Write-off of alcohol in the laboratory. Legislative framework of the Russian Federation Norms for writing off alcohol in cdl mu
Active Edition from 30.08.1991
| Document name | ORDER of the Ministry of Health of the Russian Federation of August 30, 1991 N 245 "ON STANDARDS FOR THE CONSUMPTION OF ETHYL ALCOHOL FOR HEALTH CARE, EDUCATION AND SOCIAL WELFARE" |
| Document type | order |
| Host body | Ministry of Health of the Russian Federation |
| Document Number | 245 |
| Acceptance date | 01.01.1970 |
| Revision date | 30.08.1991 |
| Date of registration in the Ministry of Justice | 01.01.1970 |
| Status | valid |
| Publication |
|
| Navigator | Notes |
ORDER of the Ministry of Health of the Russian Federation of August 30, 1991 N 245 "ON STANDARDS FOR THE CONSUMPTION OF ETHYL ALCOHOL FOR HEALTH CARE, EDUCATION AND SOCIAL WELFARE"
Order
In order to improve the quality of medical care for the population and more rational use of alcohol, I affirm:
1. Standards for the consumption of ethyl alcohol for healthcare, education and social security institutions (Appendix 1).
2. Approximate norms for the consumption of ethyl alcohol for units of medical institutions (Appendix 2).
3. Approximate norms for the consumption of ethyl alcohol for medical procedures (Appendix 3).
I order:
1. To the Ministries of Health of the Union and Autonomous Republics, the heads of regional, regional and city health authorities, the main pharmacy departments and Pharmacy associations of the Ministries of Health of the Union Republics, regional, regional and city pharmacy departments (Pharmacia associations):
1.1. When determining the needs of healthcare, education and social security institutions in ethyl alcohol, be guided by the standards approved by this order (Appendix 1).
1.2. Develop and approve, if necessary, standards for the consumption of ethyl alcohol for individual institutions, departments and offices, as well as consumption rates for various medical procedures, taking into account the equipment used, treatment methods and the amount of work.
1.3. Grant the right to heads of healthcare institutions to distribute ethyl alcohol between departments and offices within the total volume of alcohol allocated to the institution, using, if necessary, the norms given in Appendix 2 of this order.
1.4. When distributing the needs of pharmacies in ethyl alcohol, the calculation should be made taking into account only the extemporaneous formulation.
1.5. Allow pharmacy departments (associations "Pharmacy") to distribute the total amount of alcohol for the manufacture of medicines among pharmacies, taking into account the specifics of the formulation, setting, if necessary, individual standards.
1.6. The release of ethyl alcohol to health care institutions is carried out on the basis of requirements signed by the head of the institution (department) and certified by the seal of the institution under a separate power of attorney, issued in the prescribed manner and giving the right to receive alcohol within one month. Alcohol is sold in weight measurement at a price set for medical institutions.
1.7. Establish that the heads of health care institutions are personally responsible for the correct appointment, storage, accounting and dispensing of ethyl alcohol and the rationality of its use.
3. To impose control over the implementation of this order on the Main Directorate of Public Health and Medical and Social Programs of the USSR Ministry of Health (comrade Karpeev A.A.) and on V / O Soyuzfarmatsiya (comrade Apazov A.D.).
I authorize you to reproduce the order in the required quantities and bring it to the attention of healthcare institutions.
Deputy Minister
A.M.MOSKVICHEV
Annex 1
to the order of the Ministry of Health of the USSR
dated August 30, 1991 N 245
| NN pp. | Name of institution | Estimated indicators | Standard in grams |
| 1 | 2 | 3 | 4 |
| I. Pharmacy establishments | per 1000 extemporaneous recipes | 2800 | |
| II. Medical institutions: | |||
| 1 | Hospital facilities | per 1 treated surgical patient per 1 treated therapeutic patient | 400 170 |
| 2 | Outpatient clinics | per 1 attached resident per year | 50* |
| 3 | per 1000 visits | 9500 | |
| 4 | Clinical and diagnostic laboratories of medical institutions | per 1000 analyzes of all types | 2000 |
| 5 | Medical and preventive institutions of a special type | ||
| 5.1 | Leper colonies | per 1000 visits to the clinic | 800 |
| 5.2 | Centers for AIDS Prevention and Control | per 1 study per 1 patient in the hospital | 10 200 |
| 6 | Emergency and emergency medical care and blood transfusion facilities | ||
| 6.1 | Ambulance stations | per 1000 calls on a line machine on a specially equipped machine | 2000 5000 |
| 6.2 | Stations (departments) of blood transfusion | Use the current standards approved by the Ministry of Health of the USSR on November 24, 1989. | |
| 7 | Institutions for the protection of motherhood and childhood | ||
| 7.1 | Children's home | 1 place per year | 140 |
| 7.2 | Dairy kitchens | for the production of 1000 servings | 1,2 |
| 7.3 | Maternity hospital | for 1 woman in labor | 110 |
| 8 | Sanatorium-resort institutions | ||
| 8.1 | Sanatoriums | ||
| - bone tuberculosis | per bed per year | 1500 | |
| - pulmonary tuberculosis | -" | 900 | |
| - other types | -" | 700 | |
| 8.2 | Sanatoriums-dispensaries | -" | 250 |
| 8.3 | Resort polyclinics | per 1000 visits | 700 |
| 8.4 | Balneological clinics | per 1000 visits | 1000 |
| 8.5 | Mud baths | per 1000 visits | 1000 |
| III. Sanitary institutions | |||
| 1. Sanitary - epidemiological institutions | |||
| 1.1 | Anti-plague stations | Use the current standards approved by the USSR 10.25.90 N 40 | MOH |
| 1.2 | Sanitary - epidemiological stations | Use the current standards approved by the USSR 19.01.87 N 4244-87 | MOH |
| 1.3 | Disinfection stations | per 1000 mixed analyzes | 1300 |
| IV. Bureau of Forensic Medicine | for a complete analysis (forensic chem.) | 500 | |
| for 1 museum macropreparation | 150 | ||
| to court. histological examination | 150 | ||
| for court. - medical. research of material evidence for 1 object of research | 10 | ||
| for the examination of 1000 living persons | 500 | ||
| on court.-med. research (autopsy) | 50 | ||
| for physical and technical research for 1 experiment | 100 | ||
| for a spectrographic study of 1 object for the conservation of organ remains in court.-chem. research (per 1 jar) | 5 120 | ||
| V. Social security institutions | |||
| 1 | boarding houses | 1 place per year | |
| 1.1 | for the elderly and disabled | -"- | 800 |
| 1.2 | for disabled people from 18 to 45 years old | -"- | 600 |
| 1.3 | psychoneurological | -"- | 1000 |
| 1.4 | children's psychoneurological | -"- | 700 |
| 1.5 | for children with physical disabilities (physically disabled) | -"- | 700 |
| 1.6 | for severely mentally retarded children capable of learning according to special programs and methods | 1 place per year | 500 |
| 1.7 | for severely mentally retarded children requiring constant outside care and supervision | 1 place per year | 900 |
| 2. | Prosthetic and orthopedic enterprises | ||
| 2.1 | Hospitals for complex prosthetics | per bed per year | 2300 |
| 2.2 | Departments of outpatient prosthetics | per 1000 visits | 750 |
| 2.3 | Auxiliary rooms of hospitals of prosthetic and orthopedic enterprises and departments of outpatient prosthetics | ||
| - x-ray room | per 1000 visits | 250 | |
| - physiotherapy room | for 1000 procedures | 1300 | |
| - office of exercise therapy, occupational therapy and massage | per 1000 visits | 1200 | |
| 3. | school and preschool institutions | ||
| 3.1 | school | per student per year | 2,0 |
| 3.2 | boarding school | per student per year | 3,0 |
| 3.3 | kindergartens and orphanages | 1 place per year | 20 |
| 3.4 | nursery | 1 place per year | 100 |
| 3.5 | nursery garden | 1 place per year | 35 |
| 3.6 | specialized children's institutions (nursery, nursery-kindergarten, auxiliary boarding schools for children with intellectual, vision, hearing, speech, musculoskeletal disorders, for children with the consequences of poliomyelitis and cerebral palsy) | 1 place per year | 120 |
| 3.7 | kindergartens for tuberculosis | 1 place per year | 50 |
| 3.8 | sanatorium-forest schools of tuberculosis profile | per student per year | 10 |
Note:
1. Ethyl alcohol in its pure form is dispensed from pharmacies to medical institutions without taking into account fluctuations in concentration (from 96 to 97%). For skin treatment before injections, 70% ethyl alcohol is dispensed.
2. The release of alcohol in the form of boron, salicylic, menthol, formic and other, except camphor, to health care institutions, to be carried out at the expense of pure alcohol standards.
3. The consumption of alcohol for dilution of chlorhexidine bigluconate is made at the expense of the total amount of alcohol allocated to the department. Quantitative accounting of chlorhexidine digluconate solution in departments is not kept.
