychological technologies for preserving, strengthening and restoring the health of minors in educational institutions;
methodological support, together with psychologists and teachers of educational organizations, work on the formation of students' stable stereotypes of a healthy lifestyle and behavior that is not associated with health risks;
assessment of the completeness and analysis of the submitted data of the medical examination of children entering the first grade;
ensuring the medical and psychological adaptation of minors to the educational organization, the process of education and upbringing, as well as carrying out work on the correction of adaptation disorders;
participation in preventive work in an educational organization to prevent early onset of sexual activity in minors, sexually transmitted diseases, HIV / AIDS;
carrying out work to identify the prevalence of risk factors for chronic non-communicable diseases among minors (high blood pressure, overweight, smoking, alcohol, drugs, toxic substances, etc.), as well as stereotypes of diviant forms of behavior;
interaction in accordance with the procedure established by law with psychiatrists, narcologists, social educators, psychologists, law enforcement officers, guardianship and guardianship services and others when identifying deviant and asocial forms of behavior of minors (alcoholism, drug addiction, substance abuse, tobacco smoking, leaving for vagrancy, involvement in criminal activity, etc.);
participation in conjunction with the medical and social department of the children's polyclinic (department) and other medical organizations (centers of family planning, reproductive health, etc.) medical and psychological educational programs preparation of minors to create a family, correct reproductive behavior;
carrying out, in the conditions of an educational organization, work to correct health disorders of minors, reducing the possibilities of their social adaptation, limiting the possibilities of training, choosing a profession, preparing for military service (pathology of the organs of vision, digestion, musculoskeletal system, nervous system, etc.);
informing parents and (or) legal representatives of a minor about the state of health, issuing recommendations for parents and (or) legal representatives;
analysis of the health status of minors, preparation of proposals for priorities in the development of preventive, corrective, measures implemented in an educational organization;
participation in the health improvement of students during their rest period and in assessing the effectiveness of its implementation;
organization of accounting and analysis of cases of injuries received in educational institutions, development of a set of measures for the prevention of injuries in educational institutions;
organization of work of medical workers with secondary medical education, including immunization, control over the observance of hygienic requirements for the organization of the training process and the process of education, physical education, nutrition, etc .;
interaction with the territorial bodies of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare and other institutions on the issue of protecting minors' health;
organization of advanced training for doctors, medical workers with secondary medical education of the department of medical care for students;
registration of medical documentation in the prescribed manner and submission of reports by type, form, within the time frame and to the extent established by the authorized federal executive body.
5. If violations of the sanitary and epidemiological legislation and (or) factors that affect or pose a threat to the life and health of students are detected, the pediatrician informs the head of the department of medical care for students or the head of the medical organization and the head of the educational organization about the identified violations and risk factors ...
Appendix No. 5
to the Procedure for the provision of medical care
minors, including
during training and education
in educational organizations,
approved by order
Ministry of Health of the Russian Federation
dated November 5, 2013 No. 822n
Regulations on the organization of the activity of a doctor for hygiene of children and adolescents of the department of organization of medical care for minors in educational organizations
1. This Regulation establishes the procedure for organizing the activities of a doctor for the hygiene of children and adolescents of a department for organizing medical care for minors in educational organizations (hereinafter - the department of medical care for students), an office, a health center of a medical organization or other legal entity carrying out, along with the main (statutory) activity, medical activities providing medical assistance to minors under the age of 18 studying in educational institutions that implement basic educational programs, in the absence of a medical aid department for students.
2. A specialist is appointed to the position of a doctor for hygiene of children and adolescents, compliantpresented by Qualification requirements to specialists with higher and postgraduate medical and pharmaceutical education in the field of health care, approved by order of the Ministry of Health and Social Development of the Russian Federation No. 415n dated July 7, 2009 (registered by the Ministry of Justice of Russia on July 9, 2009, registration No. 14292) as amended by order Ministry of Health and Social Development of Russia dated 26.12.2011 No. 1644n (registered by the Ministry of Justice of Russia on April 18, 2012, registration No. 23879), specializing in hygiene of children and adolescents.
