Cabinet of Ministers Regulations No. 625 in Riga august 23 2005 (pr. No 47 21) alcohol, narcotic, psychotropic or toxic substances effect inspection procedure Issued in accordance with article 60.1 of the law on medical treatment and the law "on police" 12 the first paragraph of article 17 i. General questions 1. detects alcohol, narcotic, psychotropic or toxic substances impact testing procedures the medical treatment institutions and procedures for police officers to check a person's portable measuring devices to determine the concentration of alcohol in the air exhaled to establish whether this person has been using alcohol.
2. the provisions do not apply to the order in which the driver detects blood alcohol levels and exhaled air, as well as the illicit manufacture of narcotic drugs or other intoxicating substances.
3. A Person may drink alcohol, narcotic substances, psychotropic substances or toxic effects of substances, finds: 3.1. a police officer, a check with a portable measuring device for determining the concentration of alcohol in exhaled air, to find out whether a person has used alcohol;
3.2. the medical examination of any of the rules referred to in annex 1 of the medical institutions or medical institutions specialized in this medical autolaboratorij;
3.3. any medical institution (in addition to the provisions listed in annex 1) in accordance with the provisions of chapter IV, to provide medical assistance to injured persons injury.
4. Test the portable device for determining the concentration of alcohol in exhaled air (hereinafter measuring) corresponds to Cabinet requirements instruments that determine the concentration of alcohol in exhaled air.
5. Medical examinations shall be certified or other specialty narkolog physician who At the national agency concerned medical mastered the method of inspection (hereinafter referred to as the doctor).
6. A medical examination carried out on the basis of the law enforcement bodies (the public prosecutor, the courts, State or local police) officers, State or local authorities, as well as commercial companies or other institutions driving the referral in writing, indicating the reason for the medical examination (annex 2).
7. Medical examination authorized to perform well at the request of the natural person if she submitted medical institution submission (annex 3), which justified the need for checks and displays the identity documents. The application adds a medical check Protocol.
II. the alcohol concentration test of exhaled air by police officer 8. If the effects of the alcohol test is needed to confirm or refute the facts or conduct an objective examination of the case of the offence committed, the concentration of alcohol in the air exhaled persons examine the police officer. Measuring the concentration of alcohol in the air exhaled is adequate for the alcohol concentration in the blood.
9. Checks after her oral consent.
10. If the concentration of alcohol in the air exhaled by check is not possible or if the person being tested does not agree with the test and its results, the police officer the person as soon as possible deliver to the medical institution, medical inspection.
11. examination of the Person by making two measurements with a 15 to 20 minute intervals.
12. If the measurement of the concentration of alcohol found in exhaled air, a police officer shall draw up a personal inspection Protocol (annex 4). The protocol adds the meter prints, showing the measurements specified in the Protocol.
13. with the signature of the Person certifying that he has read the report and agrees with the results of the inspection.
14. If the exhaled air found in the alcohol concentration exceeds 0.5 per mille (inclusive), inspection expenses 11 lats shall be borne by the person to be tested, the sum lodged with the State police or municipal police budget account within 30 calendar days of the date of drawing up of the Protocol.
III. Medical examination procedure 15. Medical examination includes: 15.1 of alcohol, drugs, psychotropic, toxic substances or medication fact check after the name of the person to be examined;
9.4. external appearance (including bodily injury or lack of validity), mental and emotional condition, behavior, speech, vegetative and somatic movement coordination, alcohol or other smells;
15.3. alcohol, narcotic, psychotropic or toxic substances or medication fact finding, determining alcohol concentration in exhaled air, as well as through blood, urine or saliva (hereinafter referred to as the biological environment) laboratory studies. The results of the examination and the entry checklist.
16. before the medical examination the doctor will make sure about the identity of the person under examination after identity documents. If these documents are not shown in the medical examination of the person under examination in the protocol description the external signs and indicates that personal data be examined orally after identified a person's name or by data provided by the person that the person brought the medical institution.
17. determine the concentration of alcohol in exhaled air, do two measurements with the 15 to 20 minute intervals. Measuring the concentration of alcohol in the air exhaled is adequate for the alcohol concentration in the blood.
18. Alcohol concentration determination of biological laboratory environment using the imūnmetod or enzimatīv gas chromatography method.
