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Standards for calculating the need for narcotic medicinal products intended for medical use. Standards for calculating the need for narcotic medicinal products intended for medical use Order 917 of 01

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

ORDER
dated December 1, 2016 N 917n

ON THE APPROVAL OF STANDARDS FOR CALCULATION OF THE NEED FOR NARCOTIC AND PSYCHOTROPIC MEDICINES INTENDED FOR MEDICAL USE

1. Approve the attached standards for calculating the need for narcotic medicines intended for medical use.

2. Establish that the standards for calculating the need for psychotropic drugs intended for medical use are determined by legal entities by calculating averaged data based on reports on the use of narcotic drugs and psychotropic substances for the last three years, submitted by them in the form provided for in Appendix No. 7 to the Rules for the submission by legal entities of reports on activities related to the circulation of narcotic drugs and psychotropic substances, approved by a government decree Russian Federation dated November 4, 2006 N 644 "On the procedure for submitting information on activities related to the circulation of narcotic drugs and psychotropic substances, and registration of operations related to the circulation of narcotic drugs and psychotropic substances" (Collected Legislation of the Russian Federation, 2006, N 46, Art. 4795; 2008, N 50, item 5946; 2010, N 25, item 3178; 2012, N 37, item 5002; 2013, N 6, item 558; N 51, item 6869; 2015, N 33 , item 4837), and by decision of the head legal entity may be increased, but not more than 1.5 times.

Minister
IN AND. SKVORTSOVA

APPROVED
order of the Ministry of Health
Russian Federation
dated December 1, 2016 N 917n

REGULATIONS
TO CALCULATE THE NEED FOR NARCOTIC MEDICINES INTENDED FOR MEDICAL USE

1. For medical organizations providing primary health care and palliative care on an outpatient basis

N p / p	International non-proprietary name of the medicinal product	Standard per 1,000 people per year, g<1>
1.		0,13
2.	Dihydrocodeine	1,01
3.		one
4.	Morphine	4,32
5.		0,35
6.		0,7
7.	Trimeperidine	1,06
8.	Fentanyl	0,11

<1>The standards are approved in terms of active narcotic drugs contained in any dosage forms, including in combination with pharmacological active substances.

2. For medical organizations providing specialized, including high-tech medical care, emergency medical care, palliative care in hospitals

N p / p	Medical care profile<1>	bunk profile<1>	International non-proprietary name of the medicinal product, g<2, 3>
N p / p	Medical care profile<1>	bunk profile<1>	Buprenorphine, Buprenorphine + Naloxone	Dihydrocodeine	Morphine	Oxycodone, Oxycodone + Naloxone	Codeine + Morphine + Noscapine + Papaverine + Thebaine	Trimeperidine	Propionylphenylethoxyethylpiperidine	Fentanyl<4>
1	2	3	4	5	6	7	8	9	10	11
1	obstetrics	for pregnant women and women in childbirth, pathology of pregnancy, nursing care beds	-	-	0,080	-	0,004	0,210	0,20	0,0002
2	obstetrics and gynecology	for pregnant women and women in childbirth, pathology of pregnancy, gynecological, gynecological for children, gynecological for assisted reproductive technologies	-	-	0,060	-	0,031	0,330	1,40	0,0008
3		resuscitation, intensive care	0,0108	-	1,000	-	0,030	3,300	-	0,0200
4	gastroenterology	gastroenterological	0,0009	-	0,060	-	0,003	0,120	-	0,0002
5	hematology	hematological	0,6200	3.00	16,900	3,50	0,038	0,813	2,00	0,4150
6	geriatrics	gerontological	0,6200	3,00	16,800	3,50	-	-	2,00	0,4140
7	dermatovenereology	dermatological, venereological	-	-	0,002	-	-	0,002	-	-
8	infectious diseases	infectious, leprosy	0,0003	-	0,050	-	0,011	0,125	0.20	0,0001
9	cardiology	cardiological, cardiological for intensive care, cardiac for patients with acute myocardial infarction	0,0030	-	0,300	-	0,011	0,145	-	0,0002
10	colonoproctology	proctological	0,6200	3,00	16,860	3,50	0,003	0,120	2.00	0,4142
11	medical rehabilitation	rehabilitation somatic, rehabilitation for patients with diseases of the central nervous system and sensory organs, rehabilitation for patients with diseases of the musculoskeletal system and peripheral nervous system, rehabilitation narcological	-	-	-	-	-	-	-	-
12	neurology	neurological, neurological for patients with acute disorders of cerebral circulation, neurological intensive care	0,6200	3,00	16,810	3,50	0,001	0,060	2,00	0,4141
13	neurosurgery	neurosurgical	0,0150	-	2,000	-	0,108	1,000	-	0,0100
14	nephrology	nephrological	0,6200	3,00	16,860	3,50	0,003	0,133	2,00	0,4142
15	oncology	oncological, oncological: thoracic, abdominal, tumors, head and neck, tumors of bones, skin and soft tissues, palliative, oncourological, oncogynecological	0,6230	9,00	30,300	3,50	0,042	1,265	4,00	0,5710
16	otorhinolaryngology	otorhinolaryngology, otorhinolaryngology for cochlear implantation	0,0006	-	0,040	-	0,016	0,080	0,30	0,0001
17	ophthalmology	ophthalmic	0,0001	-	0,006	-	0,003	0,25	0,30	0,0001
18	palliative care	palliative, nursing care	2,2900	9,00	55,000	7,50	0,336	1,000	40,00	1,7300
19	plastic surgery	surgical	0,0015	-	0,100	-	0,016	1,000	-	0,0010
20	occupational pathology	occupational pathology	0,0003	-	0,020	-	0,008	0,130	-	0,0001
21	psychiatry	psychiatric, psychosomatic, somatopsychiatric, psychiatric for forensic psychiatric examination	-	-	0,004	-	-	0,004	-	-
22	psychiatry-narcology	narcological	-	-	-	-	-	-	-	-
23	pulmonology	pulmonological	0,0003	-	0.020	-	0,008	0,140	-	0,0001
24	radiology, radiotherapy	radiological	0,6230	9,00	30,300	3,50	0,042	1,265	4,00	0,4150
25	rheumatology	rheumatological	0,6200	3,00	0,50	3,50	-	0,20	2,00	0,4140
26	cardiovascular surgery	cardiac surgery, vascular surgery	0,0150	-	2,000	-	0,108	1,000	-	0,0100
27	emergency	short stay ambulance, overnight stay ambulance	-	-	2,000	-	0,108	2,200	-	0,0150
28	therapy	therapeutic	0,0009	-	0,060	-	0,007	0,135	0,30	0,0001
29	toxicology	toxicological	-	-	-	-	-	-	-	-
30	thoracic surgery	thoracic surgery	0,0030	-	0,200	-	0,027	3,400	-	0,0012
31	traumatology and orthopedics	traumatological, orthopedic	0,6230	3,00	17,000	3,50	0,016	1,5	2,00	0,4152
32	bone marrow and hematopoietic stem cell transplantation	surgical	0,0030	-	1,000	-	0,016	1,300	-	0,0012
33	urology	urological	0,6215	3,00	16,900	3,50	0,015	0,700	2,00	0,4147
34	phthisiology	tuberculosis	0,0006	-	0,040	-	0,004	0,085	0,24	-
35	surgery	purulent surgical, surgical	0,0030	-	0,200	-	0,027	1,300	-	0,0006
36	surgery (abdominal)	abdominal surgery	0,6230	3,00	17,000	3,50	0,027	1,325	2,00	0,4146
37	surgery (combustiology)	burn	0,6630	3,00	17,000	3,50	0,027	2,700	1,40	0,4160
38	surgery (transplantation of organs and (or) tissues)	surgical	0,0030	-	0,200	-	0,027	1,300	-	0,0020
39	Maxillofacial Surgery	maxillofacial surgery	0,0030	-	0,200	-	0,027	1,300	-	0,0020
40	endocrinology	endocrinological	-	-	0,010	-	0,002	0,020	-	0,0006
41	pediatric cardiology	cardiology for children	-	-	0,001	-	-	-	-	0,02
42	anesthesiology and resuscitation	resuscitation for newborns, intensive care for newborns	-	-	0,80	-	-	-	-	0,01
43	pediatric oncology	oncological for children	-	-	0,012	-	-	0,003	-	0,0017
44	pediatric urology-andrology	uroandrological for children	-	-	0,007	-	-	-	-	0,001
45	pediatric surgery	surgical for children	-	-	0,030	-	-	-	0,0016
48	pediatrics	pediatric somatic	-	-	0,006	-	-	-	-	0,002
49	pediatric dentistry	dental for children	-	-	0,06	-	-	-	-	0,01
50	neurology	psychoneurological for children	-	-	0,01	-	-	-	-	0,002