4. The amount of alcohol necessary for the training of students is allocated to the basic institution additionally according to the norms approved by the Ministries of Health of the Union Republics.
medical and social programs
A.A. Karpeev
Head of the Main Department
maternal and child health
I.A. LESHKEVICH
Appendix 2
to the order of the Ministry of Health of the USSR
dated August 30, 1991 N 245
| NN pp. | Name of institution | Name of departments (chambers), offices | Service metrics | Standard in grams |
| 1 | 2 | 3 | 4 | 5 |
| 1. | Hospitals, maternity hospitals, dispensaries | - allergic | per 1 treated patient | 60 |
| - gastroenterological | -"- | 50 | ||
| - hematological | -"- | 140 | ||
| - gynecological | -"- | 75 | ||
| - purulent surgical | -"- | 280 | ||
| - dermatovenerological | -"- | 120 | ||
| - day hospital | -"- | 100 | ||
| - day hospital for the mentally ill | -"- | 100 | ||
| - day hospital | -"- | 70 | ||
| - intensive care | -"- | 200 | ||
| - infectious | -"- | 70 | ||
| - infectious for patients with poliomyelitis | -"- | 70 | ||
| - cardiological | -"- | 90 | ||
| -Department of surgical treatment of complex cardiac arrhythmias and pacing | per 1 treated patient | 170 | ||
| - cardiac surgery | -"- | 450 | ||
| - microsurgical | -"- | 450 | ||
| - neurological | -"- | 60 | ||
| - neurotraumatological | -"- | 320 | ||
| - neurosurgical | -"- | 320 | ||
| - nephrological | -"- | 70 | ||
| - newborns | -"- | 60 | ||
| - narcological | -"- | 80 | ||
| additionally for 1 session of conditioned reflex therapy | 20 | |||
| - burn | per 1 treated patient | 250 | ||
| - oncological | -"- | 170 | ||
| - otorhinolaryngological | -"- | 85 | ||
| - department for patients with acute poisoning | -"- | 170 | ||
| - ophthalmic | -"- | 100 | ||
| - pathology of pregnancy | -"- | 50 | ||
| - pediatric | -"- | 70 | ||
| - pediatric neonatal | -"- | 170 | ||
| - proctological | -"- | 290 | ||
| - reception department | -"- | 1,5 | ||
| - psycho-neurological | -"- | 80 | ||
| - psychiatric | -"- | 80 | ||
| - pulmonological | -"- | 100 | ||
| - radiological | -"- | 170 | ||
| - resuscitation and intensive care | -"- | 510 | ||
| for 1 session of hyperboric oxygenation in a single pressure chamber | 40 | |||
| - rheumatological | 100 | |||
| - generic | -"- | 110 | ||
| - cardiovascular | -"- | 450 | ||
| - vascular surgery | -"- | 380 | ||
| - dental | -"- | 200 | ||
| - therapeutic | -"- | 80 | ||
| - traumatological | -"- | 300 | ||
| - orthopedic | -"- | 520 | ||
| - tuberculosis | -"- | 490 | ||
| - tuberculosis for patients with meningitis | -"- | 490 | ||
| - tuberculosis pulmonary surgery | -"- | 720 | ||
| - tuberculosis for patients with osteoarticular tuberculosis | -"- | 490 | ||
| - tuberculosis for compulsory treatment of patients with alcoholism | -"- | 490 | ||
| - urological | -"- | 270 | ||
| for the treatment of 1 patient with a transplanted kidney (the first 2 months after transplantation) | 1200 | |||
| - surgical | per 1 treated patient | 225 | ||
| - surgical thoracic | -"- | 430 | ||
| - hemodialysis | for 1 session of hemodialysis | 200 | ||
| for 1 hemosorption session | 150 | |||
| for 1 ultrasound session | 60 | |||
| blood exposure | 20 | |||
| - endocrinological | ||||
| Pathology department | - per 1 biopsy object | 20 | ||
| - for 1 autopsy with histological processing of the taken pieces | 230 | |||
| - for 1 museum macropreparation | 150 | |||
| TB dispensaries | - polyclinic | per 1000 visits | 800 | |
| - hospital | per 1 treated patient | 490 | ||
| Dermatovenerological dispensaries | - polyclinic | per 1000 visits | 800 | |
| - hospital | per 1 treated patient | 120 | ||
| Psychoneurological dispensaries | - polyclinic | per 1000 visits | 1000 | |
| - hospital | per 1 treated patient | 80 | ||
| Oncology dispensaries | - polyclinic | per 1000 visits | 1300 | |
| - hospital | per 1 treated patient | 170 | ||
| additionally for oncological research: | ||||
| - when conducting endoscopic examinations for 1 procedure | 50 | |||
| - when using the method of parenteral administration of ethyl alcohol (nutrition) to postoperative patients after abdominal operations for 1 procedure | 670 | |||
| - when conducting radioisotope diagnostics for 1 procedure | 5 | |||
| Endocrinological dispensaries | - polyclinic | per 1000 visits | 900 | |
| - hospital | per 1 treated patient | 20 | ||
| Trachomatous dispensaries | per 1000 visits | 500 | ||
| Medical and physical education dispensaries | per 1000 visits | 2500 | ||
| Narcological dispensaries | - polyclinic | per 1000 visits | 800 | |
| - hospital | per 1 treated patient | 80 | ||
| 20 | ||||
| Cardiology dispensaries | - polyclinic | per 1000 visits | 800 | |
| - hospital | per 1 treated patient | 90 | ||
| 3. | Outpatient clinics (subdivisions) | - allergic | per 1000 visits | 1100 |
| - obstetrics and gynecology | -"- | 800 | ||
| - gastroenterological | -"- | 1000 | ||
| - helminthological | -"- | 1000 | ||
| - hematological | -"- | 900 | ||
| - children's department of polyclinics | -"- | 1000 | ||
| - dermatovenerological | -"- | 700 | ||
| - infectious diseases | -"- | 1500 | ||
| - cardio-rheumatological | -"- | 800 | ||
| - speech therapy | per 1 treated patient | 20 | ||
| - narcological | 800 | |||
| - additionally for 1 session of conditioned reflex therapy | 20 | |||
| - neurological | per 1 treated patient | 500 | ||
| - nephrological | -"- | 1000 | ||
| - oncological | -"- | 1000 | ||
| - services for teenagers | -"- | 400 | ||
| - operating room | -"- | 3000 | ||
| - otolaryngological | -"- | 700 | ||
| - ophthalmic | -"- | 800 | ||
| - dressing room | -"- | 1200 | ||
| - proctological | -"- | 1200 | ||
| - procedural | for 1000 procedures | 1500 | ||
| - psychiatric (psychotherapeutic) | per 1000 visits | 500 | ||
| - pulmonological | -"- | 1100 | ||
| - radiological | -"- | 800 | ||
| - reflexology | -"- | 3500 | ||
| for storing sterile needles for 1 doctor per month | 100 | |||
| - sexological | per 1000 visits | 500 | ||
| - women's examination room | -"- | 800 | ||
| - audiological | -"- | 3000 | ||
| - hearing aid | -"- | 2000 | ||
| - therapeutic | -"- | 900 | ||
| - traumatological | -"- | 1000 | ||
| - emergency room | -"- | 1200 | ||
| - urological | -"- | 1200 | ||
| - phoniatric | -"- | 600 | ||
| - anti-tuberculosis | -"- | 800 | ||
| - surgical | -"- | 1200 | ||
| - endocrinological | -"- | 600 | ||
| - electrocardiographic | per 1000 ECG | 1000 | ||
| Medical and cosmetology (department) | per 1000 visits | 1500 | ||
| 3.1. | outpatient clinics | -"- | 1000 | |
| 3.2. | Medical health centers | -"- | 650 | |
| 3.3. | Medical aid stations | -"- | 500 | |
| 3.4. | Feldsher-obstetric stations | -"- | 800 | |
| 3.5. | Home health care points | for 1000 trips | 2000 | |
| 3.6. | Dental clinics (departments, offices) | |||
| - dental office | for 1 SU | 0,6 | ||
| - dental surgical | for 1 SU | 1,6 | ||
| - orthopedic | for 1 SU | 1,3 | ||
| - dentures | for 1 cast tooth | 0,4 | ||
| laboratories using high-quality casting machines | for 1 clasp prosthesis | 6,0 | ||
| for 1 tooth cast steel or plastic facet | 0,2 | |||
| per 1 frame when modeling on a plaster model | 2,0 | |||
