Other personnel in healthcare facilities. New professional standard “Junior medical personnel”

29.09.2019

Hello friends! Let's talk today about one of the most attractive and significant professions for humanity - a medical worker.

A white coat, a phonendoscope, a syringe - any child associates these items with the profession of a doctor. As children, she seemed mysterious and very interesting to us: it’s so wonderful to help people.

Two sides of the same profession

Not many people make their childhood dream come true - over the years they come to understand how difficult and responsible the work of a medical worker is. And yet, this particular profession remains one of the most popular and in demand in society.

Competition in medical universities remains consistently high, it is not easy to get into medical colleges today. Many people dream of obtaining a higher or secondary specialized medical education.

In addition to the moral and humanistic aspects, some people are also attracted to the profession by the material component. It is no secret that the specialty of a dentist, for example, is not only in demand, but also well paid. Have medical workers and benefits:

early retirement;
preferential mortgage;
opportunity to receive one million rubles for housing in rural areas;
annual additional paid leave, etc.

To understand who has the right to them, you need to clearly understand who is a medical professional. Let's find out.

Who is who and where is it written?

Not every person who works in a clinic or hospital can be considered a medical worker.

For example, you are an accountant and work conscientiously for the benefit of medical institution, but... you have nothing to do with medical workers.

Or another example - you are an instructor-methodologist in physical therapy, but you have never received a higher medical education. It may seem strange, but you are the medical professional.

To avoid confusion and guesswork, the Ministry of Health has issued an order that includes a clear list of professions that give you the right to be called a health worker. It's called nomenclature.

Everything related to medicine, according to the document, is divided into groups. These are the leaders; specialists with higher specialized (namely medical) education, that is, doctors (including trainee doctors); those who have higher professional, but not medical education; specialists who have received secondary vocational (medical) education, or otherwise nursing staff; and other positions of medical workers (junior medical personnel).

The concept of pharmaceutical workers is also reflected in the nomenclature - they are separated into a separate group. That is, if you are a pharmacist, or a pharmacist, or a packer, you are not considered a health worker.

The document was adopted in December 2012, and in August 2014 changes were made to it. The list covers all profiles of medical activity: the list of doctors alone includes more than 100 names.

Issues of protecting the health of citizens are regulated Federal law. There is also a definition of who medical workers are. Let's just say mandatory requirements are the presence of a certain education, work in relevant institutions and the implementation of medical activities.

At the same time, the above applies to both employees of government agencies and private entrepreneurs.

Where can I work?

Higher educational institutions and colleges are places where a person who has chosen the medical profession can receive an education. Where do graduates of these institutions work?

It is clear that first of all we will talk about such well-known institutions as clinics and hospitals. But the list of health care and other institutions where doctors and nurses work is much wider.

These can easily include maternity hospitals, dispensaries, medical and sanitary units of enterprises or military units, clinics where scientific research is carried out, hospitals for military personnel, veterans, disabled people, maternity hospitals, and sanatoriums.

IN modern conditions In almost every major settlement you will find private diagnostic centers, non-governmental centers for the provision of medical care, paid dental clinics, etc.

We should not forget that medical workers also work in other institutions, seemingly not directly related to healthcare. However, how many of us can imagine that in kindergarten or the school will not have a medical worker, his work in health camps, boarding homes, orphanages, etc. is mandatory.

In the medical field, professions such as bioengineering and biotechnology are in demand. The study of bacteria, viruses, genetic technologies - all these are areas without which it is impossible to imagine modern medicine and in which medical workers work.

Is modern criminology possible without forensic medical and psychiatric examinations? Of course not. This activity as a forensic expert will also qualify you to be called a medical professional.

What's happening today

The profession of a medical worker today again attracts many young men and women who choose their life path. After recent years, when the prestige of the profession declined and the most dedicated people in the field went to medical schools, its revival is being observed.

Despite the fact that you need to study at the institute for many years, constantly improve your qualifications, and work in difficult psychological conditions, young people strive to become doctors and nurses.

Unfortunately, it is not yet possible to talk about the popularity of the profession that was observed during the times Soviet Union. Doctors were treated with great respect, they were revered in society, and having such a profession was considered prestigious.

