Cabinet of Ministers Regulations No. 60 in Riga 2009 (on 20 January. 26. § 6) the rules on the minimum requirements for medical institutions and their departments Issued in accordance with article 55 of the law on medical treatment, the second part 1. General questions 1. sets out minimum requirements for medical institutions and their departments. 2. Design task for the construction of treatment institutions shall take account of the requirements set out in these provisions. 2. General requirements for medical institutions 3. Treatment Services Manager provides the treatment environment access for persons with reduced functional abilities. 4. If the medical establishment to put above the first floor of the building, it provides lift or the sliding slope all floor levels. Each floor of the building is available for at least one toilet room for persons with limited functional capabilities. 5. The medical establishment is entitled to include the title, the words "University" or "clinical", if it complies with this rule and section 5.3 3.9. 6. Medical institution has access to the following information: 6.1. conformity certificates (certificates) that are assigned to the medical authority and certifying its compliance with the regulations the minimum requirements laid down in the medical authorities, or a copy thereof;
6.2. treatment and treatment support people that patients provide outpatient health care services (name, surname, profession, specialty, time and place of acceptance);
6.3. the medical institution available health care services. 7. Advertising on proposed health services the medical establishment point of attestation of conformity are granted (certificate) number or hospital's registration number. 8. The medical establishment used in medical technology, approved under the regulations on treatment of medical technology used in the approval and introduction of new medical technology. 9. The medical establishment operating medical equipment and technical supervision comply with the procedures laid down in the regulations on the registration of medical devices, conformity assessment, distribution, operation and technical surveillance. 10. Medical institution is in use and the subject of state metrological control of measuring instruments, as well as the list of supported the metrological control according to the regulations on the re-use of the measurement verification, verification certificates and verification marks. 11. Medical authority carrying out the medical radiological procedures or medical radiation, a special permit (license) or permit activities with ionizing radiation sources, issued in accordance with the laws and regulations of the special permission (license) and permit the handling of ionizing radiation sources in the procedure and the order in which the public discussion of the national nuclear objects are created or significantly change the performance of them. 12. The medical establishment used disinfectants registered according to laws and regulations that set requirements for transactions with biocides. Disinfection and sterilization operations are carried out in accordance with the hospital's head of approved hygiene and pretepidēmisk treatment. 13. the hospital's space design and work organisation complies with legislation on hygiene and pretepidēmisk in essential medical institution. 14. Medical institution approved by the supervisor are available for emergency medical assistance. Medical institution (except dental technical lab and clinical diagnostic laboratories) has provided emergency medical assistance to necessary medicines and medical devices. 15. Emergency medical assistance for the quantity of medicines and medical institution determined by the head of the institution under the hospital's overall capacity and existing and planned emergency medical assistance in the case. Hospital's Manager confirms emergency medical care requires a minimum list of medicines (medical institution and its departments), determining the medication storage, use and accounting procedures, as well as specifying the minimum stock of medicines for replenishment of the officials responsible. 16. the hospital's staff (including medical treatment of persons and support person) obligations, powers and responsibilities determined by the external and internal laws, the contract of employment and treatment services manager's orders. Hospital workers (including treatment and treatment support persons) training and education qualifications comply with laws regulating requirements. 17. in order to ensure the quality of treatment services management, medical institution is developed, approved and implemented by the head of the quality management system. Quality management system includes at least the following measures: 17.1. regular treatment services provided by quality control;
17.2. patient complaints and recommendations;
17.3. the analysis of the results of treatment;
17.4. the medical service quality improvement. 18. Medical institution are available in information technology with an appropriate internet connection and software that ensure patient data storage and handling, within the limits of availability. 19. If the medical establishment used computer software related to e-health information systems, central medical institution is designed and treatment services approved by the supervisor of information security rules and the rules on medical information processing procedures. 20. the Preparatory Department of blood and blood offices comply with the requirements of laws and regulations on human blood and blood components collection, testing, processing, storage and distribution of the quality and safety standards, as well as compensation for expenses in the amount of blood lost. 21. Mobile Cabinet is appropriate for the service to be fitted to the vehicle. Mobile Cabinet meet the requirements laid down in these provisions the same profile stationary Cabinet. 22. The medical institutions that provide health care services for children and pregnant women, ensure that: 22.1. hospital's environmental accessibility for persons with prams and baby strollers to leave in a safe place;
22.2. the child fast table or equivalent custom place patient in the waiting room or reception room;
22.3. seating patients if the health services patients need to wait in line. 3. requirements for medical institutions ambulatoraj 3.1 General requirements 23. Ambulatory patient in the medical institution providing primary health care or secondary ambulatory health care, including treatment of the day-hospital. 24. the Outpatient in the hospital: 24.1. patients in the waiting room with wardrobe space.
24.2. the patient registration area, or location;
24.3. the acceptance of the (Cabinet);
15.2. without invasive manipulation, manipulation or invasive procedure (under the authority of therapeutic activity);
15.2. the patient and the staff toilet. If the outpatient treatment in a residential building, sanitary knot machine separately from the living space of the sanitary node;
24.6. the patient and staff toilet, suitable for use by persons with reduced functional abilities. 25. Outpatient medical institution that has three or more treatment or diagnostic study, in addition to this provision are listed in paragraph 24:25.1.-the patient care equipment for storage;
25.2. the staff cloakroom space or place. 26. Outpatient treatment in emergency medical assistance are: 26.1. fonendoskop;
26.2. the device is not a direct measurement of arterial blood pressure. If the medical institution will serve children well, the device must be with the whole age group of patients the appropriate size cuff;
26.3. devices for parenteral medication and solution for entry;
26.4. the external device to stop bleeding and wound pārsiešan;
26.5. the device of artificial lung ventilation in manual mode and in at least three dimensions transparent or semi-transparent Respirator masks;
16.5. respiratory device throughput (at least three sizes of the airway);
16.6. the stomach content sampling device and stomach flushing (except dental offices);
16.7. the device illuminate (depending on the scope of the services provided);
26.9. medical procedures table, couch, Chair, bed or functional functional Chair (according to the scope of the services provided);
26.10. immobilization device and patient movement (except dental office);

26.11. devices that provide hygienic and pretepidēmisk mode requirements, including employee personal protection device. 27. Outpatient medical institution that has three or more treatment or diagnostic study, emergency medical assistance in addition to this provision are listed in paragraph 26:27.1. oxygen device;
27.2. sterile maternity suite;
27.3. the device exits the stomach retention;
27.4. the device of urine retention or incontinence. 3.2. the requirements of professionals (doctors, including family doctors, the functional specialist, physician assistant (feldšer), midwife, nurse) Office 28. Specialist outpatient treatment of the Cabinet is the body in which the person provides the patient treatment outpatient health care, including therapeutic, prophylactic and health promoting procedures or manipulations. 29. the Specialist's Office complies with these provisions set out the General requirements for medical institutions ambulatoraj. 30. the Specialist's Office, which used invasive medical technologies, in addition to the provisions referred to in paragraph 29 is for a separate room for invasive medical technologies. The room has a separate place for aseptic manipulation separate and place septic or manipulation is a single room and aseptic manipulation septic space manipulation. 3.3. requirements for dental and dental technical Cabinet laboratory 31. Dental Office is a medical institution or body, which is made in the patient's mouth and related organs in the jaw and face disease diagnosis and treatment, as well as the prevention of disease. 32. the dental laboratory technical is a therapeutic institution or its structure unit that manufactures dental prosthesis. 33. the dental Suite meets these provisions set out the General requirements for medical institutions ambulatoraj. 34. If the dental suite the patient making the room has hosted more than one dental equipment, dental equipment are bounded. 35. Dental Office is: 21.8. dental chair, which may place the patient in a horizontal position;
