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    01. Become our patient

    DESCRIPTION OF THE PROCEDURE FOR ENROLMENT AT THE PUBLIC INSTITUTION KĖDAINIAI PRIMARY HEALTH CARE CENTRE

    (see document here...)

    PATIENT ENROLMENTAS AT THE PUBLIC INSTITUTION KĖDAINIŲ PRIMARY HEALTH CARE CENTREO, CHOICE OF FAMILY DOCTOR

    Before choosing a doctor, the person shall find out by telephone, e-mail or by visiting the establishment whether the workload of the doctor to be chosen allows the doctor to be chosen in accordance with the procedure laid down in this Order.

    You can make an appointment with the following GPs: /information in preparation/

    You can fill in an application form to be admitted for treatment at the VšĮ Kėdainiai Primary Health Care Centre or Mental Health Centre:

    • On arrival at the outpatient clinic of the Kėdainiai Primary Health Care Centre;

    • send the form to the email address provided by the Centre at [email protected]. (form here...) 025-025-1/a request, which must be signed with an electronic qualified signature;

    • By post or courier, accompanied by a copy of your identity document;

    • In the event that the person is unable to submit the application form No. 025-025-1/a in the above-mentioned ways due to an emergency or quarantine in the country or municipality where the person resides, the person shall complete and submit the application form No. 025-025-1/a in the About Us - Become Our Patient section on the website of the Centre;

    • The original of the Form 025-025-1/a must be submitted to the Centre (by direct arrival, post or courier) within 30 calendar days (but not before the end of the emergency or quarantine).

    • Apply at (form available here...) to be treated by another primary care doctor of the person's choice, in the order indicated above.

    1.The person (guardian) who wishes to join the Public Institution Kėdainiai Primary Health Care Centre (hereinafter - the Centre):

    • Contact the statistics office (Department of Family Medicine, 2nd floor, room 35, Budrio str. 5, Kėdainiai);

    • Provide proof of identity (ID card, passport, birth certificate for children under 18);

    • Filling in the "Application for treatment at the primary healthcare institution of your choice" (form 025-025-1/a):

    • In the relevant sections of the application form, the person indicates his/her name, surname, residential address, the name of the Centre, the name of the doctor chosen, the date on which he/she completed the application form, and signs the application. Part II is completed, in which the name of the mental health centre, the date of completion of the application and the signature are entered.

    • You pay a fee of EUR 0.29 at the Centre's cash desk, located next to reception. If the change of the PHC facility is made before 6 months, the resident pays a fee of €2.90.

    2.To make an appointment with a doctor working in an outpatient clinic, if you wish person:

    • A person (carer) who wants to see a doctor working in an outpatient clinic should contact the general nurse in that clinic.

    • On presentation of proof of identity (identity card, passport, birth certificate for children under 18 years of age) and payment of a fee of EUR 0.29, he/she fills in application form 025-025-1/a.

    • Provide proof of identity (ID card, passport, birth certificate for children under 18);

    • The application form should be completed in the order indicated above.

    3. Person (guardian)who wishes to sign in with another Centre a doctor working at the Centre:

    • Contact the Centre's statistician (Department of Family Medicine, 2nd floor, room 35, Budrio str. 5, Kėdainiai)

    • Provide proof of identity;

    • Fill in form 025-025-2/a "Request for authorisation to be treated by another doctor of the chosen primary outpatient health care facility or mental health centre".

    • The application form is filled in with the name of the doctor of your choice and signed.

    4. When a doctor changes specialty, after termination of employment:

    • The Centre's administration shall arrange for the service of persons registered with the Centre. The Centre's administration shall appoint another doctor(s) if the person does not choose another doctor or another PAASP. The appointment of another doctor and the re-registration of persons shall be by order of the Director of the Centre. The patient shall be informed in writing of the change of doctor. If the patient agrees to subscribe to and see another doctor or to choose another doctor, he/she shall fill in the application form No 025-025-2/a.

    • If the patient agrees to see the assigned doctor or chooses a different doctor, he/she completes the Request for treatment with another doctor of the chosen primary care institution (form 025-025-2/a).

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    02. Free services

    FREE PERSONAL HEALTHCARE SERVICES PROVIDED BY THE PUBLIC INSTITUTION KĖDAINIAI PRIMARY HEALTH CARE CENTRE

     

    The following free outpatient personal healthcare services are provided:

    1.The right to free personal health care services paid by the State Patients' Fund (according to the agreement with Kaunas Territorial Patients' Fund) from the funds of the PSDF, provided by the VšĮ Kėdainiai PSPC, shall be granted to the persons insured with compulsory health insurance and residents of the VšĮ Kėdainių PSPC who have signed up to receive primary personal health care services.

    2.Nomenclature of personal health care services provided free of charge by the Public Institution Kėdainiai PSPC:

    2.1.Services of professionally qualified doctors (family doctor, internal medicine doctor, surgeon, obstetrician, gynaecologist, paediatrician), general nurse, midwife, case manager) providing primary outpatient personal health care:

    2.1.1. diagnosing and treating diseases within the scope of competence;

    2.1.2. ensuring continuity of treatment;

    2.1.3. issuing prescriptions for medicines and medical devices;

    2.1.4. making referrals for consultation and treatment to a specialist in the relevant field, in cases that are not within the competence of the family doctor;

    2.1.5. carrying out preventive health checks;

    2.1.6. vaccination of children and adults;

    2.1.7. developmental monitoring of newborns, infants and children;

    2.1.8. monitoring of pregnant women;

    2.1.9. the examination of patients' temporary incapacity for work, in accordance with the legislation governing it;

    2.1.10. issuing certificates for sick leave, pregnancy and maternity leave;

    2.1.11. completing referrals to the Agency for Protection of Rights of Persons with Disabilities under the Ministry of Social Security and Labour of the Republic of Lithuania;

    2.1.12. issuing death certificates if the cause of death is certain.