3. A doctor for hygiene of children and adolescents carries out:
participation in monitoring the observance of sanitary and hygienic requirements for the conditions and organization of education and training, including nutrition, physical education, labor training of minors in educational organizations;
hygienic assessment of the architectural and planning solutions used, the in-school environment (microclimate, anthropogenic air pollution, illumination, noise, vibration, electromagnetic fields) and the current sanitary state of the educational organization;
assessment of the conditions and technologies for the education and upbringing of minors, compliance with sanitary and hygienic norms and rules;
participation in the hygienic control of teaching and education means and their use in the processes of teaching and education;
organization and conduct of sanitary and hygienic education and training of minors and their parents (legal representatives) on the prevention of childhood diseases and the formation of a healthy lifestyle;
assessment of production control over the provision of sanitary and epidemiological well-being of an educational organization;
introduction of new preventive and hygienic diagnostic technologies;
participation in conducting clinical and epidemiological analysis of the level and structure of morbidity among minors, including during the period of training and education in educational institutions;
planning of activities aimed at maintaining and strengthening health, eliminating the harmful effects on the health of minors, including during the period of training and education in educational organizations, factors of the in-school environment;
preparation of proposals to local governments on the creation of optimal conditions for the life of minors, the formation of a healthy lifestyle in them and the development of interdepartmental disease prevention programs;
control over the observance in the educational organization of the sanitary and hygienic standards of the educational process, including the state of the surrounding area, the catering facility, classrooms, recreation areas for minors, sanitary and hygienic rooms, etc .;
development of programs and measures for the prevention, correction and health improvement of students, taking into account professional and production factors;
making proposals to the head of the educational organization to improve the sanitary and epidemiological well-being of the educational organization;
organization of work in educational institutions to correct health disorders of minors, reducing the possibilities of their social adaptation, limiting the possibilities of training, choosing a profession, preparing for military service (pathology of the organs of vision, digestion, musculoskeletal system, nervous system, etc.);
participation in the hygienic control of teaching and education means and their use in the processes of teaching and education;
conducting sanitary and hygienic educational work among minors, their parents (legal representatives) and teachers on the prevention of diseases of minors and the formation of a healthy lifestyle;
development and implementation of medical, social and psychological technologies for preserving, strengthening and restoring the health of minors in an educational organization;
carrying out (together with the teaching staff) in the educational organization of events and monitoring their effectiveness in the formation of minors (at the group and individual level) of stable stereotypes of a healthy lifestyle, including the prevention of alcoholism, drug addiction, substance abuse;
organization and methodological support of work to identify the prevalence of risk factors for chronic non-communicable diseases (high blood pressure, overweight, smoking, alcohol, drugs, toxic substances, etc.) among minors, as well as stereotypes of diviant forms of behavior;
interaction with the territorial bodies of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare and other institutions on the issue of protecting minors' health;
conducting sanitary and hygienic educational work among minors, their parents (legal representatives) and teachers on the prevention of diseases of minors and the formation of a healthy lifestyle;
methodological support, together with psychologists and teachers of educational organizations, work on the formation of students' stable stereotypes of a healthy lifestyle and behavior that is not associated with health risks;
promptly informs the responsible medical professional for timely informing territorial bodies internal affairs on the facts of admission (appeal) of students, in respect of which there are sufficient grounds to believe that harm to their health was caused as a result of illegal actions.
4. If violations of sanitary and epidemiological legislation and (or) factors that affect or pose a threat to the life and health of students are detected, the doctor for hygiene of children and adolescents informs in writing the head of the department of medical care for students or the head of the medical organization and the head of the educational organization about the violations and risk factors.
Appendix No. 6
to the Procedure for the provision of medical care
minors, including
during training and education
in educational organizations,
approved by order
Ministry of Health of the Russian Federation
dated November 5, 2013 No. 822n
Regulations on the organization of the activities of a nurse (paramedic) of the department for organizing medical care for minors in educational organizations
1. This Regulation establishes the procedure for organizing the activities of a nurse (paramedic) of a department for organizing medical care for minors in educational organizations (hereinafter - the department of medical care for students), an office, a health center of a medical organization or other legal entity carrying out, along with the main (statutory) activities, medical activities providing medical assistance to minors under the age of 18, studying in educational institutions that implement basic educational programs, in the absence of a medical aid department for students.
2. A specialist is appointed to the position of a nurse (paramedic) in accordance with the order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n "On Approval of the Unified Qualification Reference Book for the Positions of Managers, Specialists and Employees, the section" Qualification characteristics of positions of employees in health care "(registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration No. 18247), specializing in" nurse "," paramedic ".
3. The nurse (paramedic) of the department of medical aid to students carries out:
providing students with pre-hospital primary health care in an emergency and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases;
preventive measures aimed at protecting and strengthening the health of students in an educational organization;
calling an ambulance and (or) organizing the transportation to a medical organization of students in need of emergency medical care;
participation in monitoring compliance with sanitary and hygienic requirements for the conditions and organization of education and training, nutrition, physical education and labor training of minors in educational organizations;
carrying out measures for the immunization of infectious diseases (in accordance with the National calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications, approved by order of the Ministry of Health and Social Development of the Russian Federation No. 51n dated January 31, 2011 - according to the conclusion of the Ministry of Justice of the Russian Federation, state registration is not needs (letter dated 17.02.2011 No. 01/8577-DK);
participation in the organization and conduct of annual screening examinations, periodic medical examinations of minors;
participation in the organization of preventive medical examinations of minors;
participation in the development of an individual plan for preventive and health-improving measures for students, taking into account the group of health status, a medical group for physical education on the basis of the results of preventive medical examinations, data from medical examinations and current observation;
participation in the organization of medical examinations of minors before and during the period of industrial practice in organizations whose employees are subject to medical examinations;
participation in the formation of risk groups among minors in order to conduct differentiated medical supervision and determine priorities in the development and implementation of preventive, treatment and health, correction and rehabilitation programs in educational institutions at the individual and group levels on the basis of medical, social, psychological, pedagogical and other information ;
participation in the assessment of the completeness of the submitted data of the medical examination of children entering the first grade;
