Job responsibilities of medical Job description of a medical worker. What are the responsibilities of a nurse
Nurse - This is a person who has completed a nursing education program and is sufficiently qualified and qualified to perform responsible patient care work. The tasks assigned to a nurse are extremely multifaceted.
Chief nurse
The chief nurse must have organizational skills and high professionalism. A person with a higher medical education in the specialty “Nursing” or with a secondary medical education in the specialty “General Medicine” and having a certificate “Organization of Nursing”, confirmed by the highest qualification category, is appointed to this position. The chief nurse is directly subordinate to the deputy chief physician for medical work and the chief physician. It should ensure the rational operation of the average medical personnel, conduct regular rounds of departments, checking the quality of work of nurses. Walk-throughs can be carried out during the day and evening. In addition, the responsibilities include organizing control over professional development nurses, spending medicines and dressing materials. Together with the epidemiologist, the chief nurse monitors compliance with the sanitary and epidemiological regime in the departments and the implementation of organizing orders.
Senior nurse
A person with secondary medical education, a diploma in the specialty “Nursing” or “General Medicine” and a certificate in the specialty “Organization of Nursing”, confirmed by the highest qualification category, is appointed to this position. The senior nurse is subordinate to the head of the department, deputy chief physician for medical work, chief nurse. The orders of the senior nurse are mandatory for the middle and junior medical staff of the department. In the department she is the financially responsible person. The senior nurse should:
Provide direct supervision of the activities of middle and junior staff of the department;
Carry out the placement of personnel in the department from among middle and junior personnel;
Promptly replace nurses and aides who do not return to work;
Keep records and ensure the safety of property and medical equipment of the department, timely repair of equipment;
Monitor the timeliness and quality of implementation of doctor’s prescriptions by nurses;
Monitor the quality of sanitary treatment of newly admitted patients;
Compile information about the movement of patients, monitor the timely submission of medical histories of discharged patients to the archive;
Draw up a work schedule and maintain a time sheet for department employees;
Monitor compliance by nursing and junior medical personnel with internal labor regulations and compliance with anti-epidemic measures;
Ensure and strictly monitor compliance with the rules of asepsis and antisepsis by department staff;
Write out requests to the hospital pharmacy for the necessary medications, materials, instruments, and monitor their correct use;
Ensure correct storage and accounting of potent, toxic and psychotropic substances;
Monitor the implementation of the plan for advanced training of nursing staff of the department;
Maintain the necessary accounting and reporting documentation;
Participate in the work of the hospital nursing council, scientific and practical conferences for nurses;
Draw up a vacation schedule for department employees for the year, draw up sick leave certificates for staff;
Monitor compliance with the rules of ethics and deontology by nursing and junior medical personnel;
Monitor the implementation of hygienic training and education of the population, promote a healthy lifestyle;
Ensure proper organization of nutrition for patients, draw up portion lists for patients’ meals, control the receipt and quality of food;
Ensure the organization and control of timely medical examinations for department employees.
Ward nurse
A person with a secondary medical education in the specialty “Nursing” or “General Medicine” and having the appropriate certificate is appointed to this position. The responsibilities of a ward nurse include:
Care and observation of patients in accordance with the principles of medical deontology;
Timely and accurate implementation of the attending physician's prescriptions;
Participation in rounds of attending physicians;
Sanitary and hygienic services for physically weakened and seriously ill persons;
Reception and placement of newly arriving patients, checking the quality of sanitary treatment, familiarization with internal regulations;
Checking packages for patients, preventing the intake of contraindicated products, monitoring the storage of products in refrigerators and cabinets;
Duty on wards at the patient's bedside;
Control over food intake according to the dietary table number prescribed by the attending physician;
Monitoring the timely administration of medications;
Timely and accurate execution of medical documentation;
Ensuring the safety, serviceability and readiness for use of medical instruments and protective clothing;
Professional development, participation in scientific and practical conferences for nursing staff;
Promoting a healthy lifestyle among patients and their relatives.
