The manipulation of a junior nurse. Course work on the topic "Job responsibilities of a junior nurse." Nurse job description

Duties of the doctor in the organization of patient care

Organization of patient care

Patients are cared for by all medical workers of the surgical department: doctors, senior and ward nurses, nurse assistants (nurses), barmaid.

· Determines the hospital and motor regimes for the patient, the need to use a functional bed and various devices to create a comfortable position for the patient in bed;

· Determines the method of transportation of the patient for diagnostic and therapeutic manipulations and surgery;

· Prescribes a diet and a way of nutrition;

· Determines the need and nature of medical gymnastics;

· Monitors the timeliness and correctness of prescriptions for diagnostic procedures and patient treatment.

A nurse provides direct care for patients in accordance with medical prescriptions.

· Reception of newly admitted patients;

· Organization of discharge of patients;

· Transportation of patients for diagnostic and treatment procedures;

· Feeding of bed patients;

· Control over the storage of patients' products and the quality of programs;

· Timely and correct implementation of medical appointments (injections, enemas, banks, etc.);

· Monitoring the patient's condition (counting the pulse, measuring blood pressure, daily urine output, etc.);

· Correct collection of the patient's secretions for laboratory research (sputum, urine, feces);

· In the event of clinical death, should be able to carry out artificial ventilation of the lungs and closed heart massage, provide assistance with drug anaphylactic shock, apply a tourniquet for external arterial bleeding;

· Carrying out hygienic measures for caring for the body of a bed patient;

· Control over the sanitary condition of the department, change of bedding and underwear;

· Control over observance by patients of the internal regulations of the department and personal hygiene;

· Maintaining the necessary medical documentation: filling out temperature sheets, a register of appointments, reception and delivery of duties, an extract of requirements for medicines, drawing up a portioner.

Responsibilities of nursing staff for patient care:

· Regular sanitary and hygienic cleaning and maintenance of cleanliness in wards, corridors and common areas (toilet, hygiene room, bathroom, dining room, etc.);

· Assistance to a nurse in changing underwear and bed linen;

· Assistance to the nurse in feeding of bed patients;

· Assistance in the delivery of the vessel, urine bag, their washing and sanitization;

· Accompanying patients to various studies;

· Delivery to the laboratory for the study of urine, feces, sputum and other secretions.

Patient care items:

· Urine bags;

· Bed ships;

Spittoon;

· Gastric tubes;

· Esmarch's irrigator;

· Rubber sprays in the form of a pear;

· Gas outlet pipes;

· putty knife;

· Clamps such as forceps;

· Cotton wool, bandages;

· Heating pads, cans, ice bubbles;

· Basins for washing the head and feet of bed patients with appropriate marking;

Washcloths;

· Buckets or basins for wet cleaning of premises with appropriate marking - "for wards", "for a toilet", etc .;

· Rags.

Chapter 4. MEDICAL ETHICS AND DEONTOLOGY IN CARE OF PATIENTS

Medical ethics is the science of morality and ethics in the activities of medical workers. Medical deontology is an integral part of medical ethics. Deontology (from the Greek words "deon" - duty, due and "logos" - doctrine) is the science of the professional duty of medical workers, how they should behave among themselves (doctor - nurse-nurse), in relation to the patient, to his relatives, friends and colleagues.

The first acquaintance of patients and their relatives with medical workers begins with the registration office of polyclinics, admission departments of hospitals, nurses and orderlies. Hence the need to improve the general culture of medical institutions and their employees.

Basic deontological principles:

· "Do no harm";

· "Everything that applies should be useful."

Personal qualities required by a healthcare professional when caring for a patient:

· high professionalism;

· Caring and attention to the sick;

• patience;

· Politeness and tact;

· High sense of responsibility for the fate of patients;

• control of your feelings.

