Ex nurse. District nurse. II. Job responsibilities

I. General provisions

1. The nurse belongs to the category of specialists.

2. A person who has a secondary medical education in the specialty “Nursing” and a medical education in the specialty “Nursing” and (has; does not have) (I, II, highest) qualification category (s) is appointed to the position of nurse. .

3. Appointment to the position of a nurse and dismissal from it are made by order of the head of the institution.

4. The nurse should know:

4.1. Laws of the Russian Federation and other regulatory legal acts on health care issues.

4.2. Fundamentals of the diagnostic and treatment process, disease prevention, promotion of a healthy lifestyle.

4.3. Organizational structure of a healthcare institution.

4.4. Safety rules when working with medical instruments and equipment.

4.5. Labor legislation.

4.6. Internal labor regulations.

4.7. Rules and regulations of occupational health, safety, industrial sanitation and fire protection.

5. The nurse reports directly to (the doctor with whom she works, the senior nurse of the department)

II. Job responsibilities

Nurse:

1. Ensures infectious safety (complies with the rules of sanitary-hygienic and anti-epidemic regime, asepsis, properly stores, processes, sterilizes and uses medical products).

2. Carry out all stages of the nursing process when caring for patients (initial assessment of the patient’s condition, interpretation of the data obtained, planning care together with the patient, final assessment of what has been achieved).

3. Performs preventive, therapeutic and diagnostic procedures prescribed by the doctor in a timely and high-quality manner. Assists when a doctor performs therapeutic and diagnostic procedures and minor operations in outpatient and inpatient settings.

4. Provides emergency first aid for acute diseases, accidents and various types of disasters, followed by calling a doctor to the patient or referring him to the nearest medical institution.

5. Administers medications, antishock agents (for anaphylactic shock) to patients for health reasons (if it is impossible for a doctor to arrive to the patient in a timely manner) in accordance with the established procedure for this condition.

6. Informs the doctor or manager, and in their absence, the doctor on duty about all detected serious complications and diseases of patients, complications arising as a result of medical procedures or cases of violation of the internal regulations of the institution.

7. Ensures proper storage, accounting and write-off of medications, compliance with the rules for taking medications by patients.

8. Interacts with colleagues and employees of other services in the best interests of the patient.

9. Maintains approved medical records and reporting documentation.

10. Systematically improves his professional qualifications.

11. Conducts sanitary and educational work to promote health and prevent diseases, promote a healthy lifestyle.

III. Rights

The nurse has the right:

1. Use conservative methods of treating patients as prescribed by the doctor, and carry out certain medical procedures.

2. Receive the information necessary to accurately perform your professional duties.

3. Make proposals for improving the work of a nurse and the organization of nursing in the institution.

4. Require the head nurse of the department to provide the post (workplace) with equipment, equipment, tools, care items, etc., necessary for the high-quality performance of their functional duties.

5. Improve your qualifications in the prescribed manner, undergo certification (re-certification) in order to assign qualification categories.

6. Participate in the work of professional associations of nurses and other public organizations not prohibited by the legislation of the Russian Federation.

IV. Responsibility

The nurse is responsible for:

1. For improper performance or failure to fulfill one’s job duties provided for in this job description within the limits determined by the current labor legislation of the Russian Federation.

2. For offenses committed in the course of carrying out their activities within the limits determined by the current administrative, criminal and civil legislation of the Russian Federation.

3. For causing material damage within the limits determined by the current labor and civil legislation of the Russian Federation.

Order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 N 541n
"On approval of the Unified Qualification Directory of positions of managers, specialists and employees, section "Qualification characteristics of positions of workers in the field of healthcare"

With changes and additions from:

Registration N 18247

The qualification characteristics of positions of workers in the healthcare sector have been determined.

We are talking about the chief physician, the head of the dairy kitchen, the chief nurse, a medical specialist, a geneticist, an infectious disease specialist, a gynecologist, a psychiatrist, a therapist, a forensic expert, an embryologist, etc.

With the help of characteristics, you can select the right personnel and improve their business skills.

The qualification characteristics of each position contain 3 sections: “Job Responsibilities”, “Must Know” and “Qualification Requirements”.

The first defines the functions that the employee must perform. Technological homogeneity and interconnectedness of work, and vocational education are taken into account.

