Taking care of medical care at the doctor's office. Rules for the storage of medicines and disinfectants

saving medicinal products at the medical installation, it is possible to confirm the overhead authorities of the Ministry of Health.

Prote, practical stench is often ruined. Let's guess the basic rules for the collection of medicines in different groups, look at the typical pardons of medical facilities when organizing collection processes. R

we will ascertain who is charged for the wrong choice of faces.

Three stats you know:

• Rules for the collection of medicinal products
• Rules for the selection of groups of persons
• Wimogi to the minds of saving likіv

Rules for the collection of medicinal products

Taking care of health care is one of the basic processes for improving health care. By order of the Ministry of Health and Social Development of the Russian Federation No. 706n, dated 23.08.2010, a change of rules was approved, for which in medical facilities Russian Federation arranging for the protection of medical expenses. Order "On the approval of the Rules for the collection of medical expenses"

In this document, a classification of medical hazards was introduced, yak vymagayut zahistu vіd vplyu factors dovkіllya - light, temperature, water too. We have seen such a group of preparations, for skin diseases, there are different rules of protection: a group of drugs, which should be used to protect against the influx of the watery middle and light; medications, which, if taken incorrectly, can wilt and viparate; medicines, yakі slid zberіgati for pevnoї temperature; preparations, yakі can zіpsuvatisya pіd pіd vplіm gazіv, yakі і sredovishchi.

These documents confirm the rules for the preservation of licences.

As it was appointed higher, the rules for the collection of medical expenses were confirmed by order No. 706n.

Krim tsgogo іnshiut іnshi і documents, scho іnstanovlyuyut dаtkovі і danny zberіgannya meditsinіvіnі:

1. Ordinance of the Ministry of Health No. 771 dated October 29, 2015 (translation of pharmacopoeial articles).

2. Ordinance of the Ministry of Health No. 676n dated 31.08.2016 (description of the good practice of saving and transporting medicines);

3. Ordinance of the Ministry of Health No. 770 dated October 28, 2015 (change to the translation of pharmacopoeial articles).

The rules for the collection of licences are also attached to the local documentation of the medical organization. Such documents should be preceded by SOPs - standard operating procedures, which are used to describe in a report the minds of saving medical care, for the medical staff, too. Prior to the release of such standard documents, the following should be included: support for the transportation of medicines; come in zahistu in the infusion of the splendid middle ground; rules for the admission of medical practitioners to the cabinets for the distribution of medicines; rules for choosing their destination; the procedure for carrying out re-checks before trimming procedures and the results of these re-checks; the viability of medical practitioners, which violated standard procedures.

Rules for the selection of groups of persons

Rules for the collection of medical expenses are due to the compensation of the group of possession of specific drugs.
Pharmaceutical preparations may be placed in specially designated areas. Tse shafi, call the police.

As a preparation, it can be seen to be narcotic, or it can be used for PKU - shafa, in which stench it is spread, it can be sealed. Dotsilno vikoristovuvati safe-refrigerator from the class of zlomostіykosti.

Other preparations can be stored on the racks so that you can see them more quickly when packing.

Wash your health care, including equipping your stores with windows, pharmaceutical refrigerators and air conditioners that you need.

Tse allows you to ensure a constant temperature regime.

Wash your health care

Let's take a look at the rules for the selection of people from different groups.

1. Medications, as a means of protection from the light. Taking care of the health care of the group is established in quiet areas, access to light in the surroundings. For this purpose, light slicker is applied to the windows, otherwise the stench hangs the blinds, etc. Pharmaceutical refrigerators may have a special seal at the door, as they do not let in ultraviolet changes, or the doors may be deaf.

2. Medications, yakі need to protect vіd vologa. Application for such preparations may be well ventilated. It may be dry in new weather, moisture content is acceptable - up to 65%.

3. Skhilnі to vysihannya that viparovuvannya medical care. Special care should be taken to ensure that the optimum temperature is maintained - from 8 to 15C. Before viparovuvannya skhilni peroxide water, iodine thinly.

4. Preservation of medical care in particular temperature minds. Іsnuyut preparations, yakі can psuvatisya for the minds of high and low temperatures. Recommendations on the temperature of choosing a specific drug should be indicated on the primary or secondary packaging.

5. Preparations, yakі can zіpsuvatsya through the infusion of gas at the counter. The packaging of the preparations is due to poshkodzhuvatisya, in the case of the application may have intensive lighting and third-party smells. Dotrimuetsya recommendations temperature mode at the office.

Wash up, at some guilty of saving medicines, sound the description: on the packaging of the transport container of the preparations; in the instructions for medical treatment of faces; at the state register of medical benefits. Tsі think to be good to read. The language of instruction is Russian. Information about the minds of the saving of medical care is also placed on the shipping container at the sight of manipulative and forward signs. For example: "Do not throw", "Take care of the sleepy spaces" and so on.

Wimogi to the minds of saving likіv

The protection of medical zasobiv, which lie up to the group of poisonous and strong-drinking ones, is found in special applications. The stench is guilty but possessed by protective engineering and technical outbuildings. Dodatkovo fortified applications at once can be saved as narcotic, and other highly potent drugs.

The fallow of the available stock of preparations is taken from the police or in different sections of the shafi. The rules for the safekeeping of medicinal preparations should be taken into account, that the highly potent preparations, which are not subject to international control, were taken from metal wardrobes, as a medical practitioner will seal the day's instructions. Actual vikoristovuvaty, a kind of security protection from unauthorized access and allows you to set the exact temperature regime for the protection of medical benefits.

Yakimi mayut buti application for the protection of medical benefits

The medical organization may have to wait until they reach the hospital, as it is planned to beat the cost of medical care. We can see a sprinkling of outrageous rules: it is important that a little sufficient space is used for the manual and distribution of drugs in different groups; zoning the premises of the transmission zone, the zoning zone, the special zone and the quarantine zone. Okremo zberіgayutsya preparations, terms of applicability of those ended; zones of protection may be well lit; pobutovі vіdіshchennya vodokremlyuyutsya vіd zones, yakіh zberіgayutsya medicines; at once from the faces it is impossible to save the special speech of medical practitioners, drink the products of eating; in the host, the temperature of the okremyh groups of faces is optimal; in okremi closets are kept for carrying out in-line and general tidying up; the hosts have the ability to penetrate to new creatures, rodents and such coma; a series of racks for likiv are placed on rack cards, which allow you to know exactly the drug you need; the application may be possessed by a security system; the operational rules for the installation of refrigerators, air conditioners and other systems of accommodation (opposite, protective ones) are being supplemented; preparations for registration of temperature and other indications, in addition to guilt, undergo periodic re-verification and calibration.

Medical preparations with special minds of saving

Special minds to take care of the medical treatment of offensive medications: 1. Psychotropic and narcotic drugs. 2. Vibration and fire safety. 3. Preparations, on the authority of those, infuse minds of dovkіllya.