The basic principles of the relationship between health professionals:

· Subordination (system of subordination of the junior to the senior). The nurse must strictly follow the medical appointments, observe the dosage of medicinal substances, the time and sequence of their administration. Negligence and error can be life-threatening for the patient and lead to irreparable consequences. It is unacceptable for a nurse to cancel the doctor's appointments herself, to make them at her own discretion. She should not take on the responsibility of diagnosing and treating a patient without a doctor's prescription. If there are changes in the patient's condition that require the abolition of drugs or the appointment of new drugs, the doctor should be informed about this, who will give appropriate orders. In emergency situations, in the absence of a doctor, orders are given by the nurse of the relevant unit. The middle and junior medical personnel of other divisions of the department must carry them out immediately and without question;

· Tact, politeness. It is unacceptable to criticize your colleagues in the presence of patients and visitors. This undermines the authority of the criticized person, deprives the patients of further trust, who can exaggerate the significance of the mistake made.

· Benevolence, mutual assistance and mutual assistance. If the doctor or nurse feels insufficiently prepared to perform some therapeutic or diagnostic procedures, they should seek help and advice from more experienced colleagues. At the same time, more trained medical workers should help less experienced colleagues master the techniques of various manipulations. Arrogance and arrogance in the relationship between healthcare professionals are not tolerated.

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

General provisions:

The junior nursing nurse refers to the nursing staff.

A person is appointed to the position of a junior nursing nurse who, depending on the pay level, has: - secondary (complete) general education and additional training at courses for junior nurses in caring for sick patients without requiring work experience;

Secondary (complete) general education, additional training on courses for junior nurses in nursing and work experience in the profile of at least 2 years.

The junior nursing nurse is appointed and dismissed by the chief physician (head of the medical institution).

Should know:

Techniques for conducting simple medical procedures;

Rules of sanitation and hygiene, patient care;

Internal labor regulations;

Rules and norms of labor protection, safety, and fire protection;

Ethical standards of behavior when dealing with patients.

In her activities, the junior nurse for patient care is guided by the internal labor regulations, orders of the head, medical institution, this job description and reports directly to the head of the unit.

Patient care responsibilities:

Provides assistance in patient care under the guidance of a nurse;

Performs simple medical manipulations (setting cans, mustard plasters, compresses);

Ensures the maintenance of cleanliness of patients, premises;

Monitors the correct 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 health care institution.

Has the right to:

Submit proposals on their activities for consideration by their immediate management;

Receive from the specialists of the institution the information necessary for the implementation of their activities;

Require the management of the institution to assist in the performance of their duties.

Responsible:

For improper performance or non-performance of their duties provided for by this job description, within the limits determined by the labor legislation of the Russian Federation.

For offenses committed in the course of carrying out their activities - within the limits determined by the administrative, criminal and civil legislation of the Russian Federation.

For causing material damage - within the limits determined by the current legislation of the Russian Federation.

Job description of a nurse.

Job responsibilities:

Provides first aid medical assistance, carries out the collection of biological materials for laboratory research;

Carries out patient care in a medical organization and at home;

Sterilizes medical instruments, dressings and patient care items;

Assists in carrying out medical and diagnostic manipulations and small operations by a doctor in outpatient and inpatient conditions;

Prepares patients for various types of research, procedures, operations, for outpatient doctor's appointment;

Ensures the fulfillment of medical appointments;

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 personnel. Keeps medical records;

Conducts sanitary and educational work among patients and their relatives to improve health and prevent diseases, promote a healthy lifestyle;

Collects and disposes of medical waste;

Carries out measures to comply with the sanitary and hygienic regime, the rules of asepsis and antiseptics, the conditions for sterilization of instruments and materials, the prevention of post-injection complications, hepatitis, 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 treatment and diagnostic process, disease prevention, promotion of a healthy lifestyle;

Rules for the operation of medical instruments and equipment;

Statistical indicators characterizing the health status 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;

Fundamentals of Dietetics;

Basics of medical examination, social significance of diseases;

Fundamentals 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 Law; internal labor regulations;

Labor protection and fire safety regulations.

