Cabinet of Ministers Regulations No. 189 in Riga, July 4, 1995 (No. 36, 6. §) rules on procedure for the circulation of illicit drug treatment institutions Issued under the law "on 1 April 1925 the law" the cabinet installation "restore" article 14 (3) (I). General Questions About narcotic drugs 1 drug and substances considered to be included in the Cabinet's 4 July 1995 No. 181 of the rules "the illicit manufacture of narcotic drugs and psychotropic substances and medicinal products as well as the procedure for the circulation of precursors of medicinal plants, herbal lieltirgotav and pharmacies "in list II of annex 1.
2. Treatment Services Manager under the hospital's work the nature of the structural breakdown and employee responsibilities, which in order to determine the detailed rules for implementing the relevant medical authority.
3. Treatment Services Manager or with the hospital's head of the order of the designated responsible person is personally responsible for the narcotic drug, accounting, storage and correct use of the grant and enforcement of relevant medical institution.
4. Treatment Services Manager provides the Ministry of welfare drug control Committee (hereafter referred to as "drug control Committee), the representative of as well as medical care and integrity inspection quality control inspection and the Interior Ministry anti-drug Office, free access to the controlled drug for medicinal products and the documentation associated with them.
5. These provisions must be in a visible and accessible place and in all hospital departments that use or distribute illicit drugs.
II. The narcotic drug receiving 6. Treatments authority is entitled to receive a narcotic drugs, on the basis of the drug control Committee issued a written permission. That authorisation to be issued on the basis of medical care and integrity inspection quality control inspection of the Ministry of health and Welfare Department's positive opinion, and is valid for one year.
7. Medical authority has the right to receive a narcotic drugs from: 7.1. medicine lieltirgotav;
7.2. pharmacies;
7.3. for consignments of humanitarian aid (with a special drug control Committee permission).
8. The narcotic drug repackaging, pārbēršan, weighing, as well as the manufacture of the medicinal ekstemporāl outside the drugstore is strictly prohibited.
The medical establishment, which does not have a closed-type pharmacies, is entitled to receive only the finished drug product pharmaceutical form.
9. The medical establishment is entitled to receive a narcotic medicine not more than one month's consumption.
10. Drug demand copies of medicines must be kept for five years.
11. On receipt of the narcotic drug, accounting, storage and issue of the hospital's departments and offices (hereinafter "the Department") is responsible for the hospital's Chief nurse.
12. Medical authority must submit to drug control Committee reports on narcotic drug movement: quarterly reports — the 20th of the following month, but year-to-date reports — until the following February 1.
   
III. The illicit manufacture of narcotic drugs, the issue of drug treatment services departments 13. Narcotic Drugs treatment services departments shall be issued against the request, signed by the appropriate department head and senior nurse. Request to receive the medicinal drug is valid for seven days.
14. The Department is entitled to receive a narcotic medicine not more than five days of consumption.
15. the chapter on narcotic drug, accounting, storage and utilisation in accordance with the person's record of treatment the patient is responsible for ordinations pages section in the older nurse.
IV. use of medicinal drugs 16. Narcotic Drugs are used based on personal medical record of the patient's medical history, outpatient card or ordinations in the page. Injection treating or supervising medical control of the person performing the procedure room nurse or supervising nurse.
17. the maximum quantity of the narcotic drug, what treatment a person is entitled to invoice on the same recipes, wellbeing, Ministry of Health Department after coordination with the drug control Committee.
18. Chapters must be drug medicine the maximum lump sum and the maximum daily intake for the list, as well as information on detoxification drugs medicine in case of an overdose.
The maximum drug medications down the order of the Ministry of welfare.
V. illicit drug out 19. Narcotic drug prescription sample forms, typographic printing arrangements, as well as centralised storage and issuance procedures for medical treatment institutions determined by the Cabinet of Ministers regulations.
20. Medical treatment a person is entitled to receive a narcotic prescription for medicinal products in the form of not more than one quarter of the consumption.
21. Narcotic drug prescription form request copies must be kept for five years.
22. Treatment Services Manager in accordance with the provisions of the Cabinet of Ministers of the medical persons entitled to prescribe the narcotic drug recipes.
23. the Treatment of the person shall be entitled to invoice the narcotic drug recipes, only motioning territorially linked to pharmacies, which after coordination with the drug control Committee is determined by the Ministry of welfare pharmacy department or the municipal health administration chief.
24. Treatment Services Manager creates a Commission that conducted the quarterly prescription for accuracy checking.
25. Medical person for each prescribed drug drug prescription records are to be made in the patient's medical history, ordination or outpatient map, showing the name of the drug and the quantity of the medicinal product in accordance with the provisions set out in paragraph 17 of the norms.