Treatment room nurse
A person with a secondary medical education in the specialty “Nursing” or “General Medicine” and having the appropriate certificate is appointed to this position. The treatment nurse organizes the work of the office and carries out the assigned procedures. The duties of a procedural nurse include:
Preparing the treatment room for work;
Carrying out prescribed medical procedures authorized to be performed by nursing staff;
Assistance in performing medical procedures;
Taking blood from a vein for diagnostic studies;
Strict accounting and storage of drugs of groups A and B, ensuring the availability of emergency supplies medical care;
Compliance with the rules of asepsis and antisepsis in treatment rooms;
Preparation of medical products and linen for sterilization;
Monitoring the sanitary and hygienic maintenance of the treatment room;
Maintaining the necessary accounting and reporting documentation;
Professional development;
Promoting a healthy lifestyle among patients and their relatives.
Operating room nurse
A person with a secondary medical education in the specialty “Nursing” or “General Medicine” and having the appropriate certificate is appointed to this position. The work of an operating nurse is complex and requires clarity and organization from her. Each operating nurse should:
Follow the rules of asepsis and antisepsis in the operating room;
Know the methods of preparing suture and dressing material, techniques and methods of blood transfusions;
Assist in conducting endoscopic examinations;
Know the progress of all typical operations;
Be able to apply all typical bandages, transport splints and plaster splints;
Monitor the safety and serviceability of equipment, repair faulty equipment;
Systematically replenish the operating room with the necessary medications, dressings, linen and equipment;
Directly participate in the operation as an assistant to the surgeon, and, if necessary, perform the duties of an assistant.
Job description nurse [name of organization, institution]
This job description has been developed and approved in accordance with the provisions of the order of the Ministry of Health and social development RF dated July 23, 2010 N 541n “On approval of the Unified qualification directory positions of managers, specialists and employees, section " Qualification characteristics positions of workers in the healthcare sector", and other regulations governing labor relations.
1. General Provisions
1.1. The nurse belongs to the category of specialists and is directly subordinate to [name of the manager's position].
1.2. A nurse is appointed to a position and dismissed from it by order of [position name].
1.3. A person with a secondary education is accepted for the position of nurse. professional 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.
1.4. The nurse should know:
Laws and other regulations legal acts Russian Federation in the healthcare sector;
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 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 budgetary insurance medicine and voluntary health insurance;
Fundamentals of valeology and sanology;
Basics of Dietetics;
Basics of medical examination, social significance of diseases;
Fundamentals of disaster medicine;
Rules for maintaining accounting and reporting documentation structural unit, main types of medical documentation;
Medical ethics;
Psychology of professional communication;
Basics labor legislation;
Internal labor regulations;
Rules of sanitary and personal hygiene;
Rules and regulations of labor protection, safety and fire protection.
2. Job responsibilities
The nurse has the following job responsibilities:
2.1. Providing pre-medical care, collecting biological materials for laboratory research.
2.2. Caring for patients in medical organization and at home.
2.3. Carrying out sterilization of medical instruments, dressings and patient care items.
2.4. Assisting during physician diagnostic and treatment procedures and minor operations in outpatient and inpatient settings.
2.5. Preparing patients for various types of studies, procedures, operations, and outpatient doctor appointments.
2.6. Ensuring compliance with medical prescriptions.
2.7. Carrying out accounting, storage, use of medicines and ethyl alcohol.
2.8. Maintaining personal records, information (computer) database of the health status of the population served.
2.9. Management of the activities of junior medical staff.
2.10. Maintaining medical records.
2.11. Carrying out sanitary and educational work among patients and their relatives to promote health and prevent diseases, promote a healthy lifestyle.
2.12. Collection and disposal of medical waste.
2.13. Implementation of measures to comply with the sanitary and hygienic regime, rules of asepsis and antisepsis, conditions for sterilization of instruments and materials, prevention of post-injection complications, hepatitis, HIV infection.
2.14. [Other job responsibilities].