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Job responsibilities of a junior nurse.

I approve

________________________________ (Last name, initials)

(name of the institution, its ________________________

organizational and legal form) (director; other person

authorized to approve

job description)

JOB DESCRIPTION

YOUNG MEDICAL NURSE

PATIENT CARE

______________________________________________

(name of institution)

00.00.201_y. No. 00

I. General Provisions

1.1. This job description sets out the duties, rights and responsibilities of a nursing assistant _____________________ (hereinafter “the enterprise”).

1.2. A person who has secondary (complete) general education and additional training in the courses of junior nurses in nursing without presenting requirements for work experience or secondary (complete) general education, additional training in junior courses is appointed to the position of a junior nursing nurse. nursing nurses and work experience in the profile of at least 2 years.

1.3. Appointment to the position of a junior nurse for patient care and release from it is carried out in accordance with the procedure established by the current labor legislation by order of the head of the healthcare institution.

1.4. The junior nursing nurse reports directly to _____________________

(to the head nurse)

1.5. The junior nursing nurse should know:

Laws of the Russian Federation and other regulatory legal acts regulating the activities of healthcare institutions;

Organizational structure of a healthcare institution;

Techniques for conducting simple medical procedures;

Rules of sanitation and hygiene, patient care;

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

Basic methods and techniques for providing first-aid medical care;

Ethical standards of behavior when dealing with patients;

Internal labor regulations;

Rules and norms of labor protection, industrial sanitation, safety and fire protection;

1.6. During the absence of a junior nursing nurse (business trip, vacation, illness, etc.), his duties are performed in the prescribed manner by an appointed person who is fully responsible for their proper performance.

II. Job responsibilities

Junior Nurse Nurse:

2.1. Carries out simple medical procedures, such as setting cans, mustard plasters and compresses.

2.2. Carries out control of cleanliness and order in the premises of the medical institution.

2.3. Provides assistance in patient care under the guidance of a nurse.

2.4. Monitors compliance by patients and visitors with the internal regulations of the health care institution.

2.5. Participates in the transportation of seriously ill patients.

2.6. Makes a change of bed and underwear.

2.7. Monitors compliance with the rules of sanitary-hygienic and anti-epidemic regime when using and storing patient care items.

III... Rights

The junior nursing nurse has the right to:

3.1. Make proposals to the management of the enterprise on the optimization and improvement of medical and social assistance, including on the issues of their labor activities.

3.2. Require the management of the institution to assist in the performance of their duties and rights.

3.3. Receive information from the company's specialists necessary for the effective fulfillment of their duties.

3.4. Enjoy labor rights in accordance with the Labor Code of the Russian Federation

III... Responsibility

The junior nursing 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 the organization of his work and the qualified execution of orders, orders and instructions from the management of the enterprise.

4.3. For ensuring that the employees subordinate to him comply with their duties.

4.4. For non-observance of internal rules and safety regulations.

For offenses or omissions committed in the course of carrying out medical measures; for mistakes in the process of carrying out their activities, which entailed serious consequences for the patient's health and life; as well as for violation of labor discipline, legislative and regulatory legal acts, a junior nurse for patient care may be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the offense.

1. This job description defines the functional duties, rights and responsibilities of an assistant nurse for patient care.

2. A person who has primary vocational education in the specialty "Nursing" without presenting requirements for work experience or secondary (complete) general education, additional training in the direction of professional activity without presenting requirements for work experience is appointed to the position of a junior nurse in nursing ...

3. The junior nursing nurse should know: methods of carrying out simple medical procedures; rules of sanitation and hygiene, patient care; rules for the collection, storage and disposal of waste from health care facilities; internal labor regulations; rules for labor protection and fire safety.

4. The junior nursing nurse is appointed and dismissed by the order of the head of the organization in accordance with the current legislation of the Russian Federation.

5. The junior nursing nurse is directly subordinate to the head of her structural unit (head of the department) or the senior nurse.