For example, vibroacoustic medicines cannot be shaken and hit when moved. The stinks stray far from the scorched radiators of that day light.

In the first package, we stocked up on light-sensitive preparations. They use secondary packaging, which may have light power. For preparations that are sensitive to high and low temperatures, it is obligatory to comply with the temperature regime recommended by the manufacturer.

Taking care of medical conditions, which are related to immunobiological ones, requires special attention. Go about the principle of "cold lansyug", which ensures the safety of keeping the optimum temperature for saving brown authorities the drug at all stages of its transportation and transportation. However, other preparations are saved from prescription preparations, as there will be a decrease. Vimogi was assigned to the Federal Law “On Drug Protection and Psychotropic Speech” until the release of narcotic drugs. The application of these guards to be equipped with additional entrances to the defense is required to the order of the Federal Drug Control Service of Russia No. 370 dated 11.09.2012. Special assistance until such preparations are taken is subject to the executive order of the Ministry of Health of Ukraine No. 484n dated July 24, 2015.

The essence of these could be the fact that the use of narcotic drug drugs was additionally noted. Faces are placed at metal cabinets, pharmaceutical refrigerators, safe-refrigerators, as if they are sealed, for example, by a working change by a qualified medical practitioner. Similar rules have been established for medicines that are subject to subject matter.

Pardons in case of saving medical expenses

The rules for saving likiv koshtiv, looked at more, are practically violated in medical settings.

Among the widest pardons can be called the following:

• medicines save damaging substances, prescribed from their packaging in the form of a generic;
• Simple preparations are taken at once from preparations, the terms of admissibility of which have ended;
• at the medical deposit, they are not subject to a special journal for terms of the admissibility of medicines;
• at the medical deposit, there are accessories for checking the temperature readings at the premises for the storage of liquids.

Who is responsible for the wrong choice of faces

Appearance, zberіgannya and vikoristannya of medicinal preparations to enter before the gardening shoes of the nurse.

Tse was appointed at the order of the Ministry of Health and Social Development of Russia on April 23, 2010. No. 541n. Vidpovidno up to part 1 of article 14.43 of the Code of the Russian Federation on administrative law enforcement, damage could also be carried out on medications - administrative law enforcement.

And here the nurse checks the fine - from 1000 to 2000 krb.

Medustanov then, could be fined from the amount of 100,000 to 300,000 krb.

Put a blow on that punishment that followed them

Temperature disruption- praised the Supreme Court of the Russian Federation on December 8, 2014. No. 307-AD14-700
100000 rub.

There are no accessories in the treatment rooms, which are verified by the metrological control bodies - the Decree of the Supreme Court of the Russian Federation dated February 3, 2016. No. 305-AD1518634
100000 rub.

There is no regular appearance of indications of temperature and moisture content; daily fixture for registration of parameters in the moisture content of the repetition (hygrometer); during the day, the designated (quarantine) zone was specially observed; the form of medicinal products is not conducted with the term of admissibility - Resolution of the Supreme Court of the Russian Federation dated September 19, 2015. No. 306-AD144327
100000 rub.

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3. In the case of the application for the conservation of medical benefits, the temperature and water levels are increased, which allow the safekeeping of the conservation of medical benefits in the first place before being assigned to the primary and secondary (slower) packaging may be possible.

4. Приміщення для зберігання лікарських засобів повинні бути обладнані кондиціонерами та іншим обладнанням, що дозволяє забезпечити зберігання лікарських засобів відповідно до зазначених на первинній та вторинній (споживчій) упаковці вимог виробників лікарських засобів, або приміщення рекомендується обладнати кватирками, фрамугами, іншими гратчастими дверима.

5. Application for the protection of medical expenses can be secured with shelving, wardrobes, pallets, food products.

6. Improvement of the place for the protection of medical care (internal surfaces of walls, insoles) may be smooth and allow the possibility of carrying out water cleaning.

7. Applications for the protection of medical bills are equipped with devices for registering the parameters of the temperature (thermometers, hygrometers (electronic hygrometers) or psychrometers). Vimiryuvalni parts of tsikh priladіv povinnі rozmіschuvatsya on vіdstanі not less than 3 m vіd doors, vіkonta and scorch priladіv. Fittings and (or) parts of fittings, from which visual readings are carried out, are due to be carried out at a place accessible to staff at a height of 1.5 - 1.7 m from the logs.

Show tsikh priladіv owennі schodno registred at a special journal (map) registration on a paper nose or in an electronic view with archiving (for electronic hygrometers), which is conducted by a special special. The journal (map) of the registration is collected by the deadline, the crime of the stream. Controlling accessories must be certified, calibrated and re-verified in the prescribed manner.

8. In the case of applications for the collection of medicinal products, it is possible to place the following normative documents, designated on the packaging of the medicinal product, with the approval:

physical and chemical powers of medical zasobiv;

pharmacological groups (for pharmacies and medical organizations);

method of stosuvannya (internal, external);

aggregate mill of pharmaceutical substances (rіdkі, sipki, gas-like)

When placing medical facilities, the use of computer technologies is allowed (for the alphabetical principle, for codes).

9. Okremo, in technically strengthened applications, in compliance with the Federal Law of September 8, 1998. N 3-FZ "On narcotic drugs and psychotropic speech" (Collection of legislation of the Russian Federation, 1998, N 2, article 219; 2002, N 30, articles 3033, 2003, No. 2, articles 167, No. 27 (part I) , Articles 2700, 2005, No. 19, Articles 1752, 2006, No. 43, Articles 4412; 3748, No. 31, Article 4011; 2008, No. 52 (Part I), Article 6233; 2009, No. 29, Art. 3614, 2010, N 21, articles are saved:

narcotic and psychotropic drugs;

strong poisonous and poisonous drugs, which are subject to control according to international legal norms.

10. Racks (shafi) for the collection of medical supplies from the premises for the collection of medical supplies are due to be installed in such a way as to secure access to the medical facilities, free passage to the staff, and, if necessary, vantage outbuildings, as well as accessibility, accessibility .

Shelves, wardrobes, policemen, designated for the protection of medical expenses, may be numbered.

Medical costs that are saved are also to be identified for an additional shelf card, which should contain information about the medical costs that are saved (name, form of release and dosing, serial number, terminology, etc.). When using different computer technologies, it is allowed to identify additional codes and electronic devices.

11. In organizations and individual businesses, it is necessary to maintain the appearance of medicinal products with the term of appurtenance on the paper nose, or in electronic form with archiving. The control over the timely implementation of medicinal products with the term of admissibility is the responsibility of the selection of computer technologies, rack cards from the designations of the name of the medicinal product, series, term of admissibility or journals of admissibility. The procedure for maintaining the appearance of the appointment of medical expenses is established by the organization's chief executive officer, who is an individual entrepreneur.

12. In case of revealing medical risks due to the past term of appurtenance of the stench, the culprit is saved for other groups of health risks in the special sightings and indications (quarantine) zone.