But still, the desire for this humane and sought-after profession, the desire to help people is inherent in human nature itself. It is important that the state pays the most attention to the healthcare industry close attention and carried out real changes in it.

Society needs healthy citizens, and the role of highly qualified medical workers in this is one of the main ones.

Wikimedia Foundation. 2010.

See what “Medical personnel” is in other dictionaries:

MEDICAL STAFF- MEDICAL STAFF, honey. workers serving honey. san. institutions. M. senior doctors, dentists; M. p. average med. nurses, paramedics, paramedics, midwives, dental technicians, x-ray technicians, prosecturists and laboratories,... ... Great Medical Encyclopedia

medical staff- medical staff [Department of Linguistic Services of the Sochi 2014 Organizing Committee. Glossary of terms] EN Sports topics (general terminology) Synonyms medical personnel EN medical personnel ... Technical Translator's Guide

Medical personnel in armed conflict- Medical personnel means persons who are appointed by a party to the conflict exclusively for the medical purposes listed in the third paragraph of Article E, for the administrative and economic support of medical units ... Official terminology

The legislation of almost all civilized countries and ordinary everyday practice have developed the idea of a doctor as a person who has received a higher medical education, the extent of which is standardized by law, and who has the right to comprehensive medicine. practices...... Encyclopedic Dictionary F. Brockhaus and I.A. Ephron

Military medical personnel- Medical personnel are persons who are part of medical units and are appointed (permanently or temporarily for a certain period) by a party to an armed conflict, exclusively for medical purposes (search, evacuation, ... ... Official terminology

- (from Latin persona). The personnel of a well-known assembly, a set of persons involved in some kind of business. Dictionary foreign words, included in the Russian language. Chudinov A.N., 1910. STAFF personnel mainly of the theater, but also of other institutions... Dictionary of foreign words of the Russian language

Contents 1 Tel Aviv medical center(TAMATS) named after. Soraski 2 Medical tourism ... Wikipedia

STAFF, personnel, many. no, collected, husband (from Latin personalis personal). 1. All employees of any institution; personnel of some institution (official obsolete). || Employees belonging to the same professional category (official).... ... Dictionary Ushakova

personnel directly working on barometric devices- Doctors and nursing staff of the HBOT unit conducting HBOT treatment sessions; Source: GOST R 51316 99: Single-seat medical stationary pressure apparatus. General technical requirements … Dictionary-reference book of terms of normative and technical documentation

This article may contain original research. Add links to sources, otherwise it may be set for deletion. More information may be on the talk page. (May 13, 2011) ... Wikipedia

Books

Clinical dermatology. Allergic Dermatoses, Thomas P. Habiff. This book is practical guide, which can also be used as a reference resource by both experienced and novice doctors, as well as medical teachers...
Clinical laboratory diagnostics. Textbook for nurses, Kishkun A.A.. V textbook the main organizational aspects of performing laboratory research are presented. The role of the nurse in the laboratory testing process is comprehensively reviewed.…

In the staffing table of the boarding house there is only the position of a cleaner, due to a reduction in the staffing levels of junior medical staff. Is such a situation possible?

Answer

In accordance with the letter of the Ministry of Health of the Russian Federation dated October 25, 2012 No. 16-5/10/2-3238, other personnel in healthcare institutions are non-medical personnel, i.e. workers and employees who do not have a medical education and perform activities not related to diagnostic and treatment process, including cleaners, janitors, etc.) supporting the activities of a medical organization.

In accordance with the Nomenclature of Positions of Medical Workers and Pharmaceutical Workers, approved. By order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1183n, the housewife and nurse are classified as junior medical personnel.

In accordance with Art. 57 of the Labor Code of the Russian Federation, the labor function (work according to the position in accordance with the staffing table, profession, specialty indicating qualifications; specific type of work entrusted to the employee) is prerequisite employment contract.

Changing the terms of an employment contract determined by the parties is allowed only by agreement of the parties to the employment contract (Article 72 of the Labor Code of the Russian Federation), with the exception of the case of changing the terms of the employment contract determined by the parties for reasons related to changes in organizational or technological working conditions (Article 74 of the Labor Code of the Russian Federation).