participation in the assessment of the functional readiness of a minor to study at school, when a student is transferred to a class of compensatory education, when a minor is transferred to an organization with elevated level education, etc .;
participation in the preparation and conduct of a comprehensive medical and psychological-pedagogical assessment of the health of minors;
interaction with district pediatricians, medical specialists of a medical organization and psychologists and teachers of an educational organization on the issues of professional suitability of minors;
participation in the conduct (together with the teaching staff) in the educational organization of events and in the control of their effectiveness in the formation of stable stereotypes of a healthy lifestyle in minors (at the group and individual level), including the prevention of alcoholism, drug addiction, substance abuse;
participation in carrying out preventive work in an educational organization to prevent early onset of sexual activity in minors, sexually transmitted diseases, HIV / AIDS;
interaction in accordance with the procedure established by law with psychiatrists, drug addiction doctors, social educators, psychologists, law enforcement officers, guardianship and guardianship services and others in identifying deviant and asocial forms of behavior of minors (alcoholism, drug addiction, substance abuse, smoking, vagrancy, involvement in criminal activity, etc.);
participation, together with the medical and social department of the children's polyclinic (department) and other medical organizations (family planning centers, reproductive health care, etc.) in the implementation of medical and psychological educational programs for preparing minors to create a family, correct reproductive behavior;
participation in carrying out, in the conditions of an educational organization, work on the correction of health disorders of minors, reducing the possibilities of their social adaptation, limiting the possibilities of training, choosing a profession, preparing for military service (pathology of the organs of vision, digestion, musculoskeletal system, nervous system, etc.);
informing parents and (or) legal representatives of a minor about the state of health of students, making copies and (or) extracts from medical records;
participation in the health improvement of minors during their rest period;
registration and analysis of cases of injuries received in educational institutions;
transfer of information to the responsible medical worker of a medical organization to inform the internal affairs bodies about the admission (treatment) of patients (students) in relation to whom there are sufficient grounds to believe that harm to their health was caused as a result of illegal actions;
disinfection, pre-sterilization cleaning and sterilization of instruments;
storage of drugs, including medical immunobiological drugs, preservation of labels on vials, control over the terms of use of drugs;
observance of labor protection and fire safety rules at the workplace;
compliance with the rules of asepsis and antiseptics;
analysis of the implementation of the monthly vaccination plan;
accounting of medical equipment, drugs, vaccination material, their timely replenishment;
interaction with district pediatricians, specialist doctors of medical organizations, psychologists and teachers of educational organizations;
registration of medical documentation in the prescribed manner and submission of reports by types, forms, in terms and in the amount established by the authorized federal executive body;
transfer of information to a responsible medical worker of a medical organization to inform the territorial bodies of internal affairs about the facts of admission (treatment) of patients (students) in respect of whom there are sufficient grounds to believe that harm to their health was caused as a result of unlawful actions, and the appointment of medical workers responsible for the facts receipts (appeals) of such patients;
maintains approved forms of accounting and reporting medical documentation.
5. * If violations of sanitary and epidemiological legislation and (or) factors that affect or pose a threat to the life and health of students are detected, the nurse (paramedic) informs the head of the student's medical aid department or the head of the medical organization and the head of the educational organization about the violations and risk factors.
Document overview
The rules have been established for the provision of medical care to minors, including during the period of education and upbringing in educational institutions.
Children are guaranteed the provision of medical care based on its standards within the framework of the program of state guarantees for the provision of free medical care to citizens.
The following types of medical care are provided: primary health care, including pre-medical, medical and specialized; specialized, including high-tech; ambulance, including specialized ambulance; palliative.
The organization of health protection for minors during the period of education and upbringing in educational institutions is entrusted to the latter. At the same time, primary health care, medical examinations and medical examinations are carried out by health authorities. The educational organization is obliged to provide them with the appropriate premises.
Departments for the organization of medical aid for minors are opening in schools. The goal is to provide primary health care in an emergency and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention. The regulation on such a department, the recommended staffing standards for its employees, the standard for equipping the medical unit were approved. It is prescribed how the activities of a pediatrician (paramedic), a doctor for the hygiene of children and adolescents, a nurse (paramedic) of the department are organized.
In the absence of a department, primary health care can be provided in offices, health centers of a medical organization or other legal entity carrying out medical activities (along with the main (statutory)).
For medical intervention, it is necessary to obtain informed voluntary consent of a minor or other legal representative. It is not required to provide emergency medical care to eliminate a threat to life.
GOVERNMENT OF THE RUSSIAN FEDERATIONP O S T A N O V L E N I E
G. Moscow On approval of the Rules for submitting project documentation
Objects, construction, reconstruction,
Overhaul of which is supposed to be carried out on the lands of specially protected natural areas, for the conduct of state expertise and state environmental
Expertise (As amended by decrees of the Government of the Russian Federation
In accordance with Article 49 of the Urban Planning Code of the Russian Federation, the Government of the Russian Federation maintains:
To approve the attached Rules for the submission of project documentation for facilities, construction, reconstruction, overhaul which are supposed to be carried out on the lands of specially protected natural areas, for the conduct of state expertise and state environmental expertise.
Prime Minister
Of the Russian Federation V.Putin
__________________________
APPROVED BY
Government Decree
Russian Federation
P R A V I L A presentation of design documentation for facilities, construction,
Reconstruction, the overhaul of which is supposed to be carried out on the lands of specially protected natural areas, for
Conducting state expertise and state
Environmental Expertise (As amended by decrees of the Government of the Russian Federation
From 15.02.2011 N 78; dated 26.03.2014 N 230)
1. These Rules establish the procedure for submitting project documentation for facilities, construction, reconstruction, overhaul of which is supposed to be carried out on the lands of specially protected natural areas of federal, regional and local significance, for the state examination of project documentation (hereinafter referred to as urban planning expertise) and state environmental expertise of the project documentation (hereinafter - environmental impact assessment) in cases where the construction, reconstruction, overhaul of facilities on these lands are allowed by the legislation of the Russian Federation and the legislation of the constituent entities of the Russian Federation.
2. The design documentation is submitted by the applicants (customers, developers or persons authorized by any of them) for conducting urban planning expertise and environmental expertise in authorized bodies executive branch directly or sent by mail with an inventory of attachments.
3. The composition, content and design of sections of project documentation must comply with the requirements established by the legislation of the Russian Federation on urban planning activities and on environmental expertise, including the Regulation on the composition of sections of project documentation and requirements for their content, approved by the Government of the Russian Federation dated February 16, 2008 N 87, and Regulations on the procedure for conducting state environmental expertise, approved by the Government of the Russian Federation of June 11, 1996 N 698.
