Professional standard of a nurse in the social sphere. Professional standard of a nurse in the social sphere

We bring to your attention a typical example of a job description for a housewife, a sample of 2019/2020. should include the following sections: general position, duties of a hostess sister, rights of a hostess sister, responsibility of a hostess sister.

Job description of a housewife sister belongs to the section Qualification characteristics of positions of workers in the field of healthcare".

The following items should be reflected in the job description of the hostess:

Responsibilities of a housewife

1) Job responsibilities. Supervises the work of nurses and cleaners to keep the premises of a medical organization (unit) clean and tidy, provides the serviced unit with household equipment, overalls, hygiene items, stationery, detergents, bed linen and underwear for patients. Makes a change of bathrobes, towels for employees of a medical organization. Draws up requests for the repair of premises, equipment, inventory and supervises its implementation. Provides power supply units (buffet, canteen) with equipment, utensils and monitors their correct labeling and use. Maintains accounting records.

Sister mistress should know

2) The housewife, in the performance of her duties, must know: expiration dates of linen and equipment used in a medical organization (division); methods of sanitizing inventory; conditions of operation and storage of inventory; forms of accounting and reporting documentation and rules for filling them out; rules for compliance with the sanitary and hygienic regime in a medical organization (subdivision); internal labor regulations; rules on labor protection and fire safety.

Qualification requirements for a housewife

3) Qualification requirements. Secondary (complete) general education and additional training in the direction of professional activity without presenting requirements for work experience.

The job description of the hostess sister is a sample of 2019/2020. The duties of a housewife sister, the rights of a housewife sister, the responsibility of a housewife sister.

ORDER dated July 23, 2010 N 541 n ON APPROVAL OF THE UNIFIED QUALIFICATION DIRECTORY OF POSITIONS OF MANAGERS, SPECIALISTS AND EMPLOYEES, SECTION "QUALIFICATION CHARACTERISTICS OF POSITIONS OF WORKERS IN THE SPHERE OF HEALTH CARE"

Mistress Sister Job Responsibilities. Supervises the work of nurses and cleaners to keep the premises of the medical organization (subdivision) clean and tidy; provides the serviced unit with household equipment, overalls, hygiene items, stationery, detergents, bed linen and underwear for patients; for the repair of premises, equipment, inventory and controls its implementation, provides power supplies (buffet, dining room) with equipment, utensils and monitors their correct labeling and use. Maintains accounting records

Must know: the expiration dates of linen and equipment used in a medical organization (department); methods of sanitizing inventory; conditions of operation and storage of inventory; forms of accounting and reporting documentation and rules for filling them out; rules for compliance with the sanitary and hygienic regime in a medical organization (subdivision); internal labor regulations; rules on labor protection and fire safety. Qualification requirements. Secondary (complete) general education and additional training in the direction of professional activity without presenting requirements for work experience.

Requirements for professional education and training of an employee Professional training on the basis of an educational institution with a general education not lower than secondary (complete) general Requirements for practical work experience - not required Special conditions for admission to work Passing preliminary and periodic medical examinations (examinations) in accordance with the established procedure medical book

“Economic activity in the HCI unit Rational organization of the workplace and one’s own work Obtaining information on the standards of economic activity of the HCI department Conducting an economic round and survey of the sanitary and technical condition of the premises and equipment of the department Identifying malfunctions of sanitary equipment, the need for repairs Aesthetic design of the premises of the HCI department Carrying out preparing the premises of the department for work in the autumn-winter period preparing the premises of the department for disinfection measures (disinfection, disinfestation, deratization) monitoring the implementation of requests for the repair of premises, communications, equipment

“Economic activities in the HCI unit Ensuring marking, storing spare keys from all premises of the department in the prescribed manner Ensuring free access to emergency exits in the department Ensuring the safety and working condition of fire-fighting equipment Compliance with labor protection and safety Interaction with the administration of the department (head of the department or head nurse ) in case of emergencies, etc. filling in the established documentation

"Material support of the HCI unit" obtaining information and determining the needs of the department (office) of the HCI in soft and hard inventory Coordination with the head of the department and the senior nurse Receiving overalls and personal protective equipment for medical staff from the warehouse Changing gowns, towels for employees Receiving soft and hard inventory from the warehouse in accordance with the equipment list and provision of storage provision of a power supply unit (buffet, canteen) with equipment, utensils labeling of soft and hard inventory monitoring the operation of soft and hard inventory of the department

“Material support of the health care facility unit” receiving and issuing linen and other soft equipment to the offices (department) ensuring the supply of linen in the offices (department) organizing (implementing) the systematic washing of medical gowns of employees, linen used in the offices (department) monitoring the quality of washing, safety, darning and conformity of marking upon receipt of linen from the laundry room delivery of bedding to chamber disinfection receipt and storage of clean bedding

