It does not work Edition from 09.01.2001
| Document name | ORDER of the Ministry of Health of the Russian Federation dated 11/12/97 N 330 (as amended on 01/09/2001) "ON MEASURES TO IMPROVE ACCOUNTING, STORAGE, PRESCRIBING AND USE OF NARCOTIC MEDICINES" |
| Type of document | order, regulation, rules, requirements |
| Host body | Ministry of Health of the Russian Federation |
| Document Number | 330 |
| Acceptance date | 01.01.1970 |
| Revision date | 09.01.2001 |
| Date of registration in the Ministry of Justice | 01.01.1970 |
| Status | It does not work |
| Publication |
|
| Navigator | Notes |
ORDER of the Ministry of Health of the Russian Federation dated 11/12/97 N 330 (as amended on 01/09/2001) "ON MEASURES TO IMPROVE ACCOUNTING, STORAGE, PRESCRIBING AND USE OF NARCOTIC MEDICINES"
In order to streamline the accounting, storage, prescribing and use of narcotic medicines, I order:
1. Put into action:
Standard requirements for technical strengthening and equipping of premises with the storage of narcotic drugs with means of security and fire alarms (Appendix 1).
The form of a special prescription form for a narcotic drug (Appendix 2).
Estimated requirements for the need for narcotic drugs for outpatients and inpatients (Appendix 3).
Rules for the storage and accounting of narcotic drugs in pharmacies (Appendix 4).
Rules for the storage and accounting of narcotic drugs and special prescription forms in medical and preventive institutions (Appendix 5).
Regulations on the write-off and destruction of narcotic drugs and special prescriptions not used by cancer patients (Appendix 6).
Rules for the storage, accounting and dispensing of narcotic drugs and special prescription forms for narcotic drugs in pharmacy warehouses (bases) (Appendix 7).
Rules for the storage and accounting of narcotic drugs in control and analytical laboratories (Appendix 8).
Rules for the storage and accounting of narcotic drugs in research institutes, laboratories and educational institutions(Appendix 9).
Act for the destruction of used ampoules from narcotic drugs (Appendix 10).
The form of an extraordinary report submitted to the Ministry of Health of the Russian Federation on the theft and theft of drugs from pharmacies and medical and preventive institutions (Appendix 11).
2.2. Heads of health authorities and pharmaceutical organizations in the subjects of the Russian Federation:
2.1. Assign to the heads of medical and preventive institutions personal responsibility for accounting, safety, dispensing, prescribing and using narcotic drugs and special prescription forms, in accordance with Appendices 1-11 introduced by this Order.
2.2. Provide medical and preventive institutions with special prescription forms for narcotic drugs received from pharmacy warehouses (bases). The stock of special prescription forms of narcotic drugs in the health authorities and medical and preventive institutions should not exceed the monthly requirement.
2.3. Oblige the heads of medical and preventive institutions (or their deputies) to ensure that special prescription forms for narcotic drugs are stored only in a safe, the key to which must be kept by these heads; and exercise systematic control over the prescription of narcotic drugs and the established procedure for prescribing them (Appendix 2). It is categorically forbidden for doctors to issue, as well as write out prescriptions for narcotic drugs to patients suffering from drug addiction.
2.4. To oblige attending physicians to record the prescription and use of narcotic drugs in the case history indicating the name of the dosage form of the narcotic drug, its quantity and dosage.
2.5. To oblige attending physicians or doctors on duty to hand over used ampoules from narcotic drugs on the same day, except for weekends and public holidays, deputy head of the medical department, and in institutions where he is absent - to the head of the medical institution. The destruction of used ampoules is carried out by a commission chaired by the head with the execution of the relevant act in the prescribed form (Appendix 7).
3. When determining the need for narcotic drugs, the Standing Committee on Drug Control, heads of medical and preventive institutions, heads of research institutions should be guided by the consumption rates of narcotic drugs (Appendix 9).
4. Heads of health authorities and pharmaceutical organizations in the constituent entities of the Russian Federation to systematically organize checks on the correctness of the appointment and registration of persons admitted (including temporarily) to work on the receipt, storage, accounting and dispensing of narcotic drugs in pharmacies and medical and preventive institutions . In case of revealing the facts of violation of the order of appointment and admission of persons to work with narcotic drugs, the perpetrators shall be brought to strict liability in accordance with the legislation of the Russian Federation.
5. Heads of health authorities and pharmaceutical organizations in the constituent entities of the Russian Federation to bring this Order to the attention of medical and pharmaceutical workers, to constantly monitor its implementation.
6. To consider the Order of the Ministry of Health of the USSR dated December 30, 1982 N 1311 "On measures to eliminate serious shortcomings and further strengthen the fight against drug addiction, improve accounting, storage, prescribing and use of narcotic drugs" (Appendix 2 "Form of a special prescription form for a narcotic drug", Appendix 3 "Narcotic drug consumption rates", Appendix 4 "Form of an extraordinary report submitted to the USSR Ministry of Health on the theft and theft of drugs from pharmacies and medical and preventive institutions", Appendix 5 "Storage rules and registration of narcotic medicines in self-supporting pharmacies", Appendix 6 "Rules for the storage and accounting of narcotic medicines and special prescription forms in medical and preventive institutions", Appendix 7 "Rules for the storage, accounting and dispensing of narcotic medicines and special prescriptions blank forms for drugs in pharmacy warehouses", Appendix 8 "Rules for the storage and accounting of drugs in control and analytical laboratories of pharmacy departments", Appendix 9 "Rules for the storage and accounting of drugs in research institutes, laboratories and educational institutions of the healthcare system" , Annex 10 "Regulations on the write-off and destruction of narcotic drugs and special prescriptions not used by cancer patients", Annex 11 "Act on the destruction of used ampoules from narcotic drugs in healthcare institutions").
7. To impose control over the implementation of this Order on the Deputy Minister of Health Vilken A.E.
Minister
T.B. DMITRIEV
Annex 1
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
AGREED
Deputy Minister
internal affairs
Russian Federation
A.N. KULIKOV
March 5, 1993
AGREED
Chairman
Standing Committee
drug control
E.A. BABAYAN
March 4, 1993
1.1. These Requirements provide for technical strengthening measures and define the basic principles for the creation of multi-line security and fire alarm systems to protect premises (special storage facilities) with narcotic drugs included in the lists issued by the Standing Committee on Narcotics Control.
The requirements apply to designed, newly built and reconstructed storage facilities for narcotic drugs.<*>. The technical strength of premises with drugs, the protection agreements of which have already been concluded, must be brought into line with the requirements of this document within the time limits established in the acts of commission surveys.
<*>The requirements apply to premises for the storage of potent and toxic substances.
1.2. Commission inspections of drug storage facilities are carried out by representatives of health authorities, security units, the State Fire Supervision Service and other interested organizations. The commission, on the basis of current regulations and available documentation, determines the places of concentration of narcotic drugs, selects the best option for protecting the facility using signaling means, taking into account its telephone installation and power supply. During the survey, vulnerabilities in building structures (windows, doors, non-permanent walls, ceilings, floors, ventilation openings, etc.) are identified, the number of security and fire loops, devices, detectors, and sensors necessary to protect drug storage sites is determined.
Based on the results of the examination of the storage of narcotic drugs, an act of the prescribed form is drawn up, performers and deadlines for the performance of work are determined.