The second contains the basic requirements for specialized knowledge. We are also talking about provisions, instructions, methods and means that an employee must be able to use when performing job duties.

The third establishes the levels of professional education required to perform assigned duties and the required work experience.

Persons who do not have the required additional professional education or work experience, but have sufficient practical experience and perform their assigned duties efficiently and in full, may be appointed to the appropriate positions on the recommendation of the certification commission.

Order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 N 541n “On approval of the Unified Qualification Directory of positions of managers, specialists and employees, section “Qualification characteristics of positions of workers in the field of healthcare”

ECSD 2018. Revision dated April 9, 2018 (including those with changes that entered into force on July 1, 2018)
To search for approved professional standards of the Ministry of Labor of the Russian Federation, use directory of professional standards

Nurse

Job responsibilities. Provides pre-medical care and collects biological materials for laboratory research. Provides care to patients in medical institutions and at home. Sterilizes medical instruments, dressings and patient care items. Assists when a doctor performs therapeutic and diagnostic procedures and minor operations in outpatient and inpatient settings. Prepares patients for various types of studies, procedures, surgeries, and outpatient doctor appointments. Ensures the implementation of medical prescriptions. Carries out accounting, storage, use of medicines and ethyl alcohol. Maintains personal records and an information (computer) database of the health status of the population served. Manages the activities of junior medical staff. Maintains medical records. Conducts health education work among patients and their relatives to promote health and prevent diseases, promote a healthy lifestyle. Carries out the collection and disposal of medical waste. Carries out measures to comply with the sanitary and hygienic regime, the rules of asepsis and antisepsis, the conditions for sterilization of instruments and materials, and the prevention of post-injection complications, hepatitis, and HIV infection.

Must know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare, theoretical foundations of nursing, fundamentals of the diagnostic and treatment process, disease prevention, promotion of a healthy lifestyle, rules for the operation of medical instruments and equipment, statistical indicators characterizing the health status of the population and the activities of medical organizations, rules for the collection, storage and disposal of waste from medical organizations, the basics of the functioning of budgetary insurance medicine and voluntary health insurance, the basics of valeology and sanology, the basics of dietetics, the basics of clinical examination, the social significance of diseases, the basics of disaster medicine, the rules for maintaining accounting and reporting documentation of a structural unit, the main types of medical documentation, medical ethics, psychology of professional communication, basics of labor legislation, internal labor regulations, labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty "General Medicine", "Midwifery", "Nursing" and a specialist certificate in the specialty "Nursing", "General Practice", "Nursing in Pediatrics" without any work experience requirements.

Senior nurse - secondary vocational education (advanced level) in the specialty "General Medicine", "Midwifery", "Nursing" and a specialist certificate in the specialty "Nursing", "General Practice", "Nursing in Pediatrics" without presentation work experience requirements.

Vacancies for the position of Nurse on the all-Russian vacancy database

Question - can we transfer a nurse with a certificate in “nursing” to the position of a senior nurse without a certificate in “health care organization”?

Answer

Answer to the question:

According to Order of the Ministry of Health of Russia dated December 20, 2012 N 1183n “On approval of the Nomenclature of Positions of Medical Workers and Pharmaceutical Workers,” the position of a senior nurse is provided. In accordance with the order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 N 541n “On approval of the Unified Qualification Directory of positions of managers, specialists and employees, section “Qualification characteristics of positions of employees in the healthcare sector”, the requirements for the position of a senior nurse are as follows:

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secondary vocational education (increased level) in the specialty "General Medicine", "Midwifery", "Nursing" and a specialist certificate in the specialty "Nursing", "General Practice", "Nursing in Pediatrics" without any work experience requirements.

The job responsibilities of the head nurse in this Order are not highlighted as a separate position, however, paragraph 5 of paragraph “General Provisions” of the “Unified Qualification Directory...” determines that the job title “senior” is established provided that the specialist supervises the performers subordinate to him.

Thus, the job responsibilities of a senior nurse basically coincide with the responsibilities of a nurse, with the exception of additional responsibilities for managing the mid-level and junior medical staff specialists subordinate to her.

Secondary education has two levels
- basic - training period 3 years
- advanced - 4 years.

An advanced level in nursing gives the specialty “nurse with advanced training” (directions may be different).

