Sanpin 3 section. New Sanpin for medical institutions

I. General requirements to organizations that carry out medical activity
1. General provisions and scope
2. Requirements for the location and territory of medical and preventive organizations (HPO)
3. Requirements for buildings, structures and premises

7. Requirements for natural and artificial lighting
9. General requirements for the organization of preventive and anti-epidemic measures
10. Sanitary and epidemiological features of the organization of departments of various profiles
11. Sanitary maintenance of premises, equipment, inventory
12. Rules for the processing of the hands of medical personnel and the skin of patients
13. Requirements for the rules of personal hygiene of patients
14. Requirements for catering patients
15. Requirements for the working conditions of medical personnel
II. Organization of disinfection and sterilization measures in organizations engaged in medical activities
1. General Provisions
2. Requirements for disinfection, pre-sterilization cleaning and sterilization of medical devices
3. Ensuring the implementation of disinfection and sterilization measures
III. Prevention of nosocomial infections in surgical hospitals (departments)
1. Organization of measures for the prevention of nosocomial infections
2. Epidemiological surveillance
3. Basic principles for the prevention of nosocomial infections
4. Prevention of nosocomial infections in the operating room and dressing rooms
5. Prevention of nosocomial infections in intensive care units and intensive care units
6. Disinfection and sterilization measures
IV. Prevention of nosocomial infections in obstetric hospitals (departments)
1. Organization of measures for the prevention of nosocomial infections in obstetric hospitals
2. Organization of the anti-epidemic regime
3. Content rules structural divisions obstetric hospitals and perinatal centers
4. Organization and implementation of disinfection and sterilization measures
5. Epidemiological surveillance of nosocomial infections
6. Investigation and elimination of group nosocomial diseases among newborns and puerperas
V. Sanitary and hygienic requirements for dental medical organizations
1. General Provisions
2. Requirements for the placement of dental medical organizations
3. Requirements for interior decoration
4. Equipment requirements
5. Requirements for the microclimate, heating, ventilation
6. Requirements for natural and artificial lighting
7. Ensuring radiation safety in the placement and operation of X-ray machines and cabinets
8. Sanitary and anti-epidemic measures
VI. Sanitary and epidemiological requirements for the device, equipment and operation of feldsher-obstetric stations, outpatient clinics
1. General Provisions
2. Hygiene requirements to location and territory
3. Hygienic requirements for buildings, structures and premises
4. Requirements for interior decoration
5. Requirements for water supply and sewerage
6. Requirements for heating, ventilation, microclimate and indoor air
7. Hygienic requirements for natural and artificial lighting
8. Inventory requirements and technological equipment
9. Sanitary and anti-epidemic measures
10. Hygienic requirements for working conditions and personal hygiene of medical and service personnel
Annex 1 Minimum floor space
Appendix 2 Composition, set and minimum recommended areas of the dental office medical organization
Annex 3 Cleanliness class, recommended air exchange, allowable and design temperature
Appendix 4 Maximum Permissible Concentrations (MPC) and Hazard Classes medicines in the air of the premises of medical organizations
Appendix 5 Normalized indicators of natural, artificial and combined lighting of the main premises of medical organizations
Appendix 6 List of medical equipment and medical devices used in medical and pharmaceutical activities and subject to sanitary-epidemiological and hygienic assessment
Annex 7 Permissible levels of physical factors created by medical equipment products
Appendix 8 Maximum Permissible Levels (MPL) of Electromagnetic Radiation at the Workplaces of Medical Personnel
Annex 9 Permissible sound levels of medical equipment in the premises of medical and preventive organizations
Annex 10 Maximum permissible sound levels and equivalent sound levels in workplaces for labor activity different categories of severity and intensity, dBA
Annex 11 Maximum permissible levels of airborne ultrasound in the workplace
Annex 12 Emergency prevention of parenteral viral hepatitis and HIV infection
Annex 13 List of registered nosological forms of postoperative infections
Annex 14 Procedure for cleaning the premises of various structural departments of the obstetric hospital
Annex 15 List of registered nosological forms of infectious diseases in obstetric hospitals
Annex 16. Terms and definitions
Appendix 17
Annex 18. Determining the need for disinfectants, sterilizing agents, pre-sterilization cleaning agents and skin antiseptics
Annex 19
Annex 20. Sample Plan production control for compliance sanitary regulations when carrying out disinfection and sterilization measures
Bibliographic data I. General requirements for organizations engaged in medical activities
1. General provisions and scope
2. Requirements for the location and territory of medical and preventive organizations (HPO)
3. Requirements for buildings, structures and premises



