I'm looking for a pre-trip job. Nurses conducting pre-trip medical examinations. Job responsibilities of the employee
Updated: 12/12/2019 14:47
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Job description
nurses conducting pre-trip medical examinations
vehicle drivers
1. General Provisions
1.1. A person with secondary medical education, who has undergone special training and has an appropriate certificate, is appointed to the position of nurse to conduct pre-trip medical examinations of vehicle drivers.
1.2. Reports to the head of the medical office and...................................., and when combined positions of head of the medical office and nurse – ..................................
1.3. In practical work, he is guided by the Methodological Recommendations “Organization and procedure for conducting pre-trip medical examinations of drivers of motor vehicles,” approved by the Ministry of Health of the Russian Federation and the Ministry of Transport of the Russian Federation on January 29, 2002.
2. Job responsibilities
2.1. The main task of pre-trip medical examinations is to identify signs of various diseases in drivers of vehicles, signs of alcohol consumption, drugs, illicit drugs, residual effects of alcohol intoxication (hangover syndrome), and fatigue. If these signs are detected, drivers are not allowed to drive vehicles.
2.2. Receive drivers of vehicles for a pre-trip medical examination individually, with a waybill.
2.3. Begin the inspection by interviewing the driver, finding out his subjective well-being, the presence or absence of complaints about his health. When the driver expresses any complaints, the medical worker is obliged to identify and confirm (or refute) their objectivity during the examination.
2.4. The grounds for removing drivers of motor vehicles from work are the following deviations in health status:
- the presence of symptoms of an acute disease or exacerbation of a chronic disease (increased body temperature over 370 C, complaints of poor health, general weakness, headache and toothache, acute eye diseases, pain in the ear, chest or abdominal cavity, etc.).
- an increase or decrease in heart rate and changes in blood pressure above or below levels characteristic of the driver being examined.
- being under the influence of alcoholic beverages or other drugs (narcotic and psychotropic drugs or toxicants) that impair the functional state. In this case, the medical professional conducting the pre-trip medical examination is obliged to monitor the driver’s sobriety.
2.5. The results of the pre-trip medical examination must be recorded in a standard journal.
2.6. In the absence of complaints and objective grounds for removal from work (clause 2.4.), the driver is allowed to work with a mark on the waybill (stamp) indicating the date, exact time of the medical examination, surname, initials and signature of the medical worker who carried out the examination. examination.
2.7. If, during a pre-trip medical examination, signs of the driver’s use of alcohol, narcotic and other psychoactive substances are detected, monitor the driver’s sobriety. When determining sobriety control to determine the state of health, the examined driver must be subjected to a clinical examination and laboratory diagnostics of the driver’s biological media (exhaled air and urine) must be carried out. Blood sampling is strictly prohibited. When conducting a sobriety control, it is mandatory to draw up a sobriety control protocol in the established form in two copies, clearly and specifically filling out each paragraph of the document. One copy of the protocol remains with the health worker, the second is given to the head of the organization.
2.8. Each case of sobriety control must be registered in a special numbered, laced journal, sealed with the organization’s seal. The log records the surname, first name, patronymic, age, place of work and position, reason for referral for examination, who sent it, date and time of sobriety control, conclusion, measures taken, surname and initials of the medical worker.
2.9. If there are pronounced signs of intoxication, as well as the person being examined refuses to undergo an examination, hardware or test examination, the administration of the organization draws up a report on the employee’s appearance at the workplace in a drunken state.
2.10. During working hours, drivers suspended from work for health reasons should be sent to a doctor at the clinic at the place of his residence or to the clinic serving him under medical insurance; during non-working hours, he should be recommended to come to the clinic the next day to resolve the issue of recognizing the driver suspended from work. temporarily disabled and issuing him a sick leave certificate in the prescribed manner. At the same time, issue the driver a certificate signed by him, in any form, indicating the hour of release from work and brief information about the nature of the disease or injury.
2.11. Admission to work of persons suffering from hypertension or obvious hypotension should be carried out strictly individually according to the recommendations of a doctor. These recommendations are recorded in the health record. The card is filled out by a medical professional for drivers with chronic diseases.
2.12. Once a year, as well as during the initial identification of patients, compile lists of persons registered at the dispensary, indicating the diagnosis and brief recommendations for permission to work.
2.13. Monthly sum up the results of pre-trip medical examinations with an analysis of the reasons for the removal of drivers from work, and bring the results to the attention of the head of the organization.
2.14. Ensure accounting and storage of medications in a special medicine cabinet.
2.15. Ensure strict adherence to all rules of asepsis and antisepsis in the office during procedures. Sterilize instruments and materials in accordance with current instructions.
2.16. Ensure sanitary and hygienic maintenance of the medical office.
2.17. Maintain the necessary office records in the prescribed form, timely submit requests for instruments, equipment, medicines and dressings.
2.18. Systematically improve your professional qualifications by participating in conferences for nursing staff in medical institutions upon request through the head of the organization.