    2.1.13. Incentive services provided by doctors, nurses and midwives in primary outpatient care;

    2.2 Primary and secondary dental personal care services (dentist, dental assistant, oral hygienist) ;

    2.3 Home care services (general nurse, nursing assistant, physiotherapist);

    2.4 Diabetes nursing (diabetes nurse) services;

    2.5. primary outpatient mental health services (psychiatrist, child and adolescent psychiatrist, psychotherapist, medical psychologist, social worker, mental health nurse, case manager);

    2.6. Psychiatric day hospital services (psychiatrist, psychotherapist, medical psychologist, social worker, mental health nurse, case manager, occupational therapist, physiotherapist, physiotherapist, art therapist);

    2.7. Free prevention programme services:

    2.7.1 Early diagnosis programmes for cervical cancer ;

    2.7.2 Early diagnosis programmes for prostate cancer ;

    2.7.3 Early breast cancer screening programmes;

    2.7.4 Screening and prevention programmes for people at high risk of cardiovascular disease ;

    2.7.5 Early diagnosis programmes for colorectal malignancy ;

    2.7.6. programmes for the application of enamelling materials to children's molars.

    3. Emergency medical care.

    The list of essential medical assistance, i.e. diseases and pathological conditions for which medical assistance is provided free of charge, is approved by the Order of the Minister of Health of the Republic of Lithuania No.V-208 of April 8, 2004 "On the Approval of the Procedures and Scope of Provision of Essential Medical Assistance and Services of Essential Medical Assistance", and its amendments and additions.

    Pirminė ambulatorinė asmens sveikatos priežiūra apdraustiesiems teikiama vadovaujantis Lietuvos Respublikos sveikatos apsaugos ministro 2005 m. gruodžio 5 d. įsakymo Nr. V-943 „Dėl pirminės ambulatorinės asmens sveikatos priežiūros paslaugų organizavimo ir apmokėjimo tvarkos aprašo bei pirminės ambulatorinės asmens sveikatos priežiūros paslaugų ir bazinių kainų sąrašo tvirtinimo“ ir Lietuvos Respublikos Sveikatos apsaugos ministro 2005 m. gruodžio 22 d. įsakymo Nr. V-1013 „Dėl Lietuvos medicinos normos MN 14:2005 „Šeimos gydytojas. The scope and procedure of other primary outpatient personal health care physicians and the services provided are specified in the medical norms approved by the Ministry of Health of the Republic of Lithuania and in the Orders of the Minister of Health of the Republic of Lithuania.

    A family doctor can only prescribe tests that are within his/her competence. In each case, the family doctor assesses the patient's state of health and decides on the tests within his or her competence.

    If necessary, a general blood test and biochemical blood tests, i.e., lipid profile, potassium, sodium, creatinine, alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, creatine kinase, gamma glutamyltransferase, total protein, bilirubin, glucose, and uric acid tests. If necessary, he may also order a general urine test and an albumin/creatinine ratio test; inflammation marker tests, i.e., C-reactive protein, erythrocyte sedimentation rate (ESR), and thyroid function tests (TTH); a glucose tolerance test; prostate-specific antigen for patients after radical prostate cancer treatment, coprogram; gynecological smear from the vagina and cervix; enterobiasis test; electrocardiography; spirometry for peak expiratory flow (PEF); forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) values; pulse oximetry.

    In certain cases (only when there are specific medical indications), your familydoctor may prescribe:

    • glycolysed haemoglobin test;
    • blood clotting tests (prothrombin time, international normalised ratio, activated partial thromboplastin time);
    • blood group and Rh factor tests;
    • syphilis (RPR) and specific (treponemal) testing withT. pallidumantigen (TPHA) testing;
    • testing for viral hepatitis B and C;
    • urine crop;
    • human immunodeficiency virus test;
    • Rapid test for group A beta haemolytic streptococcus;
    • a tuberculin sample;
    • natriuretic peptide test;
    • ferritin test;
    • vitamin B12 and B9 (folic acid) tests;
    • vitamin D testing for patients being treated for osteoporosis;
    • thyroid function tests (free thyroxine, ATPO);
    • urine, stool, wound, throat, nasopharyngeal, and ear swab tests;
    • rapid rotavirus, adenovirus, and norovirus antigen test (from stool);
    • Helicobacter pyloriantigen test (from stool);
    • rapid SARS-CoV-2 antigen and influenza test or rapid SARS-CoV-2 antigen, influenza, and respiratory syncytial virus (RSV) test.

    Family doctors also prescribe tests for healthy patients in certain age groups as part of the following preventive programs: cervical, breast, colon, prostate cancer, and cardiovascular disease (fecal occult blood test, cervical smear, prostate-specific antigen).

    More information - Order of the Minister of Health of the Republic of Lithuania of 22 December 2005 No V-1013 "On the approval of the Lithuanian medical standard MN 14:2019 "family doctor""

    Update date: 2026-01-13

    • List of personal healthcare services covered by the State Health Insurance Fund, as per the agreement with the Territorial Health Insurance Fund (see here...) 