| - anesthesia room | per 1000 visits | 700 | ||
| - on a porcelain crown | 1,5 | |||
| - on a ceramic-metal crown or tooth | 2,0 | |||
| - for 1 solid crown or tooth | ||||
| for implantation: | ||||
| - endosseous | 175,0 | |||
| - subperiosteal | 60,0 | |||
| 3.7. | Physiotherapy clinics | - physiotherapy department | for 1000 procedures | 1300 |
| 3.8. | Auxiliary units of medical institutions | - X-ray and fluorography room (diagnostic and medical work) | per 1000 fluorograms | |
| per 1000 X-rays and radiographs | 250 | |||
| per 1000 electroroentgenograms | 500 | |||
| - angiographic and angiocardiographic rooms of X-ray departments | for 1 study | 100 | ||
| - physiotherapy exercises | per 1000 visits | 600 | ||
| - functional diagnostics | -"- | 1000 | ||
| - electroencephalography | for 1 study | 50 | ||
| - electroencephalography | for 1 study | 4 | ||
| - sounding | for 1 study | 20 | ||
| - vacuum aspiration | for 1 procedure | 30 | ||
| - endoscopic | for 1 study (except for rectoscopy) | 50 | ||
| - ultrasound diagnostics | for 1 study | 1,5 | ||
| - prenatal diagnostic room: | ||||
| chorion biopsy | for 1 manipulation | 100 | ||
| amniocentesis | for 1 manipulation | 250 | ||
| 3.9. | Clinical diagnostic laboratories for medical treatment | - clinical | per 1000 analyzes | 700 |
| - biochemical | per 1000 analyzes | 1800 | ||
| preventive institutions | - determination of 17-ketosteroids, 17-hydroxyketosteroids, estrogen and other hormones | per 1000 analyzes | 2300 | |
| - bacteriological | -"- | 1800 | ||
| - bacteriological for anti-tuberculosis institutions | -"- | 3400 | ||
| - bacterioscopic | -"- | 6500 | ||
| - immunoserological | -"- | 850 | ||
| - cytological | -"- | 1500 | ||
| - genetic | -"- | 300 | ||
| - radioisotope | for 1 analysis | 5 | ||
| - cleaning of 1 microscope | 5000 ml per year | |||
| 3.10. | 1,5 | |||
| 3. Taking blood from a finger | 1,5 | |||
| 4. Setting up a dropper for blood transfusion | 5,0 - 10,0 | |||
| 5. Setting cans: | ||||
| for adults | 20,0 | |||
| for children | 10,0 | |||
| 6. Applying a compress | 20, - 30,0 | |||
| 7. Treatment of boils | 1,5 | |||
| 8. Treatment of burns | 20, - 40,0 | |||
| 9. Preventive vaccination with a needleless injector | 05 - 1,0 | |||
| 10. Processing of ampoules and vials | 0,5 | |||
| 11. Processing the hands of medical personnel before the procedure | 10,0 | |||
| 12. Injections and punctures intra-articular | 10,0 | |||
| 13. Hysteroscopy | 50,0 | |||
| 14. Imposition of a microtracheostomy | 10,0 | |||
| 15. Subclavian vein catheterization | 50,0 | |||
| 16. Pleural punctures and paracentesis | 20,0 | |||
| 17. Establishment and removal of drains from the pleural and abdominal cavities | 20,0 | |||
| 18. Venesection | 10,0 | |||
| 19. Fibrobronchoscopy | 50,0 | |||
| 20. Radioisotope study | 10,0 | |||
| 21. Blood transfusion | 10,0 | |||
| 22. Acupuncture | 5,0 | |||
| 23. Spinal tap | 50,0 | |||
| 24. Anesthesia | 60,0 | |||
| 25. Setting up leeches (for 1 leech) | 1,0 | |||
| 26. Autohemotherapy | 5,0 | |||
| 27. Carrying out tonometry | 1,5 |
Note: these norms can be used when writing off ethyl alcohol as an expense in departments and offices of medical institutions. They are not used to determine the need for ethyl alcohol for the planned period.
Head of the Main Department
public health and
medical and social programs
A.A. Karpeev
* When the institution performs the functions of serving the population of other territories (consulting, diagnostics, etc.), the additional need for alcohol is determined according to the norms specified in Appendix 2.
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On the website "Zakonbase" you will find the ORDER of the Ministry of Health of the Russian Federation dated 30.08.91 N 245 "ON REGULATIONS FOR THE CONSUMPTION OF ETHYL ALCOHOL FOR INSTITUTIONS OF HEALTH, EDUCATION AND SOCIAL SECURITY" in a fresh and complete version, in which all changes and amendments have been made. This guarantees the relevance and reliability of the information.
At the same time, you can download the ORDER of the Ministry of Health of the Russian Federation dated 30.08.91 N 245 "ON STANDARDS FOR THE CONSUMPTION OF ETHYL ALCOHOL FOR HEALTH CARE, EDUCATION AND SOCIAL INSTITUTIONS" completely free of charge, both in full and in separate chapters.
Order
In order to improve the quality of medical care for the population and more rational use of alcohol, I affirm:
1. Standards for the consumption of ethyl alcohol for healthcare, education and social security institutions (Appendix 1).
2. Approximate norms for the consumption of ethyl alcohol for units of medical institutions (Appendix 2).
3. Approximate norms for the consumption of ethyl alcohol for medical procedures (Appendix 3).
I order:
1. To the Ministries of Health of the Union and Autonomous Republics, the heads of regional, regional and city health authorities, the main pharmacy departments and Pharmacy associations of the Ministries of Health of the Union Republics, regional, regional and city pharmacy departments (Pharmacia associations):
1.1. When determining the needs of healthcare, education and social security institutions in ethyl alcohol, be guided by the standards approved by this order (Appendix 1).
1.2. Develop and approve, if necessary, standards for the consumption of ethyl alcohol for individual institutions, departments and offices, as well as consumption rates for various medical procedures, taking into account the equipment used, treatment methods and the amount of work.
1.3. Grant the right to heads of healthcare institutions to distribute ethyl alcohol between departments and offices within the total volume of alcohol allocated to the institution, using, if necessary, the norms given in Appendix 2 of this order.
1.4. When distributing the needs of pharmacies in ethyl alcohol, the calculation should be made taking into account only the extemporaneous formulation.
1.5. Allow pharmacy departments (associations "Pharmacy") to distribute the total amount of alcohol for the manufacture of medicines among pharmacies, taking into account the specifics of the formulation, setting, if necessary, individual standards.
1.6. The release of ethyl alcohol to health care institutions is carried out on the basis of requirements signed by the head of the institution (department) and certified by the seal of the institution under a separate power of attorney, issued in the prescribed manner and giving the right to receive alcohol within one month. Alcohol is sold in weight measurement at a price set for medical institutions.
1.7. Establish that the heads of health care institutions are personally responsible for the correct appointment, storage, accounting and dispensing of ethyl alcohol and the rationality of its use.
3. To impose control over the implementation of this order on the Main Directorate of Public Health and Medical and Social Programs of the USSR Ministry of Health (comrade Karpeev A.A.) and on V / O Soyuzfarmatsiya (comrade Apazov A.D.).
I authorize you to reproduce the order in the required quantities and bring it to the attention of healthcare institutions.
