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The document ceased to be valid since November 10, 2020 according to Item 2 of the Order of the Minister of Internal Affairs of the Republic of Kazakhstan of October 28, 2020 No. 745

ORDER OF THE MINISTER OF INTERNAL AFFAIRS OF THE REPUBLIC OF KAZAKHSTAN

of April 7, 2015 No. 314

About approval of Rules of delivery of health care to citizens which freedom is limited, and also to the persons serving sentence according to the court verdict in places of detention, placed in special facilities

(as amended of the Order of the Minister of Internal Affairs of the Republic of Kazakhstan of 02.11.2017 No. 728)

According to item 4 of article 88 of the Code of the Republic of Kazakhstan "About health of the people and health care system", PRIKAZYVAYU:

1. Approve the enclosed Rules of delivery of health care to citizens which freedom is limited, and also to the persons serving sentence according to the court verdict in places of detention, placed in special facilities.

2. (Berdalin B. M.) to provide to committee of criminal executive system of the Ministry of Internal Affairs of the Republic of Kazakhstan:

1) state registration of this order in the Ministry of Justice of the Republic of Kazakhstan;

2) the direction on official publication of this order within ten calendar days after its state registration in the Ministry of Justice of the Republic of Kazakhstan in periodic printing editions and in information system of law of Ad_let;

3) placement of this order on Internet resource of the Ministry of Internal Affairs of the Republic of Kazakhstan.

3. To impose control of execution of this order on the deputy minister of internal affairs of the Republic of Kazakhstan (Bisenkulov B. B.).

4. This order becomes effective after ten calendar days from the date of its first official publication.

Minister of Internal Affairs of the Republic of Kazakhstan

K. Kasymov

It is approved

Minister of health and social development of the Republic of Kazakhstan

April 17, 2015

 

______________ T. Duysenova

It is approved

Minister of national economy of the Republic of Kazakhstan

April 22, 2015

 

______________ E.Dosayev

Approved by the Order of the Minister of Internal Affairs of the Republic of Kazakhstan of April 7, 2015 No. 314

Rules of delivery of health care to citizens which freedom is limited, and also to the persons serving sentence according to the court verdict in places of detention, placed in special facilities

Chapter 1. General provisions

1. These rules of delivery of health care to citizens which freedom is limited, and also to the persons serving sentence according to the court verdict in places of detention, placed in special facilities (further - Rules) are developed according to part four of article 88 of the Code of the Republic of Kazakhstan "About health of the people and health care system" (further - the Code) and determine procedure for delivery of health care to citizens whose freedom is limited, and also serving sentence according to the court verdict in places of detention, placed in special facilities.

2. In these rules the following basic concepts are used:

1) special facilities - the pre-trial detention center (further - the SI), temporary detention center (further - IVS), the receiver distributor (further - PR), the special receiver (SPA);

2) organization of criminal and executive (penitentiary) system (further - organization) - the public institution intended for execution of custodial sanctions, and also content of convicts to capital punishment;

3) the medical and advisory commission - the commission which is created in the medical organization, irrespective of patterns of ownership and departmental accessory (further - VKK);

4) the medicinal form of the organization of health care - the list of medicines for delivery of health care within the guaranteed amount of free medical care and in system of compulsory social medical insurance, created on the basis of the Kazakhstan national medicinal form and approved as the head of the organization of health care according to the procedure, determined by authorized body;

5) the personal medical book (further - the medical book) - the personal document in which results of obligatory medical examinations with mark about the admission to work are entered;

6) forced treatment - the treatment of the patient performed based on the judgment.

Chapter 2. Procedure for delivery of health care to citizens whose freedom is limited

3. In IVS, PR for persons which are not taking certain residence and documents, SPA for content of persons subjected to administrative detention, health workers will organize and perform medical care to persons containing in them, provide observance in special facilities of sanitary and epidemiologic rules and hygienic standard rates.

Persons needing emergency medical service, and also inspection and treatment concerning oncological, venereal diseases, HIV infection of tuberculosis, diabetes and other diseases in case of which continuous observation and treatment are shown are provided with the necessary specialized medical care in the relevant medical organizations of health care system of the Republic of Kazakhstan (further - the medical organizations).