3. Rights
The nurse has the right:
3.1. For all social guarantees provided for by the legislation of the Russian Federation.
3.2. On free issue special clothing, special shoes and other personal protective equipment.
3.3. Receive information about the activities of the organization necessary to perform functional duties from all departments directly or through the immediate superior.
3.4. Require the management of the organization to provide assistance in fulfilling its professional responsibilities and exercise of rights.
3.5. Get acquainted with draft orders of management relating to its activities.
3.6. Take part in meetings that discuss issues related to her work.
3.7. Demand the creation of conditions for the performance of professional duties, including the provision necessary equipment, equipment, workplace that complies with sanitary and hygienic rules and regulations, etc.
3.8. Improve your professional qualifications.
3.9. [Other rights provided for Labor legislation Russian Federation].
4. Responsibility
The nurse is responsible for:
4.1. For non-fulfillment or improper fulfillment of the duties provided for in this instruction - within the limits determined by the labor legislation of the Russian Federation.
4.2. 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.
4.3. For causing material damage to the employer - within the limits determined by the current labor and civil legislation of the Russian Federation.
The job description has been developed in accordance with [name, number and date of document].
Head of HR department
[initials, surname]
[signature]
[day month Year]
Agreed:
[job title]
[initials, surname]
[signature]
[day month Year]
I have read the instructions:
[initials, surname]
[signature]
[day month Year]
You can download the job description of a nurse - option 1 for free.
Job responsibilities of a nurse - option 1.
I approve
________________________________ (Last name, initials)
(name of institution, its ___________________________
organizational and legal form) (director; other person
authorized to approve
job description)
JOB DESCRIPTION
NURSE
______________________________________________
(name of institution)
00.00.201_g. №00
I. General provisions
1.1. This job description defines the job duties, rights and responsibilities of the nurse _____________________ (hereinafter referred to as the “enterprise”).
Name of institution
1.2. A person with a secondary medical education in the specialty “Nursing” and a document confirming the assignment of _____________________ is appointed to the position of nurse. qualification category. (II, I, highest)
1.3. Appointment to and dismissal of a nurse is made in accordance with the procedure established by current labor legislation by order of the head of a healthcare institution.
1.4. The nurse reports directly to _____________________
(chief nurse,
head of department)
1.5. The nurse should know:
Laws of the Russian Federation and other legal acts regulating the activities of healthcare institutions;
Organizational structure of the healthcare institution;
Fundamentals of the diagnostic and treatment process, disease prevention, promotion of a healthy lifestyle;
Basic methods and techniques for providing pre-medical care;
Internal labor regulations;
Rules and regulations of labor protection, industrial sanitation, safety and fire protection;
Fundamentals of labor legislation of the Russian Federation;
1.6. During the absence of a nurse (business trip, vacation, illness, etc.), his duties are performed in the prescribed manner by an appointed person who bears full responsibility for their proper performance.
II. Job responsibilities
Nurse:
3.1. Prepares the room and everything necessary materials for receiving patients.
3.2. Monitors the cleanliness and order of the medical office.
3.3. Performs disinfection, pre-sterilization cleaning and sterilization of medical instruments, including dressings.
3.4. Monitors compliance with sanitary-hygienic and anti-epidemic regulations, asepsis, properly stores and uses medical products and follows other infectious safety rules.
3.5. Politely meets the patient at the reception desk, greeting and calling the patient by name and patronymic, introducing himself and escorting the patient to the office.
3.6. Follows physician orders while seeing patients.
3.7. Completes medical documentation in a timely manner, including making entries in the journals “Control of the operation of sterilizers” and “Accounting for the quality of pre-sterilization treatment” at the end of the working day.
3.8. At the end of the working day, removes medications, processes and lubricates handpieces, turns off dental units and equipment from the network, writes in the “General and routine cleaning” and “Bactericidal irradiators” journals, turns off the lights, and closes the office doors.
3.9. Makes entries in the event of equipment malfunction in the “Fault Log”, which is located at the reception desk.
3.10. Provides extracts Supplies to the office.
3.11. Every week, on a day determined by the management of the enterprise, carries out general cleaning, including washing walls, ceilings and other surfaces using disinfectants.