Deputy Minister
A.M.MOSKVICHEV
Annex 1
to the order of the Ministry of Health of the USSR
dated August 30, 1991 N 245
| NN pp. | Name of institution | Estimated indicators | Standard in grams |
| 1 | 2 | 3 | 4 |
| I. Pharmacy establishments | per 1000 extemporaneous recipes | 2800 | |
| II. Medical institutions: | |||
| 1 | Hospital facilities | per 1 treated surgical patient per 1 treated therapeutic patient | 400 170 |
| 2 | Outpatient clinics | per 1 attached resident per year | 50* |
| 3 | per 1000 visits | 9500 | |
| 4 | Clinical and diagnostic laboratories of medical institutions | per 1000 analyzes of all types | 2000 |
| 5 | Medical and preventive institutions of a special type | ||
| 5.1 | Leper colonies | per 1000 visits to the clinic | 800 |
| 5.2 | Centers for AIDS Prevention and Control | per 1 study per 1 patient in the hospital | 10 200 |
| 6 | Emergency and emergency medical care and blood transfusion facilities | ||
| 6.1 | Ambulance stations | per 1000 calls on a line machine on a specially equipped machine | 2000 5000 |
| 6.2 | Stations (departments) of blood transfusion | Use the current standards approved by the Ministry of Health of the USSR on November 24, 1989. | |
| 7 | Institutions for the protection of motherhood and childhood | ||
| 7.1 | Children's home | 1 place per year | 140 |
| 7.2 | Dairy kitchens | for the production of 1000 servings | 1,2 |
| 7.3 | Maternity hospital | for 1 woman in labor | 110 |
| 8 | Sanatorium-resort institutions | ||
| 8.1 | Sanatoriums | ||
| - bone tuberculosis | per bed per year | 1500 | |
| - pulmonary tuberculosis | -" | 900 | |
| - other types | -" | 700 | |
| 8.2 | Sanatoriums-dispensaries | -" | 250 |
| 8.3 | Resort polyclinics | per 1000 visits | 700 |
| 8.4 | Balneological clinics | per 1000 visits | 1000 |
| 8.5 | Mud baths | per 1000 visits | 1000 |
| III. Sanitary institutions | |||
| 1. Sanitary - epidemiological institutions | |||
| 1.1 | Anti-plague stations | Use the current standards approved by the USSR 10.25.90 N 40 | MOH |
| 1.2 | Sanitary - epidemiological stations | Use the current standards approved by the USSR 19.01.87 N 4244-87 | MOH |
| 1.3 | Disinfection stations | per 1000 mixed analyzes | 1300 |
| IV. Bureau of Forensic Medicine | for a complete analysis (forensic chem.) | 500 | |
| for 1 museum macropreparation | 150 | ||
| to court. histological examination | 150 | ||
| for court. - medical. research of material evidence for 1 object of research | 10 | ||
| for the examination of 1000 living persons | 500 | ||
| on court.-med. research (autopsy) | 50 | ||
| for physical and technical research for 1 experiment | 100 | ||
| for a spectrographic study of 1 object for the conservation of organ remains in court.-chem. research (per 1 jar) | 5 120 | ||
| V. Social security institutions | |||
| 1 | boarding houses | 1 place per year | |
| 1.1 | for the elderly and disabled | -"- | 800 |
| 1.2 | for disabled people from 18 to 45 years old | -"- | 600 |
| 1.3 | psychoneurological | -"- | 1000 |
| 1.4 | children's psychoneurological | -"- | 700 |
| 1.5 | for children with physical disabilities (physically disabled) | -"- | 700 |
| 1.6 | for severely mentally retarded children capable of learning according to special programs and methods | 1 place per year | 500 |
| 1.7 | for severely mentally retarded children requiring constant outside care and supervision | 1 place per year | 900 |
| 2. | Prosthetic and orthopedic enterprises | ||
| 2.1 | Hospitals for complex prosthetics | per bed per year | 2300 |
| 2.2 | Departments of outpatient prosthetics | per 1000 visits | 750 |
| 2.3 | Auxiliary rooms of hospitals of prosthetic and orthopedic enterprises and departments of outpatient prosthetics | ||
| - x-ray room | per 1000 visits | 250 | |
| - physiotherapy room | for 1000 procedures | 1300 | |
| - office of exercise therapy, occupational therapy and massage | per 1000 visits | 1200 | |
| 3. | school and preschool institutions | ||
| 3.1 | school | per student per year | 2,0 |
| 3.2 | boarding school | per student per year | 3,0 |
| 3.3 | kindergartens and orphanages | 1 place per year | 20 |
| 3.4 | nursery | 1 place per year | 100 |
| 3.5 | nursery garden | 1 place per year | 35 |
| 3.6 | specialized children's institutions (nursery, nursery-kindergarten, auxiliary boarding schools for children with intellectual, vision, hearing, speech, musculoskeletal disorders, for children with the consequences of poliomyelitis and cerebral palsy) | 1 place per year | 120 |
| 3.7 | kindergartens for tuberculosis | 1 place per year | 50 |
| 3.8 | sanatorium-forest schools of tuberculosis profile | per student per year | 10 |
Note:
1. Ethyl alcohol in its pure form is dispensed from pharmacies to medical institutions without taking into account fluctuations in concentration (from 96 to 97%). For skin treatment before injections, 70% ethyl alcohol is dispensed.
2. The release of alcohol in the form of boron, salicylic, menthol, formic and other, except camphor, to health care institutions, to be carried out at the expense of pure alcohol standards.
3. The consumption of alcohol for dilution of chlorhexidine bigluconate is made at the expense of the total amount of alcohol allocated to the department. Quantitative accounting of chlorhexidine digluconate solution in departments is not kept.
4. The amount of alcohol necessary for the training of students is allocated to the basic institution additionally according to the norms approved by the Ministries of Health of the Union Republics.
medical and social programs
A.A. Karpeev
Head of the Main Department
maternal and child health
I.A. LESHKEVICH
Appendix 2
to the order of the Ministry of Health of the USSR
dated August 30, 1991 N 245
| NN pp. | Name of institution | Name of departments (chambers), offices | Service metrics | Standard in grams |
| 1 | 2 | 3 | 4 | 5 |
| 1. | Hospitals, maternity hospitals, dispensaries | - allergic | per 1 treated patient | 60 |
| - gastroenterological | -"- | 50 | ||
| - hematological | -"- | 140 | ||
| - gynecological | -"- | 75 | ||
| - purulent surgical | -"- | 280 | ||
| - dermatovenerological | -"- | 120 | ||
| - day hospital | -"- | 100 | ||
| - day hospital for the mentally ill | -"- | 100 | ||
| - day hospital | -"- | 70 | ||
| - intensive care | -"- | 200 | ||
| - infectious | -"- | 70 | ||
| - infectious for patients with poliomyelitis | -"- | 70 | ||
| - cardiological | -"- | 90 | ||
| -Department of surgical treatment of complex cardiac arrhythmias and pacing | per 1 treated patient | 170 | ||
| - cardiac surgery | -"- | 450 | ||
| - microsurgical | -"- | 450 | ||
| - neurological | -"- | 60 | ||
| - neurotraumatological | -"- | 320 | ||
| - neurosurgical | -"- | 320 | ||
| - nephrological | -"- | 70 | ||
| - newborns | -"- | 60 | ||
| - narcological | -"- | 80 | ||
| additionally for 1 session of conditioned reflex therapy | 20 | |||
| - burn | per 1 treated patient | 250 | ||
| - oncological | -"- | 170 | ||
| - otorhinolaryngological | -"- | 85 | ||
| - department for patients with acute poisoning | -"- | 170 | ||
| - ophthalmic | -"- | 100 | ||
| - pathology of pregnancy | -"- | 50 | ||
| - pediatric | -"- | 70 | ||
| - pediatric neonatal | -"- | 170 | ||
| - proctological | -"- | 290 | ||
| - reception department | -"- | 1,5 | ||
| - psycho-neurological | -"- | 80 | ||
| - psychiatric | -"- | 80 | ||
| - pulmonological | -"- | 100 | ||
| - radiological | -"- | 170 | ||
| - resuscitation and intensive care | -"- | 510 | ||
| for 1 session of hyperboric oxygenation in a single pressure chamber | 40 | |||
| - rheumatological | 100 | |||
| - generic | -"- | 110 | ||
| - cardiovascular | -"- | 450 | ||
| - vascular surgery | -"- | 380 | ||
| - dental | -"- | 200 | ||
| - therapeutic | -"- | 80 | ||
| - traumatological | -"- | 300 | ||
| - orthopedic | -"- | 520 | ||
| - tuberculosis | -"- | 490 | ||
| - tuberculosis for patients with meningitis | -"- | 490 | ||
| - tuberculosis pulmonary surgery | -"- | 720 | ||
| - tuberculosis for patients with osteoarticular tuberculosis | -"- | 490 | ||
| - tuberculosis for compulsory treatment of patients with alcoholism | -"- | 490 | ||
| - urological | -"- | 270 | ||
| for the treatment of 1 patient with a transplanted kidney (the first 2 months after transplantation) | 1200 | |||
| - surgical | per 1 treated patient | 225 | ||
| - surgical thoracic | -"- | 430 | ||
| - hemodialysis | for 1 session of hemodialysis | 200 | ||
| for 1 hemosorption session | 150 | |||
| for 1 ultrasound session | 60 | |||
| blood exposure | 20 | |||
| - endocrinological | ||||
| Pathology department | - per 1 biopsy object | 20 | ||
| - for 1 autopsy with histological processing of the taken pieces | 230 | |||
| - for 1 museum macropreparation | 150 | |||
| TB dispensaries | - polyclinic | per 1000 visits | 800 | |
| - hospital | per 1 treated patient | 490 | ||
| Dermatovenerological dispensaries | - polyclinic | per 1000 visits | 800 | |
| - hospital | per 1 treated patient | 120 | ||
| Psychoneurological dispensaries | - polyclinic | per 1000 visits | 1000 | |
| - hospital | per 1 treated patient | 80 | ||
| Oncology dispensaries | - polyclinic | per 1000 visits | 1300 | |
