Production control in medical organizations and sanitary and epidemiological support of the facility

Production control in medical institutions- is to ensure sanitary and epidemiological well-being, maintaining the health of both patients and medical staff in the course of their professional activity, prevention of nosocomial infections. Its frequency is indicated by Federal Law No. 294 of December 26, 2008 "On the Protection of the Rights of Individual Entrepreneurs and Consumers during the State and municipal control” and is no more than two times within three years. However, in the event of an emergency, Rospotrebnadzor has the right to conduct an extraordinary inspection.

Production control in medical institutions is perhaps the only form of control that regularly provides safe conditions for the provision of medical and diagnostic services for both patients and medical workers, as well as a set of real preventive measures for nosocomial infections.

Within the group of companies ICC "EXPERT" there is a specialized organization LLC "Center technical expertise and certification”, registry number 2541. accredited by the Ministry of Labor in the field of providing services in the field of labor protection. Test Lab Center for Technical Expertise and Certification LLC has been operating since 2010, equipped with the latest measuring equipment and a staff of experienced engineers. This makes it possible to ensure the accuracy of measurements in the process of performing work on production control. You can find out the cost of performing a full cycle of work on production control in your organization by calling in Moscow: 8 495 646 12 76 or by sending an application from the website

Production control in medical institutions - stages of organization

The main person responsible for organizing production control in any medical organization is its head, i.e. the head physician. By his order, he appoints one or more responsible persons for the development of the Production Control Program (hereinafter referred to as the PPC), preparing it for approval, as well as strict adherence to all its points.

The medical institution annually draws up a schedule for the implementation of laboratory production control, which covers all the functioning and life support systems of the medical institution. These include:

maintenance of premises and their sanitary and technical condition;
catering for patients and medical staff;
conformity hygiene requirements planning and management production process;
compliance with the schedule of disinsection, deratization, disinfection and sterilization regime;
collection and disposal of medical waste.

It should be noted that all research is carried out by a laboratory accredited in accordance with the procedure established by the law of the Russian Federation. It is such a laboratory, equipped with everything necessary equipment, is available at the Expert Information and Consulting Center. Our professional experts, properly trained and experienced, will carry out all tests and investigations to a high standard. professional level.

What kind of research is carried out in the process of production control?

The following is carefully checked:

tap water;
air in different rooms(they check the presence and degree of Staphylococcus aureus, molds and yeast fungi, determine the concentration of formaldehyde, phenol, ozone, etc.);
water used for the preparation of injections;
equipment used in the sterilization process;
food;
medical devices that have undergone sterilization on the special equipment available in the institution;
noise environment;
microclimate;
lighting;
radiation sources: non-ionizing, ionizing.

Production control program in medical institutions - what is it?

The production control program is created within the time limits specified by law. In case of violation of these terms, the head of the institution assumes full responsibility for non-compliance with the rules. Because drafting production program control in the field of medicine is a rather complicated process, we recommend entrusting this difficult task to professionals. ICC "Expert" is an accredited organization that, in compliance with all requirements Russian legislation in the shortest possible time will develop this enough important document for control.

The cost of services for the preparation of the Production Control Program from the ECC "Expert"

Name of the organization for which the CPD is being developed	Deadlines, days	Cost of work, rubles
a complete package of documents for your company	from one	further specify!
catering, cafe	from one
pharmacies, pharmacies	from one
	from one
	from one
trade enterprises	from one
medical institutions	from one
Beauty Salons	from one
dental office, dentistry	from one
educational institutions	from one
hairdressing	from one
medical institutions	from one
restaurants	from one
for your business	from one
other documents see price list	from one	further specify!

For the development of all necessary documentation production control is given no more than 8 hours. In medicine, APC can be both external and internal. The external program is a state one. Its frequency is no more than two times within three years. Internal is production. Its frequency is as needed.

It should be immediately noted that for medical center managed by a legal entity, the Production Control Program can be exclusively internal.

As for an individual entrepreneur, he is obliged to familiarize his employees with current rules observance of sanitary and hygienic conditions. This approach will allow him to provide both customers and employees the necessary complex security measures.