Accordingly, a sister-housekeeper or nurse can be transferred to another position (other personnel of healthcare institutions) either by agreement of the parties, or by carrying out organizational measures related to changing the staffing table.

Regardless of who initiates the transfer, the basis for issuing the order is changes to the employment contract. Draw up changes to the employment contract in the form of an additional agreement (Articles 57, 72 and 72.1 of the Labor Code of the Russian Federation). If the transfer is initiated by an employee, he writes a transfer application. If the administration of the organization, you need to obtain the employee’s written consent to the transfer. In practice, consent is most often formalized as follows. The employee writes on the transfer order: “I agree to the transfer.” At the same time, the employee must be notified before issuing the order (Articles 72 and 73 of the Labor Code of the Russian Federation). There is no unified form of notification, so an organization can draw it up in free form. On it, the employee must express in writing his consent or disagreement with the transfer

Job responsibilities for the new position must differ from the responsibilities specified in the Unified Qualification Directory of Positions of Managers, Specialists and Employees (approved by Order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 No. 541n), since in accordance with Art. 72.1 of the Labor Code of the Russian Federation, transfer to another job is a change in labor function.

Simple renaming of a position while maintaining the previous ones job responsibilities unacceptable , since it contradicts the Unified Qualification Directory and the Nomenclature of Positions of Medical Workers and Pharmaceutical Workers (approved by Order of the Ministry of Health of the Russian Federation dated December 20, 2012 No. 1183n).

Besides, It should be noted that a sister-housekeeper and a nurse have broader job responsibilities than, for example, a cleaner, and if you replace sister-housekeepers in the staffing table, for example, with cleaners, then some of the job responsibilities will remain not covered.

The salary amount for any newly introduced staffing table positions should be established in accordance with the remuneration system adopted in this institution.

How to transfer an employee to permanent work within the same organization

The Labor Code of the Russian Federation provides for two types of transfers to another job: temporary (Article 72.2 of the Labor Code of the Russian Federation) and permanent.

Types of permanent transfer

With a permanent transfer, an employee can be transferred:

on new job at the current employer;
to another employer;
to another location with the employer.

The reasons for transferring to a new job in the same organization may vary. For example, expansion or contraction of the organization's activities; problem solving career growth personnel; certification results, according to which the employee is promoted or demoted; medical indications etc. (Articles 72.1, 73, Part 3 of Article 81 of the Labor Code of the Russian Federation).

The difference between translation and displacement

It is necessary to distinguish between transfer to another job within the same organization and relocation. In both cases, the employee remains employed within the same organization. However, these concepts are not identical. When an employee moves, his workplace. At the same time, the terms of the employment contract and the labor function remain the same. That is, the employee performs the same work when changing jobs. In this case, there is no need to obtain consent to move the employee himself.

When transferring, the terms of the employment contract and the employee’s job function change. The employee is considered transferred to new position in the same organization (without changing location) if at least one of the conditions is met:

change in the labor function provided for in the employment contract. At the same time, the place of work may change or remain the same;
change in the structural unit in which the employee works. In the case where the structural unit as the place of work was indicated in the employment contract with the employee.

Transfer is permitted only with the written consent of the employee. It is prohibited to transfer an employee to a job that is contraindicated for him due to health reasons.

Such rules are established by Article 72.1 Labor Code RF and explained in paragraph 16 of the resolution of the Plenum of the Supreme Court of the Russian Federation dated March 17, 2004 No. 2.

Situation: Is it a transfer to change the title of an employee’s position without changing the job function?

No, it is not.

Changing the title of a position without changing the job function is not considered a transfer. This conclusion can be made on the basis of Part 1 of Article 72.1 of the Labor Code of the Russian Federation.

Who can initiate the transfer?

Transfer to permanent work within one organization is possible on the initiative of:

employee;
employer.

This procedure is provided for in Articles 72 and 72.1 of the Labor Code of the Russian Federation.