4. Project documentation for conducting urban planning expertise and environmental expertise is submitted:
A) to the Ministry of Construction and Housing and Communal Services of the Russian Federation - in relation to objects, construction, reconstruction, overhaul of which is supposed to be carried out on lands of specially protected natural areas of federal significance, and especially dangerous, technically complex and unique facilities, construction, reconstruction, capital the repair of which is supposed to be carried out on the lands of specially protected natural areas of regional and local significance, with the exception of objects, the urban planning expertise of which, in accordance with the decrees of the President of the Russian Federation, is attributed to the powers of other federal executive bodies; (As amended by the Decree of the Government of the Russian Federation of March 26, 2014 N 230)
B) to the Ministry of Defense of the Russian Federation, the Federal Security Service of the Russian Federation and the Federal Security Service of the Russian Federation - in relation to the objects specified in subparagraphs "a" and "c" of this paragraph, which are objects of the military infrastructure of the Armed Forces of the Russian Federation, and other defense objects and security, which are under the jurisdiction of the said federal executive bodies and whose urban planning expertise is attributed in accordance with the decrees of the President of the Russian Federation to the powers of these bodies;
C) to the executive authority of the constituent entity of the Russian Federation, authorized to conduct a state examination of project documentation, - in relation to objects, construction, reconstruction, overhaul of which is supposed to be carried out on lands of specially protected natural areas of regional and local significance, with the exception of objects specified in subparagraphs "a" and "b" of this paragraph.
5. The Ministry of Construction and Housing and Communal Services of the Russian Federation, within 3 working days from the date of receipt of the project documentation, sends it: (As amended by the Decree of the Government of the Russian Federation of March 26, 2014 N 230)
A) to the Federal Service for Supervision in the Sphere of Natural Resource Use for environmental impact assessment; (As amended by the Decree of the Government of the Russian Federation of 15.02.2011 N 78)
B) in government agency, authorized to conduct a state examination of project documentation, subordinate to the Ministry of Construction and Housing and Communal Services of the Russian Federation, to conduct an urban planning examination. (As amended by the Decree of the Government of the Russian Federation of March 26, 2014 N 230)
6. The Ministry of Defense of the Russian Federation, the Federal Security Service of the Russian Federation and the Federal Security Service of the Russian Federation, within 3 working days from the date of receipt of the project documentation, send it for environmental impact assessment:
A) to the Federal Service for Supervision of Natural Resources - in relation to the objects specified in subparagraph 71 of Article 11 of the Federal Law "On Ecological Expertise"; (As amended by the Decree of the Government of the Russian Federation of 15.02.2011 N 78)
B) to the executive authority of the constituent entity of the Russian Federation, authorized to conduct state environmental expertise of project documentation - in relation to the objects specified in subparagraph 41 of Article 12 of the Federal Law "On Environmental Expertise".
7. The executive authority of the constituent entity of the Russian Federation, authorized to conduct state expertise of project documentation, within 3 days from the date of receipt of the project documentation shall send it:
A) to the executive authority of the constituent entity of the Russian Federation, authorized to conduct state environmental impact assessment of project documentation, to conduct environmental impact assessment;
B) to a state institution subordinate to it, authorized to conduct a state examination of project documentation, to conduct an urban planning examination (if there is such an institution).
Registration N 31045
In accordance with article 54 of the Federal Law of November 21, 2011 N 323-FZ "On the basics of protecting the health of citizens in the Russian Federation" (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2012, N 26, Art. 3442 , 3446; 2013, N 27, Art. 3459, 3477; N 30, Art. 4038) i order:
To approve the Procedure for providing medical care to minors, including during the period of education and upbringing in educational institutions in accordance with the appendix.
Minister V. Skvortsova
application
The procedure for the provision of medical care to minors, including during the period of education and upbringing in educational institutions
1. This procedure establishes the rules for the provision of medical care to minors, including during the period of education and upbringing in educational institutions.
2. This procedure applies to educational organizations and organizations providing training (hereinafter - educational organizations) 1.
3. Minors, including during the period of education and upbringing in educational institutions, are guaranteed the provision of medical care in accordance with the procedures for the provision of medical care, as well as on the basis of medical care standards within the framework of the program of state guarantees of free provision of medical care to citizens, in the form of:
primary health care, including pre-medical, medical and specialized;
specialized medical care, including high-tech;
ambulance, including specialized ambulance;
palliative care in medical organizations.
4. The organization of health protection for minors during the period of education and upbringing (with the exception of the provision of primary health care, medical examinations and medical examination) in organizations carrying out educational activities is carried out by these organizations.
The organization of the provision of primary health care to minors during the period of education and upbringing, their medical examinations and medical examination, is carried out by the executive authorities in the field of health care. The educational organization is obliged to provide the medical organization free of charge with premises that meet the conditions and requirements for the implementation of medical activities.
5. Primary health care for minors under the age of 18 studying in educational institutions that implement basic educational programs (hereinafter - students), in order to provide them with primary health care in an emergency and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention, appears in the department of medical care for minors in educational organizations (hereinafter - the department of medical care for students).
6. In the absence of a medical aid department for students, primary health care in accordance with this Procedure may be provided in offices, health centers of a medical organization or other legal entity carrying out medical activities along with the main (statutory) activity.
7. In the structure of the department of medical care for students, a medical unit is provided, which is located in the premises of the educational organization.
8. The medical block of the department of medical care for students consists of an office of a pediatrician (paramedic) and a treatment room.
