Cabinet of Ministers Regulations No. 77 in 2002 (19 February. Nr. 8, § 14) the provisions concerning minimum requirements for medical institutions and their departments Issued in accordance with article 55 of the law on medical treatment, the second part i. General questions 1. Specifies the following minimum requirements of the medical institutions and their departments (medical authorities) so that they can give patients the medical help: 1. General requirements for medical institutions;
1.2. specific features of the necessary facilities;
1.3. minimum diagnostic, medical and patient care equipment;
1.4. the emergency medical assistance to the required minimum of medicinal products;
1.5. the treatment of persons in education and qualification;
1.6. requirements for medical services;
1.7. additional health requirements points, doctorate (ambulance), medical centres and medical practices;
1.8. additional requirements for rehabilitation institutions;
1.9. additional requirements for technical orthopaedics;
1.10. the additional requirements of the specialised centres and special therapy room;
1.11. additional requirements for emergency medical institutions;
1.12. the additional requirements of hospitals.
2. in these regulations meet these minimum requirements is the responsibility of the hospital's Manager.
3. The design of the medical institutions are taken into account in the construction of these regulations the minimum requirements.
 
 
II. General requirements for medical institutions 4. Hospital's entrance is built and equipped to ensure the use of the entrance for persons with limited functionalities. Medical institution information is available for the treatment of persons (first name, last name, specialty and making time). Outpatient hospital's patient decision-making room is located in a visible place in the medical certificates of the persons or their copies.
5. the hospital's floor and the door providing each floor level of the free movement of persons with limited functionalities. Medical institution has at least one toilet per floor.
6. Medical institution in medical technology, which according to the law on medical treatment approved by the Minister of welfare.
7. Medical institution comply with the statutory operating medical equipment and technical supervision.
8. Treatment Services Manager shall draw up and approve the use of the existing and the state metrological control of measuring instruments subject to list and provides the metrological control legislation.
9. Medical authority carrying out rentgendiagnostik or radiotherapy, is a law duly issued a special permit (license) for transactions with radioactive substances or other sources of ionizing radiation in medicine.
10. Medical institution use disinfectants, which are established in the legislation. Disinfection and sterilization operations are carried out in accordance with the hospital's head of disinfection and sterilization of the approved plan.
11. Medical institution is documented in emergency medical care and provides emergency medical assistance to the necessary medical equipment and medicines to the minimum quantity and amount.
12. Hospital's medical education and qualifications of the persons shall meet the following requirements: 12.1. doctors registered in regulations and certified in accordance with the procedure laid down in the relevant specialty;
12.2. the treatment of persons practicing independently is a registered and certified as prescribed in laws and regulations;
12.3. no certified medical persons work only the medical supervision or control of persons who are established in the laws and regulations in accordance with the procedure laid down and which have a certificate in the appropriate specialty;
12.4. certified medical management can work one certified doctor, but medical teaching to medical control, one resident;
12.5. the head of the hospital is a certified health care practitioner or health care Manager, who is a doctor of Rosicrucians certificate is issued.
13. the hospital's staff and medical obligations, powers and responsibilities determined by the job description, the hospital's Manager's orders and other regulations. Job description included: 13.1. requirements for medical treatment or education and qualifications of the employee;
13.2. the treatment of the person and the employee's duties and responsibilities.
14. Hospital's clinical diagnostic laboratory (except laboratory accredited) technical competency is assessed and meets the test laboratories of the General requirements. Clinical diagnostic laboratories assessment of technical competence is equivalent to compliance with the minimum requirements.
 
 
III. requirements for health points, doctorate (ambulance), medical centres and medical practices 15. Health point is the outpatient hospital located in other institutions, in the territory of the undertaking or business concerned and the authorities of the undertaking or business students or employees to provide medical assistance.
16. Doctorate (ambulance) is outpatient treatment, which patients provide primary health care services.
17. are outpatient treatment polyclinic (regardless of the form of action) that residents provide primary and secondary health care services.
18. the health point, doctorate (ambulance), medical centres and medical practice are the following: 18.1. patients in the waiting room;
18.2. the acceptance of the (Cabinet);
18.3. sanitary knot patients and staff (if the outpatient treatment in a residential building, sanitary knot machine separately from the living space of the sanitary node);
18.4. pārsiešan space (only a surgical profile medical institution);
18.5. (chapter) outpatient surgery (surgical profile only medical institution).
19. Medical centres in pārsiešan room is individually separated in pārsiešan and aseptic septic or pārsiešan is a single room and the aseptic pārsiešan septic pārsiešan.
20. Medical centres have the following departments: 20.1. patient registration area or place;
20.2. outpatient department;
20.3. diagnostic Department: clinical diagnostic laboratory 20.3.1.;
20.3.2. functional Diagnostics;
20.3.3. rentgendiagnostik;
20.3.4. endoscopy;
20.4. the physical therapy department.
21. If this rule 20.3 and 20.4. the departments referred to medical centres, services are not in accordance with the agreements concluded with the sickness funds, provides other treatment services.
22. outpatient medical centres in chapter diagnostic, therapeutic and nursing function for addition to this provision 18. premises referred to in paragraph 1 are the following: 22.1. procedure;
22.2. the patient care equipment.
23. Medical centres in chapter of the outpatient staff are the following: 23.1. wardrobe;
23.2. staff hygiene needs.
24. Medical centres in the physical therapy department are the following: 24.1.-physical medical procedures;
24.2. physical medicine doctor's Office;
24.3. the procedure for the preparation of the premises;
15.2. the patient and staff hygiene needs.
25. Medical centres can be fixed in a day. The day hospital is a hospital that patients who do not need medical care and supervision of persons outside the institution concerned, provide diagnostic and medical treatment and where he provided beds. Day hospital diagnosed the diseases treated, care and handling patients.
26. A day in the hospital under medical scope has the following departments: 26.1. patient registration Department;
26.2. the diagnostic, treatment and care;
26.3. the outpatient surgery department;
26.4. blood Cabinet.
27. daily hospital diagnostic, treatment and care are the rules in chapter 18 of that space, as well as the following: 27.1. the House of the patient;
27.2. the shower or bath rooms for patients;
27.3. the procedure;
27.4. the preparation of a patient for diagnostic examinations, and manipulation;
27.5. clean dry warehouse and dirty laundry warehouse.
28. daily hospital outpatient surgery department is the following: 28.1.-manipulation and preparation of the patient for the operation;
28.2. the operating room lobby;
28.3. the operating room;
28.4. follow-up space patient monitoring.
29. the staff day stationary are the rules referred to in paragraph 23 of the spaces.
30. the health point, doctorate (ambulance) and medical centres in the outpatient Department of a doctor and other medical person in the Cabinet are medical devices for diagnostic, treatment and care of patients, which are approved by the Minister of welfare. Specialist doctor and other medical treatment a person practice equipment complies with the appropriate specialty physician or other medical person in the Office.
31. Are able to darken ophthalmologist's Office and the Office of the otolaringolog, with the curtain or blinds.

32. outpatient medical centres in addition to the chapter has the following medical and patient care equipment: 32.1. oxygen equipment;
32.2. enema medical device establishment;
32.3. medical device, urine retention or incontinence;
32.4. for patients with mobility equipment support or physical disabilities.
33. Medical centres clinical diagnostic laboratory performs the following laboratory diagnostic examinations: 33.1. General clinical examinations;
33.2. biochemical tests.
34. Medical centres in part of functional diagnostics perform the following studies: 34.1. standard lead during lead during exercise and breast;
21.3. external respiratory functional Diagnostics;
21.3. veloergometrij.
35. Medical centres in the rentgendiagnostik part of the following studies: 21.8. chest, abdominal and pelvic cavities fluoroscopy and radiography;
35.2. skeletal bone radiography;
35.3. ultrasonoskopij.
36. Medical centres in part of endoscopy performed rektosigmoskopij.
37. Medical centres in the physical therapy Department has the following equipment: 37.1. physical therapy equipment;
37.2. the Chair or couch (in each procedure);
37.3. place patient's clothing to place (each procedure);
23.2. the various profile support in the patient's body for fixation.
38. daily hospital outpatient surgery department are medical devices for diagnosis and treatment of the disease, general anesthesia and patient care that are approved by the Minister of welfare.
39. If outpatient surgery department used general anesthesia, be a separate room or a place for the observation of the patient after anaesthesia. If general anaesthesia used Volatile anesthetics, ensures patient exhaled air output from the premises.
40. daily hospital facilities are provided from any patient beds in day hospital working time to summon medical personnel.
 