“Ensuring the accounting and safety of the material and technical assets of the HCI department Interaction with members of the inventory commission, accounting department and other services of the HCI on inventory issues Keeping records of soft and hard inventory and equipment, ensuring its safety and monitoring the condition of ensuring the availability of inventory numbers on equipment, soft and furniture household inventory subject to material accounting identification of soft and hard inventory unsuitable for further use. drawing up an act on damage to material assets in the department of health care facilities preparation of soft inventory for write-off in the prescribed manner

“Ensuring the accounting and safety of the material and technical assets of the HCI department; compiling inventory records; preparing incoming and outgoing documents on material assets registered in the department and handing them over to the accounting department; condition and assessment of the property of the branch by members of the inventory commission; comparison of inventory data with the actual availability of property; comparison of inventory data with accounting data

“Organization of the work of cleaners and nurses of the HCI unit Basic arrangement of cleaners and nurses in agreement with the head nurse of the department Determination of the scope of work for cleaners and nurses taking into account regulatory requirements and staffing work ensuring safe working conditions for cleaners and nurses (ward, pantry, bath attendants, escort nurses, etc.) providing junior staff with overalls and personal protective equipment adequate to the type of work performed providing junior staff with labor tools, disinfectants and detergents for sanitation work

"Organization of the work of cleaners and orderlies of the health care facility unit; monitoring all types of cleaning of the general and auxiliary premises of the department; monitoring the work of junior staff in the collection, storage, and disposal of waste in the department, in accordance with the hazard category; monitoring compliance with internal labor regulations and job duties." cleaning women and nurses of the department maintaining documentation of the established form

MINISTRY OF HEALTH OF THE USSR ORDER of February 29, 1984 N 222 ON THE APPROVAL OF INSTRUCTIONS FOR ACCOUNTING FOR LINEN, BEDDING ACCESSORIES, CLOTHES AND SHOES IN MEDICAL AND PREVENTIVE AND OTHER INSTITUTIONS OF HEALTH CARE CONSISTING AT THE STATE BUD OF THE USSR

Product name Number of items per bed Service life in years Underwear and bed linen for patients Sheet Duvet cover Diaper Pillowcase top Mattress Feather pillow Woolen blanket

The professional standard of a nurse implies a job description that all employees must comply with. For each category of nurses there is a list of skills and knowledge that she must possess. In the article we will consider them.

What should a nurse do

The professional standard of a nurse includes the following skills:

Not only the provision of medical services, but also interaction with relatives, doctors and patients.
Participation in the creation of a safe hospital environment, organizing a working space for oneself in a dressing, manipulation or treatment room.
Obtaining written consent to carry out certain procedures prescribed by the doctor.
The use of medicines prescribed by a doctor.
Introduction of injections, setting up infusion media and droppers.
Maintaining records of medicines, filling out reports and documentation for the reception and storage of medicines.
Monitoring the condition of patients.
Providing emergency care before the doctor arrives if the patient has a complication on a particular medication.

Nursing Skills

The professional standard of a nurse has a section that is devoted to the basic skills and abilities of staff. The main skills are as follows:

In medical work with patients, use all the procedures and rules of professional communication.
The ability to find a common language with both ordinary patients and those with deviations in consciousness, behavior, vision or hearing.
The ability to organize the workspace in such a way that it complies with all the rules and regulations that are approved in our country.
The nurse must be able to calculate the required dose of the drug prescribed by the doctor.
The professional standard of a nurse obliges the latter to be able to puncture peripheral veins and their catheterization. The nurse must be able to care for the vascular catheter.
She must correctly administer the drug to the patient, taking into account all regulatory documents.
The nurse must also have the skills to work with medical documentation. This also includes the accounting and storage of medicines.
Nursing staff should provide emergency care to the patient if there is no doctor nearby.
The nurse is obliged to comply with the requirements for sanitary-epidemiological and infectious safety.

Diet Skills

The professional standard of a medical dietary nurse has its own differences, but, nevertheless, it is included in the set of professional standards. The main activity of such a nurse is the planning of therapeutic nutrition for the patient. That is, the dietitian must:

On issues of clinical nutrition, interact with other services of a medical institution, such as a food unit, accounting or a dietitian.
Organize the work of the food block.
Create diet cards.
Make a menu for a week that will correspond to different therapeutic diets.
On the advice of a medical institution, submit drafts of a medical menu, which depends on the type of diet.
In its activities, analyze natural and monetary indicators.
Maintain reports and records.

Responsibilities of a dietitian

The duties of a dietitian are more advanced. These include:

Formation of a dietary menu for patients of the institution.
Compliance with the physiological norms of nutrition for patients.
Accounting for the type of therapeutic diet before forming the menu for the week.
Formation, together with a nutritionist, of a weekly menu, taking into account seasonality.
Compilation of various dishes.
The correct distribution of money for products for a weekly diet.
Calculation of the nutritional value and chemical composition of the dish together with a dietitian.
Reconciliation of the fulfillment of natural and monetary norms for dietary nutrition, together with accounting. This is done during the reporting period, for which they can take a month, a week.