1.3. Preparation and performance of work on equipping the premises with drugs by OPS should be carried out in accordance with:
With technological maps and instructions for the installation of security alarm systems and devices;
C VSN 25-09.68-85 "Rules for the production and acceptance of work. Installation of security, fire and security - fire alarm";
With technical documentation for products;
With the requirements of PUE, SNiP 2.04.09-84 and SNiP 3.05.06-85.
2. Technical strength of structures of buildings and premises2.1. Premises with drugs must have walls equivalent in strength to brick walls with a thickness of at least 510 mm, floors and ceilings equivalent in strength to a reinforced concrete slab with a thickness of at least 100 mm.
2.2. Walls, ceilings, floors that do not meet the specified requirements, from the inside over the entire area, must be reinforced with steel gratings with a rod diameter of at least 10 mm and a mesh size of not more than 150 x 150 mm. Lattices are welded to anchors released from masonry walls or floor slabs with a diameter of at least 12 mm in increments of 500 x 500 mm.
If it is impossible to install anchors, it is allowed to fix embedded parts from a steel strip measuring 100 x 50 x 6 mm to reinforced concrete and concrete surfaces with four dowels.
2.3. Entrance doors drug storage facilities must comply with the requirements of GOST 6629-88, GOST 24698-81, GOST 24584-81, GOST 14624-84, be serviceable, fit well under the door frame, solid, at least 40 mm thick, have at least two mortise non-self-latching locks . The doors are upholstered on both sides with sheet iron with a thickness of at least 0.6 mm with a bend of the edges of the sheet on the inner surface of the door or on the end of the leaf with an overlap. The doorway from the inside is additionally protected by lattice metal doors made of steel bar with a diameter of at least 16 mm, with cells of no more than 150 x 150 mm, which are welded at each intersection. The design of the doorway (door frame) is made of steel profile. In existing storage facilities, wooden boxes are allowed, reinforced with steel corners measuring 30 x 40, at least 5 mm thick, fixed to the wall with reinforcing steel pins with a diameter of 10 - 12 mm and a length of 120 - 150 mm.
2.4. Window openings of premises with drugs from the inside or between the frames are equipped with metal bars, which are made of steel bars with a diameter of at least 16 mm and the distance between the bars vertically and horizontally is not more than 150 mm. The ends of the lattice rods are embedded into the wall to a depth of at least 80 mm and poured with concrete.
It is allowed to use decorative gratings or blinds, which should not be inferior in strength to the above gratings.
2.5. Drugs must be kept in safes. It is allowed to store drugs in metal cabinets in technically fortified premises. Safes (metal cabinets) must be kept closed. After the end of the working day, they must be sealed or sealed. Keys to safes, seals and ice-cream should be kept by financially responsible persons authorized to do so by orders from health authorities or institutions.
3. Equipping premises with storage of narcotic drugs with burglar alarms3.1. Drug vaults must be equipped with multi-line security alarm systems with each line connected to separate numbers of centralized monitoring consoles.
3.2. The building structures of the perimeters of the premises are protected as the first line of the alarm system - window and door openings, ventilation ducts, thermal inputs and other elements of the premises accessible for penetration from the outside. Doors are blocked on "opening" and "breach". The windows are protected by an alarm for "opening" and "breaking" the glass. Non-capital walls, ceilings, places for entering communications - to the "break". Capital walls, ventilation ducts - for "destruction" and "impact".
Blocking of building structures for "opening" (windows, doors) is recommended to be carried out by detectors of the SMK type, for the "destruction" of glass, foil, detectors of the "Window-1" type or similar are used. Non-capital walls (partitions) are protected against a "break" with a PEL wire. To block the main walls and ceiling of the room, it is recommended to use the "Gran-1" type detector, which allows you to detect the destruction of building structures made of brick at least 150 mm and concrete at least 120 mm thick. Vulnerable areas of the perimeters of the premises can be protected by optoelectronic detectors of the "Photon-2", "Photon-5" type, which form a detection zone in the form of a vertical barrier.
3.3. Additional alarm lines protect the internal volumes and areas of the premises, safes (metal cabinets) used to store drugs. For additional security lines, the choice of detectors is determined depending on the nature of the premises and the location of material assets in them. As devices and detectors for these purposes, ultrasonic, optoelectronic, radio wave, capacitive detectors "Echo-2.3", "Photon-1M.4", "Kvant-3", "Volna-2,M", " Fon-1", "Rif-M", "Peak", etc.
To increase the reliability of the alarm operation, it is recommended to use detectors of various operating principles.
3.4. In multi-line protection systems, it is necessary to use receiving and control devices that provide control of alarm loops in the event of a power failure. The use of receiving and control devices and detectors that have autonomous power supply or transition blocks to power supply from the centralized monitoring console via telephone lines together with on-site devices of the sealing equipment, which do not provide for backup power, is not advisable.
3.5. In addition to independent protection lines, it is recommended to equip safes (metal cabinets) directly with sensors - traps, which are included in the loop of an additional alarm line.
3.6. When the mains supply is switched off, the control panel, sensors and annunciators of one of the signaling lines must be able to operate. If there are no telephone lines in the storage facilities, it is necessary to use HF sealing of free distribution network lines, telephone lines of organizations, citizens' apartments located near the storage facility, or payphone lines.
3.7. At large facilities (bases, warehouses) with the storage of narcotic drugs, it is allowed to use the principle of "small centralization" with the installation of small-capacity concentrates at checkpoints with their connection to centralized monitoring panels.
3.8. The workplaces of personnel involved in drug transactions, as well as storage facilities, are equipped with an alarm system, which is intended to transmit alarm signals to the duty units of the internal affairs bodies and take measures in case of robbery v work time.
3.9. The fire alarm system must provide round-the-clock operation. Fire detectors are included in common or independent blocking loops connected to common or independent devices with alarm output to centralized monitoring panels or local sound and light signaling devices.
3.10. At facilities (in premises) with the storage of narcotic drugs, it is not allowed to use burglar alarm equipment that is not included in the List of technical means of security, security - fire and fire alarms recommended for use.
4. Compliance with the provisions of these Model Requirements is mandatory upon obtaining permission from the Standing Committee on Narcotics Control to possess narcotic drugs.
Annex 2
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
FORM \r\n OF A SPECIAL PRECISION FORM \r\n FOR A NARCOTIC DRUG \r\n \r\n A prescription for the right to receive a drug \r\n containing a narcotic substance \r\n \r\n AB N 495272 \r \n (stamp of a medical institution) \r\n \r\n ____________________________________ 19__ \r\n _____ Rp ___________________________________ \r\ndocument ____________________________________________ remains \r\nspecial ____________________________________________ in the \r\naccount ____________________________________________ pharmacy \r\n Reception __________________________________________ \r\n ____________________________________________ \r\n Gr. ________________________________________ \r\n Case history N __________________________ \r\n Physician _______________________________________ \r\n (clearly) \r\n M.P. \r\n To be filled in with ink \r\n Corrections are not allowed \r\n \r\n Note. Form of a previously approved sample Pink colour, \r\non watermarked paper. \r\n \r\n \r\n
Annex 3
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
(as amended by the Order of the Ministry of Health of the Russian Federation of 09.01.2001 N 2)
Table 1
CALCULATED STANDARDS FOR THE NEED FOR NARCOTIC MEDICINES
PER 1000 POPULATION PER YEAR (IN GRAM)
| N p / p | Name of medicines | Norm per 1000 people |
| 1. | Morphine hydrochloride | 0,3 |
| 2. | Promedol (trimeperidine) | 5,0 |
| 3. | Omnopon | 0,3 |
| 4. | Cocaine | 0,02 |
| 5. | Dionine (ethylmorphine) | 0,1 |
| 6. | Estocin hydrochloride | 0,3 |
| 7. | Codeine | 70,3 |
| 8. | Opium | 833,3 |
| 9. | Fentanyl | 0,006 |
Note. The standards are established by recalculating all dosage forms for a purely active substance, and therefore, when comparing the application with the estimated need according to the standards, all dosage forms containing these substances should be recalculated for a purely active drug.