2. Job responsibilities

Provides assistance in patient care under the guidance of a nurse. Performs simple medical procedures (setting cans, mustard plasters, compresses). Ensures the maintenance of cleanliness of patients, premises. Ensures proper use and storage of patient care items. Makes a change of bed and underwear. Participates in the transportation of seriously ill patients. Monitors compliance by patients and visitors with the internal rules of the medical organization. Collects and disposes of medical waste. Carries out measures to comply with the rules of asepsis and antiseptics, sterilization conditions for instruments and materials, prevention of post-injection complications, hepatitis, HIV infection.

3. Rights

The junior nursing nurse has the right to:

make proposals to the management on the organization and conditions of their work;
use information materials and regulatory documents necessary for the performance of their official duties;
undergo certification in accordance with the established procedure with the right to receive the appropriate qualification category;
improve their qualifications.

The junior nursing nurse enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The junior nursing nurse is responsible for:

timely and high-quality implementation of the duties assigned to her;
timely and qualified execution of orders, orders and instructions of the management, regulatory legal acts on their activities;
compliance with internal regulations, fire safety and safety measures;
maintaining the documentation provided for by the current regulatory legal acts;
prompt adoption of measures, including timely informing of management, to eliminate violations of safety, fire safety and other rules that pose a threat to the activities of the organization, its employees and other persons.

For violation of labor discipline, legislative and regulatory legal acts, a junior nursing nurse may be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the offense.

Instructions
Junior nursing nurse
Job descriptions taking into account professional standards 2016-2017

A sample job description was compiled taking into account the professional standard Junior medical personnel

1. General Provisions

1.1. The junior nursing nurse belongs to the category of technical executors.

1.2. The position of a junior nursing nurse is a person:

1) with secondary general education;

2) completed vocational training in the position of "Junior Nurse for Nursing"

3) with secondary vocational education in the specialties "Nursing", "General Medicine", "Obstetrics"

4) who has mastered educational programs for the training of skilled workers (employees) in the position of "Junior nurse for patient care"

1.3. A person who has undergone mandatory preliminary (upon admission to work) and periodic medical examinations (examinations), as well as extraordinary medical examinations (examinations) in the manner prescribed by the legislation of the Russian Federation, is allowed to work specified in clause 1.2 of this instruction.

1.4. The junior nursing nurse should know:

1) rules for communicating with patients (their relatives / legal representatives);

2) health-preserving technologies when moving a patient with insufficient self-care;

3) the procedure for sanitizing a patient and hygienic care for a patient with insufficient self-care;

4) methods of support for physiological discharges to a patient with insufficient self-care;

5) the rules for informing about changes in the patient's condition;

6) an algorithm for measuring anthropometric indicators;

7) indicators of the functional state, signs of deterioration of the patient's condition;

8) the procedure for providing first aid for life-threatening conditions;

9) sanitary and epidemiological requirements for compliance with the rules of personal hygiene of the patient;

10) rules for feeding a patient with insufficient self-care;

11) sanitary and epidemiological requirements for the organization of meals for patients;

12) an algorithm for changing underwear and bed linen for a patient with insufficient self-care;

13) rules for the use and storage of patient care items;

14) conditions for safe transportation and movement of the patient using the principles of ergonomics;

15) confidentiality conditions when working with biological material and medical documentation;

16) rules for the safe transportation of biological material to the laboratory of a medical organization, work with medical waste;

17) the structure of the medical organization;

18) terms of delivery of business and medical documents;

19) labor legislation of the Russian Federation, which regulates the labor process of a junior nurse; ethical standards in professional activity;

20) the rules of medical and protective, sanitary and hygienic and anti-epidemic regime;

21) methods and means of providing first aid for life-threatening conditions;

22) Internal labor regulations;

23) labor protection requirements, fire safety measures, emergency procedures;

24) ……… (other requirements for the necessary knowledge)

1.5. The junior nursing nurse should be able to:

1) receive information from patients (their relatives / legal representatives);