9. The premises provided by the educational organization must comply with the established sanitary and epidemiological norms and rules and the established requirements for the implementation of medical activities.
10. If the educational organization does not provide premises with appropriate conditions for the work of medical workers or the medical organization does not have a license for certain works (services) at the location of the premises of the educational organization, it is allowed to provide medical care to minors, during their training and education, in the premises of the medical organization ...
11. The premises of the medical unit are equipped by the educational organization with furniture, office equipment and medical products in accordance with the equipment standard (Appendix No. 3 to this Procedure).
12. The medical organization provides the medical aid department for students with drugs for medical use.
13. Primary health care for students is provided by pediatricians, doctors on hygiene of children and adolescents, paramedics and nurses of the department of medical care for students.
14. Primary health care for students in need of treatment, rehabilitation and recreational activities is provided by pediatricians, children and adolescents hygiene doctors, specialist doctors, paramedics and nurses of the department of organization of medical care for students.
15. Additional types and volumes of medical care to students, the provision of medical care on other terms than provided for by this Procedure, are organized and carried out by the educational organization in compliance with the requirements of the legislation of the Russian Federation in the field of health protection.
16. In educational organizations, the positions of medical workers may be provided.
17. In the presence of indications, pediatricians, medical specialists, medical assistants of the department of medical aid to students shall send the minor to a medical organization that provides medical care to the minor.
18. A necessary precondition for medical intervention is the giving of informed voluntary consent of a minor or other legal representative to medical intervention in compliance with the requirements established by Article 20 of the Federal Law of November 21, 2011 N 323-FZ "On the basics of protecting the health of citizens in the Russian Federation" ( hereinafter - Federal Law N 323-FZ).
19. When organizing medical examinations (screenings) of minors, during the period of training and upbringing in educational organizations, and providing them with primary health care in a planned form, the educational organization assists in informing minors or their parents (legal representatives) in the preparation of informed voluntary consent to medical intervention or their refusal to medical intervention in relation to certain types of medical intervention.
20. When providing medical care to a minor on urgent grounds to eliminate the threat to life without the consent of the parents (legal representatives), in accordance with clause 1 of part 9 of article 20 of the Federal Law, the medical worker informs his parents (legal representatives) about the medical care provided.
21. The department of medical care for students carries out its activities in accordance with Appendices No. 1-6 to this Procedure.
1 Article 2 of the Federal Law of December 29, 2012 N 273-FZ "On Education in the Russian Federation" (Collected Legislation of the Russian Federation, 2012, N 53, Art. 7598; 2013, N 19, Art. 2326).
Appendix N 1 to the Procedure
Regulations on the department of organization of medical care for minors in educational institutions
1. This Regulation establishes the procedure for organizing the activities of the department for organizing medical care for minors in educational institutions (hereinafter - the department of medical care for students).
2. The department of the organization of medical care for students is a structural subdivision of a medical organization or other legal entity carrying out, along with the main (statutory) activities, medical activities, and provides medical assistance to minors under the age of 18 studying in educational organizations that implement basic educational programs (hereinafter - students).
3. The purpose of the activity of the department of medical aid to students is to provide students with primary health care in an emergency form and in an urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases, as well as disease prevention.
4. A medical worker is appointed to the position of the head of the department of medical care for students who meets the qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of health care, approved by order of the Ministry of Health and Social Development of the Russian Federation of July 7, 2009 N 415n (registered by the Ministry Justice of the Russian Federation on July 9, 2009, registration N 14292) as amended by order of the Ministry of Health and Social Development of Russia dated December 26, 2011 N 1644n (registered by the Ministry of Justice of the Russian Federation on April 18, 2012, registration N 23879) (hereinafter - Qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of health care), in the specialty "pediatrics", having work experience in this specialty for at least 5 years, in accordance with the order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541н "On approval of the Unified qualification reference book of positions of managers, specialists and employees, section" Qualification characteristics of positions of workers in the health sector "(registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration N 18247).
5. The staffing of medical workers of the department of medical care for students is determined taking into account the volume of medical care provided and preventive work carried out, the number of minors in educational organizations and is established by the head of the medical organization or educational organization in which it was created.
7. In the structure of the department of medical care for students, a medical unit is provided, which is located in the premises of the educational organization and consists of an office of a pediatrician (paramedic) and a treatment room.
8. In the structure of the medical aid department, students are recommended to provide:
the office of the head of the department;
the office of the senior nurse of the department;
doctor's office for hygiene of children and adolescents.
9. In the structure of the medical aid department for students providing primary health care to minors in need of treatment, rehabilitation and recreational activities, it is recommended to provide offices of specialist doctors and other offices in accordance with the procedures for the provision of medical care of the corresponding type, profile of medical care, disease or condition (groups of diseases or conditions).
10. The equipment of the medical unit of the medical aid department for students is carried out in accordance with the equipment standard provided for in Appendix No. 3 to the Procedure for the provision of medical care, approved by this order.
11. The equipping of other offices and units of the medical aid department for students is carried out in accordance with the requirements of the procedures for the provision of medical care according to the profile.
12. The department of medical care for students carries out:
organization and implementation of work on immunization in educational organizations;
organization of medical examinations of minors before and during the period of practical training in organizations whose employees are subject to medical examinations;
interaction with district pediatricians, specialist doctors of medical organizations, psychologists and teachers of educational organizations on the issues of determining the professional suitability of minors;
participation in the health improvement of students during the period of rest and in assessing the effectiveness of its implementation;
transfer of information to the responsible medical worker of a medical organization to inform the internal affairs bodies about the admission (treatment) of patients (students) in respect of whom there are sufficient grounds to believe that harm to their health was caused as a result of illegal actions.