     

    • SPECIAL CONDITIONS FOR THE CONTRACT FOR THE PROVISION OF PERSONAL HEALTHCARE SERVICES AND PAYMENT FROM THE COMPULSORY HEALTH INSURANCE FUND AND THE STATE BUDGET (see here...)

     

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    03. Price list for paid services

    You can pay for paid services at the cash desk or by bank transfer to the account of VšĮ Kėdainiai PSPC:

    Institution code 191045757, AB "SWEDBANK" account No. LT62 7300 0100 0252 3171, indicating the patient's name, surname, date of birth and the service name.

     

    APPROVED

      • Paid personal healthcare and other services and their prices (see document here...)

      • Ordinance on the approval of paid personal health care and other services (see document here...)

      • Prices for paid vaccination services (see document here...) (Note: prices for paid vaccines are subject to change)

      • Order approving the price of paid vaccines (see document here...)

      • Order fixing the price of fillings and dental materials and disposables (see document here...)

      • Price calculations for filling and dental materials and disposables (see document here...)

      • Order on the price of prosthetic dental services (see document here...)

      • Description of the procedures for the provision and payment of paid services (see document here...)

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    04. Emergency assistance

     

    Description of the procedure and scope of emergency medical care provided by the public institution Kėdainiai Primary Health Care Centre (see document here...)

    Healthcare services at the Kėdainiai Primary Health Care Centre are available only on working days. After office hours, on non-working days and on public holidays, please contact the Admissions and Emergency Department of the VšĮ Kėdainiai Hospital:

    Kėdainiai Hospital ( Budrio g. 5, Kėdainiai, tel. +370 347 67080)

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    05. Programmes financed by the Compulsory Health Insurance Fund budget

    We invite you to make better use of the opportunities offered by the state to get free health checks

    You are invited to get tested through preventive health programmes, which allow you to detect abnormalities early, identify serious diseases and treat them effectively. Diseases that are detected early are much easier to treat than those detected at later stages. Preventive programmes are free of charge for patients (financed by the PSDF budget).

    Prevention programmes are aimed at patients of a certain age. However, if a person feels unwell but does not fall into the age group, he or she should under no circumstances delay in contacting his or her family doctor. He or she will carry out the necessary tests and, if necessary, issue a referral for a consultation with a specialist.

    Programme for the financing of measures to prevent cervical malignancies

    • The aim of the programme is to reduce the incidence of cervical malignancies and mortality among Lithuanian women.
    • Women aged 25-34 years have a cytology smear test once every 3 years and women aged 35-59 years once every 5 years . The results may be followed by additional tests to objectively confirm or refute the diagnosis.

    Funding programme for screening mammography for breast cancer

    • The aim of the programme is to reduce the mortality rate of Lithuanian women from breast malignancies.
    • Women aged 45 to 74 years (inclusive) have a mammogramonce every 2 years.
    • If you have a referral from your family doctor, you can register in advance at the reception desk of the Consultation Clinic of the Kėdainiai Hospital (or any other health care institution providing mammography services).
    • The patient is informed of the results of the test by her family doctor.

    Funding programme for early diagnosis of prostate cancer

    • The aim of the programme is to improve the diagnosis of early-stage prostate cancer and to apply radical treatment methods for prostate cancer in order to reduce disability and mortality.
    • Men aged 50 to 69 years (inclusive) and men aged 45 years and over who have had a parent or brother with prostate cancer have a blood test to determine the level of prostate-specific antigen (PSA) in their blood.
    • If your PSA level is above the normal range, your GP will refer you for a urology consultation.
    • Further tests will determine the diagnosis.

    Funding programme for early diagnosis of colorectal cancer

    • The aim of the programme is to improve the detection of early stages of colorectal cancer and to reduce mortality from the disease.
    • For people aged 50 to 74 years, a covert bleeding test is carried outonce every 2 years. If the test is negative, the patient is healthy; if the test is positive, the family doctor will refer the patient to a specialist for a colonoscopy or other tests.
    • These tests will help to confirm or rule out a diagnosis of colorectal cancer.

    People at high risk of cardiovascular disease, Programme for the financing of screening and prevention measures

    • The aim of the programme is to reduce avoidable mortality from cardiovascular disease through prevention and treatment by identifying patients at risk of cardiovascular disease (hereafter referred to as 'at risk group'), organising their preventive care, and making lifestyle changes and, if necessary, prescribing the necessary treatment.
    • Men and women aged 40 to 60 years (inclusive) should consult their GP, who will carry out the necessary tests and assess the patient's risk of cardiovascular disease.
    • How often should I be tested? If assessed by your GP:
    • very high risk - after 1 year;
    • high risk - after 2 years;
    • low and medium risk - after 4 years.
    •  If the family doctor determines that the likelihood of cardiovascular disease is high, he or she sends the patient to specialised centres for a more detailed examination. If necessary, treatment is given.

    Summary of the implementation of prevention programmes in Kėdainiai PSPC Source: http://www.ktlk.lt/istaigoms/spp/prevencines/

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    06. Nursing services in the patient's home

    Nursing services are provided by the Home Nursing Service

     

    • The Kėdainiai Primary Health Care Centre provides outpatient home nursing services. These are personal health care services provided in patients' homes to ensure the availability and continuity of nursing services, to meet the patient's nursing needs at home, to promote self-care and to improve the patient's quality of life.