| - hospital | per 1 treated patient | 170 | ||
| additionally for oncological research: | ||||
| - when conducting endoscopic examinations for 1 procedure | 50 | |||
| - when using the method of parenteral administration of ethyl alcohol (nutrition) to postoperative patients after abdominal operations for 1 procedure | 670 | |||
| - when conducting radioisotope diagnostics for 1 procedure | 5 | |||
| Endocrinological dispensaries | - polyclinic | per 1000 visits | 900 | |
| - hospital | per 1 treated patient | 20 | ||
| Trachomatous dispensaries | per 1000 visits | 500 | ||
| Medical and physical education dispensaries | per 1000 visits | 2500 | ||
| Narcological dispensaries | - polyclinic | per 1000 visits | 800 | |
| - hospital | per 1 treated patient | 80 | ||
| 20 | ||||
| Cardiology dispensaries | - polyclinic | per 1000 visits | 800 | |
| - hospital | per 1 treated patient | 90 | ||
| 3. | Outpatient clinics (subdivisions) | - allergic | per 1000 visits | 1100 |
| - obstetrics and gynecology | -"- | 800 | ||
| - gastroenterological | -"- | 1000 | ||
| - helminthological | -"- | 1000 | ||
| - hematological | -"- | 900 | ||
| - children's department of polyclinics | -"- | 1000 | ||
| - dermatovenerological | -"- | 700 | ||
| - infectious diseases | -"- | 1500 | ||
| - cardio-rheumatological | -"- | 800 | ||
| - speech therapy | per 1 treated patient | 20 | ||
| - narcological | 800 | |||
| - additionally for 1 session of conditioned reflex therapy | 20 | |||
| - neurological | per 1 treated patient | 500 | ||
| - nephrological | -"- | 1000 | ||
| - oncological | -"- | 1000 | ||
| - services for teenagers | -"- | 400 | ||
| - operating room | -"- | 3000 | ||
| - otolaryngological | -"- | 700 | ||
| - ophthalmic | -"- | 800 | ||
| - dressing room | -"- | 1200 | ||
| - proctological | -"- | 1200 | ||
| - procedural | for 1000 procedures | 1500 | ||
| - psychiatric (psychotherapeutic) | per 1000 visits | 500 | ||
| - pulmonological | -"- | 1100 | ||
| - radiological | -"- | 800 | ||
| - reflexology | -"- | 3500 | ||
| for storing sterile needles for 1 doctor per month | 100 | |||
| - sexological | per 1000 visits | 500 | ||
| - women's examination room | -"- | 800 | ||
| - audiological | -"- | 3000 | ||
| - hearing aid | -"- | 2000 | ||
| - therapeutic | -"- | 900 | ||
| - traumatological | -"- | 1000 | ||
| - emergency room | -"- | 1200 | ||
| - urological | -"- | 1200 | ||
| - phoniatric | -"- | 600 | ||
| - anti-tuberculosis | -"- | 800 | ||
| - surgical | -"- | 1200 | ||
| - endocrinological | -"- | 600 | ||
| - electrocardiographic | per 1000 ECG | 1000 | ||
| Medical and cosmetology (department) | per 1000 visits | 1500 | ||
| 3.1. | outpatient clinics | -"- | 1000 | |
| 3.2. | Medical health centers | -"- | 650 | |
| 3.3. | Medical aid stations | -"- | 500 | |
| 3.4. | Feldsher-obstetric stations | -"- | 800 | |
| 3.5. | Home health care points | for 1000 trips | 2000 | |
| 3.6. | Dental clinics (departments, offices) | |||
| - dental office | for 1 SU | 0,6 | ||
| - dental surgical | for 1 SU | 1,6 | ||
| - orthopedic | for 1 SU | 1,3 | ||
| - dentures | for 1 cast tooth | 0,4 | ||
| laboratories using high-quality casting machines | for 1 clasp prosthesis | 6,0 | ||
| for 1 tooth cast steel or plastic facet | 0,2 | |||
| per 1 frame when modeling on a plaster model | 2,0 | |||
| - anesthesia room | per 1000 visits | 700 | ||
| - on a porcelain crown | 1,5 | |||
| - on a ceramic-metal crown or tooth | 2,0 | |||
| - for 1 solid crown or tooth | ||||
| for implantation: | ||||
| - endosseous | 175,0 | |||
| - subperiosteal | 60,0 | |||
| 3.7. | Physiotherapy clinics | - physiotherapy department | for 1000 procedures | 1300 |
| 3.8. | Auxiliary units of medical institutions | - X-ray and fluorography room (diagnostic and medical work) | per 1000 fluorograms | |
| per 1000 X-rays and radiographs | 250 | |||
| per 1000 electroroentgenograms | 500 | |||
| - angiographic and angiocardiographic rooms of X-ray departments | for 1 study | 100 | ||
| - physiotherapy exercises | per 1000 visits | 600 | ||
| - functional diagnostics | -"- | 1000 | ||
| - electroencephalography | for 1 study | 50 | ||
| - electroencephalography | for 1 study | 4 | ||
| - sounding | for 1 study | 20 | ||
| - vacuum aspiration | for 1 procedure | 30 | ||
| - endoscopic | for 1 study (except for rectoscopy) | 50 | ||
| - ultrasound diagnostics | for 1 study | 1,5 | ||
| - prenatal diagnostic room: | ||||
| chorion biopsy | for 1 manipulation | 100 | ||
| amniocentesis | for 1 manipulation | 250 | ||
| 3.9. | Clinical diagnostic laboratories for medical treatment | - clinical | per 1000 analyzes | 700 |
| - biochemical | per 1000 analyzes | 1800 | ||
| preventive institutions | - determination of 17-ketosteroids, 17-hydroxyketosteroids, estrogen and other hormones | per 1000 analyzes | 2300 | |
| - bacteriological | -"- | 1800 | ||
| - bacteriological for anti-tuberculosis institutions | -"- | 3400 | ||
| - bacterioscopic | -"- | 6500 | ||
| - immunoserological | -"- | 850 | ||
| - cytological | -"- | 1500 | ||
| - genetic | -"- | 300 | ||
| - radioisotope | for 1 analysis | 5 | ||
| - cleaning of 1 microscope | 5000 ml per year | |||
| 3.10. | 1,5 | |||
| 3. Taking blood from a finger | 1,5 | |||
| 4. Setting up a dropper for blood transfusion | 5,0 - 10,0 | |||
| 5. Setting cans: | ||||
| for adults | 20,0 | |||
| for children | 10,0 | |||
| 6. Applying a compress | 20, - 30,0 | |||
| 7. Treatment of boils | 1,5 | |||
| 8. Treatment of burns | 20, - 40,0 | |||
| 9. Preventive vaccination with a needleless injector | 05 - 1,0 | |||
| 10. Processing of ampoules and vials | 0,5 | |||
| 11. Processing the hands of medical personnel before the procedure | 10,0 | |||
| 12. Injections and punctures intra-articular | 10,0 | |||
| 13. Hysteroscopy | 50,0 | |||
| 14. Imposition of a microtracheostomy | 10,0 | |||
| 15. Subclavian vein catheterization | 50,0 | |||
| 16. Pleural punctures and paracentesis | 20,0 | |||
| 17. Establishment and removal of drains from the pleural and abdominal cavities | 20,0 | |||
| 18. Venesection | 10,0 | |||
| 19. Fibrobronchoscopy | 50,0 | |||
| 20. Radioisotope study | 10,0 | |||
| 21. Blood transfusion | 10,0 | |||
| 22. Acupuncture | 5,0 | |||
| 23. Spinal tap | 50,0 | |||
| 24. Anesthesia | 60,0 | |||
| 25. Setting up leeches (for 1 leech) | 1,0 | |||
| 26. Autohemotherapy | 5,0 | |||
| 27. Carrying out tonometry | 1,5 |
Note: these norms can be used when writing off ethyl alcohol as an expense in departments and offices of medical institutions. They are not used to determine the need for ethyl alcohol for the planned period.
Head of the Main Department
public health and
medical and social programs
A.A. Karpeev
* When the institution performs the functions of serving the population of other territories (consulting, diagnostics, etc.), the additional need for alcohol is determined according to the norms specified in Appendix 2.
4.3 specific consumption rates of ethyl alcohol for physical and chemical analyzes
4.3.1. The subsection presents specific consumption rates of ethyl alcohol for physicochemical analyzes of the following substances: metals and their alloys, salts and acids, electrolytes and solutions for electroplating baths, paints and varnishes, petroleum products, solvents and thinners, adhesives and vegetable oils, resins, water , air and other products and materials.
4.3.2. Specific consumption rates of alcohol for analysis are set in quantitative terms per sample (analysis). Numerical values of specific norms are given in table. 4.3.1–4.3.9.
4.3.3. The list of analyzes carried out with the use of alcohol is compiled on the basis of industry norms for the consumption of alcohol. For certain positions, the specific norms were adjusted based on the results of their practical use at enterprises and organizations in recent years.
The list does not include individual specific analyzes of a one-time nature (performed mainly for scientific purposes) or having a large spread in the numerical values of the consumption rates.
4.3.4. Research and development organizations for the analysis of substances not mentioned in this Handbook develop and approve temporary specific alcohol consumption rates, which are subsequently adjusted based on the results of their practical application.
4.3.5. The consumption rate of alcohol for the performance of work of an analytical nature is an integrated value and is determined by the formula
where H R is the rate of expenditure for work;
H yi - specific norm for the i-th operation;
W i is the number of i-th operations required to perform the work;
m is the number of different operations that must be performed to complete the entire work (analysis, experiment).
4.3.6. The need for ethyl alcohol for the planned period is determined in the subdivisions where the analyzes are directly carried out, and is determined by multiplying the alcohol consumption rates by the amount of work to be performed in the planned period. At the same time, the scope of work is understood as the number of analyzes, the volume of prepared solutions, indicators, the number of preventive wiping of used instruments and utensils, etc.
