Methodical instructions. MU 3.1.2943-11
Year: 2011
3.1. Prevention of infectious diseases. Organization and conduct of serological monitoring of the state of collective immunity to infections controlled by means of specific prevention (diphtheria, tetanus, whooping cough, measles, rubella, epidemic pa ...
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Order of the Ministry of Health and Social Development of the Russian Federation of January 31, 2011 N51n
Year: 2011
"On the approval of the national calendar preventive vaccinations and a calendar of preventive vaccinations according to epidemic indications"
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MU 3.3.2.2437-09
Year: 2009
The use of thermal indicators to control the temperature regime of storage and transportation of medical immunobiological preparations in the "cold chain" system. Guidelines. MU 3.3.2.2437-09 (approved by the Chief State Sanitary Doctor of the Russian Federation 2 ...
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Decree of the Chief State Sanitary Doctor of the Russian Federation dated 03.03.2008 N15
Year: 2008
On approval of the sanitary and epidemiological rules SP 3.3.2342-08 (together with "SP 3.3.2342-08. Ensuring the safety of immunization. Sanitary and epidemiological rules") (Registered in the Ministry of Justice of the Russian Federation on 01.04.2008 N11444)
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Decree of the Chief State Sanitary Doctor of the Russian Federation dated 04.06.2008 N34
Year: 2008
On approval of the sanitary and epidemiological rules SP 3.3.2367-08 (together with "SP 3.3.2367-08. Organization of immunoprophylaxis of infectious diseases. Sanitary and epidemiological rules") (Registered in the Ministry of Justice of the Russian Federation on 25.06.2008 N11881)
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Decree of the Chief State Sanitary Doctor of the Russian Federation dated February 18, 2008 N10
Year: 2008
On approval of the sanitary and epidemiological rules SP 3.3.2.2330-08 "(together with" SP 3.3.2.2330-08. Sanitary and epidemiological requirements for the conditions of transportation, storage and dispensing to citizens of medical immunobiological preparations used for ...
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Decree of the Chief State Sanitary Doctor of the Russian Federation dated February 18, 2008 N9
Year: 2008
On approval of the sanitary and epidemiological rules SP 3.3.2.2329-08 (together with "SP 3.3.2.2329-08. Conditions for the transportation and storage of medical immunobiological preparations. Amendments and additions to SP 3.3.2.1248-03. Sanitary and epidemiological regulations ...
File: Download file Year: 2004 3.3. Immunoprophylaxis of infectious diseases. The procedure for conducting preventive vaccinations. Guidelines (approved by the Chief State Sanitary Doctor of the Russian Federation on March 4, 2004) File: Download file Year: 2004 Immunoprophylaxis of infectious diseases. Organization of the work of the vaccination room of the children's clinic, the office of immunoprophylaxis and vaccination teams. Guidelines (approved by the Chief State Sanitary Doctor of the Russian Federation on March 4, 2004) File: Download file Year: 2003 The procedure for the destruction of unusable vaccines and toxoids File: Download file Year: 2003 Tactics of immunization of the adult population against diphtheria. Methodical instructions. MU 3.3.1252-03 (approved by the Chief State Sanitary Doctor of the Russian Federation on March 30, 2003)" File: Download file Year: 2002 MU 3.3.1.1095-02. 3.3.1. Vaccination. Medical contraindications to preventive vaccinations with preparations of the national vaccination schedule. Guidelines (approved by the Chief State Sanitary Doctor of the Russian Federation on 01/09/2002) File: Download file Year: 2000 About the procedure for payment of state lump sums and monthly monetary compensations to citizens in case of post-vaccination complications File: Download file Year: 1999 On approval of the list of post-vaccination complications caused by preventive vaccinations included in the national calendar of preventive vaccinations, and preventive vaccinations according to epidemic indications, giving citizens the right to receive state ...
MU 3.3.1889-04.
MU 3.3.1891-04.
Methodical instructions. MU 3.3.2.1761-03
MU 3.3.1252-03
MU 3.3.1.1095-02.
Decree of the Government of the Russian Federation of December 27, 2000 N 1013 (as amended on February 1, 2005)
Decree of the Government of the Russian Federation of 02.08.1999 N885
Order of organization
work on
vaccination
in preschool
organizations.
It's time for another routine flu vaccination.
The work ahead is enormous and difficult.
It is necessary to conduct preparatory work with parents to obtain consent for influenza vaccination.
And also organize the work and determine the algorithm of interaction between health facilities and educational institutions in accordance with the requirements of regulatory documents. Since, due to the lack of a license for medical activities and the lack of paramedical workers in most preschool educational institutions, there are certain difficulties in organizing work in such a way as not to violate the law and the requirements of supervisory authorities.
