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Legislatia privind functionarea cabinetelor de medicina dentara

cabinete stomatologice, functionarea cabinetelor stomatologice
Dentist.ro | 02.03.2009



Norma din 31/07/2007 privind structura si  functionarea cabinetelor medicale si de medicina dentara, publicata in Monitorul Oficial, Partea I nr. 575 din 22/08/2007

Art. 1. - In vederea functionarii, cabinetele medicale si de medicina dentara, infiintate si organizate in conditiile legii, trebuie sa obtina autorizatia sanitara de functionare.

Art. 2. - Autorizatia sanitara de functionare a cabinetelor medicale si de medicina dentara se elibereaza de catre autoritatile de sanatate publica judetene, respectiv a municipiului Bucuresti, in baza declaratiei pe propria raspundere a reprezentantului legal al cabinetului, referitoare la asigurarea conformarii la prezentele norme privind structura functionala, normele de igiena si sanatate publica, si se vizeaza anual.

Art. 3. - Pentru cabinetele medicale si de medicina dentara infiintate de medici si medici dentisti, organizate in cabinete medicale grupate, asociate, societati civile medicale, societati comerciale cu obiect unic de activitate si avand puncte de lucru aflate in locatii diferite se elibereaza cate o autorizatie sanitara de functionare separata pentru fiecare punct de lucru (cabinet medical si de medicina dentara).

Art. 4. - Autorizatia sanitara de functionare se elibereaza la cererea reprezentantului legal al cabinetului medical si de medicina dentara.

Art. 5. - Inspectia sanitara de stat judeteana, respectiv a municipiului Bucuresti, verifica periodic respectarea conditiilor igienico-sanitare si a structurii spatiilor functionale prevazute, in functie de profilul de activitate.