<1>dated May 17, 2012 N 555n "On approval of the nomenclature of the bed fund according to the profiles of medical care" (registered by the Ministry of Justice of the Russian Federation on June 4, 2012, registration N 24440) as amended by the order of the Ministry of Health of the Russian Federation dated December 16, 2014 N 843n (registered by the Ministry of Justice of the Russian Federation on January 15, 2015, registration N 35536).

Morphine Fentanyl Standard for calculating the need for narcotic drugs (based on 1,000 emergency calls) 0,087 0,00034

<1>Order of the Ministry of Health and social development of the Russian Federation dated May 17, 2012 N 555n "On approval of the nomenclature of the bed fund according to the profiles of medical care" (registered by the Ministry of Justice of the Russian Federation on June 4, 2012, registration N 24440) as amended by the order of the Ministry of Health of the Russian Federation dated December 16, 2014 Mr. N 843н (registered by the Ministry of Justice of the Russian Federation on January 15, 2015, registration N 35536).

The standards for calculating the need for narcotic medicinal products intended for medical use (hereinafter referred to as the standards) specified in sections 1, 2 and 3 of this annex may be increased, but not more than 1.5 times, by decision of the head or authorized by him official of the executive authority of the subject of the Russian Federation in the field of health protection, adopted on the basis of a written request from the head of the medical organization, containing the rationale for the need to increase the standards.

5. If a congenital and (or) hereditary disease is suspected or detected in a patient that does not require inpatient treatment, a district general practitioner, a district pediatrician, a general practitioner (family doctor), medical workers with secondary medical education medical organizations if there are medical indications, the patient is sent (if there are medical indications - members of his family) for a consultation with a geneticist in a medical genetic consultation (center).

ORGANIZATION OF ACTIVITIES OF MEDICAL GENETIC

CONSULTATIONS (CENTER)

1. These Rules establish the procedure for organizing the activities of a medical genetic consultation (center) of organizations providing medical care(hereinafter referred to as medical organizations) sick with diseases.

2. Medical genetic consultation (center) (hereinafter referred to as the Consultation) is an independent medical organization or a structural subdivision of a medical organization, created to provide preventive, advisory, diagnostic and therapeutic assistance to patients with congenital and (or) hereditary diseases, including members of their families (hereinafter - patients).

3. A specialist who meets the requirements of the Qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare, approved by order of the Ministry of Health and Social Development of the Russian Federation dated July 7, 2009 N 415n (registered by the Ministry of Justice of the Russian Federation on July 9, 2009, registration N 14292), as amended by the order of the Ministry of Health and Social Development of the Russian Federation of December 26, 2011 N 1644n (registered by the Ministry of Justice of the Russian Federation on April 18, 2012, registration N 23879), specialties: "genetics", "therapy", "obstetrics and gynecology", "pediatrics", "organization of healthcare and public health".

The head of the Consultation is appointed to the position by the founder of the medical organization or the head of the medical organization, if the Consultation is created as structural subdivision medical organization.