Table 4.3.1
Specific consumption rates of ethyl alcohol according to GOST 18300-87 for the analysis of metals and alloys
Table 4.3.2
Specific consumption rates of ethyl alcohol according to GOST 18300-87 for the analysis of electrolytes and solutions for electroplating baths
T a b l e 4.3.3
Specific consumption rates of ethyl alcohol according to GOST 18300-87 for the analysis of salts and acids
Table 4.3.4
Specific alcohol consumption rates according to GOST 18300-87 for analysis of paints and varnishes
Table 4.3.5
Specific consumption rates of ethyl alcohol according to GOST 18300-87 for analysis of petroleum products
Table 4.3.6
Specific consumption rates of ethyl alcohol according to GOST 18300-87 for the analysis of solvents and thinners
Table 4.3.7
Specific alcohol consumption rates according to GOST 18300-87 for resin analysis
Table 4.3.8
Specific consumption rates of ethyl alcohol according to GOST 18300-87 for the analysis of adhesives and vegetable oils
Table 4.3.9
Specific consumption rates of ethyl alcohol according to GOST 18300-87 for the analysis of air, water, polymeric and other technical materials
Attention! When using articles, consultations and comments, please pay attention to the date of writing the material
Question:
How to properly draw up a Journal of transactions related to the circulation of ethyl alcohol in the departments of a medical organization? Is it possible to indicate in column 8 of the journal the number of the requirement according to which alcohol is dispensed by the head nurse of the department, to the procedural nurse?
“The procedure for filling out a register of production and turnover volumes (excluding retail sales) and (or) using ethyl alcohol, alcoholic and alcohol-containing products for own needs” was approved by Order of the Federal Tax Service of Russia dated August 17, 2006 N MM-3-07 / (as amended by dated 01.25.2007), however, in our opinion, this Order has nothing to do with medical organizations.
At the same time, "Ethanol (Ethyl alcohol, Medical antiseptic solution)" is included in the Order of the Ministry of Health and Social Development of the Russian Federation of December 14, 2005 N 785 "List of medicines subject to quantitative accounting in pharmacies (organizations), drug wholesalers means, medical institutions and private practitioners” (as amended on 08/06/2007), and according to subparagraph 3 of paragraph 3 approved by the Order of the Ministry of Health of the Russian Federation of 06/17/2013 N 378n “Rules for registering transactions related to the circulation of medicines for medical applications included in the List of medicinal products for medical use subject to subject-quantitative accounting in special registers of transactions related to the circulation of medicinal products for medical use” registration of transactions related to the circulation of medicinal products subject to PKU is carried out by medical organizations and individual entrepreneurs who have a license for medical activities in special registers for registering transactions related to the circulation of medicines, in the form in accordance with Appendix No. 3 to the said Rules.
Neither the above "Rules for the registration of transactions related to the circulation of medicinal products for medical use included in the list of medicinal products for medical use subject to subject-quantitative accounting in special registers for registering transactions related to the circulation of medicinal products for medical use", nor approved By the same Order, the “Rules for maintaining and storing special journals for registering transactions related to the circulation of medicines for medical use” do not give an explicit indication of how such journals should be maintained - a single journal for the entire organization or separate journals for structural divisions. In our opinion, in view of the lack of a clear indication in the current regulatory legal acts, the head of a medical organization has the right to independently determine the procedure for organizing the accounting of medicines subject to subject-quantitative accounting by issuing an appropriate order.
In column 8 of the "Journal of transactions related to the circulation of medicinal products for medical use", intended for registering transactions with medicinal products subject to PKU in medical organizations, the number of the medical document according to which the medicinal product (in this case, alcohol) is dispensed must be indicated to the appropriate division or F.I.O. patient who is prescribed this drug. Therefore, in our opinion, this column may indicate the number of the requirement according to which the senior nurse of the department dispenses alcohol to the procedural nurse.
Instructions for accounting for ethyl alcohol
We need to find this instruction manual on the procedure for obtaining, storing, spending and accounting for ethyl alcohol in veterinary medicine. We want to buy ethyl alcohol. We haven't done this before, and we don't know how to do it right.
The regulatory framework currently does not contain Instructions on the procedure for obtaining, storing, spending and accounting for ethyl alcohol in veterinary medicine. Currently, the regulatory framework contains only the Instruction on the procedure for obtaining, storing, spending and accounting for ethyl alcohol in educational institutions, institutions, organizations and enterprises of the USSR Ministry of Higher and Secondary Specialized Education, approved by order of the USSR Ministry of Higher and Secondary Specialized Education No. 588. Perhaps this Instruction in veterinary medicine can be approved at the regional level and not in the public domain.
ORDER OF THE MINISTRY OF HIGHER AND SECONDARY SPECIAL EDUCATION OF THE USSR DATED 08.08.1984 No. 588 "ON APPROVAL OF INSTRUCTIONS ON THE PROCEDURE FOR OBTAINING, STORING, EXPENDING AND ACCOUNTING OF ETHYL ALCOHOL"
“In order to establish a unified procedure for the use of ethyl alcohol, I order:
1. Approve the attached Instruction on the procedure for obtaining, storing, spending and accounting for ethyl alcohol in educational institutions, organizations and enterprises of the system of the Ministry of Higher and Secondary Specialized Education of the USSR.*
By order of the Ministry of Higher and
secondary specialized education of the USSR
INSTRUCTIONS
ON THE PROCEDURE FOR RECEIVING, STORING, EXPENDING AND ACCOUNTING
ETHYL ALCOHOL IN EDUCATIONAL INSTITUTIONS, INSTITUTIONS,
ORGANIZATIONS AND ENTERPRISES OF THE MINISTRY SYSTEM
OF HIGHER AND SECONDARY SPECIAL EDUCATION OF THE USSR*
1. General Provisions
1.1. This Instruction applies to all types of ethyl alcohol used for educational, laboratory, scientific and industrial needs of educational institutions, institutions, organizations and enterprises of the USSR Ministry of Higher Education. *
In the future, they will be referred to as "educational institutions, organizations."
1.2. The unit of measure for ethyl alcohol is a liter of anhydrous alcohol at a temperature of +20 degrees. C.
1.3. When accounting for ethyl alcohol, the following are to be determined: the volume of a water-alcohol solution, the alcohol content in it in volume percent (strength) and the volume of anhydrous alcohol contained in it.
1.5. The amount of anhydrous alcohol is found using tables for determining the content of ethyl alcohol in water-alcohol solutions at +20 degrees. C, approved by the USSR State Committee for Standards.
1.6. For the storage of the main stock of alcohol, an educational institution, an organization allocates a separate room (warehouse), which is safe in terms of fire. If it is impossible to allocate a separate storage room, it is allowed to store alcohol in the room together with other liquids, provided that its storage is compatible.
Alcohol should be stored in a warehouse in metal tanks of various capacities and shapes, made of metals that do not affect the change in the original quality of alcohol.
In the room (warehouse) where the main stock of alcohol is stored, unauthorized persons should not be allowed. The warehouse must have good locks and, when the person responsible for storing alcohol leaves, be locked, sealed or sealed. At the end of the working day, the warehouse (premises) is handed over against receipt to the guards on duty of the university, organization with an entry in the guard log. With private security, the procedure for surrender is determined by the heads of the educational institution, organization and security agencies.
1.7. It is possible to store a small amount of alcohol dispensed for educational, laboratory, scientific and production needs in the departments of an educational institution, organization (departments, laboratories, departments, workshops) in metal barrels, bottles or cans, carefully corked with corks and placed in special or metal cabinets , lockable drawers. Responsibility for ensuring the correct storage and consumption of alcohol stocks lies with the heads of departments.
1.8. Responsibility for the safety of alcohol received from the main warehouse for subdivisions is borne by the storekeepers of these subdivisions, with whom agreements on liability are concluded. The contract is drawn up in two copies, one of which is transferred to the accounting department, and the second is stored in the unit. For each division for the receipt and storage of alcohol, one financially responsible person is allocated.
When a financially responsible person is dismissed, moved or goes on vacation, another financially responsible person is appointed, with whom an agreement on liability is also concluded. Prior to the appointment of a new financially responsible person, alcohol is not issued from the main warehouse to the unit.
1.9. The write-off of the maximum allowable loss of alcohol during storage, movement and bottling into small containers is carried out according to the norms in accordance with Appendix No. 1 only if a shortage is detected during the inventory.
1.10. Recovery from the guilty persons of the cost of missing and spoiled alcohol (of all varieties and types) is carried out at the list price of rectified drinking alcohol.
In the absence of retail prices, compensation for damage in case of shortage or deliberate damage to all types and brands of raw ethyl alcohol, technical ethyl alcohol and rectified ethyl alcohol in accordance with the instructions approved by Decree of the State Committee of the USSR at prices dated December 29, 1981 N 1372, is made in the amount of 25 rubles per 1 liter with a strength of 95% with allowances (discounts) in the amount of 26 kopecks. for each percentage of increased (reduced) strength in 1 liter.
1.11. Employees of educational institutions and organizations associated with the acceptance, storage, release, consumption and accounting of alcohol should be familiar with this Instruction.
2. Acceptance of alcohol to the warehouse
2.1. The receipt of alcohol from the supplier is carried out by the appointed order of the head of the educational institution, organization, employee or manager of the warehouse storing alcohol, in a container that must be clean and without leakage.
