Structure and contacts

Governance structure of the Public Institution Kėdainiai Primary Health Care Centre

(žiūrėti čia...) 

Visų ambulatorijų darbą organizuoja ir koordinuoja ambulatorijų slaugos administratorė Sigita Klimavičienė

Tel. +370  642 43523;  el.p. [email protected]

After the working hours of outpatient clinics, on non-working days and on public holidays, emergency assistance is provided to patients at the Admission - Emergency Department of the VšĮ Kėdainiai Hospital, at the address of the VšĮ Kėdainiai Hospital (Budrio g. 5, Kėdainiai, tel. +370 347 67080.

MEDICAL CHECK-UP PROCEDURES FOR DRIVERS

A new procedure for medical examinations of drivers approved by Order No 301 of 31 May 2000 of the Minister of Health of the Republic of Lithuania "On the amendment of the procedure for preventive medical examinations in health care institutions". The medical certificate E083-1 for driver's health check-up may be issued to persons not more than one year younger than the legal age for driving a vehicle of that category.

Drivers and driver candidates registered with the Kėdainiai PSPC must be examined by a family doctor (children under 18 - paediatrician) within one year. Children under 18 years of age are only registered for a child and adolescent psychiatric consultation at the Drivers' Commission during the Tuesday opening hours of the Drivers' Commission.

Drivers who are registered with other medical institutions but wish to have their health checked at the Kėdainiai PSPC must have a medical certificate/referral (form 027/a) or a medical certificate/referral letter (form 027/e) from a family/children's doctor.

Drivers who have been registered with other municipal health services in the last five years must have a "Medical Records Extract/Referral" (form 027/a) completed by the psychiatrist at the mental health centre that provided the care.

Please bring a completed Driver's Declaration of Honour with you to the Drivers' Commission. The form can be found here...

PRE-REGISTRATION

You can also register for a driver health check online: https://ipr.esveikata.lt

If you click on this link, you should search for the service - preventive health check-ups with general nurse Elyn Sabaliauskienė. Visit type - preventive check-up.

You can also pre-register for the Drivers' Commission by calling the reception at +370 347 61434, +370 347 61334, +370 612 04039 or by coming to the reception.

No queues!

PRICE LIST FOR MEDICAL CHECK-UPS FOR DRIVERS

For drivers insured with compulsory health insurance in all categories - EUR 26.30.

Family medicine department (adult) reception tel.: +370 347 614 34, +370 347 613 34, +370 612 040 39; online at https://ipr.esveikata.lt

Family Doctor DAIVA GRIGARIENĖ, Acting Head of the Family Medicine Department,

phone +370 619 44188; e-mail: [email protected]

 Cabinet No 52

Opening hours:

I -  12.30 - 13.30

II - 12.30 - 13.30

III - 7.30 - 13.30

IV - 12.30 - 13.30

V - 7.00 - 12.30

Senior Nursing Specialist Daiva LAPINSKIENĖ, tel. +370 347 536 31

Doctors' house calls are registered by phone:

Weekdays: from 7.00 to 11.00

When to call a doctor to your home?

Doctor calls to the home are recorded when:

• the patient has a fever of 39 degrees or more;
• the patient does not walk;
• have flu-like symptoms (high temperature, chills, bone and muscle pain) during an influenza epidemic.

 The complaining patient is registered on the same day as an emergency:

• sudden onset, severe pain in any location (head, heart, abdomen, etc);
• shortness of breath, a feeling of heaviness in the chest;
• bleeding;
• sudden impairment of vision, speech, mobility;
• in the event of an injury.

 IMPORTANT!

• Don't forget your personal documents when you arrive at the clinic. You need a passport for working people, a disability certificate for disabled people and a pensioner's certificate for pensioners.
• Patients are registered in advance for a scheduled visit (prescription).
• The doctor sees patients at the times indicated on the vouchers. Minor deviations may occur in relation to emergency care for patients brought in by ambulance.

