Ordin Pacient Critic

7/25/2019 Ordin Pacient Critic

1/24

MONITORUL OFICIAL AL ROMANIEI

P A R T E A IAnul 174 (XVIII) - Nr. 775 LEGI, DECRETE, OT!R"RI #I ALTE ACTE

M$%r&ur$, 1' %*%+r$% /

#UMAR

ACTE ALE ORGANELOR DE SPECIALITATE ALE ADMINISTRATIEI PUBLICECENTRALE

1.091. Ordinal ministrli s!n!t!tii "#li$% "ri&ind a"r'#ar%a "r't'$'al%l'r d% trans(%r

int%r$lini$ al "a$i%ntli $riti$

1.)0*. Ordinal ministrli trans"'rtril'r+ $'nstr$tiil'r si trismli "ri&ind$'m"l%tar%a an%,%i nr. 1 la Ordinl ministrli trans"'rtril'r+ $'nstr$tiil'r si trismli nr.

-19/00) "%ntr a"r'#ar%a N'rm%l'r "ri&ind sta#ilir%a %$i"ali minim d% si2rant! ia na&%l%d% na&i2ati% int%ri'ar! $ar% ar#'r%a3! "a&ili'n r'm4n

ACTE ALE ORGANELOR DE #PECIALITATE ALE ADMINI#TRATIEI PU0LICECENTRALE

MINISTERUL S5N5T5TII PUBLICE

ORDINr$$n2 3r3r%3 r*&3l%lr 2% *r3n%r $n*%r&l$n$& 3l 3&$%n*ulu$ &r$*$&

A&4nd 6n &%d%r% "r%&%d%ril% art. 10/ alin. 7-8 din titll I :Sist%ml nati'nal d% asist%nt!m%di$al! d% r2%nt! si d% "rim at'r $ali(i$at; din L%2%a nr. 99/00)+

6n t%m%il "r%&%d%ril'r ?'t!r4rii G&%rnli nr. =)//00) "ri&ind 'r2ani3ar%a si(n$ti'nar%a Minist%rli S!n!t!tii P#li$%+

+$n$*rul s!n!t!tii ul$&% %mit% rm!t'rl 'rdin@Art. 1. n 6nt%l%sl "r%3%ntli 'rdin+ t%rm%nii si n'tinil% ('l'sit% a rm!t'ar%l%

s%mni([email protected] critic "a$i%nt $ (n$tiil% &ital% insta#il% sa $ a(%$tini $ar% "'t a&%a

$'m"li$atii ir%&%rsi#il% n%$%sit4nd in&%sti2atii+ int%r&%ntii sisa 6n2riiri m%di$al% s"%$ial%a$'rdat% d% $!tr% ' %$i"! $'m"l%,!+ "lridis$i"linar!+ 6ntr' $lini$! sa s%$ti% d% t%ra"i%int%nsi&! 2%n%ral! sa s"%$iali3at!

/. transfer interclinic trans(%rl ni "a$i%nt 6ntr% d'! nit!ti sanitar%+ din $ar%nitat%a sanitar! $ar% "rim%st% "a$i%ntl %st% d% n ni&%l d% $'m"%t%nt! sisa d'tar% mai mar%d%$4t nitat%a sanitar! $ar% trimit% "a$i%ntl

-.spital sau unitate sanitar trimittoare 'ri$ar% nitat% sanitar! $ "atri al $!r%i"%rs'nal m%di$al d%$id% trans(%rl ni "a$i%nt $!tr% ' alt! nitat% sanitar! $ "atri 6n &%d%r%a
http://www.dsclex.ro/legislatie/2006/septembrie2006/mo2006_775.htm#o1091http://www.dsclex.ro/legislatie/2006/septembrie2006/mo2006_775.htm#o1607http://www.dsclex.ro/legislatie/2006/septembrie2006/mo2006_775.htm#o1607http://www.dsclex.ro/legislatie/2006/septembrie2006/mo2006_775.htm#o1091


2/24

asi2r!rii n'r 6n2riiri m%di$al% d% 2rad mai 6nalt d% $'m"l%,itat% d%$4t $%l% $ar% snt asi2rat%6n a$%a nitat% din $a3a li"s%i d% $'m"%t%nt! sisa d'tar% n%$%sar!

>.spital sau unitate sanitar primitoare s"ital r%2i'nal+ s"ital d%t%an sa ' $lini$!ni&%rsitar! $ar% "'at% asi2ra 6n2riiril% $'m"l%,% si $'m"l%t% ni "a$i%nt trans(%rat "%ntr 'anmit! "at'l'2i%


3/24

d% a a$'rda 6n2riiril% n%$%sar%. Da$! trans"'rtl ni "a$i%nt $riti$ $!tr% ' alt! nitat% r%"r%3int!ni$a sans! d% dia2n'sti$ar% sisa r%3'l&ar% d%(initi&! 6n &%d%r%a sal&!rii &i%tii a$%stia+"a$i%ntl %st% $'nsid%rat trans"'rta#il indi(%r%nt d% star%a a$%stia si ris$ril% "'si#il a a"!r%a "%drata trans"'rtli+ $ $'nditia asi2r!rii $'nditiil'r ad%$&at% d% trans"'rt din "n$t d% &%d%r%t%ni$+ "r%$m si din "n$t d% &%d%r% al r%srs%l'r man% n%$%sar%.

Art /. S% a"r'#! "r't'$'al%l% d% trans(%r int%r$lini$ al "a$i%ntli $riti$+ "r%&!3t% 6nan%,a nr. I.Art. -. Pr't'$'al%l% d% trans(%r int%r$lini$ al "a$i%ntli $riti$ snt a"li$a#il% 6n $a3l

trans(%rli ni "a$i%nt $riti$ 6ntr% d'! nit!ti sanitar%+ $4nd trans(%rl ar% l'$ $!tr% ' nitat%$ $a"a$itat% t%ra"%ti$! mai mar% d%$4t nitat%a $ar% s'li$it! trans(%rl.

Art. >. T'at% nit!til% sanitar% ar'ndat% ni s"ital r%2i'nal d% r2%nt! 6n$%i% n a$'rdd% $'la#'rar% $ s"itall r%s"%$ti&+ $'n('rm m'd%lli "r%&!3t 6n an%,a nr. II+ 6n t%rm%n d% $%lmlt -0 d% 3il% d% la data intr!rii 6n &i2'ar% a "r%3%ntli 'rdin.

Art.


4/24

Art. 1/ . n $a3l "a$i%ntil'r $riti$i $ar% n%$%sit! int%r&%nti% d% r2%nt! $ s$'"lsal&!rii &i%tii la n s"ital d%t%an sa r%2i'nal+ m%di$l din s"itall $ar% s'li$it! trans(%rl ar%dr%"tl d% a s'li$ita %$i"al a%rian d% sal&ar% sa+ d"! $a3+ n %$i"a m'#il d% t%ra"i%int%nsi&!+ n %$i"a d% trans(%r n%'natal 'ri n %$i"a d% r2%nt!+ (!r! '#tin%r%a a$'rdli 6n"r%ala#il al s"italli $ar% rm%a3! s! "rim%as$! "a$i%ntl r%s"%$ti&+ $ $'nditia in('rm!rii 6n $%l

mai s$rt tim" "'si#il a m%di$il'r din s"itall "rimit'r.Art. 1-. M%di$l $ar% %(%$t%a3! trans(%rl "% $al% a%rian! sa $ am#lant! ar% dr%"tld% a m'di(i$a d%stinatia initial! si d% a trans(%ra "a$i%ntl $!tr% ' alt! nitat%+ 6n 'ri$ar% dinrm!t'ar%l% sitatii@

a8 star%a $lini$! a "a$i%ntli im"n% a$%st l$r#8 $'nditiil% d% 3#'r sa d% drm n "%rmit s'sir%a la d%stinatia initial!$8 %,ist! n s"ital mai a"r'"iat+ d% a$%lasi ni&%l sa $ a$%l%asi $'m"%t%nt% $a si s"itall

la $ar% a ('st trimis "a$i%ntl+ distanta 6ntr% $%l% d'! s"ital% (iind mai mar% d% 1< mint% d%d%"lasar%+ star%a $lini$! a "a$i%ntli d%t%ri'r4nds% #rs$ si n%$%sit4nd in&%sti2atii sisaint%r&%nti% m%di$al! s"%$iali3at! 6n r%2im d% r2%nt!.