3.12. Interacts with other employees of the medical institution, representing the interests of the patient.
3.13. Assists the doctor during the patient's appointment to fill out medical documentation and enter information into the dental clinic program.
3.14. Monitors the availability and correct completion of all medical documentation forms, including the presence of all required signatures.
3.15. Must always be ready to provide first aid in the event of a patient emergency.
3.16. If necessary, assists medical facility administrators in calling patients to continue unfinished treatment.
3.17. Attends assistant meetings within the time frame specified by the charge nurse or clinical management.
III. Rights
The nurse has the right:
3.1. Make proposals to the management of the enterprise on the optimization and improvement of medical and social care, including on issues of their work activities.
3.2. Demand that the management of the institution provide assistance in fulfilling its job responsibilities and right.
3.3. Use conservative methods of treating patients as prescribed by a doctor, and carry out certain medical procedures.
3.4. Receive information from company specialists necessary to effectively fulfill your job responsibilities.
3.5. Require the head nurse of the department to provide the workplace with the necessary equipment, equipment and tools for the high-quality performance of their job duties.
3.6. Take part in meetings, scientific and practical conferences and sections on issues related to your professional activities.
3.7. Improve your qualifications and get certified for a qualification category.
3.8. enjoy labor rights in accordance with Labor Code Russian Federation
III. Responsibility
The nurse is responsible for:
4.1. For the proper and timely performance of the duties assigned to him, provided for by this job description
4.2. For organizing your work and qualified execution of orders, instructions and instructions from the management of the enterprise.
4.3. For ensuring that employees subordinate to him comply with their duties.
4.4. For non-compliance with the rules internal order and safety regulations.
For offenses or inaction committed during the treatment process; for errors in the process of carrying out their activities that entailed serious consequences for the health and life of the patient; as well as for violation labor discipline, legislative and regulatory acts, a nurse may be subject to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.
A nurse is a specialist with secondary medical education. This level of specialized knowledge is given in a medical college.
Nurses have three main tasks: assist the doctor, carry out his orders and care for the patient (nursing process). Nurses are considered paramedical staff. The list of their responsibilities depends on the profile of the medical institution, the department where the nurse works and the position held.
Nurses are different
A nurse can hold one of many positions and thus grow professionally.
The top rung in the “hierarchy” of nurses is the chief nurse.
In order to take this position, you must have a higher education - successfully graduate from the Faculty of Higher Nursing Education. The responsibilities of the head nurse include rational organization labor of personnel, organization of retraining of workers, control over their activities.
The head nurse is an assistant to the head of the department on all administrative and economic issues. The head nurse is the immediate supervisor of the ward nurses and junior staff.
The responsibilities of ward nurses include carrying out medical prescriptions, observing and caring for patients, in particular, organizing their meals.
The procedural nurse also carries out the doctor’s orders and helps him with various manipulations.
Operating room nurses help surgeons by preparing instruments, linen, sutures and dressings.
The district nurse assists the district doctor during the appointment of patients,, according to his instructions, performs procedures at the patient’s home, and participates in disease prevention measures.
A separate “type” of nurses are specialists assisting a neurologist, ophthalmologist and other “specialized” doctors.
A dietary nurse, or dietitian, is an assistant to a dietitian. She organizes medical nutrition and controls its quality. Her responsibilities include monitoring the processing and distribution of food, the sanitary condition of the kitchen and dining room.
List of responsibilities common to all nurses
Despite such a wide variety of positions and functional responsibilities, there is a certain list of functions common to all nurses.
This list includes:
- direct implementation of the attending doctor’s prescriptions (mustard plasters, injections, enema, distribution of medications);
- implementation of the nursing process - initial examination of the patient, taking vital signs, collecting biological material for further testing, caring for patients, including organizing their nutrition;
- providing assistance until the doctor arrives;
- transportation of patients;
- admission and discharge of patients;
- monitoring the sanitary condition of hospital departments;
- monitoring patients’ compliance with the hospital’s routine;
- maintaining documents.