4. The structure and staffing of the Consultation is established by the founder of the medical organization or the head of the medical organization in cases where the Consultation is created as a structural unit, based on the volume of treatment and diagnostic work performed, the number of people served and the number of births per year, taking into account the recommended staffing standards provided for in the Appendix N 2

5. The equipment of the Consultation is carried out in accordance with the standard for equipping the Consultation, provided for in Appendix No. 3 to the Procedure for the provision of medical care to patients with hereditary and (or) congenital diseases, approved by this order.

Advisory department;

cytogenetic laboratory;

Mass Screening Laboratory;

Selective Screening Laboratory;

Laboratory of molecular genetic diagnostics;

Department of prenatal diagnostics, including an office of an obstetrician-gynecologist, a manipulation (operating) room, an ultrasound diagnostics room;

procedural;

A room for receiving samples of blood, urine and other biological material for laboratory diagnosis of hereditary and (or) congenital diseases.

Administrative and economic department;

Information and analytical department, including the registry, organizational and methodological office, medical statistics office.

8. The consultation performs the following functions:

Providing consultative and medical diagnostic assistance to patients and their families;

Organization and provision of neonatal screening in order to detect hereditary diseases;

Carrying out selective screening;

Organization of blood sampling from pregnant women for prenatal biochemical screening;

Carrying out prenatal biochemical screening of pregnant women of the first trimester (stage 1) for the purpose of prenatal (prenatal) diagnosis of developmental disorders of the child;

Carrying out the 2nd (confirmatory) stage of a comprehensive examination of pregnant women for the purpose of prenatal (prenatal) diagnosis of developmental disorders of the child;

Carrying out prenatal cytogenetic, molecular cytogenetic and molecular genetic diagnostics in women with an increased risk of chromosomal diseases in the unborn child based on the results of combined prenatal screening in the first trimester of pregnancy and ultrasound in the second trimester of pregnancy;

Carrying out prenatal diagnosis of congenital and (or) hereditary diseases in burdened families;

Participation in the external peer review the quality of laboratory tests performed during the mass examination of newborns for hereditary diseases;

Organization and provision of methodological and advisory assistance to district pediatricians, district general practitioners, obstetrician-gynecologists, general practitioners (family doctors) in order to identify patients at risk with hereditary and (or) congenital diseases, as well as patients with initial manifestations hereditary and (or) congenital diseases;

If there are medical indications - referral of patients for consultation to specialist doctors in the specialties provided for by the Nomenclature of Specialties for Specialists with Higher and Postgraduate Medical and Pharmaceutical Education in the Healthcare Sector of the Russian Federation, approved by Order of the Ministry of Health and Social Development of the Russian Federation dated April 23, 2009 N 210n;

In the presence of medical indications - referral of patients for medical care in stationary conditions or day hospital conditions;

Implementation of dispensary observation of patients attached to the territory served by the Consultation;

Participation in the analysis of the main medical and statistical indicators of morbidity, disability and mortality of patients attached to the territory served by the Consultation;

Organization and conduct of sanitary and educational work among the population on the prevention of hereditary and (or) congenital diseases, the formation of principles healthy lifestyle life;

Participation in the development and organization of the implementation of individual programs for the rehabilitation and treatment of patients;

Participation in the preparation of medical documents for patients to send them for medical and social examination;

Participation in the analysis of the main medical and statistical indicators of morbidity, disability and mortality of patients;

Mastering and putting into practice new effective methods prevention, diagnosis, treatment and rehabilitation of patients;

Maintenance of accounting and reporting documentation, submission of reports on the activities of the Consultation in the prescribed manner.

9. To ensure its activities, the Consultation uses the capabilities of all medical diagnostic and auxiliary units of the medical organization, in which the Consultation was created.

10. Consultation can be used as a clinical base educational institutions secondary, higher and additional vocational education and scientific organizations.

Appendix No. 2

to the Procedure for rendering

medical care for the sick

with congenital and (or) hereditary

Ministry of Health

Russian Federation

MEDICAL GENETIC CONSULTATION (CENTER)

┌─────┬─────────────────────────────────────────── ─────┬───────────────────┐ │ N │ Position name │ Number ──────────────────────────────────────────────┼─── ────────────────┤ │1. │Head │ 1 │ ├─────┼───────────────────────────────────── ──────────┼───────────────────┤ │2. │Senior nurse│ 1 │ ├─────┼──────────────────────────────────────── ────────┼───────────────────┤ │3. │Sister Mistress │ 1 │ ├─────┼──────────────────────────────────── ┼───────────────────┤ │4. │ Medical Registrar │ 2 │ ├─────┼─────────────────────────────────────── ────────┼───────────────────┤ │5. │Medical statistician │ 1 │ ├─────┼───────────────────────────────────── ───────────┼───────────────────┤ │6. │Genetician │ 3 to 1,000,000 │ │ │ │ population and up to 10 │ │ │ │ thousand births per year │ ├──────┼───────────────── ──────────────────────────────────────────────────── ─┤ │7. │Dietitian │ 1 │ ├─────┼──────────────────────────────────── ┼───────────────────┤ │8. │Nurse │ 1 for 1 position │ │ │ │ genetics doctor │ 9. │Procedural nurse │ 2 │ ├─────┼──────────────────────────────────── ─────────────┼───────────────────┤ │10. │Doctor-laboratory geneticist │ 3 per 1,000,000 │ │ │ │ population and 10 │ │ │ │ thousand births per year │ │ │ │ (to provide │ │ │ │ cytogenetic studies │ │ │); │ │ │ │ 3 per 1,000 │ │ │ │ population and 10 │ │ │ │ │ neonatal │ │ │ │ screening); │ │ │ │ 2 for 1,000,000 │ │ │ │ Population and 10 │ │ │ │ │ │ │ │ 2 for 1,000,000 │ │ │ │ population and 10 │ │ │ ─────┼──────────────────────────────────────────── ────┼───────────────────┤ │11. │Doctor of ultrasound diagnostics │ 1 per 1000,000 │ │ │ │ population and 10 │ │ │ │ thousand births per year │ ├──────────────────── ─────────────────────────────────────────────────────┤ │12. │Nurse (ultrasound │ 1 for 1 position │ │ │diagnostics) │ doctor │ │ │ │ ultrasound │ │ │ │ diagnostics │ ├─────┼──────────────── ─────────────────────────────────────────────────── ──┤ │13. │Obstetrician-gynecologist │ 1 per 1000,000 │ │ │ │ population and 10 │ │ │ │ thousand births per year │ ├──────┼────────────────── ───────────────────────────────────────────────────── ┤ │14. │Midwife (nurse) │ 1 for 1 position │ │ │ │ obstetrician- │ │ │ │ gynecologist ─────────────────────────────────────────────────────┤ │15. │ Endocrinologist │ 0.5 │ ├─────┼────────────────────────────────── ┼──────────────────┤│16. │Neurologist │ 0.5 │ ├───────────────────────────────────────── ┼──────────────────┤ │17. │Medical psychologist │ 1 │ ├─────┼───────────────────────────────────── ───────────┼───────────────────┤ │18. │ Paramedic │ 8 │ ├──────────────────────────────────────────── ┼───────────────────┤ │19. │Lab assistant │ 3 │ ├─────┼────────────────────────────────────── ──────────┼───────────────────┤ │20. │ Nurse │ 6 (for cleaning │ │ │ │ premises) │ ├─────┼───────────────────────────── 21. │ Software engineer │ 1 in 30 thousand │ │ │ │ childbirth │ ├─────┼───────────────────────────── 22. │ Operator │ 1 per 30 thousand │ │ │ │ childbirth │ └─────┴─────────────────────────────── ───────────────────┴────────────────────┘