Art. 1> . n $a3l 6n $ar% m%di$l $ar% %(%$t%a3! trans(%rl d%$id% s$im#ar%a

d%stinati%i+ a$%sta in('rm%a3! s"itall la $ar% &a (i trans(%rat "a$i%ntl+ "r%$m si s"itall $ar% as'li$itat trans(%rl+ t%l%('ni$+ radi't%l%('ni$ sa "rin dis"%$%ratl m%di$al+ "r%3%nt4nd si m'ti&%l%$ar% sta la #a3a d%$i3i%i sal%.

Art. 1< . n $a3ril% 6n $ar%+ din m'ti&% '#i%$ti&%+ li"s%st% n mil'$ ad%$&at d% trans(%rint%r$iini$ al ni "a$i%nt $riti$ $ar% n%$%sit! n trans(%r d% r2%nt! sa 6n $a3l 6n $ar% "a$i%ntln%$%sit! n mil'$ s"%$ial d% trans(%r int%r$iini$+ $m ar (i nitat%a d% t%ra"i% int%nsi&! m'#il!"%ntr n'n!s$ti+ %li$'"t%r sa ' nitat% m'#il! d% t%ra"i% int%nsi&!+ m%di$l din s"itall $ar%'r2ani3%a3! trans(%rl+ 6n $'la#'rar% $ s%r&i$il d% r2%nt! "r%s"itali$%as$!+ &a s'li$ita a$%stmil'$ d% trans(%r d% la n s"ital r%2i'nal sa d% la n alt s%r&i$i d% r2%nt! a"r'"iat+ $ar% d%tin%as%m%n%a mil'a$% d% trans(%r.

Art. 1) . n li"sa ni "%rs'nal m%di$al ad%$&at+ instrit "%ntr trans(%rl ni "a$i%nt$riti$+ s"itall $ar% 'r2ani3%a3! trans(%rl asi2r! "%rs'nall d% 6ns'tir% sa s'li$it! int%r&%ntiani %$i"a ad%$&at d% la n alt s"ital sa s%r&i$i d% r2%nt!.

Art. 1*. S%r&i$iil% d% r2%nt! "r%s"itali$%as$! a '#li2atia s! in('rm%3%+ "rin m%di$l$''rd'nat'r al dis"%$%ratli m%di$al+ m%di$l $ar% 'r2ani3%a3! trans(%rl d%s"r% ni&%ll d%$'m"%t%nt! ai %$i"ali "% $ar% 6l "'t asi2ra si ni&%ll d% d'tar% al a$%stia+ $ r%s"%$tar%ani&%lli d% $'m"%t%nt! si d't!rii %$i"ali s'li$itat d% m%di$l $ar% $%r% trans(%rl.

Art. 1=. E$i"al d% trans(%r int%r$iini$ ar% '#li2atia d% a s'li$ita s"riinl alti %$i"ala 6nt4lnir%+ 6n $a3l 6n $ar% star%a "a$i%ntli s% a2ra&%a3!+ iar "%rs'nall din %$i"al r%s"%$ti&n d%tin% $'m"%t%nt%l% sisa %$i"am%nt%l% si m%di$am%nt%l% n%$%sar% sta#ili3!rii "a$i%ntli.6n ast(%l d% sitatii %$i"al d% s"riin &a (i s'li$itat d% la $%l mai a"r'"iat s%r&i$i d% r2%nt!"r%s"itali$%as$!+ "rin a"%lar%a 11/ sa "rin a"%lar%a radi't%l%('ni$!+ da$! %st% "'si#il. 6n li"sani %$i"a t%r%str 6n a"r'"i%r% s% s'li$it! int%r&%ntia ni %$i"a d% sal&ar% a%rian!+ a"%l4ndla dis"%$%ratl r%2i'nal "rin 11/ sa+ da$! %st% "'si#il+ radi't%l%('ni$.

Art. 19. P%ntr trans(%rl int%r$iini$ al "a$i%ntli $riti$ s% a"li$! si "r%&%d%ril%Ordinli ministrli administrati%i si int%rn%l'r si al ministrli s!n!t!tii nr. /******/00>"%ntr a"r'#ar%a N'rm%l'r m%t'd'l'2i$% d% a"li$ar% a Ord'nant%i d% r2%nt! a G&%rnli nr.1/)/00- "ri&ind '"%rar%a+ (n$ti'nar%a si (inantar%a asist%nt%i d% r2%nt! a$'rdat% $%li$'"t%r%l% a$i3iti'nat% d% Minist%rl S!n!t!tii si r%"arti3at% '"%rat'ril'r m%di$ali InstittlClini$ Fnd%ni si S"itall Clini$ d%t%an d% Ur2%nt! T4r2 Mr%s+ a"r'#at! "rin L%2%a nr.


5/24

>0/00>+ $ %,$%"tia an%,%i "ri&ind r%$'mand!ril% "%ntr trans(%rl int%r$iini$+ $ar% &a (i6nl'$it! d% "r%&%d%ril% "r%3%ntli 'rdin.

Art. /0. Fi%$ar% nitat% sanitar! "'t%ntial trimit!t'ar% sa "rimit'ar% asi2r! a$$%sl"%rs'nalli m%di$al la n (a, (n$ti'nal /> d% 'r% din />+ * 3il% din *+ "r%(%ra#il 6n $adrlnit!til'r d% "rimir% a r2%nt%l'r sa+ 6n li"sa a$%st'ra+ 6ntr' 6n$!"%r% $ s"ra&%2%r%

"%rman%nt!.Art. /1. T'at% s%diil% dis"%$%rat%l'r m%di$al% sa al% dis"%$%rat%l'r int%2rat%+ "r%$m sis%diil% $%ntral% al% s%r&i$iil'r d% am#lant! d%t%n% si al mni$i"ili B$r%sti si s%r&i$iil'rm'#il% d% r2%nt!+ r%animar% si d%s$ar$%rar%+ in$lsi& t'at% #a3%l% a%ri%n% d% sal&ar%+ &'r (id'tat% $ a"arat% (a, (n$ti'nal% si a$$%si#il% "%rs'nalli /> d% 'r% din />+ * 3il% din *.

Art. //. Trans(%rl int%r$iini$ al "a$i%ntli $riti$ %st% $'nsid%rat+ din "n$tl d% &%d%r%al s%r&i$iil'r d% r2%nt! "r%s"itali$%as$!+ int%r&%nti% d% r2%nt! si %st% (inantatd%$'ntat $a atar%+(iind %li2i#il% 6n &%d%r%a d%$'nt!rii rm!t'ar%l%@ $'stlHm si $'stls'li$itar% la tari(%l%$'ntra$tat% "%ntr int%r&%ntii la r2%nt%l% ma'r% sa 'ri$% alt! m'dalitat% d% (inantar% aint%r&%ntiil'r la r2%nt%l% ma'r%+ 6n $'n('rmitat% $ "r%&%d%ril% 6n &i2'ar%.