Documentation

If the transfer is initiated by an employee, he writes a transfer application. If the administration of the organization, you need to obtain the employee’s written consent to the transfer. In practice, consent is most often formalized as follows. The employee writes on the transfer order: “I agree to the transfer.” At the same time, the employee must be notified before issuing the order (Articles 72 and 73 of the Labor Code of the Russian Federation). There is no unified form of notification, so an organization can draw it up in any form. On it, the employee must express in writing his consent or disagreement with the transfer. If an employee refuses to transfer, he can be fired:

By at will(clause 3, part 1, article 77 of the Labor Code of the Russian Federation);
by agreement of the parties (clause 1, part 1, article 77 of the Labor Code of the Russian Federation);
to reduce the number or staff (clause 2, part 1, article 81 of the Labor Code of the Russian Federation).

If the initiative to transfer comes from the head of a structural unit, you need to prepare a proposal for the transfer. In this document, the head of the unit must characterize the professional and business qualities employee and justify the reason for the transfer. At the presentation, the head of the organization puts his resolution.

At the same time, to issue an order for the transfer, public sector organizations of their own choice can:

use the unified order form (No. T-5, No. T-5a), approved by Resolution of the State Statistics Committee of Russia dated January 5, 2004 No. 1;
use your own developed form.

Please note that when transferring an employee within the same organization, the employer cannot establish for him probation(Article 70 of the Labor Code of the Russian Federation).

Record of transfer to work book Enter the employee no later than a week from the date of transfer (clause 10 of the Rules approved by Decree of the Government of the Russian Federation of April 16, 2003 No. 225).

At the end of the procedure, make a note about the transfer in the employee’s personal card. Introduce it to the employee against his signature.

News

Standards for junior medical staff have appeared

Professional standards have been approved for two positions:

junior nurse for patient care;
orderly

In particular, educational requirements for such workers have been established. It is enough for a nurse to have a secondary general education. Those who have completed professional training for the position of “Orphan” will receive an advantage in employment. But the junior nurse must have a specialized education. The options are:

secondary general education and vocational training for the position of “Junior nurse for patient care”;
secondary vocational education in one of three specialties: “Nursing”, “General Medicine”, “Midwifery”. In this case, the specialist must master educational programs training of qualified workers (employees) for the position of “Junior nurse for patient care”.

The Ministry of Health recommended not to reduce the salaries of orderlies transferred to the position of cleaner. Letter of the Ministry of Health of Russia dated 02/07/2018 N 16-3/10/2-705 “On the transfer of junior medical personnel to office cleaners.”

Certification of junior medical personnel

According to Order No. 541n dated July 23, 2010 “Qualification characteristics of positions of workers in the healthcare sector”, as well as the Order of the Ministry of Labor and social protection Russian Federation dated January 12, 2016 N 2n “On approval of the professional standard “Junior Medical Personnel” in all healthcare institutions the qualifications (certification) of junior medical personnel are assessed for compliance of the job functions performed with the requirements of the professional standard.

Mandatory professional standard “Junior medical personnel”

The need to conduct qualification certification of junior medical staff is dictated by Article 195.3 of the Labor Code of the Russian Federation. This article indicates that professional standards are mandatory for execution only in that part where the qualification requirements necessary for the performance of labor functions are determined. Otherwise, the professional standard is advisory in nature. IN professional standard (download document in pdf format) determined qualification requirements, and junior medical staff must correspond to them: junior nurse (brother) for patient care, orderly

What to do if an employee has not passed the certification?

Termination of an employment contract: If during the assessment of the qualifications of a junior med. personnel it turns out that the work they perform labor functions do not meet the qualification requirements of the professional standard, then this employee may be terminated employment contract based onparagraph 3, part one, article 81 of the Labor Code . It is important to keep in mind that termination of the contract occurs on the basis of:

Inconsistency of the employee with the position held,

Inconsistency of the employee with the work performed due to insufficient qualifications.

Transfer to the position of office cleaner : If the employee only cleans the premises, then he can be transferred to the position of cleaner. To do this, the employer makes changes to the staffing table. The same is done if the organization is reducing the number and staff of employees: junior staff,according to part three of article 81 of the Labor Code , the position of cleaner is offered.

What requirements must junior medical staff meet - professional standards

According to the Order of the Ministry of Labor and social development dated January 12, 2016 No. 2n “On approval of the professional standard “Junior Medical Personnel”, these specialists can have one of 2 qualification categories: 2nd and 4th.