 
IV. Requirements for rehabilitation institutions 41. Medical rehabilitation institution is a medical institution or stationary conditions outpatient provide complex medical rehabilitation services through medical rehabilitation devices and multidisciplinary rehabilitation team of technology within the secondary base, secondary or tertiary intensive level. Medical rehabilitation institutions is rehabilitation, rehabilitation of the cabinet departments, rehabilitation hospitals and rehabilitation centres.
42. the Cabinet is the rehabilitation medical rehabilitation institution, the patient care using one or more of the medical rehabilitation technology base level.
43. the rehabilitation Office can operate as a stand alone treatment or rehabilitation Department, rehabilitation hospital or rehabilitation center. Rehabilitation study may not provide full rehabilitation programme, but to cooperate with other relevant medical rehabilitation institutions.
44. the rehabilitation of the Cabinet are: 44.1. physiotherapy room;
44.2. ERGO's Office;
27.5. clinical study of speech;
27.6. clinical psychologist's Office;
27.7. technical orthopaedics Cabinet;
27.7. the physical therapy Office.
44.7. hydrotherapy room;
27.8. reitterapij's Office.
45. If the rehabilitation Office acts as an independent medical establishment, its rooms meet the chapter III of these rules.
46. the Rehabilitation Division of the Department is the hospital provides outpatient and hospital patients in the first and second stage medical rehabilitation services. Rehabilitation of the chapter is chapter three or more appropriate rehabilitation for the profile study.
47. Rehabilitation Hospital's medical rehabilitation institution, which provides outpatient and inpatient medical rehabilitation services to patients who are standing all day and continuous medical care and supervision of persons and which patients are provided beds and catering.
48. the rehabilitation center's medical rehabilitation institution, which provides outpatient and inpatient medical rehabilitation services as well as rehabilitation professionals educate, develop and limited the rehabilitation technology development, as well as perform scientific research work.
49. Rehabilitation Hospital and rehabilitation centre has the following departments: 30.5. reception, which made the patient admission and their coordinates;
30.6. diagnostic and functional testing Division, which specify the patient's diagnosis and objectively determine his functional ability (restrictions), to draw up an individual rehabilitation programmes, and evaluate the results of rehabilitation process;
30.6. the nurse, performing patient care;
49. physiotherapy department or service;
30.8. social work Department or service, which evaluates the patient's social environment and provide advice and assistance to its improvement.
50. the rehabilitation hospital and rehabilitation center, according to the profile can have the following additional units: 50.1. intensive care unit or Department that the patient provides emergency medical assistance and supports medical use of invasive technology;
50.2. ERGO Division or Department that provides patient assessment and treatment of ergoterapeitisk and provide advice in the appropriate environmental adaptation to patient needs, as well as making orthoses and assistive devices;
50.3. logopēdij Division or Department, which treats patients who have communication and swallowing disorders or developmental delay and psihomotor disorders, as well as educate patients and their loved ones;
50.4. the psychology department or service, which evaluates and develops the patient's cognitive, intellectual, and emotional abilities, as well as educate the patient and his family;
50.5. special pedagogy Department or service, where patients who have limited detection capabilities, acquire the pārizglītojošo subjects, and use training methods that improve patient mobility, communication and self-care ability;
50.6. technical orthopaedics Division or Department that provides patients with necessary prosthetic and orthosis products and other technical AIDS;
50.7. reitterapij unit, which assesses patients ' functional abilities and treated using a riding with horses.
51. Rehabilitation Hospital or rehabilitation center space meets this provision in Chapter VIII. Rehabilitation hospital or rehabilitation center following space: 51.1. patient reception room;
51.2. diagnostic and functional testing;
51.3. the doctor's Office;
51.4. the nurse's Office;
51.5. premises of drug roadblocks;
51.6. physiotherapy Hall individual and group lessons;
32.1. the social worker's Office;
32.2. other facilities under this provision in Chapter VIII.
52. Rehabilitation Hospital or rehabilitation center, according to the profile can have additional offices in other rehabilitation medical rehabilitation areas.
53. If only provide outpatient rehabilitation center for medical rehabilitation services, does not require departments and for the accommodation of the patient room or other hospital-specific functions.
54. Medical rehabilitation institution is a medical device, diagnostic, treatment and care of patients, which are approved by the Minister of welfare.
55. Persons with limited functional capabilities, provides access to medical rehabilitation institution from the nearest public transport stops or parking lots.
 
 
V. technical requirements orthopaedic institutions 56. technical orthopaedics medical office facility in which the patient is made or adapted assistive technology according to his physical, occupational, and social potential.
57. technical orthopaedics authority subject to the following principles: 57.1. premises comply with technological processes, as well as for the manufacture of technical AIDS or adaptation;
57.2. number of employees corresponds to the room size and jobs;
57.3. patient rooms separated from the production premises;
57.4. optimal positioning of work equipment;
57.5. jobs in compliance with the safety-technical and safety standards;
57.6. environmentally sound technologies;
57.7. rules of working with chemicals and flammable substances, as well as space for ventilation and lighting provisions;
57.8. opportunity to get into and move freely to disabled persons and persons with functional ability;
57.9. ensuring cooperation with medical rehabilitation centers and other medical authorities.
58. the technical authority are the following orthopaedic space: 58.1. Administration facilities;
58.2. patients in the waiting room;
58.3. the patient making a room that can be combined with the workout and control room patient training in the use of technical AIDS, and the number of enclosures;
58.4. sanitary knot patients and staff;
58.5. inventory of materials, parts and technical AIDS for storage;
58.6. mechanical workshop materials and technical equipment for Assembly, adjustment and repair, which can be combined with the warehouse.
58.7. workout and control room patient training in the use of technical AIDS;
58.8. employee lounge;

58.9. wardrobe.
59. technical orthopaedic Office which is individually produced technical AIDS workshop, in addition to the provisions referred to in paragraph 58 rooms have the following facilities: 59.1. cast of sampling;
59.2. the modeling workspace for working with plaster and thermoplastics;
59.3. orthopaedic machines room, which can be combined with the mechanical workshop;
59.4. working with resin and other chemical materials;
59.5. the sewing room;
a cobbler's workshop 37.0. surgical truss maker;
59.7. space for the storage of the finished product;
59.8. shower room.
60. technical orthopaedics Office where there are many technical equipment used in the workshop, in addition to the provisions referred to in paragraph 58 rooms have the following facilities: 60.1. technical equipment exhibition, which can be combined with the workout and control room patient training in the use of technical AIDS;
60.2. space leased and received technical AIDS back disinfection, washing and drying.
61. Technical AIDS for the manufacture of technical orthopaedics facility used in medical technology, which approved the Welfare Minister.
 
