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 (having; not having) (I, II, highest) qualification category (s) is appointed to the position of a nurse .

3. Appointment to the position of a nurse and dismissal from it is carried out 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 issues.

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

4.3. The organizational structure of the healthcare facility.

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

4.5. Labor legislation.

4.6. Internal labor regulations.

4.7. Rules and norms of labor protection, safety measures, industrial sanitation and fire protection.

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

II. Job Responsibilities

Nurse:

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

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

3. Timely and efficiently performs preventive and treatment-diagnostic procedures prescribed by a doctor. Assists in the doctor's treatment and diagnostic manipulations and minor operations in outpatient and inpatient settings.

4. Provides emergency first aid in case of acute illnesses, accidents and various types of disasters, followed by a doctor's call to the patient or referral to the nearest medical institution.

5. Introduces drugs, anti-shock agents (in case of anaphylactic shock) to patients for health reasons (if the doctor cannot arrive to the patient in time) in accordance with the established procedure for this condition.

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

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

8. Collaborates with colleagues and other service providers on behalf of the patient.

9. Maintains approved medical records and reports.

10. Systematically improves his professional qualifications.

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

III. Rights

The nurse has the right to:

1. To apply conservative methods of treating patients as prescribed by a doctor, to carry out certain medical procedures.

2. Receive the information necessary for the accurate performance of their professional duties.

3. Make suggestions to improve 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 their 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. A responsibility

The nurse is responsible for:

1. For improper performance or non-performance of their official duties provided for by this job description to the extent 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 of July 23, 2010 N 541n
"On Approval of the Unified Qualification Directory for the Positions of Managers, Specialists and Employees, Section "Qualification Characteristics of the Positions of Workers in the Sphere of Health"

With changes and additions from:

Registration N 18247

The qualification characteristics of the positions of workers in the field of healthcare are determined.

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

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

The qualification description of each position contains 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, vocational education are taken into account.

The second contains the basic requirements for special knowledge. We are also talking about the provisions, instructions, methods and means that the employee must be able to apply in the performance of official duties.

The third one establishes the levels of vocational education necessary to fulfill the assigned duties, and the required length of service.

Persons who do not have the required additional vocational education or work experience, but who have sufficient practical experience and who perform their duties in a quality and full manner, may be appointed to the appropriate positions on the recommendation of the attestation commission.

Order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On Approval of the Unified Qualification Handbook for the Positions of Managers, Specialists and Employees, Section" Qualification Characteristics of the Positions of Employees in the Healthcare Sphere "

EKSD 2018. Edition dated April 9, 2018
To search for approved professional standards of the Ministry of Labor of the Russian Federation, use reference book of professional standards

Nurse

Job responsibilities. Provides pre-hospital medical care, collects biological materials for laboratory research. Provides care to patients in a medical organization and at home. Performs sterilization of medical instruments, dressings and patient care items. Assists in the doctor's treatment and diagnostic manipulations and minor operations in outpatient and inpatient settings. Conducts preparation of patients for various kinds of research, procedures, operations, for outpatient doctor's appointments. Ensures fulfillment of medical orders. Carries out accounting, storage, use of medicines and ethyl alcohol. Maintains personal records, information (computer) database of the health status of the population served. Supervises the activities of junior medical staff. Maintains medical records. Carries out sanitary-educational work among patients and their relatives on health promotion and disease prevention, promotion of a healthy lifestyle. Collects and disposes of medical waste. Carries out measures to comply with the sanitary and hygienic regime, aseptic and antiseptic rules, sterilization conditions for instruments and materials, prevention of post-injection complications, hepatitis, HIV infection.

Must know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare, the theoretical foundations of nursing, the basics of the treatment and diagnostic process, disease prevention, promotion of a healthy lifestyle, rules for the operation of medical instruments and equipment, statistical indicators characterizing the state of public health and the activities of medical organizations, rules for the collection, storage and disposal of waste from medical organizations, the basics of functioning of budgetary insurance medicine and voluntary medical insurance, the basics of valeology and sanology, the basics of dietology, 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, basic 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", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "Nursing", "General Practice", "Nursing in Pediatrics" without presenting requirements for work experience.

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

Jobs for the post of Nurse according to the all-Russian database of vacancies

Question - can we transfer a nurse with a certificate in "nursing" to the position of a senior nurse without a certificate in "health management"?

Answer

Answer to the question:

According to the 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 head nurse is provided. In accordance with the order of 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 for the positions of managers, specialists and employees, section" Qualification characteristics of positions of workers in the field of healthcare "the requirements for the position of a senior nurse are as follows:

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secondary vocational education (high level) in the specialty "General Medicine", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "Nursing", "General Practice", "Nursing in Pediatrics" without presenting requirements for work experience.

The duties of the head nurse in this Order are not singled out in a separate position, however, paragraph 5 of paragraph "General Provisions" of the "Unified Qualification Guide ..." determines that the official title "senior" is established provided that the specialist manages his subordinate performers.