Orderly(2nd qualification category) must ensure the sanitary maintenance of wards, specialized offices, the movement of material objects and medical waste, and care for the body of a deceased person. He must have a secondary general education and undergo vocational training for the position of "Orphan". He must be able to provide first aid, disinfect care items, equipment, supplies and medical products. Carry out pre-sterilization cleaning of medical devices.

Must know infection safety requirements, comply with sanitary, hygienic and anti-epidemic regimes when transporting material objects.

Junior nurse for patient care (4th qualification category) ). These specialists must have secondary general education and vocational training for the position of "Junior nurse for patient care"orSecondary vocational education in the specialties "Nursing", "General Medicine", "Midwifery" - educational programs for training qualified workers (employees) for the position of "Junior Nurse for Patient Care".

Labor responsibilities of premises cleaners and their salaries

If an orderly has been transferred to the position of a cleaner, then it is prohibited to assign him the labor functions of an orderly. The cleaner should only be engaged in cleaning office premises, in accordance with the description of job functions,in Resolution of the Ministry of Labor of Russia of November 10, 1992 N 31 .

Training of junior medical personnel

Junior medical personnel include junior nurses, housekeepers and nurses.

The junior nurse (nursing nurse) helps the ward nurse in caring for the sick, changes linen, ensures that the patients and the hospital premises are kept clean and tidy, participates in the transportation of patients, and monitors patients’ compliance with the hospital regime.

The housewife sister deals with household issues, receives and issues linen, detergents and cleaning equipment and directly supervises the work of the nurses.

Nurses: the range of their responsibilities is determined by their category (ward nurse, barmaid, nurse, cleaner, etc.).

The general responsibilities of junior medical staff are as follows.

1. Regular wet cleaning of premises: wards, corridors, common areas, etc.

2. Assisting a nurse in caring for patients: changing linen, feeding seriously ill patients, hygienic provision of physiological functions of seriously ill patients - serving, cleaning and washing vessels and urinals, etc.

3. Sanitary and hygienic treatment of patients.

4. Accompanying patients for diagnostic and treatment procedures.

5. Transportation of patients.

In more detail, the job responsibilities of nursing and junior medical personnel are regulated 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 N 541n, Moscow

Ward nurse (guard nurse)

Job responsibilities. Provides care and supervision to patients based on the principles of medical deontology. Receives and places patients in the ward, checks the quality of sanitary treatment of newly admitted patients. Checks packages for patients to prevent the intake of contraindicated foods and drinks. Participates in rounds of doctors in the wards assigned to her, reports on the condition of patients, records prescribed treatment and care for patients in a journal, and monitors patients' compliance with the attending physician's orders. Provides sanitary and hygienic services to the physically weakened and seriously ill. Follows the orders of the attending physician. Organizes examination of patients in diagnostic rooms, with consultant doctors and in the laboratory. Immediately informs the attending physician, and in his absence, the head of the department or the doctor on duty about a sudden deterioration in the patient's condition. Isolates patients in agony and calls a doctor to carry out the necessary resuscitation measures. Prepares the corpses of the deceased for sending them to the pathology department. While on duty, she inspects the premises assigned to her, checks the condition of electric lighting, the availability of hard and soft equipment, medical equipment and instruments, and medicines. Signs for reception of duty in departments. Monitors the compliance of patients and their relatives with the regimen of visits to the department. Monitors the sanitary maintenance of the wards assigned to her, as well as the personal hygiene of patients, the timely administration of hygienic baths, and the change of underwear and bed linen. Ensures that patients receive food according to the prescribed diet. Maintains medical records. Assigns duty in the wards at the bedside of patients. Provides strict accounting and storage of drugs of groups A and B in special cabinets. Carries out the collection and disposal of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the premises, 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.

Should 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; rules for the collection, storage and disposal of waste from medical institutions; the basics of the functioning of budgetary insurance medicine and voluntary health insurance; basics of valeology and sanology; basics of disaster medicine; rules for maintaining accounting and reporting documentation of a structural unit, main types of medical documentation; medical ethics and deontology; 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", "Nursing in Pediatrics", "General Practice" without any work experience requirements.