2. For areas with low population density and limited transport accessibility of medical organizations, the number of positions of the medical genetic consultation (center) is established based on the smaller population.

3. 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 of August 21, 2006 N 1156-r (Collected Legislation of the Russian Federation, 2006, N 35, art. 3774; N 49, art. 5267; N 52, item 5614; 2008, N 11, item 1060; 2009, N 14, item 1727; 2010, N 3, item 336; N 18, item 2271; 2011, N 16, item 2303; N 21, item 3004; N 47, item 6699; N 51, item 7526; 2012, N 19, item 2410) the number of positions of the medical genetic consultation (center) is established regardless of the size of the attached population.

Appendix No. 3

to the Procedure for rendering

medical care for the sick

with congenital and (or) hereditary

diseases, approved by order

Ministry of Health

Russian Federation

STANDARD

EQUIPMENT FOR MEDICAL GENETIC CONSULTATION (CENTER)

(EXCEPT ADVISORY DEPARTMENT, PROCEDURE,

CYTOGENETIC LABORATORY, LABORATORY OF MASS

SCREENING LABORATORIES, SELECTIVE SCREENING LABORATORIES, LABORATORIES

MOLECULAR GENETIC DIAGNOSIS, MANIPULATION

(OPERATING ROOM), DEPARTMENT OF PRENATAL DIAGNOSIS

(INCLUDING THE OFFICE OF THE DOCTOR-OB/GYNECOLOGIST,

MANIPULATION (OPERATING ROOM), ULTRASOUND ROOM

DIAGNOSTICS), ROOMS FOR RECEIVING BLOOD AND URINE SAMPLES

AND OTHER BIOLOGICAL MATERIAL FOR LABORATORY

DIAGNOSTICS OF HEREDITARY AND (OR) CONGENITAL DISEASES)

1. Equipment standard for the advisory department

┌─────┬─────────────────────────────────────────── ─────┬───────────────────┐ │ N │ Name of equipment (equipment) │ Quantity, pieces │ │ │ genetics) │ ├─────┼─────────────────────────────────── ───────────┼────────────────────┤ │1. │Computer │ 1 │ ├─────┼────────────────────────────────────── ──────────┼───────────────────┤ │2. │Working table │ 2 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │3. │Working chair │ 1 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │4. Chair │ 2 │ ├─────┼───────────────────────────────────── ──────────┼───────────────────┤ │5. │Couch │ 1 │ ├─────┼────────────────────────────────────── ──────────┼───────────────────┤ │6. │Cabinet for storing medical documents │ 1 │ ├─────┼────────────────────────────────── ┼──────────────────┤ │7. │Height gauge │ 1 │ ├─────┼───────────────────────────────────── ──────────┼────────────────────┤ │8. │Cabinet for storing medicines │ 1 │ ├─────┼────────────────────────────────── ┼──────────────────┤│9. │ Table lamp│ 1 │ ├─────┼──────────────────────────────────────── ────────┼────────────────────┤ │10. │Tonometer for measuring blood pressure with │ 1 │ │ │cuff for children up to a year │ │ ├─────┼─────────────────────────── 11. │Medical thermometer │ 1 ───────────┼───────────────────┤ │12. │Measuring tape │ 1 │ ├─────┼───────────────────────────────────── ───────────┼───────────────────┤│13. │Bactericidal air irradiator │ 1 │ │ │recirculator type │ │ ├─────┼───────────────────────────────── 14. │Bactericidal air irradiator open type│ 1 │ ├─────┼──────────────────────────────────────── ────────┼────────────────────┤ │15. │ Screen │ 1 │ ├─────┼───────────────────────────────────── ──────────┼───────────────────┤ │16. │Changing table │ 1 │ ├─────┼───────────────────────────────────── ───────────┼───────────────────┤ │17. │Libra │ 1 │ ├─────┼────────────────────────────────────── ──────────┼────────────────────┤ │18. │ Electronic balance for children under one year old │ 1 │ ┼───────────────────┤ │19. │ Stethophonendoscope │ 1 │ ├─────┼───────────────────────────────────── ──────────┼───────────────────┤ │20. │ Disposable spatula │ on demand │ ├─────┼─────────────────────────────────── ─────────────┼───────────────────┤ │21. │Container for collecting household and medical waste │ 1 │ ├─────┼───────────────────────────────── ────────────────┼───────────────────┤ │22. │Container for disinfection of instruments and │on request │ │ │ Supplies│ │ ├─────┼──────────────────────────────────────── ───────┼───────────────────┤ │23. │Disinfectants │on demand │ ├─────┼──────────────────────────────────── ─────────────┼───────────────────┤ │24. │ First aid kit medical │ 1 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │25. │Laying for the prevention of HIV infection │ 1 │ │ │infection │ │ 26. │ Automated system diagnostics │ 1 │ │ │syndromic forms ────────────────┴───────────────────┘