 
Vi. Claim of the specialised centres and special therapy study 62. Blood establishment's medical establishment, which prepare blood test blood samples, blood components are produced, stored and distributed blood products, as well as methodical, organised manages and coordinates the preparation of blood products and supplies with them.
63. the Preparatory Department is blood treatment Services Department, which prepares blood components medical institution existing patient treatment.
64. Blood establishments and blood preparation section has the following facilities: 64.1. doctor's Office;
64.2. donor waiting room;
64.3. donor locker room;
64.4. blood preparation room;
64.5. preparation of blood components;
64.6. erythrocyte mass washing;
64.7. lockable space of a separate investigation of blood and blood products for storage;
64.8. separate lockable room (self-contained) does not investigate the storage of blood;
64.9. a separate room for storing consumables;
64.10. staff changing rooms;
64.11. toilet.
65. Blood establishments and blood preparations chapter Registrar, which stores documents and ensure the protection of the information referred to therein.
66. Blood establishments have a separate room for automatic citaferēz and plazmaferēz. Imūnhematoloģisk the testing done in a separate room.
67. Blood preparation room is: 67.1. not less than 4 m2 for each donor site;
67.2. smooth walls and floor from easily washable materials, in order to make room for the regular wet cleaning;
67.3. medical couches or chairs with armrests and table of donors for the necessary procedures and instruments for the placement of materials;
41.9. special tank used for the collection of the material;
67.5. dishes disinfectants.
68. Blood establishments and blood preparations chapter has the following minimum equipment: investigation of donors 68.1. thermometers;
68.2. špātel;
68.3. fonendoskop;
68.4. device for indirect blood pressure measurement of the arterial;
68.5. medical weight.
69. Blood establishments and blood preparations chapter has the following minimum equipment blood preparation: 69.1. sterile plastic bag-System Kit with anticoagulant;
EB 69.2. Libra full plastic bag for weighing;
69.3. tubes of blood samples and tube racks;
69.4. refrigerator for the storage of the blood in which the temperature is maintained between + 2 ° C to + 6 ° c.
70. Blood establishments and blood preparations chapter has the following minimum equipment for blood component preparation: 70.1. refrižeratorcentrifūg;
70.2. the balancing weight;
70.3. plasma device abstraction.
71. The blood establishment and preparation of blood chapter includes separate refrigerators that maintain a temperature of + 2 ° C to + 6 ° C and which are being used: the mass storage of red cells 71.1.;
71.2. blood sample, testsistēm and reagents storage.
72. Blood establishments and the preparatory section of blood is plasma freezing refrigeration equipment, which keeps the temperature-30 ° C.
73. Blood establishments and blood preparations chapter of refrigeration equipment for the storage of frozen plasma, which keeps the temperature no higher than-18 ° c.
74. the selection of donors, the donor's blood testing, blood and blood component preparation and quality control of the blood establishment and preparation of blood chapter made using medical technology, which approved the Welfare Minister.
75. Blood establishments and blood work the Preparatory Department provides clinical diagnostic laboratory that is accredited or that technical competence is assessed and meets the test laboratories of the General requirements.
76. before the donor's blood donation clinically diagnostic laboratory provides the following donor blood sample studies: 76.1. with monoclonal reagents define the AB0 blood system;
76.2. determine the level of haemoglobin or haematocrit blood.
77. the Clinical diagnostic laboratory provides the following donor blood sample studies: 77.1. the determination of the AB0 blood system: 77.1.1. with direct response using the reagents, evaluated in parallel with the plane and based method;
77.1.2. with the inverse reaction using 0, A1 and B standarteritrocīt, with plane method;
77.2. Rh (D) determination of affiliation, in parallel with the plane and based method;
77.3. fenotipizācij Rh and Kell, with C, C, E, e, and K antigens, with method based on two blood donation times;
not full antieritrocitār 77.4. antibody identification (only national blood establishments);
the donor and recipient 77.5. compatibility testing;
antibody against syphilis 77.6. agent discovery with the HA response (TPH);
77.7. alanīnaminotransferāz activities;
77.8. HB Antigen, anti-HIV1/2 and anti-HCV antibodies.
78. Sterility is ensured by blood and blood component preparation and quality control of medical technologies, which are approved by the Minister of welfare.
79. Special therapy outpatient treatment of the Cabinet is the body that carries out patient therapeutic, preventive and health-enhancing procedures or manipulations.
80. Special care is a medical device in the study of disease diagnosis, treatment and patient care that are approved by the Minister of welfare.
81. If the special therapy Office is outpatient Department of the authority, it shall be in accordance with the rules referred to in paragraph 18.
82. the Cabinet is the blood treatment services unit, which provides blood products within the medical institution and be responsible for it.
83. Blood of the Cabinet room is separate lockable room with smooth walls and floors that are made from easily washable materials, in order to make room for regular damp cleaning.
84. Blood in the Cabinet are: 84.1. telephone communication;
52.3. the cold Chamber in which the temperature is maintained at-18 ° C or lower, the frozen plasma and cryoprecipitate for storage;
84.3. refrigerators, which keeps the temperature between + 2 ° C to + 6 ° C, the red cells mass and blood products.
85. the dental office is a body treatment or special treatment, which is done by the Cabinet of the patients mouth and related organs in the jaw and face disease diagnosis and treatment, as well as the prevention of disease.
86. the dental suite are as follows: individual patient decision-making 53.5. (space) with natural light that, if the room contains a single dental equipment, at least 10 m2, room capacity: 25 m3, height up to cover the ceiling plane — at least 2.5 m. per additional dental facility provides an area not less than 7 m2. Number of patient rooms of adoption can be connected. If the patient records filing system (data base) located in the area of patient acceptance of the area need additional area not less than 2 m²;
86.2. waiting room with wardrobe space. In the waiting room can accommodate patient records index (database);
86.3. sterilization the place or premises. If the place of deployed sterilization of patients making room in the area need additional area not less than 4 m2;
86.4. sanitary knot. If a dental office is located in the residential part of the building, sanitary knot machine separately from the living space of the sanitary node.
87. If the patient decision-making room is located more than one dental equipment, dental equipment are bounded.
88. New iekārtojamo for dental offices in one patient decision-making room put one dental facility, except for the Cabinet, which is performed in the dentists, dental nurses, dental assistants, dental feldšer and dental higiēnist training.
89. the dental suite contains the following therapeutic medical investigation, and patient care equipment: 89.1. medical devices and drugs, which provides aseptic techniques should be maintained and antiseptik are respected;
89.2. dental chair and dental equipment that is connected to the wiring and communications and operate in accordance with the manufacturer's instructions;
89.3 rentgendiagnostik. dental apparatus, except in the following cases:

89.3.1. Dental Office is located in the koppraks or other medical institution which may receive dental services rentgendiagnostik;
89.3.2. you can get dental services rentgendiagnostik other medical institution in accordance with the contracts concluded;
89.4. film processing equipment;
medical personnel protection equipment 89.5. (such as protective gloves, plastic face shield or a disposable mask, goggles);
55.7. dental office furniture.
90. the use of general anesthesia, patient observation, continuous inhalation of oxygen, artificial ventilation and pulmonary aspiration control. To make a general anesthesia, you need the following minimum equipment: dental Suite 90.1. dental chair, which may place the patient in a horizontal position;
90.2. the provisions referred to in paragraph 38 of the medical device to the general anesthesia.
91. Sterilization in place or room has a sink that is connected to the mains and sewers, containers for medical instrument sterilization of processing before, sterilizers, place a sterile medical instruments and dental office services amount corresponding medical instruments.
92. the head of the dental suite provides the following systematic control: 57.2. medical instruments, the level of microbiological controls: two times a year;
92.2. mercury concentration in control patients decision-making room air — once a year.
93.92. These provisions referred to in paragraph shall be carried out by the accredited testing laboratory or clinical diagnostic laboratories technical competency is assessed and meets the General requirements for the operation of testing laboratories.
94. Quicksilver seal surpluses collected and transferred for recycling. To prevent mercury from entering the waste waters, dental equipment output is equipped with amalgam separators.
95. dental technical lab is the medical establishment or laboratory at which made dentures.
96. dental laboratory has the following technical separate space: 96.1. lab space with natural light that one work is at least 14 m2, two jobs — at least 16 m2, ceiling height: at least 2.2 m; 96.2. the adoption of the order of the place or premises. If the order reception area is located in the work area, the area needs additional area not less than 2 m²;
96.3. sanitary knot.
97. the teeth above the technical laboratory casting furnaces, gas cookers, soldering equipment and workplaces shall be provided in the context of local suction devices that dust or mercury vapour suction and which are equipped with the appropriate filters according to the instructions for use. Performance of the equipment is appropriate for the existing et seq.
98. in order to ensure the technological process, dental technical lab space has the following equipment: 98.1. work-elektroslīpmašīn with a separate dust collector, gas supply, the laboratory burner or alcohol lamp;
98.2. water sink with a special dish of deposits that provide effective capture of particles of gypsum and retention;
98.3.1 m x 0.7 m closed large laboratory fitted with autonomous polishing dust collector;
98.4. laboratory table with a hole in the plaster plaster residual of not less than 1 m x 0.7 m. 99. dental technical lab space for working with mineral acids and metal soldering required fume cupboard that provide national standards for chemicals in the workplace exposure limit values for air requirements and which parameters are the following: 99.1. size of not less than 1.5 m x 0.7 m, 99.2. opening not less than 0.3 m x 0.6 m; autonomous 99.3. mechanical suction air speed shall be not less than 0.7 m/s. 100. dental technical Lab Manager once a year to ensure control of the concentrations of lead in the air of laboratory space.
 