The nurse must have broad knowledge. She needs to become familiar with and have a clear understanding of all the laws relating to the health care system. The nurse must also know what rights she has when carrying out her work.
The guidelines for its activities are:
- the doctor's orders to which she obeys;
- the charter of the medical institution in which she works;
- compliance with hygiene standards;
- work schedule;
- job description (the currently valid one is taken as a basis).
History of the profession
Medicine has existed since ancient times. But such a profession as a nurse did not stand out for a long time. Its functions were performed by students of doctors. Subsequently, they themselves began medical practice.
The emergence of the nursing profession dates back to the 11th century. Its representatives belonged to communities that existed in states Western Europe. The workers were called sisters of mercy.
Initially, nurses cared only for the fairer sex. But due to the needs that wars brought, their activities extended to the wounded.
The first hospital opened in 1228, providing shelter and care for the poor. Its founder was the Hungarian Countess Elizabeth of Thuringia. She founded it with her own funds. The workers of this hospital were called “Elizabethans”.
This period saw a high level of construction of similar institutions in all European countries. Ultimately, nurses received a new name - “hospitalists.”
At the beginning of the 17th century, a new milestone began in the history of nursing. The first community appears where girls and women are trained to care for the sick. Since then, the profession has developed rapidly. The activities of nurses extend not only to orphans, lepers and the sick, but also to soldiers. Over time, they are involved as assistants in operations. The profession is gaining wide popularity. The ranks of nurses are filled with ladies of high society.
What are the responsibilities of a nurse
The modern nurse has a wide range of responsibilities. She is an indispensable assistant to any doctor.
The functional responsibilities of a nurse include the following:
- nursing;
- provision of medical care until a doctor appears;
- disinfection of instruments;
- preparation of material for dressings and other treatments;
- control over the storage and use of medicines.
The functional responsibilities of a nurse involve recording evidence about the patient’s condition and ensuring that he undergoes appropriate medical procedures.
She puts in IVs and gives injections in the hospital, takes blood for analysis, prepares instruments for surgery, measures blood pressure, bandages wounds, etc.
IN functional responsibilities Nurses at a children's clinic include monitoring a sick child and giving advice to his parents about caring for the baby at home. Nurses fill out cards, checklists, and certificates.
In the operating room, a worker of this profile is obliged to monitor the availability of a set of all necessary tools. She helps the surgeon, promptly bringing the required instrument at his request.
In school and kindergarten institutions, the nurse is responsible for ensuring that children receive seasonal and scheduled vaccinations.
What are the responsibilities of a procedural nurse?
The treatment room employee is subordinate to the head nurse of the department. The functional responsibilities of a procedural nurse include performing all manipulations in strict accordance with the doctor’s instructions. At the same time, strict records are kept. All data is entered into a log. Possible complications after the procedure are also indicated.
If a complication occurs after a manipulation performed on a patient, the nurse is obliged to notify the attending physician about this and provide assistance to the patient in accordance with existing instructions.
The procedural nurse has the right (in accordance with the doctor’s prescription):
- take blood from the patient and transport it to the laboratory;
- determine whether blood belongs to one group or another;
- carry out all kinds of injections.
During the procedure, the nurse must observe hygiene standards, as well as adhere to the rules for the prevention of infectious diseases, complications after injection, and an anaphylactic reaction of the body to the medicine used.
The treatment room must be equipped with appropriate medical instruments, dressing material, and medications.
The nurse strictly monitors the expiration dates of all medications. It ensures timely delivery of blood to the laboratory for analysis and ensures convenience for the patient during manipulations.
An office nurse can act as a physician assistant:
- when determining blood group and rhesus;
- during transfusion of blood and its analogues;
- during spinal cord puncture;
- when taking samples for allergies;
- during the administration of drugs to patients with severe illness (the effect of the drugs may not be fully studied).
