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Nurse Qualification Guide. Qualification requirements - senior nurse. With modifications and additions from

EKSD 2018. Version 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.

Therefore, an 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 Handbook 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 medical 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.

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.

With respect and wishes for comfortable work, Ekaterina Zaitseva,

Expert Systems Personnel


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Nurse ward (guard)

Job responsibilities. Carries out care and observation of patients based on the principles of medical deontology. Accepts and places patients in the ward, checks the quality of sanitization of newly admitted patients. Checks transmissions to patients to prevent ingestion of contraindicated food and drink. Participates in the rounds of doctors in the wards assigned to her, reports on the condition of patients, records in the journal the prescribed treatment and care for patients, monitors the fulfillment by patients of the appointments of the attending physician. Provides sanitary and hygienic services to the physically weakened and seriously ill. Fulfills the prescriptions of the attending physician. Organizes the examination of patients in diagnostic rooms, with consultant doctors and in the laboratory. Immediately notifies 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 an agonal state, calls a doctor to carry out the necessary resuscitation measures. Prepares the corpses of the dead for sending them to the pathoanatomical department. Taking duty, she inspects the premises assigned to her, checks the condition of electric lighting, the presence of hard and soft equipment, medical equipment and tools, medicines. Signs for the reception of duty in the diary of the department. Supervises the implementation by patients and their relatives of the regimen of visits to the department. She monitors the sanitary maintenance of the chambers assigned to her, as well as the personal hygiene of patients, the timely intake of hygienic baths, the change of underwear and bed linen. Ensures that patients receive food according to the prescribed diet. Maintains medical records. Hands over duty in the wards at the bedside of patients. Provides strict accounting and storage of medicines of groups A and B in special cabinets. Collects and disposes of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the room, the rules of asepsis and antisepsis, the conditions for sterilizing instruments and materials, the 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; rules for the collection, storage and disposal of waste from medical institutions; fundamentals of the functioning of budget-insurance medicine and voluntary medical insurance; fundamentals of valeology and sanology; basics of disaster medicine; rules for maintaining accounting and reporting documentation of a structural unit, the main types of medical documentation; medical ethics and deontology; 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", "Nursing in Pediatrics", "General Practice" without presenting requirements for work experience.

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 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 "

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. 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.