13. Application for the protection of fire-safe and vibro-safe medical measures is due to comply with relevant regulatory documents.

14. З метою забезпечення зберігання вогнебезпечних та вибухонебезпечних лікарських засобів за принципом однорідності відповідно до їх фізико-хімічних, пожежонебезпечних властивостей та характеру упаковки, приміщення для зберігання організацій оптової торгівлі лікарськими засобами та виробників лікарських засобів (далі - складські приміщення) розбиваються на окремі приміщення ( Vіdsіky) from the boundary of the fire resistance of budіvelnyh constructions not less than 1 year.

15. Necessary for packaging and preparation of medicinal preparations for medical use per worker, the number of fire-resistant medicinal products is allowed to be taken from other medicinal uses. The remaining number of fire-resistant medical aids after the completion of work in the end of the change is transferred to the offensive change or turns to the place of the main saving.

16. Submissions of storage facilities and rozvantazhuvalnyh maidanchikiv owe mother is firm, equally covered. It is necessary to zastosovuvat dobs and zaliznі leaves for virіvnyuvannya pіdlogi. The responsibility is to ensure the safety and security of transferring people, the benefits and transport facilities, the mother is sufficient and respectful of the materials that are taken care of, to ensure the simplicity and ease of tidying up the warehouse.

17. Warehouse facilities for the storage of fireproof and vibration-resistant medical facilities are due to fireproof and stable shelving and pallets, rozrahovaniya on vіdpovіdne navantazhennia. Racks are installed on a 0.25 m wide rack and wall, the width of the racks is not guilty of exceeding 1 m і mother, in order to save pharmaceutical substances, the intake is not less than 0.25 m.

18. Для зберігання вогненебезпечних та вибухонебезпечних лікарських засобів в аптечних організаціях та в індивідуальних підприємців виділяються ізольовані приміщення, що обладнані засобами автоматичного пожежного захисту та сигналізацією (далі - приміщення для зберігання вогненебезпечних та вибухонебезпечних лікарських засобів).

19. In the pharmacy organizasi, in the іndivniye pirmziv, the zbergannya of the pharmaceutical substantial, the Volodyyut, in the same fueling power, in the zbnienebesis of the vogkhonebestensky pushing of the saphones of the saphones, Shaffi are to blame for distances from heat-generating surfaces and passages through doors with a width of at least 0.7 m and a height of at least 1.2 m.

It is allowed to save non-flammable medicines for medical treatment (in the second (slow) package) for victoria for one working change in metal wardrobes as a place for saving fire-safe and vibro-safe medicines.

20. The number of fire-resistant medicinal products allowed to be taken from fire-resistant and vibro-non-safe medicinal products, spreading at the booths of another recognition, is not guilty of overweighting 100 kg from an unpackaged one.

Приміщення для зберігання вогнебезпечних та вибухонебезпечних лікарських засобів, що використовуються для зберігання легкозаймистих фармацевтичних субстанцій у кількості понад 100 кг, повинні знаходитися в окремій будівлі, а саме зберігання повинно здійснюватися у скляній або металевій тарі ізольовано від приміщень для зберігання вогнебезпечних.

21. Prior to the adoption for the preservation of fire-resistant and vibro-incomplete medical supplies, it is necessary to conserve the fires that enter the fire.

22. Medicines, which are saved from warehouses, should be placed on racks or on food products (piddons). It is not allowed to place medical supplies on a deposit without a tray.

Piddoni can be roztashovuvatisya on pіdlozі in one row or on the racks of the sprat of tiers, fallow from the height of the rack. It is not allowed to place pallets from medical facilities at the sprat rows behind the height without victorious racks.

23. With the manual method of rozvantazhuvalno-navantazhuvalnyh robots, the height of the laying of medical equipment can be increased by 1.5 m.

When vikoristanny mehanizovanih pristroїv for carrying out rozvantazhuvalno-navantazhuvalnyh robіt likarskij zasobi otberіgat′sya from the sprat of tiers. In this case, the height of the placement of medical facilities on the racks is not guilty of overestimating the possibility of mechanization of vantage-rozvantazhuvalnyh facilities (lifters, autocars, hoists).

24. Medicinal products, which require protection from light, are taken from the premises or specially possessed areas, which provide protection from natural and piece lighting.

25. Фармацевтичні субстанції, що вимагають захисту від дії світла, слід зберігати в тарі зі світлозахисних матеріалів (скляній тарі оранжевого скла, металевій тарі, упаковці з алюмінієвої фольги або полімерних матеріалів, пофарбованих у чорний, коричневий або оранжевий кольори), у темному приміщенні .

For the protection of pharmaceutical substances that are especially sensitive to light (nitrate sribla, prozerin), I glue the container with a black, light-resistant paper.

26. Likarsky preparations for the Medical Hasire, Vimagayut Zahista VID DIA SVITLA, PACKAKOVANI in Pervyn Ta Securinnu (Svozhivchu) Packaging, Slid Zberigati in the shafts of the sub -skeleton for the Zabizhnnya of the Lykari, Lykarsky preparations of the straight lines of the straight lumpy pier (Vikoristannya svetlovidbivnoi plіvki, blinds, kozirkіv іn.).

27. Pharmaceutical substances, which have the effect of protection against water intrusion, should be protected from cold places at temperatures up to +15 degrees. C (further - a cold place), in a sealed container with materials impervious to water vapor (clay, metal, aluminum foil, solid-walled plastic containers) or in the primary and secondary (slow) packaging of the virobnik.

28. Pharmaceutical substances with pronounced hygroscopic powers should be taken away from glass containers with hermetic seals filled with paraffin for the beast.

29. In order to get rid of the waste and spend the time, to organize the collection of medical care in the first place, inflicted on the second (slowest) packaging of the medical care.

30. Pharmaceutical substances, which ward off zahistu vіd viparovuvannya ta vysihannya (wet summer medicinal products; medicinal products, which avenge the flying retailer (alcohol tinctures, rare alcohol concentrates, thick extracts); variance and sums essential oils, ammonia, formaldehyde, water chloride over 13%, carbolic acid, ethyl alcohol of various concentrations and in); medicinal rose syrovina to avenge the ethereal olis; likarski zasobi, scho to avenge the crystallization water, - crystalloid; medicinal products, which are used for the adoption of lethal products (iodoform, water peroxide, sodium bicarbonate); Likarsky Zasobi with Nizhnyoy Mesheya Vologovmist (sulfate magnesi, paraiamіnosalicilata sulfate, sulfate)), Slid Zberegati in the seniorly, in hermetically clogged viparovani, Matheliv (School, Metalum, Metalo, Metalo, Metalo, Metalo, Metalo, Metalo, Metalo, Metalo, Metalo. The zastosuvannya of polymeric containers, packaging and sealing is allowed in accordance with the state pharmacopoeia and regulatory documents.