The serviceman containing on guardrooms, medical care is provided according to the procedure, the provided charter of internal service of Armed Forces, other troops and military forming of the Republic of Kazakhstan approved by the Presidential decree of the Republic of Kazakhstan of July 5, 2007 No. 364 "About approval of all-army regulations of Armed Forces, other troops and military forming of the Republic of Kazakhstan".

4. In case of delivery of health care health workers of special facilities are guided by the Code, and also these rules.

5. Methodical ensuring activities of special facilities concerning treatment-and-prophylactic and sanitary and anti-epidemic and sanitary and preventive actions is performed by structural division of the central executive body of the Republic of Kazakhstan heading single system of law-enforcement bodies (further - law-enforcement bodies), health services of departments of law-enforcement bodies (further - health services), authorized body in the field of health care (further - authorized body) and department of authorized body in the sphere of sanitary and epidemiologic wellbeing of the population.

6. For the purpose of delivery of health care to persons containing in special facilities specially equipped office of the health worker (further - medical office) or medical aid station functions.

7. The medical office is provided with medicines, products of medical appointment and medical equipment, disinfectants and the washing materials.

8. Special facilities represent data on medical support of persons containing in special facilities to health service.

9. Health workers of special facilities perform:

1) delivery of health care to persons containing in special facilities;

2) ensuring compliance with the anti-epidemic mode in premises of special facilities;

3) implementation of interaction with the medical organizations of local state body health care concerning medical and sanitary providing persons containing in special facilities.

10. In case of delivery of health care to persons containing in special facilities, health workers perform:

1) detection of infectious, venereal, skin, mental, parasitic and other dangerous diseases, by performing medical examinations: in case of receipt, carrying out daily bypasses, requests for medical care, departure from special facility;

2) rendering primary health care;

3) hospitalization of persons needing hospitalization;

4) accomplishment of recommendations and appointments of specialists doctors and consultants;

5) calculation of need for medicines, disinfectants and the medical equipment, representation in accordance with the established procedure to management of special facility of the corresponding requests about their acquisition, accomplishment of statutory rules of their storage, issue and accounting;

6) ensuring compliance with health regulations, hygienic standard rates in case of placement, catering services, bath-and-laundry providing, sanitary processing of persons containing in special facilities;

7) ensuring holding sanitary and anti-epidemic and sanitary and preventive actions in case of identification of infectious patients;

8) ensuring control of holding disinfection actions;

9) ensuring carrying out explanatory work;

10) the direction in group of sanitary and epidemiological surveillance of departments of law-enforcement bodies and department of authorized body in the sphere of sanitary and epidemiologic wellbeing of the population of the emergency notices on identification of infectious patients among the persons containing in special facilities;

11) maintaining medical documentation according to the forms of primary medical documentation of the organizations of health care approved by the order the acting minister of health care of the Republic of Kazakhstan of November 23, 2010 No. 907 (it is registered in the Register of state registration of regulatory legal acts at No. 6697) (further - the Order No. 907).

11. Within the first days of stay in special facility by the health worker primary routine medical examination of all persons with suspicion of infectious diseases constituting danger to the people around and patients needing emergency medical service which again arrived for the purpose of identification is performed. Acceptance is carried out in the presence of the person on duty representative on special facility or services of controllers.

At the same time, special attention on availability of manifestations of skin, venereal, mental diseases, prevalence is paid by pediculosis, itch.

Inspection is performed by the health worker in medical office. Results of survey are registered in the magazine of primary poll and registration of delivery of health care to persons containing in special facilities (IVS, PR, SPA) in form, according to appendix 1 to these rules (further - the magazine of primary poll).

12. During surveys are carried out:

1) collection of claims to the state of health, anamnesis of life and disease;

2) anthropometrical research (growth, body weight);

3) measurement of pulse, heart rate, arterial pressure and body temperature;

4) description of condition of integuments and visible mucous membranes;

5) objective inspection of internals.

13. In case of absence of the health worker, the person on duty on special facility interviews the persons in need who again arrived about condition of their health regarding identification in emergency medical service, and also performs external examination of integuments and hairy part of the head (trunk) on availability of signs of injury, pediculosis, itch.

In the presence of claims to feeling sick or signs of disease (injury) at again arrived persons, the person on duty on special facility provides challenge of crew of emergency medical service.