Patient outpatient card

Gydymo įstaigos dokumentas, pagal kurį vyksta atsiskaitymai su teritorine ligonių kasa, pateikiama reikalinga informacija, pareikalavus teisėsaugos institucijoms, vykdomi audito patikrinimai. Vykstant konsultacijai į kitas gydymo įstaigas, ambulatorinė kortelė pacientui neduodama, nes visą būtiną svarbiausią informaciją siuntimą pildantis gydytojas surašo "Išraše iš medicinos dokumentų" forma Nr.027. Pacientas norimą informaciją iš kortelės, esant reikalui, gali nusikopijuoti savo lėšomis. Persirašant į kitą gydymo įstaigą, ambulatorinė kortelė, sutvarkius reikalingus dokumentus, persiunčiama tai gydymo įstaigai.

For the attention of pregnant women

There is a antenatal care room No.55 on the 2nd floor of the Kėdainiai PSPC, open daily from 8.00 to 16.00. On arrival at the clinic, you can register the same day at the adult reception at window 2. The clinic offers outpatient antenatal care by a midwife and schedules follow-up appointments.

Changes to the procedure for medical rehabilitation services

From 1 January 2023 , referrals for medical rehabilitation services will be made by a physical medicine and rehabilitation doctor instead of a family doctor.

As a result, from 1 January 2023, GPs will not be able to write referrals for medical rehabilitation services.

From 1 January 2023, the first phase of medical rehabilitation services will be known as initial medical rehabilitation services.

The family doctor writes a referral only for initial medical rehabilitation services.

Initial outpatient medical rehabilitation services for the same illness are paid for from the budget of the Compulsory Health Insurance Fund (hereinafter - "CHIF") no more than 2 times a year.

Until 31 December 2022, a referral for medical rehabilitation services signed by a family doctor and the form No 2011T "Notification of consent to reimbursement of rehabilitation costs from the budget of the Compulsory Health Insurance Fund" issued by the Territorial Health Insurance Fund will remain valid in 2023, until the expiry of the period of validity of these documents.

Healthcare professionals at the Family Medicine Unit of the Kėdainiai PSPC

Company legal entity code: 191045757

Data collected and stored in the Register of Legal Entities

Opening hours: Monday - Friday: 7.00 - 19.00.

We will serve you in Lithuanian, Ukrainian, English, Norwegian and Russian.

Public institution in Kėdainiai Primary Health Care Centre Order of the Director on DOCTORS CONSULTATIVE COMMISSION Establishment of the Consultative Commission

(see document here...)

Medical Advisory Committee(MAC)

Room 31A (1st floor)

Chairwoman of the Consultative Commission of Doctors

Jūratė Judickienė, Acting Head of Paediatrics;

Phone +370 618 06812 

Opening hours:

Monday: 11.00 - 12.00

Tuesday: 11.00 - 12.00

 Wednesday: 10.00 - 12.00

   Thursday:11.00 - 12.00

    The Medical Consultative Commission (MCC) decides on referrals of patients to the Disability and Incapacity Determination Service under the Ministry of Social Security and Labour, decides on disputed issues regarding treatment or examination of patients, and issues medical certificates in accordance with the procedure established by legislation. Carrying out examinations of patients' temporary incapacity for work in accordance with the Rules on the Issue of Electronic Certificates of Sickness and Electronic Certificates of Pregnancy and Maternity Leave.

Agenda of the Director Joana Kleivienė

Pirmadienis	Antradienis	Trečiadienis	Ketvirtadienis	Penktadienis
2025 06 23	2025 06 24	2025 06 25	2025 06 26	2025 06 27
Annual leave	Annual leave	Annual leave	Annual leave	Annual leave

Dentists and oral hygienists can be registered +370 347 526 33; +370 347 613 14;

online at https://ipr.esveikata.lt

Gydytoja odontologė UGNĖ JAGMINIENĖ, l. e. Odontologijos skyriaus vedėjo pareigas, tel. +370 638 08900

Vyresnioji slaugos specialistė VILMA URBONAVIČIENĖ,  tel. +370 347 57477

The dental unit has 11 dentists and 10 dental assistants. Therapeutic (dental treatment) and surgical services (teeth straightening, abscess opening, etc.) are provided.