 
VII. Requirements for emergency medical authorities 101. Emergency medical institution is the medical establishment (regardless of the form of ownership and type of activity), which is the core duty Brigade emergency medical care to citizens life and health, critical positions around the clock, as well as emergency medical situations. Emergency medical authority is an independent medical establishment with the rights of a legal person or an individual hospital's Department or Division.
102. in order to ensure emergency medical institutions activity 24 hours a day, is needed: 102.1. operational medical vehicles;
102.2. premises and control with specially equipped working places;
102.3. medical, administrative, economic and technical service rooms;
102.4. operational teams caught the staff;
102.5. medical materials and medicines according to the monthly consumption rate for emergency medical assistance to the population and medical materials and medicines consumption month reserve rules in emergency medical situations;
102.6. complete emergency medical records and analysis (primary and secondary provided emergency medical assistance at the theme and the result), as well as provide emergency medical assistance and quality control;
102.7. operational plan, if found to be a particularly dangerous infectious diseases or suspected of;
102.8. disaster medical plans for operation in emergency medical situations.
103. Emergency medical activities of the authority with operational medical vehicles in accordance with the agreements concluded between can provide other institutions or companies (the company).
104. to ensure this rule 102.2. operation referred to in the action you need: 104.1. no less than two "03" telephone lines;
104.2. direct telephone lines with emergency medical hospital for treatment, the supervising person, fire and rescue services and the police, as well as emergency medical institutions, departments, branches and other services that provide emergency medical institutions operational activities;
104.3. mobile communications with emergency medical teams in the institutions;
104.4. continuous automated call entry application process call map and audio tape or electronic format (with the time registration);
104.5. continuous automated standardized time fixation system;
the relay system 104.6. operational duty brigades for immediate shipment in accordance with the call.
105. The city (district) with the municipal emergency medical authority administrative territory concerned can build emergency medical institutions, which is a branch of the institution concerned departments.
106. Emergency medical authorities are following the functional unit of the emergency medical team, composed of not less than two treatments: 106.1. Assistant doctor (feldšer) Brigade;
106.2. the intensive care team.
107. Emergency medical institutions physician assistant (feldšer) is the head of the team: the emergency health assistance in certified medical assistant (paramedic), and the other medical person who prepared the emergency medical assistance (Medical Assistant (paramedic) or nurse), as well as operational head of the medical vehicle.
108. Emergency medical authorities the intensive care team is its Director, emergency health help certified physicians and emergency medical physician assistant (paramedic) or nurse in a medical emergency, as well as the driver.
109. The intensive care team emergency medical physician assistant (paramedic) is certified in emergency medical help.
110. the specialized emergency medical assistance can create different profiles of medicine specialized emergency medical teams. In this case, the team leader is a certified emergency health assistance and anaesthetics, reanimatoloģij or another specialty relevant to the team profile.
111. the emergency medical authorities the driver order that rule 107, 108 and 110, paragraph in addition to the brigades may include other emergency medical assistance to prepare treatments (not a certified doctor trainee, nurse) and determine the order in which to nurse (nurse Assistant).
112. the emergency medical team operating the driver are prepared according to the extended first aid measures for the welfare of the curriculum prescribed by the Minister.

113. the emergency medical personnel the authority not less than annually attending training courses and treniņapmācīb and sorts including, in accordance with the procedure laid down by the Minister for welfare in the approved program and order: 113.1. emergency medical assistance team treatment entities, as well as a group of controllers, life saving, enlarged heart and lung resuscitation CPR and extended in cases of injuries, as well as disaster medical plan treniņapmācīb;
113.2. emergency medical assistance team support staff and operational medical driver — the extended first aid program.
114. Emergency medical assistance team personnel are provided with seasonal work clothing, disinfectants and cleaners and personal protective equipment.
115. Operational medical vehicle means a motor vehicle that is specially equipped and medically equipped. Emergency medical vehicle used in medical emergencies, as well as for such patients (the victim) movement, which during transport may need emergency medical help.
116. Operational medical vehicle comply with standard EN 63:1999 "Operational vehicles, paint, equipment".
117. Medical Emergency vehicle in security matches the General operating rules for road transport.
118. Operational medical vehicle is equipped with: 118.1. communication equipment that is certified and registered with the procedure laid down in laws and regulations;
118.2. equipment items that are portable and usable indoors and outdoors and comply with the General and special safety requirements of road transport;
118.3. all age group of patients the necessary equipment and medical equipment.
119. Operational medical equipment of the vehicle shall be tested according to izgatavotājrūpnīc instructions and regulations on medical equipment. Operational medical vehicle in the medical equipment operation instructions in the language of the country, the operational rules and instructions for maintenance.
120. Operational medical vehicle is provided with the appropriate equipment and emergency medical assistance to necessary medicines and medical devices that are approved by the Minister of welfare.
 