2. Standard of treatment room equipment

3. Equipment standard for cytogenetic laboratory

┌─────┬─────────────────────────────────────────── ─────┬───────────────────┐ │ N │ Name of equipment (equipment) │ Quantity, pieces │ │ │ laboratory assistant- │ │ │ │ genetics) │ ├─────┼───────────────────────────────── ─────────────────┼───────────────────┤ │1. │Computer, Internet access │ 1 │ ├─────┼────────────────────────────────── ───────────────┼───────────────────┤ │2. │Telephone, fax │ 1 │ ├─────┼──────────────────────────────────── ────────────┼───────────────────┤ │3. │Working table │ 2 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │4. │Working chair │ 2 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │5. Chair │ 2 │ ├─────┼───────────────────────────────────── ──────────┼───────────────────┤ │6. │Cabinet for storing medical documents │ 1 │ ├─────┼────────────────────────────────── ┼──────────────────┤ │7. │Universal research microscope │ 1 │ │ │class for light and fluorescence analysis │ │ │ │with input and analysis software │ │ │ │images │ │ ├─────┼──────────── ─────────────────────────────────────────────────── ───────┤ │8. │Automated image analysis system │ 1 │ │ │(for karyotyping and fluorescent │ │ │ │chromosomal analysis) │ │ ├───────────────────────────────────────────── ─────────────────────────────────────────────────────┤ │9. │Laminar cabinet │ 1 │ ├─────┼───────────────────────────────────── ───────────┼───────────────────┤ │10. │ Dry air sterilizer │ 1 │ ├─────┼───────────────────────────────────── ┼───────────────────┤ │11. │Distiller │ 1 │ ├─────┼────────────────────────────────────── ──────────┼────────────────────┤ │12. │Bidistillator │ 1 │ ├─────┼────────────────────────────────────── ──────────┼───────────────────┤ │13. │ Two-chamber refrigerator │ 3 │ ├─────┼────────────────────────────────────── ───────────┼───────────────────┤ │14. │Desktop centrifuge - with rotor for test tubes │ 1 │ │ │ from 15 to 50 ml and vacutainers │ │ ├─────┼─────────────────────── 15. │Balance analytical electronic │ 1 │ ├─────┼───────────────────────────────────── ┼──────────────────┤ │16. │pH-meter │ 1 │ ├─────┼──────────────────────────────────── ─────────────┼───────────────────┤ │17. │ Culture media kits │ on demand │ ├─────┼──────────────────────────────────── ┼───────────────────┤ │18. │A set of reagents for processing cell cultures │on demand │ │ │and preparation of chromosome preparations │ │ ├─────┼─────────────────────────── 19. │A set of disposable and reusable dishes for 100 │on demand │ │ │research (test tubes, pipettes, flasks, │ │ │ │beakers, centrifuge tubes, │ │ │ │culture bottles, glass slides, etc.) │ │ ├── ───┼────────────────────────────────────────────── ──┼────────────────────┤ │20. │CCD camera to microscope │ 1 to 1 microscope │ ├─────┼──────────────────────────────── ─────────────────┼───────────────────┤ │21. │Desktop centrifuge with a rotor for │ 1 │ │ │microtubes - up to 2 ml │ │ ├───────────────────────── 22. │ Water bath │ 1 │ ├─────┼───────────────────────────────────── ───────────┼───────────────────┤ │23. │ Dry air thermostat from 37 °C to 90 °C │ 2 │ ├──────────────────────────────────── 24. │ Electric table for heating object │ 1 │ │ │ glasses │ │ ├────────────────────────────── 25. │Freezer │ 1 │ ├─────┼───────────────────────────────────── ───────────┼───────────────────┤ │26. │Bactericidal air irradiator │ 1 │ │ │recirculator type │ │ ├─────┼───────────────────────────────── 27. │Bactericidal air irradiator of open type │ 1 │ ├─────┼─────────────────────────────────── ───────────────┼───────────────────┤ │28. │Fume hood │ 1 │ ├─────┼───────────────────────────────────── ───────────┼───────────────────┤ │29. │ A set of dispensers for dosing different │ 3 │ │ │ volume of liquid │ │ ├─────┼────────────────────────────── 30. │Set of equipment for setting │when using │ │ │fluorescent hybridization in situ │ technology │ │ │(hybridizer, water baths, thermoshakers, etc.) ───┼────────────────────────────────────────────── ──┼────────────────────┤ │31. │DNA-samples for fluorescent hybridization │when using │ │ │ │in situ - research - to detect numerical│ technology │ │ │anomalies of chromosomes X, Y, 21, 13, 18, 22, 16, 8, │ fluorescent │ │ │9 │ hybridization │ │ │ │ in situ 32. │DNA-samples for fluorescent hybridization │when using │ │ │in situ - to detect microdeletion │ technologies │ │ │syndromes │ fluorescent │ │ │ │ hybridization ────────────────────────────────────────────┼────── ──────────────┤ │33. │Container for collecting household and medical waste │on demand │ ├─────┼─────────────────────────────── 34. │Tube racks │on demand │ ├─────┼──────────────────────────────────── ┼───────────────────┤ │35. │ Device for denaturation (in situ hybridization) │ 1 │ ├─────┼──────────────────────────────── 36. │Vortex (shaker for sample preparation of DNA- │ 1 │ │ │probes) 37. │Varipipets laboratory 0.5 - 10 µl │ 1 │ ├────────────────────────────────────── 38. │Varipipets laboratory 100 - 1000 µl │ 1 │ ├─────┼────────────────────────────────── ───────────────┼───────────────────┤ │39. │Magnetic Stirrer │ 1 │ ├─────┼───────────────────────────────────── ───────────┼───────────────────┤ │40. │ Blood collection tubes with anticoagulant │ on demand │ ├─────┼───────────────────────────────── ────────────────┼──────────────────┤│41 │Micro tips for varipipettes 0.1 - 10 µl │ on demand │ ├─────┼─────────────────────────────── 42. │ Tips for varipipettes 100 - 1000 µl │ on demand │ ├─────┼───────────────────────────────────────────────────── 43. │1.5 ml tubes │ on demand │ ├─────┼───────────────────────────────── ───────────────┼──────────────────┤│44 │Medical instruments (eye scissors, │on request │ │ │tweezers, spatulas, dissecting needles, etc.) │ │ ├─────┼────────────────── ──────────────────────────────────────────────────── ─┤ │45. │Funds personal protection(disposable │ on demand │ │ │robes, gloves, masks, shoe covers, caps, etc.)│ │ ├─────────────────────────── ─────────────────────────────────────────────────────┤ │46. │Disinfectants │on demand │ ├─────┼──────────────────────────────────── ┼───────────────────┤ │47. │ First aid kit medical │ 1 │ ├─────┼──────────────────────────────────── ┼───────────────────┤ │48. │Laying for the prevention of HIV infection │ 1 │ │ │infection │ │ 49. │Container for disinfection of instruments and │on demand │ │ │consumables │ │ └────────────────────────────────────────────────── ─────────────────────────────────────────────────────

