General cleaning according to sanpin. Sanitary and epidemiological requirements for organizations engaged in medical activities

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

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