Art. /-. Mat%rial%l% sanitar% si m%di$am%nt%l% n%$%sar% "% drata trans(%rli

"a$i%ntli+ in$lsi& "r'ds%l% san2in%+ da$! %st% $a3l+ snt asi2rat%+ "%ntr t'at! dratatrans(%rli+ d% $!tr% nitat%a sanitar! $ar% s'li$it! trans(%rl+ rm4nd $a %$i"al d% trans(%r s!"r%d%a mat%rial%l% si m%di$am%nt%l% r!mas% n%tili3at% m%di$li din nitat%a $ar% "rim%st%"a$i%ntl+ a$%st%a (iind tr%$t% 6n (isa "a$i%ntli.

Art. />. Trans(%rl int%r$iini$ al n'n!s$til'r a(lati 6n star% $riti$! %st%(inantatd%$'ntat $a ' int%r&%nti% d% r2%nt!+ la tari(%l% sta#ilit%+ "%ntr (inantar%a nit!til'r d%t%ra"i% int%nsi&! m'#il!. 6n a$%st s%ns+ $as%l% d% asi2r!ri d% s!n!tat% s%mn%a3! $'ntra$t% d%"r%st!ri s%r&i$ii $ s"ital%l% sa s%r&i$iil% d% r2%nt! "r%s"itali$%as$! $ar% asi2r! trans(%rlint%r$iini$ al nn!s$til'r a(lati 6n star% $riti$!.

Art. /


6/24

AN!A Nr" #

PROTOCOALE DE TRAN#FER

$n*%r&l$n$& 3l 3&$%n*ulu$ &r$*$&

1. Pr$n&$$$ %n%r3l%1. S$'"l "rin$i"al al trans(%rli %st% asi2rar%a asist%nt%i m%di$al% '"tim% "%ntr

"a$i%nt./. naint%a %(%$t!rii trans(%rli nitat%a sanitar! 6n $ar% s% a(l! "a$i%ntl ar% '#li2atia s!

6l %&al%3% si s! 6i asi2r% tratam%ntl n%$%sar sta#ili3!rii 6n &%d%r%a trans(%rli+ %&it4nd6nt4r3i%ril% n%sti(i$at% $ar% "'t in(l%nta n%2ati& tratam%ntl d%(initi& 6n $%ntrl d% s"%$ialitat%.E,amin!ril% si man%&r%l% %(%$tat% &'r (i $'ns%mnat% 6n (isa "a$i%ntli. Ori2inall sa ' $'"i% aa$%st%i (is% 6ns't%st% "a$i%ntl la nitat%a nd% a$%sta %st% trans(%ratJ

-. M%di$l din nitat%a sanitar! 6n $ar% s% a(l! "a$i%ntl ar% '#li2atia s! 6l in('rm%3% "%a$%sta sa "% a"artin!t'rii a$%stia as"ra ris$ril'r si a "'si#il%l'r #%n%(i$ii al% trans(%rli+

$'ns%mn4nd a$%ast! in('rmar%. A$$%"tl "a$i%ntli sa al a"artin!t'ril'r s% '#tin%+ da$! %st%"'si#il+ 6naint%a 6n$%"%rii trans(%rli+ (!r! $a a$%asta s! d$! la 6nt4r3i%ri $% ar (i 6n d%trim%ntl"a$i%ntli. 6n $a3l 6n $ar% a$$%"tl "a$i%ntli sa al a"artin!t'ril'r n "'at% (i '#tint+ a$%stl$r %st% d'$m%ntat si m'ti&%l% snt %,"li$at% 6n (isa "a$i%ntli.

>. S"ital%l% &'r a&%a n "r't'$'l "r%sta#ilit+ "rin $ar% s% &'r nmi "%rs'an%l%r%s"'nsa#il% d% %&alar%a "a$i%ntil'r si 'r2ani3ar%a trans(%rli. S"ital%l% $ar% "rim%s$ "a$i%nti"%ntr tratam%nt d% s"%$ialitat% sta#il%s$ "%rs'an%l% r%s"'nsa#il% d% a$$%"tar%a trans(%rril'r si'r2ani3ar%a a$%st'ra+ 6n $'la#'rar% $ s"ital%l% $% d'r%s$ s! trans(%r% "a$i%nti.


7/24

a8 id%nti(i$! "a$i%ntl $ indi$ati% "%ntr trans(%r#8 initia3! "r'$%sl d% trans(%r+ "rin $'nta$tl dir%$t $ m%di$l din nitat%a "rimit'ar%$8 asi2r! sta#ili3ar%a ma,im! "'si#il! a "a$i%ntli+ 6n limita "'si#ilit!til'r din instittia

6n $ar% s% a(l! "a$i%ntld8 d%t%rmin! m'dalitat%a d% trans(%r+ "rin $'nsltar% $ s%r&i$il $ar% %(%$t%a3!

trans(%rl%8 %&it! 6nt4r3i%ril% n%sti(i$at% din "n$t d% &%d%r% m%di$al(8 asi2r! "!strar%a ni ni&%l ad%$&at si $'nstant d% 6n2riir% "% drata trans(%rli+ "4n!

la "r%lar%a "a$i%ntli d% $!tr% m%di$l din nitat%a "rimit'ar%+ "rin indi$ar%a la s'li$itar%atrans(%rli a $'m"%t%nt%l'r %$i"ali si a ni&%lli d% d'tar% n%$%sar! "%ntr r%ali3ar%a in $%l%mai #n% $'nditii a trans(%rli

28 trans(%r! d'$m%ntatia si r%3ltat%l% in&%sti2atiil'r "a$i%ntli $!tr% nitat%a"rimit'ar%.

/. R%s"'nsa#ilit!til% m%di$li din $%ntrl $ar% rm%a3! s! "rim%as$! "a$i%ntl@a8 asi2r! din tim" r%srs%l% n%$%sar% 7mat%rial% si man%8 "%ntr "rimir%a $a3li

trans(%rat

#8 r%$'mand! s'ltiil% '"tim% d% trans(%r si m!sril% t%ra"%ti$% d% r%ss$itar% 6naint%a6n$%"%rii trans"'rtli si "% drata trans"'rtli+ da$! %st% n%$%sar.-. 6naint%a %(%$t!rii trans(%rli "a$i%ntl %st% r%animat si sta#ili3at 6n limita

"'si#ilit!til'r nit!tii 6n $ar% %st% int%rnat+ %&it4nd 6nt4r3i%ril% n%sti(i$at%. S% %(%$t%a3!rm!t'ar%l% man%&r% d% sta#ili3ar%+ atn$i $4nd %,ist! indi$ati%@

a8 C!il% r%s"irat'rii@1. s% tili3%a3! n ad&ant sim"l d% $al% a%rian! sa s% int#%a3! "a$i%ntl+ da$! %st%

n%$%sar/. s% as"ir! $!il% r%s"irat'rii si s% %li#%r%a3!-. s% intr'd$% ' s'nd! na3'2astri$! 7'r'2astri$! 6n $a3l tramatism%l'r $rani%n% si

(a$ial% 2ra&%8 6n &%d%r%a r%d$%rii ris$li d% as"irati%.#8 R%s"iratia@>. s% sta#ili3%a3! (r%$&%nta si s% administr%a3! ',i2%n