35.2. wiring and communications added dental equipment with the following equipment: 35.2.1. pistol to water and air;
35.2.2. turbine (high speed nozzle with air and water cooled);
35.2.3. mikromotor with adjustable speed and nozzle with air and water cooling;
35.2.4. salivary atsūcēj;
35.3. rentgendiagnostik dental apparatus, except in the following cases: 35.3.1. Dental Office is located in the medical institution, which may receive dental services rentgendiagnostik;
35.3.2. Dental Office is located in the educational institution and is intended for educational children's dental care-professional dental hygiene and simple treatment of caries;
35.4. the device increased the oxygen content of the inhalation air;
22.1. the medical personnel protective equipment (protective gloves, plastic face shield or a disposable mask, goggles);
35.6. patient records filing system;
22.2. sterilization the place or room in which there are: 35.7.1. with indoor plumbing (ūdensmaisītāj) equipped to sink that is connected to a sewer;
35.7.2. containers of medical instrument sterilization of processing before;
35.7.3. autoclave or hot air sterilizers, instrument or container trans portēšan;
22.2. the Dental Office for the amount of services provided under the dental instruments;
22.3. ensure materials and medical instruments are stored according to the regulations on the registration of medical devices, conformity assessment, distribution, operation and technical supervision. 36. Quicksilver seal surpluses collected and transferred to economic operators who have permission for the management of hazardous waste according to the regulations on waste management permit, renewal, and cancellation of the review procedure. To prevent mercury from entering the waste waters, dental equipment output is equipped with amalgam separators. 37. in order to be able to use general anesthesia, dental office is: 37.1. devices for parenteral administration of medication;
37.2. devices for parenteral administration of solutions;
37.3. the device for long term accurately metered dose of medication and solution for parenteral administration (perfuzor, infuzomat);
23.2. the device central vein puncture;
37.5. device for the maintenance of the infusion solution infusion suitable for temperature;
23.4. oxygen inhalation device with oxygen flow, not less than 10 litres per minute, and the flow meter;
37.7. artificial lung ventilation device for automatic and manual mode;
23.5. Respirator masks (infants, children and adults);
23.5. laringeāl masks;
37.10. combined esophageal-tracheal tube;
37.11. respiratory device throughput (at least three sizes of the airway);
37.12. krikotireotomij Kit;
37.13. laringoskop with at least three different sizes of straight and curved the mirrors;
37.14. all sizes orotraheāl and nazotraheāl in the intubation tubes;
37.15. plētēj mouth;
37.16. aspirator pump;
37.17. at least three size stomach probe;
37.18. General anesthesia machine, if you use the inhalation anesthesia;
37.19. defibrillator;
37.20. medication general anesthesia;
37.21. equipment the following patient parameter monitoring of general anesthesia: 37.21.1. heartbeat and blood circulation (elektrokardioskopij, electro cardiography and arterial blood pressure measurement using non-invasive methods);
37.21.2. breathing and ventilation;
37.21.3. hemoglobin oxygen of saturācij (pulse oximetry);
37.21.4. body temperature;
37.22. ensure continuous patient monitoring, oxygen inhalation, Lung ventilation and artificial prevention of aspiration general anesthesia. 38. dental technical lab are: 38.1. working space and combined with natural lighting system;
38.2. the adoption of the order of the place or premises;
23.8. sanitary knot. 39. the technical work of the teeth in the area of laboratory are: 24.3. work space with gas, laboratory burner or alcohol lamp and elektroslīpmašīn dust collector with autonomous;
24.4. the water sink with a special dish of deposits to ensure efficient capture of particles of gypsum and retention;
39.3. closed laboratory fitted with autonomous polishing dust collector;
24.5. laboratory desk with gypsum plaster container;
24.5. the casting furnace;
24.6. gas stove;
24.7. soldering equipment. 40. the teeth above the technical laboratory casting furnaces, gas cookers, soldering equipment and work places of polymerization is of local suction equipment suction dust or mercury vapour and which are equipped with the appropriate filters according to the instructions for use. 41. dental technical lab space that is designed to work with mineral acids (room shall not be more than 200 ml of each denomination) and the metal part of the soldering, it is aspirated in the closet with the following parameters: 25.5. size of not less than 1.5 m x 0.7 m, 41.2. the hole is not less than 1 m x 0.5 m; 41.3. autonomous mechanical exhaust air speed shall be not less than 0.7 m/s. 3.4. requirements for physician practices 42. Doctor's practices meet the requirements in these rules to the General requirements of medical ambulatoraj authorities. 3.5. requirements Health Center 43. Health Center is a hospital in which the patient provides primary and secondary ambulatory health care in at least three medical specialties. 44. The Health Center complies with these provisions set out the General requirements for medical institutions ambulatoraj. 45. The Health Center are: 45.1. at least one family doctor's Office (family practice physician jobs);
45.2. at least two doctor specialist Cabinet;
45.3. in at least two of the following departments: 45.3.1. rehabilitation outpatient department, which has the doctor's rehabilitolog and at least two different functional specialists study the profession;
45.3.2. dental Cabinet;
45.3.3. day hospital;
45.3.4. the diagnostic Department. 3.6. the requirements for the rehabilitation of the Hospital Authority, 46. Outpatient Rehabilitation Authority is a therapeutic institution or body, which provides rehabilitation services to patients more comprehensive or specialized (including technical orthopaedics) rehabilitation programmes. 47. Outpatient Rehabilitation Authority set out in these provisions comply with the General requirements of ambulatoraj treatment. 48. Outpatient rehabilitation facility is in: 29.9. rehabilitation facilities (Office), rehabilitolog and at least one profession to the functional specialists;
48.2. medical devices for diagnosis of the disease, the patient's physical examination and functional ability assessment (functional laboratory);

48.3. the patient room, suitable for persons with limited functional capabilities, including equipped with buttons for summoning help. 3.7. the requirements for hospital 49 days. Day Hospital is the medical establishment or unit where patients who do not need medical care and supervision of persons outside the institution's work, provides diagnostic and medical treatment and beds are provided. 50. daily hospital complies with these provisions set out the General requirements for medical institutions ambulatoraj. 51. days in the hospital under medical scope of action is: 51.1. diagnostic, treatment, rehabilitation and care Department;
51.2. outpatient surgery. 52. daily hospital in which the patient perform outpatient surgery, are: 52.1. medical devices the following therapeutic actions: 52.1.1. physical examination of a patient;
52.1.2. during execution, if a medical institution is not available during the study;
52.1.3. drugs and parenteral administration of the solution;
52.1.4. infusion solution maintenance infusion suitable for temperature;
52.1.5. the suspension of external bleeding;
52.1.6. pulmonary ventilation artificial manual (medical devices are also at least three dimensions transparent or semi-transparent respirator mask);
52.1.7. respiratory permeability (at least three sizes of the airway);
52.1.8. the stomach liposuction and gastric contents rinsing;
52.1.9. belly issue retention prevention;
52.1.10. urine retention or incontinence prevention;
52.1.11. the movement of the patient;
52.2. the opportunity to make a permanent oxygen inhalation;
52.3. aspiration pump. 53. Outpatient surgery is a medical device for the observation of such indicators in General and local anesthesia: 53.1. heartbeat and blood circulation (elektrokardioskopij, diogrāfij and arterial blood pressure elektrokar measurement using non-invasive methods);
53.2. respiratory function and ventilation;
53.3. hemoglobin oxygen of saturācij (pulse oximetry);
53.4. body temperature. 54. If the general anaesthesia used Volatile anesthetics, ensures patient exhaled air output from the premises. 3.8. requirements for technical orthopaedics 55. Technical Authority the authority is specialised orthopaedic outpatient rehabilitation facility in which the patient according to the diagnosis, functional ability and social situation made or adapted to the individual or heavily use technical AIDS (asistīv technologies). Technical orthopaedics body meets these provisions set out the General requirements for medical institutions ambulatoraj. Technical orthopaedics are the following institutions: 55.1. technical orthopaedics Cabinet;
55.2. technical orthopaedics Center;
55.3. hearing prosthetics Centre. 56. the technical authority provides orthopaedic: 56.1. the adequacy of the technical design of the equipment or the adjustment of production processes;
56.2. patient space separation from the workshop premises, including the patient's room, suitable for persons with limited functional capacity;