    • Kamilė Augienė, Coordinator of Home Care Services and the Mobile Medical Unit, phone number for inquiries: +370 684 48178 

    • Outpatient nursing services are provided by a team of specialists: general nurses Sandra Rimkuvienė, Birutė Grigienė, Svetlana Metiolkina, Lidija Pozingienė, Eglė Butkutė, Audronė Garbuzienė, Regina Ulinskienė; Dovilė Jaugelienė; Inga Cikas; Ilona Grigonienė.

    • Nursing assistants: Ligita Raščevskienė, Rima Skalskytė, Enrika Grabauskienė, Sandra Rimkutė, Dovilė Butrimaitė;

    • Physical therapists:Augustė Žiupsnienė, Giedrė Žebrauskienė.

    • On 1 July 2022, an updated Ambulatory Care Home (AChH) procedure came into force, which will help to assess patients' needs more quickly and provide the right services in a timely manner. Until now, ASN services have been provided to patients who have been assessed by the Disability and Incapacity Determination Service as having a disability or special needs. Since 1 July, an individual questionnaire to determine the need for care has been introduced, which allows for a quicker conclusion and faster provision of nursing and care services. The new questionnaire helps to determine the level of care needs: low, medium or high. The number of services reimbursed by the Compulsory Health Insurance Fund depends on the patients' needs.

    • To increase access to services for patients living in rural areas who are unable to travel to the nearest medical facility, we are expanding the mobile medical unit. In the past, the mobile unit was limited to travelling every other week to certain rural areas to provide nursing services.

    • There is a growing need for outpatient nursing services in patients' homes in rural areas. Residents are seeking medical help themselves, so in cooperation with family doctors, the Mobile Medical Unit's car is used to visit patients in their homes. Nursing service professionals visit patients not only in the city but also in rural areas.

    • Outpatient nursing services provide:

    • Nurse - performs injections, IV insertion, care and catheter infusion under doctor's orders; collects blood, urine, etc. for laboratory tests; performs electrocardiogram, wound care, pressure ulcer prophylaxis and care, artificial orifice care (stoma care), ACS, pulse, etc.

    • Nurse assistant - performs pressure sore prevention, provides personal hygiene care (feeds or bathes the patient, nails, diaper changes, drops, oral care, etc.), handles the patient's secretions and excretions as assigned by the nurse (changes urine collectors, assists the patient to use the toilet chair, etc.), etc.

    • Physiotherapist - assesses and treats muscle, joint and nerve dysfunctions based on the patient's medical condition. Specifically, a physiotherapist can help to facilitate movement and function, reduce pain, and increase movement potential. A physiotherapist also teaches and helps to adapt and compensate for loss of function due to illness or injury.

    • Outpatient home nursing services are provided free of charge to patients who are registered with VšĮ Kėdainiai PSPC.

    • Home nursing services are prescribed by the patient's GP. He or she completes the "Extract from medical records" (form 027/a), which provides information on the patient's health status, justifies the indications for home care services, and writes recommendations and prescriptions to be followed by the nurse.

    • When a patient is being treated in hospital and the doctor foresees that he or she will need home nursing services when he or she returns home, he or she informs the Head of Nursing and provides an extract from the medical records (form 027/a) with prescriptions and recommendations.

    • With the doctor's note, the nurse arranges a time for the patient or his/her family to come in. At the first visit, the nursing staff assesses what services the patient needs and determines how these services will be provided. This shall be communicated to the patient and/or his/her relatives.

    • Community home nurses are in regular contact with the patient's doctor to help solve problems.

    • The nursing service is located in the pediatric ward.

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    07. Diabetes nurse services

    Nursing services for adult patients with diabetes mellitus (DM) are provided at the Kėdainiai PSPC office No.3. The diabetes nurse provides initial and ongoing consultative care (information and counselling on nursing issues to prevent complications of CD, identify and help solve health and psychosocial problems of the patient and his/her family), diabetic foot care, and therapeutic pedicures.

    • Counselling support is provided in accordance with the CD training programme approved by the personal health care institution. The provision of CD care for adults is open to the patient's family if they wish.

    • These services are free of charge with a referral from a family doctor. Pre-registration is required. If the patient needs more services, paid services are available according to the Kėdainiai PSPC's fees for paid services.

    You can register with a diabetes nurse:

    • online at https://ipr.esveikata.lt;

    • Reception phone numbers: +370 347 61434, +370 347 61334, +370 612 04039;

    • upon arrival at reception.

    • Services are provided by diabetes nurse Rasa Povilonė 

    Opening hours: Monday to Friday from 7.00 am to 3.00 pm.

    Diabetes mellitus (DM) patients receive nursing care with a referral from their family doctor to a diabetes nurse specialist.

    APPROVED

    Health of the Republic of Lithuania

    by the Minister for Defence of 10 October 2008

    Order No V-982

    (Health of the Republic of Lithuania

    Minister for Security

    8 April 2011

    wording of Order No V-337)

    FOR PEOPLE WITH DIABETES MELLITUS DESCRIPTION OF REQUIREMENTS FOR THE PROVISION OF NURSING CARE (see document here...)

    Free nursing services for people with diabetes

     

    Eil. No. Name of service Description and composition of the service Number of services/consultations per year Indications
    1. Initial consultation with a diabetes nurse - training the patient or family member (in the case of a child with the disease) after the diagnosis of CD;- determining the need for training;

    - Developing a training plan based on a 5-day training programme;

    - implementing the training plan in a way that suits the patient.