7. Requirements for natural and artificial lighting

9. General requirements for the organization of preventive and anti-epidemic measures
10. Sanitary and epidemiological features of the organization of departments of various profiles
11. Sanitary maintenance of premises, equipment, inventory
12. Rules for the processing of the hands of medical personnel and the skin of patients
13. Requirements for the rules of personal hygiene of patients
14. Requirements for catering patients
15. Requirements for the working conditions of medical personnel
II. Organization of disinfection and sterilization measures in organizations engaged in medical activities
1. General Provisions
2. Requirements for disinfection, pre-sterilization cleaning and sterilization of medical devices
3. Ensuring the implementation of disinfection and sterilization measures
III. Prevention of nosocomial infections in surgical hospitals (departments)
1. Organization of measures for the prevention of nosocomial infections
2. Epidemiological surveillance
3. Basic principles for the prevention of nosocomial infections
4. Prevention of nosocomial infections in the operating room and dressing rooms
5. Prevention of nosocomial infections in intensive care units and intensive care units
6. Disinfection and sterilization measures
IV. Prevention of nosocomial infections in obstetric hospitals (departments)
1. Organization of measures for the prevention of nosocomial infections in obstetric hospitals
2. Organization of the anti-epidemic regime
3. Rules for the maintenance of structural units of obstetric hospitals and perinatal centers
4. Organization and implementation of disinfection and sterilization measures
5. Epidemiological surveillance of nosocomial infections
6. Investigation and elimination of group nosocomial diseases among newborns and puerperas
V. Sanitary and hygienic requirements for dental medical organizations
1. General Provisions
2. Requirements for the placement of dental medical organizations
3. Requirements for interior decoration
4. Equipment requirements
5. Requirements for the microclimate, heating, ventilation
6. Requirements for natural and artificial lighting
7. Ensuring radiation safety in the placement and operation of X-ray machines and cabinets
8. Sanitary and anti-epidemic measures
VI. Sanitary and epidemiological requirements for the device, equipment and operation of feldsher-obstetric stations, outpatient clinics
1. General Provisions
2. Hygienic requirements for placement and territory
3. Hygienic requirements for buildings, structures and premises
4. Requirements for interior decoration
5. Requirements for water supply and sewerage
6. Requirements for heating, ventilation, microclimate and indoor air
7. Hygienic requirements for natural and artificial lighting
8. Requirements for inventory and technological equipment
9. Sanitary and anti-epidemic measures
10. Hygienic requirements for working conditions and personal hygiene of medical and service personnel
Appendix 1 Minimum area of ​​premises No. Name of premises Area (m2)
Appendix 2 Composition, set and minimum recommended areas of premises of a dental medical organization** Name of premises Minimum area, m2
Annex 3 Cleanliness class, recommended air exchange, allowable and design temperature
Appendix 4 Maximum Permissible Concentrations (MAC) and Hazard Classes of Medicinal Products in the Air of Premises of Medical Organizations
Appendix 5 Normalized indicators of natural, artificial and combined lighting of the main premises of medical organizations
Appendix 6 List of medical equipment and medical devices used in medical and pharmaceutical activities and subject to sanitary-epidemiological and hygienic assessment
Annex 7 Permissible levels of physical factors created by medical equipment products
Appendix 8 Maximum Permissible Levels (MPL) of Electromagnetic Radiation at the Workplaces of Medical Personnel
Annex 9 Permissible sound levels of medical equipment in the premises of medical and preventive organizations
Appendix 10 Maximum permissible sound levels and equivalent sound levels at workplaces for work activities of different categories of severity and intensity, dBA
Annex 11 Maximum permissible levels of airborne ultrasound in the workplace
Annex 12 Emergency prevention of parenteral viral hepatitis and HIV infection
Annex 13 List of registered nosological forms of postoperative infections
Annex 14 Procedure for cleaning the premises of various structural departments of the obstetric hospital
Annex 15 List of registered nosological forms of infectious diseases in obstetric hospitals