Production control is a system of internal control of organizations (enterprises, institutions) over compliance with sanitary regulations and implementation of sanitary and anti-epidemic measures. Production control has acquired particular relevance for medical and preventive organizations: it has become an integral part of measures to protect patients and staff from nosocomial infections. Its goal in health care facilities is to provide safe conditions for the implementation of the treatment and diagnostic process for patients and medical staff.

According to sanitary rules SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities", the administration of organizations engaged in medical activities is obliged to organize production control over compliance with sanitary and hygienic and anti-epidemic regimes with laboratory and instrumental studies and measurements in accordance with applicable normative documents. Responsibility for the organization of production control rests with the head of the health facility. By order, he appoints those responsible for the implementation of sanitary and anti-epidemic (preventive) measures and the conduct of production control. A production control program should be drawn up in a health care facility, including a plan for sanitary and anti-epidemic measures and a hygienic assessment of harmful factors in the production environment of a physical, chemical and biological nature.

Production control in health care facilities is based on objective assessments of the following factors: the sanitary and technical condition and maintenance of the medical institution, the correctness of space-planning decisions, catering for patients and staff, compliance with the anti-epidemic, including disinfection and sterilization regime, deratization and disinfestation work, disposal of medical waste and landscaping of the territory of health care facilities, working conditions of medical personnel, protecting them from harmful physical, chemical and biological factors of the nosocomial environment. To fully ensure production control, various laboratory and instrumental studies should be carried out. Organization of the necessary laboratory research and testing is carried out legal entity(individual entrepreneur) independently or with the involvement of a laboratory accredited in the prescribed manner.

The objects of production control of health facilities include: premises, ventilation, air conditioning systems, lighting, water from the water supply system, air working area, toolkit, medicines, disinfectants, sterilants, hand and pre-sterilization cleaning products, technological equipment (endoscopic, dental, etc.), x-ray and magnetic resonance equipment, medical waste, working conditions and personnel protection.

The main objects of laboratory and instrumental control are:

The study of objects of the nosocomial environment by means of washings, sampling of material (medical products, dosage forms) for sanitary and bacteriological research and sterility;

Study of air, tap water and water for the manufacture of injection solutions;

Bacteriological testing of sterilizing equipment;

Measurements of artificial illumination, microclimate parameters, noise levels from ventilation and treatment and diagnostic installations, levels of non-ionizing and ionizing radiation from medical and diagnostic equipment.

All these studies are carried out with a multiplicity regulated by the relevant regulatory documents, a link to which is indicated in the production control plan in a special column.

A legal entity is obliged to form an instructive and methodological base at the facility. Therefore, the production control plan is accompanied by a list of all necessary normative documentation(legislation Russian Federation in the field of ensuring sanitary and epidemiological well-being, state standards, officially published sanitary norms and rules, instructions and other instructive and methodological documents).

The production control program for health facilities, taking into account its profile, at the request of a legal entity (individual entrepreneur), can be developed by the FBUZ "Center for Hygiene and Epidemiology in Kursk region» with the conclusion of a contract for laboratory and instrumental studies.

Production control in a medical facility is a set of measures aimed at identifying the degree of compliance with sanitary rules and regulations in the provision of services, performance various works, transportation of products, their storage and sale. Moreover, it is mandatory for every medical institution, regardless of its form of ownership.

Production control in a medical facility is the provision of sanitary and epidemiological comfort in the process of providing medical care and prevention of nosocomial infections, as well as care for the health of patients and medical staff. To date, the law establishes the frequency of production control. Its multiplicity is no more than two times for three years.

BUT! It should be remembered that, if necessary, production control can be unscheduled. This is possible in the event of emergencies associated with repeated complaints from patients of a medical institution or the employees themselves.