Chairman
Standing Committee
drug control
E.A. BABAYAN
table 2
ESTIMATED REQUIREMENTS FOR NARCOTIC DRUGS PER BED PER YEAR
| N p / p | Name of the medical facility | Name of the narcotic medicinal product<**> | |||||||||||||
| morphine hydrochloride 1% (amp) | omnopon 1% - 1.0 (amp) | omnopon 2% - 1.0 (amp) | promedol 1% - 1.0 (amp) | promedol 2% - 1.0 (amp) | morphine-like total (amp) | fentanyl 0.005 2%<*>(amp) | promedol (gr) | promedol in the table. (pack) | estocin in the table. 0.015 (pack) | ethylmorphine hydrochloride (gr) | codeine and its salts (gr) | codeine cough tablets (pack) | cocaine hydrochloride (gr) | ||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 |
| 1 | Therapeutic | 3,0 | 0,5 | 2,0 | 0,5 | 5,0 | 11,0 | 0,4 | 0,25 | 1,5 | 0,6 | 0,5 | 0,2 | 5,0 | |
| 2 | Gastroenterological | 3,0 | 0,5 | 0,5 | 5,5 | 9,5 | 1,0 | 0,5 | 2 | ||||||
| 3 | Cardiology | 1,0 | 0,5 | 1,5 | 0,5 | 5,5 | 9,0 | 1,5 | 1,0 | 2,0 | 1,0 | ||||
| 4 | Pulmonary | 1,0 | 1,0 | 2,0 | 1,0 | 6,0 | 11,0 | 0,5 | 0,06 | 0,2 | 4,0 | ||||
| 5 | Allergological | 1,0 | 1,0 | 1,0 | |||||||||||
| 6 | Endocrinological | 0,6 | 1,0 | 1,6 | 3,0 | 0,01 | 0,1 | ||||||||
| 7 | Nephrological | 3,0 | 0,5 | 0,5 | 5,5 | 9,5 | 1,0 | 0,5 | 1,5 | ||||||
| 8 | Hematological | 2,5 | 2,0 | 12,0 | 4,0 | 36,0 | 56,5 | 5,0 | 0,5 | 0,3 | 1,5 | ||||
| 9 | Occupational pathology | 1,0 | 1,0 | 2,0 | 0,5 | 6,0 | 10,0 | 0,06 | 0,2 | 3,0 | |||||
| 10 | Surgical | 6,0 | 1,5 | 8,5 | 7,0 | 58,0 | 81,0 | 6,0 | 0,4 | 1,0 | 0,2 | 0,4 | 0,3 | 6,0 | 0,04 |
| 11 | Traumatological | 3,0 | 1,0 | 5,0 | 3,0 | 21,0 | 33,0 | 2,0 | 0,5 | 0,5 | 3,0 | 0,03 | |||
| 12 | Orthopedic | 0,2 | 1,0 | 4,0 | 5,2 | ||||||||||
| 13 | Urological | 5,0 | 0,5 | 5,0 | 4,0 | 31,0 | 45,0 | 7,0 | 0,3 | 0,07 | 0,2 | 3,0 | |||
| 14 | Thoracic Surgery | 2,0 | 5,0 | 20,0 | 150,5 | 177,0 | 5,0 | 0,2 | 5,0 | ||||||
| 15 | Burn | 9,5 | 3,0 | 13,0 | 15,0 | 115,0 | 155,5 | 11,0 | 0,6 | 4,0 | 0,2 | 0,3 | 0,5 | 5,0 | 0,5 |
| 16 | resuscitation | 9,0 | 1,0 | 10,0 | 20,0 | 145,0 | 185,0 | 100,0 | |||||||
| 17 | infectious | 2,0 | 3,0 | 2,0 | 31,0 | 5,0 | 43,0 | 0,2 | 1,0 | 0,3 | 7,5 | ||||
| 18 | For pregnant women and women in childbirth | 4,0 | 0,5 | 1,0 | 6,0 | 4,0 | 15,5 | 1,0 | 1,0 | 0,25 | 1,0 | ||||
| 19 | Pathologies of pregnant women | 0,5 | 0,5 | 0,1 | |||||||||||
| 20 | Gynecological | 3,0 | 2,5 | 9,0 | 2,5 | 14,0 | 31,0 | 4,0 | 7,0 | 0,9 | 0,05 | 1,5 | |||
| 21 | neurological | 0,5 | 0,5 | 2,0 | 1,0 | 4,0 | 0,6 | 0,3 | 0,45 | 0,6 | 1,5 | 0,03 | |||
| 22 | Psychiatric | 0,2 | 0,2 | 0,4 | 0,15 | 0,4 | 0,1 | ||||||||
| 23 | Ophthalmic | 0,3 | 0,5 | 0,5 | 0,5 | 4,0 | 5,8 | 1,0 | 0,3 | 0,2 | 0,7 | 1,5 | 0,2 | ||
| 24 | Otolaryngological | 2,0 | 6,0 | 0,5 | 3,5 | 12,0 | 0,6 | 0,3 | 1,3 | 2,5 | 3,0 | ||||
| 25 | Dermatovenerological | 0,1 | 0,1 | 0,1 | 4,0 | ||||||||||
| 26 | tuberculosis | 2,0 | 1,5 | 1,0 | 2,0 | 6,5 | 0,1 | 1,2 | 0,2 | 0,35 | 4,0 | 0,01 | |||
| 27 | Narcological | 0,1 | |||||||||||||
| 28 | Pediatric | 0,2 | 0,1 | 0,3 | 0,3 | 1,2 | 0,05 | 1,0 | 1,0 | ||||||
| 29 | Oncological | 2,5 | 15,5 | 2,0 | 60,0 | 80,0 | 10,0 | 0,5 | 0,4 | 1,7 | |||||
| 30 | Radioradiological | 0,5 | 2,5 | 12,0 | 3,0 | 7,0 | 26,0 | 1,0 | 0,1 | ||||||
| 31 | reception | 0,1 | 0,25 | 0,38 | 0,45 | ||||||||||
| 32 | In a rural district hospital, including an outpatient appointment | 10,0 | 1,0 | 6,0 | 2,0 | 7,0 | 26,0 | 20,0 | 0,2 | 0,2 | 0,2 | 0,5 | 6,0 | 0,1 | |
| 33 | Polyclinic and outpatient clinic | 2,0 | 0,7 | 0,3 | 1,0 | 2,0 | 6,0 | 0,5 | 0,2 | 2,0 | 0,04 | ||||
| 34 | Dental clinic | 0,2 | 0,3 | 0,3/ 0,3 | - / 0,5 | 0,35/ 0,85 | - / 1,0 | 0,2 | |||||||
| 35 | Oncology Center | 140 | 55,0 | 80,0 | 275,0 | ||||||||||
| 36 | Tuberculosis dispensary | 1,0 | 0,5 | 1,0 | 3,0 | 3,5 | |||||||||
| 37 | For 1000 cases of emergency medical care. help | 14,0 | 7,0 | 39,0 | 60,0 | 2,5 | 1,5 | ||||||||
<*>The consumption rate of fentanyl 0.005% per patient operated under general anesthesia is within 18 ampoules.