8/24

1>. s% administr%a3! Manit'l sa dir%ti$%+ da$! snt indi$at%1. Asi2rar%a 6n2riiril'r "% drata trans(%rli m%di$l $ar% s'li$it! trans(%rl+ "r%$m

si nitat%a $ar% r%ali3%a3! trans(%rl a '#li2atia d% a s% asi2ra $!@a8 trans(%rl s% %(%$t%a3! d% "%rs'nal $ali(i$at $ar% d%tin% %$i"am%nt%l% si

m%di$am%nt%l% n%$%sar% "%ntr a (a$% (at! %&%ntal%l'r $'m"li$atii#8 %,ist! mat%rial% si m%di$am%nt% s(i$i%nt% "%ntr r%ali3ar%a trans(%rli. A$%st%a s%

asi2r! d% nitat%a $ar% s'li$it! trans(%rl+ "%ntr t'at! drata a$%stia 7in$lsi& "r'ds%san2in%+ da$! %st% $a3l8. n li"sa n'r mat%rial% sa m%di$am%nt% s"%$ial% d% la nitat%a $ar%s'li$it! trans(%rl+ 6n $a3l 6n $ar% trans(%rl %st% asi2rat d% "%rs'nal din $adrl nit!tii sanitar%$ar% "rim%st% "a$i%ntl+ mat%rial%l% si m%di$am%nt%l% "'t (i asi2rat% d% a$%ast! nitat% sanitar!"rimit'ar%

$8 s% asi2r! "%rman%nt m'nit'ri3ar%a (n$tiil'r &ital% al% "a$i%ntli "% dratatrans(%rli

d8 %,ist! $a"a$itat%a d% a asi2ra (n$tiil% &ital%+ 6n $a3 d% n%$%sitat%+ "% tim"ltrans(%rli 7&%ntilati%+ as"irati%+ IOT+ s"'rt %m'dinami$+ im'#ili3ar% $'l'ana %t$8

%8 %,ist! $a"a$itat%a d% a d'$m%nta star%a "a$i%ntli si m'di(i$!ril% $% a"ar "% dratatrans(%rli

(8 %,ist! "'si#ilitat%a d% a $'mni$a $ $%ntrl d% s"%$ialitat% la $ar% s% trans(%r!"a$i%ntl "%ntr $'nslt si $ m%di$l $ar% a s'li$itat trans(%rl+ da$! &a (i $a3l+ "% dratatrans"'rtli


9/24

28 6n li"sa "%rs'nalli $ali(i$at "%ntr %(%$tar%a trans(%rli+ s"itall $ar% trans(%r!"a$i%ntl asi2r!

"%rs'nal d% 6ns'tir% sa s'li$it! %(%$tar%a trans(%rli d% $!tr% n s%r&i$i s"%$iali3at "%$al% a%rian! sa rti%r!+ d"! $a3

8 6n $a3l %(%$t!rii trans(%rli d% $!tr% s%r&i$ii s"%$iali3at% $ar% n (a$ "art% din

str$tra s"ital%l'r $ar% trans(%r! sa $ar% "rim%s$ "a$i%ntl r%s"%$ti&+ a$%st% s%r&i$ii a '#li2atias! asi2r% "%rs'nall $ali(i$at sa s! s'li$it% "%rs'nall din "art%a n%ia dintr% instittiil%im"li$at%. M%di$l $ar% s'li$it! trans(%rl ar% '#li2atia d% a m%nti'na $'m"%t%nt%l% %$i"ali$ar% s! asi2r% trans(%rl si d'tar%a n%$%sar! 6n a$%st s$'"

i8 %$i"al $ar% %(%$t%a3! trans(%rl ar% dr%"tl d% a r%$'manda si d% a tili3a mil'$ld% trans(%r $%l mai ad%$&at $a3li r%s"%$ti&+ d% $'mn a$'rd $ m%di$l din nitat%a sanitar!$ar% s'li$it! trans(%rl

8 s%(l %$i"ali d% r2%nt! d%s%mnat s! %(%$t%3% trans(%rl ar% dr%"tl d% a r%(3a%(%$tar%a trans(%rli 6n $a3l 6n $ar% d'tar%a am#lant%i sa $'m"%t%nta %$i"ali n "%rmit%6n2riiril% $'r%s"n3!t'ar% "% drata trans"'rtli+ $a3 6n $ar% &a s'li$ita m%di$li $''rd'nat'rdin dis"%$%ratl m%di$al sa r%s"'nsa#illi din s%r&i$il din $ar% (a$% "art% trimit%r%a ni

mil'$ d% trans"'rt $'r%s"n3!t'rH8 6n sitatii %,$%"ti'nal%+ $4nd &iata "a$i%ntli d%"ind% d% trans(%rl d% r2%nta ala$%stia+ m%di$l $''rd'nat'r din dis"%$%rat "'at% 'rd'na %$i"ali dis"'ni#il s! %(%$t%3%trans(%rl $iar 6n sitatia 6n $ar% %$i"al n 6nd%"lin%st% $'nditiil% "r%&!3t% 6n "r%3%ntl'rdin+ $ $'nditia asi2r!rii ni %$i"a ad%$&at la 6nt4lnir%a $ a$%sta+ da$! distanta si dratatrans(%rli im"n ' as%m%n%a m!sra. Ast(%l d% sitatii tr%#i% s! r!m4n! %,$%"tii+ (iind'#li2at'ri% d'$m%ntar%a l'r la ni&%ll dis"%$%ratli+ "r%$m si la ni&%ll %$i"ali $ar%%(%$t%a3! trans(%rl+ d%s$riind sitatia+ $ir$mstant%l% si m'ti&%l% $ar% a stat la #a3a d%$i3i%i.


10/24

Man%&r%l% %(%$tat% "% drata trans(%rli &'r (i d% as%m%n%a d'$m%ntat%'8 nm%l% si dat%l% d% $'nta$t al% m%di$li $ar% a $%rt trans(%rl "8 nm%l% si dat%l% d%

$'nta$t al% m%di$li $ar% a a$$%"tat trans(%rl8 nm%l% si dat%l% d% $'nta$t al% m%di$li sa $adrli sanitar $ar% a %(%$tat trans(%rl.). Crit%riil%+ indi$atiil% si $'ntraindi$atiil% trans(%rli "% $al%a a%rli@ (ransferul pe

calea aerului se utilizeaz %n cazul %n care nu se poate asigura un transfer potrivit pe cateterestr sau %n cazul %n care timpul de transfer pe cale terestr este mai lung dec't permite

starea pacientului, duc'nd la agravarea acesteia sau la instalarea unor complicatii ireversibile"

Pacientul traumatizat sau netraumatizat, instabil ori cu potential ridicat de agravare pe duratatransportului, care necesit transfer interclinic la o unitate specializat, trebuie s beneficieze

de o modalitate de transport optim care s asigure transferul %n sigurant si %n timp util")

a8 'ri$ar% dintr% $rit%riil% d% trans(%r m%nti'nat% mai 's "'at% (i ' indi$ati% "%ntrtrans(%r "% $al%a a%rli

#8 6n sitatiil% 6n $ar% tim"l ar% ' im"'rtant! ma'r! 7"a$i%nt tramati3at insta#il+ $ss"i$in% d% %mat'm %"idral+ $ IMA+ n%$%sit4nd tr'm#'li3! sa an2i'"lasti% %t$8+ trans(%rl"% $al% a%rli %st% s'ltia '"tim!+ da$! trans(%rl t%r%str n%$%sit! n tim" mai 6nd%ln2at+ $