31. Pharmaceutical substances - crystallogues should be stored in hermetically sealed glass, metal and solid-walled plastic containers, or in the primary and secondary (slow) packaging of the mold in the minds, which may be subject to regulatory documents.

32. Зберігання лікарських засобів, що вимагають захисту від впливу підвищеної температури (термолабільні лікарські засоби), організації та індивідуальні підприємці повинні здійснювати відповідно до температурного режиму, зазначеного на первинному та вторинному (споживчому) пакуванні лікарського засобу відповідно до вимог нормативної документації.

33. Зберігання лікарських засобів, що вимагають захисту від впливу зниженої температури (лікарські засоби, фізико-хімічний стан яких після замерзання змінюється та при подальшому зігріванні до кімнатної температури не відновлюється (40% розчин формальдегіду, розчини інсуліну)), організації та індивідуальні підприємці повинні zdіysnyuvati vіdpovіdno to the temperature regime, assigned to the first and second (slow) packaging of the medicinal product vіdpovіdno to the normative documentation.

34. Freezing of insulin preparations is not allowed.

35. Фармацевтичні субстанції, що вимагають захисту від впливу газів (речовини, що реагують з киснем повітря: різні сполуки аліфатичного ряду з ненасиченими міжвуглецевими зв'язками, циклічні з бічними аліфатичними групами з ненасиченими міжвуглецевими зв'язками, фенольні та поліфенольні, морфін; сірковмісні heterogeneous and heterocyclic compounds, enzymes and organopreparations, speech, which react with carbon dioxide more often: saline metals and weak organic acids (sodium barbital, hexenal), medicinal preparations that avenge rich atomic amines (eufilin), peroxide peroxide store in hermetically sealed containers made of materials impervious to gases, filled to the top as far as possible.

36. Pahkі medicinal products (pharmaceutical substances like letki, so and practically fugitive, but can have a strong smell) should be stored in a hermetically sealed container, impenetrable to smell.

37. Фарбувальні лікарські засоби (фармацевтичні субстанції, які залишають забарвлений слід, що не змивається звичайною санітарно-гігієнічною обробкою, на тарі, закупорювальних засобах, обладнанні та інвентарі (діамантовий зелений, метиленовий синій, індигокармін)) слід зберігати в спеціальній шафі. .

38. For work with pharmaceutical preparations for skin care, it is necessary to see special tools, a mortar, a spatula and other necessary equipment.

39. Disinfectant medicines should be stored in hermetically sealed containers in an insulated area far from the place of storage of plastic, gum and metal minerals and the place for the removal of distilled water.

40. The preservation of medicinal resources for medical zastosuvannya depends on the state pharmacopoeia and regulatory documents, as well as on the improvement of the authority of speeches, which are included in their warehouse.

41. When saving in closets, on racks or in the police, medical preparations for medical zastosuvannya in the second (sleeping) package are due to be labeled (marked) with a name.

42. Organizations and individual accreditations to take care of the savings of medical expenses for medical treatment can be up to and including the savings assigned to the secondary (sustainable) packaging of a prescribed medicinal preparation.

43. Unpackaged medicinal rosemary syrovina is to be stored in a dry (no more than 50% moisture content), well-ventilated place in a well-closed container.

44. Unpackaged medicinal roslinna syrovina, which avenges ethereal olis, is isolated in good corked containers.

45. Unpackaged medicinal rosemary syrovina is subject to periodic control to the extent of the state pharmacopeia. Grass, roots, rhizomes, nasіnnya, fruits, which have been consumed normally, the smell and the necessary amount of fluffy speeches, as well as the damage to the flower, shkіdniki komor, are rejected.

46. ​​Conservation of medicinal dewy syrovina, to avenge heart glycosides, is under control of the State Pharmacopoeia, zocrema, in order to re-control biological activity.

47. Non-packaged medicinal roslinna syrovina, included in the lists of highly toxic and brittle speeches, approved by the Decree of the Russian Federation on December 29, 2007. N 964 "On the solidena of the list of strongly harassed by the Otvyani Rechovin for the cups of the Statt 234 of the Criminal Code of the Great Rosemir of the Higher Rechovi with the Metoti 234 Criminal Code of the Federal District Federal Property Administrative Okrug of the Federal District (Zbory of the Legislation of the Rosiyskoi Federal 28, art. 3703), are kept in an okremіy occupancy or in an okremіy closet under the castle.

48. Packed medicinal roslinna syrovina is stored on racks or wardrobes.

49. Preservation of medical leeches occurs in light, odorless liquors, for which a constant temperature regime is established.

51. Preservation of fire-resistant medicinal products (medical diseases that can easily seize power (alcohol and alcohol brands, alcohol and ethereal tinctures, alcohol and ethereal extracts, ether, turpentine, lactic acid, chlorethyl, kolodsoby, cleol, organine Novy) scho may be easily flammable authorities (syrka, glycerin, roslinnі olії, likarskaya roslinna syrovina)) is guilty of zdіysnyuvatisya okremo for other medicinal purposes.

52. Easily borrowed medicines take care of heavily clogged glass, glass or metal containers in order to prevent the steaming of blood from vessels.

53. Bottles, baloons and other large capacities with easily occupied and easily combustible medical supplies are to be saved on the police racks in one row behind the height. We take care of the sparse rows of rows in height from different gasket materials.

It is not allowed to save the appointment of medical supplies in the singing accessories. Vіdstan vіd rack or stack to the heating element may be no less than 1 m.

54. Saving sulіїv with easily occupied and easily combustible pharmaceutical substances is guilty of zdіysnyuvatisya in a container, which protects from impacts, or in balloon-transferrs in one row.

55. At work places, drug applications, which are seen in pharmacies and individual enterprises, are easily borrowed and flammable drugs can be saved from the kilkos, so as not to outweigh the changing needs. With any capacity, in which stinks are saved, you must close it.

56. It is not allowed to save easily occupied and easily combustible medicinal products from the full filling of containers. The filling level can be no more than 90% obyagu. Alcohols are stored in large quantities in metal containers, which are filled no more than 75% less.

57. It is not allowed to save easy-to-use medicinal drugs with mineral acids (especially sulfuric and nitric acids), compressed and irritated gases, flammable rivers (growth olives, sirka, dressing material), meadows, and also give salts, inorganic sumish organ (potassium chlorate, potassium permanganate, potassium chromate and in.).

58. Medicinal ether and ether for anesthesia are taken from industrial packaging, from cold, protected from the light of the world, far from the fire and heating appliances.

59. When taking care of the viability of non-beneficial medicines (health care, which may be vibukhov's power (nitroglycerin); medicine's sake, which will allow you to be vibuho's unsafe authorities (potassium permanganate, srіbla nitrate))

60. Vessels with vibro-unsafe medical devices (bars, plaques, flasks, etc.) must be carefully closed in order to avoid getting a couple of them in the air.