<**>The standards for prosidol for medical practice in surgical, traumatological, oncological, dental, gynecological, medical and preventive institutions are approved by analogy with the calculated standards for promedol.
Notes:
1) The heads of the health authorities of the constituent entities of the Russian Federation are allowed, on the proposals of the heads of medical and preventive institutions, to increase the calculation standards given in this table, but not more than 1.5 times.
(as amended by the Order of the Ministry of Health of the Russian Federation of 09.01.2001 N 2)
2) Heads of medical and prophylactic institutions are allowed to redistribute between the departments the narcotic drugs indicated in this table within the limits of the general standard of need for the institution for each item.
(as amended by the Order of the Ministry of Health of the Russian Federation of 09.01.2001 N 2)
3) If there are medical indications for the relief of severe pain in the departments of medical institutions indicated in this table, it is allowed to use non-invasive forms of narcotic drugs in quantities corresponding to medical indications and the patient's condition.
(as amended by the Order of the Ministry of Health of the Russian Federation of 09.01.2001 N 2)
Chairman
Standing Committee
drug control
E.A. BABAYAN
Table 3
CALCULATION STANDARDS
REQUIREMENTS FOR NARCOTIC MEDICINES PER BED PER YEAR FOR THE ONCOLOGICAL DEPARTMENT (WARD) OF PALLIATIVE CARE IN THE MEDICAL AND PREVENTIVE INSTITUTION AND HOSPICE
(as amended by the Order of the Ministry of Health of the Russian Federation of 09.01.2001 N 2)
| N p / p | Name of the medicinal product | Release form and dosage | Quantity |
| 1 | 2 | 3 | 4 |
| 1. | Buprenorphine | Sublingual tablets 0.2 mg | 157.5 tab. |
| Injection, | |||
| ampoules 0.3 mg in 1 ml | 105 ampoules | ||
| ampoules 0.6 mg in 1 ml | 52.5 amp. in total<*>- 94.5 mg | ||
| 2. | Dihydrocodeine - retard | Tablets for oral administration | |
| 60 mg | 158.7 tab. | ||
| 90 mg | 105.8 tab. | ||
| 120 mg | 79.3 tab. in total<*>- 28.56 gr. | ||
| 3. | Dipidolor (pyritramide) | Solution for injection, ampoules 0.75%, 2 ml | 210 amp. |
| 4. | Morphine sulfate (MCT continus or other analogues with a duration of action of at least 12 hours) | Extended-release tablets for oral administration | |
| 10 mg | 120 tab. | ||
| 30 mg | 40 tab. | ||
| 60 mg | 20 tab. | ||
| 100 mg | 12 tab. | ||
| 200 mg | 16 tab. in total<*>- 6.0 gr. | ||
| 5. | Morphine hydrochloride | Tablets for oral administration | |
| 10 mg | 63 tab. | ||
| 63 ampoules in total<*>- 1.26 gr. | |||
| 6. | Omnopon | Injection, | |
| ampoules 1%, 1 ml | 60 ampoules | ||
| ampoules 2%, 1 ml | 30 ampoules in total<*>- 1.2 gr. | ||
| 7. | Promedol (trimeperidine hydrochloride) | Injection, | |
| ampoules 1%, 1 ml | 40 ampoules | ||
| ampoules 2%, 1 ml | 20 ampoules | ||
| Tablets for oral administration | |||
| 25 mg | 126 tab. in total<*>- 4.95 gr. | ||
| 8. | Prosidol | Tablets for buccal administration | |
| 10 mg | 765 tab. | ||
| 20 mg | 382.5 tab. | ||
| 25 mg | 306 tab. | ||
| Solution for injection, ampoules 10 mg in 1 ml | 191.3 amp. in total<*>- 24.86 gr. | ||
| 9. | Fentanyl - transdermal dosage form | Patch | |
| 25 mcg/hour | 7.5 layer. | ||
| 50 mcg/hour | 3.75 layer. | ||
| 75 mcg/hour | 2.5 layer. | ||
| 100 mcg/hour | 1.9 layer. | ||
| V medicinal purposes the patch is not subject to crushing in total<*>- 750 mcg/hour |
<*>In terms of pure active substance.
Note. For each of the paragraphs of this Annex, it is allowed to exceed the amount of a specific dosage form of the medicinal product within the specified total amount in terms of pure active ingredient.
Chairman
Standing Committee
drug control
E.A. BABAYAN
Table 4 - Repealed.
(as amended by the Order of the Ministry of Health of the Russian Federation of 09.01.2001 N 2)
Appendix 4
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
1. In pharmacies, narcotic drugs should be kept in safes.
2. During working hours, the pharmacist-technologist must have the key to the safe with narcotic drugs located in the assistant's room. Safes after the end of the working day are sealed or sealed, and the keys to them, the seal and the ice cream must be kept by a financially responsible person authorized to do so by order of the pharmacy.
The windows of material rooms where narcotic medicines are stored must have metal bars, and the doors must be upholstered with iron. After work is completed, these rooms are locked and sealed by a materially responsible person.
3. Material rooms and safes in which narcotic medicinal products are stored must have a security light and sound alarm.
Access to the room where stocks of narcotic medicines are stored is allowed to persons directly working with them, which is formalized by a permit from the ATC and an order from the pharmacy. The admission is issued a second time when one of the employees changes.
4. The issuance of narcotic drugs to the assistant's room for current work should be carried out from the material room only by a financially responsible person authorized to do so.
5. The stock of narcotic medicines in pharmacies, regardless of the organizational and legal form and form of ownership, should not exceed the monthly requirement. For pharmacies remote from supply bases, the stock of these funds is established by the governing bodies of pharmaceutical (pharmacy) organizations in the constituent entities of the Russian Federation.
6. In the assistant room of pharmacies, stocks of narcotic drugs should not exceed five days' requirement.
7. In duty pharmacies, during night duty, the pharmacist, if necessary, uses narcotic drugs that are in a sealed and sealed safe. After the end of duty, he reports to the financially responsible person responsible for accounting and storage of narcotic drugs.
8. Narcotic medicinal products are subject to quantitative accounting in a special book, numbered, laced, sealed and certified by the signature and seal of the management body of the pharmaceutical (pharmacy) organizations of the subject of the Russian Federation in the attached form.
The book runs for a year. The first page indicates the drugs that are subject to subject - quantitative accounting. For each dosage form, dosage, packaging of the medicinal product, a separate sheet (spread) is assigned. Units of account for each drug are indicated. Corrections are crossed out and certified by the signature of the financially responsible person. The receipt is reflected for each receipt document separately, indicating the number and date. The expense is recorded in daily totals (daily entries) and subdivided into outpatient prescription leave and leave to medical and preventive institutions, pharmacies and pharmacy departments.