56.3. choice of technical AIDS according to the patient's diagnosis, functional ability and social situation;
56.4. technical AIDS and adaptation of production;
56.5. leased and received technical AIDS back disinfection, washing and drying (if assistive technology lease);
56.6. patient training AIDS and training in the use of appropriate quantity and quality of the House;
56.7. late results. 57. technical orthopaedic Center provides services related to the technical AIDS in the manufacture of industrial and individual, as well as rehabilitation services to train patients using them. 58. technical orthopaedics Cabinet manufacture of assistive technology adapted to the patient or the patient is made individually. 59. Hearing prosthetics Center made the patient according to the individual ear liner or the patient's auditory functions adjust the hearing aid prosthesis (hearing of the town, the kohleār around the implant), the examination, turned or programmed. 60. in hearing prosthetics Center: 60.1. otoplastik Cabinet;
60.2. hearing aid programming and tuning of Cabinet;
60.3. kohleār the implant verification and programming Office. 3.9. the requirements for the University Hospital Clinic outpatient clinic of the University 61. is outpatient treatment agency that carries out therapeutic activities, as well as in accordance with the agreement concluded between the University and the outpatient Office, according to the State-accredited study programmes to teach and conduct research unfocused learning medicine. 62. the outpatient clinic of the University meets these provisions set out the General requirements for medical institutions ambulatoraj. 63. the outpatient clinic of the University leader's treatment of a person with a doctorate in medicine and not less than three years experience in academic work. Outpatient clinic of the University shall be appointed by the head of Office or stripped of the University Constitution. 4. requirements for emergency medical authorities 4.1 General requirements 64. Emergency medical institution is a medical institution or body that is supervising the operation and operational emergency medical teams in the 24-hour mode provides emergency medical assistance to the citizens life and health, in critical condition, as well as emergency medical situations. 65. Emergency medical help, if it is an independent institution, treatment can consist of emergency medical institutions, as well as branch emergency medical points which is the relevant authority departments. 66. Emergency medical assistance facility is: 66.1. medical, administrative, economic and technical service rooms;
66.2. what ground control with rooms and specially equipped places of work;
66.3. emergency medical teams staff;
66.4. operational medical vehicles;
41.3. medical devices emergency medical assistance;
66.6. medical devices according to the emergency reserve to assess the medical situation in which the risk of disaster medical plan;
66.7. means of communication. 67. Emergency medical teams operating in the equestrian to provide emergency medical assistance facility has the following facilities: 67.1. staff recreation;
67.2. staff exchange and storage of clothing;
67.3. staff hygiene;
41.9. medical equipment and other equipment for storage and Exchange;
67.5. clean and dirty laundry. 68. Operation operation of emergency medical institution is: 68.1. telephone lines to call for the adoption of operational according to the emergency medical institutions capacity, but not less than two;
68.2. direct telephone lines with multi purpose hospital in ambulances and patient admissions departments, State fire and rescue service, the State police and ambulance authorities departments;
68.3. radio with emergency medical teams, emergency medical units, multi purpose institution hospital in ambulances and patient admissions departments, State fire and rescue service, the State police and disaster Medical Center;
68.4. continuous, automated application process Kuma izsa record noklausām record and operational system with the ability to maintain the records in the archives, not less than three months;
68.5. records with exact time clock system;
68.6. emergency medical teams operating in the State of registration;
automated data retention 68.7., storage and regular scope, quality, and timeliness of statistical analysis;
68.8. notification system emergency medical team to send the call;
42.8. ensure the backup power system;
68.10. a detailed map with the crew of an increased danger of selected objects. 69. Emergency medical point is emergency medical assistance team (teams) deployment location (room) where emergency medical crew outside the medical emergencies of the run time. 70. the emergency medical point have the following facilities: 70.1. therapeutic recreation of persons;
70.2. drivers rest;
70.3. staff exchange and storage of clothing;

70.4. staff hygiene needs. 71. staff and medical resources changed order emergency medical point is set by the emergency medical authorities driving order. 4.2. requirements for emergency medical authorities crew 72. Emergency medical crew are emergency medical care in a mobile unit, which has operational medical vehicle which complies with the provisions of section 4.3, communications and medical equipment. 73. the emergency medical team treatment entities annually organizes theoretical and practical skills test for emergency medical assistance. Emergency medical teams operating medical driver and nurse assistants are trained in advanced first aid training program operational medical drivers undergo annual recurrent training program and the practical skills test round. 74. the emergency medical institution has at least one of the following emergency medical teams, composed of not less than two treatments: 74.1. the Assistant team physician;
74.2. intensive care team. 75. Emergency medical Physician Assistant team composed of: 75.1. emergency medical assistance in the certified physician assistant who is emergency medical Physician Assistant Team Manager;
75.2. the medical person (doctor's Assistant or nurse), prepared by the emergency medical assistance;
75.3. operational medical driver. 76. Emergency medical intensive care team composed of: 76.1. emergency medical assistance in the certified physician who has emergency medical intensive care team leader;
76.2. emergency medical assistance in the certified medical Assistant or emergency health help certified nurses;
76.3. operational medical driver. 77. Emergency medical authorities head of specialised emergency medical assistance can create different profiles of medicine specialized emergency medical physician team. In this case, the specialized emergency medical doctor for the team leader is a health urgent help or specialty under the specialized emergency medical physician team profile certified doctor. Specialized emergency medical teams consisting of doctors: 77.1. emergency medical assistance in the certified medical Assistant or emergency health help certified nurses;
77.2. operational medical driver. 78. If a specialized emergency medical Squad provides emergency medical assistance in another medical institution, the team leader is under the team concerned profile specialty certified doctor. 79. The provisions referred to in Chapter 4 emergency medical brigades with the head of the Authority's order may include nurses Assistant or determine the order in which the obligations to be performed if a nurse Assistant is not included in the composition of the team. 80. The provisions referred to in Chapter 4 emergency medical brigades with the head of the Authority's order may include emergency medical assistance to prepare treatments. 4.3. requirements for operating medical vehicle 81. Operational medical TRANS portlīdzekl is properly marked and equipped vehicle used in medical emergencies, as well as the movements of the patient during transport, which may require emergency medical attention. 82. The operational medical vehicle: 82.1. is mobile radio equipment is certified and registered according to the legislation on electronic communications in the community of radio equipment and terminal equipment conformity assessment network, distribution and use;
82.2. have a medical hardware instructions, operating rules and instructions for maintenance (the documents referred to in the language of the country);
82.3. equipment is placed and secured it to the road it is not corrupt and does not apdaudēt the vehicle's cabin in the human security;
the floor covering is 82.4. durable and easy to clean;
82.5. cabin is with security key lockable compartment of medicinal products;
all interior doors 82.6. open position is located and equipped with locks without keys can be locked and unlocked from the inside of the cabin, with key lock on the outside, as well as with key key from the outside, if they are locked from the inside. The driver receives a sound or Visual signals that the vehicle is in motion one of the door is not fully closed;
82.7. the rear of the cabin is placed at least one oxygen cylinder capacity not less than 10 litres;
the ceiling is 82.8. infusion bag holder that supports the minimum infusion of capacity 5 kg and the ability to hang independently one from the other two Infusion bags with standard infusion system, providing access to the patient's collarbone, arm and foot joints;
82.9. all chairs are fitted with safety belts and head restraints. 4.4. Emergency medical teams with security equipment and medical equipment minimum 83. patient carrying device: 83.1. main stretcher;
51.7. compensating stretcher;
83.3. vacuum the mattress;
83.4. chair the seated patient away;
83.5. carpet carrying a patient;
83.6. long spine Board immobilization with the head imobilizator and safety straps. 84. The device injuries made the patient immobilization: 84.1. hard immobilization apkakļ;
52.3. set this limb immobilization;
84.3. short spine fixation device;
trakcij; this of 84.4.