61. The storage of unpackaged potassium permanganate is allowed at a special place of storage facilities (de wines are taken from plaque drums), at barbells with rubbed stoppers, and other organic speeches - in pharmacies and in individual industries.

62. Non-packaged nitroglycerin is stored in small, well-corked flasks or metal vessels in a cold, sheltered from the light of the city, from the bottom of the west, entering into the fire. Change the dishes with nitroglycerin and inject the drug in the mind, which includes the duct and evaporation of nitroglycerin, as well as the hit of yoga on the skin.

63. Under the hour of work with diethyl ether, shaking, hitting, rubbing is not allowed.

65. Наркотичні та психотропні лікарські засоби зберігаються в організаціях в ізольованих приміщеннях, спеціально обладнаних інженерними та технічними засобами охорони, та у місцях тимчасового зберігання при дотриманні вимог відповідно до Правил зберігання наркотичних засобів та психотропних речовин, встановлених Постановою Уряду Російської Федерації від 31 грудня 2009 р . N 1148 (Collection of legislation of the Russian Federation, 2010, N 4, art. 394; N 25, art. 3178).

66. Vіdpovіdno until Decree of the Council of the Russian Federation on 29 December 2007. N 964 "Про затвердження списків сильнодіючих та отруйних речовин для цілей статті 234 та інших статей Кримінального кодексу Російської Федерації, а також великого розміру сильнодіючих речовин для цілей статті 234 Кримінального кодексу Російської Федерації Федерації" до сильнодіючих та отруйних лікарських засобів відносяться лікарські засоби, що містять highly toxic and brittle speeches included in the lists of highly toxic and brittle speeches.

67. Зберігання сильнодіючих та отруйних лікарських засобів, що знаходяться під контролем відповідно до міжнародних правових норм (далі - сильнодіючі та отруйні лікарські засоби, що знаходяться під міжнародним контролем), здійснюється у приміщеннях, обладнаних інженерними та технічними засобами охорони, аналогічними передбаченим для зберігання психотропних medical supplies.

68. It is allowed to save in one technically strengthened application of highly addictive and toxic drugs that are subject to international control, both narcotic and psychotropic drugs.

In case of saving strong and dangerous medical bills, one is guilty of zdijsnyuvatisya (deposit in obligatory reserves) on different police safes (metal wardrobes) or at different safes (metal wardrobes).

69. Preservation of strong and harmful medicinal products, which do not survive under international control, are found in metal wardrobes, which are sealed or sealed on the basis of a working day.

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The rules for the collection of medical expenses from health facilities for today are regulated by the Ministry of Health of the Russian Federation.

By order 706n, the rules for the collection of medical supplies from their robots are enforced by pharmacies and medical organizations.

Let's take a look at the general rules for taking care of LZ and special features.

Zvernimo respect for the main damage to medical mortgages in this sphere.

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Golovne at the statue

Order 706n rules for the collection of medical expenses

The rules for the conservation of medicines have been designated as a rank to save the difference due to their power and potentially unsafe medicine.

Preparations of medical recognition rules are subdivided into the following groups:

• LP, skhilnі up to vplivu temperature (high or low). Take care of the exact temperature readings up to the recommended temperature readings.

On the packaging of medicines, the choice should be indicated, which mode is recommended, as a rule, the price is not more than +25 °C. Such faces are novocaine, adrenaline and other faces in retail.

Zrazki that special dobirki standard procedures for nurses, yakі can zavantazhit.

Oils and essential oils, insulin, ammonia react to low temperatures.

The order, which regulates the rules for taking medical precautions, should exactly reach the point that such medicines, after being re-buffed at low temperatures, will change again and lose their original strength.

• Preparations, yakі can spend their power under the influx of water and light.

Before the medicines of this group one can see, for example, nitrate and proserin, yak react to light and mustard or gypsum, yak expend their power when vologous.

Taking care of the faces that react to the light, add special respect to the place, if necessary, be equipped with blinds, stickers that reflect the light with other outbuildings, like changing the flow of light that is consumed in them.

Take care of vocabulary with the term of applicability

The rules establish special benefits to medicines with the term of admissibility.

The accommodation is allowed only in the close quarters (quarantine zones), so that the stench could not mix with normal faces. Really marked with a police code and a special safe.

At the link with the cym, the terms of applicability of the licence of guilt must be changed under permanent control. By order of the head physician of the medical facility, the superfluous term of appurtenance, which is respected by the association, is solidified. For example, stay 6 months in the term of applicability.

At the order, such preparations are clad as medicines with a common term of appurtenance.



Protection of fire-resistant and vibuhon-safe medical measures is required before order No. 706n

Order 706n establishes the rules for the protection of medical expenses and also establishes the specifics of the placement of vibuho-non-safe, as well as fire-resistant drugs.

So, you can help yourself to move insecurity through your own storage of glycerin, sulfur, spirits and ethers, and turpentine too. At zv'yazku z cym, it is necessary to take care of them, except for the distribution of other medicines.

In addition, vibuhonally safe preparations cannot be ordered from:

• faces to sweep the meadows;
• gas cylinders;
• mineral acids;
• inorganic salts, which can add up to a fire-safe sum when combined with organic preparations;
• dressing materials.

How to save potassium permanganate

Wash off the savings of potassium permanganate, according to the rules of guilt, according to the following rules:

How to save the ether

For the purpose of saving medical supplies, from the place of ether, choose places that are far away from the scorching elements and fire, the place can be protected from the bright light. Tse z tim that ether for anesthesia is fireproof.

In order to ensure the safety of the mind, the preservation of fire-safe medical care at a medical institution, including efir, it is recommended to place them in other medical facilities, bazhano at a specially introduced hospital.

Saving nitrogen and sour in balloons

There are a few important rules for protecting nitrous oxide and sour in balloons:

1. According to GOST 26460-85, the balloons are placed under the roof of the medical installation in the warehouses, so that they can be protected from sun and water.
2. According to PPBO 07-91, on 08/09/1990, sour balloons are placed in fireproof wardrobes, placed with a medical deposit at a distance of at least 4 meters from windows and door openings.
3. As a rule, more than 10 40-liter bottles of sour are saved, the stench is placed in a clean room. One wall should be made without windows, from non-penetrating materials, but in other places it can become less than 25 meters.
4. Warehouses, designated for placement of balloons with nitrogen, must be equipped with ventilation, and the balloons themselves should be placed at a safe distance from the scorching radiators (not less than 1 meter at the outlet).
5. In fireproof safes, vibuho-unsafe drugs are kept safe for the purpose of their permanent safety. In addition, the premises must be equipped with an anti-burn alarm.

The rules of that help until the protection of strong and dangerous medical bills from punishment 706n

How to abide by the rules of conserving medical care at a medical institution for highly toxic and toxic drugs, the necessary application, as a special protective measure. The mode of work with them is similar to the rules for taking drugs.

In this way, it is possible to save highly addictive drugs in one drug use. In case of strong poisonous speech, it is necessary to save either in different safes or in different policemen a metal closet.