VIII. Requirements for hospitals is a therapeutic Hospital 121. body that the patient provides emergency medical assistance, determine diagnosis and cures. Hospital patient around the clock is in constant and continuous medical care and supervision of persons to certain diagnostic or therapeutic grade. Hospital patient beds and meals are provided.
122. The hospital has the following departments: 122.1. the stationary Department;
122.2. emergency medical assistance and patient admission Department;
122.3. Chapter of medical investigations;
122.4. sterilization;
section 122.5. disinfection;
Pathology section 122.6. with the morgue or the premises for the storage of the dead;
122. Administration;
122.8. commercial technical services.
123. The hospital may not be the rule, and 122.6 122.5 122.4. Chapter referred to. In this case the hospital contracts with other agencies that provide the services.
124. in addition to the provisions referred to in paragraph 122 units in the hospital under the hospital concerned profile can have the following departments: 124.1. Operations Division;
124.2. preparation of blood or blood chapter Cabinet;
124.3. Department of anaesthetics;
124.4. Physical Medicine Department;
124.5. rehabilitation Office or rehabilitation Department;
124.6. outpatient department;
124.7. psychiatric profile chapter: 124.7.1. Department of Psychiatry;
124.7.2. Psychiatric Rehabilitation Department;
124.7.3. State Department crisis;
124.8. intern profile chapter: 124.8.1 oral diseases. Chapter;
124.8.2. cardiology department;
124.8.3. the tuberculosis and lung disease;
124.8.4. Department of Neurology;
124.8.5. Department of infectious diseases;
124.8.6. Gastroenterology Department;
124.8.7. renal diseases Division;
124.8.8. Hematology Department;
124.8.9. the iroangioloģij Department;
124.8.10. endokrinoloģij Department;
124.8.11. radiotherapy Department;
124.8.12. chemotherapy Department;
124.9. surgical profile chapter: 124.9.1. surgical Department;
124.9.2. the gynaecology department;
124.9.3. Department of orthopaedic surgery;
124.9.4. otolaringoloģij Department;
124.9.5. eye disease;
haemodialysed; 124.9.6.
Thoracic Surgery Department, 124.9.7.;
124.9.8. neurological Department;
124.9.9. Urology Department;
124.9.10. face and Jaw surgery chapter;
124.9.11. microsurgery Department;
124.9.12. the cardiac surgery department;
124.9.13. Vascular Surgery Department;
124.9.14. transplantoloģij Department;
124.9.15. vertebroloģij Department;
124.9.16. big joint arthroplasty unit;
124.10. maternity Department;
124.11. child chapter;
124.12. intensive care unit.
125. in each functional unit of a hospital or in a separate building located in the stationary section is the dead space for temporary storage.
126. The hospital can be fixed the day that meet these rules 25, 26, 27, 28, 29, 38 and 40. the requirements referred to in paragraph 1.
127. in chapter Hospital patients provided beds and catering.
128. in order to ensure patient accommodation, stationary section has the following facilities: 128.1. the House of the patient;
128.2. patient shower room or bathroom;
128.3. patient toilet;
128.4. patient lounge (except children);
128.5. clean dry warehouse;
128.6. dirty laundry warehouse.
129. in order to provide diagnostic, therapeutic and nursing functions, fixed section are spaces designed for: 129.1. procedures;
129.2 the preparation of patient diagnostic examinations, manipulation and operations;
129.3. patient care products.
130. in order to ensure that staff working in the hospital section of spaces designed for: doctor jobs, 130.1.
130.2. the nursing work;
130.3. the staff of the Exchange and storage of clothing;
130.4. staff hygiene;
130.5. staff recreation.
131. The ambulances and patient Admissions Department provides emergency medical assistance in full preventing and stabilising the life is hazardous to health, and, if necessary, place the patient in the hospital.
132. the systematic treatment of patients for admission to hospital you can create a separate scheduled patient Admissions Department.
133. The ambulances and patient reception are spaces designed for: 133.1. uzgaidīšan and patient registration;
133.2. patient viewing, and investigation;
133.3. vital function stabilisation and;
133.4. curative procedures, manipulation and operations;
133.5. hygiene needs of patients;
133.6. patients with infectious diseases isolation and observation of patients without a clear diagnosis;
133.7. personnel in accordance with the provisions of paragraph 130.
134. Emergency medical assistance and patient reception provided by the rules referred to in paragraph 182 of the medical examination and the rentgendiagnostik unit, which makes this provision of paragraph 196 studies. This type of diagnostic investigation section is provided around the clock.
135. Pathology Department perform biopsies, surgery and autopsy material of macroscopic and histological investigation to determine the patient's disease, as well as autopsy dead patients.
136. the Department of Pathology is the following: 136.1. working space for staff;
136.2. staff hygiene;
136.3. histology laboratory;
136.4. space biopsy and surgery material sampling;
136.5. autopsy room;
136.6. archive Protocol, histology and mikropreparāt in an answer, paraffin blocks for storage;
136.7. dead storage.
137. the operations section is the operating room as well as room for health personnel and operations of the medicinal product throughput.
138. Sanitary facilities Operations Division pass is separated from the rest of the hospital premises. Personnel operations division enter a pass through sanitary facilities where dresses in clothing and Operations Division footwear. Of sanitary space for other pass hospital rooms may go only after Operations Division was taken off clothes and footwear.
139. The sanitary rooms are the following pass: 139.1. changing rooms;
139.2. staff shower rooms;
139.3. toilets.
140. the operation being the following: 140.1. operating room septic operations;
140.2. the operating room aseptic operations;
140.3. the hand of preoperative treatment;
140.4. room sterile surgery accessories;
140.5. pirmssterilizācij space;
140.6. patient observation period after general anesthesia.

