Manipulation of a junior nurse. Course work on the topic "Responsibilities of a junior nurse." Job description of a nurse

Responsibilities of a doctor in the organization of patient care

Organization of patient care

Patients are cared for by all healthcare professionals surgical department: doctors, senior and ward nurses, nurse assistants (nurses), barmaid.

determines the hospital and motor modes 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 transporting the patient to diagnostic and therapeutic manipulations and surgery;

appoints a diet and a way of food;

determines the need and nature of therapeutic exercises;

Controls the timeliness and correctness of the fulfillment of appointments for diagnostic procedures and treatment of the patient.

Direct care of patients in accordance with medical prescriptions is carried out by nurse.

reception of newly admitted patients;

organization of discharge of patients;

transportation of patients for diagnostic and treatment procedures;

Feeding bed patients;

control over the storage of products of patients and the quality of transmissions;

Timely and correct fulfillment of medical prescriptions (injections, enemas, banks, etc.);

monitoring the patient's condition (counting the pulse, measuring blood pressure, daily diuresis, etc.);

Proper collection of the patient's secretions for laboratory testing (sputum, urine, feces);

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

Carrying out hygienic measures to care for the body of a bed patient;

· control of sanitary condition separation, change of bed and underwear;

Monitor patient compliance internal regulations department and personal hygiene;

Maintaining the necessary medical documentation: filling out temperature sheets, a register of appointments, receiving and handing over shifts, issuing requirements for medicines, compiling a ration.

Responsibilities of Nursing Nursing Personnel:

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

assistance to the nurse in changing underwear and bed linen;

Assistance to the nurse in feeding bed patients;

Assistance in the supply of the vessel, urinal, their washing and sanitization;

Accompanying patients for various examinations;

· delivery to the laboratory for the study of urine, feces, sputum, etc. secretions.

Patient care items:

urinals;

bedpans;

· spittoons;

gastric probes;

· Esmarch's irrigator;

rubber cans in the form of a pear;

gas pipes;

· putty knife;

forceps;

cotton wool, bandages;

heating pads, jars, ice packs;

basins for washing the head and feet in bed patients with appropriate markings;

washcloths;

buckets or basins for wet cleaning of premises with appropriate markings - “for wards”, “for toilets”, etc.;

rags.

Chapter 4. MEDICAL ETHICS AND DEONTOLOGY IN CARE

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

The first acquaintance of patients, their relatives with medical workers begins with the registry of polyclinics, hospital admissions, nurses and nurses. Hence the need to improve the general culture medical institutions and their employees.

Basic deontological principles:

· "Do no harm";

“Everything that is applied must be useful.”

Personal qualities necessary for a medical worker when caring for a patient:

· high professionalism;

care and attention to patients;

· patience;

· politeness and tact;

high sense of responsibility for the fate of patients;

Ownership of your feelings.

Basic principles of relationships between medical workers:

subordination (a system of subordination of the junior to the senior). Medical appointments nurse must strictly comply with 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 doctor's appointments herself, to make them at her own discretion. She should not take the responsibility of diagnosing and treating a patient without a doctor's prescription. If changes occur 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, the order is given by the nurse of the corresponding unit. The middle and junior medical personnel of other divisions of the department must fulfill them immediately and unquestioningly;

tact, courtesy. It is unacceptable to criticize your colleagues in the presence of patients and visitors. This undermines the authority of the criticized, deprives further confidence of patients who can exaggerate the significance of the mistake made.

friendliness, mutual assistance and mutual assistance. If a doctor or nurse feels inadequately 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 technique of various manipulations. Arrogance and arrogance in relations between medical workers are not acceptable.

Qualification requirements. Average (full) general education no requirement for work experience.

General provisions:

Nursing assistant refers to junior medical staff.