The container must be closed with fitted stoppers and have devices for sealing or printing. Stencils (oil paint) must be applied to the container: name of the owner, container number, capacity, weight, date of measurement, “flammable”. The use of alcohol containers, except for the transportation and storage of alcohol, is prohibited.
In cases where alcohol is delivered to the warehouse not by the warehouse manager who stores alcohol, but by another person, the alcohol is accepted by the warehouse manager (if he is not a certified chemist) with the obligatory participation of a chemist, where available, or another competent person specially authorized to do so. leadership of an educational institution, organization.
2.2. Warehouse, accounting and operational accounting for the receipt and consumption of alcohol is carried out in measured (volume) calculation (liter) by name and strength.
2.3. When returning to the warehouse departments, laboratories, departments, workshops used alcohol as a result of its use in experiments with a reduced strength, an act is drawn up on the reasons that led to the decrease in strength. Such alcohol is stored in a warehouse in a separate container and is accounted for on a separate card. The procedure for the further use of the returned alcohol with a reduced strength is determined by the heads of educational institutions and organizations.
3. Storage of alcohol in educational institutions and organizations
3.1. Responsibility for the amount of alcohol received from the supplier, its safety, release in accordance with these Instructions lies with the warehouse manager or storekeeper.
3.2. Responsibility for the safety and intended use of alcohol dispensed to subdivisions for educational, laboratory, scientific and production needs is borne by persons who received alcohol from a materially responsible employee of this subdivision, and the head of the subdivision.
Responsibility for the storage of alcohol not distributed for work is borne by the financially responsible person of the unit.
4. The procedure for dispensing and spending alcohol
for educational and laboratory, scientific and production needs
4.1. The release of alcohol from the warehouse is carried out at the request (invoice), signed by the head of the educational institution, organization or his authorized deputy, head of the supply department, with the obligatory signature of the chief accountant or his deputy. The release of alcohol without the presence of these signatures is not carried out. Sample signatures of persons signing the requirements for the release of alcohol must be transferred to the warehouse manager (storekeeper).
4.2. The requirements are issued on the basis of the alcohol consumption rates developed by the educational institution, organization for educational, laboratory, scientific and production needs. Responsibility for the correct issuance of requirements within the approved norms for the consumption of alcohol rests with the persons signing the requirements. For laboratories conducting exploratory research work, chemical laboratories where alcohol is consumed as a solvent-reagent, for conducting various experiments due to the impossibility of compiling numerous consumption rates and preliminary determining the number of operations by order of the head of the educational institution, the organization sets a monthly consumption rate for each laboratories, based on the practically existing consumption for the previous months, upcoming work and economical spending.
In the case of the release of alcohol for the performance of one-time work for which there are no standards, the laboratory, department, workshop shall provide a reasonable one-time calculation.
4.3. The consumption rate of alcohol and one-time calculations are approved by the head of the educational institution, organization or by his authorized deputy. Requirements in the absence of alcohol consumption rates or one-time approved calculations are not signed by the chief accountant or his deputy, and alcohol is not dispensed.
4.4. The issuance of alcohol for the needs of expeditions in case of inappropriate monthly replenishment of the amount spent (remoteness, inconvenience of delivery, etc.) is carried out for the entire period of work according to the calculation of the expedition leader, compiled according to current standards and approved by the head of the educational institution or authorized deputy head.
4.5. The release of alcohol to departments, laboratories, departments and workshops, depending on the conditions of its storage and the availability of containers in departments, can be made for 10, 20, 30 days of need.
4.6. Departments, laboratories, departments and workshops record the receipt and consumption of alcohol in a journal, a sample of which with explanations of its maintenance is attached (Appendix N 2).
4.7. According to this journal, the head of the unit or the person responsible for the storage of alcohol draws up and submits to the accounting department an act-report (Appendix N 3) for 10, 20 or 30 days, i.e. depending on the established procedure for dispensing alcohol to units.
The act-report is approved by the head of the educational institution, organization or his authorized deputy.
4.8. The head of the subdivision (department, laboratory, department, workshop) is responsible for the correct keeping of the journal and drawing up an act on the consumption of alcohol.
4.9. Without submitting an approved act to the accounting department on the consumption of previously received alcohol and a certificate from the head of the unit on the amount of alcohol used in the work, which is not subject to write-off due to the incomplete work process in which it is used as a material, the release of alcohol is terminated until the receipt of the act and certificate.
4.10. In cases where excess consumption of alcohol is allowed, the head of the department shall provide an explanation indicating the reasons for the excess consumption. An additional amount of alcohol can be dispensed only after consideration of the explanation and approval by the head of the educational institution, organization or his authorized deputy.
4.11. The release of alcohol to third-party institutions and organizations without the permission of the supply department (department) of the relevant ministry of higher education is not allowed.
5. Accounting and inventory of alcohol
5.1. The person responsible (warehouse manager, storekeeper) for the storage of the main stocks of alcohol is obliged to reflect daily in the warehouse accounting cards the operations for the receipt and consumption of alcohol and display its balance at the end of the day. Cards are kept separately by name and strength of alcohol.
5.2. The alcohol released from the warehouse in the laboratory, departments, workshops is accounted for by the financially responsible employee of the unit, allocated by the management of the unit and issued by order of the head of the educational institution, organization.
5.3. The accounting department writes off alcohol from the account for the expenses of the educational institution, organization is carried out on the basis of acts drawn up in the unit (clause 4.7).
5.4. The release of alcohol from the warehouse without requirements or in excess of the established norms (limits) is strictly prohibited.
5.5. The approved consumption rates of alcohol and one-time calculations for the sale of alcohol are stored in the accounting department, in the supply department and with the financially responsible person of the unit.
5.6. An inventory of alcohol that is not in the process of work must be carried out quarterly as of the 1st day of the first month of the quarter by a commission appointed by the head of the educational institution, organization. The commission must include representatives of laboratories, departments, workshops and accounting staff.
In addition, sudden inventories of alcohol are periodically carried out.
The inventory is carried out in all storage places (in a warehouse, in laboratories, workshops, etc.) in the presence of a financially responsible person.
5.7. The presence of alcohol in the course of quarterly inventories is determined by passing it through measuring cups.
With large balances and the presence of commercial scales, the amount of alcohol is determined by weighing (the tare weight is removed from the gross according to the stencil of the barrel) and recalculating the physical weight into anhydrous alcohol according to the table to determine the amount (in liters) of anhydrous alcohol in 1 kg of water-alcohol solution. However, even in these cases, once a year (during the period of least residues), the presence of alcohol is determined necessarily by passing through measuring cups.
Simultaneously with the inventory, the strength of alcohol is determined.
5.8. The act on the removal of alcohol residues lists containers (containers) containing alcohol, as well as those in which at the time of the inventory there was no alcohol, i.e. the act must indicate all, without exception, the containers assigned to the financially responsible person for the storage and transportation of alcohol.
5.9. The act of removing the remaining alcohol must be drawn up on the day of the check and no later than the next day transferred to the accounting department signed by the members of the commission and the financially responsible person.
5.10. In the event of an excess or shortage of alcohol, the accounting department requires a written explanation from the financially responsible person. In case of refusal to give an explanation, an appropriate entry is made in the act about this. After receiving an explanation or refusing to provide it, the inventory commission gives a conclusion about the shortage or excess of alcohol.
5.11. The procedure for conducting an inventory of alcohol, processing its results and regulating inventory differences is carried out in full accordance with the Regulations on Accounting Reports and Balance Sheets of Budgetary Institutions and the Basic Regulations on Inventory, approved by letter of the Ministry of Finance of the USSR of December 30, 1982 N 179.
6. Responsibility for fire safety in places where alcohol is stored
6.1. The development of fire-fighting measures and responsibility for the fire safety of alcohol storage in educational institutions and organizations is assigned by order of the head to the relevant service and specific officials.
*So highlighted part of the material that will help you make the right decision
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Nursing Forum
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Sanitary and epidemiological regime ⇒ The use of alcohol
Moderator: anestezistca
Message anestezistca» Mar 15, 2011, 07:56 pm
Message NIKA» Mar 15, 2011, 08:56 pm
Appendix No. 3
to the order of the Ministry
health care of the USSR
dated August 30, 1991 N 245
INDICATIVE STANDARDS
CONSUMPTION OF ETHYL ALCOHOL FOR MEDICAL
PROCEDURES (IN GRAMS)
1. Intravenous injections and blood sampling from a vein 3.0
2. Intramuscular and subcutaneous injections 1.5
3. Taking blood from a finger 1.5
4. Placement of a dropper for blood transfusion 5.0-10.0
5. Setting cans:
for adults 20.0
for children 10.0
6. Applying a compress 20.0-30.0
7. Treatment of boils 1.5
8. Treatment of burns 20.0-40.0
9. Preventive vaccination with a needleless injector 0.5-1.0
10. Processing of ampoules and vials 0.5
11. Treatment of the hands of medical personnel before the procedure 10.0
12. Injections and punctures intra-articular 10.0
13. Hysteroscopy 50.0
14. Imposition of microtracheostomy 10.0
15. Subclavian vein catheterization 50.0
16. Pleural punctures and paracentesis 20.0
17. Establishment and removal of drains from the pleural and
abdominal cavity 20.0
18. Venesection 10.0
19. Fibrobronchoscopy 50.0
20. Radioisotope study 10.0
21. Blood transfusion 10.0
22. Acupuncture 5.0
23. Spinal puncture 50.0
24. Anesthesia 60.0
25. Setting leeches (for 1 leech) 1.0
26. Autohemotherapy 5.0
27. Carrying out tonometry 1.5
Note: the indicated norms can be used when writing off ethyl alcohol as an expense in departments and offices of medical and preventive institutions. They are not used to determine the need for ethyl alcohol for the planned period.