Standards for the social sphere

The professional standard of a nurse in the social sphere is a document that is a section of the general professional standard.

This document contains the following requirements:

The nurse should interact with social security agencies, ITU commissions, institution services and its staff. At the same time, the interaction should be in the interests of patients.
The nurse is obliged to keep records of the disabled in a given area, as well as the elderly.
To form a base of persons who need social and medical care.
The nurse should conduct an examination of the social and living conditions of patients in conjunction with other services.
Provide citizens with medical and social information and determine their own need for social assistance.
Conduct work on the social adaptation of the elderly and the disabled.
Help the patient obtain the necessary funds for rehabilitation.
Help patients realize their rights to receive payments and benefits.

Nursing standards include:

Examination of the patient the possibility of self-service, movement or communication.
Formation of databases and collection of necessary information.
Identification of the main problems in elderly patients and disabled people who have lost social skills.
Working with the patient's relatives, teaching them how to adapt to the capabilities or needs of the elderly and disabled.
Providing comprehensive care to patients for benefits, medical devices or warranties.
Teaching patients to use technical means or medical devices for rehabilitation.

Rehabilitation Nurse Standards

The standards of professional activity of a nurse who helps in rehabilitation are as follows:

Interaction with both the rehabilitation department and other services in the interests of the patient.
Fulfillment of medical appointments at any stage of rehabilitation.
Carrying out activities for physiotherapy and exercise therapy.
Conducting therapeutic massage.
The use of methods that allow you to psychologically unload the patient.
Evaluation of the effectiveness of rehabilitation procedures that have already been carried out.

In addition, the nurse must:

Be able to use the means of physiotherapy and medications prescribed by the doctor.
Carry out physiotherapy in accordance with the patient's rehabilitation program.
Conduct physical therapy classes.
Conduct sessions of both hardware massage and manual.
Conduct classes in art therapy, music therapy, etc.
Provide psychological support for the patient.
Be able to stimulate the patient to train fine motor skills or engage in manual labor, if necessary for the rehabilitation process.

Junior Staff Standards

In 2016, the Ministry of Social Protection and Labor approved the professional standard for a junior nurse. This document was adopted because the duties of a junior nurse and a nurse were often confused before. The professional standard made it possible to clearly distinguish between these two professions.

On the basis of the document, qualification levels are distinguished, which directly depend on the skills that the employee has, as well as the duties that the management of the medical institution imposes on them.

So, the professional standard of a junior nurse includes procedures for caring for patients in a medical institution. That is, in the staffing table, along with two posts, they indicate a set of their duties and functions necessary for accounting.

Both the nurse and the junior nurse are required to have a specialized education. If this is not the case, then you need to send the employee to courses. But this requirement is not mandatory, and therefore the professional standard of a junior nurse for care is observed at the request of the head of the medical institution.

So, the junior nurse is obliged:

Process incoming information from patients and their relatives.
Help patients move around the facility.
Maintain sanitary and hygienic standards while caring for seriously ill patients.
Help the seriously ill meet their natural needs.
Feed patients who are unable to feed themselves.
Take pillowcases, blankets, sheets, pillows, shoes, and clothes for the patient.
Change bedding and underwear of the patient.
Assist the doctor during temperature measurement, pressure measurement and other simple procedures.
Monitor the general condition of the patient.
Transport biological materials to the laboratory.
Provide first aid if the patient's life is in danger.

Since we are talking about the approval of the professional standard of a junior nurse, she should be able to:

Receive and transmit information that is related to the patient's condition.
Be able to use special equipment for ergonomic transportation of the patient.
Monitor the factors that surround the patient and prevent their exposure if they threaten the patient's condition.
Know how to handle medical supplies.
Be able to measure blood pressure and temperature.
Know how to provide first aid.
Accompany and assist the patient during medical examination.
To help patients satisfy their natural needs if their musculoskeletal system is damaged.

Professional standard for senior staff

The professional standard of the chief nurse is markedly different from all others. Rather, as such, there is no document on this topic, but, nevertheless, the requirements are more stringent compared to nurses of other qualifications. The professional standard of the chief nurse is based on the fact that she has more responsibilities, a wider right to control subordinates, and a higher degree of responsibility to management.

For a candidate for the position of chief nurse, a secondary specialized or higher education is required. At least ten years of work experience with secondary education and at least five years with higher education.

In this sense, the professional standards of a chief nurse are no different.