Significantly, some drugs were excluded from the list of toxic and highly addictive, and transferred to the list of drugs. For example, ce Midazolam, Brotizolam, Lorazepam, Estazolam, Phenobarbital, etc.

For this reason, the doctor should take care of the rules that are used for narcotic preparations of those precursors.

How to control the rules of saving

The senior nurse ruled the control, as well as the devil's sisters.

With the method of controlling stench, tie the following bandages:

• once per change, register temperature parameters and repeat in security areas;
• nurses and senior nurses identify medical problems at the places of collection for additional rack cards;
• the appearance of the LP is being carried out, yakі may be surrounded by the term of applicability in order to control their own choice;
• if the terms of admissibility run out in the language, they should be placed in the quarantine zone and saved for other drugs. By the stench of the year, misery is transmitted.

Checklist of Roszdravnaglyad – saving faces from medical organizations

Look at the checklist from the System Head Nurse, for which they check the saving of liking from the medical organization.

The checklist is compiled from 62 nutrition and approved by addendum 2 to order No. 9438. The review will evaluate the system for ensuring the safety of the preparations, the application, and the possession of that documentation.

How to decipher and save LZ

In some cases, it is difficult for medical practitioners to understand the rules for taking medications from medical institutions, as recommended by their pharmacist on packaging.

For example, a lot of virobniks say that the preparation should be taken at room temperature or in a cold place, without specifying, as the temperature follows these rules.

The State Pharmacopoeia of the Russian Federation has deciphered the recommendations for saving drugs:

• 8-15°C cold and cold wash;
• 15-25 ° С "room" temperature;
• 2-25°C temperature up to 25°C;
• 2-8°С temperature, which does not exceed 8°С.

If it is necessary to draw up a rack card

The procedure for saving medicines in the case of MDs was taken care of, so when saving drugs, rack cards were kept on them. These are special cards, in which the basic information about faces and minds of the mind is displayed.

Shelving card winds up on faces, which is new again. As soon as a drug of the same dosage is added to the medical installation, form the release of this series and you can remove the old card. For example, if there were some medical problems with other characteristics, for example, in the form of a release, a new card is to be issued. Stock of filling the rack card marvel at Sistema The head nurse.

Mandate 706n establishes at paragraph 10 a specific list of statements, as it is possible for such a card to be short-lived by medical practitioners.

Suggestions for inquiry:

1. Why should paragraph 35 of Order 647n (information, what should be the price) to dietary supplements?
- In this case, at paragraph 35, Order 647n has to find out for itself about medicinal preparations and over-the-counter releases. What are the prices for dietary supplements, in addition to them, they are regulated by the Decree of the Russian Federation on September 19, 1998. No. 55 “On the confirmation of the rules for the sale of okremih vidіv varіvіv, transfer of varіvіv іv trіvaly koristuvannya, kudi not pіdlyає єmає є mаy аbоut free аnаdnіа yomu period іоd repair chi replacement оf аnісalоіchі goods, thаі transіku іnоfoodіkі іvіvіv commodіv іv nalezhnoї yakostі, scho do not pіdlаgayut prоvnennya rozmіvіchіvіchі varіvіnі , shapes, size, style, zabarvlennya or complete set".

2. Remain changed by the legislature, what is the cost of saving that form of narcotic drugs and psychotropic speeches?
- Іstotnih changes, which are worth saving narcotic drugs and psychotropic speeches, at the moment there are no.
Obov'yazkovo there will be amendments to the appearance. The stench will be registered in the Decree of the Order of the Russian Federation dated 04.11.2006 No. 644 "On the procedure for filing reports on activities related to the amount of narcotic effects and psychotropic speeches, and the registration of operations related to the total number of narcotic effects and psychotropic speeches." The Danish document is now known in the distribution and as soon as we see it, we will conduct a new webinar on Decree.

3. At the Rules of Good Pharmacy Practice figure posada - a ker_vnik of the subject of retail trade. Tse director of the usієї chemist's merezhi chi the manager of one of the pharmacies of the ciєї merezhi?
- under the kerіvnik the subject of the retail trade may be on the uvazі kerіvnik legal entity, then. at the same time, the director of the pharmacy store.

4. What are prescription drugs and off-label drugs?
- Vidpovidno up to clause 36 of Order 647n "medical preparations, which are allowed for a prescription for a medicinal preparation, can be placed only in the form of over-the-counter medicinal preparations in closed cabinets with the sign "for a prescription for a medicinal preparation, applied to the police or to such a medicine, in such distributions ".

5. How many working instructions / SOPs can a pharmacy, keruyuchis vomogami Nakazu 647n?
- The main information that SOPs are worth is prescribed in paragraphs 37, 47, 66 and 68 of Order 647n. Exact numbers, how many SOPs can be found in the pharmacy organization, Order 647n is not given, but I especially respect the following on paragraph 68:
“Standard operating procedures may have but described orders:
a) zdіysnennya analysis skarg and propositions of buyers and accepting a decision for them;
b) the establishment of the reasons for the violation of the Rules and other normative legal acts that regulate the nutrition of the goods of the pharmacy assortment;
c) an assessment of the need and dotality of acceptance of the cases, in order to avoid re-vindication of a similar injury;
d) acknowledgment of and zdіysnennya nebhіdnіh dіy z metoyu avoidance of falsification, bad, counterfeit goods of the pharmacy assortment before purchase;
e) zdіysnennya analysis of the effectiveness of the past experience and corrective actions.
Asking for this paragraph, you can formulate the SOP for the Rules of Good Pharmacy Practice yourself.

6. Medical organization may structural subdivision - a pharmacy. Chi poshiryuyuyutsya vimogi Nakazu 646n shdo zberigannya lekarskih zasobiv on the planting of the middle medical staff, treatment rooms and other appointments?
- In paragraph 2 of Order 646n it is said that yoga is expanding both in pharmacies and in medical organizations. Aleksey, as it was, it was looked at more, the execution of the destruction of the Order 646n to the first article of the Code of Administrative Offenses of the Russian Federation - food should be done in a folding way. In this case, it is necessary to check the first judicial decisions on the order of the appointed punishment, to that it is possible, because there will be no penalty to the medical and pharmacy organizations.
Prote, vihodyachi z p. 2 of this Order, dorimuvatisya yoga could help medical organizations all the same varto.