4. Equipment standard for mass screening laboratory

┌─────┬─────────────────────────────────────────── ─────┬───────────────────┐ │ N │ Name of equipment (equipment) │ Quantity, pieces ─┼─────────────────────────────────────────────── ┼────────────────────┤ │1. │Computer, Internet access │ 1 │ ├─────┼────────────────────────────────── ───────────────┼───────────────────┤ │2. │Telephone, fax │ 1 │ ├─────┼──────────────────────────────────── ────────────┼───────────────────┤ │3. │Working table │ 2 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │4. │Working chair │ 2 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │5. Chair │ 2 │ ├─────┼───────────────────────────────────── ──────────┼───────────────────┤ │6. │Cabinet for storing medical documents │ 1 │ ├─────┼────────────────────────────────── ┼──────────────────┤ │7. │ Biochemical analyzer with software │ 1 │ │ │ │ │ │ │ │ ───────────────────────────────────────────────┼── ─────────────────┤ │8. │ Biochemical analyzer with software │ 1 │ │ │ software for calculating individual risk │ │ │ │ and a set of auxiliary equipment for │ │ │ │ blood tests of pregnant women │ │ ├─────┼─────────────── ─────────────────────────────────────────────────── ───────┤ │9. │Air conditioner │ 1 │ ├─────┼────────────────────────────────────── ──────────┼───────────────────┤ │10. │Desktop centrifuge - with rotor for test tubes │ 1 │ │ │ from 15 to 50 ml and vacutainers │ │ ├─────┼─────────────────────── 11. │Bactericidal air irradiator │ 1 │ │ │recirculator type │ │ ├─────┼───────────────────────────────── 12. │Bactericidal air irradiator of open type │ 1 │ ├─────┼─────────────────────────────────── ┼──────────────────┤│13. │ Two-chamber refrigerator │ 1 │ ├─────┼────────────────────────────────────── ───────────┼───────────────────┤ │14. │Medical refrigerator for storage of reagents │ 3 │ │ │and test systems 15. │Test systems for neonatal screening │on demand │ ├─────┼────────────────────────────────────────────────────────────── ────────────────┼──────────────────┤ │16. │Test systems for prenatal screening │on demand │ ├─────┼───────────────────────────────────────────────────────── ────────────────┼───────────────────┤ │17. │ Test forms │ on demand │ ├─────┼────────────────────────────────── ┼───────────────────┤ │18. │Test tube rack │ on demand │ ├─────┼─────────────────────────────────── ──────────────┼───────────────────┤│19. │ Test tubes, vacutainers, laboratory supplies │ on demand │ │ │ plastic │ │ ├─────┼───────────────────────────── 20. │Container for collecting household and medical waste │on demand │ ├─────┼─────────────────────────────── ─────────────────┼───────────────────┤ │21. │Personal protective equipment (disposable │on demand │ │ │robes, gloves, masks, shoe covers, hats, etc.)│ │ ├─────┼──────────────── ─────────────────────────────────────────────────── ───┤ │22. │Disinfectants │on demand │ ├─────┼──────────────────────────────────── ─────────────┼───────────────────┤ │23. │ First aid kit medical │ 1 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │24. │Laying for the prevention of HIV infection │ 1 │ │ │infection │ │ 25. │Container for disinfection of instruments and │ 1 │ │ │consumables │ │ └─────────────────────────────────────────────────── ─────────────────────┴─────────────────────┘