These are indicative norms, you must have approved for your healthcare facility, no more than these, then write off according to them. Don't forget, write off in grams! The finished vials already have the number of grams (usually 100 ml - 88.6 g), if you get it in a pharmacy not packaged, then they should give you information about how many grams are in 100 ml. Well, then empirically determine the degree of wetting of a cotton ball by 0.5-1.5.
To find out how many ml it is, use simple mathematical calculations.
Determine the ratio 100:88.6=1.128=1.13.
Then: 1.5 g x 1.13 = 1.69 = 1.7 ml. 50gx1.13=56.5ml, etc.
You can make a translation table to make it easier to navigate.
How many years they suffered until they switched to injection wipes and skin antiseptics!
Added after 13 minutes 12 seconds:
Alcohol 70 deg does not go to backlamps, only 96 (according to the passport, there are some irradiators).
Accounting for alcohol in a medical institution
The procedure for accounting for alcohol and its write-off in medical institutions has a number of features. And they should be remembered.
Alcohol is a medicine
Health care institutions take into account alcohol in the composition of medicines. The procedure for accounting for such assets is defined in the Instructions for accounting for medicines, dressings and medical products in medical and preventive healthcare institutions. Recall that this Instruction was approved by order of the USSR Ministry of Health of June 2, 1987 No. 747. According to the specified regulatory act, in pharmacies, departments (offices) of institutions, ethyl alcohol is subject to quantitative accounting.
An agreement on full individual liability is concluded with persons responsible for the safety of alcohol. At least twice a year, the actual presence of alcohol is checked by a permanent commission. She is specially appointed by order of the head of the institution.
Note that the procedure for accounting for alcohol has a number of features due to the presence of a pharmacy in an institution and its absence. Let's consider different situations.
If the facility has a pharmacy...
... alcohol is accounted for in the Book of Quantitative Accounting of Pharmaceutical Stocks (form No. 8-MZ). Remember that its pages must be numbered and certified by the signature of the chief accountant. Book entries are made daily.
Alcohol received by the pharmacy from suppliers is taken into account on the basis of the accompanying documents submitted by them.
The release of alcohol from the pharmacy to financially responsible persons of departments (offices) is carried out by the head of the pharmacy or his deputy on the basis of the Requirement-invoice (f. No. M-11, 0315006). It is approved by the head of the institution (or an appropriate authorized person). Note that the Requirement-invoice is also used when transferring inventories from one financially responsible person to another. The data of form 0315006 are entered in the Statement of sampling of used medicines subject to subject-quantitative accounting (form No. 1-MZ). This statement is signed by the head of the pharmacy or his deputy.
Departments (offices) are supplied with alcohol in the amount of 10-day requirement.
The total amount of alcohol dispensed by the pharmacy per day is indicated in the form No. 8-MZ (an employee of the accounting department of the institution is obliged to regularly conduct random checks on the correctness of maintaining these documents (at least once a quarter)).
The amount of alcohol dispensed by the pharmacy to departments (offices) per month is reflected in the Pharmacy's Report on the receipt and expenditure of pharmacy stocks in monetary (sum) terms (form No. 11-MZ). This report serves as the basis for writing off alcohol.
According to the Rules, which were approved by the order of the Ministry of Health of Russia dated November 12, 1997 No. 330, alcohol can only be written off if the alcohol is used up on time. Otherwise, excess stocks of alcohol are not deducted from the register. Financially responsible persons in departments (offices) draw up a Report on the movement of medicines subject to subject-quantitative accounting (form No. 2-MZ). He is sent to accounting. It is on the basis of these documents that the actually consumed alcohol is written off the register (its transfer from pharmacies to the department is formalized as the transfer of alcohol from one financially responsible person to another).
Features of double counting
For medical institutions, there are some specifics in accounting for alcohol. It lies in the fact that medical institutions must scrupulously keep records of the write-off of alcohol both as a material and as a medicine. In the first case, on the basis of Instruction No. 25n, in the second, on the basis of specialized industry acts. Moreover, budgetary medical institutions can use alcohol for the following purposes:
- for their own needs, in the process of performing their function;
- for the manufacture of medicines.
If you don't have your own pharmacy...
... alcohol from suppliers is received by financially responsible persons, senior nurses of departments (offices), chief (senior) nurses of outpatient clinics by proxy (f. No. M-2, No. M-2a). Note: their validity period is set for no more than the current quarter.
Alcohol received from suppliers is taken into account on the basis of the supplier's accompanying documents and stored in departments (offices).
Accounting for this specific asset is maintained by the chief (senior) nurse. At the end of each month, she submits a report to the accounting department in the form No. 2-MZ. It is approved by the head of the health care institution. Please note: you can write off alcohol only on the basis of correctly executed documents.
Losses of alcohol are written off according to the norms
Alcohol has its own characteristics. It is subject to natural decline. The norms of natural loss of alcohol are reflected in the documents:
- Order of the Ministry of Agriculture of Russia dated December 12, 2006 No. 463;
- Order of the Ministry of Health of Russia dated July 20, 2001 No. 284;
- Order of the Ministry of Health of the USSR dated August 30, 1991 No. 245.
Each of these documents contains the condition for writing off alcohol within the limits. They are used only in cases of detection of shortages during the inventory. Write-off in the absence of actual losses is not allowed.
The amount of natural wastage is determined according to the established form - Calculation of the natural wastage of medicines and medical devices (annex to order No. 284).
What about accounting entries?
In the budget accounting of medical institutions, the movement of alcohol is reflected in account 105 01 000 "Medicines and dressings" in accordance with the rules established by Instruction No. 25n. The lines will be like this:
www.budgetnik.ru
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ORDER of the Ministry of Health of the Russian Federation dated August 30, 1991 N 245 “On the standards for the consumption of ethyl alcohol for health care, education and social security institutions”
In order to improve the quality of medical care for the population and more rational use of alcohol, I affirm:
1. Standards for the consumption of ethyl alcohol for healthcare, education and social security institutions (Appendix 1).
2. Approximate norms for the consumption of ethyl alcohol for units of medical institutions (Appendix 2).
3. Approximate norms for the consumption of ethyl alcohol for medical procedures (Appendix 3).
1. To the Ministries of Health of the Union and Autonomous Republics, heads of regional, regional and city health authorities, main pharmacy departments and associations "Pharmacy" of the Ministries of Health of the Union Republics, regional, regional and city pharmacy departments (associations "Pharmacy"):
1.1. When determining the needs of healthcare, education and social security institutions in ethyl alcohol, be guided by the standards approved by this order (Appendix 1).
1.2. Develop and approve, if necessary, standards for the consumption of ethyl alcohol for individual institutions, departments and offices, as well as consumption rates for various medical procedures, taking into account the equipment used, treatment methods and the amount of work.
1.3. Grant the right to heads of healthcare institutions to distribute ethyl alcohol between departments and offices within the total volume of alcohol allocated to the institution, using, if necessary, the norms given in Appendix 2 of this order.
1.4. When distributing the needs of pharmacies in ethyl alcohol, the calculation should be made taking into account only the extemporaneous formulation.
1.5. Allow pharmacy departments (associations "Pharmacy") to distribute the total amount of alcohol for the manufacture of medicines among pharmacies, taking into account the specifics of the formulation, setting, if necessary, individual standards.
1.6. The release of ethyl alcohol to health care institutions is carried out on the basis of requirements signed by the head of the institution (department) and certified by the seal of the institution under a separate power of attorney, issued in the prescribed manner and giving the right to receive alcohol within one month. Alcohol is sold in weight measurement at a price set for medical institutions.
1.7. Establish that the heads of health care institutions are personally responsible for the correct appointment, storage, accounting and dispensing of ethyl alcohol and the rationality of its use.
3. To impose control over the implementation of this order on the Main Directorate of Public Health and Medical and Social Programs of the Ministry of Health of the USSR (comrade Karpeev A.A.) and on V / O Soyuzfarmatsiya (comrade Apazov A.D.).
I authorize you to reproduce the order in the required quantities and bring it to the attention of healthcare institutions.
Deputy Minister
A.M.MOSKVICHEV
Annex 1
to the order of the Ministry of Health of the USSR
dated August 30, 1991 N 245