Within the group of companies ECC "EXPERT" there is a specialized organization LLC "Center for Technical Expertise and Certification", register number 2541, accredited by the Ministry of Labor in the field of providing services in the field of labor protection. The testing laboratory of Center for Technical Expertise and Certification LLC has been operating since 2010, equipped with the latest measuring equipment and a staff of experienced engineers. This makes it possible to ensure the accuracy of measurements in the process of performing work on production control. You can find out the cost of performing a full cycle of work on production control in your organization by calling in Moscow: 8 495 646 12 76 or by sending an application from the website

Types of medical institutions

Today, there is a huge network of different medical institutions, which, depending on the tasks to be solved and the functions performed, are divided into:

sick leave,
dispensaries,
polyclinics,
ambulance station,
health facilities,
institutions for the protection of mothers and children.

All systems of functioning and life support of a medical institution are subject to production control. These include work related to the maintenance of premises, catering, both for patients and medical workers, in compliance with the anti-epidemic regime, with the implementation of various disinfection and sterilization measures, the collection and disposal of medical waste. In addition, the improvement of the hospital territory, the working conditions of the medical staff, the protection of workers from harmful effects nosocomial environment.

Production control in a medical facility - procedure for conducting

Production control is carried out in accordance with the procedure indicated technical regulations, and in the absence of such - sanitary rules and labor safety standards.

Production control in a medical institution consists of the following required elements:

officially published sanitary methods, norms and methods for controlling environmental factors in which this type of activity is carried out;
complex laboratory tests and research when it occurs production situations indicated in these sanitary rules and other state sanitary and epidemiological regulatory documentation;
organization of medical examinations, attestation and professional hygiene training persons holding leadership positions, as well as ordinary employees whose activities are related to the manufacture, storage and sale food products, household services;
control over the availability of sanitary and epidemiological books, certificates, conclusions, personal medical books, other documents confirming the safety of raw materials, the quality of semi-finished products, finished products, as well as technologies for their manufacture, storage, sale, disposal in situations indicated in the current legislation;
substantiation of complete safety, both for a person and for environment, new products or technologies that were used for its production, as well as the conditions of safety and harmlessness for the environment and the production environment, the creation of a set of measures to control the storage, transportation and disposal of these products;
reporting and accounting according to the rules established by the current legislation in relation to production control;
timely provision of information to the population, local governments, as well as the state sanitary and epidemiological service of the Russian Federation about emergencies that pose a real threat to the sanitary and epidemiological well-being of the entire population;
visual control by officials of the organization who have the legal right to do so, following the implementation of a set of sanitary and anti-epidemic measures, sanitary rules, and the implementation of measures aimed at the complete elimination of existing production violations.

Production control is subject to the sanitary and technical condition of buffets, catering units and the quality of their food, compliance with the technology of preparing hospital meals, washing dishes, serviceability of refrigeration equipment, storage and transportation of food products. Daily quality control of incoming products is carried out by the doctor on duty, senior nurses of the departments.

As for quality control ready meals, then it is carried out at every meal and its results are recorded in a special marriage journal.

The cost of services for the preparation of the Production Control Program from the ECC "Expert"

Name of the organization for which the CPD is being developed	Deadlines, days	Cost of work, rubles
a complete package of documents for your company	from one	further specify!
catering, cafe	from one
pharmacies, pharmacies	from one
	from one
	from one
trade enterprises	from one
medical institutions	from one
Beauty Salons	from one
dental office, dentistry	from one
educational institutions	from one
hairdressing	from one
medical institutions	from one
restaurants	from one
for your business	from one
other documents see price list	from one	further specify!

The production control program must be developed within the time limits specified by law. In case of their violation, the head of the medical institution assumes full responsibility for non-compliance with the rules. Since the preparation of a production control program is a rather complicated process, we recommend entrusting it exclusively to professionals. ICC "Expert" is an accredited organization that, in compliance with all the requirements of Russian legislation, will develop this rather important document on production control in the shortest possible time.

Production control in a medical institution is aimed at ensuring sanitary and epidemiological well-being, maintaining the health of patients and medical personnel in the process of providing medical services, and preventing nosocomial infections.

The frequency of production control in a planned manner is limited by Federal Law No. 294-FZ of December 26, 2008. "On the protection of the rights of consumers and individual entrepreneurs during the state control(supervision) and municipal control” up to 2 times in 3 years. According to epidemic indications, complaints, in connection with emergency situations or in order to comply with instructions, the bodies of Rospotrebnadzor also carry out extraordinary (unscheduled) control.