26. Narcotic drug prescription copies must be kept for five years.
27. The narcotic drug prescription valid seven days (if the Health Minister issued no specific order for the exceptions).
28. at the request of the patient may be issued a copy of the prescription drug medicines that marked with two diagonal stripes and bearing the notation "duplicate".
29. If the recipe out for the manufacture of medicinal products containing narcotic substances, these substances are not separately payable.
30. Medical treatment a person is entitled to invoice the new narcotic medications used in the illicit manufacture of narcotic drugs after drug ampoules.
31. Unused narcotic drugs and their recipes to be medical institution, designing acceptance report.
Vi. Illicit drug tracking 32. Narcotic Drug Tracking medical institution and its chapters must take mandatory paper (annex), which records shall be made on receipt of the narcotic drug, accounting, storage and issuance of a responsible person appointed by the head of the hospital's order. Mandatory book must be numbered and stamped caurauklot, with appropriate treatment services and drug control Committee's stamp.
33. the mandatory book shall be the shortage, surplus, looting and other incidents for fixation, indicating their causes.
34. the mandatory book must record such psychotropic drug circulation: 34.1. ephedrine (pure form or mixed with substances indiferent);
21.3. pseudo (pure form or mixed with substances indiferent);
21.3. the St.Johns;
21.4. ciklodol.
35. Drug Control Committee order of some of these rules referred to in paragraph 34 of the medicinal product containing the substance may provide other movement.
36. records mandatory book to do, leaving free space and without deleting and not overwriting the records.
Corrections records disclaimer with the words "Correct to believe", the signature of the person responsible and the relevant medical authority.
VII. The narcotic drugs and narcotic drug prescription form storage room in which 37. stored narcotic drugs (hereafter referred to as "space"), must be secured against unauthorised entry and looting.
The room must be the capital of brick or concrete walls, as well as equipped with light and sound alarm or connected to centralized security network.
The first and last floor of the premises must be bruņustikl window, which concluded with a metal grid or shades and equipped with light and sound alarm. The rest of the floor space is only permitted to be fitted to the window with the light and sound alarm.
The room must be a metal door or door with Tin dressed. The room must be a natural or artificial ventilation.
Narcotic drugs must be stored in a safety deposit box. Safety must be an array, attached to the wall or floor and equipped with sound and light alarm.
38. Work in the absence of medical staff room door and wallet must be locked and the alarm must be switched on. The key must be off duty nurses.
39. at the end of the work day and the safety lock must be resealed except to be sealed and must be connected to the alarm.
40. The narcotic drug prescription form determines the storage order of the Cabinet of Ministers regulations.
VIII. drug ampoules for medicinal products used, as well as high quality and free of charge back from patients received drugs pharmaceutical writing

41. The Department's oldest nurse every day collecting used drug ampoules for medicinal products and establishes its specific accounting journal.
42. the narcotic ampoules for medicinal products used, as well as the quality and of the patients received the drug free of charge to back Hall to be destroyed during the day in the presence of the Commission, chaired by the head of Department, and for the destruction of the instrument should be drawn up.
IX. The narcotic drug shortage, theft, looting and damage in the case of natural disasters to ensure operational 43. conduct drug shortages of medicines, in the case of theft or looting or in the event of loss of the medicinal drugs are due to natural disasters due to the hospital's managers for the underlying facts should immediately notify: 43.1. Drug Control Committee;
43.2. The Welfare Department of the Ministry of health;
43.3. The Ministry of the Interior to the Office for combating drugs;
43.4. Medical care and integrity inspection quality control inspection;
43.5. local State Police Department.
44. following that rule 43, paragraph fact finding of the hospital's managers must immediately establish a Commission, which must include: 44.1. treatment services manager or his authorised person;
44.2. Drug Control Committee authorized representative;
44.3. the Interior Ministry anti-drug Office representative;
27.6. Medical care and integrity inspection quality control inspection.
45. The provisions referred to in paragraph 44 of the Commission is to draw up the relevant legislation, that two days should be sent: 45.1. Drug Control Committee;
45.2. The Welfare Department of the Ministry of health;
45.3. The Ministry of the Interior to the Office for combating drugs.
The narcotic drug x inventory count 46. Narcotic Drug inventory counting Commission, set up by the head of the hospital's order.
47. The narcotic drug inventory counting should be made on a quarterly basis.
48. The narcotic drug inventory counting results to be presented with the relevant legislation. A copy of the legislation three days to submit to the drug control Committee.
XI. Transition issues 49. Provide that until the entry into force of the relevant Cabinet of Ministers regulations, the narcotic drug prescription sample forms and the form of the centralised storage and issuance of order is determined by the order of the Ministry of welfare.
Prime Minister m. cock Interior Minister j. Ādamson in