5. Equipment standard for selective screening laboratory

┌─────┬─────────────────────────────────────────── ─────┬───────────────────┐ │ N │ Name of equipment (equipment) │ Quantity, pieces ─┼─────────────────────────────────────────────── ┼────────────────────┤ │1. │Computer, Internet access │ 1 │ ├─────┼────────────────────────────────── ───────────────┼───────────────────┤ │2. │Telephone, fax, Internet access │ 1 │ ├─────┼─────────────────────────────────────────────────────── ────────────────┼───────────────────┤ │3. │Working table │ 2 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │4. │Laboratory table │ 2 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │5. │Working chair │ 2 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │6. │ Chair │ 4 │ ├─────┼────────────────────────────────────── ──────────┼───────────────────┤│7 │Cabinet for storing medical documents │ 1 │ ├─────┼────────────────────────────────── ───────────────┼───────────────────┤ │8. │ Personal computer │ 2 │ ├─────┼──────────────────────────────────── ┼──────────────────┤ │9. │Fume hood │ 1 │ ├─────┼───────────────────────────────────── ───────────┼───────────────────┤ │10. │Aminoanalyzer │ 1 │ ├─────┼────────────────────────────────────── ──────────┼───────────────────┤ │11. │Gas analyzer │ 1 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │12. │Centrifuge (13000 rpm) with cooling and │ 1 │ │ │set of rotors for microtubes │ │ ├─────┼─────────────────────── 13. │Centrifuge (13000 rpm) with universal │ 1 │ │ │ rotor for 24 tubes │ │ ├─────┼────────────────────── 14. │Desktop centrifuge - with rotor for test tubes │ 2 │ │ │up to 50 ml and vacutainers │ │ ├─────┼──────────────────────── 15. │Desktop programmable thermostat │ 1 │ ├──────────────────────────────────────────── ┼──────────────────┤ │16. │Solid State Thermostat for Microtubes │ 2 │ ├─────┼─────────────────────────────────── ──────────────┼───────────────────┤│17 │Microwave │ 1 │ ├─────┼────────────────────────────────────── ───────────┼───────────────────┤ │18. │Set of laboratory microdosers of different │ on request │ │ │ volume │ │ ├─────┼──────────────────────────────── 19. │Electronic analytical balance, accuracy not │ 1 │ │ │less than 0.1 mg │ │ ├─────┼────────────────────────── 20. │ Refrigerator +4 °C │ 2 │ ├─────┼────────────────────────────────── ──────────────┼───────────────────┤│21. │Freezer (-20°C) │ 4 │ ├─────┼────────────────────────────────────────────────────── ─────────────────┼───────────────────┤ │22. │Laboratory distiller, capacity not │ 1 │ │ │less than 4 l/h │ │ ├─────┼─────────────────────────── 23. │pH-meter │ 1 │ ├─────┼──────────────────────────────────── ─────────────┼───────────────────┤ │24. │ Air conditioner │ 2 │ ├─────┼────────────────────────────────────── ──────────┼───────────────────┤ │25. │Macrodact with a set of consumables │ 1 │ ├─────┼─────────────────────────────────── ──────────────┼───────────────────┤ │26. │Nanodact with a set of consumables │ 1 │ ├─────┼────────────────────────────────── ───────────────┼───────────────────┤ │27. │Power supply for electrophoresis chambers │ 1 │ ├─────┼────────────────────────────────── ───────────────┼───────────────────┤ │28. │ Electrophoresis chamber and reagent kit for │ 1 │ │ │ determination of the spectrum of glycosaminoglycans │ │ ├─────┼─────────────────────────── ────────────────────────────────────────────┤│29 │Test tube rack │ on demand │ ├─────┼─────────────────────────────────── ──────────────┼───────────────────┤ │30. │ Consumables (laboratory plastic) │ on request │ ├─────┼───────────────────────────────── ────────────────┼───────────────────┤ │31. │ A set of reagents and consumables for │ on demand │ │ │ selective screening │ │ ├─────┼─────────────────────────── 32. │A set of reagents and consumables for │ on demand │ │ │chromatography │ │ ├─────┼──────────────────────────── 33. │Personal protective equipment (disposable │on demand │ │ │robes, gloves, masks, shoe covers, hats, etc.)│ │ ├─────┼──────────────── ─────────────────────────────────────────────────── ───┤ │34. │Disinfectants │on demand │ ├─────┼──────────────────────────────────── ┼───────────────────┤ │35. │ First aid kit medical │ 1 │ ├─────┼──────────────────────────────────── ───────────┼───────────────────┤ │36. │Laying for the prevention of HIV infection │ 1 │ │ │infection │ │ 37. │Container for disinfection of instruments and │on demand │ │ │consumables │ │ ├───────────────────────────────────── 38. │Container for collecting household and medical waste │on demand │ └─────┴─────────────────────────────── ─────────────────┴───────────────────┘

6. Laboratory equipment standard

molecular genetic diagnostics

┌─────┬─────────────────────────────────────────── ─────┬───────────────────┐ │ N │ Name of equipment (equipment) │ Quantity, pieces ─┼─────────────────────────────────────────────── ┼────────────────────┤ │1. │ Personal computer (laptop), printer, block │ 1 │ │ │ uninterrupted power supply 2. │Telephone, fax, Internet access │ 1 │ ├─────┼─────────────────────────────────────────────────────── ────────────────┼───────────────────┤ │3. │Working table with a chemically resistant worktop │ 2 (in each │ │ │ │ working area) │ ├─────┼────────────────────────── 4. │Ergonomic working chair with surface │ 2 (in each │ │ │ resistant to chemicals and │ working area) │ │ │ disinfectants │ │ ├──────┼───────────── ─────────────────────────────────────────────────── ────┤ │5. │ Chair with surface resistant to │ 2 (in each │ │ │ chemicals and disinfectants │ working area) │ ├──────┼───────────────────── ─────────────────────────────────────────────────────┤ │ 6. │Cabinet for storing medical documents │ 1 │ ├─────┼────────────────────────────────── ┼──────────────────┤ │7. │Fume hood, metal with chemically │ 1 │ │ │resistant countertop coating │ │ 8. │Laminar cabinet class II A2 with telescopic │ 1 │ │ │stand and kit for working with │ │ │ │biological material and nucleic │ │ │ │acids │ │ ├─────┼──────────── ──────────────────────────────────────────────────── ────────┤ │9. │Desktop PCR box │ 3 │ ├─────┼──────────────────────────────────── ──────────────┼───────────────────┤ │10. │Automatic sample preparation station │ 1 │ │ │nucleic acids and cell isolation ┼──────────────────────┤ │11. │Genetic analyzer-sequencer 8-capillary│ 1 │ │ │for sequencing and fragment analysis │ │ │ │with full package software and │ │ │ │ set of auxiliary equipment │ │ ├─────┼────────────────────────────────── 12. │Spectrometer (sample volume 0.5 µl, │ 1 │ │ │190 - 840 nm, 2 - 15000 (ng/µl)) or equivalent │ │ ├─────┼────────────── ─────────────────────────────────────────────────── ───────┤ │13. │Display type cycler │ 2 │ ├─────┼──────────────────────────────────── ┼───────────────────┤ │14. │Thermalizer with detection of PCR products in the mode │ 1 │ │ │real time │ │ 15. │Electronic analytical balance, accuracy not │ 1 │ │ │less than 0.1 mg │ │ ├─────┼────────────────────────── 16. │Set of equipment for vertical │ 2 │ │ │gel electrophoresis │ │ 17. │Set of equipment for horizontal │ 2 │ │ │gel electrophoresis │ │ 18. │Laboratory power supply to cameras for │ 3 │ │ │electrophoresis │ │ ├─────┼────────────────────────────── 19. │Microcentrifuge-vortex │ 3 │ ├─────┼──────────────────────────────────── ─────────────┼───────────────────┤ │20. │Desktop centrifuge - with a rotor for test tubes │ 1 │ │ │up to 50 ml and vacutainers │ │ ├─────┼──────────────────────── 21. │Tabletop centrifuge with cooling (at least │ 1 │ │ │13000 (rpm)) with a set of rotors for │ │ │ │ test tubes 0.5 ml, 1.5 - 2.0 ml, 15 ml, 50 ml, │ │ │ │strips, vacutainers, dies and glasses │ │ ├─────┼──────────────────────────────── ─────────────────┼───────────────────┤ │22. │Benchtop centrifuge (at least 13,000 (rpm)) │ 2 │ │ │with universal rotor for 0.5 ml tubes, │ │ │ │1.5 - 2.0 ml │ │ ├──────┼────────── ───────────────────────────────────────────────┼── ─────────────────┤ │23. │Computerized system │ 1 │ │ │video documentation and analysis of results │ │ │ │gel electrophoresis with transilluminator with │ │ │ │air cooling for glasses 20 x 20 │ │ ├─────┼───────── ─────────────────────────────────────────────────── ───────┤