However, according to paragraph 6, persons who do not have the appropriate additional professional education or work experience established by the qualification requirements, but have sufficient practical experience and perform the job duties assigned to them efficiently and in full, on the recommendation of the certification commission a medical organization, as an exception, can be appointed to the appropriate positions, as well as persons with special training and the necessary work experience. The employer takes measures for further professional training of the mentioned persons.

Consequently, the employee can be transferred to the position of head nurse under the responsibility of the employer on the recommendation of the certification commission.

Details in the materials of the Personnel System:

Regulatory framework

Order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 N 541n

"On approval of the Unified Qualification Directory of positions of managers, specialists and employees, section "Qualification characteristics of positions of workers in the field of healthcare"

(Registered with the Ministry of Justice of the Russian Federation on August 25, 2010 N 18247)

Nurse

Job responsibilities. Provides pre-medical care and collects biological materials for laboratory research. Provides care to patients in medical institutions and at home. Sterilizes medical instruments, dressings and patient care items. Assists when a doctor performs therapeutic and diagnostic procedures and minor operations in outpatient and inpatient settings. Prepares patients for various types of studies, procedures, surgeries, and outpatient doctor appointments. Ensures the implementation of medical prescriptions. Carries out accounting, storage, use of medicines and ethyl alcohol. Maintains personal records and an information (computer) database of the health status of the population served. Manages the activities of junior medical staff. Maintains medical records. Conducts health education work among patients and their relatives to promote health and prevent diseases, promote a healthy lifestyle. Carries out the collection and disposal of medical waste. Carries out measures to comply with the sanitary and hygienic regime, the rules of asepsis and antisepsis, the conditions for sterilization of instruments and materials, and the prevention of post-injection complications, hepatitis, and HIV infection.

Must know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare; theoretical foundations of nursing; fundamentals of the diagnostic and treatment process, disease prevention, promotion of a healthy lifestyle; rules for operating medical instruments and equipment; statistical indicators characterizing the health status of the population and the activities of medical organizations; rules for the collection, storage and disposal of waste from medical organizations; the basics of the functioning of budgetary insurance medicine and voluntary health insurance; basics of valeology and sanology; basics of dietetics; basics of clinical examination, social significance of diseases; basics of disaster medicine; rules for maintaining accounting and reporting documentation of a structural unit, main types of medical documentation; medical ethics; psychology of professional communication; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty "General Medicine", "Midwifery", "Nursing" and a specialist certificate in the specialty "Nursing", "General Practice", "Nursing in Pediatrics" without any work experience requirements.

With respect and wishes for comfortable work, Ekaterina Zaitseva,

HR System expert

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In accordance with Part 1 of Art. 70 of the Federal Law of the Russian Federation No. 323-FZ, the attending physician is appointed by the head of the medical organization (division of the medical organization) or is selected by the patient taking into account the consent of the doctor. If a patient requests a replacement doctor, the head of a medical organization (division of a medical organization) must facilitate the patient’s choice of another doctor in the manner established by the authorized federal executive body.

The attending physician organizes timely qualified examination and treatment of the patient, provides information about the state of his health, at the request of the patient or his legal representative, invites specialist doctors for consultations, and, if necessary, convenes a council of doctors for the purposes established by Part 4 of Article 47 of this Federal Law. Recommendations of consultants are implemented only in agreement with the attending physician, with the exception of cases of emergency medical care (Part 2 of Article 70).

The attending physician, in agreement with the relevant official (head) of the medical organization (division of the medical organization), may refuse to monitor the patient and his treatment, and also notify in writing of the refusal to perform an artificial termination of pregnancy, if the refusal does not directly threaten the patient’s life and health of others. If the attending physician refuses to monitor the patient and treat the patient, as well as in the event of a written notification of refusal to perform an artificial termination of pregnancy, the official (head) of the medical organization (division of the medical organization) must organize a replacement of the attending physician (Part 3 of Art. 70).

The attending physician, when recommending a medicinal product, medical device, specialized medical nutrition product or breast milk substitute to a patient, is obliged to inform the patient about the possibility of receiving the corresponding medicinal product, medical device, specialized medical food product or breast milk substitute without charging a fee in accordance with the legislation of the Russian Federation. Federation (Part 4, Article 70).