Art. 6. - (1) Din punctul de vedere al structurii spatiilor cu destinatia de cabinete medicale si de medicina dentara si al circuitelor functionale, autorizatiile sanitare de functionare, eliberate in baza unor reglementari anterioare pentru cabinete medicale si de medicina dentara care isi desfasoara activitatea la data prezentului ordin in spatiile respective, isi mentin valabilitatea cu respectarea prevederilor prezentelor norme.
             (2) Spatiile destinate activitatii cabinetelor medicale si de medicina dentara pot suferi modificari structurale, de circuite si acces la utilitati, in vederea asigurarii unei cat mai bune adaptari functionale, cu respectarea prevederilor legale privind siguranta in constructii si in masura posibilitatilor tehnico-constructive oferite de spatiu. Autoritatile de sanatate publica judetene, respectiv a municipiului Bucuresti, consiliaza reprezentantii legali ai cabinetelor privind circuitele functionale si avizeaza proiectele de modificari.
            (3) Cabinetul medical va avea în componenta minima sala de asteptare, grup sanitar, sala
de tratamente, cabinet de consultatii propriu-zis si spatii de depozitare.
a) Sala de asteptare se va amenaja astfel incat fiecare loc de sedere sa beneficieze de o
suprafata minima de 1/1,5 m2/persoana, in cazul cabinetelor pentru adulti, si 1,5/2 m2/persoana, in cazul cabinetelor pentru copii (inclusiv persoana insotitoare).
b) Cabinetul de consultatii propriu-zis va avea o suprafata minima de 9 m2 si acces la o chiuveta racordata la apa curenta, calda si rece.
c) Sala de tratamente, cu o suprafata minima de 9 m2, va fi special amenajata si dotata cu o chiuveta racordata la apa curenta rece si calda.
           (4) Cabinetul de medicina dentara va avea in componenta minima sala de asteptare, grup sanitar, spatii de depozitare si cabinet de medicina dentara propriu-zis, in care se desfasoara activitatile de diagnostic clinic si terapeutice; pentru sala de asteptare se aplica
prevederile art. 6 alin. (3) lit. a).
a) Cabinetul de medicina dentara propriu-zis poate fi organizat dupa cum urmeaza:
1. in sistem inchis - unitul dentar este amplasat intr-o incapere inchisa;
2. in sistem semideschis - se amplaseaza unul sau mai multe unituri separate de cate un perete sau paravan;
3. in sistem deschis - unit-urile se amplaseaza intr-o incapere, fara a fi separate.
b) Cabinetul de medicina dentara propriu-zis, indiferent de sistemul in care functioneaza (inchis, semideschis sau deschis), va avea alocat pentru fiecare unit de lucru un spatiu de minimum 9 m2.
c) Spatiul in care este amplasat un unit dentar va fi prevazut cu chiuveta cu apa curenta,
rece si calda.
            (5) 1. Pavimentele, peretii, tavanele si suprafetele de lucru din incaperile in care se desfasoara activitati medicale si de medicina dentara vor fi:
a) lavabile;
b) rezistente la dezinfectante;
c) rezistente la decontaminari radioactive (dupa caz);
d) rezistene la actiunea acizilor (in sali de tratamente, dupa caz);
e) negeneratoare de fibre sau particule care pot ramane suspendate in aer;
f) fara asperitati care sa retina praful.
2. Este interzisa amenajarea de tavane false casetate din materiale microporoase si cu
asperitati.
3. Se interzice mochetarea pardoselilor.
          (6) In cazul cabinetelor medicale cu 3 sau mai multi medici, care furnizeaza servicii de medicina preventiva in bolile transmisibile, in conditiile in care spatiul permite, se poate organiza un cabinet pentru vaccinari, altul decat sala de tratamente.
          (7) In cabinetele în care se efectueaza interventii chirurgicale ce necesita spitalizare de zi/de o zi va fi amenajata o incapere special destinata pentru recuperarea postoperatorie, dotata cu paturi, asigurandu-se o suprafata minima de 7 m2/pat.
          (8) Pentru personalul sanitar din cabinetele medicale si de medicina dentara va fi asigurat un spatiu cu destinatie de vestiar; numarul vestiarelor si desemnarea spatiului destinat acestora vor fi in functie de numarul personalului care desfasoara activitate concomitenta.
         (9) Incaperile cu profil administrativ vor fi separate de cele in care se desfasoara activitati medicale.
         (10) In conditiile respectarii art. 6 alin. (2), cabinetul medical si de medicina dentara va avea un grup sanitar pentru pacienti, cu acces din sala de aseptare, separat de cel destinat personalului sanitar.
         (11) In cabinetele medicale cu profil radiologic sau de medicina dentara in care se instaleaza aparate de radiologie dentara sunt obligatorii solicitarea si obtinerea de avize speciale, de amplasare si functionare, din partea autoritatilor responsabile cu controlul activitatilor ce folosesc radiatii nucleare. In aceste cabinete medicale se vor respecta normele de radioprotectie si control individual al expunerii prevazute de legislatia in
vigoare.

Art. 10. - Urmatoarele norme igienico-sanitare sunt obligatorii pentru cabinetele medicale si de medicina dentara, indiferent a) asigurarea cu apa potabila;
b) racordarea la reteaua de canalizare a localitatii, astfel incat apele uzate sa nu produca poluarea apei, aerului si solului.
c) deseurile rezultate în urma activitatilor medicale vor fi colectate, depozitate, evacuate si neutralizate conform prevederilor legale în vigoare;
d) asigurarea unui microclimat corespunzator;
e) asigurarea iluminarii naturale si artificiale necesare desfasurarii in conditii optime a activitatii medicale si de medicina dentara;
f) asigurarea limitarii zgomotului sub normele admise si sau asigurarea protectiei antifonice eficiente in interiorul si in afara cabinetelor;
g) asigurarea cu materiale pentru efectuarea curateniei;
h) asigurarea cu dezinfectante, antiseptice si decontaminante autorizate/inregistrate de Comisia Nationala pentru Produse Biocide. Folosirea acestora se va face in functie de instructiunile de utilizare, la concentratiile si timpii de utilizare specificati de producator;
 i) asigurarea de echipament de protectie specific pentru intregul personal, in conformitate cu legislatia in vigoare;
j) asigurarea instruirii permanente a personalului medicosanitar privind precautiile universale.
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