    Newly diagnosed CD patients - maximum 5 consultations per year When the patient is diagnosed with CD for the first time (ICD-10-AM codes E10, E11,E13,E14,O24)
    2. Continuing consultation with a diabetes nurse - training the patient or their family member according to the patient's needs;- identifying the need for training;

    - Developing a training plan;

    - implementing the plan in a way that suits the patient.

    No more than 2 consultations per year - when glycaemic control is not achieved and glycaemia does not meet the criteria for the diagnosis of diabetes mellitus, impaired glucose tolerance and impaired fasting glycaemia set out in the Diagnosis and Outpatient Management of Diabetes mellitus; - when complications of CD occur;

    - Changes in treatment (e.g. starting insulin treatment, changing insulin preparations, outpatient treatment with insulin pumps or introducing new high-tech tools, etc.);

    - women with CD during pregnancy.

    3. Therapeutic pedicure - hygienic, preventive and therapeutic pedicure;- removal of pressure sores, hyperkeratosis (squamous skin);

    - trimming normal and deformed nails;

    - grinding deformed nails with special equipment;

    - care of ingrown and fungal nails;

    - grinding of soles;

    - Applying a skin-softening cream to the feet;

    - Providing the patient and/or family with knowledge about foot care.

    Maximum of 4 services per year - Wagner grade 0 ulcer;- blindness;

    - patient age - over 65 years;

    - diabetic foot.

    4. Diabetic foot care - removal of hyperkeratosis;- necrectomy;

    - ulcer care;

    - Providing the patient and/or family with knowledge on foot and/or bigeye ulcer care.

    Maximum 24 services per year A patient with CD grade 0-3 according to Wagner has leg ulcers, ulceration and/or deep tissue caused by neurological or vascular changes in the lower extremities.
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    08. Alcohol and drug related harm


    COMPULSORY EDUCATION PROGRAMMES ON THE HEALTH EFFECTS OF ALCOHOL, NARCOTIC DRUGS, PSYCHOTROPIC SUBSTANCES AND OTHER PSYCHOACTIVE SUBSTANCES
    (for more information call +370 612 04025)

    The cost of the training is listed in the Paid Services Price List https://www.kedainiupspc.lt/about2-3/#gallery-details-03-mokamu-paslaugu-kainynas

    Title of training programme

    Training programme code Frequency of training

    Duration of training

    1

    2 3

    4

    Compulsory training programme on the effects on human health of the use of alcohol, narcotic drugs, psychotropic substances and other psychoactive substances

    A1

    On the basis of an appeal by the persons who committed the offence

    4 hours.

    Alcoholism and drug addiction prevention programme

    A2

    On the basis of an appeal by the persons who committed the offence

    4 pm.

    Drink-driving prevention programme

    A3

    On the basis of an appeal by the persons who committed the offence

    12 pm.

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    09. First aid

    COMPULSORY FIRST AID TRAINING PROGRAMME

     

    Occupation/activity codes / Titles of occupations and activities Training programme code Frequency of training
    1 2 3
    001 - Soldiers KP On entry into service
    KT Every 5 years
    002 - Pre-trial investigators and other officials and employees who have direct contact with defendants, suspects or witnesses, other participants in court proceedings; officials of the Department of State Security and the Special Investigation Service, the State Border Guard Service under the Ministry of the Interior, officers of the security, customs checkpoints and the mobile team unit; security personnel PP Before starting work
    PT Every 5 years
    003 - All persons authorised to keep or bear arms PP Before buying a gun
    PT Every 5 years
    004 - Officers and staff on shift duty in the State Fire and Rescue Service and at the scene of an accident, police officers carrying out traffic surveillance, drivers of police and ambulance vehicles PG Before starting work (except for firefighters of the State Fire Rescue Service and police officers who have completed the first aid training course of the initial vocational training programme)
    PT Every 3 years
    005 - Lifeguards at beaches and water parks PG Before starting work
    PT Every year
    006 - Employees of enterprises, establishments and organisations responsible for providing first aid in the enterprise (establishment, organisation) PP Before starting work
    PT Every 5 years
    007 - Teaching staff, teaching assistants, social workers, social pedagogues and personal care staff of educational establishments providing education for persons under 18 in formal and/or non-formal education programmes PP Before starting work
    PT Every 5 years
    008 - Social workers in residential and other social care institutions for adults, personal care staff PP Before starting work
    PT Every 5 years
    009 - Workers engaged in the manufacture of cosmetic products and beauty services, directly involved in customer service, with the potential to directly affect the health of service users PP Before starting work
    PT Every 5 years
    010 - Workers providing solarium services who are directly involved in customer service and who may have a direct impact on the health of service users PP Before starting work
    PT Every 5 years
    011 - Workers in health clubs, swimming pools, saunas, wellness services, directly involved in customer service, who may have a direct impact on the health of service users PP Before starting work
    PT Every 5 years
    012 - Casino management inspectors directly involved in customer service PP Before starting work
    PT Every 5 years
    013 - Accommodation workers directly involved in customer service, with the potential to directly affect the health of service users PP Before starting work
    PT Every 5 years
    014 - Drivers of all motor vehicles other than those of categories AM, A1, A2, A, B1, B, BE, their combinations with trailers, drivers of tractors, self-propelled machinery, operators of rail, air and water transport vehicles, operators of communication installations, road maintenance workers PP Before starting work
    PT Every 5 years during employment
    015 - Drivers of motor vehicles of categories AM, A1, A2, A, B1, B and BE PP Before you start driving
    016 - Passenger transport workers serving passengers (conductors, stewards, train attendants, etc.) PP Before starting work
    PT Every 5 years
    017 - Child care workers in recreation camps, children's play areas PP Before starting work
    PT Every 5 years
    018 - Personnel in places of deprivation of liberty and territorial police custody who may directly affect the health of persons held in places of deprivation of liberty and police custody PP Before starting work
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    10. Hygiene skills