Definition of immunization
Immunoprophylaxis of infectious diseases - a system of measures taken to prevent, limit the spread and eliminate infectious diseases through preventive vaccinations. (Article 1 of the Federal Law of September 17, 1998 N 157-FZ "On Immunoprophylaxis of Infectious Diseases"). -
Why is vaccination needed?
Vaccination is an important part of the fight against many infections.
Infections against which there are vaccines are called controllable because the level of their disease depends on the number of vaccinated among the entire population.
Vaccination creates individual immunity to a specific infection
Immunity
Active artificial, specific immunity, is the result of vaccination, persists for a long time, after infections, sometimes for life (measles, mumps), it is:
- active - as the body itself produces antibodies
- artificial - as the vaccine is artificially introduced
- specific - as it develops against a specific vaccinated infection.
Through vaccination, herd immunity is created, which is a barrier to the spread of infection and the emergence of an epidemic.
Criteria for the effectiveness of vaccination
1. The level of immunological activity of vaccines
(the ability to induce an immune response in humans), is determined by the number of individuals who have developed protective antibody titers from the number of all vaccinated as a percentage, as well as by the concentration of antibodies in the blood. Should be 93-100%
2. Vaccination coverage of the population - ensures epidemiological effectiveness, should be at least 95%
3. The epidemiological effectiveness of vaccination is assessed by the ratio of the incidence rate of an infection in the group vaccinated against it to the incidence rate among unvaccinated individuals.
Normative documents
There are a number of regulatory documents that regulate both the system of interaction between health facilities and educational institutions and the organization of work on immunoprophylaxis in educational institutions.
Main regulatory documents,
regulating the interaction of health care facilities and preschool educational institutions.
Law on Education No. 3266-1 dated 10.07.1992
Medical care for students, educators of educational institutions is provided by health authorities
An educational institution is obliged to provide premises with appropriate conditions for the work of medical workers.
Order of the Ministry of Health and Social Development of January 23, 2007 No. 56 “On approval of the approximate procedure for organizing and operating the structure of a polyclinic”
The structure of the children's polyclinic includes a department for organizing medical care for children in educational institutions -
medical offices are located in OS
Children's clinic provides:
- preventive measures to prevent and reduce morbidity;
- implementation of preventive and work in the educational institution, including vaccination
SP 2.4.1.2660-10 "Sanitary and epidemiological requirements for the arrangement, content and organization of the work regime in preschool organizations"
In existing and newly built preschool educational institutions, medical facilities should be provided;
In order to prevent the occurrence and spread of infectious diseases, medical workers of preschool organizations / polyclinics carry out work on the organization and conduct of preventive vaccinations;
The main documents regulating the organization of vaccination.
which states that preventive vaccinations
according to epidemic indications, including against influenza
- carried out to citizens in case of a threat of infectious diseases, the list of which is established by the federal executive body in the field of healthcare.
- the decision to carry out preventive vaccinations according to epidemic indications is made by the chief state sanitary doctor of the Russian Federation, the chief state sanitary doctors of the constituent entities of the Russian Federation
- the terms and procedure for carrying out preventive vaccinations according to epidemic indications are established by the federal executive body in the field of health care.
Federal Law No. 157-FZ of September 17, 1998 "On Immunoprophylaxis of Infectious Diseases"
Defines:
1. Requirements for preventive vaccinations:
- preventive vaccinations are carried out by citizens in state, municipal or private healthcare organizations or by citizens engaged in private medical practice, in the presence of licenses for medical activities ;
- prophylactic vaccinations are carried out with the consent of citizens, parents or other legal representatives of minors and citizens recognized as incompetent in the manner prescribed by the legislation of the Russian Federation.
Federal Law No. 157-FZ of September 17, 1998 "On Immunoprophylaxis of Infectious Diseases"
2. The rights of a citizen in the implementation of immunoprophylaxis:
obtaining complete and objective information from medical workers about the need for preventive vaccinations, the consequences of refusing them, and possible post-vaccination complications;
free preventive vaccinations included in the national calendar of preventive vaccinations, and preventive vaccinations according to epidemic indications in state and municipal health organizations;
free medical examination before preventive vaccinations;
Federal Law No. 157-FZ of September 17, 1998 "On Immunoprophylaxis of Infectious Diseases"
refusal of preventive vaccinations:
- “when implementing immunoprophylaxis, citizens are required to confirm in writing the refusal of preventive vaccinations in accordance with the form of November 19 of January 26, 2009 “Voluntary informed consent (refusal) from preventive vaccinations”
Order dated January 31, 2011 No. 51n “On approval of the national calendar of preventive vaccinations and preventive vaccinations according to epidemic indications”
Influenza vaccination is carried out:
- children from 6 months,
- students in grades 1-11,
- employees of medical and educational institutions
- in accordance with the instructions for the use of vaccines
- Influenza Prevention Methods
- Specific prophylaxis using live, inactivated, split and subunit vaccines of domestic and foreign production, prepared from epidemically relevant virus strains registered in the territory Russian Federation V in due course in accordance with the instructions for their use.