Thus, production control becomes perhaps the only form of control that is as close as possible to the concepts of “regularly” and “constantly”. The purpose of production control is to ensure safe conditions for the implementation of the diagnostic and treatment process, both for patients and for medical personnel, incl. prevention of nosocomial infections.

Legal entities and individual entrepreneurs are obliged to ensure compliance with the requirements health legislation in full accordance with Federal Law No. 52-FZ of 30.03.1999. "On the sanitary and epidemiological well-being of the population" (with amendments and additions). This law obliges medical organizations to develop and carry out sanitary and anti-epidemic measures, ensure safety for human health in the performance of work and the provision of services, and exercise production control over compliance with sanitary rules, incl. carrying out laboratory research and testing, to have officially issued sanitary regulations and to conduct hygienic training of workers. Almost all of the above is included in the production control program of a legal entity (individual entrepreneur) engaged in medical activities.

The organization of production control should be provided by the head of the medical organization. By order of the chief physician of the medical institution, a responsible person (or several persons) is appointed for the development of the production control program and its preparation for approval, for the implementation of the production control program.

In order to implement the production control program, the medical institution annually draws up a schedule for the production laboratory control.

The procedure for conducting production control is given in SP 1.1.1058-01 dated 13.07.2001. “Organization and implementation of production control over compliance with sanitary rules and implementation of sanitary and anti-epidemic (preventive) measures and SP 1.1.2193-07 (Changes and additions No. 1 to sanitary rules “Organization and implementation of production control over compliance with sanitary rules and implementation of sanitary (preventive) measures SP 1.1.1058-01".

Production control covers all life support systems and the functioning of a medical organization. This is the sanitary and technical condition and maintenance of the premises, compliance with the hygienic requirements of space-planning solutions, catering for patients and staff, compliance with anti-epidemic, incl. disinfection and sterilization regime, carrying out deratization and disinfestation, collection and disposal of medical waste. In addition, production control covers the improvement of the territory, the working conditions of medical personnel and their protection from harmful factors of the nosocomial environment (physical, chemical, biological), etc.

All laboratory and instrumental studies are carried out by laboratories accredited in the prescribed manner.

Examined air various premises, tap water and water for the preparation of injection solutions, food (dishes), sterilizing equipment and medical products sterilized on this equipment, lighting, microclimate, noise environment, sources of ionizing and non-ionizing radiation.

According to microbiological indicators, the air is examined for the total microbial number, Staphylococcus aureus, yeast and mold fungi - at least once every six months. From the chemical indicators of the air industrial premises concentrations of such harmful substances as phenol, formaldehyde, ozone (once every two years), etc.

Check sterilization equipment. In air and steam sterilizers, each sterilization cycle is examined for compliance standard temperature sterilization, exposure, bookmarks of thermal indicators. Bacteriological control of devices is carried out once every six months. Material for sterility is examined 1 time per quarter.

Disinfection chambers are monitored during each disinfection cycle. The homogeneity of the temperature field inside the chamber and the effectiveness of disinfection by biological tests are checked quarterly.

Once a quarter, the quality of washing clothes is checked by the bacteriological method (10-15 washes) in the presence of their own laundry.

The water and surfaces of therapeutic pools are also examined for microbiological indicators.

Microbiological control for the presence of legionella in departments (wards) for the treatment of immunocompromised patients is carried out 2 times a year.

Production control covers checking the sanitary and technical condition and maintenance of catering units, canteens and the quality of hospital food. Compliance with the technology of cooking, washing dishes, storage and transportation of food products, the serviceability of refrigeration equipment, the availability of the necessary documentation for raw materials and the quality of incoming products are checked daily by the doctor on duty, dietitian, and senior nurses of the departments.

The quality of prepared meals is controlled at each meal and recorded in the marriage log. Microbiological studies of dishes, washings with technological equipment, staff hands, kitchen utensils, as well as studies on caloric content and chemical composition carried out once every six months.