84.5. triangular handkerchief (at least four). 85. the breathing device function properly: 85.1. stationary oxygen cylinder with gas capacity of at least 2000 l, equipped with a flow meter and Regulation valve, which has a maximum capacity of 15 l/min;
85.2. portable oxygen cylinder with gas capacity of at least 400 l, equipped with a flow meter and Regulation valve, which has a maximum capacity of 15 l/min with at least two spare cylinders of oxygen;
85.3. strengthened (plug-in for stationary oxygen supply system), portable oxygen inhalation devices or stationary (fixed) and portable (portable) oxygen inhalation device;
85.4. strengthened (plug-in for stationary oxygen supply system) a portable artificial lung ventilation device (supports artificial lung ventilation with variable oxygen concentrations from 40% to 100%), providing auxiliary ventilation, for patients of all age groups, operated by batteries and electricity (220 V, 12 V);
the portable suction 85.5. strengthening device (pump), which provides a minimum negative pressure of not less than 500 mm Hg, and the minimum capacity, not less than 1000 ml, powered by batteries and electricity (220 V, 12 V);
85.6. spacer delay medications (for children and adults in);
53.3. positive end expiratory pressure (PEEP) valve (adjustable or set). 86. devices for diagnosis: 86.1. a device for non-invasive measurement of arterial blood pressure (with cuffs sizes from 10 cm to 60 cm);
86.2. fonendoskop;
86.3. thermometer;
86.4. glikometr (with strip);
86.5. pen type torch. 87. The device of a life-threatening complication: 87.1. defibrillator with monitor, 12 lead electrocardiograph module (or a separate device), external pacemakers, Pulse Oximeter module (or a separate device), non-invasive blood pressure module, data transmission module and print device;
87.2. the bag of the devices life measures: 87.2.1. with a manual respirator device with a transparent or semitransparent masks of all age group patients with reservoir and flow of oxygen input capabilities;
87.2.2. orofaringeāl and nasofaringeāl set the airway;
87.2.3. motor driven suction device (pump);
87.2.4. respiratory suction catheter (hard, soft);
87.2.5. konikotomij Kit;
87.2.6. laringoskop (metal, with handle and matching mirrors);
87.2.7. Magill Terminal;
87.2.8. leadwire;
87.2.9. endotracheal tube (all age groups) with connector;
87.2.10. syringe cuff inflation;
87.2.11. intubation tube clamping materials;
87.2.12. fonendoskop;
87.2.13. the infusion of tools, including different sizes of peripheral venous access catheter and fiksējošo materials, intravenous input system and syringes with needles;
101.8. intraosāl approach;
87.4. pleural cavity puncture Kit;
87.5. bulaizer not;
87.6. perfuzor. 88. provision of equipment:

88.1. materials pārsiešan and external wound bleeding stop: 88.1.1. bandages;
88.1.2. the arterial tourniquet to stop bleeding;
88.2. materials and chemical burns to the local effects of coating;
88.3. cold creative package;
88.4. cover (at least two);
88.5. bedlinen (one set);
88.6. body apron;
88.7. atvemt mass of the bag;
the šālīt, nierveid 88.8.
88.9. safety decanting of urine;
88.10. bladder catheterization Kit (single use with lubricant);
88.11. container waste;
88.12. disposable stomach probe all ages patients with funnel water to enter and lubricant;
88.13. non-sterile gloves for single use;
set of 88.14. emergency childbirth (single use);
88.15. replantācij container that is at least two hours to ensure internal temperature of not more than 4 ± 2 ° c;
88.16. fridge;
88.17. devices for administering drugs (at least two sets): 88.17.1. syringes with needles;
88.17.2. the tiny vein puncture needles;
88.17.3. peripheral vein catheter;
88.17.4. intravenous input system;
the infusion solution termoskap 88.18. maintenance of the infusion to a suitable temperature;
88.19. infusion stand. 89. protection and rescue devices: 89.1. materials hand, skin and surface cleaning and disinfection;
89.2. the victim of sorting cards (at least 10);
89.3. belts and clothing pārgriezēj;
89.4. the portable searchlight. 90. Personal protective equipment: protective clothing with 90.1. Basic reflective vests and identification of staff posts;
90.2. protective gloves and safety shoes;
90.3. safety helmet;
90.4. vest with the word "management" doctor ". 91. Emergency medical authorities the intensive care team equipment, medical equipment and emergency medical assistance for the quantity of units of medication that must be carried on the vehicle, determined in accordance with the intensive care team for average daily load, existing and planned emergency medical assistance in the case. 5. requirements for stationary medical institutions 5.1 General requirements 92. Hospital is the medical establishment that the patient provides emergency medical assistance and determine the diagnosis, and treatment of patients. The patient in the hospital around the clock is in constant and continuous medical care and supervision of persons to certain diagnostic or therapeutic grade. 93. Hospital treatment services are: 93.1. multi purpose hospital;
93.2. University Hospital;
93.3. specialized hospital;
93.4. care in the hospital. 94. the Fixed medical institution has the following departments: 94.1. hospital departments, in which the patient is provided beds and 24-hour care;
94.2. the reception section;
58.6. the Department carried out medical operations without providing beds;
94.4. departments that provide therapeutic activities with related functions: disinfecting and sterilization 94.4.1. service;
94.4.2. laboratory and patient medical, functional ability assessment unit;
94.4.3. Department of Pathology with the morgue or the premises for the storage of the dead;
94.5. Administration;
94.6. commercial technical services. 95. the Fixed medical institution may not be 94.4.1 these rules, 94.4.2. and 94.4.3.. referred to departments. In this case, the hospital the medical establishment have contracts with other institutions that provide the services. 96. the Fixed medical institution in its provide services in addition to the provisions referred to in paragraph 94, the departments can have the following departments: 96.1. intensive care unit;
Diagnostic Radiology Department 96.2.;
96.3. endoscopy Department: Department of endoscopy gastrointestinal 96.3.1.;
96.3.2. respiratory endoscopy Division;
59.9. outpatient department;
96.5. operation unit;
the anaesthetic machine service; 96.6.
96.7. blood Cabinet;
96.8. physical medicine cabinet;
96.9. rehabilitation service;
96.10. medical laboratory;
Clinical Physiology Laboratory 96.11.;
96.12. day hospital. 97. The movement of medicinal products medical institution organized in accordance with the laws and regulations on the acquisition, storage, use, destruction of medical records and institutions. 98. the Fixed medical institution provides patients: 98.1.24-hour beds and meals;
98.2 technical capabilities. from any patient wards and toilet facilities at any time of day to call the keep-alive treatment. 99. The fixed medical institution's functional and instrumental examinations provide diagnostic: 99.1. emergency medical assistance in the case of the hour;
99.2. urgent medical assistance in the case of 24 hours;
99.3. systematic medical case-72 hours. 100. the Fixed medical institution in its provide services in addition to the provisions referred to in paragraph 96 of the departments can have the following profile of the Hospital Department: 100.1. Care Department;
100.2. the second phase of rehabilitation Department of medical rehabilitation services;
100.3. the maternity Department;
100.4. the children's section: 100.4.1. the General Chapter of child diseases;
100.4.2. children of different profile sections of the disease;
100.4.3. newborn pathology department;
100.4.4. newborn intensive care unit;
100.5. psychiatric profile: 100.5.1 Department of Psychiatry;
100.5.2. Psychiatric Rehabilitation Department;
100.5.3. State Department crisis;
100.6. in profile: State 100.6.1. emergency State aid;
100.6.2. Department of psychotherapy;
100.6.3. State Department of rehabilitation;
intern profile: 100.7. at 100.7.1. oral diseases;
100.7.2. cardiology department;
100.7.3. Department of Rheumatology;
100.7.4. pulmonary diseases and tuberculosis;
100.7.5. endokrinoloģij Department;
100.7.6. renal diseases Division;
100.7.7. Gastroenterology Department;
100.7.8. chemotherapy Department;
100.7.9. Hematology Department;
100.7.10. autologous peripheral blood stem cell (bone) marrow transplant Department;
100.7.11. allogeneic and autologous peripheral blood stem cell (bone) marrow transplant Department;
100.7.12. Department of Neurology;
100.7.13. Department of infectious diseases;
100.7.14. Dermatology and Venereology Department;
100.7.15. radiotherapy Department with the closed source;
100.7.16. radionuclide therapy Department;
100.7.17. the chapter of palliative care;
surgical profile: 100.8.100.8.1. surgical Department;
100.8.2. neurological Department;
Thoracic Surgery Department, 100.8.3.;
100.8.4. the cardiac surgery department;
100.8.5. Vascular Surgery Department;
haemodialysed; 100.8.6.