2) use special means for placing and moving the patient in bed using the principles of ergonomics;

3) to place and move the patient in bed using the principles of ergonomics;

4) create comfortable conditions for the patient's stay in a medical organization;

5) measure body temperature, pulse rate, blood pressure, respiratory rate;

6) determine the main indicators of the patient's functional state;

7) measure anthropometric indicators (height, body weight);

8) inform medical personnel about changes in the patient's condition;

9) provide assistance to the patient during his examination by a doctor;

10) provide first aid for life-threatening conditions;

11) use the means and items of care for the sanitization and hygienic care of the patient;

12) provide an allowance to a patient with insufficient self-care for physiological discharges;

13) feed a patient with insufficient self-care;

14) identify products with an expired shelf life, signs of spoilage and contamination;

15) receive sets of clean underwear, clothes and shoes;

16) change underwear and bed linen;

17) transport and accompany the patient;

18) deliver biological material to the laboratory of a medical organization;

19) timely deliver medical documentation to the destination;

20) correctly use personal protective equipment;

21) ……… (other skills and abilities)

1.6. The junior nursing nurse in her work is guided by:

1) ……… (name of the constituent document)

2) Regulations on ……… (name of the structural unit)

3) this job description;

4) ……… (names of local regulations governing labor functions by position)

1.7. The junior nursing nurse reports directly to ……… (name of the position of the head)

1.8. ……… (other general provisions)

2. Labor functions

2.1. Provision of medical care services:

1) professional patient care.

2.2. ……… (other functions)

3. Job responsibilities

3.1. The junior nursing nurse has the following responsibilities:

3.1.1. Within the framework of the labor function specified in paragraphs. 1 clause 2.1 of this job description:

1) receives information from patients (their relatives / legal representatives);

2) places and moves the patient in bed;

3) carries out sanitization, hygienic care for seriously ill patients (washing, rubbing the skin, rinsing the mouth);

4) provide an allowance to a patient with insufficient self-care for physiological discharges;

5) feeds a patient with insufficient self-care;

6) receives sets of clean underwear, clothes and shoes;

7) replaces underwear and bed linen;

8) performs transportation and escort of the patient;

9) assists a nurse in carrying out simple diagnostic tests: measuring body temperature, pulse rate, blood pressure, respiratory rate;

10) monitors the functional state of the patient;

11) delivers biological material to the laboratory;

12) provides first aid for life-threatening conditions.

3.1.2. As part of the fulfillment of his labor functions, he carries out instructions from his immediate supervisor.

3.1.3. ……… (other duties)

3.2. ……… (other provisions on job responsibilities)

4. Rights

The junior nursing nurse has the right to:

4.1. Participate in meetings on organizational matters.

4.3. Participate in the discussion of issues related to the duties performed by him.

4.4. Require the management of the children's recreation camp to assist in the performance of his official duties and the realization of his rights.

4.5. ……… (other rights)

5. Responsibility

5.1. The junior nursing nurse is prosecuted:

For improper performance or non-performance of their official duties provided for by this job description - in the manner prescribed by the current labor legislation of the Russian Federation, legislation on accounting;

Offenses and crimes committed in the course of their activities - in the manner prescribed by the current administrative, criminal and civil legislation of the Russian Federation;

Inflicting damage to the organization - in the manner prescribed by the current labor legislation of the Russian Federation.

5.2. ……… (other liability provisions)

6. Final provisions

6.1. This job description is developed on the basis of the Professional standard "Junior medical personnel", approved by the Order of the Ministry of Labor of Russia dated January 12, 2016 N 2n, taking into account ……… (details of the organization's local regulations)

6.2. Familiarization of the employee with this job description is carried out when hiring (before signing an employment contract). The fact of familiarization of the employee with this job description is confirmed by ……… (signature on the familiarization sheet, which is an integral part of this manual (in the job description familiarization log); in a copy of the job description kept by the employer; in another way)

6.3. ……… (other final clauses)

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