9. On the 1st day of each month, the authorized financially responsible person checks the actual availability of narcotic medicines with the book balance. When inventorying the inventory of a pharmacy (pharmacy department), the actual balances of narcotic drugs are established, for which a separate inventory list is drawn up. In the event of deviations in the removal of the actual balances from the book data, the head of the pharmacy is obliged to immediately inform the governing body of pharmaceutical (pharmacy) organizations of the constituent entity of the Russian Federation about this in writing, which must conduct an internal investigation within 3-5 days.
Used narcotic prescription forms must be kept in a safe in a filed, sealed, laced for months and years form for five years.
10. Regularly 2 times a year, in accordance with the established procedure, expired narcotic drugs handed over by relatives of patients, as well as fights and marriages, are subject to write-off and destruction in the presence of representatives of the pharmaceutical (pharmacy) service, ATC and sanitary supervision (Appendix 6).
Boss
Support Department
drug organizations
and medical technology
T.G. KIRSANOV
Chairman
Standing Committee
drug control
E.A. BABAYAN
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
| Month | Remaining on 1 number | Coming | Types of expense | Consumption | Monthly calculation for each type separately | Total per month for all types of expenses | book balance | Actual balance | ||||||||||||||||
| number | in just a month upon arrival with the balance | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 etc. | |||||||||
| January | outpatient recipe | |||||||||||||||||||||||
| medical institutions, pharmacies, departments, departments of pharmacies | Signature of the responsible person | |||||||||||||||||||||||
| February | Also | Signature of the responsible person | ||||||||||||||||||||||
Chairman
Standing Committee
drug control
E.A. BABAYAN
Annex 5
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
1. The pharmacies of medical and preventive institutions are subject to the rules for storage, accounting and dispensing of narcotic medicinal products, provided for pharmacies serving the population.
2. Medical and prophylactic institutions that do not have their own pharmacies should receive narcotic drugs only in the form of finished dosage forms manufactured by industry or a pharmacy.
Medicinal products containing narcotic medicinal products obtained from pharmacies must be marked on the label: "Internal", "External", "For injection", "Eye drops", etc., the name or number of the pharmacy that manufactured the medicine, the name of the department (office), the composition of the medicine in accordance with the prescription specified in the requirement of the medical institution, the date of manufacture, N of analysis, the expiration date and the signature of the persons who manufactured, checked and dispensed the medicine from the pharmacy.
In the absence of the listed designations on the packages of drugs containing a narcotic drug, their storage and use in medical and preventive institutions is not allowed. Packaging, scattering, pouring and transferring to the container of the department (office), as well as replacing labels, is strictly prohibited.
The labels of medicines containing narcotic medicines must be stamped in black ink "Poison".
Narcotic drugs must be stored in closed, sealed and sealed safes.
On the inside of the safe door there should be a list of narcotic drugs indicating the highest single and daily doses.
3. Narcotic medicinal products for parenteral, internal and external use should be stored separately.
4. Stocks of narcotic medicines in departments (offices) are determined by the head of a medical and preventive institution and should not exceed a 3-day requirement for them, and in pharmacies of medical and preventive institutions - a monthly requirement.
5. To provide emergency medical care in the evening and at night for health reasons, it is allowed to create a five-day reserve of narcotic drugs in the emergency departments of hospitals. The specified reserve can be used with the permission of the responsible doctor on duty in all departments of the hospital.
Registration of used drugs can be carried out after providing assistance to the patient, in the manner prescribed by paragraph 7 of this Order.
6. Responsible for the storage and distribution of narcotic medicinal products to patients are the head of the medical and preventive institution or his deputies, as well as persons authorized to do so by order of the institution.
7. Oral administration of narcotic drugs should be carried out only in the presence of a nurse.
8. Medical and prophylactic institutions should have tables of higher single and daily doses of narcotic drugs, as well as tables of antidotes for poisoning by them, in places of storage and at the posts of doctors and nurses on duty.
9. All narcotic drugs are subject to quantitative accounting in departments and offices of medical and preventive institutions.
Accounting should be kept in a special book, numbered, laced, sealed and sealed with the signature of the head of the institution according to the attached form.
10. Accounting for special prescription forms for narcotic drugs is kept in a journal, numbered, laced, sealed and sealed with the signature of the head in the attached form.
Special prescription forms for narcotic drugs upon admission to medical and preventive institutions are accepted by a commission appointed by the head of the institution, and in accordance with the act admission committee are recorded in the register of special prescription forms for narcotic drugs.
By order of the head of the institution, a person is appointed responsible for receiving, storing, accounting and issuing special prescription forms for narcotic drugs.
11. In each medical and preventive institution, a permanent commission is created, authorized by order of the head of the institution to check at least once a month the expediency of prescribing narcotic drugs by attending physicians, as well as the state of storage, accounting and consumption of narcotic drugs and special prescription forms in this institution. The quantities of prescribed drugs in the prescription must be indicated in words.
12. The stock of special prescription forms in medical and preventive institutions for current needs should not exceed the monthly requirement. Their surplus should be handed over to the health authorities of the constituent entities of the Russian Federation.
The attending physician is allowed to issue, if indicated, a special prescription form (forms) for narcotic drugs for a specific patient with the permission of the deputy head of the medical institution for medical purposes.
13. Stocks of special prescription forms for narcotic drugs are stored only in a closed and sealed safe, the key to which must be kept by the head of the institution or a person authorized by him to do so by order of the institution.
14. The heads of medical and preventive institutions bear full responsibility for the rational use and safety of narcotic drugs and special prescription forms for their prescribing.
Boss
Organization management
drug provision
and medical technology
T.G. KIRSANOV
Boss
Organization management
medical care to the population
A.I. VYALKOV
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
| Product name ___________________________________________________________________________ |
| Unit of measurement _________________________________________________________________________ |
| Coming | Consumption | Surname, name, patronymic, signature of the releaser | Remainder | |||||
| date of receiving | supplier, N and date | the amount of the drug | surname, name, patronymic, signature of the recipient | the amount of the drug | N medical history last name, first name, patronymic of the patient | date of issue | the amount of the drug | |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
Chairman
Standing Committee
drug control
E.A. BABAYAN
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
| N p / p | Coming | Consumption | Full name of the issuer | Remainder | ||||||||
| date of receipt of the document | supplier, date and document N | total number of forms | N series | number | date of issue | N series | number | issued by: full name of the doctor | recipient's signature | |||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 |
Chairman
Standing Committee
drug control
E.A. BABAYAN
Appendix 6
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
1. Regularly 2 times a year, in accordance with the established procedure, expired narcotic drugs handed over by relatives of patients, as well as fight and marriage, are subject to write-off and destruction in the presence of representatives of the management body of pharmaceutical organizations in the constituent entities of the Russian Federation, ATC and sanitary supervision.
2. In order to prevent the misuse of narcotic drugs left after the death of cancer patients at home, the heads of institutions should organize a record of unused prescriptions and leftover narcotic drugs handed over by relatives. An order for a medical and preventive institution is assigned to the employee responsible for issuing death certificates, receiving unused prescriptions from relatives of a deceased oncological patient, and remnants of medicines containing narcotic medicines. This employee must reconcile the consumption of the drug from the moment of receipt of the next prescription recorded in the outpatient card. The number of submitted prescriptions and drugs, their names and dosage forms (ampoules, tablets, powders) are recorded in a special journal, numbered, laced, signed by the head of the institution and sealed with a round seal. The journal form is attached.
Submitted prescriptions and preparations shall be stored in a safe until they are destroyed.