Decree of the Chief State sanitary doctor RF dated May 18, 2010 N 58
"On approval of SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities"

With changes and additions from:

3. From the moment the sanitary and epidemiological rules and regulations SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities" come into force, SanPiN 2.1.3.1375-03 "Hygienic requirements for the placement, arrangement, equipment and operation of hospitals, maternity hospitals and other medical hospitals", approved by the decision of the Chief State Sanitary Doctor Russian Federation dated 06/06/2003 N 124 (registered in the Ministry of Justice of Russia on 06/18/2003, registration N 4709); SanPiN 2.1.3.2195-07, amendment N 1 to SanPiN 2.1.3.1375-03, approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of 04/25/2007 N 19 (registered with the Ministry of Justice of Russia on 06/05/2007, registration N 9597); SP 3.1.2485-09 "Prevention of nosocomial infections in hospitals (departments) of the surgical profile of medical organizations", Supplement N 1 to SanPiN 2.1.3.1375-03, approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of February 13, 2009 N 9 (registered in the Ministry of Justice Russia 03/20/2009, registration N 13548); SanPiN 2.1.3.2524-09 "Sanitary and hygienic requirements for dental medical organizations", change N 2 to SanPiN 2.1.3.1375-03, approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of 07.07.2009 N 48 (registered with the Ministry of Justice of Russia on 20.08.2009 , registration N 14581); SanPiN 3.5.2528-09 "Organization of disinfection and sterilization measures in medical and preventive organizations", supplement No. 2 to SanPiN 2.1.3.1375-03, approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of 08.06.2009 No. 51 (registered with the Ministry of Justice of Russia on 26.08 .2009, registration N 14624); SanPiN 2.1.3.2576-10 change N 3 to SanPiN 2.1.3.1375-03, approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of 03/04/2010 N 18 (registered in the Ministry of Justice of Russia on 04/27/2010, registration N 17017).

G.G. Onishchenko

Registration N 18094

Sanitary and epidemiological requirements for entrepreneurs and organizations engaged in medical activities are defined (SanPiN 2.1.3.2630-10).

They replace SanPiN 2.1.3.1375-03 "Hygienic requirements for the location, arrangement, equipment and operation of hospitals, maternity hospitals and other medical hospitals" (subject to additions and changes).

It has been established where medical and preventive organizations (TPOs) should be located. Thus, psychiatric and infectious diseases hospitals are located at a distance of at least 100 m from residential buildings (previously - at least 500 m). In residential buildings, it is impossible to place health care facilities to provide assistance to people with alcohol or drug addiction, microbiological laboratories, and magnetic resonance imaging departments.

The requirements for buildings, structures and premises, for interior decoration, water supply and sewerage, for heating, ventilation, lighting, inventory and equipment are fixed.

It is recommended to air the rooms at least 4 times a day for 15 minutes. They should also include wardrobes to store patients' belongings. Window glass should be washed at least 2 times a year. Before - at least 1 time per month from the inside and 1 time in 3 months from the outside (spring, summer, autumn).

For cleaning it is allowed to involve professional cleaning (cleaning) companies working around the clock. The exception is class A premises.

The rules of personal hygiene, as well as catering for patients, are determined.

It has been established how preventive, anti-epidemic, disinfection and sterilization measures are carried out. The requirements for the working conditions of medical staff have been fixed, etc.