19. in order to identify the illicit manufacture of narcotic drugs, psychotropic or toxic substances, medical examination, the laboratory investigates the biological environment. 20. Narcotic Drugs, psychotropic or toxic substances in biological environment quality determined through toxicological investigation of chemical methods. The investigation carried out by a qualified laboratory experts chemists under the United Nations drug control program, the specific methodology.
21. If the medical examination of alcohol, narcotic, psychotropic or toxic substances for the detection of the impact cannot be performed in full or check is difficult to test a person's overall situation, assess the identifiable clinical signs and laboratory investigations are carried out in two different biological environments.
22. Treatment of samples of biological environment (except urine) laboratory examinations in accordance with the provisions of annex 5 of having medical treatment person in the presence of the consignor. Urine samples taken under the supervision of a person for treatment.
23. If the person tested refuses to put organic environmental samples for laboratory examinations, or trying to take actions that could alter the final result of the examination, the doctor will record this fact medical checklist.
24. in order to determine the concentration of alcohol in the biological environment, material samples for laboratory examination shall be transferred together with the shipping of alcohol detection biological environment (annex 6). The shipment indicates the person's first name, last name, ID number or year of birth, address, the Office of departure, the circumstances of the case, take the name of the sample, the sample sequence number (according to the entry in the log), the date and time of sampling, skin treatments, sample storage conditions, the medical treatment person's name who took the sample (treatment referrals in person signed and record confirmed by a stamp).
25. material samples chemical toxicological investigation be transferred together with the shipment of the chemical toxicological investigation (annex 7). The shipment indicates the person's first name, last name, ID number or year of birth, address, the sending institution, a list of materials, the circumstances of the case, medical examination results, clinical diagnosis, protocol number, its treatment of the person's name and surname, which took the sample (treatment referrals in person signed and record confirmed by a stamp), and the address where to send the reply.
26. If the clinical examination results do not correspond to the results of laboratory analyses (not substance), samples of biological environmental medical establishment sent to the Agency At the State checking again (laboratory examinations). After receiving the results of analyses of the doctor who performed the medical examination, the definitive opinion.
27. The doctor medical examination Protocol shall be drawn up in two copies (8 or 9), as well as the number of log entries (annex 10) medical examination and other necessary data about a person, which is alcohol, narcotic, psychotropic or toxic substances.
28. Opinion on the impact of alcohol is provided, if the concentration of alcohol in the person's blood to be tested exceeds 0.5 per mille (inclusive), or the concentrations of other biological environment.
29. Medical test report detailed results produced by these rules, determine and approve the activities of one of the following test conditions: the person is not found ABV 29.1. impact;
29.2. the illicit manufacture of narcotic drugs have been found, psychotropic or toxic effects of substances;
29.3. not alcohol, narcotic, psychotropic or toxic effects of substances, but has no functional State disorders which need to avoid heightened hazard location;
29.4. the effect of alcohol is detected;

29.5. the illicit manufacture of narcotic drugs, psychotropic or toxic effects of substances;
18.4. the alcohol and narcotic, psychotropic or toxic effects of substances at the same time;
18.5. have found particular use of a substance, but not the facts found in the illicit manufacture of narcotic drugs, psychotropic or toxic effects of substances;
29.8. is found under the influence of alcohol;
29.9. have found the illicit manufacture of narcotic drugs, psychotropic substances or toxic intoxication;
29.10. have found drug intoxication.
30. in the opinion of the medical examination is provided for the person's State of health at the time of examination.
31. One copy of the minutes of the examination of medical authority shall forward the applicant a medical check (sender). Other medical examination a copy of the Protocol and log shipping to the examination or that person's application, as well as the results of laboratory examination of medical institution kept in five years.
32. the results of medical examination, the person shall notify the test orally. At the request of the person being tested her oral issued a written opinion of the medical inspection (tariff).
33. Medical examination protocol signature verifiable person, stating that she has carried out the medical examination.
34. If a person refuses to be tested from a medical check, refusing to put organic environmental samples for laboratory investigation, is unable to sign or refuses to sign the minutes of the examination, as well as attempts to engage in activities that may affect the results of the examination, the doctor checks the medical Protocol. The fact of the waiver of medical tests indicate the Protocol section of the "opinion".