3. As powders, tablets and ampouled narcotic drugs are accumulated, no later than the 30th day of each month, in the presence of a permanent commission of a medical and preventive institution for monitoring the accounting and consumption of narcotic drugs, they are destroyed: powders and tablets by burning, ampouled drugs crushing.
In the register of unused narcotic drugs and prescriptions for their prescribing, a note is made on the number of destroyed drugs. An act is drawn up on the destruction in the form (the form of the act is attached). The act is approved by the chief physician of the medical and preventive institution.
Chairman
Standing Committee
drug control
E.A. BABAYAN
Boss
Organization management
providing medical
assistance to the population
A.I. VYALKOV
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
| N p / p | receipt date | Full name, address of the patient | Total number of recipes | Incl. by numbers | Name of surrendered narcotic substances | Number of ampoules, powders, tablets | Surname and signature of the applicant | Surname and signature of the recipient | A note on the quantity and method of destruction |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
5) _____________________________________________________ \r\n in powders \r\n 1) _____________________________________________________ (gr.) \r\n 2) _____________________________________________________ \r\n 3) _____________________________________________________ \r\n in tablets \r\n 1) _____________________________________________________ (pcs. ) \r\n 2) _____________________________________________________ \r\n Medicines were destroyed in the following way: by crushing - \r\nampoules, powders and tablets - by burning. \r\n \r\n Chairman (signature) \r\n Commission members: (signature) \r\n (signature) \r\n (signature) \r\n \r\n<*>Mandatory participation in the commission of representatives of the \r\nMinistry of Internal Affairs, the management of pharmaceutical organizations in the subjects of the \r\nRussian Federation and sanitary supervision. \r\n \r\n Chairman \r\n Standing Committee \r\n on Drug Control \r\n E.A. BABAYAN
Annex 7
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
1. Narcotic medicinal products, regardless of the dosage form, must be stored in warehouses (bases) authorized by the Standing Committee on Narcotics Control (PCKN) to work with them. Premises for the storage of narcotic medicinal products must meet the current standard requirements for technical strength (Appendix 1).
2. The room for storage of narcotic medicinal products upon completion of work must be locked and sealed or sealed, and the keys, seal and seal must be kept by the financially responsible person responsible for the storage of narcotic medicinal products.
3. Responsibility for the organization of proper storage, the safety of narcotic drugs and special prescription forms lies with the head of the pharmacy warehouse (base).
4. Access to the room where narcotic drugs and special prescription forms are stored is allowed only to persons directly working with them, which is issued by order of the head of the warehouse (base) and a special permit from the ATC.
5. Upon receipt of narcotic medicinal products, the head of the warehouse (base) or his deputy is obliged to personally check the compliance of the received quantities with the accompanying documents.
6. Narcotic drugs are released from the warehouse (base) only in a sealed form, with a label affixed to each package indicating the sender, the name of the content and the number of the analysis.
7. Dispensing of narcotic medicines must be carried out in accordance with the requirements signed by the head of the institution or his deputy and certified by the seal of the institution.
All claims and invoices for narcotic medicinal products must be issued separately from claims and invoices for other medicinal products, indicating quantities in words.
8. The issuance of narcotic medicinal products is carried out under a separate power of attorney, drawn up in the prescribed manner, indicating the name of the drugs received and their quantity in words. The power of attorney is valid for 15 days.
9. Before dispensing narcotic medicinal products, the financially responsible person must personally check the basis for dispensing, the compliance of the dispensed narcotic medicinal product with the accompanying document, the correctness of packaging and sign the copy of the invoice left in the warehouse (base).
10. Narcotic drugs are dispensed from pharmacy warehouses (bases) only for medical purposes to medical and preventive and pharmaceutical (pharmacy) organizations, as well as research institutions and medical educational institutions with hospital beds.
11. Narcotic medicinal products, regardless of the dosage form, are accounted for in warehouses (bases) in a numbered and laced book (according to the attached form), affixed with a wax seal and signed by the head of the management body of pharmaceutical organizations of the subject of the Russian Federation.
12. All documents on the receipt and consumption of narcotic medicinal products in the warehouse (base) must be stored in a closed and sealed safe with the person responsible for their storage, in accordance with the established storage periods.
13. Storage in pharmacy warehouses (bases) of narcotic medicinal products not permitted for use in medical practice in the Russian Federation is prohibited.
14. Transportation of narcotic medicinal products is carried out in accordance with the current special rules.
MonthChairman
Standing Committee
drug control
E.A. BABAYAN
Appendix 8
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
1. Narcotic drugs used by the control and analytical laboratory must be stored in closed sealed safes.
2. The head of the laboratory (center), his deputy or a person authorized to do so by order of the institution is responsible for the storage of narcotic medicinal products. He must have the keys to the safe where drugs are kept.
3. Narcotic drugs or medicines containing them, issued to a pharmacist-analyst for analysis, are stored in isolation under lock and key at the chemist-analyst.
4. Narcotic medicinal products coming for analysis from pharmaceutical organizations (pharmacy warehouses, bases, pharmacies), upon completion of the analysis, are stored for 3 months, after which their remains are returned to pharmaceutical organizations.
Rejected narcotic medicinal products after the expiration of the storage period are destroyed in accordance with the current rules.
The remains of dosage forms containing narcotic drugs are stored:
a) received from city pharmacies within 10 days;
b) received from rural pharmacies within 20 days, after which they are destroyed with the participation of a representative of a higher organization, which is formalized by an act on the laboratory.
5. Narcotic drugs, regardless of the dosage form, entering the laboratory for analysis, are subject to quantitative accounting in separate numbered and laced books (according to the attached form), certified by the seal and signature of the head of the higher organization.
| Coming | Consumption | |||||||||||
| N p / p, i.e. N analysis | receipt date | pharmaceutical organization and document N | N series or samples | number | date | initial quantity | date of analysis | amount used | remainder of the analysis | a note on the transfer to the warehouse or destruction of the remainder of the analysis | F.I.O. laboratory (center) | Full name of the chemist - analyst performing the analysis |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 |
Chairman
Standing Committee
drug control
E.A. BABAYAN
Appendix 9
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
1. Narcotic drugs must be stored in research institutions, laboratories and educational institutions in a separate room in a closed, sealed safe.
2. The windows of the room where drugs are stored must have iron bars, and the doors must be upholstered with iron.
3. Rooms, safes in which narcotic drugs are stored, at the end of the working day, must be locked, sealed or sealed.
Keys to rooms and safes where narcotic drugs are stored, as well as a seal or ice cream, must be kept by a financially responsible person authorized to store these drugs by order of the institution.
4. Responsibility for the correct storage and organization of work with narcotic medicinal products and documents for them rests with the head of the institution or his deputy.
5. Responsibility for the correct use of drugs issued for practical training with students in educational institutions lies with the teacher workshops with students.
Storage of narcotic drugs in classrooms after the end of training sessions is not allowed.
6. Upon receipt of narcotic drugs, the head of the institution or his deputy are obliged to personally verify the compliance of the received narcotic drugs with the accompanying documents.
7. Access to the room where stocks of narcotic drugs are stored is allowed to persons directly working with them, which is formalized by order of the institution.
8. The release of narcotic drugs for current work is carried out only with the written permission of the head of the department or his deputy upon a request signed by him, indicating the name and position of the person receiving this drug.