What are the functions of a clinic nurse
These nurses are classified as specialists. They must have incomplete higher education (specialist) or a certificate of basic higher education(bachelor's degree) in nursing, general medicine or obstetrics.
The functional responsibilities of a clinic nurse include:
- following doctor's orders;
- Carrying out procedural manipulations according to the work profile;
- assistance during operations on an outpatient basis;
- taking blood for analysis and ensuring its delivery to the laboratory;
- providing care to patients in an outpatient clinic as well as at home;
- patient resuscitation;
- providing assistance in case of injury, blood loss, intoxication, shock, drowning, burns, frostbite, allergies.
Clinic nurses should understand the following issues:
- laws;
- regulatory documentation;
- regulations of the medical institution in which they work;
- rights and functions;
- principles of operation of outpatient facilities;
- rules for caring for sick people;
- basics of medical examination of citizens;
- pharmacological effects of essential drugs;
- methods of sterilization of instruments;
- hygiene organization;
- preparation of a therapeutic diet;
- safety rules when manipulating medical instruments.
A nurse at this level is involved in informing the population about preventive measures taken against diseases and their possible complications.
A clinic nurse must constantly improve her professionalism.
What are the responsibilities of a department nurse?
The functional responsibilities of the department nurse are as follows:
- monitoring the general condition of the patient;
- implementation of patient care activities;
- fulfilling prescriptions given by the doctor;
- communication on a professional level with medical personnel, patients and their relatives;
- preparing patients for examinations;
- compliance with hygiene standards in the department;
- maintaining documents in the prescribed form.
A nurse working in the department must be able to do all types of injections and use a sterile table and tray. She is obliged to change the patient’s underwear, both underwear and sleeping. Her responsibilities include measuring the patient's temperature, pulse and blood pressure. The obtained data is clearly recorded in the patient’s graphic sheet. The department nurse knows how to fill out all the necessary documentation.
In addition, her responsibilities include:
- preparing bixes for sterilization;
- taking an ECG;
- applying compresses, cupping, enemas and heating pads;
- tying the limbs with an elastic bandage;
- implementation of preventive measures to prevent the occurrence of bedsores;
- gastric lavage;
- acceptance and handing over of duty.
District nurse
The district nurse carries out diagnostic and treatment procedures in accordance with the doctor’s prescription.
The functional responsibilities of a district nurse are quite broad. She must prepare the office to receive patients. Under the supervision of a doctor, certificates are issued, prescriptions are issued, referrals for examinations and other medical documentation is completed.
The nurse tells patients about the stages of preparation for a particular procedure, issues coupons for a second visit to the doctor, and hands over sheets for registering patients with the doctor to the reception desk. Responsible for timely receipt of test answers and posting them on cards.
The nurse must be able to measure blood pressure, temperature and perform other medical procedures as directed by the doctor. She collects material for bacteriological culture. A community nurse visits patients at home and monitors their treatment. Under the guidance of a doctor, she carries out preventive vaccinations.
The district nurse must constantly work on his professional improvement.
Responsibilities of the head nurse
The main vocation of the head nurse is to use with maximum efficiency the professionalism of the department's staff in order to provide medical care at a high level.
The head nurse of the department is appointed in accordance with the recommendation of the head. Typically this position is occupied by a nurse high level professionalism. She must have management skills. Her work experience in medical institution is at least 5 years. As a financially responsible person, she monitors the equipment and equipment in the department. The head nurse takes part in all meetings held on the hospital ward.
A specialist of this level acts as an organizer of work for mid- and junior-level medical personnel, and is responsible for discipline in the team and maintaining order at work.
The functional responsibilities of the head nurse include drawing up reports for the supply of necessary equipment, medicines and instruments.
The head nurse is responsible for occupational health and safety. She personally draws up the work schedule of her subordinates and allocates their vacation time. She keeps salary sheets and prepares sick leave temporarily disabled employees.
A nurse of this profile keeps records of medications containing toxic, narcotic and potent substances and controls their use. Its functions include monitoring the cleanliness of dressings and sterilization of medical instruments.