The attending physician establishes a diagnosis, which is based on a comprehensive examination of the patient and a medical report drawn up using medical terms about the patient’s disease (condition), including the cause of the patient’s death (Part 5 of Article 70).

The diagnosis, as a rule, includes information about the underlying disease or condition, concomitant diseases or conditions, as well as complications caused by the underlying disease and concomitant disease (Part 6 of Article 70).

Certain functions of the attending physician for the direct provision of medical care to the patient during the period of observation and treatment, including the prescription and use of medications, including narcotic drugs and psychotropic drugs, by the head of a medical organization when organizing the provision of primary health care and emergency medical services may be assigned to a paramedic or midwife in the manner established by the authorized federal executive body (part 7 of article 70).

Doctor's oath contained in Art. 71 of the Federal Law of the Russian Federation No. 323-FZ, according to which Persons who have completed the educational program of higher medical education, upon receipt of a document on education and qualifications, take a doctor’s oath with the following content:

“Receiving the high title of doctor and starting my professional activities, I solemnly swear:

honestly perform your medical duty, devote your knowledge and skills to the prevention and treatment of diseases, preserving and strengthening human health;

be always ready to provide medical care, maintain medical confidentiality, treat the patient with care and attention, act exclusively in his interests, regardless of gender, race, nationality, language, origin, property and official status, place of residence, attitude to religion, beliefs, affiliation to public associations, as well as other circumstances;

show the highest respect for human life, never resort to euthanasia;

remain grateful and respectful to your teachers, be demanding and fair to your students, and promote their professional growth;

treat colleagues kindly, turn to them for help and advice if the interests of the patient require it, and never refuse colleagues help and advice;

constantly improve your professional skills, protect and develop the noble traditions of medicine.”

The doctor's oath is taken in a solemn atmosphere.

Federal Law No. 323-FZ does not contain articles specifically devoted to paramedical workers. However, it is necessary to separately consider qualification characteristics of a nurse , set out in the Unified Qualification Directory of Positions for Managers, Specialists and Employees, approved by Order of the Ministry of Health and Social Development of the Russian Federation (Ministry of Health and Social Development of Russia) dated July 23, 2010 No. 541n, in the section “Qualification characteristics of positions of workers in the field of healthcare.”

The qualification characteristics of the nurse indicate:

« Job responsibilities. Provides pre-medical care and collects biological materials for laboratory research. Provides care to patients in medical institutions and at home. Sterilizes medical instruments, dressings and patient care items. Assists when a doctor performs therapeutic and diagnostic procedures and minor operations in outpatient and inpatient settings. Prepares patients for various types of studies, procedures, surgeries, and outpatient doctor appointments. Ensures the implementation of medical prescriptions. Carries out accounting, storage, use of medicines and ethyl alcohol. Maintains personal records and an information (computer) database of the health status of the population served. Manages the activities of junior medical staff. Maintains medical records. Conducts health education work among patients and their relatives to promote health and prevent diseases, promote a healthy lifestyle. Carries out the collection and disposal of medical waste. Carries out measures to comply with the sanitary and hygienic regime, the rules of asepsis and antisepsis, the conditions for sterilization of instruments and materials, and the prevention of post-injection complications, hepatitis, and HIV infection.

Must know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare; theoretical foundations of nursing; fundamentals of the diagnostic and treatment process, disease prevention, promotion of a healthy lifestyle; rules for operating medical instruments and equipment; statistical indicators characterizing the health status of the population and the activities of medical organizations; rules for the collection, storage and disposal of waste from medical organizations; the basics of the functioning of budgetary insurance medicine and voluntary health insurance; basics of valeology and sanology; basics of dietetics; basics of clinical examination, social significance of diseases; basics of disaster medicine; rules for maintaining accounting and reporting documentation of a structural unit, main types of medical documentation; medical ethics; psychology of professional communication; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty “General Medicine”, “Midwifery”, “Nursing” and a specialist certificate in the specialty “Nursing”, “General Practice”, “Nursing in Pediatrics” without any work experience requirements.

Senior nurse - secondary vocational education (advanced level) in the specialty “General Medicine”, “Midwifery”, “Nursing” and a specialist certificate in the specialty “Nursing”, “General Practice”, “Nursing in Pediatrics” without presentation work experience requirements."