Treatment room nurse

Job responsibilities. Performs procedures prescribed by the attending physician and authorized to be performed by nursing staff. Helps with manipulations that only a doctor has the right to perform. Takes blood from a vein for testing and sends it to the laboratory. Provides accounting and storage of drugs of groups A and B in special cabinets. Ensures compliance with the rules of asepsis and antisepsis in the treatment room during procedures. Sterilizes instruments and materials. Draws up requirements for obtaining instruments, equipment, medicines and dressings and receives them in the prescribed manner. Maintains accounting and reporting documentation. Monitors the sanitary and hygienic maintenance of the treatment room. Carries out the collection and disposal of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the premises, 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.

Should know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare; theoretical foundations of nursing; basics of the diagnostic and treatment process; rules for operating medical instruments and equipment; rules for the collection, storage and disposal of waste from medical institutions; the basics of the functioning of budgetary insurance medicine and voluntary health insurance; basics of valeology and sanology; 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

Dressing room nurse

Job responsibilities. Performs procedures prescribed by the attending physician and authorized to be performed by nursing staff. Accompanies seriously ill patients to the ward after manipulations. Prepares instruments, syringes, droppers for sterilization. Carries out systematic sanitary and hygienic control of the dressing room. Provides systematic replenishment, accounting, storage and consumption of medicines, dressings, instruments and linen. Instructs junior medical staff in the dressing room and supervises their work. Maintains medical records. Carries out the collection and disposal of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the premises, 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.

Should 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; rules for the collection, storage and disposal of waste from medical institutions; the basics of the functioning of budgetary insurance medicine and voluntary health insurance; basics of valeology and sanology; 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.

Operating room nurse

Job responsibilities. Prepares the operating room, members of the surgical team, surgical instruments, linen, suture and dressing materials, and equipment for the operation. Monitors the timeliness of patient transportation, as well as the routes of movement of the surgical team in accordance with the sterility zones in the operating unit. Ensures infection safety of the patient and medical personnel, and also ensures compliance with the rules of asepsis and antisepsis by all personnel in the operating room. Prepares the patient for surgery: creates the necessary surgical position on the operating table, treats the surgical field, and ensures isolation of the surgical field. Participates in surgical operations, provides members of the surgical team with the necessary tools, materials, and equipment. Provides early postoperative care for the patient and prevention of postoperative complications. Monitors the timely referral of biological material taken from the patient during surgery for histological and bacteriological examination. Conducts quantitative accounting of the instruments used, suture and dressing materials, linen, medicines and equipment. Performs primary disinfection treatment of used instruments, materials and equipment. Monitors the sterilization of linen, dressings and suture materials, instruments and equipment. Prepares and monitors the operation of equipment located in the operating room. Replenishes consumables. Maintains medical records. Provides first aid in emergency situations. Carries out the collection and disposal of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the premises, 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.

Should know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare; theoretical foundations of nursing; organization of surgical care, ambulance and emergency medical care for the population; procedure for obtaining, recording, storing, using medicines, incl. narcotic drugs and strictly controlled drugs, dressings and suture materials, clothing, linen, surgical gloves; infection control system, infection safety of patients and medical personnel; rules of asepsis and antiseptics; types, forms and methods of rehabilitation; organizing and conducting activities for the rehabilitation of patients with surgical diseases and injuries; organization of surgical care according to the principle of “1 day surgery”; basics of perioperative nursing care; modern methods disinfection and sterilization; basics of transfusiology; types of bleeding and ways to stop them; rules of general and local anesthesia; design and principles of operation of anesthesia-respiratory equipment; rules for the collection, storage and disposal of waste from medical institutions; fundamentals of disaster medicine and military surgery; 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 "Operations" without any work experience requirements.

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

Nurse anesthetist

Job responsibilities. Participates in surgical operations. Participates in general and pre-anesthesia preparation of patients for surgery, monitors patients in the early postoperative period, and participates in the prevention of complications during and after operations. Prepares anesthesia-respiratory and control-diagnostic equipment and the workplace for work, monitors the serviceability and correct operation of the equipment. Monitors the patient’s condition during anesthesia, intensive care and resuscitation, as well as the safety, use, and dosage of medications during pre-anesthesia preparation, anesthesia, and the post-anesthesia period. Organizes and conducts nursing care for postoperative patients. Ensures infection safety of patients and medical personnel, infection control, aseptic and antiseptic requirements. Processes anesthesia-respiratory and control-diagnostic equipment after use. Maintains medical records. Provides first aid in emergency situations. Carries out the collection and disposal of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the premises, the conditions for sterilization of instruments and materials, and the prevention of post-injection complications, hepatitis, and HIV infection.