$'nditia dis"'ni#ilit!tii ni mil'$ d% trans(%r a%rian 6n tim" til$8 %st% "r%(%ra#il 6n n%l% sitatii 7(ra$tri insta#il% d% $'l'an!+ "a$i%nti insta#ili $ar% ns"'rt! trans(%r d% ln2! drat! "% $al% rti%r!+ li"sa d% mil'$ d% trans"'rt rti%r ad%$&at sa d%%$i"a $'m"%t%nt %t$.8 $a "a$i%ntl $ar% rm%a3! a (i trans(%rat s! r!m4n! s# '#s%r&ati%m%di$al! 6n nitat%a $ar% a $%rt trans(%rl+ "4n! la s'sir%a ni mil'$ d% trans"'rt a%rian $"%rs'nal $ali(i$at. D%$i3ia s% ia d% $'mn a$'rd 6ntr% m%di$l $ar% 'r2ani3%a3! trans(%rl si s%(l%$i"ali a%rian d% sal&ar% $ar% rm%a3! s! %(%$t%3% trans(%rl

d8 6n $a3l 6n $ar% trans(%rl "a$i%ntli $riti$ "% $al% a%rian! n "'at% (i %(%$tat dinm'ti&% '#i%$ti&% 7$'nditii m%t%'+ li"s! mil'$ a%rian %t$8+ trans(%rl tr%#i% %(%$tat 6n $'nditii'"tim%+ tili34nd+ 6n limita "'si#ilit!til'r+ nit!ti d% t%ra"i% int%nsi&! m'#il! $ "%rs'nal $ali(i$at

%8 $'ntraindi$atiil% trans(%rli "% $al%a a%rli in$ld@1. "a$i%nt 6n st'" $ardia$/. "a$i%nt 6n star% t%rminal!-. #'al! $'nta2i'as! a$ti&!+ n%tratat!+ $% "'at% "%ri$lita &iata %$i"ali>. "a$i%nt $'m#ati&+ n%$'ntr'lat 7%&%ntal n%$%sit! an%st%3i%8


11/24

#8 an%&rism dis%$ant d% a'rt!$8 %m'ra2i% $%r%#ral! 7%m'ra2i% s#aran'id!8d8 i"'t%rmi%i"'t%rmi% s%&%r!%8 "a$i%nt $ar% n%$%sit! int%r&%nti% $ardia$! d% r2%nt! 7r"tr! &al&lar! %t$8(8 "a$i%nt $ disritmii mali2n%

28 "a$i%nt $ IMA+ n%$%sit4nd tr'm#'li3! sa an2i'"lasti%8 "a$i%nt $ IMA la $ar% tr'm#'li3! %st% $'ntraindi$at!+ n%$%sit4nd an2i'"lasti%i8 "a$i%nt 6n s'$+ n%$%sit4nd lOT&%ntilati% m%$ani$! sis4 m%di$ati% in'tr'"! 7$m ar (i

s'$l s%"ti$88 "a$i%nt insta#il $ar% n%$%sit! in&%sti2atii a&ansat% $% n "'t (i %(%$tat% 6n nitat%a in

$ar% s% a(l!+ $m ar (i@ CT+ an2i'2ra(6% %t$H8 int',i$atii s%&%r% I8 ins(i$i%nt! r%nal! a$t! $ar% n%$%sit! diali3! d% r2%nt!m8 stats %"il%"ti$s $% n "'at% (i $'ntr'lat n8 "a$i%nt $ indi$atii d% t%ra"i% i"%r#ar!

d% r2%nt!.>. Cr$*%r$$l% 2% *r3n%r 3l 3&$%n*ulu$ 32ul* *r3u+3*$93*

1. Sist%m n%r&'s $%ntral@a8 tram! $rani'$%r%#ral!@1. "l!2i $rani%n% "%n%trant% 7"l!2i $rani'$%r%#ral%8+ $ sa (!r! "i%rd%r% d% LCR sa

s#stant! $%r%#ral!/. (ra$tri $ 6n(ndar%-. GCS s# 1> sa 6n $rs d% d%t%ri'rar%>. "a$i%nti $ar% n%$%sit! lOT&%ntilati%#8 l%3ini ma'r% al% $'l'an%i sisa l%3ini m%dlar%./. T'ra$%@a8 m%diastin l!r2it sa alt% s%mn% $% s2%r%a3! l%3ini al% &as%l'r mari#8 l%3ini 2ra&% al% "%r%tli t'ra$i$ 7&'l%t $'stal+ t'ra$% m'al% %t$8$8 $'nt3i% "lm'nar!d8 l%3in% $ardia$!%8 "a$i%nti $ar% n%$%sit! lOT&%ntilati%(8 "a$i%nti $ar% n%$%sit! &%ntilati% "r%ln2it! si 6n2riiri s"%$ial%.-. Ba3ina#d'm%n@a8 (ra$tri insta#il% al% #a3inli#8 (ra$tri d% #a3in $ s'$ si %m'ra2i% $'ntin!$8 l%3ini(ra$tri d%s$is% al% #a3inli.>. E,tr%mit!ti@a8 (ra$tri d%s$is% 2ra&%#8 am"tati% tramati$! $ "'t%ntial d% r%im"lantar%$8 (ra$tri arti$lar% $'m"l%,%d8 l%3in% ma'r! "rin stri&ir%%8 is$%mia n%i %,tr%mit!ti.


12/24

$8 arsri ma'r% sa arsri as'$iat% $ l%3ini tramati$% 2ra&%.). Fa$t'ri a2ra&anti@a8 &4rsta . strid'r 7m'd%rats%&%r8


13/24

8 in(%$tii $ "'t%ntial "%ri$'l &ital+ s%"sisi8 $'"ii a $!r'r star% 2%n%ral! n%$%sit! m!sri d% t%ra"i% int%nsi&!8 'ri$% $'"il al $!ri m%di$ $'nsid%r! $! %,ist! #%n%(i$i "'si#il 6n $a3l trans(%rli d%

r2%nt! la n $%ntr s"%$iali3at 6n t%ra"i% int%nsi&! "%diatri$!.

). Cr$*%r$$l% 2% *r3n%r 3l 3&$%n*ulu$ %2$3*r$& *r3u+3*$93*1. Crit%rii (i3i'l'2i$%(i3i'"at'l'2i$%@a8 stats n%r'l'2i$ alt%rat sa 6n $rs d% a2ra&ar%#8 d%tr%s! sa ins(i$i%nt! r%s"irat'ri%$8 $'"ii $ar% n%$%sit! int#ati% %nd'tra%al! sisa s"'rt &%ntilat'rd8 s'$+ $'m"%nsat sa n%$'m"%nsat%8 l%3ini $ar% n%$%sit! trans(3ii san2in%(8 $'"ii $ar% n%$%sit! 'ri$ar% dintr% rm!t'ar%l%@1. m'nit'ri3ar%a "r%sinii intra$rani%n%/. m'nit'ri3ar%a "r%sinii &%n'as% $%ntral%+ a "r%sinii art%rial% in&a3i&% sa a "r%sinii

6n art%ra "lm'nar!

-. administrar% d% m%di$ati% &as'a$ti&!./. Crit%rii anat'mi$%@a8 (ra$tri si "l!2i "%n%trant% "r'(nd% la ni&%ll %,tr%mit!til'r+ $'m"li$at% "rin l%3ini

n%r'&as$lar% sa sindr'm d% $'m"artim%nt#8 (ra$tri a d'! sa mai mlt% 'as% ln2i 7(%mr+ m%rs8$8 (ra$tri al% s$%l%tli a,iald8 ss"i$in% d% (ra$tr! a $'l'an%i &%rt%#ral%+ mi%li$! sa ami%li$!%8 am"tatii tramati$% $ "'t%ntial "%ntr r%im"iantar%(8 tramatism $rani'$%r%#ral as'$iat $ 'ri$ar% dintr% rm!t'ar%l%@1. s$r2%r% d% li$id $%(al'raidian/. (ra$tri d%s$is% al% %,tr%mit!tii $%(aii$%-. (ra$tri $ 6n(ndar% al% %,tr%mit!tii $%(aii$%>. indi$atii "%ntr m'nit'ri3ar%a "r%sinii intra$rani%n%28 "l!2i "%n%trant% la ni&%ll $a"li+ 24tli+ t'ra$%li+ a#d'm%nli sa al #a3inli8 (ra$tri ma'r% la ni&%ll #a3inli i8 tramatism 6n$is s%mni(i$ati& la ni&%ll

t'ra$%li sa al a#d'm%nli.-. Alt% $rit%rii@a8 $'"ii $ar% n%$%sit! t%ra"i% int%nsi&!#8 $'"ii $ar% n%$%sit! int%r&%ntii $irr2i$al% $'m"l%,%$8 'ri$% $'"il al $!ri m%di$ $'nsid%r! $! %,ist! #%n%(i$i "'si#il 6n $a3l trans(%rli d%

r2%nt! la n $%ntr s"%$iali3at 6n tram! sasi 6n t%ra"i% int%nsi&! "%diatri$!.>. Crit%rii 6n $a3l arsril'r 7t%rmi$% sa $imi$%8@ C'"ill tr%#i% trans(%rat la n $%ntr