    COMPULSORY HYGIENE SKILLS TRAINING PROGRAMME

     

    Occupation/activity codes / Titles of occupations and activities Training programme code Frequency of training
    007 - Teaching staff, teaching assistants, social workers, social pedagogues and personal care staff of educational establishments providing education for persons under 18 in formal and/or non-formal education programmes HB, H1 Before starting work
    008 - Social workers in residential and other social care institutions for adults, personal care staff HB, H2 Before starting work
    009 - Workers engaged in the manufacture of cosmetic products and beauty services, directly involved in customer service, with the potential to directly affect the health of service users HB, H3 Before starting work
    010 - Workers providing solarium services who are directly involved in customer service and who may have a direct impact on the health of service users HB, H4 Before starting work
    011 - Workers in health clubs, swimming pools, saunas, wellness services, directly involved in customer service, who may have a direct impact on the health of service users HB, H5 Before starting work
    013 - Accommodation workers directly involved in customer service, with the potential to directly affect the health of service users HB, H6 Before starting work
    016 - Passenger transport workers serving passengers (conductors, stewards, train attendants, etc.) HB, H7 Before starting work
    017 - Child care workers in recreation camps, children's play areas HB, H1 Before starting work
    018 - Personnel in places of deprivation of liberty and territorial police custody who may directly affect the health of persons held in places of deprivation of liberty and police custody HB, H8 Before starting work
    019 - Workers in water utilities who may directly affect the health of water users HB, H9 Before starting work
    H9 Every 2 years
    020 - Food business operators' personnel who may have a direct influence on food safety and quality (excluding market traders selling their own harvested, unprocessed forest produce, home-grown agricultural products) producers of primary products and producers from primary products; workers who handle perishable food but do not produce, process or prepare it HBB Before starting work and every 5 years
    indirect food handlers HBB Before starting work and every 5 years
    direct food handlers H10 Before starting work and every 5 years
    021 - Cleaning services for education providers providing education for persons under 18 years of age in formal and/or non-formal education programmes, personal health care establishments, social care establishments, food handlers, cosmetics companies, beauty, solariums, gyms, swimming pools and saunas, providers of health, accommodation, storage of human remains, preparation for burial, burial, cremation, embalming, laundries and dry-cleaners, persons organising children's recreation camps, persons operating children's play areas, cleaners, if any, of the abovementioned entities HB, H11 Before starting work
    022 - Personnel engaged in receiving, dispensing, washing, ironing, folding, packing and dry-cleaning of linen HB, H12 Before starting work
    023 - Workers whose activities are related to the management of medical waste in healthcare establishments (the head of the healthcare establishment or his/her nominee responsible for organising the management of medical waste in the establishment, and workers working on equipment for the elimination of the harmfulness of medical waste) HB, H13 Before starting work
    024 - Personnel whose activities are related to the provision of services for the preservation, preparation for burial, burial, cremation, embalming of human remains and who may have a direct impact on the safety of the service HB, H14 Before starting work
    Workers whose activities involve toxic substances. Persons seeking to comply with the competence requirement referred to in Article 5(1)(2) of the Law of the Republic of Lithuania on Surveillance of Toxic Substances HB, H15 Before starting work
    •  

    11. Informing patients about the results of consultations and/or tests

     

    Informing patients about the results of consultations and/or tests

     

    This image does not have an alt attribute; its filename is Results-communication.png

    •  

    12. Secondary, tertiary level services

     

    Secondary care services are provided by:

    Eil. No.          Name of the institution           Contact/Registration
    1. Public institution Kėdainiai PSPC Reception tel: +370 347 61434; +370 347 61334; +370 612 04039

    Pre-registration 24 hours a day: https://ipr.esveikata.lt

    2.  

    Public institution Kėdainiai Hospital

    Consultation clinic

    Reception tel: +370 347 67 090; +370 347 54 447

    Pre-registration 24 hours a day: https://ipr.esveikata.lt

    3. Kaunas City Polyclinic Reception tel: +370 37 403 999

    Pre-registration 24 hours a day: https://ipr.esveikata.lt

    4. Kaunas City Polyclinic units:
      Dainava Tel: +370 37 403 900
      Šilainiai Tel: +370 37 377 771
      Centro Tel: +370 37 409 222
      Highlander Tel: +370 37 401 422
      Šančiai Tel: +370 37 342 167
    5. Registration for consultations with specialists at Kaunas Clinics One phone number: +370 37 70 33 70
    6. Public Institution Panevėžys Republican Hospital

    Consultation clinic

    Reception tel.: +370 45 507 262;

    +370 45 507 109;

    +370 682 43673

    7. Klaipėda Republican Hospital Consultation Clinic Reception tel.: +370 46 410683;

    +370 46 470 000

    8. Public Institution Republican Hospital of Šiauliai

    Consultation clinic

    Reception tel.: +370 41 500 111;

    +370 41 524 332

    9. Public hospital in Jonava

    Consultation clinic

    Reception phone +370 658 49589;

    +370 658 48366

    Tertiary care is provided by:

    Eil.