About survey results, the declared claims to the state of health and the provided medical care necessary log entries of registration of addresses to office of the health worker of special facility in form, according to appendix 2 to these rules which is stored in medical office of special facility, and in absence period of the health worker - at the person on duty on special facility are made.

Also health worker will organize carrying out the advisory help to patients with specialists doctors of the medical organizations.

14. After carrying out survey of person, affected with contagious skin diseases, wash separately from the others and in the last queue. All being in contact of person with them are inspected by the health worker and go for additional sanitary processing.

Persons at whom in case of survey the pediculosis is revealed are exposed to sanitary processing in the sanitary inspection room using protivopedikulezny medicines.

15. Persons with suspicion on availability of infectious disease right after survey are isolated from healthy and contain separately before establishment of the diagnosis.

The health worker reports on the head of special facility with the simultaneous notice of the head of health service on each case of emergence of infectious disease.

On each case of infectious disease (suspicion), food poisoning, unusual reaction to inoculation the emergency notice which within 12 hours is sent in divisions of sanitary and epidemiological surveillance and territorial subdivisions of department of authorized body in the sphere of sanitary and epidemiologic wellbeing of the population is constituted.

16. In case of identification in special facility of patients with suspicion on availability of dangerous infectious disease, and also persons needing emergency medical service, the health worker (in case of its absence - the person on duty on special facility) immediately causes crew of emergency medical service.

In urgent cases, in the presence of threat for the patient's life, in case of long absence or impossibility of arrival of crew of emergency medical service, the person on duty on special facility takes measures to urgent delivery of the patient in the nearest medical organization.

17. If according to the conclusion of the health worker of special facility or crew of emergency medical service of the patient needs hospitalization, he goes to the medical organization.

18. Are allocated with management of the medical organization for rendering necessary medical care to persons containing in special facilities in the medical organization and separate special chambers are as appropriate equipped.

19. Persons, the diseased, but not subject to urgent hospitalization are provided with necessary out-patient medical care during stay in special facility.

20. In case of absence in special facility of health workers, actions for rendering the first pre-medical aid to persons containing in special facility are performed by the staff of this organization.

The person on duty on special facility has first-aid kit for rendering the first pre-medical aid.

21. For the purpose of identification of the diseased from among persons containing in special facility, the health worker makes daily bypass of cameras accompanied by the duty employee.

22. All health worker decreasing from IVS for determination of the validity to convoy performs obligatory medical examination. Results of survey are registered primary poll. Information on availability of diseases, results of the conducted physical examination and the provided medical care during stay in IVS is entered in the map of medical examination in form, according to appendix 3 to these rules and joins the personal record.

23. According to the conclusion of the health worker are not subject to convoy: patients in sharp stage of disease, with infectious diseases, struck with pediculosis, itch, not completed the established course of treatment, and also nontransportable patients.

24. For the purpose of safety of health workers of the medical organization and crews of emergency medical service, the administration of special facilities will organize their admission to the patient only accompanied by the person on duty on special facility, and in case of absence of the person on duty on special facility - the person on duty (the assistant to the person on duty) on law-enforcement body, at the same time, previously having isolated person needing medical care in the camera or in other free room.

25. The medicines appointed by health workers are stored in medical office and are accepted by patients only in the presence of the health worker or the duty employee.

26. In case of heavy disease or the death of the containing person, the administration of special facility without delay reports about it it to close relatives and the supervising prosecutor.

27. Involvement of the health worker of special facility to performance of works, not connected with medical and sanitary providing, is not allowed.

Chapter 3. Procedure for delivery of health care to the persons serving sentence according to the court verdict in places of detention and placed in special facilities

Paragraph 1. Basic provisions of delivery of health care

28. To persons containing in organizations, the SI, medical support is performed by treatment and prevention facilities (further - MPI): somatic, lunatic and antitubercular asylums, medical parts, medical aid stations (further - first-aid posts). The children's home realizes the actions connected with maternity welfare and the childhood.

Forced treatment of the convicts sick with alcoholism, drug addiction and toxicomania is performed by medical part of organizations.

29. To persons containing in organizations, the SI including foreigners and stateless persons, medical care is provided by types and forms of medical care, according to the approved standards in the field of health care.

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