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One of the approved licensing requirements is compliance with the procedure for their storage in accordance with the legal norms of Decree of the Government of the Russian Federation of December 31, 2009 N 1148.

This resolution states that stocks of narcotic drugs and psychotropic substances, as medicines intended for medical use, are determined by legal entities on the basis of the standards established by the Ministry of Health of the Russian Federation for calculating the need for these medicines.

These standards were previously regulated.

From January 1, 2017, the standards for calculating the need for these medicines are established.

How are the standards calculated?

From this command data is taken for a medicinal product in relation to the type that appears and is multiplied by the average data from the report of a medical organization on the use of narcotic drugs and psychotropic substances for last three previous years.

If the stocks of narcotic drugs and psychotropic substances used as medicines obtained by this calculation are not enough due to the nature of the activity, then by decision, for example, issued by order, these stocks can be increased, but not more than 1.5 times.

Calculations must be kept in the medical organization and within the framework are provided upon request.

And of course, there should be no discrepancy between the actual availability of reserves and the calculated data. Otherwise, it will have a violation of license requirements and attraction to .

Thus, before the new year, these calculations must be completed, and by January 1, 2017, stocks of narcotic drugs and psychotropic substances, as intended for medical use, must comply with the requirements.

What do you think about this? In the comments box, express your opinion: are the standards sufficient to provide medical care?

?????? Ministry of Health of Russia dated December 01, 2016 N 917n "On approval of standards for calculating the need for narcotic and psychotropic drugs intended for medical use" (Registered in the Ministry of Justice of Russia on December 20, 2016 N / ConsultantPlus

Ministry of Health of Russia

"On approval of standards for calculating the need for narcotic and psychotropic drugs intended for medical use" (Registered in the Ministry of Justice of Russia on December 20, 2016 N / ConsultantPlus

Order

Order

In accordance with paragraph 4 Rules for the storage of narcotic drugs, psychotropic substances and their precursors, approved by Decree of the Government of the Russian Federation of December 31, 2009 N 1148 (Collected Legislation of the Russian Federation, 2010, N 4, Art. 394; N 25, Art. 3178; 2011, N 18 , item 2649; N 42, item 5922; N 51, item 7534; 2012, N 1, item 130; N 27, item 3764; N 37, item 5002; 2013, N 8, item 831 ; 2014, N 15, item 1752; 2015, N 33, item 4837; 2016, N 35, item 5349), and subparagraph 5.2.166 Regulations on the Ministry of Health of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 19, 2012 N 608 (Collected Legislation of the Russian Federation, 2012, N 26, Art. 3526; 2013, N 16, Art. 1970; N 20, Art. 2477 ; N 22, item 2812; N 33, item 4386; N 45, item 5822; 2014, N 12, item 1296; N 26, item 3577; N 30, item 4307; N 37, item 4969; 2015, N 2, item 491; N 12, item 1763; N 23, item 3333; 2016, N 2, item 325; N 9, item 1268; N 27, item 4497; N 28 , item 4741; N 34, item 5255), I order:

1. Approve the attached standards to calculate the need for narcotic medicinal products intended for medical use.

2. Establish that the standards for calculating the need for psychotropic drugs intended for medical use are determined by legal entities by calculating averaged data based on reports on the use of narcotic drugs and psychotropic substances over the past three years, submitted by them in the form prescribed by Appendix No. 7 to the Rules for the submission by legal entities of reports on activities related to the circulation of narcotic drugs and psychotropic substances, approved by Decree of the Government of the Russian Federation of November 4, 2006 N 644 "On the procedure for submitting information on activities related to the circulation of narcotic drugs and psychotropic substances, and registration transactions related to the circulation of narcotic drugs and psychotropic substances" (Sobraniye zakonodatelstva Rossiyskoy Federatsii, 2006, No. 46, Art. 4795; 2008, No. 50, Art. 5946; 2010, No. 25, Art. 3178; 2012, No. 37, Art. 5002; 2013, N 6, item 558; N 51, item 6869; 2015, N 33, item 4837), and by decision of the head of the legal entity can be increased, but not more than 1.5 times.

Minister

V.I.SKVORTSOVA