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INPATIENT CARE

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Specialized medical care is provided in an urgent, urgent and planned form. Medical assistance in urgent or emergency form is provided to citizens, taking into account compliance with the established requirements for the timing of its provision.

Specialized medical care, including high-tech, is organized in accordance with the Regulation on the organization of specialized, including high-tech, medical care, approved by the order of the Ministry of Health of the Russian Federation of December 2, 2014 N796n.

Specialized medical care is organized and provided in accordance with the procedures for the provision of medical care (by profiles) and on the basis of medical care standards approved by the Ministry of Health of the Russian Federation, as well as in accordance with clinical guidelines and guidelines, other regulatory legal documents

Specialized, except for high-tech, medical assistance in stationary conditions is provided in a planned way to citizens in order of priority within the established scope of medical assistance under the Territorial Program of MHI and the state task for the implementation of the Program.

Hospitalization for the treatment of a patient in a 24-hour or day-care center is carried out according to medical indications, which are determined by the attending physician or the medical commission of the medical organization. When an individual applies to a medical organization, a medical specialist of the medical organization determines the medical indications.

Hospitalization in an emergency hospital is carried out with sudden acute illnesses, exacerbation of chronic diseases that pose a threat to the life of the patient, in the direction of a doctor (paramedic, midwife), including as a transfer from another medical organization, a doctor (paramedic) care, as well as self-referral patients.

When providing specialized medical assistance in an urgent form, the patient is examined within two hours from the moment the patient enters the admission department (day hospital) of the medical organization.

Hospitalization in a planned form is carried out in the direction of the attending physician of the medical organization that provides primary health care (including primary specialized care), in carrying out preventive measures, in diseases and conditions not accompanied by a life threatening patient who does not require urgent and urgent medical care assistance

The maximum period of waiting can not exceed 30 calendar days from the date of issuance by the attending physician of the referral for hospitalization (provided that the patient applies for hospitalization at the time recommended by the doctor in charge).

The order of the provision of inpatient medical care in a planned form depends on the severity of the patient’s condition, the severity of clinical symptoms requiring hospital treatment, active therapy and round-the-clock medical supervision, provided that postponing the provision of medical care for a certain time will not lead to deterioration of health and the threat to life patient.

In the medical organization that provides specialized medical care, a waiting list for the provision of specialized medical care in the planning form for each medical care profile is maintained. Informing citizens about the waiting time for hospitalization is carried out in an accessible form, including using the information and telecommunication network “Internet”, taking into account the requirements of the legislation of the Russian Federation on personal data.

Controversial and conflict cases concerning planned hospitalization are decided by the medical commission of the medical organization to which the patient is referred for hospitalization.

The order of high-tech medical care provision in the planning format is determined by the waiting list of the medical organization that provides high-tech medical assistance within the framework of the assigned task (hereinafter – waiting list). The standard form and procedure for maintaining the waiting list are established by the Ministry of Health of the Republic of Tatarstan.

Conditions and procedure for providing inpatient care

Specialized medical care is provided in an urgent, urgent and planned form. Medical assistance in urgent or emergency form is provided to citizens, taking into account compliance with the established requirements for the timing of its provision.

Specialized medical care is organized and provided in accordance with the procedures for the provision of medical care (by profiles) and on the basis of medical care standards approved by the Ministry of Health of the Russian Federation, as well as in accordance with clinical guidelines and guidelines, and other normative legal documents.

Hospitalization in a planned form is carried out in the direction of the attending physician of the medical organization that provides primary health care (including primary specialized care), in carrying out preventive measures, in diseases and conditions not accompanied by a life threatening patient who does not require urgent and urgent medical care assistance.

The direction of the patient for planned hospitalization The GABR “RKB MZ RT” is administered by a specialist doctor at the GKUZ “RKB MZ RT” consultative polyclinic in accordance with clinical indications requiring hospital treatment, active therapy and round-the-clock medical supervision. Before sending the patient to a planned hospitalization in a 24-hour or a day hospital, a pre-hospital examination should be conducted, the minimum amount of which is established by the order of the Ministry of Health of the Republic of Tata rstan from 9/19/2008 № 915 “On optimization of laboratory diagnostics at the prehospital stage”. In the direction of the established form, the objective survey data, the results of additional studies, should be included.

Medical assistance under the mandatory health insurance program is provided to the insured person upon presentation of the MHI policy and the document. The absence of an insurance policy and personal documents from a patient can not be the reason for refusing an emergency admission.

Conditions for providing scheduled medical care
Treatment of concomitant diseases is carried out in case of an exacerbation and their influence on the severity and course of the underlying disease. The patient has the right to receive therapeutic nutrition, taking into account the characteristics of the course of the underlying and concomitant diseases. The establishment of preliminary and clinical diagnoses, examinations by doctors and heads of profile departments, the conduct of diagnostic and treatment stages, maintenance of primary medical documentation is carried out taking into account the criteria for assessing the quality of care, which are regulated by Order of the Ministry of Health of the Russian Federation of July 7, 2015 No. 422an “On Approval criteria for assessing the quality of care “.

The conditions of the patient’s stay in the hospital of the “RKB MZ RT”
Patients are accommodated in wards for 4 or more seats. If there are no free places in the profile section, placement of patients admitted for emergency indications outside the ward for a period not exceeding a day is allowed.

Nutrition, medical and diagnostic manipulations, medicines are provided from the date of admission to the hospital.

Under stationary conditions, citizens are provided with medicinal products for medical use included in the list of vital and essential medicinal products in accordance with the Federal Law No. 61-FZ of April 12, 2010 “On circulation of medicines” and medical products included in the approved by the Government Russian Federation list of medical devices implanted in the human body.

Provision of citizens with medicinal products and medical products, medical nutrition, including specialized products of therapeutic nutrition, is carried out in accordance with standards of medical care, approved in accordance with the established procedure.

The appointment and use of medications, medical products and specialized products of therapeutic nutrition that are not included in the relevant standard of medical care and (or) a list of essential and essential medicines is allowed if there are medical indications (individual intolerance, according to vital indications) commission. The decision of the medical commission is recorded in the patient’s medical records and the journal of the medical commission.

The administration of the “RKB MH RT” is obliged to ensure the storage of clothing and personal belongings of the patient, excluding theft and spoilage, until the moment of discharge.

If necessary, one of the parents or another member of the family may stay with the sick child under 18 years of age. A nursing mother caring for a hospitalized infant is provided with food.

Patients, parturients and puerperas are provided with medical nutrition in accordance with physiological norms approved by the Ministry of Health and Social Development of the Russian Federation.

The scope of diagnostic and treatment activities for a particular patient is determined by the attending physician in accordance with the standards (patient management protocols) of medical care.

GAUZ “RKB MZ RT” provides medical assistance in the amount of works and services defined by the license for the right to carry out medical activities.

The patient’s discharge from the hospital and day hospital is carried out on the basis of the following criteria:
the establishment of a clinical diagnosis;
stabilization of laboratory parameters of the pathological process of the underlying and concomitant disease, which affects the severity and course of the underlying disease;
the achievement of the planned result, the implementation of the standard of medical care and (or) clinical recommendations (with the exception of cases of transfer to other medical organizations in order to fulfill the order of rendering and standards of medical care).
The minimum volume of laboratory testing for routine hospitalization

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