9. Before dispensing narcotic drugs, the person responsible for their storage must personally check the justification for dispensing and the correctness of the accompanying documents and the quality of the packaging, and then sign the copy of the demand.
10. Accounting for narcotic drugs is kept in separate books, numbered, laced and certified by the seal and signature of the head of the parent organization in the attached form.
To obtain narcotic drugs, one should be guided by the rules specified in paragraphs 7, 8 of Appendix 7 of this Order.
Boss
Organization management
drug provision
and medical technology
T.G. KIRSANOV
Chairman
Standing Committee
drug control
E.A. BABAYAN
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
| (name of institution) |
Appendix 11
APPROVED
Order of the Ministry
health care
Russian Federation
dated November 12, 1997 N 330
| N | What is reported | Contents of the report | Who represents | Submission order |
| Emergency notification of theft and theft of narcotic drugs from pharmaceutical (pharmacy) organizations and medical and preventive institutions | The name of the institution and its address. Availability of special means to ensure the safety of narcotic drugs (burglar alarm, private security, sentry security, no security). Characteristics of the building (built according to a standard project, adapted building, brick, wooden). Methods of storing narcotic drugs (in a specially equipped room, in a safe, in a metal cabinet, etc. Presence of bars on the windows of the room (yes, no). Date of the theft. Method of entry of criminals into the room. Name of stolen drugs and their quantity. about theft to the internal affairs bodies | Head of the health management body, pharmaceutical organizations of the constituent entity of the Russian Federation | An emergency notice is sent to the PKKN, the Ministry of Health of the Russian Federation with a copy of the report to the territorial internal affairs authorities |
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Current edition
Order of the Ministry of Health of Russia dated November 12, 1997 N 330
On measures to improve accounting, storage, prescribing and use of narcotic drugs and psychotropic substances (not subject to state registration)
↯ More articles in the journal
In order to streamline the accounting, storage, prescribing and use of narcotic drugs (NA) and psychotropic substances (PS), I order:
Approve: |
||||
| Standard requirements for technical reinforcement and equipping of premises with NS storage with fire alarm means (Appendix 1) | ||||
| The form of a special prescription form for NA and PV (Appendix 2). |
Has become invalid on the basis of the order of the Ministry of Health and Social Development of Russia dated November 17, 2010 N 1008n. |
|||
| Calculated standards for the need for NS and PV for outpatients and inpatients "(Appendix 3). (as amended on May 16, 2003) | ||||
| Rules for the storage and accounting of NA and PV in pharmacies (Appendix 4). | ||||
| Rules for the storage and accounting of NS and PV and special prescription forms in medical institutions (Appendix 5) | ||||
| Regulations on the write-off and destruction of NS and PV and special prescriptions not used by cancer patients. (Annex 6) | ||||
| Rules for the storage, accounting and dispensing of NA and PV and special prescription forms for narcotic drugs in pharmacy warehouses (bases) (Appendix 7) | ||||
| Rules for storage and accounting of NS in control and analytical laboratories (Appendix 8) | ||||
| Rules for the storage and accounting of NS in research institutes, laboratories and educational institutions (Appendix 9) | ||||
| Act for the destruction of used ampoules from under the NA and PV. (Annex 10) | ||||
| The form of an extraordinary report submitted to the Ministry of Health of the Russian Federation on the theft and theft of drugs from pharmacies and medical institutions (Appendix 11). | ||||
- Heads of health authorities and pharmaceutical organizations in the constituent entities of the Russian Federation:
2.1. Assign to the heads of medical institutions the personal prescription and use of narcotic drugs and psychotropic substances and special prescription forms, in accordance with annexes 1-11 introduced by this order;
2.2. Provide medical institutions with special prescription forms for narcotic drugs and psychotropic substances obtained from pharmacy warehouses (bases). on NS and PV in health authorities and medical institutions should not exceed the monthly requirement;
2.3. Oblige (or their deputies) to ensure the storage of special prescription forms for narcotic drugs only in a safe, the key to which should be kept by these managers; and exercise systematic control over the appointment of NA and PV and the established procedure for their issuance (Appendix 2). Categorically prohibit doctors from issuing, as well as writing prescriptions for NSAIDs, suffering from drug addiction;
2.4. To oblige attending physicians to make prescriptions and use of narcotic drugs and psychotropic substances, regardless of the dosage form, with entries in the medical history and prescription sheet indicating the name of the dosage form of the narcotic drug and psychotropic substance, its quantity and dosage;
2.5. To oblige attending or on-duty doctors to hand over used and psychotropic substances on the same day, except for weekends and holidays, to the deputy head of the medical department, and in institutions where he is absent to the head of the medical institution. The destruction of used ampoules should be carried out at least once every 10 days by a commission chaired by the head with the execution of the relevant act in the prescribed form (Appendix 10).
- The Standing Committee on Drug Control, heads of medical institutions, heads of research institutions, when determining the need for NA and PV, should be guided by the norms for the consumption of narcotic drugs and psychotropic substances (Tables 2 and 3).
- Heads of health authorities and pharmaceutical organizations in the constituent entities of the Russian Federation systematically organize checks on the correctness of the appointment and registration of persons admitted (including temporarily) to work on receipt in pharmacy and medical institutions. In case of revealing the facts of violation of the procedure for appointing and admitting persons to work with the NS and PV, the perpetrators shall be brought to strict liability in accordance with the legislation of the Russian Federation.
- Heads of health authorities and pharmaceutical organizations in the constituent entities of the Russian Federation to bring this order to the attention of medical and pharmaceutical workers, to constantly monitor its implementation.
- To consider as invalid on the territory of the Russian Federation the order of the Ministry of Health of the USSR dated December 30, 1982 No. 1311 "On measures to eliminate serious shortcomings and further strengthen the fight against drug addiction, improve accounting, storage, prescribing and use of narcotic drugs":
- Appendix 2 "Form of a special prescription form for a narcotic drug";
- Annex 3 "Consumption rates for narcotic drugs";
- Annex 4 "Form of an extraordinary report submitted to the Ministry of Health of the USSR on the theft and theft of drugs from pharmacies and medical institutions";
- Annex 5 "Rules for the storage and accounting of narcotic drugs in self-supporting pharmacies";
- Appendix 6 "Rules for the storage and accounting of narcotic drugs and special prescription forms in medical institutions";
- Appendix 7 "Rules for the storage, accounting and dispensing of narcotic drugs and special prescription forms for narcotic drugs in pharmacy warehouses";
- Annex 8 "Rules for the storage and accounting of narcotic drugs in control and analytical laboratories of pharmacy departments";
- annex 9 "Rules for the storage and accounting of narcotic drugs in research institutes, laboratories and educational institutions of the healthcare system";
- annex 10 "Regulations on the write-off and destruction of narcotic drugs and special prescriptions not used by cancer patients";
- Annex 11 "Act for the destruction of used ampoules from narcotic drugs in healthcare institutions").
- Control over the implementation of this order shall be entrusted to the Deputy Minister of Health Vilken A.E.
Minister T.B.Dmitrieva
1. Store in a safe, the key is in the pocket of the responsible nurse. On the inner wall of the safe door there is a list of medicines, the highest single doses, the highest daily doses and tables of antidotes. Narcotic drugs and psychotropic substances for parenteral, internal and external use should be stored on different shelves. The safe must be sealed, attached to the floor or wall.