The department has 2 dental hygienists who provide professional oral hygiene. There is a charge for these services for patients over 18 years of age. Patient registration takes place at the reception of the dental unit.

Children's tooth decay prevention programme

Since 2005, the Dental Department of the Kėdainiai Primary Health Care Centre has been running a children's tooth decay prevention programme. The aim of the programme is to protect the newly erupted permanent molars from early caries. To this end, the furrows and hollows of the permanent molars are coated with silane, a material that protects the chewing surfaces of the teeth from bacteria and carbohydrates.

Children's permanent molars are coated with silantic materials between the ages of 6 and 8, and permanent second molars between the ages of 11 and 13. If there is a high risk of tooth decay (as determined by the dentist), silanes are also used to cover the furrows and pits of other teeth, such as the capillaries and sometimes the upper lateral incisors. It takes between 5 and 6 minutes per tooth to apply the silane. The procedure is completely painless and does not require the use of a drill. The grooves and pits are thoroughly cleaned to remove any plaque, rinsed, dried and covered with a liquid substance which is hardened with a light (helium) lamp. The silants remain in the sockets for several years and protect the tooth from external influences. In addition, the silants contain fluoride, which is then released and helps to strengthen the enamel of the furrow or socket. Therefore, silants are an excellent preventive measure.

Norintys pasinaudoti šia galimybe, galite kreiptis į Odontologijos skyriaus registratūrą nuo 7.00 iki 18.00 val. kiekvieną darbo dieną. Vaikai turi atvykti su vienu iš tėvelių / globėjų.

What should you do if you have a tooth extracted?

• 30 min. po danties išrovimo laikykite sukandę įdėtą tamponėlį. Jei kraujavimas nesiliauja, naują tamponėlį laikykime dar 20 min.
• Do not rinse for the first day after tooth extraction to avoid rinsing away the clot. In the following days, you can rinse with disinfectant solutions (especially after eating).
• To reduce swelling, place an ice bladder on the cheek and hold for 30 minutes.
• Don't starve, eat softer and gentler foods.
• Brush your teeth gently, morning and night.
• Don't overdo it.
• Avoid alcohol for the first 24 hours.

  Healthcare professionals at the Dental Department of the Public Institution Kėdainiai PSPC

  Vardas, pavardė	Specialybė	Kabineto Nr.	Licence No.	Notes
  Eglė Miliauskienė	dentist	205	OPL-02766	since 2007
  Asta Kasparavičienė	dentist	209	OPL-03548	since 2009
  Ina Gargasienė	dentist	205, 212	OPL-03068	since 2001
  Audronė Meškauskienė	dental assistant	205	BPL-03369	since 1997
  Justina Valaikienė	dentist	207	OPL-05609 OPL-06289	working from 2024
  Ugnė Jagminienė	dentist	215	OPL-03729	working from 2023
  Agnė Ragožienė	dentist	207	OPL-03472	since 2010
  Joana Jonelė	dentist	209	OPL-05830	working from 2021
  Asta Jucevičienė	dental assistant	207	BPL-04178	since 1997
  Dalia Pliatkuvienė	dental assistant	207	BPL-04089	since 1997
  Lina Šidlauskienė	dentist	209	OPL-00614	since 1999
  Agnė Smagurauskaitė	dentist	209	OPL-06222	working from 2024
  Karolina Guzelė	dental assistant	215	BPL-06140	since 2018
  Eugenija Teišerskienė	dentist	212	OPL-03284	since 2011
  Valė Ginelevičienė	dental assistant	212	BPL-03351	since 1997
  Gabrielė Beržanskienė	dentist	207	OPL-05472 OPL-06097	working from 2024
  Santa Zuperke	dental assistant	205	BPL-08669	working from 2022
  Inga Barvainienė	oral hygienist	204	BPL-04218	since 2011
  Vilma Švelnikienė	oral hygienist	204	BPL-03317	since 2002
  Aurimas Niprikas	dentist	212	OPL-03514	working from 2024
  Andrius Domanskis	gydytojo odontologo padėjėjas	209	BPL-09139	dirba nuo 2025 m.
  Daiva Jankauskaitė	dentist	205	OPL-02835	working from 2024