A person who, depending on the pay category, has: - secondary (complete) general education and additional training in junior nurses' courses for patient care without presenting requirements for work experience;

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

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

Must know:

Techniques for conducting simple medical manipulations;

Rules of sanitation and hygiene, patient care;

Rules of the internal work schedule;

Rules and norms of labor protection, safety measures, 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 caring for patients under the guidance of a nurse;

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

Ensures cleanliness of patients, premises;

Monitors the 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 regulations of the healthcare facility.

Has the right to:

Submit proposals on issues related to their activities for consideration by their direct 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 official duties provided for by this job description, to the extent 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 administrative, criminal and civil legislation 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 pre-hospital medical care, collects biological materials for laboratory research;

Provides patient care in 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 on an outpatient and inpatient basis;

Prepares patients for various types of examinations, procedures, operations, for outpatient doctor's appointments;

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 staff. Maintains medical records;

Carries out sanitary and 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, 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;

Fundamentals of the treatment and diagnostic process, disease prevention, propaganda healthy lifestyle life;

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;

Fundamentals of dietetics;

Fundamentals of clinical examination, social significance of diseases;

Fundamentals of disaster medicine;

Rules for maintaining accounting and reporting documentation structural unit, the main types of medical records;

medical ethics; psychology of professional communication;

Basics of labor legislation; internal labor regulations;

Rules on labor protection and fire safety.

You can download the job description of a junior nurse is free.
Job Responsibilities junior nurse.

I approve

________________________________ (Surname, initials)

(name of the institution, its ________________________

organizational- legal form) (director; other person

authorized to approve

job description)

JOB DESCRIPTION

JUNIOR NURSE

PATIENT CARE

______________________________________________

(name of institution)

00.00.201_ #00

I. General provisions

1.1. This job description defines the job duties, rights and responsibilities of a junior nurse in caring for patients _____________________ (hereinafter referred to as the "enterprise").

1.2. A person who has a 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 nurses to care for patients 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 dismissal 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 nursing assistant reports directly to _____________________

(head nurse)

1.5. The nursing assistant should know:

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

Organizational structure of the healthcare institution;

Techniques for conducting simple medical manipulations;

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 pre-hospital 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 nurse to care for patients (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. Responsibilities

Nursing Assistant Nurse:

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

2.2. Monitors the cleanliness and order in the premises of the medical institution.

2.3. Assists in the care of patients under the guidance of a nurse.

2.4. Monitors compliance by patients and visitors with the internal regulations of the healthcare facility.

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 the sanitary-hygienic and anti-epidemic regime when using and storing patient care items.

III. The rights

The nursing assistant 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 issues of its labor activity.

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 performance of their duties.

3.4. enjoy labor rights in accordance with Labor Code Russian Federation

III. Responsibility

The nursing assistant is responsible for:

4.1. For the proper and timely performance of the duties assigned to him, provided for in this job description

4.2. For the organization of their work and the qualified execution of orders, orders and instructions from the management of the enterprise.

4.3. To ensure that subordinate employees comply with their duties.

4.4. For non-compliance with internal regulations and safety regulations.

For offenses or omissions committed in the course of therapeutic measures; for errors in the process of carrying out their activities, which entailed serious consequences for the health and life of the patient; as well as for violation labor discipline, laws and regulations Nurse Nurse Nurse may be recruited in accordance with current legislation depending on the severity of the offense to disciplinary, material, administrative and criminal liability.

1. This job description defines functional responsibilities, the rights and responsibilities of a junior nurse to care for patients.

2. A person with an initial professional education in the specialty "Nursing" without presenting requirements for work experience or secondary (complete) general education, additional training in the direction professional activity no requirement for work experience.

3. The junior nurse for patient care should know: techniques for conducting simple medical manipulations; rules of sanitation and hygiene, patient care; rules for the collection, storage and disposal of waste from healthcare facilities; internal labor regulations; rules on labor protection and fire safety.

4. The junior nurse for patient care is appointed to the position and dismissed by the order of the head of the organization in accordance with the current legislation of the Russian Federation.

5. The junior nurse for patient care is directly subordinate to the head of her structural unit (head of department) or the head nurse.