    No.

    Name of the institution Contact/Registration
    1. Vilnius University Hospital

    Santaros Clinics

    Reception tel: +370 52 50 17 17

    Pre-registration 24 hours a day: https://ipr.esveikata.lt

    2. Lithuanian University of Health Sciences Hospital

    Kaunas Clinics

    Reception tel.: +370 37 70 33 70

    Pre-registration 24 hours a day: https://ipr.esveikata.lt

    •  

    13. Non-governmental organisations

    Kėdainiai District Maternity School

    Manager - Danutė Šilkaitienė

    Tel. +370 347 506 01 mob. tel. +370 611 10420, email. [email protected]

    For more than a decade, the Kėdainiai District Maternity School has been organising classes in which Kėdainiai PSPC specialists - obstetricians, gynaecologists, paediatricians, psychologists, physiotherapists, natural nutritionists and other specialists - have been trying to answer all the questions that parents-to-be may have about their children. The course provides information on the physiological changes that take place in a woman's body during pregnancy, describes the peculiarities of fetal development, explains how childbirth takes place, provides general information on newborn care and vaccinations, highlights the benefits of natural feeding and first tooth care. Although personal invitations to the programmes of the Maternity School are given to expectant mothers at the time of their doctor's appointment, expectant fathers are always welcome to attend the sessions.

    A wide range of educational/information materials are distributed to participants - leaflets, mother's books, natural feeding guides, brochures, guides for women who have given birth, pregnancy calendars, baby diaries, baby's first year books, early childhood education guides, and many more. Regular cooperation with various companies enables us to give parents-to-be the gift of Philips Avent, Johnson's baby, Colgate and other products. We also give recordings of Mozart's music, lullabies, the film "ABC of baby hygiene", and photos of the sessions.

    Motherhood is a big and important turning point in life, a step towards maturity and development. Expecting a baby, especially the first one, raises a lot of questions: what is recommended and what should be avoided during pregnancy, is childbirth really so scary, how to deal with the new baby, what and how to feed it... There are many different literature and press sources, but the data they provide are often contradictory. Advice from mothers and grandmothers in the vicinity, though lovingly and caringly expressed, may no longer be up-to-date or in line with medical developments. The courses are also attended by a number of women who will not be giving birth for the first time and who share their personal experiences and experiences.
    Pregnant women receive a lot of practical information when they visit the Obstetrics and Gynaecology Department. Here they can get to know the environment, equipment and staff in the maternity and postnatal wards. During the visit, they discuss birthing methods, anaesthetic options and other relevant topics. This session is included in the course programme.

    Expectant mothers are encouraged to start learning prenatal exercise as early as possible, as this gives the baby more oxygen and improves metabolism. Exercise also has a positive effect on the correct position of the foetus in the womb. During each session, participants have the opportunity to take part in practical exercises on "Pre/postnatal exercise", using special equipment ("Gymnic" balls, sticks, bands, etc.).

    The more mums and dads-to-be know about human development before birth, the better they can understand their baby's needs and feel confident and self-assured. Then the worries of giving birth, breastfeeding and raising a baby will not be frightening, but pleasant and joyful.

    For information on the activities organised, please follow the "News" section and the website www.sveikiked.w3.lt

    •  

    14. Information for persons with reduced mobility

    • Order on the approval of the description of the procedure for the organisation of the provision of personal health care services to persons with reduced mobility at the VšĮ Kėdainiai PSPC (see the document here...)

    •  

    15. Medical rehabilitation services

    The State Patients' Fund on medical rehabilitation:

     https://ligoniukasa.lrv.lt/lt/veiklos-sritys/informacija-gyventojams/gydymo-ir-sveikatos-prieziuros-paslaugos/medicinine-reabilitacija/

    Search for medical rehabilitation and sanatorium treatment facilities:

    https://ligoniukasa.lrv.lt/lt/veiklos-sritys/informacija-gyventojams/gydymo-ir-sveikatos-prieziuros-paslaugos/medicinine-reabilitacija/medicinines-reabilitacijos-ir-sanatorinio-gydymo-paslaugas-teikianciu-istaigu-paieska-1/

    •  

    16. Service for Persons with Disabilities at the Agency for the Protection of the Rights of Persons with Disabilities under the Ministry of Social Security and Labour

    AGENCY FOR THE PROTECTION OF THE RIGHTS OF PERSONS WITH DISABILITIES UNDER THE MINISTRY OF SOCIAL SECURITY AND LABOUR OF THE REPUBLIC OF LITHUANIA

    For determining the level of disability, the level of participation, the need for compensation for individual assistance

    Application forms (https://anta.lrv.lt/lt/prasymu-formos/) and information on other required documents and applicable procedures can be found on the website of the Agency for the Protection of the Rights of Persons with Disabilities (ANTA) https://anta.lrv.lt/lt/

    Persons can submit documents to ANTA:

    • on arrival at the Agency;
    • by post or courier;
    • by means of electronic communications:
    • by email;
    • via the National Electronic Parcel Service.

    The documents can be submitted by the person him/herself, his/her parents, spouse, adult children, guardians or other persons authorised by the person, or by a social worker of the municipality of residence or social worker of the social care institution where the person lives permanently, who represents the person.