141. This provision, 140.3 140.2. and 140.1. in the areas referred to in respect of complete aseptic techniques should be maintained. Aseptic techniques should be maintained, the provisions approved by the regime of hospital Manager according to the functional unit used in the operation, the medical technology.
142. the outside Operations Division deployed in the operating room can be relieved aseptic techniques should be maintained, but it may not significantly reduce the aseptic techniques should be maintained.
143. in order to service the operating room, the necessary premises, which are intended for: blood preparation preparation 143.1.;
143.2. storage of drugs;
143.3. laundry storage;
143.4. sewing the material preparation, if you do not use only single-use material;
143.5. operation for the preparation of materials;
use the laundry and 143.6. operations for the storage of the material;
staff leisure 143.7.;
143.8. operating room nurses for working parents;
143.9. reserves and material storage.
144. the chapter of the anaesthetic machine is where the hospital treatment or diagnostic methods may be necessary to provide the patient pain management or provide patient immobility or respiratory permeability.
145. the Department of Anaesthetics to patients provide anesthesia and vital function in maintaining the organisms: 145.1. surgical operation and manipulation;
145.2. pirmsanestēzij and pēcanestēzij care;
145.3. pain therapy;
in intensive therapy and 145.4. CPR;
145.5. detoxification methods in use.
146. The Hospital where General and local anesthesia, there is a separate room, or the ICU patient monitoring Department in the period after general anesthesia is established until the patient's vital functions.
147. in addition to the Department of Anaesthetics that rule 129. premises referred to in point is medical equipment and medication storage warehouse.
148. the physical medicine section are spaces designed for: 148.1. uzgaidīšan and patient registration;
148.2. physical medicine procedures;
148.3. doctor work;
the procedure for the preparation of 148.4.;
148.5. patient and personnel hygiene needs.
149. Physical Medicine procedure room each procedure site is visually separated from the other procedure, and its area is not less than 5 m2.
150. Elektromieg therapy procedures are a separate room that can be darkened and which procedure happens during other procedures or patient movement.
151. If you use the stationary high frequency factor therapy equipment, high-frequency factor therapy room is shielded cockpit procedures.
152. Aerojonizācij, hidroaerojonizācij and aerosolterapij premises is active flow ventilation.
153. The laser or laser in place of wall, ceiling and floor cover is matte.
154. The hospital outpatient department is the Department of a hospital the hospital treatment of the person working provides secondary health care to patients who are not placed in the hospital. Hospital outpatient department comply with Chapter III of these rules.
155. The psychiatric department in addition to this provision, 129 and 130 128. premises referred to in paragraph 1 are the following: 155.1. Special strict oversight of Auditors;
155.2. ERGO room;
155.3. patient rehabilitation measures;
155.4. space where patients can meet with visitors.
156. Multi purpose hospital, which is a branch of Psychiatry, in addition to being a single walking: 156.1 or resting place for psychiatric patients in the profile;
156.2. physical culture or physiotherapy practice psychiatric profile patients.
157. The psychiatric department is a special window and door mountings and security, as well as a reinforced window and door fitting the strict monitoring of patients on the ward.
158. Psychiatric Rehabilitation in addition to these provisions in chapter 128, 129 and 130 premises referred to in paragraph 1 are the following: 158.1. therapeutic production workshop;
158.2. ERGO's Office.
159. The crisis of the State in addition to the provisions in chapter 128, 129 and 130 premises referred to in point is the work space of the group therapy sessions.
160. Intern profile sections in addition to this provision, 129 and 130 128. premises are referred to the ICU, which satisfies this rule 177.178.233, 234, 235 and the requirements set out in the paragraph, or the patients beds is provided for functional therapy unit or intensive care unit of a hospital.
161. The tuberculosis and lung disease chapter room layout and the work of the chapter mode provides the pretepidēmisk mode.
162. the Department of Neurology is the space of the lumbar puncture and pharmacological blokāž.
163. the infectious diseases Department of space design provides the ability to insert a chapter at least two streams of patients: 163.1. patients with infectious diseases that spread air-drops of infection;
163.2. patients with other infectious diseases.
164. Gastroenterology, renal diseases, hematology, iroangioloģij, endokrinoloģij, Dermatology and sexually transmitted infections chapter in space comply with the General requirements in the profile section of the annals.
165. Radiotherapy Department with closed-block is that rule 128.129 and 130, the premises referred to in point. The closed block of isotopes in addition has the following facilities: 165.1. linear electron Accelerator cabinet: 165.1.1. patients in the waiting room;
165.1.2. controller with monitors patient observation;
165.1.3. the procedure of the irradiation;
165.1.4. where the technical management pillar;
165.1.5. technical equipment;
165.2. gamma therapy distance cabinet: 165.2.1. patient waiting room;
165.2.2. controller with monitors patient observation;
165.2.3. the procedure of the irradiation;
165.3. cavities of the Cabinet: 165.3.1. radiotherapy the patient waiting room;
165.3.2.-the gynecological examination;
165.3.3.-x-rays;
165.3.4. controller with monitors patient observation;
165.3.5. the procedure of irradiation facilities with the cavity of the radiotherapy treatment machines;
165.4. īsfokus (tuvfokus) by radiotherapy treatment cabinet: 165.4.1. patient waiting room;
165.4.2. controller with monitors patient observation;
165.4.3. the procedure of the irradiation;
165.5. deep by radiotherapy treatment cabinet: 165.5.1. patient waiting room;
165.5.2. controller with monitors patient observation;
165.5.3. the procedure of the irradiation;
topometrij of the Cabinet: 165.6.165.6.1. patient waiting room;
165.6.2. room with a switchboard;
165.6.3. topometr;
165.6.4. laboratory space rentgenfilm development;
165.6.5. archive facilities;
165.7. simulator cabinet: 165.7.1. patient waiting room;
165.7.2. room with a switchboard;
165.7.3. the simulator;
165.7.4. laboratory space rentgenfilm development;
165.7.5. archive facilities;
computer lab engineers 165.8. physicists;
165.9. closed repository of isotopes.
166. Surgical profile, in addition to the provisions of section 128, 129 and 130 premises referred to in paragraph 1 are the following: 166.1 to pārsiešan.-the aseptic;
space for septic pārsiešan 166.2.;
166.3. the ICU Department or functional block surgery beds or hospital intensive care unit.
167. the Gynaecology Department, in addition to the provisions referred to in paragraph 166 spaces are spaces designed for: 167.1. patient gynecological examination;
167.2. manipulation.
168. Orthopaedics and Orthopaedic Department in addition to the provisions referred to in paragraph 166 spaces are spaces designed for: 168.1. plaster immobilisation and removal of taxation;
168.2. closed repozīcij-room area must be sufficient to be able to use general anesthesia.
169. in addition to the Otolaringoloģij section of the rules referred to in paragraph 166 rooms are spaces designed for: 169.1. audiometrij (with external sound isolation);
169.2. patient examinations and procedures.
170. eye disease in addition to the provisions in chapter 166. premises referred to in paragraph 1, are spaces designed for: 170.1. functional examination of the eyes;
170.2. patient viewing, and pārsiešan.
171. in addition to the chapter haemodialysed this provision 166. premises referred to in paragraph 1 are the following: 171.1. haemodialysed room where one place for haemodialysed area that is less than 5 m2;
171.2. outpatient wardrobe;
171.3. outpatient mess and rest room.
172. Thoracic Surgery, neurological, internal medicine, face and Jaw surgery, microsurgery, cardiac surgery, vascular surgery, transplantoloģij, vertebroloģij and large joints Arthroplasty unit meets the General requirements set out in the profile section of surgery.
173. the maternity Department in addition to this provision, 129 and 130 128. premises referred to in paragraph 1, is the maternity unit where the functional need of the following: 173.1. hosting space;
173.2. prenatal Checkup;
173.3. two antenatal Ward, from which one can be isolated;
173.4. maternity room;
173.5. postpartum Checkup;
newborn care space 173.6..
174. the maternity Department provided the following hospital departments: 174.1. the operations room where is this rule, and 227.4 227.3 227.2. equipment referred to in point;
174.2. Department of anaesthetics;
174.3. blood preparation Department or area;
174.4. intensive care ward or Department.
175. The children's Department is:

175.1. the General Chapter of child disease (hereinafter referred to as the children's disease Department);
175.2. newborn pathology department;
175.3. various profiles of children, including the children's intensive care unit.
176. Newborn pathology department contains milk kitchen.
177. Intensive care the patient is in a continuous surveillance of treatment and care and receive intensive treatment that provides vital organism functions and underlying, co-morbidity, and complications of treatment.
178. in the intensive care unit of structure is one of the intensive care patient beds. Patient beds can be arranged also its functional hospital or intensive care unit, as well as chambers of intensive therapy, in other hospital wards.
179. The stationary section is diagnostic investigation equipment designed for: patient physical 179.1. investigation;
179.2. patient's blood group;
179.3. the patient and donor blood individual and rhesus compatibility;
the patient's eye zīlīš 179.4. reactions to the light for inspection;
179.5. viewing x-ray images;
179.6. during the.
180. The stationary section is such a healing and patient care equipment: 180.1. medical devices and drugs, which provides aseptic techniques should be maintained and antiseptik are respected;
180.2. medical devices for single and for prolonged parenteral drugs and fluids to enter;
180.3. medical devices and drugs to stop external bleeding;
180.4. medical device for artificial ventilation of lungs;
180.5. respiratory medical device permeability;
180.6. oxygen equipment;
180.7. medical aspiration pump;
180.8. medical device for suction and the contents of the stomach stomach flushing;
180.9. enema medical device establishment;
180.10. medical device, urine retention or incontinence;
180.11. devices for moving a patient;
180.12. medical devices and drugs for individual staff to the sanitary and hygienic protection.
181. in Chapter 4, excluding Inpatient child unit, is technically able from any patient in the House at any time of day to call the keep-alive treatment.
182. the activities of hospital department hospital provides the following types of laboratory investigations: 182.1. clinical analysis;
182.2. biochemical analysis.
183. The ambulances and patient admission in addition to the provisions of Chapter 179 and 180 above equipment is equipment designed for: processing and 183.1. wound pārsiešan;
183.2. limb immobilization of transport or permanent immobilization (taking into account the Exchange with emergency medical teams in the institutions necessary equipment);
183.3. immobilization for the transport of the vertebral column;
183.4. patients with thermal injury handling;
183.5. during exercise;
183.6. defibrillācij and lung-heart CPR and vital function stabilization;
microbiological investigation material to 183.7. pickup, storage and transportation.
184. the operation of the product contains the following equipment: 184.1. universal or operating room profile corresponding to the operating table;
184.2. ventilation or air conditioning equipment;
184.3. fixed ceiling for shadow-free lamp;
184.4. autonomous powered operation field of the lighting device;
184.5. aspiration pump or central vacuum system;
184.6. equipment designed for centralised oxygen supply;
184.7. bactericidal;
184.8. operation instrument table;
the sterile material table 184.9.;
184.10. sterile material of the tank;
184.11. stand with bags to collect waste material;
184.12. at least one mobile x-ray machine in each functional unit in operation;
184.13. no gatoskop;
184.14. patient wheel in each operating room.
185. the operation halls, located outside of the Operations Division, may not be the 184.5. these provisions, 184.6, 184.12.184.14. and equipment referred to in point.
186. the Department of Anaesthetics every patient has the following minimum equipment for General and local anesthesia: 186.1. oxygen inhalation device, the oxygen flow which is not less than 10 litres per minute;
General anesthesia 186.2. apparatus;
186.3. device for artificial ventilation of lungs with oxygen in the automatic mode;
186.4. device for artificial ventilation of lungs with oxygen in manual mode;
186.5. laringoskop with at least three different sizes of mirrors (straight and curved);
186.6. all sizes orotraheāl and nazotraheāl in the intubation tubes;
186.7. kardiomonitor;
186.8. Pulse Oximeter;
186.9. non-invasive arterial blood pressure monitor;
186.10. medical aspiration pump;
186.11. medical devices for single and for prolonged parenteral drugs and fluids to enter;
186.12. at least three sizes of stomach probe;
186.13. plētēj mouth;
186.14. Respirator masks in all sizes;
186.15. laparoskopisk operations, kapnometr.
187. in addition, this chapter of the anaesthetic machine Rule 186 above equipment has the following equipment that is not necessary for each patient: 187.1. device Kit vein sections;
187.2. set konikotomij of devices;
187.3. at least one of the three operating room elektrodefibrillator;
187.4. at least one device for long term accurately metered dose of medication and fluids for parenteral administration;
187.5. medical device of maintenance of the infusion solution infusion to a suitable temperature.
188. the Department of Anaesthetics and therapeutic medical investigation equipment anywhere in the General and local anesthesia during the patient's cardiovascular system and respiratory system monitoring and oxygen inhalation.
189. Volatile anesthetics for general anaesthesia is used only indoors, which is provided in the patient's exhaled air discharge from the premises.
190. Physical is the medical doctor's office equipment the patient physical investigation. Physical medicine cabinet contains the following equipment: 190.1. law registered the appropriate hardware;
190.2. the couch or Chair for each procedure;
190.3. place patient's clothing to place on each procedure;
190.4. different profile support in the patient's body for fixation.
191. In separate physical locations of medical procedure has the following additional equipment: 191.1. high frequency factor therapy and magnetoterapij places — a wooden couch or Chair without metal parts;
191.2. galvanic and low frequency pulse power factor use sites links, fixing insulation materials and snap the bag;
191.3. ultraviolet points of use — ultraviolet goggles, grid and hood;
191.4. paraffin ozokerite applications — the heating points of use, covers and blankets.
192. Psychiatric wards, which puts patients acute psychoses or psihostāvokl with mental disorders or exacerbation of an outbreak, in addition to the provisions referred to in paragraph 180 equipment is elektrokonvulsij therapy apparatus.
193. The crisis of the State in addition to the provisions of chapter 180. above equipment are devices group therapy session.
194. Intern profile sections in addition to the provisions referred to in paragraph 180. equipment: 194.1. available is a Brazilian beef;
194.2. can make a permanent oxygen inhalation.
195. Intern profile chapter activities in addition to the provisions mentioned in paragraph 182 of the laboratory investigation provides the following types of diagnostic investigations and analyses: 195.1. imunohematoloģisk analysis;
195.2. microbiological analysis;
195.3. rentgendiagnostik;
195.4. functional Diagnostics;
195.5. endoscopy;
195.6. ultrasonoskopij.
196. in order to ensure the internal operation of the profile section, rentgendiagnostik section shall carry out the following studies: 196.1. thorax, abdominal and pelvic cavities fluoroscopy;
196.2. thorax, abdominal and pelvic radiography;
196.3. bone x-ray;
196.4. bone and soft tissue rentgentomogrāfij.
197. in order to ensure the internal operation of the profile section, functional diagnostics Department carries out the following studies: 197.1. standard lead and lead during exercise;
197.2. external respiration of functional Diagnostics.
198. in order to ensure the internal operation of the profile section, endoscopy study the following studies: 198.1. upper endoscopy;
198.2. rektosigmoskopij.
199. in order to ensure the internal operation of the chapter, profile ultrasonoskopij's internal organs to ultrasonoskopij and ultrasound.
200. in addition to the cardiology department of the provisions referred to in paragraph 180 equipment is elektrokardiostimulācij.
201. in order to ensure the functioning of the cardiology department, functional diagnostic Department, in addition to the provisions referred to in paragraph 197 examinations take the following studies: 201.1. ehokardiogrāfij with doplerogrāfij;
201.2. the elektrofizioloģisk transezofageāl the investigation;
Holter monitoring; 201.3.
201.4. peripheral blood;
201.5. Cardiovascular Angiography;
201.6. veloergometrij.
202. The tuberculosis and lung disease in addition to the provisions in chapter 194, paragraph equipment has nozzles miglotāj with oxygen inhalation medication.