13. The department of medical care for students interacts with an educational organization, medical organizations, territorial bodies of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare, guardianship and guardianship authorities, social protection bodies, etc.
14. The department of medical care for students maintains medical records in the prescribed manner and submits reports by types, forms, within the time frame and in the amount established by the authorized federal executive body.
15. This Regulation applies to offices, health centers of a medical organization or other legal entity carrying out, along with the main (statutory) activities, medical activities, providing medical assistance to minors under the age of 18, studying in educational institutions that implement basic educational programs, in the absence of a department medical assistance to students.
Appendix N 2 to the Procedure
Appendix No. 3 to the Procedure
Appendix N 4 to the Procedure
Regulations on the organization of the activities of a pediatrician (paramedic) of the department of organization of medical care for minors in educational organizations
1. This Regulation establishes the procedure for organizing the activities of a pediatrician (paramedic) of a department for organizing medical care for minors in educational institutions (hereinafter referred to as a department of medical care for students), an office, a health center of a medical organization or other legal entity carrying out, along with the main (statutory) activities, medical activities providing medical assistance to minors under the age of 18, studying in educational institutions that implement basic educational programs, in the absence of a medical aid department for students.
2. For the position of a pediatrician of the medical aid department, students are assigned a specialist who meets the qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of health care, approved by order of the Ministry of Health and Social Development of the Russian Federation of July 7, 2009 N 415n (registered Ministry of Justice of the Russian Federation on July 9, 2009, registration N 14292) as amended by order of the Ministry of Health and Social Development of Russia dated December 26, 2011 N 1644n (registered by the Ministry of Justice of the Russian Federation on April 18, 2012, registration N 23879), in the specialty "pediatrics" without presentation of requirements for work experience in accordance with the order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On approval of the Unified qualification reference book of positions of managers, specialists and employees, section" Qualification characteristics ki positions of workers in the field of health care "(registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration N 18247).
3. A specialist is appointed to the position of a paramedic of the medical aid department for students in accordance with the order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On approval of the Unified qualification reference book of positions of managers, specialists and employees, section" Qualification characteristics of positions of employees in in the field of health care "by specialty" paramedic ".
4. The pediatrician (paramedic) of the department of medical care for students carries out:
participation in monitoring the observance of sanitary and hygienic requirements for the conditions and organization of education and training, including nutrition, physical education, labor training of minors in educational organizations;
providing students with primary health care in an emergency and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases;
referral of students, in the presence of medical indications, to a medical organization in whose medical care the minor is;
organization and implementation of measures for the immunization of infectious diseases (in accordance with the National calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications, approved by order of the Ministry of Health and Social Development of the Russian Federation of January 31, 2011 N 51n - according to the conclusion of the Ministry of Justice of the Russian Federation in the state does not need registration (letter dated 17.02.2011 N 01/8577-DK);
organization and conduct of annual screening examinations, periodic medical examinations of students;
organization of preventive medical examinations of students, analysis of data obtained as a result of preventive medical examinations in order to monitor the health of minors and develop recommendations for the prevention of diseases and health improvement of students;
development of an individual plan for preventive and health-improving measures for students, taking into account the health status group, the medical group for physical education, based on the results of preventive medical examinations, data from medical examinations and current observation;
organization of medical examinations of minors before and during the period of practical training in organizations whose employees are subject to medical examinations;
preparation of proposals for the medical and psychological adaptation of minors to the educational organization, the processes of education and upbringing, as well as for the correction of violations of adaptation of students;
work on the formation of groups of minors with an increased medical, social and biological risk of the formation of health disorders for the optimal organization of the processes of education and upbringing, the provision of medical care, including the correction of health and development disorders;
analysis of the health status of minors, preparation of proposals for priorities in the development of preventive, corrective measures implemented in educational organizations;
preparation of proposals and implementation of specific medical, social and psychological technologies for preserving, strengthening and restoring the health of minors in educational institutions;
methodological support, together with psychologists and teachers of educational organizations, work on the formation of students' stable stereotypes of a healthy lifestyle and behavior that is not associated with health risks;
assessment of the completeness and analysis of the submitted data of the medical examination of children entering the first grade;
ensuring the medical and psychological adaptation of minors to the educational organization, the process of education and upbringing, as well as carrying out work on the correction of adaptation disorders;
participation in preventive work in an educational organization to prevent early onset of sexual activity in minors, sexually transmitted diseases, HIV / AIDS;
carrying out work to identify the prevalence of risk factors for chronic non-communicable diseases among minors (high blood pressure, overweight, smoking, alcohol, drugs, toxic substances, etc.), as well as stereotypes of diviant forms of behavior;
participation, together with the medical and social department of the children's polyclinic (department) and other medical organizations (family planning centers, reproductive health care, etc.), medical and psychological educational programs for preparing minors to create a family, correct reproductive behavior;
carrying out, in the conditions of an educational organization, work on correcting health disorders of minors, reducing the possibilities of their social adaptation, limiting the possibilities of training, choosing a profession, preparing for military service (pathology of the organs of vision, digestion, musculoskeletal system, nervous system, etc.);
informing parents and (or) legal representatives of a minor about the state of health, issuing recommendations for parents and (or) legal representatives;
analysis of the health status of minors, preparation of proposals for priorities in the development of preventive, corrective, measures implemented in an educational organization;
participation in the health improvement of students during their rest period and in assessing the effectiveness of its implementation;
organization of accounting and analysis of cases of injuries received in educational institutions, development of a set of measures for the prevention of injuries in educational institutions;
organization of work of medical workers with secondary medical education, including immunization, control over the observance of hygienic requirements for the organization of the training process and the process of education, physical education, nutrition, etc .;
interaction with the territorial bodies of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare and other institutions on the issue of protecting minors' health;
organization of advanced training for doctors, medical workers with secondary medical education of the department of medical care for students;
registration of medical documentation in the prescribed manner and submission of reports by type, form, within the time frame and to the extent established by the authorized federal executive body.