In SanPiN 2.1.3.2630-10. Sanitary and epidemiological requirements for organizations engaged in medical activities have been amended in accordance with the Decree "On Amending No. 1 to SanPin 2.1.3.2630-10" dated March 4, 2016 N 27.
The book includes the text of the Sanitary and epidemiological requirements for organizations engaged in medical activities (SanPiN 2.1.3.2630-10). The publication is addressed to specialists, lawyers, students of law and economic universities and colleges, as well as all those interested in the requirements for organizations engaged in medical activities.
In accordance with and I decide:
1. Approve the sanitary and epidemiological rules and regulations SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities" (Appendix).
2. Enact the specified sanitary and epidemiological rules and regulations from the date of entry into force of this resolution.
3. From the moment the sanitary and epidemiological rules and regulations SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities" come into force, SanPiN 2.1.3.1375-03 "Hygienic requirements for the placement, arrangement, equipment and operation of hospitals, maternity hospitals and other medical hospitals", approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation dated 06.06.2003 N 124; SanPiN 2.1.3.2195-07, Amendment No. 1 to SanPiN 2.1.3.1375-03, approved by Resolution No. 19 of the Chief State Sanitary Doctor of the Russian Federation of April 25, 2007 (registered with the Ministry of Justice of Russia on June 5, 2007, registration No. 9597); SP 3.1.2485-09 "Prevention of nosocomial infections in hospitals (departments) of the surgical profile of medical organizations", Supplement N 1 to SanPiN 2.1.3.1375-03, approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of February 13, 2009 N 9 (registered in the Ministry of Justice Russia 03/20/2009, registration N 13548); , change N 2 to SanPiN 2.1.3.1375-03, approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of 07.07.2009 N 48 (registered in the Ministry of Justice of Russia on 08.20.2009, registration N 14581); SanPiN 3.5.2528-09 "Organization of disinfection and sterilization measures in medical and preventive organizations", supplement No. 2 to SanPiN 2.1.3.1375-03, approved by the Decree of the Chief State Sanitary Doctor of the Russian Federation of 08.06.2009 No. 51 (registered with the Ministry of Justice of Russia on 26.08 .2009, registration N 14624); SanPiN 2.1.3.2576-10, Amendment No. 3 to SanPiN 2.1.3.1375-03, approved by Resolution No. 18 of the Chief State Sanitary Doctor of the Russian Federation dated March 4, 2010 (registered with the Ministry of Justice of Russia on April 27, 2010, registration No. 17017).

SanPiN 2.1.3.2630-10 defines the form.

CONTENT
I. General requirements for organizations engaged in medical activities
II. Organization of disinfection and sterilization measures in organizations engaged in medical activities
III. Prevention of nosocomial infections in surgical hospitals (departments)
IV. Prevention of nosocomial infections in obstetric hospitals (departments)
V. Sanitary and hygienic requirements for dental medical organizations
VI. Sanitary and epidemiological requirements for the device, equipment and operation of feldsher-obstetric stations, outpatient clinics
Appendix 1. Minimum floor space
Annex 2. Composition, set and minimum recommended areas of premises of a dental medical organization
Annex 3. Cleanliness class, recommended air exchange, allowable and design temperature
Annex 4
Appendix 5. Normalized indicators of natural, artificial and combined lighting of the main premises of medical organizations
Appendix 6. List of medical equipment and medical devices used in medical and pharmaceutical activities and subject to sanitary-epidemiological and hygienic assessment
Annex 7. Permissible levels of physical factors created by medical equipment products
Appendix 8. Maximum Permissible Levels (MPL) of electromagnetic radiation at the workplaces of medical personnel
Appendix 9. Permissible sound levels of medical equipment in the premises of medical organizations
Annex 10. Maximum permissible sound levels and equivalent sound levels at workplaces for work activities of different categories of severity and intensity, dBA
Annex 11. Maximum permissible levels of airborne ultrasound at workplaces
Annex 12. Emergency prevention of parenteral viral hepatitis and HIV infection
Annex 13. List of registered nosological forms of postoperative infections
Annex 14. Procedure for cleaning the premises of various structural departments of the obstetric hospital
Appendix 15. List of registered nosological forms of infectious diseases in obstetric hospitals
Annex 16. Terms and definitions
Appendix 17
Annex 18. Determining the need for disinfectants, sterilizing agents, pre-sterilization cleaning agents and skin antiseptics
Appendix 19
Appendix 20. Sample plan for production control over compliance with sanitary rules during disinfection and sterilization
Bibliographic data