3. Rights
3.1. In the absence of a doctor, provide emergency pre-hospital medical care to patients in the medical room.
3.2. Improve professional qualifications at special courses in the prescribed manner.
3.3. Require company employees to comply with the rules of asepsis and antisepsis when working in the medical room.
3.4. Obtain the information necessary to perform your job duties.
3.5. Make proposals to the company management aimed at improving the performance of pre-trip medical examinations of vehicle drivers.
4. Responsibility
4.1. The medical worker bears disciplinary, and in cases provided for by law, other responsibility for the quality of the pre-trip medical examination and the issuance of a conclusion on the permission of drivers to drive a vehicle.
4.2. Bears responsibility for failure to fulfill, unclear or untimely fulfillment of duties provided for in these Instructions and the internal labor regulations of the company.
__________________________________________
(immediate supervisor)
The following have been familiarized with the job description:
(date, signature, surname):
________________________________________________________________________
________________________________________________________________________
Job description of a medical worker for pre-trip medical examinations of drivers [name of organization, enterprise]
This job description has been developed and approved in accordance with the provisions of the "Instructions on conducting pre-trip medical examinations of drivers of vehicles", approved by Order of the USSR Ministry of Health dated September 29, 1989 N 555, Methodological recommendations "Medical provision of road safety. Organization and procedure for conducting pre-trip medical examinations" medical examinations of vehicle drivers" approved by the Ministry of Health of the Russian Federation and the Ministry of Transport of the Russian Federation on January 29, 2002 and other legal acts regulating labor relations.
1. General Provisions
1.1. Pre-trip medical examinations of vehicle drivers are carried out by a medical worker of the organization in order to identify persons who, for medical reasons, cannot be allowed to drive a car both from the point of view of ensuring road safety and protecting the health of the driver and passengers.
1.2. The medical worker for pre-trip medical examinations is directly subordinate to [name of the manager's position].
1.3. Pre-trip medical examinations are carried out only by a medical professional who has the appropriate certificate.
1.4. A medical worker for pre-trip medical examinations is hired and dismissed from work by order of [position of the head of the organization].
1.5. A medical worker for pre-trip medical examinations must know:
Resolutions, instructions, orders and other guidance, methodological and regulatory documents on conducting pre-trip medical examinations of drivers;
The procedure and rules for handling instruments designed to measure blood pressure, pulse, body temperature, and determine the reaction to the presence of alcohol in exhaled air;
Methods for conducting pre-trip inspections of drivers;
Internal labor regulations of the organization;
Fundamentals of labor organization;
Rules on labor protection, industrial sanitation and fire safety.
1.6. Professionally important qualities: [list qualities].
2. Job responsibilities of the employee
The medical worker for pre-trip medical examinations is assigned the following job responsibilities:
2.1. Monitoring the health status of drivers.
2.2. Conducting pre-trip medical examinations before the start of a work shift, including:
Taking anamnesis;
Determination of blood pressure and pulse;
Determination of the presence of alcohol and other psychotropic substances in exhaled air or biological substrates using one of the officially recognized methods;
If indicated, any other permitted medical research necessary to resolve the issue of permission to work.
2.3. Recording the results of the pre-trip medical examination in the journal.
2.4. Making a decision on allowing drivers to work.
2.5. Upon admission to the flight, the medical worker puts a stamp on the waybills “passed the pre-trip medical examination” and a signature.
2.6. If necessary, provide first aid.
2.7. Registration of referrals to medical institutions for drivers in accordance with the established procedure.
2.8. Based on the results of the pre-trip medical examination, maintaining police records of drivers suspended from work, for which outpatient card forms are used (Form 25). Entering the examination results into the card (history, objective examination data, reason for dismissal).
2.9. Analysis of the reasons for the removal of drivers from work.
2.10. Taking part in the investigation of road accidents in order to identify causes depending on the health status of the driver who committed the road accident.
2.11. Conducting an analysis of the effectiveness of pre-trip medical examinations of drivers.
2.12. Once a year, compiling a list of persons registered at the dispensary, as well as during the initial identification of patients, indicating the diagnosis and brief recommendations for permission to work.
2.13. Informing the head of the organization about the results of the inspection.
3. Employee rights
A medical worker for pre-trip medical examinations has the right to:
3.1. For all social guarantees provided for by law.
3.2. Require the head of the organization to provide assistance in the performance of his professional duties and the exercise of rights.
3.3. For advanced training in organizing pre-trip medical examinations.
3.4. Make proposals to the manager on issues related to the performance of job duties provided for in this job description.
3.5. Request personally or on behalf of your immediate supervisor documents, materials, tools, etc., necessary to perform your job duties.
3.6. Other rights provided for by labor legislation.
4. Responsibility of the employee
The medical worker for pre-trip medical examinations is responsible for:
4.1. Disciplinary, and in cases provided for by law, other liability for the quality of the pre-trip medical examination and the issuance of a conclusion on the admission of drivers to drive a vehicle.
Head of structural unit [initials, surname]
[signature]
[day month Year]
Agreed:
Head of Legal Department [initials, surname]
[signature]
[day month Year]
I have read the instructions: [initials, surname]
[signature]
[day month Year]
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