5. If violations of the sanitary and epidemiological legislation and (or) factors that affect or pose a threat to the life and health of students are detected, the pediatrician informs the head of the department of medical care for students or the head of the medical organization and the head of the educational organization about the identified violations and risk factors ...
Appendix No. 5 to the Procedure
Regulations on the organization of the activity of a doctor for hygiene of children and adolescents of the department of organization of medical care for minors in educational organizations
1. This Regulation establishes the procedure for organizing the activities of a doctor for the hygiene of children and adolescents of a department for organizing medical care for minors in educational organizations (hereinafter - the department of medical care for students), an office, a health center of a medical organization or other legal entity carrying out, along with the main (statutory) activity, medical activities providing medical assistance to minors under the age of 18 studying in educational institutions that implement basic educational programs, in the absence of a medical aid department for students.
2. A specialist is appointed to the position of a doctor for the hygiene of children and adolescents who meets the requirements of the Qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of health care, approved by order of the Ministry of Health and Social Development of the Russian Federation of July 7, 2009 N 415n (registered by the Ministry of Justice of Russia on July 9, 2009, registration N 14292) as amended by order of the Ministry of Health and Social Development of Russia dated December 26, 2011 N 1644n (registered by the Ministry of Justice of Russia on April 18, 2012, registration N 23879), in the specialty "hygiene of children and adolescents" ...
3. A doctor for hygiene of children and adolescents carries out:
participation in monitoring the observance of sanitary and hygienic requirements for the conditions and organization of education and training, including nutrition, physical education, labor training of minors in educational organizations;
hygienic assessment of the architectural and planning solutions used, the in-school environment (microclimate, anthropogenic air pollution, illumination, noise, vibration, electromagnetic fields) and the current sanitary state of the educational organization;
assessment of the conditions and technologies for the education and upbringing of minors, compliance with sanitary and hygienic norms and rules;
participation in the hygienic control of teaching and education means and their use in the processes of teaching and education;
organization and conduct of sanitary and hygienic education and training of minors and their parents (legal representatives) on the prevention of childhood diseases and the formation of a healthy lifestyle;
assessment of production control over the provision of sanitary and epidemiological well-being of an educational organization;
introduction of new preventive and hygienic diagnostic technologies;
participation in conducting clinical and epidemiological analysis of the level and structure of morbidity among minors, including during the period of training and education in educational institutions;
planning of activities aimed at maintaining and strengthening health, eliminating the harmful effects on the health of minors, including during the period of training and education in educational organizations, factors of the in-school environment;
preparation of proposals to local governments on the creation of optimal conditions for the life of minors, the formation of a healthy lifestyle in them and the development of interdepartmental disease prevention programs;
control over the observance in the educational organization of the sanitary and hygienic standards of the educational process, including the state of the surrounding area, the catering facility, classrooms, recreation areas for minors, sanitary and hygienic rooms, etc .;
development of programs and measures for the prevention, correction and health improvement of students, taking into account professional and production factors;
making proposals to the head of the educational organization to improve the sanitary and epidemiological well-being of the educational organization;
organization of work in educational institutions to correct health disorders of minors, reducing the possibilities of their social adaptation, limiting the possibilities of training, choosing a profession, preparing for military service (pathology of the organs of vision, digestion, musculoskeletal system, nervous system, etc.);
participation in the hygienic control of teaching and education means and their use in the processes of teaching and education;
conducting sanitary and hygienic educational work among minors, their parents (legal representatives) and teachers on the prevention of diseases of minors and the formation of a healthy lifestyle;
development and implementation of medical, social and psychological technologies for preserving, strengthening and restoring the health of minors in an educational organization;
carrying out (together with the teaching staff) in the educational organization of events and monitoring their effectiveness in the formation of minors (at the group and individual level) of stable stereotypes of a healthy lifestyle, including the prevention of alcoholism, drug addiction, substance abuse;
organization and methodological support of work to identify the prevalence of risk factors for chronic non-communicable diseases (high blood pressure, overweight, smoking, alcohol, drugs, toxic substances, etc.) among minors, as well as stereotypes of diviant forms of behavior;
interaction with the territorial bodies of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare and other institutions on the issue of protecting minors' health;
conducting sanitary and hygienic educational work among minors, their parents (legal representatives) and teachers on the prevention of diseases of minors and the formation of a healthy lifestyle;
methodological support, together with psychologists and teachers of educational organizations, work on the formation of students' stable stereotypes of a healthy lifestyle and behavior that is not associated with health risks;
promptly informs the responsible medical worker for timely informing the territorial bodies of internal affairs about the facts of admission (appeal) of students, in respect of whom there are sufficient grounds to believe that harm to their health was caused as a result of illegal actions.
4. If violations of sanitary and epidemiological legislation and (or) factors that affect or pose a threat to the life and health of students are detected, the doctor for hygiene of children and adolescents informs in writing the head of the department of medical care for students or the head of the medical organization and the head of the educational organization about the violations and risk factors.