$ $a"a$itat% d% a trata $'"iii $ arsri+ in$ls (iind 6n $rit%riil% $ar% rm%a3!@a8 arsri d% 2rad%l% II si IIIal% n%i s"ra(%t% mai mari d% 10 din s"ra(ata $'r"'ral! la

$'"ii $ &4rsta s# 10 ani#8 arsri d% 2rad%l% II si III al% n%i s"ra(%t% mai mari d% /0 din s"ra(ata $'r"'ral! la

$'"ii $ &4rst! d% "%st% 10 ani$8 arsri d% 2radl IIIal% n%i s"ra(%t% mai mari d%


14/24

1. s%mn% sa sim"t'm% d% l%3ini d% inalar%/. d%tr%s! r%s"irat'ri%-. (ata>. r%$il% 7arsri $% im"li$! 2r'sim%a $'m"l%t! a r%$ii+ $anall aditi& sa tim"anl8


15/24

E. Rspunsverbal

$. Adult Orientat 5 on!u" 4

uvinte !r sens 3

#$omote 2%r rspuns 1

&ediatric &otrivit 5 &l'n$e( consolabil 4

)ritat *n continuare3

Nelinistit( a$itat 2

%r 1

%+ Rspuns

motor

La comand ,

Locali"ea" lastimul

5

Retra$e la stimul 4

%le-ie la stimul 3

.-tensie ta stimul 2Absent 1

/las$o0 oma Score /S D .i sau .ii ? %Scorul Revi"uit de raum RS A6

AN!A Nr" .

#CORUL PEDIATRIC DE TRAUM;

C+n%n*3 2%%3lu3*

? ?1 -1

Gr%tat%a /0H2 10/0 H2 Q10H2

Cal%a a%rian! N'rmal! Cal% a%rian! 'ral! sana3al! si',i2%n

Int#at+$ri$'tir'id't'mi% sa

tra%'st'mi%

Pr%sin%a art%rial!sist'li$! 90 mm2Pls "%ri(%ri$ si"%r(3i% "%ri(%ri$!

ad%$&at%


16/24

sa ss"Hi'nat% 6n$is! na d%s$is!T%2m%nt% Nimi$ &i3i#il C'nt3i%+ a#ra3ini

la$%ratii s# * $m(as$ia n%a(%$tat!

Pi%rd%r% tislar!Fas$ia "%n%trat!

T*3l

AN!A Nr" /)

FI#A MEDICALA

2% *r3n%r $n*%r&l$n$& 3l 3&$%n*ulu$ &r$*$&(aceast fis se completeaz de ctre medicul care solicit transferul si se trimite

serviciului de urgent care urmeaz s efectueze transferul, precum si spitalului care

urmeaz s primeasc pacientul la numere de fa0 prestabilite si1sau la adresa de e2

mail prestabilit" 3n ca2 de iu2gent medicul solicitant poate %nm'na fisa echipajului

care efectueaz transferul 4t predarea pacientului, el fiind obligat s trimit o copiespitalului primitor, %naintea sosirii pacientului 3n destinatie) 5 copie a acestei fise

rm'ne %n serviciul care solicit transferul"S"itall $ar% s'li$it! trans(%rl@ ...............................................................................................S%$tia ................................................. M%di$l ....................................................................Dat% d% $'nta$t al% m%di$li@ t%l (i, ................................... int ...... t%l m'#il .........................Pa$i%ntl@Nm% ............................................. "r%nm% .................................... s%, ........ &4rsta .........D'mi$ili 6n d%tl ................... l'$alitat%a ........................ str...............................................nr. ......... a"t. ......... %ta .............. t%l. .................................

P%rs'ana d% $'nta$t din "art%a "a$i%ntli@Nm% ............................................. "r%nm% ......................................... 6n $alitat% d% ...........................................t%l................................Data la $ar% s% r%ali3%a3! trans(%rl ................................................................... 73ilnaan8Ora la $ar% sa s'li$itat at'ri3ar%a trans(%rli d% $!tr% nitat%a "rimit'ar% ................ 'ramint8M'dalitat%a d% s'li$itar% @ t%l%('ni$ (a,S"itall Clini$a la $ar% %st% trimis "a$i%ntl@ ...........................................................................

Trans(%rl a ('st at'ri3at Ia s"itall "rimit'rS%$tia ...................................................... M%di$l ..............................................................Dat% d% $'nta$t al% m%di$li@ t%l. Fi, ............................. int. ....... t%l m'#il ..........................Ora la $ar% sa "rimit at'ri3ar%a trans(%rli d% $!tr% nitat%a "rimit'ar% ............. 7'ramint8

Tr3n%rul @n&8 nu 3 * 3u*r$93* 2% $*3lul r$+$*r, @n8 &39ul &n*$*u$% ' ur%n*8+3r8 &% nu 3*% 3*%*3 3u*r$93r%3 *r3n%rulu$. (%n aceasta situatie mediati Qmspitalulcare trimite pacientul are obligatia de a informa spitalul primitor %n cel mtti scurt timp posibil,

%naintea sosirii pacientului la destinatie, fie prin informarea unt6 i ii de primire a urgentelor

sau direct a medicului de gard la sectia la care este trimis pacientul)


17/24

I*r$& B 3n3+n%98..............................................................................................................................................................................................................................................................................................................................................................

...............................................................................................................................................................................

D$3n*$& B 2$3n*$& r%9u+*$.............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

M*$%l% l$&$*8r$$ 2% *r3n%r $n*%r&l$n$&Pa$i%nt insta#il+ trans(%rat la ' nitat% sanitar! $ ni&%l d% $'m"%t%nt! sisa d'tar% mai mar%d$$i nitat% sanitar! $ar% trimit% "a$i%ntl.Trans(%r d"! sta#ili3ar%+ 6n &%d%r%a asi2r!rii n'r 6n2riiri m%di$al% d% n 2rad mai $'m"i$d%$4t $%l $ar% "'at% (i asi2rat 6n a$%%a nitat% sanitar! din $a3a li"s%i d% $'m"%t%nt! sif sad'tar% n%$%sar!.Alt%

..........................................................................................................................................

.....................................#*3r%3 3&*u3l8 3 3&$%n*ulu$ (@n3$n*%3 %%&*u8r$$ *r3n%rulu$)

C'nsti%nt@GCS7M O8

In$'nsti%nt@GCS7M O8

Int#at %nd'tra%al@S'nd! m!rim% ..........