Agenda of the Deputy 

Pirmadienis	Antradienis	Trečiadienis	Ketvirtadienis	Penktadienis
2025 06 23	2025 06 24	2025 06 25	2025 06 26	2025 06 27
7:00 - 9:00 Working with documents	Nedarbo diena	7:00 – 8:00 val. Darbas su dokumentais	7:00 – 10:00 val. Darbas su dokumentais	7:00 - 9:00 Working with documents
9:00 - 12:00 Working meetings, resolving routine issues		8:00 – 8:30 val. Dalyvaus administracijos darbuotojų pasitarime	10:00 – 11:00 val. Dalyvaus savivaldybės sveikatos centro pasitarime (nuotoliu)	9:00 - 12:00 Working meetings, resolving routine issues
12:00. Lunch break		8:30 – 12:00 val. Darbiniai pasitarimai, einamųjų klausimų sprendimas	11:00 – 12:00 val. Darbiniai pasitarimai, einamųjų klausimų sprendimas	12:00. Lunch break
12:30 – 14:00 val. Darbas su dokumentais		12:00. Lunch break	12:00. Lunch break	12:30 - 13:00 Working with documents
14:00 – 14:45 val. Darbiniai pasitarimai, einamųjų klausimų sprendimas		12:30 – 14:00 val. Darbas su dokumentais	12:30 – 14:00 val. Darbas su dokumentais	13:00 – 14:30 val. Darbiniai pasitarimai, einamųjų klausimų sprendimas
		14:00 – 15:45 val. Darbiniai pasitarimai, einamųjų klausimų sprendimas	14:00 – 15:45 val. Darbiniai pasitarimai, einamųjų klausimų sprendimas

Registration with the specialists of the Mental Health Department of VšĮ Kėdainiai PSPC

• adult reception tel.: +370 347 61434; +370 347 61334, +370 612 04039;
• child and adolescent psychiatrist at the children's reception tel.: +370 347 61555; +370 347 61130;
• on arrival;
• online at https://ipr.esveikata.lt;
• Doctors see patients at the times indicated on the voucher;
• Patients brought in for a GMP emergency are seen urgently.

Psychiatrist AUDRIUS JUODINIS, Acting Head of the Mental Health Department, tel.+370 347 50645

 Senior Nursing Specialist ASTA ŠMIGELSKĖ, tel. +370 662 20024

Opening hours:

Monday - Thursday: 7.00 - 17.00

Friday: 7.00 - 16.00

The Mental Health Unit at the Kėdainiai Primary Health Care Centre was established on 1 April 1999.

The Mental Health Centre has a team of specialists:

• psychiatrists;

• child and adolescent psychiatrist;

• psychologists;

• social workers;

• Mental health nurses.

These specialists advise on:

• children and adults;

• people suffering from addiction diseases;

• organises occupational therapy for mentally ill people;

• psychological diagnosis;

• carry out preventive health checks;

The Mental Day Hospital has also opened its doors (see more in the section "Projects funded by the European Union") and in the section "Services".

Medical psychologists are available for registration:

• Reception of the Family Medicine Department (adults) tel.: +370 347 614 34;

• Reception of the paediatric department (paediatric outpatient clinic) tel.: +370 347 615 55.

Consultation

Psychologists provide counselling with a referral from a doctor, or you can come on your own. Psychodiagnostic tests, counselling on parent-child relationships, psychological support in cases of bereavement, violence, other psychological crises and behavioural disorders in children and adolescents. In case of crises, you should come to the medical psychologist's office or call (during office hours).

The child and adolescent psychiatrist consults patients up to the age of 18 in Room 12 (IIa) of the Mental Health Unit. Diagnoses illnesses, prescribes and monitors the effectiveness of medical treatment, and monitors patients dispensed for mental illness. Registration with this specialist is required at the children's reception.

Social workers provide counselling on social problems (information, counselling, mediation, representation of patients in other institutions, organisation of occupational therapy for mentally disabled patients; organisation and work with self-help groups). Anonymous rapid tests for chronic infectious diseases: HIV, Hepatitis B and C. Works in harm reduction programmes: substitute supportive care, 'low threshold' office services. These professionals work in the Mental Health Unit's Social Worker Room 1, tel. 8 695 18681. They can be accessed without a referral.