22. Medicines, which are saved from warehouses, should be placed on racks or on food products (piddons). It is not allowed to place medical supplies on a deposit without a tray. Piddoni can be roztashovuvatisya on pіdlozі in one row or on the racks of the sprat of tiers, fallow from the height of the rack. It is not allowed to place pallets from medical facilities at the sprat rows behind the height without victorious racks. 23. When using the manual method of roto-roofing, the height of laying the medical facilities is not guilty of exceeding 1.5 m. In this case, the height of the placement of medical facilities on the racks is not guilty of overestimating the possibility of mechanization of vantage-rozvantazhuvalnyh facilities (lifters, autocars, hoists). 23.1. The area of ​​warehouse premises is due to the obligation to comply with the obligation of medical expenses, which are saved, but not less than 150 sq. m. m, including: a zone for receiving medical supplies; a zone for the main collection of medical supplies; expedition zone; application for medical purposes, which will require special minds to save. (At the editorial board of the Order of the Ministry of Health and Social Development of the Russian Federation dated December 28, 2010 No. 1221н)

VI. Peculiarities of taking care of several groups of medicines fallow in the presence of physical and physical and chemical powers, influencing them with various factors of the modern middle

Taking care of medical care, which will help protect against the light

24. Medicinal products, which require protection from light, are taken from the premises or specially possessed areas, which provide protection from natural and piece lighting. 25. Фармацевтичні субстанції, що вимагають захисту від дії світла, слід зберігати в тарі зі світлозахисних матеріалів (скляній тарі оранжевого скла, металевій тарі, упаковці з алюмінієвої фольги або полімерних матеріалів, пофарбованих у чорний, коричневий або оранжевий кольори), у темному приміщенні . For the protection of pharmaceutical substances that are especially sensitive to light (nitrate sribla, prozerin), I glue the container with a black, light-resistant paper. 26. Likarsky preparations for the Medical Hasire, Vimagayut Zahista VID DIA SVITLA, PACKAKOVANI in Pervyn Ta Securinnu (Svozhivchu) Packaging, Slid Zberigati in the shafts of the sub -skeleton for the Zabizhnnya of the Lykari, Lykarsky preparations of the straight lines of the straight lumpy pier (Vikoristannya svetlovidbivnoi plіvki, blinds, kozirkіv іn.).

Taking care of medical care, which will help to protect against the divinity

27. Pharmaceutical substances, which have the effect of protection against water intrusion, should be protected from cold places at temperatures up to +15 degrees. C (further - a cold place), in a sealed container with materials impervious to water vapor (clay, metal, aluminum foil, solid-walled plastic containers) or in the primary and secondary (slow) packaging of the virobnik. 28. Pharmaceutical substances with pronounced hygroscopic powers should be taken away from glass containers with hermetic seals filled with paraffin for the beast. 29. In order to get rid of the waste and spend the time, to organize the collection of medical care in the first place, inflicted on the second (slowest) packaging of the medical care.

Preservation of medical precautions, which will help to protect against vaping and vaping

30. Фармацевтичні субстанції, що вимагають захисту від випаровування та висихання (власне леткі лікарські засоби; лікарські засоби, що містять летючий розчинник (спиртові настойки, рідкі спиртові концентрати, густі екстракти); розчини та суміші летких речовин (ефірні олії, розчини аміаку, формальдегіду ) Doda Dona 13%, carbolic acid, this alcohol of the concentration of the same, Likarska Roslinna Sirovin, ShO MIFIRNI OLII, LIKARSKI ZASOBI, SO MISTAYTIA CRISTALIZAIN WATER (KRISTARITIA), LIKARSISIA POZHEYA). , sodium paraaminosalicylate, sodium sulfate)), should be stored in a cold place, in hermetically sealed containers with materials that are impervious to vaporizing speech (clay, metal, aluminum foil) and secondary (smooth) packaging of the virobnik. The zastosuvannya of polymeric containers, packaging and sealing is allowed in accordance with the state pharmacopoeia and regulatory documents. 31. Pharmaceutical substances - crystallogues should be stored in hermetically sealed glass, metal and solid-walled plastic containers, or in the primary and secondary (slow) packaging of the mold in the minds, which may be subject to regulatory documents.

Taking care of medical precautions, which will lead to infection in the presence of an increase in temperature

32. Зберігання лікарських засобів, що вимагають захисту від впливу підвищеної температури (термолабільні лікарські засоби), організації та індивідуальні підприємці повинні здійснювати відповідно до температурного режиму, зазначеного на первинному та вторинному (споживчому) пакуванні лікарського засобу відповідно до вимог нормативної документації.

Taking care of medical precautions to prevent infection in the presence of a drop in low temperature

33. Зберігання лікарських засобів, що вимагають захисту від впливу зниженої температури (лікарські засоби, фізико-хімічний стан яких після замерзання змінюється та при подальшому зігріванні до кімнатної температури не відновлюється (40% розчин формальдегіду, розчини інсуліну)), організації та індивідуальні підприємці повинні zdіysnyuvati vіdpovіdno to the temperature regime, assigned to the first and second (slow) packaging of the medicinal product vіdpovіdno to the normative documentation. 34. Freezing of insulin preparations is not allowed.

Taking care of the health care, which will lead to zahista in the influx of gases, which will avenge the nasty middle

35. Фармацевтичні субстанції, що вимагають захисту від впливу газів (речовини, що реагують з киснем повітря: різні сполуки аліфатичного ряду з ненасиченими міжвуглецевими зв'язками, циклічні з бічними аліфатичними групами з ненасиченими міжвуглецевими зв'язками, фенольні та поліфенольні, морфін; сірковмісні heterogeneous and heterocyclic compounds, enzymes and organopreparations, speech, which react with carbon dioxide more often: saline metals and weak organic acids (sodium barbital, hexenal), medicinal preparations that avenge rich atomic amines (eufilin), peroxide peroxide store in hermetically sealed containers made of materials impervious to gases, filled to the top as far as possible.

Conservation of odorous and pharmaceutical drugs

36. Pahkі medicinal products (pharmaceutical substances like letki, so and practically fugitive, but can have a strong smell) should be stored in a hermetically sealed container, impenetrable to smell. 37. Фарбувальні лікарські засоби (фармацевтичні субстанції, які залишають забарвлений слід, що не змивається звичайною санітарно-гігієнічною обробкою, на тарі, закупорювальних засобах, обладнанні та інвентарі (діамантовий зелений, метиленовий синій, індигокармін)) слід зберігати в спеціальній шафі. . 38. For work with pharmaceutical preparations for skin care, it is necessary to see special tools, a mortar, a spatula and other necessary equipment.

Conservation of disinfectant medicines

39. Disinfectant medicines should be stored in hermetically sealed containers in an insulated area far from the place of storage of plastic, gum and metal minerals and the place for the removal of distilled water.

Saving medical supplies for medical treatment

40. The preservation of medicinal resources for medical zastosuvannya depends on the state pharmacopoeia and regulatory documents, as well as on the improvement of the authority of speeches, which are included in their warehouse. 41. When saving in closets, on racks or in the police, medical preparations for medical zastosuvannya in the second (sleeping) package are due to be labeled (marked) with a name. 42. Organizations and individual accreditations to take care of the savings of medical expenses for medical treatment can be up to and including the savings assigned to the secondary (sustainable) packaging of a prescribed medicinal preparation.