The quality of pest control work, the result of which should be the measurement of the number, is controlled at least 2 times a month.

The quality of deratization measures (measuring the number of rodents) is controlled at least once a month.

The correctness of the collection and disposal of waste of various classes is monitored monthly (visual method).

The timeliness of medical (preliminary and periodic) examinations, the scope of examinations and the list of specialists involved in the examinations are also controlled.

In a letter from Rospotrebnadzor dated April 13, 2009. No. 01/4801-9-32 "On standard programs production control” indicates the recommended types and volumes of studies in medical organizations.

It is advisable in a medical institution to analyze the implementation of the production control schedule based on the results of six months, as well as an analysis of production control based on the results of the year in comparison with the indicators of previous years. It is better to present information based on the results of the analysis of production control in the form of visual material (tables, graphs) in the context of all departments of healthcare facilities at meetings, medical councils or commissions for infection control.

Tyukavkina Marina Viktorovna
Epidemiologist Assistant

Federal Law No. 294-FZ of December 26, 2008 “On the Protection of the Rights of Legal Entities and Individual Entrepreneurs in the Implementation of State Control (Supervision) and Municipal Control” (as amended on July 28, 2012) limits the frequency of planned state supervision for medical and preventive organizations (HPE) engaged in medical activities, up to two times in three years. At the same time, a huge responsibility falls on the shoulders of individual entrepreneurs and legal entities to organize independent production control, the purpose of which in health care facilities is to ensure safe conditions for the implementation of the treatment and diagnostic process for patients and medical personnel.

Regulatory framework for production control

There are two types of control over compliance with sanitary rules and the implementation of sanitary and anti-epidemic (preventive) measures: external and internal. External control is carried out by territorial departments, territorial bodies of Rospotrebnadzor as planned - twice every three years or as extraordinary (unscheduled) - according to epidemiological indications, according to complaints, according to emergencies, on verification of prescriptions, on decisions of the judiciary and prosecution authorities. Internal control (production) can be both visual and laboratory-instrumental.

In accordance with Art. eleven federal law dated March 30, 1999 No. 52-FZ “On the sanitary and epidemiological well-being of the population” (as amended on June 25, 2012; hereinafter - Federal Law No. 52-FZ) a legal entity and an individual entrepreneur are obliged:

comply with the requirements of sanitary legislation, as well as regulations, instructions officials those carrying out federal state sanitary and epidemiological supervision;
develop and carry out sanitary and anti-epidemic (preventive) measures, ensure the safety for human health of the work performed and the services provided;
exercise production control over compliance with sanitary rules, including through laboratory research and testing;
timely inform the institutions of the state sanitary and epidemiological service about emergencies, violations of technological processes that pose a threat to the sanitary and epidemiological well-being of the population;
carry out hygienic training of employees.

Almost all provisions of Art. 11 of Federal Law No. 52-FZ are provided for by the production control plan. In the Letter of Rospotrebnadzor dated 13.04.2009 No. 01 / 4801-9-32 “On standard production control programs”, a plan was proposed for laboratory and instrumental studies on production control for a multidisciplinary hospital - the so-called basic plan. Based on it, it is possible to develop plans for laboratory and instrumental studies on production control for healthcare facilities of almost any profile.

The said letter lists the organizations in which not required performance of laboratory and instrumental studies within the framework of the production control program. These are medical and pharmaceutical organizations without parenteral interventions, without the use of medical instruments and equipment, without the use of medical diagnostic devices that are sources of ionizing and non-ionizing radiation, and, finally, not working with microorganisms of 1-4 pathogenicity groups.

Area and objects of production control

Production control in a stationary type health care facility covers all areas of the institution’s life, including its sanitary and technical condition and maintenance, the correctness of space-planning decisions, catering for patients and staff, compliance with the anti-epidemic, including disinfection and sterilization, regime, deratization and disinfestation work, disposal of medical waste and landscaping of the territory of health care facilities, working conditions of medical personnel, protection of them from harmful physical, chemical and biological factors of the nosocomial environment. The production control plan, at the suggestion of hospital epidemiologists, also included a section on anti-epidemic measures in case of introduction infectious diseases, primarily acute intestinal, droplet infections, including diphtheria, measles, influenza, meningitis, tuberculosis, parenteral viral hepatitis, as well as the prevention of a large group of purulent-septic infectious diseases caused by opportunistic pathogens.