C #al'nas F!r! #al'nasFi,at! la $m la ni&%ll $'misrii #$al% Sal'nasl m"lt $ml. a%rSal'nasl m"lt $ ........ ml. s%r (i3i'l'2i$ a"a 7"%ntr trans"'rt a%rian la mar%

6n!ltim%8Ar% $ri$'tir't'mi%Ar% tra%'st'mi%%ntilat m%$ani$@


18/24

%ntilat'r 7$'ntr'latasistatMFRTFi0/8 Bal'n

Est% sta#il %m'dinami$@7PlsTAT%m"%ratra $%ntrala8

Est% insta#il %m'dinami$@

7Pls TAT%m" $%ntrala.8Ar% dr%na t'ra$i$@Dr%"t $ &al&a ?%imli$(!r! &al&a ?%imli$

St4n2 $ &al&a ?%imli$(!r! &al&a ?%imli$. Im'#ili3at

Gl%r $%r&i$al Ba$H#'ard

Salt%a &a$mAt%l%

Alt%l% ................................................................................ Ar% a$$%s I "%ri(%ri$@

M%m#. s" st2,anl% tili3at%G.G.M%m#. s". dr. $anl% tili3at% G.G.M%m#. in(. st2. $anl% tili3at%G.G.

M%m#. in( dr. $!mila tili3at% G.G.Ar% a$$%s I $%ntral@

S#$la&i$lar 2lar int%m 2lar %,t%rn

Ar% a$$%s intra's's@M%m#. in(. st2M%m#. in(. dr.

Ar% s'nd! na3''r' 2astri$! Ar% s'nd! rinar!

M%di$ati% an%st%3i$!@

1. ..........................................................................................

$al%admin. ...................................

d'3a ...........................

/. ..........................................................................................

$al%admin. ...................................

d'3a ...........................

-. ..........................................................................................

$al%admin. ...................................

d'3a ...........................

>. ..........................................................................................

$al%admin. ...................................

d'3a ...........................


19/24

M%di$ati%in'tr'"!@

1. ..............................................................................

............

$al%

admin. ...................................

d'3a ................

........... /. ..............................................................................

............$al%admin. ...................................

d'3a ...........................

-. ..........................................................................................

$al%admin. ...................................

d'3a ...........................

>. ..........................................................................................

$al%admin. ...................................

d'3a ...........................

M%di$ati

%s%dati&!@

l. ..........................................................................................

$al%admin. ...................................

d'3a ...........................

/. ..........................................................................................

$al%admin. ...................................

d'3a ...........................

-. ..........................................................................................

$ai%admin. ...................................

d'3a ...........................

>. ..........................................................................................

$al%admin. ...................................

d'3a ...........................

M%di$ati%anal2%ti$!@

1. ..........................................................................................

$al%admin. ...................................

d'3a ...........................

/. ..........................................................................................

$al%admin. ...................................

d'3a ...........................

-. ..........................................................................................

$al%admin. ...................................

d'3a ...........................


20/24

>. ..........................................................................................

$al%admin. ...................................

d'3a ...........................

S'ltii "%r(3a#il%@ 1. ............................................ ml'ra ..................

/. ............................................ ml'ra .................. -. ............................................ ml'ra .................. >. ............................................ ml'ra ..................

S4n2% si d%ri&at% i3'2r"@ Gr"a san2in! ................ R ..................... l. ............................................ ml'ra .................. /. ............................................ ml'ra .................. -. ............................................ ml'ra .................. >. S4n2% 3%r' n%2ati& ..... ml'ra ..................

Alt% m%di$am%nt%@ 1. ............................................ $al% admin. ..........d'3a .............

/. ............................................ $al% admin. ..........d'3a ............. -. ............................................ $al% admin. ..........

d'3a ............. >. ............................................ $al% admin. ..........

d'3a .............

Ora ia $ar% sa %(%$t at ltima %&alar% 6naint%a trans(%rli d% $!tr%@ 1. m%di$ ..................................... 7'ramint8 /. asist%nt ................................... 7'ramint8Cal%a d% trans(%r@ A%r@ T%r%str@ Alt@Ora la $ar% sa s'li$itat %(%$tar%a trans(%rli d% $!tr% s%r&i$il d% am#lanta nitat%aSMURD ................................ 7'ramint8Ti"l d% %$i"a@ T%ra"i% Int%nsi&! M'#il!@ Ur2%nt! $ m%di$@ Ur2%nt! $ asist%nt@E$i"al m%di$al $ar% %(%$t%a3! trans(%rl@M%di$@ Asist%nt@Alt "%rs'nal@Dat% $'nta$t %$i"a@T%l m'#il 1@ T%l m'#il /@ Ind.radi'@ Dis"%$%rat@


21/24

Mil'$l d% trans"'rt@ Am#lant! ti" C Am#lant! ti" B

Eli$'"t%r A&i'n

Altl ................................................

Ora la $ar% %$i"al si "a$i%ntl "!r!s%s$ nitat%a trimit!t'ar% ................................... 7'ramint8D'$m%nt% an%,at%@

C'"i%'ri2inal 7s% tai% $%%a $% n $'r%s"nd%8 ('aia d% '#s%r&ati%+ in$lsi& (isa"r%s"itali$%as$!

Radi'2ra(iil% "a$i%ntli CT 7in$lsi& (ilm% sa CD $ ima2inil%8 RMN 7in$lsi& (ilm% sa CD $ ima2inil%8

An2i'2ra(i% 7in$lsi& (ilm% sa CD $ ima2inil%8T%st sar$in! R%3ltat% %,am%n% #i'$imi$% %mat'l'2i$% ra"'rt t',i$'l'2i$

A$'rdl "a$i%ntli a"artin!t'ril'r 7N %st% '#li2at'ri 6n $a3ril% d% r2%nt!J8Alt% d'$m%nt%+ s% m%nti'n%a3!

..........................................................................................................................................

..........................................................................................................................................

AN!A Nr" 33

ACORD DE COLA0ORARE%n*ru 3l$&3r%3 r%%2%r$lr Or2$nulu$ +$n$*rulu$ 8n8*8*$$ ul$&% nr. 1.0/00>+ si n'rm%l% d% a"li$ar% a a$%st%ia+a"r'#at% "rin Ordinl ministrli administrati%i si int%rn%l'r si al ministrli s!n!t!tii "#li$% nr./*****/00>.


22/24

Art. /. P%ntr %(%$tar%a ni trans(%r int%r$lini$ al ni "a$i%nt n%int%rnat a(lat 6n star%$riti$!+ m%di$l d% 2ard! din $adrl nit!tii d% "rimir% a r2%nt%l'r (UPU), al $'m"artim%ntlid% "rimir% a r2%nt%l'r (&PU) sa din $adrl s%$ti%i $ar% r!s"nd% d% "a$i%ntl r%s"%$ti&$'nta$t%a3! m%di$l d% 2ard! din $adrl nit!tii d% "rimir% a r2%nt%l'r din s"itall la $ar%rm%a3! a (i trans(%rat "a$i%ntl 6n &%d%r%a in('rm!rii a$%stia d%s"r% $a3 si 6n &%d%r%a l!rii

d%$i3i%i as"ra m'dalit!tii d% trans(%r si a mil'$li d% trans"'rt n%$%sar.Art. -. La r4ndl s!+ m%di$l d% 2ard! din $adrl UPU d% la s"itall $ar% rm%a3! s!"rim%as$! "a$i%ntl r%s"%$ti& ar% '#li2atia d% a in('rma "r'm"t t'at% s%r&i$iil% si s%$tiil% $ar%rm%a3! a (i im"li$at% 6n in&%sti2ar%a+ %&alar%a si tratam%ntl a$%stia.

Art. >. P%ntr %(%$tar%a ni trans(%r int%r$lini$ al ni "a$i%nt int%mat a(lat 6n star%$riti$!+ m%di$l $rant sa m%di$l a(lat d% 2ard! la s%$tia nd% %st% int%rnat "a$i%ntl$'nta$t%a3! s%(l s%$ti%i sa al $lini$ii la $ar% s% d'r%st% trans(%rl "a$i%ntli 'ri m%di$l d%2ard! din s%$tia r%s"%$ti&!+ 6n &%d%r%a 'r2ani3!rii trans(%rli si l!rii n%i d%$i3ii $'mn%as"ra '"'rtnit!tii trans(%rli si m'dalit!tii d% trans(%r.