2. Places of storage of narcotic and psychotropic medicines that require protection from elevated temperatures (refrigerator, refrigerator, thermal container) must be equipped with temperature and humidity meters and logs for recording these parameters.
3. Poor-quality narcotic drugs and psychotropic substances, as well as those handed over by relatives of deceased patients, until they are written off and destroyed, must be stored on a separate shelf of a safe or a separate compartment of a safe or a metal cabinet.
4. Draw into a syringe, inject the drug as prescribed by a doctor, in the presence of a doctor with a mark in the prescription sheet, inpatient card, signature of the nurse and the attending physician (or in the anesthesia sheet).
5. Do not throw away empty ampoules, keep the inscriptions on the ampoules, report daily and hand them over to the head nurse of the department. The destruction of used ampoules should be carried out at least once every 30 days by a commission chaired by the head, with the execution of the relevant act in the prescribed form.
6. To record the movement of these drugs, the department must have a “Book of accounting for the circulation of narcotic drugs and psychotropic substances”, approved in 2006. In the accounting journal, you can not make corrections, glue. In the "expense" indicate the full name. patient, case history number, date, nurse's signature.
7. When handing over a shift, check the amount of the drug in the safe with the entry in the journal.
8. The journal must be numbered, laced, sealed and signed by the head physician, and kept in a safe.
9. The Permanent Commission checks once a month the condition, storage, and accounting of narcotic medicines.
10. The nurse is legally responsible for the storage, accounting and use of narcotic drugs.
11. Stocks of narcotic drugs in the department of the head nurse (room 3 category) should not exceed 3 x-day need for them; at the post (room of category 4) - no more than for a work shift.
12. According to the same rules, store, account for and use psychotropic drugs, potent, poisonous PKKN.
13. Decree of the Government of the Russian Federation of August 6, 1998 No. 892 “On approval of the rules for the admission of persons to work with narcotic drugs and psychotropic substances, as well as to activities related to the circulation of precursors of narcotic drugs and psychotropic substances” approves a list of requirements for personnel admitted to work with this group of substances.
Persons allowed:
Reached the age of 18;
If there is a certificate issued by a state or municipal health institution confirming the absence of drug addiction, chronic alcoholism, substance abuse;
If there is a certificate issued by a state or municipal health care institution confirming the absence mental illness;
MINISTRY OF HEALTH
RUSSIAN FEDERATION
In order to streamline accounting, storage, issuance and use, I order:
1. Put into action:
- "Standard requirements for technical strengthening and equipping of premises with storage of narcotic drugs with means of security and fire alarm systems" (Appendix 1).
- "The form of a special prescription form for a narcotic drug" (Appendix 2).
- "Calculated standards for the need for narcotic drugs for outpatients and inpatients" (Appendix 3).
- "Rules for the storage and accounting of narcotic drugs in pharmacies" (Appendix 4).
- "Rules for the storage and accounting of narcotic drugs and special prescription forms in medical institutions" (Appendix 5).
- "Regulations on the write-off and destruction of narcotic drugs and special prescriptions not used by cancer patients" (Appendix 6).
- "Rules for the storage, accounting and dispensing of narcotic drugs and special prescription forms for narcotic drugs in pharmacy warehouses (bases)" (Appendix 7).
- "Rules for the storage and accounting of narcotic drugs in control and analytical laboratories" (Appendix 8) .
- "Rules for the storage and accounting of narcotic drugs in research institutes, laboratories and educational institutions" (Appendix 9).
- "Act for the destruction of used ampoules from narcotic drugs" (Appendix 10).
- "The form of an extraordinary report submitted to the Ministry of Health of the Russian Federation on the theft and theft of drugs from pharmacies and medical institutions" (Appendix 11).
2. Heads of health authorities and pharmaceutical organizations in the constituent entities of the Russian Federation:
2.1. To impose on the heads of medical institutions personal responsibility for accounting, safety, dispensing, prescribing and using narcotic drugs and special prescription forms, in accordance with appendices 1-11 introduced by this order:
2.2. Provide medical and preventive institutions with special prescription forms for narcotic drugs received from pharmacy warehouses (bases). The stock of special prescription forms for narcotic drugs in the health authorities and medical institutions should not exceed the monthly requirement;
2.3. To oblige the heads of medical institutions (or their deputies) to ensure that special prescription forms for narcotic drugs are stored only in a safe, the key to which must be kept by these heads: and to exercise systematic control over the prescription of narcotic drugs and the established procedure for prescribing them (Appendix 2) . It is categorically forbidden for doctors to issue, as well as write out prescriptions for narcotic drugs to patients suffering from drug addiction.
2.4. To oblige attending physicians to record the prescription and use of narcotic drugs in the case history indicating the name of the dosage form of the narcotic drug, its quantity and dosage.
Administration note: New version of clause 2.4.
2.5. To oblige attending physicians or doctors on duty to hand over used ampoules from narcotic drugs on the same day, except for weekends and holidays, to the deputy head of the medical unit, and in institutions where he is absent - to the head of the medical institution. The destruction of used ampoules is carried out by a commission chaired by the head with the execution of the relevant act in the prescribed form (Appendix 7).
Administration note: new wording of paragraph 2.5.
3. When determining the need for narcotic drugs, the Standing Committee on Drug Control, heads of medical institutions, heads of research institutions should be guided by the norms for the consumption of narcotic drugs (Appendix 9).
Administration note: point 3 has been changed.
4. Heads of health authorities and pharmaceutical organizations in the constituent entities of the Russian Federation systematically organize checks on the correctness of the appointment and registration of persons admitted (including temporarily) to work on the receipt, storage, accounting and dispensing of narcotic drugs in pharmacies and medical institutions . In case of revealing the facts of violation of the order of appointment and admission of persons to work with narcotic drugs, the perpetrators shall be brought to strict liability in accordance with the legislation of the Russian Federation.
5. Heads of health authorities and pharmaceutical organizations in the constituent entities of the Russian Federation to bring this order to the attention of medical and pharmaceutical workers, to constantly monitor its implementation.
6. Consider invalid on the territory of the Russian Federation the order of the Ministry of Health of the USSR dated December 30, 1982 No. 1311 “On measures to eliminate serious shortcomings and further strengthen the fight against drug addiction, improve accounting, storage, prescribing and use of narcotic drugs” (Appendix 2 “ Form of a special prescription form for a narcotic drug", Appendix 3 "Narcotic drug consumption rates", Appendix 4 "Form of an extraordinary report submitted to the USSR Ministry of Health on the theft and theft of drugs from pharmacies and medical and preventive institutions", Appendix 5 "Rules for storage and registration of narcotic drugs in self-supporting pharmacies”, Appendix 6 “Rules for the storage and accounting of narcotic medicines and special prescription forms in medical institutions”, Appendix 7 “Rules for the storage, accounting and dispensing of narcotic drugs drugs and special prescription forms for narcotic drugs in pharmacy warehouses”, Appendix 8 “Rules for the storage and accounting of drugs in control and analytical laboratories of pharmacy departments”, Appendix 9 “Rules for the storage and accounting of narcotic drugs in research institutes, laboratories and educational institutions health care system”, Annex 10 “Regulations on the write-off and destruction of narcotic drugs and special prescriptions not used by cancer patients”, Annex 11 “Act on the destruction of used ampoules from narcotic drugs in healthcare institutions”).
7. To impose control over the implementation of this order on the Deputy Minister of Health Vilken A.E.
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