Rules for storing narcotic drugs in the hospital. Нс, пв and their precursors: protection of premises

13.03.2019

1. Storage rooms drugs and psychotropic substances (hereinafter PS and PS) and their precursors are divided into 4 categories, with respect to each of the categories, requirements for storage conditions are established.

3. The 2nd category includes the premises of pharmacy organizations intended for storing a 3-month or 6-month stock (for pharmacy organizations located in rural settlements and distant from settlements) NS and PV, as well as premises of veterinary pharmacy organizations , intended for storage of a 3-month supply of HC and PV.

4. The 3rd category includes the premises of medical and veterinary organizations intended for storing a 15-day supply of NS and PV, included in list II of the list of posts. No. 681, and a monthly supply of PV, included in the list III of the list of post. No. 681, premises of medical organizations or separate subdivisions of medical organizations, premises of legal entities intended for storing NS and PV, their precursors used for scientific, educational and expert purposes.

5. The 4th category includes premises of pharmacy, medical and veterinary organizations intended for storing a daily supply of NS and PV, included in list II of the list, and a three-day supply of PV, included in list III of list, as well as premises of medical organizations intended for storage of unused drugs taken from relatives of deceased patients.

6. The places for temporary storage of NS and PV are provided, which include packing, kits, kits for the provision of primary health care, emergency and specialized medical care, which include NS and PV.

7. The decision on the need to organize temporary storage places is made by the head legal entity

8. In relation to the premises of each of the categories, basic requirements to their equipment with engineering and technical means of protection, as well as to the conditions for storing narcotic drugs and psychotropic substances in them.

9. In a room belonging to the 2nd category, NS and PV are stored in lockable safes or metal cabinets. The room is equipped with an entrance metal door, a wooden door reinforced with sheet metal on 2 sides, or a door made of another material with a protection class against destructive influences not lower than 3. Entrance door has at least 2 locking devices of the 3rd class of protection against destructive effects

10. In a room belonging to the 3rd category, HC and PV and precursors are stored in lockable bulk safes or safes attached to the floor (wall), not lower than 3rd class of burglary resistance. A safe weighing less than 1000 kilograms can be attached to the floor or wall, or built into the wall using an anchorage.

11. In a room belonging to the 4th category, NS and PV are stored in lockable bulk safes or safes attached to the floor (wall), not lower than 3rd class of burglary resistance. A safe weighing less than 1000 kilograms is attached to the floor or wall, or built into the wall using an anchor.

12. In places of temporary storage, NS and PV are stored in lockable safes of at least 1 class of resistance to burglary or metal containers or containers made of other high-strength materials.

13. NS and PV stored in premises of all categories and in temporary storage are subject to accounting in accordance with the Rules for maintaining and storing special magazines registration of transactions related to the circulation of narcotic drugs and psychotropic substances, approved by the RF Government dated November 4, 2006 N 644.

14. Precursors stored in rooms of the 1st and 3rd categories are subject to accounting in accordance with the Rules for maintaining and storing special logs for registering operations related to the circulation of precursors of narcotic drugs and psychotropic substances, approved by the RF Government dated June 9, 2010 No. 419.

15. In order to ensure the safety of NS and PO, their precursors, the premises are subject to protection.

16. The protection of premises belonging to the 1st and 2nd categories is carried out on a contractual basis by divisions private security police.

17. The protection of premises belonging to the 3rd and 4th categories is also carried out by attracting legal entities licensed to carry out private security activities.

18. In the absence of non-departmental police security units in rural settlements or distant from settlements, it is allowed to guard premises belonging to the 2nd category by attracting legal entities licensed to carry out private security activities with the right to provide security services facilities by taking appropriate response measures to signal information of technical security equipment installed at protected facilities.

19. The level of engineering and technical equipment of the premises, the types of technical means of protection and the class of resistance of safes to burglary are determined when concluding an agreement with a security organization.

20. After the end of the working day, safes, metal cabinets and rooms are sealed (sealed) and handed over under protection. Premises with round-the-clock operation are not subject to surrender.

21. The order of the head of the legal entity appoints persons responsible for the storage of narcotic drugs, psychotropic substances and precursors, admitted to work with NS and PV, their precursors, and establishes the procedure for storing keys from safes, metal cabinets and premises, as well as used for sealing ( sealing) seals and sealing devices.

22. The list of persons entitled to access the premises is approved by the order of the head of the legal entity.

23. Responsibility for organizing the storage of narcotic drugs, psychotropic substances and precursors rests with the head of a legal entity or an official authorized by him.

24. Stocks of HC and PS intended for medical use, are determined by legal entities on the basis of standards for calculating the need for the specified medicinesah, intended for medical use.

25. In pharmacies and medical organizations, on the inner sides of the doors of safes or metal cabinets in which NS and PV are stored, lists of stored narcotic and psychotropic drugs with an indication of their higher single and higher daily doses must be posted.

26. Additionally, in medical organizations in the places of storage of NS and PV, tables of antidotes for poisoning with these drugs are placed.

27. The storage of pharmaceutical substances of narcotic and psychotropic drugs in pharmacies should be carried out in bars with an indication of the higher single and higher daily doses.

28. Storage of NS and PV used during the working day in the assistant rooms and prescription departments of pharmacies, in the classrooms of educational organizations, as well as in the laboratories of research organizations is carried out in safes (containers) of these rooms or departments.

29. Upon the expiration of a working day, NS and PO must be returned to the place of their main storage.

30. In medical organizations, NS and PV should be stored only in the form of ready-made dosage formsmanufactured by organizations - manufacturers of medicines or a pharmacy.

31. It is prohibited to store NS and PV in medical organizations, manufactured by pharmacy organizations, in the absence of a label with the inscription in black paint "Poison" and containing: the designations "Internal", "External", "Eye drops", etc .; name or number pharmacythe manufacturer of the medicinal product; the name of the department (office) medical organization; the composition of the medicinal product in accordance with the prescription specified in the requirement; date of manufacture, analysis number, expiration date; signatures of persons: who manufactured, checked and dispensed the drug from the pharmacy organization.

32. It is allowed to store NS and PV that require protection from elevated temperature, in pharmacies, medical, research, educational institutions and drug wholesalers:

In rooms of the 1st and 2nd categories, specially equipped with engineering and technical means of protection, - in lockable refrigerators (refrigerators) or in a special area for placing refrigerators (refrigerators), separated from the main storage area by a metal grate with a lockable lattice door;

In rooms of the 3rd category, specially equipped with engineering and technical means of protection, - in a special area for placing refrigerators (refrigerating chambers), separated from the main storage area by a metal grill with a lockable lattice door;

· In places of temporary storage - in thermal containers placed in safes, or in metal containers or containers made of other high-strength materials placed in thermal containers.

33. Places of storage of HC and HP, requiring protection from elevated temperature (cold chamber, refrigerator, thermal container), must be equipped with temperature metering devices.

34. Poor quality NS and PV identified in a pharmacy, medical or drug wholesaler, as well as NS and PV, handed over by relatives of deceased patients to a medical institution, until they are written off and destroyed, must be stored in specially equipped temporary storage facilities.

1. The main stock of narcotic drugs and psychotropic substances must be kept in safes, on the inner doors of which there must be lists of the highest single and daily doses. Narcotic drugs and psychotropic substances issued from the main storage place for the current work (assistant, prescription department) are stored in the safes of these premises during working hours.