100.8.7. Urology Department;
100.8.8. plastic surgery chapter;
100.8.9. transplantoloģij Department;
100.8.10. orthopaedic surgery and orthopaedics divisions;
100.8.11. tissue thermal injury;
100.8.12. the gynaecology department;
100.8.13. Department of Ophthalmology;
100.8.14. Department of Otorhinolaryngology;
100.8.15. mouth, face and Jaw surgery department. 101. In-hospital's outpatient department, Cabinet of professionals, rehabilitation services and day hospital complies with the provisions of Chapter 3, the requirements laid down in the ambulatoraj hospital. 102. The provisions referred to in paragraph 101 of hospital treatment departments in addition to the provisions of Chapter 3, the requirements are: 102.1. each institution's standing, at least one toilet and shower rooms for persons with reduced functional abilities;
one in each ward 102.2. functional beds, not less than two metres. 5.2. requirements for multi purpose hospital 103. Multi purpose hospital provides comprehensive secondary and tertiary hospital selective health care, specialist outpatient assistance, secondary emergency medical assistance, as well as provide secondary health care in specialised help available 24 hours a day. 104. Multi purpose hospital physician specialists is provided 24-hour on-call at least the following specialties: 104.1. intern in medicine;
104.2. surgery;
anaesthetics and 104.3. reanimatoloģij. 105. Multi purpose hospital in ambulances and patient Admissions Department provides the following functional and instrumental diagnostic study availability: 105.1. fluoroscopy;
105.2. x-ray;
105.3. Ultrasound (General);
105.4. computed tomography;
Clinical Physiology at 105.5. vital signs monitoring function;
105.6. digestive system endoscopy;

105.7. respiratory endoscopy. 106. Multi purpose hospital provides the resident training. The hospital is a medical person who is a doctor approved by the law society to train learners and specific treatment of the person, as well as the specialties of resident training in appropriate classroom theory training and medical costs, access to the internet and electronic information resources. 107. Multi purpose hospital treatment continuity and succession of the vehicle is available for transport of patients (also reclining position). 108. Multi purpose hospital is provided with an alternative source of electricity or autonomous-generator that provides power authority's admissions office, intensive care unit and Operations Division of external action in the event of power failure. 109. Multi purpose hospital can create closed pharmacies. Closed pharmacies compliance evaluated in accordance with the activities of regulatory pharmacy regulations. 110. the hospital is a multi purpose: 110.1. medical laboratory, which is accredited in accordance with standards LVS EN ISO 15189:2008 "medical laboratory. Particular requirements for quality and competence ";
110.2. the diagnostic radiology department: 110.2.1. rentgendiagnostik's Office (with the ability to perform fluoroscopy and radiography);
110.2.2. ultrasound study;
110.2.3. CT study;
Clinical Physiology Laboratory 110.3. with the Cabinet during;
110.4. endoscopy cabinet: 110.4.1. digestive system endoscopy study;
110.4.2. respiratory endoscopy Cabinet. 111. Multi purpose hospital constitutes a separate admissions department patients scheduled for elective treatment, and patients for emergency treatment, or a common hosting section that contains separate patient flow according to the type of stacionēšan. 112. Multi purpose hospital in ambulances and patient Admissions Department has the following facilities: 112.1. waiting and patient registration;
112.2. investigation of the patient;
112.3. life sustaining function stabilisation;
112.4. procedures and therapeutic manipulation;
112.5. patient hygiene needs, including enclosed shower room;
112.6. patients with infectious diseases isolation;
112.7. dangerous and aggressive patient observation and isolation;
112.8. decontamination of contaminated patients, provided with a separate entrance;
112.9. outpatient investigations;
112.10. immobilization equipment for storage of the Exchange Fund;
clothing. personnel change 112.11 and storage;
112.12. staff hygiene;
112.13. staff recreation;
112.14. toilet and shower room designated for persons with limited functional capabilities. 113. Multi purpose hospital in ambulances and patient admissions office equipment Exchange Fund (used for Exchange with the emergency medical service teams, equipment) are the following: 113.1. medical device hard neck immobilization collar;
113.2. long spinal immobilization boards;
trakcij splints of 113.3. thigh fracture immobilization;
113.4. hard splint limb immobilization;
113.5. vakuummatrač. 114. Multi purpose hospital in ambulances and patient admissions office life vital function stabilization is space: 114.1. ensure the following parameter: 114.1.1. the observation the patient's heart and blood circulation (arterial blood pressure, ECG;) using non-invasive methods;
114.1.2. respiratory function and ventilation;
114.1.3. hemoglobin oxygen of saturācij (pulse oximetry);
114.1.4. body temperature;
114.2. at least one movable functional bed with central oxygen supply system;
114.3. medical devices the following therapeutic actions: 114.3.1. artificial lung ventilation;
114.3.2. respiratory permeability;
114.3.3. lasting precisely metered dose medication and solution for parenteral injection (perfuzor, infusion pumps);
114.3.4. defibrilācij;
114.3.5. the provision of oxygen to the patient during transfer. 5.3. requirements for University Hospital 115. University Hospital is a multi purpose hospital, who is in the process of studies and research, suitable conditions, according to the faculty, student and researcher needs equipped facilities, technical support and infrastructure. 116. University Hospital meets this rule 5.2. section multi purpose hospital requirements. 117. University Hospital, according to the Constitution of the University and on the basis of the contract concluded between the authority established by the medical clinic. University Hospital are pursuing academic training and research programmes and projects, as well as providing medical services at least three clinics within their scope. 118. University hospital work in the Faculty of the University, which is working in legal relations with hospitals and the scope which meet the hospital's profile. 5.4. requirements for specialized hospital for Specialized hospital provides 119. specialized secondary or tertiary health care in one or more profiles, and provides specialist secondary outpatient assistance. Specialized hospital 24 hours is ensured at least one doctor on-call. 120. the specialized hospital in ambulances and patient Admissions Department is space: 120.1. waiting and patient registration;
120.2. the patient viewing, and investigation;
120.3. therapeutic procedures and manipulation;
120.4. the hygiene needs of patients, including enclosed shower room;
120.5. patients with infectious diseases isolation and observation of patients, if there is a clear diagnosis, as well as dangerous and aggressive patient observation and isolation;
120.6. doctor and physicians assistants to work;
120.7. nursing jobs;
120.8. the staff of the Exchange and storage of clothing;
120.9. staff hygiene;
120.10. the staff lounge;
120.11. toilet and shower room designated for persons with limited functional capabilities. 121. the specialized hospital admissions department, which takes injuries benefited patients, is the exchange of the equipment Fund (Exchange with emergency medical service teams, equipment), which consists of the following devices: 121.1. hard neck immobilization collar;
121.2. the long spine Board immobilization;
trakcij splints of 121.3. thigh fracture immobilization;
121.4. hard splint limb immobilization;
121.5. vakuummatrač. 122. A specialized rehabilitation hospital is a hospital in section 122.1:.;
122.2. outpatient department, which includes at least: 122.2.1. physical and rehabilitation medicine doctor's Office;
122.2.2. functional ability assessment laboratory;
122.2.3. the functional specialist's Office. 123. A specialized rehabilitation hospital provides: 123.1. patient health assessment, determining best time taken (out patient selection), and preparing individual rehabilitation plan, according to the patient's diagnosis, functional ability and social situation;
123.2. rehabilitation technology for the desired quantity and quality under the rehabilitation plan;
123.3. subsequent medical and social rehabilitation plan for the preparation of the patient, their statement;
123.4. results late. 5.5. requirements care hospital care hospital has 124. medical establishment where the patient following the flare of disease prevention to set degree of treatment objectives provide in-patient health care if they are prolonged or chronic disease. Care hospital doctor on duty is required around the clock. 125. the care of hospital patients in the hosting section of 125.1. waiting is space: and patient registration;