2. Job responsibilities

Assists in the care of patients under the guidance of a nurse. Carries out simple medical manipulations (setting cans, mustard plasters, compresses). Ensures cleanliness of patients and rooms. 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 regulations of the medical organization. Collects and disposes of medical waste. Carries out measures to comply with the rules of asepsis and antisepsis, sterilization conditions for instruments and materials, prevention of post-injection complications, hepatitis, HIV infection.

3. Rights

The nursing assistant has the right to:

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

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

4. Responsibility

The nursing assistant is responsible for:

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

For violation of labor discipline, legislative and regulatory acts, a junior nurse for patient care can be brought in accordance with applicable law, depending on the severity of the misconduct, to disciplinary, material, administrative and criminal liability.

Instruction
Nursing Assistant Nurse
Job descriptions taking into account professional standards 2016-2017

A sample job description is drawn up taking into account the professional standard Junior medical staff

1. General Provisions

1.1. Nursing assistants are categorized as technical clerks.

1.2. A person is accepted for the position of a junior nurse for the care of patients:

1) having a secondary general education;

2) completed professional training for the position of "Junior nurse for patient care"

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

4) mastered educational programs training of qualified workers (employees) for the position of "Junior Nurse for Patient Care"

1.3. A person who has passed the mandatory preliminary (when applying for a job) and periodic medical examinations(examinations), as well as extraordinary medical examinations (examinations) in the manner established by law Russian Federation.

1.4. The nursing assistant should know:

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

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

3) the procedure for conducting sanitization of the patient and hygienic care for a patient with insufficient self-care;

4) methods of assistance in physiological administration to a patient with insufficient self-care;

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

6) 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 in case of 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 catering 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 records;

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 documentation;

19) labor legislation of the Russian Federation, regulating the labor process of a junior nurse; ethical standards in professional activities;

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

21) methods and means of providing first aid in 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 nursing assistant 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 functional state of the patient;

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

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

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

10) provide first aid in life-threatening conditions;

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

12) provide benefits to a patient with insufficiency of self-care during physiological administration;

13) to feed a patient with insufficient self-care;

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

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

16) change underwear and bed linen;

17) carry out transportation and escort of the patient;

18) deliver biological material to the laboratories 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 nurse for patient care in her work is guided by:

1) ……… (name of 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 Nurse Nurse reports directly to ……… (title of the position of the head)

1.8. ……… (other general provisions)

2. Labor functions

2.1. Rendering medical services care:

1) professional patient care.

2.2. ……… (other functions)

3. Job responsibilities

3.1. The Nurse Nurse is responsible for the following duties:

3.1.1. As part 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, wiping the skin, rinsing the mouth);

4) provide benefits to a patient with insufficient self-care during physiological administration;

5) feeds a patient with insufficient self-care;

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

7) carries out the replacement of underwear and bed linen;

8) carries out transportation and escort of the patient;

9) provides assistance to a nurse in conducting simple diagnostic studies: measuring body temperature, pulse rate, blood pressure, respiratory rate;

10) monitors the functional state of the patient;

11) deliver biological material to the laboratory;

12) provides first aid in life-threatening conditions.

3.1.2. As part of the implementation of their labor functions carries out the instructions of his immediate supervisor.

3.1.3. ……… (other duties)

3.2. ……… (other job descriptions)

4. Rights

The nursing assistant has the right to:

4.1. Participate in organizational meetings.

4.3. Participate in the discussion of issues related to their official duties.

4.4. Require from the leadership of the children's health camp assistance in the performance of his official duties and the exercise of rights.

4.5. ……… (other rights)

5. Responsibility

5.1. The Nurse Nurse is responsible for:

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

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;

Causing 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 was 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 upon employment (before signing employment contract). The fact that the employee is familiar with this job description is confirmed by ……… (signature on the familiarization sheet, which is an integral part of this instruction (in the job description familiarization log); in a copy of the job description kept by the employer; otherwise)

6.3. ……… (other final provisions)

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