Production control is based on objective assessments of the listed factors, therefore, to ensure it, it is necessary to provide for various laboratory and instrumental studies. The organization of the necessary laboratory research and testing is carried out by a legal entity (individual entrepreneur) independently or with the involvement of a laboratory accredited in the prescribed manner.

Main objects of laboratory and instrumental control are:

study of objects of the nosocomial environment through swabs, sampling of material (medical products, dosage forms) for sanitary and bacteriological studies and sterility;
study of air, tap water and water for the manufacture of injection solutions;
bacteriological testing of sterilizing equipment;
measurements of artificial illumination, microclimate parameters, noise levels from ventilation and medical and diagnostic installations, levels of non-ionizing and ionizing radiation from medical and diagnostic equipment.

All these studies are carried out with a multiplicity regulated by the relevant regulatory documents, a link to which is indicated in the production control plan in a special column.

A legal entity is obliged to form an instructive and methodological base at the facility. Therefore, a list of all necessary regulatory documentation is attached to the production control plan (legislation of the Russian Federation in the field of ensuring sanitary and epidemiological well-being, state standards, officially issued sanitary norms and rules, instructions and other instructive and methodological documents).

Responsibility for the development, organization and observance of production control rests with the head of the LPO. By order, he appoints those responsible for the implementation of sanitary and anti-epidemic (preventive) measures and the conduct of production control. The number of this order is entered on the title page.

Responsibility for carrying out production control is indicated in job descriptions workers. The head of the LPO organizes special training for officials exercising production control. Lists of employees for training and certification are compiled. The responsible person monitors compliance with the recertification deadlines.

Production control plan

The production control plan includes the title part, which contains complete information about the legal entity, including:

certificate of state registration;
lease contract;
information on the number of employees, including those related to the decreed contingent;
availability of a license, sanitary and epidemiological conclusion for types of medical or pharmaceutical activities;
transfer of contracts for the treatment of household and medical waste, laundry and overalls;
information on periodic examinations of medical personnel, disinsection and deratization, disinfection and cleaning of the ventilation system, etc.

The plan indicates: the name of the activities, the responsible executor, links to the current regulations, due date and mark of completion.

Sections of the plan include a hygienic assessment of the following harmful factors of the production environment of health care facilities of a physical, chemical and biological nature:

building materials used in the construction, repair and reconstruction of healthcare facilities;
compliance with the disinfection and sterilization regime in health care facilities;
the condition of the laundry facility, disinfection and washing of linen;
occupational morbidity of personnel with the appointment of a complex of preventive and anti-epidemic measures;
compliance with sanitary regulations drinking water, the air environment of LPO and sources of ionizing and non-ionizing radiation (generating, non-generating);
the quality of the disinfection measures;
maintenance of the territory of health care facilities in accordance with the requirements of sanitary rules.

If violations of sanitary rules are detected at the facility, the production control plan provides for measures aimed at their elimination, including:

suspension or termination of the activity of the facility;
informing the territorial department of Rospotrebnadzor about the incident, including the measures taken to eliminate violations of sanitary rules;
other measures, the implementation of which is necessary for the implementation of effective control over compliance with sanitary rules and hygiene standards, the implementation of sanitary and anti-epidemic (preventive) measures, depending on the specifics of the activities carried out, the work performed and the service provided.

So, production control covers all areas of ensuring the activities of LPO. Multiplicity of control by various issues, depending on the epidemiological significance, ranges from daily to monthly and annual.

Sanitary and epidemiological support

AT modern conditions the role of their own control and the interest of health care facilities in compliance with the anti-epidemic regime, which has a direct impact on the quality medical care. However, the management of health care facilities does not always have the opportunity to engage in daily monitoring of compliance with the anti-epidemic regime. In this regard, sanitary and epidemiological support of the facility becomes in demand.