125.2. patient viewing, and investigations (can be combined with the medical procedure and the manipulation of space);
125.3. therapeutic procedures and manipulation;
125.4. the hygiene needs of patients, including enclosed shower room;
125.5. patients with infectious diseases isolation;
125.6. patient monitoring, if the diagnosis is not clear;
125.7. dangerous and aggressive patient observation and isolation;
125.8. toilet and shower room designated for persons with limited functional capabilities. 126. the care of hospital patients in the hosting section contains medical devices the following therapeutic actions: 126.1. patient's physical examination (fonendoskop, and the device is not a direct measurement of arterial blood pressure);
126.2. hygiene and pretepidēmisk mode of the essential requirements, including the staffing of individual protection;
126.3. medication and parenteral administration of the solution;
126.4. suspension of external bleeding;
126.5. wound treatment and pārsiešan;
microbiological investigation material 126.6. pickup, storage and transportation;
126.7. movement of patients. 127. the hospital inpatient care section is: 127.1. patient wards;
127.2. a patient shower or bath room;
127.3. patient toilet;
127.4. patient lounge;
127.5. laundry warehouse;
127.6. dirty laundry warehouse;
127.7. procedure for Cabinet;
127.8. space for patient care products for storage;
127.9. room doctors and nurses to work;

127.10. staff exchange and storage of clothing;
127.11. staff hygiene;
127.12. staff recreation space;
area 127.13. medical and social rehabilitation. 5.6. requirements for stationary units 5.6.1. intensive care 128. Intensive care the patient is in a continuous medical care and supervision of persons, receive intensive treatment for vital functions, adjustment, maintenance and replacement, as well as analgesic therapy. Intensive care unit structure is one of the intensive care patient beds. 129. The intensive care Department, if necessary, provide the patient's isolation. Isolation ward's lobby for washing hands and clothing of personnel. At the entrance to the Chamber is located in isolation. Contaminated and therapeutic patient care equipment support separate disposal. 130. the intensive care ward are: 130.1. the staff ensure the free access to the head of the bed and the patient technical jacks;
130.2. the staff clearly visible wall clock;
130.3. fluorescent source;
130.4. in phone communications in the Department and within the hospital and Visual alarms;
130.5. functional patient beds. 131. The intensive care section 131.1. autonomous centralized: the reserve source of electrical power, which becomes activated if you have interrupted the Central electrical supply medical devices intended for vital functions;
131.2. emergency lighting;
131.3. one level floor covering. 132. The intensive care Department the patient beds are provided in the following parameters: 132.1. monitoring the patient's heart and blood circulation (arterial blood pressure, ECG; using non-invasive methods; arterial blood pressure using invasive techniques);
132.2. respiratory function and ventilation;
132.3. hemoglobin oxygen of saturācij (pulse oximetry);
132.4. body temperature (peripheral and Central). 133. Intensive care patient beds provides a central oxygen supply system and has the following medical device medical activities: 133.1. respiratory permeability (tracheal intubation, krikotireotomij and traheotomij);
oxygen inhalation 133.2. (medical device is a flow meter and a moisturizer);
133.3. artificial lung ventilation (energy-operated);
133.4. lasting precisely metered dose medication and solution for parenteral injection (perfuzor, infusion pumps);
133.5. defibrilācij;
133.6. oxygen support during patient handling. 5.6.2. the requirements for Operation of unit operations 134. pad is: 134.1. sanitary facilities personnel pass;
134.2. the operating room;
134.3. preoperative treatment of hands;
134.4. sterile medical devices;
134.5. non-sterile medical devices;
134.6. space for observation of patients after general anesthesia;
134.7. operating room equipment (devices, hardware). 135. Surgery and preoperative treatment of hands in space comply with full aseptic techniques should be maintained. Outside the operation unit deployed in the operating room can be relieved aseptic techniques should be maintained, does not significantly reduce the aseptic techniques should be maintained. 5.6.3. the requirements of anaesthetic machine 136. Anaesthetics Department patients provide anesthesia and vital function in maintaining the organisms: 136.1. surgical operation and manipulation;
136.2. pirmsanestēzij and pēcanestēzij care;
136.3. pain therapy;
the therapy and intensive 136.4. CPR, if the hospital's anaesthetics and intensive care are combined;
136.5. detoxification methods, if during the use of the loģij and anestezi hospital intensive care unit are combined. 137. Volatile anesthetics for general anesthesia for use in rooms that are provided in the patient's exhaled air discharge. 138. Multi purpose hospitals, specialist hospitals and University Hospital operating room anesthesia General or local anaesthetics during service supports the following parameters: 138.1. observation of the patient's heart and blood circulation (arterial blood pressure, ECG; using non-invasive methods; arterial blood pressure using invasive techniques);
138.2. respiratory function and ventilation (breathing capacity, minute ventilation volume, the pressure in the airway, the concentration of carbon dioxide in the air, izelpojam);
138.3. hemoglobin oxygen of saturācij (pulse oximetry);
138.4. body temperature;
138.5. neuromuscular transmission control using muscle relaksant. 5.6.4. the requirements of Chapter 139. maternity maternity departments operated by the Operations Division, section, and the blood of anaesthetic machine Cabinet. 140. the maternity section is the maternity block, which is: 140.1. hosting space;
140.2. prenatal Checkup;
140.3. at least two prenatal wards;
140.4. maternity room;
140.5. the patient to shower room;
140.6. patient toilet;
140.7. toilet and shower room with patients with reduced functional abilities. 141. the maternity section is a postpartum unit containing: 141.1. neonatal care;
141.2. postpartum Checkup;
141.3. the Court's mother with the child;
141.4. patient shower room;
141.5. patient toilet;
141.6.-laundry storage;
141.7. dirty laundry storage;
141.8. toilet and shower room with patients with reduced functional abilities. 142. Neonatal care are: 142.1. heat table;
142.2. personnel freely available patient bed headboard;
142.3. device illuminate;
142.4. personnel clearly visible clock with time fixation;
142.5. ensure the newborn physiological care and, if necessary, the CPR, as well as the observation of such parameters: 142.5.1. patient breathing, heartbeat and blood circulation (breathing function, ECG, arterial blood pressure using an inva methods there);
142.5.2. hemoglobin oxygen of saturācij (pulse oximetry). 143. Neonatal care patient beds in the room provides a central oxygen supply with options to adjust the oxygen concentration, oxygen and heating device in humans and equipment intended: 143.1. normotermij;
143.2. respiratory permeability and aspiration;
143.3. positive oxygen respirator with pressure breathing;
143.4. continuous accurate metered dose of medication and solution for parenteral administration (perfuzor);
143.5. oxygen support during patient handling. 5.6.5. requirements for newborn intensive care 144. Neonatal intensive care ward are: 144.1. personnel ensure the free access to the head of the bed and the patient technical jacks;
144.2. personnel clearly visible clock with time fixation;
144.3. the fluorescent source;
144.4. phone communications;
144.5. visual alarm system within the Department;
144.6. central oxygen supply system with the ability to regulate and control the oxygen concentration, oxygen and heating device in humans;
144.7. compressed air supply system;
144.8. medical devices the following therapeutic actions: 144.8.1. energy-powered artificial ventilation of lungs;
144.8.2. respiratory permeability and aspiration;
144.8.3. normotermij;
144.8.4. maintenance of the infusion solution suitable for temperature and light conditions;
144.8.5. lasting precisely metered dose medication and solution for parenteral injection (perfuzor, infusion pumps);
144.8.6. normotermij and oxygen provision during patient handling. 145. Neonatal intensive care ward patient beds, ensure that the following parameters in the observation: 145.1. the patient's heart and blood circulation (ECG and arterial blood pressure using non-invasive methods);
145.2. respiratory function and ventilation;
145.3. hemoglobin oxygen of saturācij (pulse oximetry);