Mental health and care

Everyone has experienced brief moments of confusion, anxiety, sadness or even despair. If these experiences have a clear cause, if they are of short duration, they should not be considered as a morbid condition. However, if they persist for weeks or months, they are disruptive to normal behaviour and life and help should be sought. The more pronounced and severe the disorder, the harder it is to persuade a person to seek treatment. Doctors and family members of some patients know how much effort it takes to get someone to accept the help they need...

What is mental health? Mental disorders affect thinking, behaviour, feelings and relationships. Like many physical illnesses, the causes of mental disorders are linked to both the person's psychological experiences and the environment around them. The sufferer sees his or her experiences, feelings and emotions as more real than the reality in which we all live: he or she perceives his or her surroundings in a different way, understands what is being said to him or her in a different way, and sometimes he or she hears, sees or smells things that are not there, and no one is able to convince him or her that he or she is wrong.

Mental health: it is not just the absence of mental illness or disorder; it is the ability to be yourself among others; it is an emotional and spiritual state that allows you to experience joy and endure pain, frustration and sadness; it is the ability to express yourself in a way that is pleasurable for yourself and for those around you; it is the ability to make your own choices and be accountable for them.

Mental health care is specialised health care that provides psychiatric care (diagnosis and treatment of mental disorders) and helps patients adjust to life in society.

Factors that undermine mental health:

• poverty;
• Unemployment;
• loss of home;
• coercion in society;
• family crisis;
• non-compliance with work and rest rules;
• Alcohol and drug use;
• spreading aggression and violence in the media, etc.

  Specialists of the Mental Health Unit of the Public Institution Kėdainiai PSPC

  Vardas, pavardė	Specialybė	Kabineto Nr.	Licence No.	Notes
  Vytautas Glebavičius	psychiatrist	2	MPL-11804	since 1997
  Dalia Timofejevienė	mental health nurse	2	SPL-06739
  Inga Domskytė	child and adolescent psychiatrist	12		working from 2022
  Edita Navickienė	mental health nurse	6	SPL-41796
  Aušra Račkauskienė	psychiatrist	3	MPL -20214	since 2015
  Stasė Kižauskienė	mental health nurse	3	SPL-10190
  Ieva Ragaliauskaitė	medical psychologist	Psichiatrijos dienos stacionaras		working from 2024
  Audrius Juodinis	psychiatrist	6	MPL-08466	working from 2022
  Irena Siniauskaitė	child and adolescent psychiatrist	12		working from 2024
  Asta Šmigelskė	Senior Nursing Specialist	12	SPL-10189	since 1999
  Donatas Lučunas	medical psychologist	5		since 2018
  Lina Dubauskienė	social worker	1
  Aušra Pupkevičienė	social worker	1
  Simona Kutavičė	medical psychologist	Psichiatrijos dienos stacionaras	ASL-08030	working from 2022
  Gerda Rančaliauskienė	medical psychologist	36 (Family Medicine Unit)		since 20016

Darbuotojų saugos ir sveikatos specialistas (atsakingas už civilinę saugą) – Irena Sirvidienė, tel. +370 347 528 71

Infekcijų kontrolės ir profesinės sveikatos specialistas – Natalija Jurgina, tel. +370 347 670 95

Internal Medical Audit Members/Experts Group

Information in preparation.

Medical Ethics Committee

Approved by Order No 116 of 6 October 2022 of the Director of the Public Institution Kėdainiai PSPC.

Medical Ethics Committee of the Public Institution Kėdainiai PSPC:

• deals with the conduct of health professionals and ethical issues between health professionals;
• monitor compliance with medical ethics.

Treatment Council

Approved by Order No 115 of 6 October 2022 of the Director of the Public Institution Kėdainiai PSPC.

Kėdainiai PSPC Treatment Council:

• discusses the organisation and improvement of personal health care;
• periodic clinical conferences;
• considering the acquisition of new personal healthcare technologies;
• svarstomais klausimais gali teikti rekomendacinio pobūdžio pasiūlymus įstaigos vadovui.