Under sanitary and epidemiological support one should understand the method of organizing internal control over compliance with sanitary rules, during which a wide range of methods is used, including the use of laboratory and instrumental studies. The purpose of such support is to promote the creation of an effective system of preventive and anti-epidemic measures that provides safe conditions for the treatment and diagnostic process in the interests of a legal entity and an individual entrepreneur.

During the sanitary and epidemiological support carried out:

verification of compliance of LPO with current sanitary standards;
verification of compliance with the anti-epidemic, including disinfection and sterilization, regime;
informing the head of the LPO about the sanitary and technical condition and maintenance of the facility, violations of the anti-epidemic regime;
development of proposals and recommendations for bringing health care facilities in line with sanitary standards and monitoring their implementation;
advising heads of departments, specialists and employees of healthcare facilities on issues of sanitation, hygiene and epidemiology, including the organization of prevention of nosocomial infections, changing the functional purpose of premises, planning decisions, organizing air exchange, handling medical waste, disinfection and sterilization regime, organizing anti-epidemic measures at a case of infection in healthcare facilities, immunization of employees and other areas of activity;
hygiene training of employees;
organization of preparation for inspections of Rospotrebnadzor, support of inspections;
representing the interests of a legal entity and an individual entrepreneur in court within its competence, etc.

The difference between inspections in the course of sanitary and epidemiological support and control of supervisory authorities is that the specialist who provides support protects the interests of a legal entity and an individual entrepreneur. Its purpose is to help a legal entity and an individual entrepreneur establish an anti-epidemic regime in an institution, identify violations, suggest ways to eliminate them and monitor their implementation. This allows the manager, using the experience and qualifications of a specialist, to establish effective control over the implementation sanitary norms and rules in individual units and in the institution as a whole. Using information from sanitary and epidemiological support, management can quickly and timely implement the necessary changes within the institution, i.e. make management decisions.

Sanitary and epidemiological support is carried out under contracts with legal entities and individual entrepreneurs. At present, federal state institutions, the centers of hygiene and epidemiology, are best prepared for this activity. The contract can be one-time (drawn up for each examination) or long-term (for a year, with the definition of the number of visits, the volume and frequency of laboratory and instrumental studies).

The accompanying specialist not only identifies errors in the system of preventive and anti-epidemic measures and provides qualified advice on these issues, but can also organize appropriate consultations of highly specialized specialists.

The sanitary and epidemiological support specialist is responsible for the performance of his duties to a legal entity or an individual entrepreneur, while he is obliged, like a doctor of any other specialty, to maintain the confidentiality of information.

Sanitary and epidemiological support can be carried out as part of the production control program. At the same time, a sanitary and epidemiological support plan can be developed based on the applicant's requests.

The program of sanitary and epidemiological support may include:

inspection of LPO;
development of a production control program;
hygienic assessment of medical facilities for the preparation of instrumental and other types of examinations;
laboratory research and instrumental measurements;
hygienic training and education of workers;
written and oral consultations on anti-epidemic and preventive measures (in case of introduction of infectious diseases, infection of an employee, preparation of various documents, etc.).

Thus, a specialist providing sanitary and epidemiological support actually performs the functions of a hospital epidemiologist at the facility, but unlike a hospital epidemiologist, a specialist (sanitary doctor or epidemiologist) is not administratively subordinate to the head of the institution.


Type of health facility	Number of flushes	samples
Hospitals, including obstetrics		5 air sampling points
In one room	At least 5	1 air sampling point
Industrial pharmacies	At least 10-20	2 air sampling points
Food unit	At least 10-20	3 food samples
Laundry	At least 10-15	2 air sampling points
	At least 10	2 water samples

Khrapunova I. A., head Head of the Department of Hygiene of Healthcare Institution FBUZ "Center for Hygiene and Epidemiology in the City of Moscow", Associate Professor of the Department of Epidemiology and Evidence-Based Medicine of the First Moscow State Medical University. I. M. Sechenov, dr honey. Sciences

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