SANITARY AND EPIDEMIOLOGICAL RULES SP 3.1.2.1319-03 "Influenza Prevention"
The determination of the number of contingents subject to immunization against influenza is carried out by territorial health facilities in accordance with the age composition of children attending OS
Planning and organization of preventive vaccinations, the completeness of coverage and reliability of vaccination records, as well as the timely submission of a report on them to the center of the State Sanitary and Epidemiological Supervision, are also provided by health facilities
SANITARY AND EPIDEMIOLOGICAL RULES SP 3.1.2.1319-03 "Influenza Prevention"
The contingents subject to vaccination against influenza in the pre-epidemic period:
- persons suffering from chronic somatic diseases,
- often ill with acute respiratory viral diseases,
- children of preschool age,
- pupils,
- medical workers,
- employees of educational institutions,
SANITARY AND EPIDEMIOLOGICAL RULES SP 3.1.2.1319-03 "Influenza Prevention"
Immunization is carried out by medical personnel who have undergone special training, that is, only a nurse (paramedic)
Children attending preschool educational and general educational institutions, organizations with permanent residence of children (orphanages and children's homes) are vaccinated in the medical offices of these organizations, equipped with equipment and materials in accordance with regulatory documents.
Sanitary and epidemiological rules SP 3.3.2367-08 "Organization of immunoprophylaxis of infectious diseases"
Preventive vaccination plans in children's educational organizations are:
medical workers (doctor, nurse of the organization) together with the nurse-cartographer of the medical and preventive organization.
Immunoprophylaxis of the population by the forces of vaccination teams is carried out in the context of mass preventive vaccinations for epidemic indications, as well as for social indications (disabled people, children in asocial families, etc.) at home in agreement with the territorial bodies of Rospotrebnadzor and health authorities.
Guidelines MU 3.3.1891-04 "Organization of the work of the vaccination room DP, CIP, vaccination teams"
The general management of the organization and work of vaccination teams is assigned by the head of the medical facility to the deputy chief physician of the polyclinic or the head of the polyclinic department, who exercises daily control over the work of vaccination teams.
When conducting vaccinations by vaccination teams in preschool educational and general education institutions, the heads of organizations ensure the provision of lists of those attending or studying in these organizations.
At the level of healthcare facilities and educational institutions:
Necessary:
the existence of a contract for medical support in an educational institution or a separate contract for vaccination;
coordination and approval of the functional duties of medical workers, depending on the staffing.
In general, the order of interaction between medical facilities and educational institutions in the organization of vaccination in organized groups is determined by the presence or absence of a license to carry out medical activities in the educational institution.
Algorithm for the interaction of health care facilities and educational institutions in the presence of a license for medical activities in an educational institution
Functional duties of a nurse
1. Vaccination is carried out by a nurse, who is on the staff of the preschool educational institution in close cooperation with the doctor of the medical facility attached to the educational institution on a territorial basis according to the schedule.
2.Nurse DOW:
informs the parents of children about the required vaccination and the need for it, possible reactions of the body to the administration of drugs;
obtains written consent or refusal of prophylactic vaccinations
informs parents about the date and time of vaccination
conducts preventive vaccinations in strict accordance with the instructions for the use of drugs, in compliance with all the rules of asepsis and antisepsis
records all information about the vaccination (type of drug, dose, series, control number) in the medical records:
- journal of preventive vaccinations (f64u),
- medical record of a child attending a preschool educational institution, a general educational institution
(f. 026-u)
provides the correct storage of a vaccine during the working day in the conditions of cold at a temperature of 2 - 8 °C.
monitors the timely replenishment of anti-shock agents and their expiration dates;
after the preventive vaccination, the child is monitored for the period specified in the instructions for use of the corresponding vaccine preparation (approximately 30 minutes)
notes in medical documents the nature and timing of general and local reactions, if any
provides disinfection and destruction of vaccine residues, used ampoules, syringes
generates a report on the vaccinations carried out and provides it to health care facilities on a territorial basis
Functional duties of a pediatrician
Receives a vaccine, syringes and all necessary materials at the medical facility;
after vaccination, establishes observation of the child for a period specified in the instructions for use of the corresponding vaccine preparation (approximately 30 minutes)
provides medical assistance in the event of a complication to the introduction of the vaccine,
registers a post-vaccination complication, if necessary, hospitalizes the patient or sends him for a consultation to a medical facility;
Action algorithm in the absence of a license to carry out medical activities in an educational institution
Vaccination is carried out by the vaccination team of the health facility that provides medical care on a territorial basis in accordance with the schedule agreed with the head of the preschool educational institution.