145.4. body temperature (peripheral and Central). 146. the neonatal intensive care unit: autonomous centralized 146.1. reserve source of electrical power, which becomes activated if you have interrupted the Central electrical supply medical devices that provide vital functions;
146.2. emergency lighting;
146.3. one level floor covering. 147. The newborn intensive care unit, if necessary, provide the patient's isolation. At the entrance to the room is individual in isolation instruction that determines the treatment and disposal of patient care equipment. Contaminated and therapeutic patient care equipment support separate disposal. 5.6.6. the requirements of Chapter 148 of the neonatal pathology neonatal pathologies Division. vital function stabilization of the patient in the bed room is provided the following: 148.1. parameter monitoring: 148.1.1. the patient's heart and circulation (arterial blood pressure, ECG; using non-invasive methods);
148.1.2. respiratory function and ventilation;
148.1.3. hemoglobin oxygen of saturācij (pulse oximetry);
148.1.4. Central and peripheral body temperature;

148.2. ensure centralised, the concentration of oxygen controlled feed system with oxygen warmer and moisturisers;
148.3. medical devices the following therapeutic actions: 148.3.1. respiratory permeability and aspiration;
148.3.2. normotermij;
148.3.3. continuous accurate metered dose of medication and solution for parenteral administration (perfuzor, infusion pumps);
148.3.4. maintenance of the infusion solution suitable for temperature and light conditions;
148.3.5. normotermij and oxygen for the patient during transfer. 5.6.7. the requirements of Chapter 149 of the psychiatry department of psychiatry is a special window and door mounts and provides you, as well as a reinforced window and door fitting patient monitoring. 150. The psychiatric unit, where patients with acute mental disorders, the process is elektrokonvulsij therapy apparatus. 5.6.8. requirements for allogeneic and autologous peripheral blood stem cell and bone marrow transplant Department 151. Allogeneic and autologous peripheral blood stem cell and bone marrow transplant Department personnel penetrates through sanitary passes. Health room personnel pass donning sterile clothing and footwear, which later takes off on exit. 152. in order to provide diagnostic, therapeutic and nursing functions, allogeneic and autologous peripheral blood stem cell and bone marrow transplant section: 152.1. vital function stabilization;
152.2. ensure the beds in the intensive care unit;
152.3. procedure;
152.4. patient care products storage;
152.5. space doctor work;
152.6. room nursing jobs;
152.7. staff exchange and storage of clothing;
152.8. staff hygiene;
152.9. staff recreation. 153. Allogeneic and autologous peripheral blood stem cell and bone marrow transplant Department vital function stabilization of the patient in the bed room is provided the following: 153.1. observation parameters: patient's heart and 153.1.1. blood circulation (ECG and arterial blood pressure using non-invasive methods);
153.1.2. respiratory function and ventilation;
153.1.3. hemoglobin oxygen of saturācij (pulse oximetry);
153.1.4. body temperature;
153.2. ensure centralised, the concentration of oxygen controlled feed system;
153.3. medical devices the following therapeutic actions: artificial lung ventilation in 153.3.1. (energy-operated);
153.3.2. respiratory permeability;
153.3.3. ensure lasting precisely metered dose medication and solution for parenteral injection (perfuzor, infusion pumps);
153.3.4. defibrilācij;
153.3.5. ensure the oxygen supply to the patient during transfer. 5.6.9. requirements of the Department of communicable diseases communicable diseases Chapter 154. space design provides the ability to insert a chapter at least two streams: 154.1. patients with infectious diseases that spread air-drop;
154.2. with other infectious diseases. 155. The communicable diseases section 155.1. full provides: patients and staff isolation work of dangerous infectious disease;
155.2. infectious material handling and disinfection;
155.3. specific imūnbioloģisk of infectious diseases prevention and treatment;
155.4. toilet and shower rooms for patients with reduced functional abilities. 5.6.10. radionuclide therapy requirements Chapter 156. Radionuclide therapy department is closed for General (public) approach. Radionuclide therapy section is the control and monitoring areas. 157. Radionuclide therapy department in the control zone are as follows: the House of the patient with 157.1. individual toilets and showers with waste water discharges to the sewerage tanks intended to store it until the decay of radioactive contamination, and feedback communication system with staff;
157.2. life vital function stabilization;
157.3. room patients used for storing bedlinen to decay of radioactive contamination;
157.4. radioactive pharmaceutical preparations of space for storage, packing and typing the patient;
area 157.5. reusable tools, storage devices and accessories to the decay of radioactive contamination;
157.6. solid radioactive waste in temporary storage until the transfer of the bodies entitled to carry out the disposal of radioactive waste and the long-term storage;
157.7. the Court in patients with reduced functional abilities, equipped with individual toilets and showers, waste water discharges to the sewerage tanks intended to store it until the decay of radioactive contamination, and permanent communication with the staff. 158. Radionuclide therapy department monitoring area has the following facilities: 158.1. staff hygiene facilities and space, in which the staff work clothes lockers;
158.2. space for storing cleaning supplies. 159. Radionuclide therapy Department of vital function stabilization of the patient in the bed room is a monitoring device that supports the following parameters: 159.1. observation of the patient's heart and blood circulation (arterial blood pressure, ECG; using non-invasive methods);
159.2. respiratory function and ventilation;
159.3. hemoglobin oxygen of saturācij (pulse oximetry);
159.4. body temperature. 160. Radionuclide therapy Department of vital function stabilization patient beds in a room is provided with a central oxygen supply system and the devices intended: 160.1. artificial lung ventilation (energy-operated);
160.2. respiratory permeability;
160.3. continuous accurate metered dose of medication and solution for parenteral administration (perfuzor, infuzomat);
160.4. defibrilācij;
160.5. provision of oxygen the patient during transfer. 5.6.11. requirements for radiotherapy Department with the closing of ionizing radiation sources and radiation generating equipment 161. Radiotherapy Department with the closing of ionizing radiation sources and radiation generating equipment is: 161.1. waiting room;
161.2. space doctor work;
161.3. patient toilet;
161.4. staff exchange and storage of clothing;
161.5. staff hygiene facilities;
161.6. staff recreation space;
161.7. planning station (dose calculation) medical physicists and technicians work planning;
dosimetry services 161.8.;
161.9. archive of security of protection of personal data;
linear electron Accelerator 161.10. Cabinet containing: 161.10.1. Console;
161.10.2. the procedure of the irradiation;
161.10.3. technical equipment rooms or place;
161.11. distance gamma therapy room, which is: 161.11.1. Console;
161.11.2. the procedure of the irradiation;
161.11.3. technical equipment rooms;
brahiterapij of the Cabinet, 161.12. which is: 161.12.1. Console;
161.12.2.-endostat entry (may be combined with irradiation procedure room);
161.12.3. endostat positioning control (can be combined with irradiation procedure room);
161.12.4. the procedure of the irradiation;
161.13. īsfokus (tuvfokus) by radiotherapy treatment cabinet containing: 161.13.1. Console;
161.13.2. the procedure of the irradiation;
161.14. deep by radiotherapy treatment cabinet containing: 161.14.1. Console;
161.14.2. the procedure of the irradiation;
161.15. topometrij's which are: 161.15.1. Console;
161.15.2. topometrij space;
161.15.3. Laboratory (if rentgentopometrij);
161.16. simulator Cabinet, which is: 161.16.1. Console;
161.16.2. the simulator;
161.16.3. Laboratory (if rentgentopometrij);
toilet and shower 161.17. or bath room for patients with reduced functional abilities. 162. the Department of Radiotherapy with the closing of ionizing radiation sources and radiation generating equipment is the following: 162.1. three-dimensional water phantom;
162.2. calibrated ionization chamber;
162.3. dose planning system (dose distribution Atlas) (for a particular machine);
162.4. devices in a linear electron Accelerator's Office: 162.4.1. Console;
162.4.2. feedback conversations and monitor the patient for observation during irradiation;
162.4.3. the linear accelerator;
162.4.4. in vivo dosimetry patient equipment;
162.4.5. daily dosimetry equipment;
162.4.6. the optical system for positioning of patients;
162.4.7. patient positioning and immobilization devices;
distance 162.5. device gamma therapy room: 162.5.1. Console;