Nursing Council

Approved by Order No 114 of 6 October 2022 of the Director of the Public Institution Kėdainiai PSPC.

Nursing Council of Kėdainiai PSPC:

• discussing how to organise and improve patient care;
• may make proposals of a recommendatory nature to the head of the institution on matters under consideration. If the head of the institution does not agree with the proposal, the nursing council may submit its proposal to the shareholder and/or the authority exercising the rights and obligations of the shareholder/owner of the public institution.

The Secretary of the Nursing Council shall be elected at each meeting.

Board of Supervisors

Supervisory Board of the Public Institution Kėdainiai PSPC:

• analyse the institution's performance;
• hear and evaluate the body's annual activity report;
• derina įstaigos parengtus sprendimų projektus;
• (dėl teikiamų paslaugų asortimento didinimo ar mažinimo, vidaus struktūros pakeitimų, darbuotojų darbo apmokėjimo ir kt.).

Kėdainių rajono savivaldybės administracijos direktoriaus 2021 m. kovo 3 d. įsakymu Nr. AD-1-221  patvirtinta VšĮ Kėdainių PSPC Stebėtojų taryba. (dokumentą žiūrėti čia...)

Functions performed by staff and specific requirements (see document here...)

Psichiatrijos dienos stacionaras

Since 17 December 2013, the Mental Day Hospital has been providing services in Kėdainiai PSPC.With the Mental Day Hospital in Kėdainiai, there is no longer a need for patients to be referred to psychiatric hospitals, where they receive adequate support and treatment, but are separated from their families and loved ones. The day hospital focuses on rehabilitation and employment activities for patients. Upon arrival, patients are encouraged to maintain their independence, daily living habits, psychological communication, household and work skills. Patients are treated in the day hospital for a maximum of 30 working days. Most importantly, unlike in conventional hospitals, patients arrive early in the morning and can return home in the evening after spending the day. This gives them the opportunity to recover in the comfort of their own family, without having to leave their usual environment, and it eases the daily routine of the family members and relatives who care for them, giving them respite and the opportunity to carry out their normal work.

Each inpatient receives an individual treatment programme, with appropriate medication, psychotherapy sessions, relaxation sessions and psychoeducational programmes for both patients and their families, depending on their health status.

Psychic Days inpatient services are provided by specialists team:

• psychiatrist - psychotherapist, head of department Audrius Juodinis;
• psychotherapist - Aušra Račkauskienė;
• medical psychologists - Simona Kutavičė;
• Asta Šmigelskė, Senior Nursing Specialist;
• mental health nurse - Zina Lapinskienė
• occupational therapist - Kristina Bugenienė;
• physiotherapist - Kamilė Augienė;
• social workers - Lina Dubauskienė, Edita Navickienė, Inga Vilčinskienė;
• art therapist - Vilija Racevičienė.

Treating in a day hospital:

• reducing the time spent in hospital (lowering costs);
• Patients continue to receive adequate treatment and rehabilitation until outpatient treatment is available;
• the patient does not lose contact with the family;
• Avoids the desocialisation of the patient that occurs with prolonged psychiatric hospitalisation;
• After discharge from inpatient to outpatient treatment, handover between the psychiatrist and the patient's family doctor is ensured.

Mental health day hospital services:

• individual consultations with a psychiatrist/psychotherapist (assessment of mental state or behaviour);
• individual psychotherapy sessions;
• individual and group consultations with medical psychologists;
• individual counselling by a mental health nurse (counselling or training on prescribed or self-selected medication);
• individual counselling by a social worker (counselling and training related to individual care and daily activities);
• Individual occupational therapy (memory, orientation, perception or attention skills);
• physiotherapy services (movement skills training);
• Relaxation (psychological skills training);
• Light therapy;
• group psychoeducational sessions;
• group art therapy.

Services are available on weekdays from 7.30 am to 3.30 pm.
Call during office hours +370 615 50068.
Please bring: proof of identity and a referral from a psychiatrist/family doctor.

Information in preparation.

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