Art. d% 'r% din/>+ * 3il% din *+ in$l34nd nm!rl d% t%l%('n dir%$t al UPU.

Art. *. M%di$l din s"itall $ar% $%r% trans(%rl s'li$it! %$i"al $ar% &a %(%$tatrans(%rl "a$i%ntli $riti$ "rin nm!rl d% t%l%('n ni$ "%ntr a"%l d% r2%nt! 11/+ s'li$it4nd$'n%$tar%a la m%di$l $''rd'nat'r al dis"%$%ratli+ da$! trans(%rl rm%a3! a (i %(%$tat $am#lant!+ sa la dis"%$%ratl r%2i'nal "%ntr sal&ar% a%rian!+ 6n $a3l 6n $ar% "a$i%ntl n%$%sit!trans(%rl $ %li$'"t%rl.

Art. =. La $%r%r%a trans(%rli+ m%di$l s'li$itant (rni3%a3! rm!t'ar%l% in('rmatii@1. nm%l% si dat%l% d% $'nta$t "%rs'nal%/. dat%l% "%rs'nal% al% "a$i%ntli+ da$! a$%st%a snt $n's$t%-. dia2n'sti$l "r%3mti& sa $%rt>. in&%sti2atiil% %(%$tat% "4n! la m'm%ntl $%r%rii trans(%rli si r%3ltat%l% a$%st'ra


23/24

Art. 9 . n $a3l 6n $ar% n %st% dis"'ni#il n %$i"a $ "%rs'nal $'m"%t%nt "%ntr%(%$tar%a trans(%rli+ s"itall s'li$itant &a 'r2ani3a trimit%r%a ni %$i"a $'m"%t%nt d%6ns'tir% sa &a s'li$ita+ dir%$t sa "rin int%rm%dil s%r&i$ili d% r2%nt! "r%s"itali$%as$!d%t%an+ int%r&%ntia ni %$i"a $'m"%t%nt "%ntr $a3l r%s"%$ti&+ dintrn $%ntr r%2i'nal saalt $%ntr $ar% d%tin% n as%m%n%a %$i"a.

Art. 10. M%di$l $ar% 'r2ani3%a3! trans(%rl %st% '#li2at s! ia 6n $'nsid%rar% t'at%$'nditiil% $% "ri&%s$ trans(%rl 6n $%l mai s$rt tim"+ 6n d%"lin! si2rant!+ al "a$i%ntli a(lat 6nstar% $riti$! si $ar% n%$%sit! in&%sti2atii sisa 6n2riiri d% n ni&%l mai $'m"l%, d%$4t $%l% $% "'t(i asi2rat% 6n s"itall 6n $ar% s% a(l! "a$i%ntl.

Art. 11. M%di$l din $adrl UPU sa al CPU din s"itall 6n $ar% s% a(l! "a$i%ntl 'rim%di$l din s%$tia 6n $ar% s% a(l! "a$i%ntl ar% dr%"tl si '#li2atia d% a 6n$%"% "r'$%dril% d%trans(%r im%diat $% s%si3%a3! n%$%sitat%a a$%stia. 6n $a3l 6n $ar% "a$i%ntl %st% insta#il sin%$%sit! trans(%rl+ 6n $%l mai s$rt tim" "'si#il+ m%di$l din s"itall 6n $ar% s% a(l! "a$i%ntl ar%dr%"tl d% a 6n$%"% "r'$%dril% d% trans(%r+ (!r! a a&%a a&i3l "r%ala#il al s"italli "rimit'r. Elar% '#li2atia d% a 'r2ani3a "rimir%a simltan $ 6n$%"%r%a "r'$%dril'r d% trans(%r sa d"! $%"a$i%ntl a "l%$at $!tr% s"itall "rimit'r.

Art. 1/. T'ti m%di$ii d% la nit!til% sanitar% s%mnatar% a '#li2atia d% a la $n'stint!d% "r%3%ntl a$'rd+ "% #a3! d% s%mn!tr!.

P8r*$ %+n3*3r%+irectorul spitalului potential trimittor,

+irectorul spitalului primitor"

7edicul sef al serviciului judetean de

ambulant,

7edicul sef al serviciului judetean de ambulant,

M%di$l s%( din $adrl SMURD+ 6n $a3l 6n$ar% %,ist!

M%di$l s%( din $adrl SMURD+ 6n $a3l 6n $ar%%,ist!+

M%di$l s%( din $adrl UPUCPU+ da$! %,ist!+sam%di$l $ar% r!s"nd% d% "rimir%a r2%nt%l'r+

M%di$l s%( din $adrl UPU

MINISTERUL TRANSPORTURILOR+ CONSTRUCTIILOR Sl TURISMULUI

ORDINr$$n2 &+l%*3r%3 3n%%$ nr. 1 l3 Or2$nul +$n$*rulu$ *r3nr*ur$lr, &n*ru&*$$lr $*ur$+ulu$ nr. '1


24/24

alin. 7>8 din ?'t!r4r%a G&%rnli nr. >1//00> "ri&ind 'r2ani3ar%a si (n$ti'nar%a Minist%rliTrans"'rtril'r+ C'nstr$tiil'r si Trismli+ $ m'di(i$!ril% si $'m"l%t!ril% lt%ri'ar%+

+$n$*rul *r3nr*ur$lr, &n*ru&*$$lr $ *ur$+ulu$ %mit% rm!t'rl 'rdin@Ar*. I. An%,a nr. 1 la Ordinl ministrli trans"'rtril'r+ $'nstr$tiil'r si trismli nr.

-19/00) "%ntr a"r'#ar%a N'rm%l'r "ri&ind sta#ilir%a %$i"ali minim d% si2rant! la na&%l%

d% na&i2ati% int%ri'ar! $ar% ar#'r%a3! "a&ili'n r'm4n+ "#li$at 6n M'nit'rl O(i$ial al R'm4ni%i+Part%a I+ nr. ->- si ->- #is din 1* a"rili% /00)+ s% $'m"l%t%a3! d"! $m rm%a3!@1. L3 3r*$&lul , 2u8 l$*%r3 +) % $n*r2u&% nu8 l$*%r8, l$*%r3 +1), &u ur+8*rul

&ur$n8m#) 9ucrtor mobil 'ri$% "%rs'an! $ar% (a$% "art% din "%rs'nall na&i2ant sa din

"%rs'nall a,iliar+ an2aat! s! d%s(!s'ar% ' a$ti&itat% "r'(%si'nal! la #'rdl n%i na&% d%na&i2ati% int%ri'ar!+ in$lsi& sta2iarii si $%ni$ii+ ast(%l $m s% "r%&%d% 6n art. / "$t. * dinDir%$ti&a /00-==CEV8;.

/. #% $n*r2u&% n*8 2% ul &u ur+8*rul &ur$n:V8 Dir%$ti&a Parlam%ntli Er'"%an si a C'nsilili /00-==CE din > n'i%m#ri% /00-

"ri&ind anmit% as"%$t% al% 'r2ani3!rii tim"li d% l$r 7O L /99+ 1=.11./00-+ ". 98.;

Art. II. Pr%3%ntl 'rdin &a (i "#li$at 6n M'nit'rl O(i$ial al R'm4ni%i+ Part%a I.Ministrl trans"'rtril'r+ $'nstr$tiil'r si trismli+

R32u M$r&%3 0%r&%3nuB$r%sti+ > s%"t%m#ri% /00).Nr. 1.)0*.

Ordin Pacient Critic

Documents

Transcript of Ordin Pacient Critic