162.5.2. feedback conversations and monitor the patient for observation during irradiation;
162.5.3. the distance around the town of gamma therapy with the ionizing radiation source;
162.5.4. in vivo dosimetry patient equipment;
162.5.5. the optical system for positioning of patients;
162.5.6. patient positioning and immobilization devices;
162.6. brahiterapij device for Cabinet: 162.6.1. Console (except manual brahiterapij);
162.6.2. feedback conversations and monitor the patient for observation during irradiation;
162.6.3. endostat;
162.6.4. rentgenaparāt or the ultrason Earl (endostat positioning control);

162.6.5. independent control apparatus dozimetrisk radioactive pulse registration, connected to the continuous energy source (except manual brahiterapij);
162.6.6. brahiterapij apparatus to the ionizing radiation source;
162.6.7. source emergency container (containers, if used in multiple sources);
162.6.8. special safety deposit box or container in the source storage (if the manual brahiterapij);
162.6.9. gynecological Chair with removable foot bed brahiterapij or functional performance;
162.6.10. shadow-free lamp;
162.7. īsfokus device (tuvfokus) by radiotherapy treatment room: 162.7.1. Console;
162.7.2. feedback conversations and monitor (window with the appropriate thickness of lead glass patient monitoring during irradiation);
162.7.3. by radiotherapy treatment machine with applicator Kit;
162.8. device deep by radiotherapy treatment room: 162.8.1. Console;
162.8.2. feedback conversations and monitor (window with the appropriate thickness of lead glass patient monitoring during irradiation);
162.8.3. by radiotherapy treatment machine with applicator Kit;
162.9. topometrij device for Cabinet: 162.9.1. Console;
162.9.2. feedback conversations and monitor (window with the appropriate thickness of lead glass patient monitoring during irradiation);
162.9.3. topometrij equipment;
162.9.4. equipment for developing rentgenfilm and gatoskop (if rentgentopometrij);
162.9.5. Kaļiņičenk topometrisk the ruler of the patient card (if rentgentopometrij);
162.9.6. computed tomography and magnetic resonance business Photo enlarger (if rentgentopometrij);
162.9.7. not gatoskop;
Device simulator 162.10. Office: 162.10.1. Console;
162.10.2. feedback conversations and monitor (window with the appropriate thickness of lead glass patient monitoring during irradiation);
162.10.3. the simulator;
162.10.4. equipment for developing rentgenfilm and gatoskop (if rentgensimulācij);
162.10.5. the optical system for positioning of patients;
162.10.6. patient positioning and immobilization devices. 5.6.12. requirements of the tissue thermal injury to tissue section 163. thermal damage of the chapter, not less than 10 percent of the total number of beds is the Department for vital function stabilization. 164. the tissue thermal damage of vital function stabilization of chapter room patient beds: the following parameters provided 164.1. observation: 164.1.1. the patient's heart and blood circulation (ECG and arterial blood pressure using non-invasive methods);
164.1.2. respiratory function and ventilation;
164.1.3. hemoglobin oxygen of saturācij (pulse oximetry);
164.1.4. body temperature;
164.2. ensure centralised, the concentration of oxygen controlled feed system;
164.3. medical devices the following therapeutic actions: artificial lung ventilation in 164.3.1. (energy-operated);
164.3.2. respiratory permeability;
164.3.3. lasting precisely metered dose medication and solution for parenteral injection (perfuzor, infuzomat);
164.3.4. defibrilācij;
164.3.5. ensure the oxygen supply to the patient during transfer. 6. requirements for diagnostic institutions and departments 165. Diagnostic medical establishment comply with these regulations set out the General requirements for medical institutions ambulatoraj. Diagnostic unit can be another part of the hospital. 6.1. requirements for diagnostic radiology, Clinical Physiology and to the institution or Department of endoscopy 166. Diagnostic Radiology, Clinical Physiology and endoscopy treatment institution or body provide a functional and instrumental examinations of patient diagnostic health evaluation, as well as treatment. 167. Diagnostic Radiology, Clinical Physiology and endoscopy treatment institution or body wiring located devices to use the minimum number of additional cables and cables do not cross any part of which is moving the patient and treatment. 6.2. requirements for radionuclides in diagnostic authority or unit to ensure radionuklīdo 168. diagnostic studies and assess the patient's health condition, radionuclides in diagnostic medical establishment or unit uses special pharmacological preparations, which are marked with a radioactive isotope. 169. Radionuclides in diagnostic medical institution or of its bodies, the unit is marked accordingly in the controlled and supervised areas. 170. Radionuclides in diagnostic medical establishment or unit of the structure of the control zone is equipped according to the requirements of: 170.1. radiation protection support;
170.2. signalling connection security service;
170.3. air exchange security for use in radioakt to vajiem pharmaceutical preparations. 171. Radionuclides in diagnostic study in the control zone are: 171.1. radioactive pharmaceutical storage space;
171.2. radioactive pharmaceutical packaging and preparation for entering space (can be combined with a radioactive pharmaceutical storage space);
171.3. radioactive pharmaceutical preparations for entering the premises or place;
171.4. diagnostic equipment cabinet;
171.5. hardware diagnostic work station;
171.6. radioactive waste storage space. 172. in the diagnostic study of the radionuclide monitoring area is: 172.1. patient registration;
172.2. patients in the waiting room with the radiation protection support, and a toilet;
172.3. doctor's Office or medical work station (can be combined with a hardware diagnostic study and diagnostic hardware work stations space);
172.4. the staff of the Exchange and storage of clothing;
172.5. staff hygiene. 173. the diagnostic Radionuclides radioactive pharmaceutical preparations of cabinet storage, packing and preparation room: separate designated packing 173.1. (space);
173.2. lead container of radioactive pharmaceutical preparations ready for storage and generator for storage;
173.3. dose calibrators in a patient that a radioactive pharmaceutical preparations. 174. study of diagnostic Radionuclides radioactive pharmaceutical preparations for entering the room or place is: 174.1. independent dozimetrisk;
174.2. equipment for injection;
174.3. containers for solid radioactive waste, labelling and storage of up to their collapse. 175. diagnostic Radionuclide Cabinet hardware is the medical room: the diagnostic radionuclides 175.1. APA ratūr;
175.2. lead containers for solid radioactive waste for storage until it decays. 176. Radionuclides in diagnostic study is doctor's work station, which housed a doctor's Office or medical work. 177. Radionuclides in diagnostic study in the control zone are: 177.1. radiological emergency salvage and decontamination;
177.2. staff personal dosimeters (out of hours ensure that they were not ionizing radiation zone). 7. Closing questions 178. Be declared unenforceable in the Cabinet of 19 February 2002, the Regulation No 77 "provisions concerning minimum requirements for medical institutions and their departments" (Latvian journal, 2002, nr. 31; 2003, 167, 180. No; 2006, nr. 37; 2008, 117 no). 179. The medical institutions set up after the entry into force of the provisions in the two months following the creation of treatment institutions notify the registry of the relevant medical authority compliance with the requirements contained in these provisions. 180. Stationary medical institutions for which the conformity attestation (certificate) is assigned to the date of entry into force of the rules until June 1, 2009. notify medical authorities to register a fixed hospital's compliance with the requirements contained in these provisions according to the profile of the institution. 181. The medical institutions (with the exception of hospital treatment services) that the conformity attestation (certificate) is assigned to the date of entry into force of the provisions should not be reported to the medical register of the relevant authorities of the hospital's compliance with the requirements contained in these provisions and their assigned certificate of conformity (certificates) are in force. 182. These rules 18, 19 and 108 points, 101.8, 90.4., and section 131.1.146.1. shall enter into force on January 1, 2011. 183. This provision, paragraph 17, and 68.2.,.,., 85.4 87.6 84.4. subparagraph 110.1 and shall enter into force on January 1, 2012. 184. This provision 4, 22 and paragraph 102 and 24.6.,.,., 30.0 112.14 120.11.,.,., 141.8 125.8 140.7.,.,., and 157.7 161.17 155.4. subparagraph shall enter into force on January 1, 2014. Prime Minister i. Godmanis Health Minister Morris I.