203. in order to ensure the tuberculosis and lung disease chapter activities, functional diagnostic Department, in addition to the provisions referred to in paragraph 197 examinations take the following studies: 203.1. audiogrāfij;
203.2. color vision test.
204. in order to ensure the tuberculosis and lung disease, endoscopy Department activities in addition to the provisions of Cabinet in the study referred to in paragraph 198 of the following studies: 204.1. Bronchoscopy with hard bronhoskop;
204.2. Bronchoscopy with transbronhiāl lung puncture biopsy;
the bronhoalveolār lavāž; 204.3.
204.4. pleural biopsy;
204.5. Lung puncture aspiration of the transtorakāl formation and puncture biopsy.
205. The Neurology, in addition to the provisions referred to in paragraph 179 equipment has the following equipment: 205.1. medical devices reflex;
205.2. medical devices and drugs for skin temperature sensations, smell, taste and feel the deep combo;
205.3. kamertoņ;
205.4. dynamometer;
205.5. device for the evaluation of the Visual field;
205.6. devices for obtaining cerebrospinal fluid and pressure.
206. The Neurology, in addition to the provisions referred to in paragraph 194 equipment has the following equipment: 206.1. medical devices for feeding the patient;
206.2. patient balance equipment reconstruction and restoration of the original course.
207. in order to ensure the operation of the Department of Neurology, Department of functional investigation in addition to the provisions referred to in paragraph 197 examinations take the following studies: 207.1. elektroencefalogrāfij;
207.2. ehoencefalogrāfij.
208. The communicable diseases section 208.1. full provides: patients and staff isolation work dangerous infections;
208.2. infectious material handling and disinfection;
208.3. specific imūnbioloģisk of infectious diseases prevention and treatment.
209. the Department of infectious diseases, in addition to the provisions referred to in paragraph 179 equipment is medical devices for the microbiological material picking, storage and transportation.
210. Radiotherapy Department closed-block contains the following equipment: linear electron Accelerator 210.1. 's Office: 210.1.1. Console to a monitor;
210.1.2. the linear accelerator;
210.1.3. technical equipment stand;
210.1.4. high-frequency generator the technical equipment;
210.2. gamma therapy distance study: 210.2.1. with the control console monitor;
210.2.2. the distance of the gamma therapy apparatus with mode oscillator having a source;
210.3. cavity radiotherapy treatment room: 210.3.1. gynecological instrument equipment;
210.3.2. endostat;
metrostat; 210.3.3.
210.3.4. kolpostat;
210.3.5. metrokolpostat;
210.3.6. portable rentgenaparāt;
210.3.7. switchboards cavities radiotherapy apparatus, monitors and telephone apparatus;
210.3.8. dozimetrisk control apparatus for radioactive pulse registration;
210.3.9. radiotherapy apparatus socket;
210.3.10. lead containers with Co60;
210.3.11. compressors;
210.3.12. mobile gynecological Chair with removable lower half;
210.3.13. functional bed radiotherapy apparatus at the cavity;
210.4. īsfokus (tuvfokus) by radiotherapy treatment room: 210.4.1. Console;
210.4.2. the īsfokus by radiotherapy treatment apparatus;
210.5. deep by radiotherapy treatment room: 210.5.1. Console;
210.5.2. deep by radiotherapy treatment apparatus;
210.6. topometrij's Office: 210.6.1. Console;
210.6.2. rentgenfilm development apparatus;
210.6.3. Kaļiņičenk topometrisk the ruler of the patient card creation;
210.6.4. Special not gatoskop;
210.7. Office of the simulator (accurate to determine the radiation field): 210.7.1. Console;
210.7.2. the simulator;
210.7.3. rentgenfilm developer;
computer lab, a computer 210.8. radiation therapy dose and to correcting calculations;
210.9. closed repository: the isotope 210.9.1. Special lead containers;
210.9.2. especially lead safety.
211. the Department, in addition to Chemotherapy, this provision of the equipment referred to in paragraph 180 has the following equipment: 211.1. laminar flow cabinet for dilution of ķīmijpreparāt;
211.2. citostātiķ waste receptacles;
211.3. citostātiķ storage closet;
transfūzij of pumps; 211.4.
211.5. beds or chairs adapted for long-term infūz to enter.
212. Surgical profile, in addition to the provisions of chapter 180 of the equipment referred to in paragraph has the following equipment: 212.1. medical devices tissue redistribution and wound treatment;
212.2. pārsiešan pārsiešan table in each room;
212.3. instrument table in each room pārsiešan;
212.4. shadow-free light pārsiešan in each room.
213. Surgical profile chapter provided these rules referred to in paragraph 195 diagnostic examination and histological analysis.
214. in order to ensure the surgical operation, the profile section rentgendiagnostik section make this provision of paragraph 196 studies, as well as the x-ray patients in chambers and the theatre.
215. Surgical profile chapter provided: 215.1. the operations department, which comply with that Rule 137.138, 139, 140, 141,., 142, 143, paragraph 184 and 185. these requirements.
215.2. Department of anaesthetics that matches this rule 144, 145, 146, 147.., 186, 187, 188.. and in paragraph 189 above requirements;
215.3. preparation of blood or blood chapter Cabinet that matches this rule 63, 64, 65, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 78, 77, 82, 83 and 84 of those requirements.
216. in addition, the Department of Surgery of the provisions referred to in paragraph 179 equipment has the following equipment: 216.1. medical devices patient's rectal examination;
216.2. medical devices patient's bladder investigations;
216.3. medical devices patient gynecological investigation.
217. in addition, the Department of Surgery of the provisions referred to in paragraph 212 of the equipment has the following equipment: 217.1. medical device Kit for pleural drainage;
217.2. positioning of the limbs of this.
218. The surgery department, which treats of Murnau and burns profile patients and where certified traumatolog and podiatrists, in addition to also meet this provision 220. and in paragraph 221 above requirements.
219. the Gynaecology Department, in addition to the provisions referred to in paragraph 179 of the equipment has the following equipment: 219.1. medical devices patient gynecological investigation;
219.2. device material picking histological and cytological investigation.
220. Orthopaedic Surgery and Orthopaedic Department in addition to the provisions referred to in paragraph 212 of the equipment has the following equipment: 220.1. one third of the bed is equipped with a Balkan frame or functionally similar device in patients with limited capabilities head start;
220.2. one third of the bed is a functional bed;
220.3. orthopaedic table repozīcij space;
220.4. Bēler or other type of splint limbs and skeletal extension to position;
220.5. medical device skeletal extension to extremities, pelvis and neck portion of the vertebral column;
220.6. atslogojoš and locking collar and neck vertebral column corsets, breast and waist.
221. The chapter, which treats Burns, in addition to the provisions referred to in paragraph 212 of the equipment has the following equipment: 221.1. bath nursing for pārsiešan vannošan Burns;
221.2. heated equipment and devices for drying of wound patients.
222. in addition to the Otolaringoloģij section 179. these provisions and the 217 equipment referred to in paragraph have the following equipment: 222.1. otolaringolog apparatus specially arranged work place;
222.2. otolaringoloģisk medical device for functional investigations;
222.3. otolaringoloģisk microscope;
the otolaringoloģisk an endoscope. 222.4.
223. eye disease in addition to the provisions of Chapter 179 above apīkojum has the following equipment: 223.1. device for testing Visual acuity;
223.2. microscope eyeball detailed investigation;
223.3. devices for checking and correction of vision;
223.4. devices for the determination of refraction;
223.5. device measuring the internal pressure of the eye;
device 223.6. glaucoma diagnosis;
223.7. device ac in the bottom view;
223.8. device for detailed viewing the retina;
223.9. device for the determination of the field of vision;
223.10. tool kit tear and cleaning of roads probing.
224. the hospital chapters that treating the eye, ear, nose and throat diseases and who work in relevant specialties certified physicians, meets this provision 169.170.222 and 223, the requirements referred to in point.
225. in addition to these haemodialysed chapter 180 of the rules referred to in paragraph equipment has the following equipment: 225.1. haemodialysed apparatus;
225.2. the device for long term drugs for parenteral administration of metered dose;
225.3. device that provides continuous information about a patient's heart rate, arterial blood pressure and respiration;
225.4. each bed is a functional (all or part of the bed they can replace it with the functional chairs).
226. the maternity Department in addition to the provisions referred to in paragraph 179 of the equipment is equipment for pregnant women and newborn diagnostic investigation.
227. Maternity room has the following facilities: 227.1. maternity table;
227.2. heated Neonatal table;
227.3. newborn Resuscitation equipment;
227.4. oxygen input (with a capacity of at least 10 litres per minute) and flow meter;
227.5. graduated of atsūcējsistēm you can use vakuumekstrakcij for the fruit;
227.6. at least one kardiotokogrāf on each functional block in childbirth.

228. Newborn care room is such a therapeutic and newborn care equipment: 228.1. heated bed or incubators;
228.2. oxygen supply system with oxygen therapy equipment;
228.3. medical vacuum pump;
phototherapy lamp 228.4.;
device for long term, 228.5. metered dose of medication and fluids for parenteral administration.
229. The children's disease Department in 179. these provisions and equipment referred to in paragraph 180 is suitable for children of different ages.
230. The children's disease Department meets this provision 160., 195, 197.196.198.199. points, and in those requirements.
231. Newborn pathology department in addition to the provisions referred to in paragraph 179 equipment suitable for newborn examination, is the following diagnostic investigation equipment that continuously inform people about patient treatment: 231.1. heart rate;
231.2. respiration rate;
231.3. arterial blood pressure (using non-invasive methods);
231.4. blood saturation with oxygen.
232. Newborn pathology department in addition to the provisions referred to in paragraph 180 equipment suitable for newborns is that therapeutic and newborn care equipment: 232.1. CPR table or other surface with suitable for emergency heat emitter;
232.2. oxygen equipment to deliver warm and humidified gas mixture flow;
294.3. respiratory and digestive path content sampling with manometer and adjustable spacing;
232.4. umbilical catheter;
incur 232.5. warmed baby bedding;
device for long term, 232.6. metered dose of medication and fluids for parenteral administration.
233. The intensive care Department meets this rule 195.196, 197, 198 and 199, the requirements referred to in paragraph.
234. The intensive care patient bed place is diagnostic investigation equipment that supports the following functions: 234.1. constantly and continually inform individuals about the treatment the patient's heart;
continuously or periodically 234.2. inform patients of treatment persons: 234.2.1. blood saturation with oxygen;
234.2.2. arterial blood pressure (using non-invasive methods);
234.2.3. body temperature;
234.2.4. respiratory function.
235. The intensive care patient bed is healing and patient care equipment designed for the following purposes: 235.1. artificial lung ventilation: a device that operated with electricity;
235.2. the durable, metered dose of medication and fluids for parenteral administration;
235.3. defibrillācij.
 
 
IX. Closing questions 236. treatment authorities issued certificates is equivalent to compliance with these rules for the requirements and are valid until the date of expiry stated therein.
237.89.3.2. Of the rules) (in force up to 31 December 2004.
Prime Minister a. Smith Welfare Minister a. Požarnov Editorial Note: the entry into force of the provisions to the 27 February 2002.