Saving medicinal dewy syrovina

43. Unpackaged medicinal rosemary syrovina is to be stored in a dry (no more than 50% moisture content), well-ventilated place in a well-closed container. 44. Unpackaged medicinal roslinna syrovina, which avenges ethereal olis, is isolated in good corked containers. 45. Unpackaged medicinal rosemary syrovina is subject to periodic control to the extent of the state pharmacopeia. Grass, roots, rhizomes, nasіnnya, fruits, which have been consumed normally, the smell and the necessary amount of fluffy speeches, as well as the damage to the flower, shkіdniki komor, are rejected. 46. ​​Conservation of medicinal dewy syrovina, to avenge heart glycosides, is under control of the State Pharmacopoeia, zocrema, in order to re-control biological activity. 47. Unpackaged medicinal rosemary syrovina, included up to lists strong and brittle speeches, approved by the Decree of the Russian Federation on December 29, 2007. N 964 "On the solidena of the list of strongly, the Otvyani Richovin for the Central Statt 234 of the Criminal Code of the Federal District Federal Property Committee of the Federal District, and the Great Rosemir for the Tsilles Statti 234 Federalsiya" (sorroti of the law of the Russian Federal District, 2008, n 29, n 29; 2010, N 28, item 3703), are kept in an okremіy occupancy or in a okremіy closet under the castle. 48. Packed medicinal roslinna syrovina is stored on racks or wardrobes.

Protecting medical leeches

49. Preservation of medical leeches occurs in light, odorless liquors, for which a constant temperature regime is established. 50. Appointments are made in accordance with the established procedure.

Protection of fire-resistant medicinal products

51. Preservation of fire-resistant medicinal products (medical diseases that can easily seize power (alcohol and alcohol brands, alcohol and ethereal tinctures, alcohol and ethereal extracts, ether, turpentine, lactic acid, chlorethyl, kolodsoby, cleol, organine Novy) scho vodіyut flammable authorities (syrka, glycerin, roslinnі olії, unpackaged medicinal roslinna syrovina) can be used for other medicinal purposes. (As amended by the Order of the Ministry of Health and Social Development of the Russian Federation dated December 28, 2010 No. 1221н 52. Easily borrowed medicines take care of heavily clogged glass, glass or metal containers in order to prevent the steaming of blood from vessels. 53. Bottles, baloons and other large capacities with easily occupied and easily combustible medical supplies are to be saved on the police racks in one row behind the height. We take care of the sparse rows of rows in height from different gasket materials. It is not allowed to save the appointment of medical supplies in the singing accessories. Vіdstan vіd rack or stack to the heating element is guilty but not less than 1 m. 55. At work places, drug applications, which are seen in pharmacies and individual enterprises, are easily borrowed and flammable drugs can be saved from the kilkos, so as not to outweigh the changing needs. With any capacity, in which stinks are saved, you must close it. 56. It is not allowed to save easily occupied and easily combustible medicinal products from the full filling of containers. The filling level can be no more than 90% obyagu. Alcohols are stored in large quantities in metal containers, which are filled no more than 75% less. 57. It is not allowed to save easy-to-use medicinal drugs with mineral acids (especially sulfuric and nitric acids), compressed and irritated gases, flammable rivers (growth olives, sirka, dressing material), meadows, and also give salts, inorganic sumish organ (potassium chlorate, potassium permanganate, potassium chromate and in.). 58. Medicinal ether and ether for anesthesia are taken from industrial packaging, from cold, protected from the light of the world, far from the fire and heating appliances.

Taking care of vibuho-unsafe medical conditions

59. When taking care of the viability of non-beneficial medicines (health care, which may be vibukhov's power (nitroglycerin); medicine's sake, which will allow you to be vibuho's unsafe authorities (potassium permanganate, srіbla nitrate)) 60. Vessels with vibro-unsafe medical devices (bars, plaques, flasks, etc.) must be carefully closed in order to avoid getting a couple of them in the air. 61. The storage of unpackaged potassium permanganate is allowed at a special place of storage facilities (de wines are taken from plaque drums), at barbells with rubbed stoppers, and other organic speeches - in pharmacies and in individual industries. 62. Non-packaged nitroglycerin is stored in small, well-corked flasks or metal vessels in a cold, sheltered from the light of the city, from the bottom of the west, entering into the fire. Change the dishes with nitroglycerin and inject the drug in the mind, which includes the duct and evaporation of nitroglycerin, as well as the hit of yoga on the skin. 63. Under the hour of work with diethyl ether, shaking, hitting, rubbing is not allowed. 64. Conservation of vibuho-unsafe drugs from acids and meadows is being protected.

Conservation of narcotic and psychotropic drugs

65. Narcotic and psychotropic drugs are saved in organizations in isolated facilities, specially equipped with engineering and technical facilities for the protection, and in the areas of timchasovogo sberiganniya with dotrimanny, it could be obvious Rules the prevention of narcotic drugs and psychotropic speeches, introduced by the Order of the Russian Federation on December 31, 2009. N 1148 (Collection of legislation of the Russian Federation, 2010, N 4, art. 394; N 25, art. 3178).

Preservation of strong and poisonous medical drugs, medical drugs that contribute to the object-calculus appearance

66. Vіdpovіdno until Decree of the Council of the Russian Federation dated December 29, 2007 No. 964"Про затвердження списків сильнодіючих та отруйних речовин для цілей статті 234 та інших статей Кримінального кодексу Російської Федерації, а також великого розміру сильнодіючих речовин для цілей статті 234 Кримінального кодексу Російської Федерації" до сильнодіючих та отруйних лікарських засобів належать лікарські засоби, що містять сильнодіючі та отруйні speeches included in the lists of strong-smelling speeches and brittle speeches. 67. Зберігання сильнодіючих та отруйних лікарських засобів, що знаходяться під контролем відповідно до міжнародних правових норм (далі - сильнодіючі та отруйні лікарські засоби, що знаходяться під міжнародним контролем), здійснюється у приміщеннях, обладнаних інженерними та технічними засобами охорони, аналогічними передбаченим для зберігання психотропних medical supplies. 68. It is allowed to save in one technically strengthened application of highly addictive and toxic drugs that are subject to international control, both narcotic and psychotropic drugs. In case of saving strong and dangerous medical bills, one is guilty of zdijsnyuvatisya (deposit in obligatory reserves) on different police safes (metal wardrobes) or at different safes (metal wardrobes). 69. Preservation of strong and harmful medicinal products, which do not survive under international control, are found in metal wardrobes, which are sealed or sealed on the basis of a working day. 70. Medicines, which give the subject-kilkisny shape, according to the Order of the Ministry of Health and Social Development of the Russian Federation dated December 14, 2005 No. 785"About the order of the LIKARSIC NEWS OF THE LICKAYS" (Classes at the mini -nasty people of justice federals 16, 2006, 2006 p. N 7353), behind the veneure of drug trafficking, strongly incurrent, abbrunched in the harassment of the abstract of the trees, the panting of the abstract of the trees, the panting of the sophistic day.