35. If the inspected person disagrees with the results of medical examination, she is entitled to request a month for organic environmental investigation laboratory At the State Agency.
IV. Alcohol, narcotic, psychotropic or toxic substances impact detection, providing medical assistance in the event of injury to the patient, 36. If a person suffered a traffic accident, accident at work or made another injury and delivered in any medical institution, medical doctor who provides medical assistance, outpatient or inpatient medical card of the patient (medical dossier) indicates whether or not the person is an alcoholic, narcotic, psychotropic or toxic substances, clinical signs, as well as data on biological environmental sampling for the detection of certain substances.
37. The medical establishment ensure biological environmental sampling, storage and laboratory examination to detect clinical signs of alcohol and also in the case of other drugs, psychotropic or toxic substances possible presence.
V. medical inspection fee procedures 38. If the medical examination shall be carried out on the basis of this rule 6, paragraph dispatch, and the person to be tested in medical examination found that the concentration of alcohol in the blood exceeds 0.5 per mille (included) or appropriate concentration in other biological environment, also found that provision or 29.5, 29.6, 29.8., 29.9. or 29.10. referred to in condition, inspection shall be borne by the person being tested.
39. If the medical examination shall be based on the provisions referred to in paragraph 6 of the shipment, and the person to be tested in medical examination found that the concentration of alcohol in the blood exceeds 0.5 [permil] or according to different concentrations of biological environment, or if the person being tested has not been established these rules 29.2, 29.3. or 18.5.. referred to in condition, inspection expenses shall be borne by the shipper.
40. If a medical examination carried out in accordance with the application of the person under examination, the examination shall be borne by the person being tested.
41. the inspection shall be borne by the applicant checks again.
42. the transfer of the funds of the hospital's account provides the sender, but if the test is carried out in accordance with the person's application, the applicant.
Vi. Closing questions 43. paragraph 4 of these regulations shall enter into force on January 1, 2006.
44. Be declared unenforceable in the Cabinet of 22 December 1998, provisions No. 472 "alcohol, drugs and psychotropic substances impact test procedure" (Latvian journal, 1998, 385. No; 2002, 147 no, no 167; 2003).
Prime Minister a. Halloween Health Minister g. Smith Editorial Note: the entry into force of the provisions to the august 27, 2005.
 
1. the annex to Cabinet of 23 august 2005, regulations No 625 treatment services, which carried out a medical examination of alcohol, narcotic, psychotropic or toxic substances for the detection of the medical authorities, the medical examination of alcohol, narcotic, psychotropic or toxic effects of substances on the basis for the detection of referrals or people under submission: 1. Addiction a public agency;
2. public limited liability company "Daugava hospital";
3. limited liability company "Ģintermuiž", "Hospital";
4. Limited liability company "Buldur hospital";
5. Liepājas City Council the authority "of the city of Liepāja Central Hospital";
6. Municipal limited liability company "Rezekne hospital";
7. Municipal limited liability company "Ventspils hospital";
8. Limited liability company "Aizkraukles hospital";
9. the Alūksne district municipal limited liability company "Alūksne hospital";
10. Prize district municipal agency "award in the hospital";
11. Limited liability company "Bauska hospital";
12. public limited liability company "State Hospital of Straupe";
13. the Cēsis district municipal agency "Cēsis health care center";
14. Limited liability company "Dobele and surroundings in the hospital";
15. the Gulbene district municipal limited liability company "gulbenes hospital";
16. Limited liability company "Jēkabpils district Central Hospital";
17. Limited liability company "Krāslava hospital";
18. Limited liability company "Kuldīga hospital";
19. Baltimore District municipal limited liability company "priekule hospital";
20. Limited liability company "Limbaži hospital";
21. the Ludza district municipal limited liability company "Ludza district hospital";
22. Madona district municipal limited liability company "Madona hospital";
23. Limited liability company "OGRE district hospital";
24. Limited liability company "Preili hospital";
25. Līvāni District Council municipal limited liability company "Līvāni hospital";
26. Limited liability company "Riga region hospital";
27. the limited liability company "Saldus Medical Center";
28. the Talsi district municipal limited liability company "talsu hospital";