Appendix No. 6 to the Procedure
Regulations on the organization of the activities of a nurse (paramedic) of the department for organizing medical care for minors in educational organizations
1. This Regulation establishes the procedure for organizing the activities of a nurse (paramedic) of a department for organizing medical care for minors in educational organizations (hereinafter - the department of medical care for students), an office, a health center of a medical organization or other legal entity carrying out, along with the main (statutory) activities, medical activities providing medical assistance to minors under the age of 18, studying in educational institutions that implement basic educational programs, in the absence of a medical aid department for students.
2. A specialist is appointed to the position of a nurse (paramedic) in accordance with the order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N541n "On approval of the Unified qualification reference book of positions of managers, specialists and employees, section" Qualification characteristics of positions of employees in the field Healthcare "(registered by the Ministry of Justice of the Russian Federation on August 25, 2010, registration N 18247) in the specialty" nurse "," paramedic ".
3. The nurse (paramedic) of the department of medical aid to students carries out:
providing students with pre-hospital primary health care in an emergency and urgent form, including in case of sudden acute diseases, conditions, exacerbation of chronic diseases;
preventive measures aimed at protecting and strengthening the health of students in an educational organization;
calling an ambulance and (or) organizing the transportation to a medical organization of students in need of emergency medical care;
participation in monitoring compliance with sanitary and hygienic requirements for the conditions and organization of education and training, nutrition, physical education and labor training of minors in educational organizations;
carrying out measures for the immunization of infectious diseases (in accordance with the National calendar of preventive vaccinations and the calendar of preventive vaccinations for epidemic indications, approved by order of the Ministry of Health and Social Development of the Russian Federation of January 31, 2011 N 51n - according to the conclusion of the Ministry of Justice of the Russian Federation in state registration needs (letter dated 17.02.2011 N 01/8577-DK);
participation in the organization and conduct of annual screening examinations, periodic medical examinations of minors;
participation in the organization of preventive medical examinations of minors;
participation in the development of an individual plan for preventive and health-improving measures for students, taking into account the group of health status, a medical group for physical education on the basis of the results of preventive medical examinations, data from medical examinations and current observation;
participation in the organization of medical examinations of minors before and during the period of industrial practice in organizations whose employees are subject to medical examinations;
participation in the formation of risk groups among minors in order to conduct differentiated medical supervision and determine priorities in the development and implementation of preventive, treatment and health, correction and rehabilitation programs in educational institutions at the individual and group levels on the basis of medical, social, psychological, pedagogical and other information ;
participation in the assessment of the completeness of the submitted data of the medical examination of children entering the first grade;
participation in the assessment of the functional readiness of a minor to study at school, when a student is transferred to a class of compensatory education, when a minor is transferred to an organization with an increased level of education, etc .;
participation in the preparation and conduct of a comprehensive medical and psychological-pedagogical assessment of the health of minors;
interaction with district pediatricians, medical specialists of a medical organization and psychologists and teachers of an educational organization on the issues of professional suitability of minors;
participation in the conduct (together with the teaching staff) in the educational organization of events and in the control of their effectiveness in the formation of stable stereotypes of a healthy lifestyle among minors (at the group and individual level), including the prevention of alcoholism, drug addiction, substance abuse;
participation in carrying out preventive work in an educational organization to prevent early onset of sexual activity in minors, sexually transmitted diseases, HIV / AIDS;
interaction in accordance with the procedure established by law with psychiatrists, drug addiction doctors, social educators, psychologists, law enforcement officers, guardianship and guardianship services and others in identifying deviant and asocial forms of behavior of minors (alcoholism, drug addiction, substance abuse, smoking, vagrancy, involvement in criminal activity, etc.);
participation, together with the medical and social department of the children's polyclinic (department) and other medical organizations (family planning centers, reproductive health care, etc.) in the implementation of medical and psychological educational programs for preparing minors to create a family, correct reproductive behavior;
participation in carrying out, in the conditions of an educational organization, work on the correction of health disorders of minors, reducing the possibilities of their social adaptation, limiting the possibilities of training, choosing a profession, preparing for military service (pathology of the organs of vision, digestion, musculoskeletal system, nervous system, etc.);
informing parents and (or) legal representatives of a minor about the state of health of students, making copies and (or) extracts from medical records;
participation in the health improvement of minors during their rest period;
registration and analysis of cases of injuries received in educational institutions;
transfer of information to the responsible medical worker of a medical organization to inform the internal affairs bodies about the admission (treatment) of patients (students) in relation to whom there are sufficient grounds to believe that harm to their health was caused as a result of illegal actions;
disinfection, pre-sterilization cleaning and sterilization of instruments;
storage of drugs, including medical immunobiological drugs, preservation of labels on vials, control over the terms of use of drugs;
observance of labor protection and fire safety rules at the workplace;
compliance with the rules of asepsis and antiseptics;
analysis of the implementation of the monthly vaccination plan;
accounting of medical equipment, drugs, vaccination material, their timely replenishment;
interaction with district pediatricians, specialist doctors of medical organizations, psychologists and teachers of educational organizations:
registration of medical documentation in the prescribed manner and submission of reports by types, forms, in terms and in the amount established by the authorized federal executive body;
transfer of information to a responsible medical worker of a medical organization to inform the territorial bodies of internal affairs about the facts of admission (treatment) of patients (students) in respect of whom there are sufficient grounds to believe that harm to their health was caused as a result of unlawful actions, and the appointment of medical workers responsible for the facts receipts (appeals) of such patients;
maintains approved forms of accounting and reporting medical documentation.
5. If violations of sanitary and epidemiological legislation and (or) factors that affect or pose a threat to the life and health of students are detected, the nurse (paramedic) informs the head of the student's medical aid department or the head of the medical organization and the head of the educational organization about the violations and risk factors.