The general management of the organization and work of vaccination teams is assigned to the management of the medical facility, which exercises daily control over the work of vaccination teams.
The composition of the vaccination team
The vaccination team includes a doctor and a nurse
The vaccination team works in full force, with full equipment, prepared for vaccinations and emergency care.
Functions of OU during vaccination
When conducting vaccinations by vaccination teams in preschool educational and general educational institutions, the head of the preschool educational institution provides:
Providing lists of attending or studying in these organizations and written consent or refusal of preventive vaccinations;
Preliminary notification of parents (legal representatives) of minors to be vaccinated about the place and time of vaccination through medical workers (hygienic education instructor).
3. Organizes the vaccination site, providing conditions for asepsis in accordance with sanitary and hygienic requirements.
Functional duties of the doctor of the vaccination team
checks the equipment and readiness for work of the vaccination team;
conducts a survey, examination of the child before prophylactic vaccination
draws up admission or medical exemption from vaccination with fixing information in the medical record of a child attending a preschool educational institution, a general educational institution (f. 026-y),
carries out medical supervision of the vaccinated within 30 minutes;
provides medical assistance in the event of a complication to the introduction of the vaccine,
registers a post-vaccination complication in accounting forms, if necessary, hospitalizes the patient or sends him for a consultation to a medical facility;
in the event of an unusual reaction or complication to the introduction of the vaccine, immediately informs the head of the educational institution, health care facility and sends an emergency notice (f. 58) to the territorial center of Rospotrebnadzor within the established time limits;
supervises the work of a nurse, ensuring the correctness of vaccination and maintaining documents.
Functional duties of a nurse (vaccinator):
- receives a vaccine, syringes and all materials for one day of work of the brigade;
ensures the correct storage of the vaccine during the working day under cold conditions at a temperature of 2 - 8 ° C.
receives and monitors the timely replenishment of anti-shock agents and their expiration dates;
vaccinates in accordance with the instructions for use of the vaccine;
participates in the provision of medical care in case of post-vaccination complications;
ensures disinfection and destruction of vaccine residues, used ampoules, syringes;
return vaccine residues and other materials to the clinic on the same day.
information about vaccination is recorded in the register of preventive vaccinations (form N 064 / y) and transferred to the medical institution by the doctor of the vaccination room for inclusion in the individual accounting forms of the polyclinic
Logistics and equipment of vaccination teams
medical immunobiological preparations;
medical gowns - 3;
sterile wipes (sheets) - 2;
towels - 3;
bandages - 5;
apparatus for measuring pressure - 1;
scissors - 1;
tweezers - 2;
thermometers - 3;
bix with sterile material;
alcohol 70% (0.5 ml per vaccination);
disposable syringes with needles for each vaccinated;
container for used syringes, tampons, vials and ampoules from under medical immunobiological preparations;
a set of anti-shock agents;
thermal container or cooler bag for transporting the vaccine;
list of persons to be vaccinated;
register of preventive vaccinations (form N 64 / y);
forms of vaccination certificates (f. 156 / y-93);
car - if necessary;
disinfectants with instructions for their use, approved in the prescribed manner;
accounting forms (form 112 / y; f. 026 / y; f. 025 / y, etc.).
understanding
To preserve the health of our children, through the timely implementation of the vaccination plan, it is necessary understanding and the precise fulfillment of their duties by both medical workers of health facilities and employees of preschool educational institutions.
post-vaccination complications caused by preventive vaccinations included in the national calendar of preventive vaccinations and the calendar of preventive vaccinations according to epidemic indications (hereinafter referred to as post-vaccination complications), - severe and (or) persistent health disorders due to preventive vaccinations;
Judicial practice and legislation - 157-FZ On immunoprophylaxis of infectious diseases
D) citizens whose temporary disability is associated with a post-vaccination complication, temporary disability benefits are paid in the amount of 100 percent of average earnings, regardless of continuous work experience. One of the parents or other legal representative of the minor is paid temporary disability benefits for the entire period of the minor’s illness associated with a post-vaccination complication, in the amount of 100 percent of the average earnings, regardless of the continuous work experience of the Federal Law of September 17, 1998 N 157-FZ "On immunoprophylaxis infectious diseases"<1>);
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