Thus, the duties of a senior nurse basically coincide with the duties of a nurse, with the exception of additional responsibilities for the management of subordinate specialists of the middle and junior medical personnel.

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

An advanced level in nursing gives the specialty "advanced nurse" (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 who have sufficient practical experience and perform the duties assigned to them qualitatively and in full, on the recommendation of the certification committee medical organizations, as an exception, can be appointed to relevant positions, as well as persons with special training and the necessary work experience. The employer shall take measures for further professional training of the said 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 committee.

Details in the materials of the System Personnel:

Legal Framework

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

"On Approval of the Unified Qualification Directory for the Positions of Managers, Specialists and Employees, Section "Qualification Characteristics of the Positions of Workers in the Sphere of Health"

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

Nurse

Job responsibilities. Provides pre-hospital medical care, collects biological materials for laboratory research. Provides care to patients in a medical organization and at home. Performs sterilization of medical instruments, dressings and patient care items. Assists in the doctor's treatment and diagnostic manipulations and minor operations in outpatient and inpatient settings. Conducts preparation of patients for various kinds of research, procedures, operations, for outpatient doctor's appointments. Ensures fulfillment of medical orders. Carries out accounting, storage, use of medicines and ethyl alcohol. Maintains personal records, information (computer) database of the health status of the population served. Supervises the activities of junior medical staff. Maintains medical records. Carries out sanitary-educational work among patients and their relatives on health promotion and disease prevention, promotion of a healthy lifestyle. Collects and disposes of medical waste. Carries out measures to comply with the sanitary and hygienic regime, aseptic and antiseptic rules, sterilization conditions for instruments and materials, prevention of post-injection complications, hepatitis, HIV infection.

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

Qualification requirements. Secondary vocational education in the specialty "General Medicine", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "Nursing", "General Practice", "Nursing in Pediatrics" without presenting requirements for work experience.

With respect and wishes for comfortable work, Ekaterina Zaitseva,

Expert Systems Personnel

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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, subject to the consent of the doctor. In the event of a patient's request to change the attending physician, the head of the medical organization (subdivision of the 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, 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 (subdivision of the medical organization), may refuse to monitor the patient and treat him, as well as notify in writing of the refusal to perform artificial termination of pregnancy, if the refusal does not directly threaten the patient's life and the health of those around you. If the attending physician refuses to monitor the patient and treat the patient, as well as in the event of a written notification of the refusal to perform artificial termination of pregnancy, the official (head) of the medical organization (subdivision of the medical organization) must arrange for the replacement of the attending physician (part 3 of Art. .70).

The attending physician, when recommending to the patient a medicinal product, a medical device, a specialized medical food product or a breast milk substitute, is obliged to inform the patient about the possibility of receiving the appropriate 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 of article 70).

The attending physician establishes a diagnosis, which is based on a comprehensive examination of the patient and drawn up using medical terms, a medical report on the disease (condition) of the patient, including that which caused the death of the patient (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).

Separate 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 drugs, including narcotic drugs and psychotropic drugs, by the head of a medical organization when organizing the provision of primary health care and emergency medical care may be assigned to a paramedic, midwife in the manner established by the authorized federal executive body (part 7 of article 70).

Physician'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 development of an educational program of higher medical education, upon receipt of a document on education and qualifications, take an oath of a doctor with the following content:

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

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

to be always ready to provide medical assistance, to keep medical secrets, to treat the patient attentively and carefully, to act solely 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;

keep gratitude and respect for their teachers, be demanding and fair to their students, promote their professional growth;

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

constantly improve their professional skills, preserve and develop the noble traditions of medicine.

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

There are no articles in Federal Law No. 323-FZ specifically devoted to paramedical workers. However, one should consider separately qualifications for a nurse , set out in the Unified Qualification Handbook for the Positions of 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 qualifications for a nurse are as follows:

« Job responsibilities. Provides pre-hospital medical care, collects biological materials for laboratory research. Provides care to patients in a medical organization and at home. Performs sterilization of medical instruments, dressings and patient care items. Assists in the doctor's treatment and diagnostic manipulations and minor operations in outpatient and inpatient settings. Conducts preparation of patients for various kinds of research, procedures, operations, for outpatient doctor's appointments. Ensures fulfillment of medical orders. Carries out accounting, storage, use of medicines and ethyl alcohol. Maintains personal records, information (computer) database of the health status of the population served. Supervises the activities of junior medical staff. Maintains medical records. Carries out sanitary-educational work among patients and their relatives on health promotion and disease prevention, promotion of a healthy lifestyle. Collects and disposes of medical waste. Carries out activities to comply with the sanitary and hygienic regime, aseptic and antiseptic rules, sterilization conditions for instruments and materials, prevention of post-injection complications, hepatitis, HIV infection.

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