    Where a representative applies on behalf of the represented person, the representative must state his or her name, surname and place of residence in the application and enclose a document certifying that he or she is represented, as well as the name, surname and place of residence of the represented person, and sign the application.

    Online self-service https://mano.ndnt.lt/loginViisp you can:

    • apply for a disability,
    • monitor the stage of the disability assessment,
    • order and receive copies of the documents issued,
    • ordering duplicates of your Disabled Person's Certificate and Disabled Person's Parking Card.

    Please note that a referral to ANTA is valid for 60 days.

    The territorial units of the Agency shall take a decision within 20 working days from the date of receipt of the person's application and other documents.

    If the person or representative disagrees with the decision of the territorial department of the Agency, he/she may appeal against it to the Director of the Agency within 1 month from the date of receipt of the decision.

    If you have any further questions, we encourage you to consult the Agency's consultants:

    Tel: +37052303060

    By email: [email protected] (reply within 20 working days).

    •  

    17. Cooperating countries

    Kėdainiai Hospital                                       

    Diaverum                                             Kėdainiai Family Clinic

                                                                                     marketaikste.lt

    Kėdainiai District Municipality PUBLIC HEALTH OFFICE

                                               

    •  

    18. Mobile medical unit

    For general nurse calls to patients' homes, you can call Mobile Medicine

    Please contact the coordinator, Kamile Augienė, by phone at +370 684 48178

    WORK SCHEDULE OF THE MOBILE MEDICAL UNIT OF THE KĖDAINIAI PSPC

    DataTimeLocation (visiting patients' homes)
    May 48.30 am - 2.00 pmDevynduoniai, Alksnėnai, Paobelė, Pelėdnagiai
    May 58.30 am - 2.00 pmLabūnava, Mantviloniai, Laugaliai, Bajėnai, Vincentava
    May 68.30 am - 2.00 pmŽostautai, Juodžiai, Pašušvys, Plinkaigalis
    May 78.30 am - 2.00 pmKeleriškiai, Lipliūnai, Krakės
    May 88.30 am - 2.00 pmAžytėnai, Jaugiliai, Krakės, Gudžiūnai, Devinduoniai, Miegėnai
    May 118.30 am - 2.00 pmPaaluonys, Jakšiai, Beinaičiai, Nociūnai, Medėkščiai
    May 128.30 am - 2.00 pmDotnuva, Šlapeberžė, Josvainiai, Pajieslys, Diksiai
    May 138.30 am - 2.00 pmKalnaberžė, Užupė, Tiskūnai, Apytalaukis, Šventybrastis
    May 148.30 am - 2.00 pmKunioniai, Skaisgyriai, Krakės
    May 158.30 am - 2.00 pmDevynduoniai, Miegėnai, Anciškės, Šėta, Kapliai
    May 188.30 am - 2.00 pmLabūnava, Šventoniškis, Meironiškis, Medininkai
    May 198.30 am - 2.00 pmŽostautai, Juodžiai, Aristava, Daukainiai
    May 208.30 am - 2.00 pmRukai, Dovydiškiai, Paobelė
    May 218.30 am - 2.00 pmPelutava, Paaluonys, Krakės
    May 228.30 am - 2.00 pmDotnuva, Šlapaberžė, Pajieslys, Pašušvys
    May 258.30 am - 2.00 pmKalnaberžė, Užupė, Paobelė, Pelėdnagiai
    May 268.30 am - 2.00 pmSkaistgiriai, Kunioniai, Laugakiai, Bajėnai, Vincentava
    May 278.30 am - 2.00 pmDevynduoniai, Miegėnai, Pašušvys, Plinkagalis
    May 288.30 am - 2.00 pmLabūnava, Mantviloniai, Krakės
    May 298.30 am - 2.00 pmJuodžiai, Žostautai, Pernarava, Gudžiūnai, Devinduoniai, Miegėnai

  • 01. Become our patient

  • 02. Free services

  • 03. Price list for paid services

  • 04. Emergency assistance

  • 05. Programmes financed by the Compulsory Health Insurance Fund budget

  • 06. Nursing services in the patient's home

  • 07. Diabetes nurse services

  • 08. Alcohol and drug related harm

  • 09. First aid

  • 10. Hygiene skills

  • 11. Informing patients about the results of consultations and/or tests

  • 12. Secondary, tertiary level services

  • 13. Non-governmental organisations

  • 14. Information for persons with reduced mobility

  • 15. Medical rehabilitation services

  • 16. Service for Persons with Disabilities at the Agency for the Protection of the Rights of Persons with Disabilities under the Ministry of Social Security and Labour

  • 17. Cooperating countries

  • 18. Mobile medical unit

  • Find us on the map

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  • Registration by phone

    +370 347 61434

  • Write to us

    Write an email

Contact

  • Kėdainiai, Budrio g. 5
  • +370 347 50872
  • [email protected]
  • Company registration number: 191045757. Data is collected and stored in the Register of Legal Entities

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  • Community-Based Prevention – Without Stigma May 19, 2026
  • Changes to the determination of disability and related needs take effect in May May 8, 2026
  • A social worker from the Mental Health Department of the Kėdainiai Primary Health Care Center, accompanied by a general practice nurse, visited the Teen Challenge Charity and Support Foundation center in the village of Pikelių March 24, 2026

EU-funded projects

  • Find EU projects here
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