Should know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare; theoretical foundations of nursing; modern methods of general, local and regional anesthesia; basics of clinical and pharmacological justification of the drugs used during anesthesia and intensive care; methods of preoperative examination, preparation for surgery (anesthesia, premedication); age-related anatomical and physiological characteristics; theoretical foundations of resuscitation; modern methods of intensive care and resuscitation for various diseases and critical conditions; types, forms and methods of rehabilitation; infection control system, infection safety of patients and medical personnel of a medical organization; rules of asepsis and antiseptics; rules for the collection, storage and disposal of waste from medical institutions; a system of interaction between a medical organization and sanitary and epidemiological institutions; 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 "Anesthesiology and Reanimatology" without any work experience requirements.

Junior nursing nurse

Job responsibilities. Assists in patient care under the direction of a nurse. Performs simple medical procedures (placement of cups, mustard plasters, compresses). Ensures that patients and premises are kept clean. Ensures proper use and storage of patient care items. Changes bed and underwear. Participates in the transportation of seriously ill patients. Monitors compliance by patients and visitors with the internal regulations of the medical organization. Carries out the collection and disposal of medical waste. Carries out measures to comply with the rules of asepsis and antisepsis, conditions for sterilization of instruments and materials, and the prevention of post-injection complications, hepatitis, and HIV infection.

Should know: techniques for performing simple medical procedures; rules of sanitation and hygiene, patient care; rules for the collection, storage and disposal of waste from medical institutions; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Primary vocational education in the specialty "Nursing" without requirements for work experience or secondary (complete) general education, additional training in the field of professional activity without requirements for work experience.

Sister-hostess

Job responsibilities. Supervises the work of nurses and cleaners in keeping the premises of a medical organization (unit) clean and in order, provides the serviced unit with household equipment, special clothing, hygiene items, office supplies, detergents, bed and underwear for patients. Changes gowns and towels for employees of medical organizations. Draws up requests for repairs of premises, equipment, inventory and monitors its implementation. Provides food units (buffet, canteen) with equipment, utensils and ensures their correct labeling and use. Maintains accounting and reporting documentation.

Should know: expiration dates of linen and equipment used in a medical organization (unit); methods of sanitizing equipment; conditions of operation and storage of equipment; forms of accounting and reporting documentation and rules for filling them out; rules for observing the sanitary and hygienic regime in a medical organization (unit); internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary (complete) general education and additional training in the field of professional activity without presenting requirements for work experience.

Nurse

Job responsibilities. Cleans premises in a medical organization. Assists the senior nurse in obtaining medications, instruments, equipment and delivering them to the department. Receives from the housewife and ensures proper storage and use of linen, household equipment, dishes and detergents. Cleans bedside tables for bedridden patients after each meal. As directed by the ward nurse, accompanies patients to diagnostic and treatment rooms. Acts as a courier and washes pharmaceutical glassware. Informs the sister-housewife about malfunctions in the heating system, water supply, sewerage and electrical appliances. Prepares rooms and baths. Systematically (after each patient) carries out sanitary and hygienic treatment of the bathtub and washcloths. Assists patients in taking a hygienic bath, undressing and dressing. In the absence of a junior nurse, he receives underwear and bed linen from the housewife and changes it. Receives ready-made food at the catering unit, checks it by weight and count. Signs the handout sheet. Heats food. Distributes hot food to patients according to the menu and prescribed diet. Washing dishes, cleaning the pantry and dining room, observing sanitary requirements. Systematically cleans refrigerators intended for storing food for patients. Provides sanitary and hygienic maintenance of the pantry and dining room. Promptly informs department management about the need to repair pantry equipment and inventory.

Should know: rules of sanitation and occupational hygiene; purpose of detergents and rules for handling them; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary (complete) general education without any work experience requirements.