Earlier, Deputy Temirlan Aitieff expressed concerns that the Ministry of Health, through its order, limited the ability to perform injections in FAPs and among family doctors. He also called for an inspection of private medical offices where injections and infusions are administered.
The Ministry of Health emphasized that according to Order No. 252 dated March 13, 2025, concerning the improvement of the quality of medical services and control over the use of medical supplies, injections are performed only by a doctor's prescription, which must be confirmed by medical documentation, including the doctor's signature and stamp or electronic signature.
“Unfortunately, patients often come to PHC and FAP with prescriptions that lack the doctor's signature and stamp, especially regarding recommendations issued by private clinics. In such cases, the nurse is not authorized to confirm who exactly prescribed the treatment. The responsibility for the prescribed medications lies solely with the doctor monitoring the patient. In situations without the necessary confirmations, performing an injection may become problematic for the medical worker,” the Ministry of Health noted.
Thus, nurses have the right to refuse to perform an injection if the prescription does not contain the doctor's details, signature, or stamp.
Additionally, the Ministry of Health added that according to current treatment standards at the PHC level, medications are primarily prescribed in oral form, while parenteral administration (including intravenous infusions) is used restrictively and only in emergency cases with subsequent hospitalization.
During monitoring of the work of some primary care institutions, it was found that intravenous infusions are sometimes conducted without sufficient medical indications, even at the request of patients.
This approach contradicts the principles of evidence-based medicine and can lead to risks of complications such as infections, allergic reactions, anaphylactic shock, and other negative consequences.
In this regard, primary healthcare institutions are recommended to strictly adhere to clinical protocols and treatment standards, and to perform intravenous infusion procedures exclusively in the presence of appropriate medical indications.