29. Tukums city municipal agency "Tukums hospital";
30. Limited liability company "kandava hospital";
31. Limited liability company "Wear in the hospital";
32. Limited liability company "Red Cross Hospital smiltene";
33. Valmiera District municipal limited liability company Lakewood hospital ";
34. Municipal limited liability company "aizpute hospital".
Health Minister g. Smith annex 2 Cabinet of 23 august 2005, regulations No 625 Health Minister g. Smith annex 3 Cabinet of 23 august 2005, regulations No 625 Health Minister g. Smith annex 4 Cabinet of 23 august 2005, regulations No 625 Health Minister g. Smith annex 5 Cabinet of 23 august 2005, regulations No 625 material sampling for laboratory examinations and their storage.  Material sampling for the determination of alcohol in biological environment and their storage 1. Blood sampling blood from 15 – 20ml the superficial veins in the vakutainer treated with heparin.
2. Puncture site skin treated with furacilīn solution (1:5000), rivanol solution (1:500) or other alcohol-free disinfectant solution. Banned skin treated with ether and alcohol solution.
3. Immediately after blood sampling vakutainer content multiple times easy to shake.
4. the urine sample taken 15-20 ml of urine in a dry disposable container, leaving air as possible above the sample surface. Seal the container.
5. the saliva sampling saliva dry 10 ml disposable container, leaving air as possible above the sample surface. Seal the container.
6. Containers and vakutainer with samples, sealed and stored in a refrigerator where the temperature is not higher than 4 ° C.
7. every container and vakutainer is the label with the model number, the date and time of sampling, the person's first name, last name, year of birth, or social security number and medical treatment person's name who took the sample.
8. After consideration of the laboratory examinations on the remaining portion of the sample and remove the sealed 35dien store in a refrigerator where the temperature is not higher than 4 ° C, possible control studies. After the period of the sample destroyed, and draw up a certificate of unserviceability.

II. sampling of the material chemical toxicological investigation and their storage 9. Urine sample of 100-200 ml of urine in a dry disposable container. The container with the lid closed. Urine samples require no preservatives.
10. take a sample of blood from the superficial 20-30 ml of blood in the veins in the vakutainer treated with heparin.
11. Puncture site skin treated with furacilīn solution (1:5000), rivanol solution (1:500) or other alcohol-free disinfectant solution. Banned skin treated with ether and alcohol solution.
12. Immediately after blood sampling vakutainer content multiple times easy to shake.
13. the saliva sample taken from a person's saliva, 10 ml for which the drug is suspected of smoking or contacts with narcotic substances.
14. After the saliva sampling oral rinse with 10-20 ml of 70% ethanol (to prevent swallowing, the alcohol saturates with sodium chloride).
15.14 of this annex and paragraph washings is mixed together in the same container.
16. paragraph 13 of this annex in the case of a person under examination also takes nomazgājum out of hand. Nomazgājum from the Palm of the hand and fingers, rubbing is obtained with wool, soaked in 70% ethanol.
17. The swab packaged separately from the washings and saliva (for inquiry to the individually packed clean cotton swab).
18. the saliva sample and washings are taken by person and the investigation of sampling for the determination of alcohol content.
19. Containers and vakutainer with samples stored in a refrigerator where the temperature is not higher than 4 ° C. If you need more storage, samples of materials placed in the refrigerator freezer Chamber.
20. the samples, which investigates to determine cocaine, tranquilizers and tropān alkaloids, immediately frozen and stored in a refrigeration Chamber.
21. every container and vakutainer is the label with the model number, the date and time of sampling, the person's first name, last name, year of birth, or social security number, shipping protocol number, the name of the substance, the determination of which study designed and treatment first and last name of the person who took the sample.
Health Minister g. Smith annex 6 Cabinet of 23 august 2005, regulations No 625 Health Minister g. Smith annex 7 Cabinet of 23 august 2005, regulations No 625 Health Minister g. Smith Annex 8 Cabinet of 23 august 2005, regulations No 625 medical test report No. _____ ____ ____ the illicit manufacture of narcotic drugs, psychotropic substances or toktisk identification of impacts Health Minister g. Smith 9. attachment Cabinet of 23 august 2005, regulations No 625 medical test report No. _____ _____ for the determination of the effects of alcohol, Health Minister g. Smith annex 10.
Cabinet of 23 august 2005, regulations No 625 Health Minister g. Smith