Aitieff noted that when he sends inquiries to the Ministry of Health, he receives vague responses indicating that the main reason for the ban is the risk of anaphylactic shock and an increase in cases of allergic reactions. However, according to him, private procedural offices operate in populated areas without restrictions. "Who oversees their activities? Do they meet modern requirements? Every day they serve from 100 to 200 patients," the deputy added.
In response, the Ministry of Health clarified that there is no ban on injections and infusion therapy in primary healthcare institutions.
As explained by the department, injections are performed exclusively by a doctor's prescription, confirmed by medical documents (the doctor's signature and seal or electronic signature).
Nurses are allowed to perform injections and infusion therapy only according to doctor's prescriptions issued in accordance with established norms. The prescription of medications must be carried out according to approved clinical protocols and guidelines, the Ministry of Health added.
The ministry also noted that sometimes patients approach the specified institutions with prescriptions that lack the doctor's signature and seal, especially if the prescription was issued by private medical organizations, and request injections.
"The doctor who prescribed the treatment and monitors the patient is responsible for the prescription of medications. If there is no signature and seal of the doctor or electronic signature, the nurse cannot confirm who prescribed the treatment. In this case, the responsibility for performing the medical procedure may be placed on the medical worker administering the injection," the Ministry of Health emphasized.
According to current clinical protocols and primary healthcare standards, the prescription of medications is mainly carried out in oral form. Parenteral administration of medications, including intravenous infusions, is used restrictively and mainly in emergency medical situations with subsequent hospitalization of the patient.
"Monitoring the activities of some primary organizations showed that in certain cases, intravenous infusions were performed without sufficient medical indications, including at the initiative of patients. This contradicts the principles of evidence-based medicine and can lead to risks of complications, including infectious complications, allergic reactions, anaphylactic shock, and other negative consequences," the Ministry of Health explained.
In this regard, primary healthcare organizations are recommended to strictly follow clinical protocols and treatment standards, and to perform intravenous infusion procedures only when there are appropriate medical indications.
It was also noted that at the level of GSUs and FAPs, medical assistance continues to be provided within the framework of the basic package of medical services, which includes outpatient consultations, diagnostic examinations, prescription of medications, performing injections as prescribed by a doctor, and providing emergency medical assistance.
Photo on the main page is illustrative: polyclin.ru.