Procedure Nurse Standards

The procedural nurse performs standard duties. She carries out the appointments that are prescribed for drug therapy. The nurse not only provides services, but also cooperates with doctors, relatives of the patient and the patient himself. Creates a safe hospital environment and properly organizes his workplace.

The professional standard of a procedural nurse also includes obtaining written consent from patients for certain procedures. In addition, the nurse is required to keep a record of medicines and fill out documentation for their storage and receipt. Provide emergency care if the patient becomes worse after the administration of the medicine.

The professional standard of the nurse in the treatment room of the polyclinic also has a list of employee skills. This is:

Ability to use rules for clinical work with patients.
The ability to establish contact with the patient, even if he has impaired vision, hearing or consciousness.
Organize your workspace in accordance with all the norms and rules of the law.
Ability to calculate the required dose of the drug.
Correctly administer drugs and complete the necessary documents.
Work with documents.
Compliance with the requirements of sanitary and epidemiological safety and infectious.

The same skills are also indicated in the professional standard of the ward nurse.

Dressing Room Nurse Standards

Since we have dealt with almost all the qualifications, we will tell you about the rest. So, professional standards give the dressing nurse special responsibilities. We will consider only them, since the rest are absolutely identical to the duties of a procedural nurse.

So, the professional standard of a nurse in a dressing room obliges an employee to be able to treat wounds, apply bandages and splints, work with plaster and provide psychological support to a patient in a state of shock and severe pain.

The rest of the duties are the same as those of a treatment room nurse.

Standards for a housewife

Since professional standards apply even to nurses, why not develop them for the housewife? So, the hostess is lower in position than the nurses, but higher than the nurses. According to the professional standard, she must have a secondary or complete general education and special courses in her specialty. Work experience doesn't matter.

The professional standards of the hostess of a medical organization oblige her to:

Supervise the work of nurses and cleaners.
Manage household supplies.
Provide your department with special clothing, hygiene items, stationery and detergents.
Provide sanitation for patients.
Take dirty linen to the disinfection department.
Monitor patient clothing. It should correspond to the height and sex of the patient.
Change bathrobes.
Distribute towels to medical staff.
Responsible for preparing the premises for receiving patients. This includes the purchase of inventory and requests for repairs.
Monitor the condition of the dining room, that is, equipment, utensils and the presence of markings on items from the power supply.
Fill out reports on the work done and maintain other documentation.

In addition to duties, the hostess has the right to learn from the management the information necessary for her work, to participate in the commission, which writes off the used equipment, to give instructions for the junior medical staff.

The hostess sister is responsible for the safety of material values, the property of a medical institution. If she does not comply with these rules, then she can bear not only administrative, but also criminal liability.

The job of a hostess sister is to communicate with people a lot. These are her direct duties, as well as the fact that she must be able to organize the work process. After all, she has about twenty people under her command.

That is, in order to successfully work as a housewife, you need to be able to communicate with people around you and be a stress-resistant person. The named work requires not only moral, but also physical strength, which means that the candidate for the position must be hardy. Attentiveness, accuracy and restraint are also necessary qualities for this employee.

Standards for a nurse in a polyclinic

The professional standard of a polyclinic nurse is no different from that of a procedural nurse. The only thing that is still imputed to her is to lead the sick who are attached to her site. And here we can draw an analogy with the social nurse. After all, it should not only provide emergency care, but also help to get preferential medicines or medical devices. That is, if we talk about duties, it should be a savvy employee from all sides who knows how not only to keep documentation, but also to administer the drug or help the patient during the examination.

The impact of professional standards on the work of the institution

The draft "Professional Nursing Standard" is just about to be accepted. That is, this is a document in which all the labor functions of a specialist will be indicated. If professional standards for nursing already exist, what will be the norms for nursing no one knows yet. But, nevertheless, medical institutions are obliged to begin preparations for the introduction of the document right now.

First of all, after the entry into force of the project, the management of the medical institution is obliged to notify all employees about this. It is necessary to convey as clearly as possible those norms that will be taken as a basis.

Standards will be approved for the chief and senior nurse, as well as for highly specialized nurses - dressing, procedural and others. This will entail a revision of job descriptions, which means that the management of the institution must do the following:

Conduct explanatory work with the staff of the medical institution. They should be aware of what is required of them and the content of the standard.
After the job descriptions are revised and the professional standard is put into operation, it is necessary to sign additional agreements with the middle and senior medical personnel.
Management is obliged to analyze the compliance of the qualifications of employees with professional standards. That is, employees must have a special certificate and secondary vocational education.
If a discrepancy between one another is found, then the management must decide how to improve the qualifications of the employee. For example, to meet the professional standard of a massage nurse, you need a special certificate, which you need to get.
It would also be useful to study the professional standard for the knowledge of employees that are used within the medical institution.

If all these points are observed, then the implementation of the project will be painless for the institution.

Conclusion

It is very important to comply with medical standards, because the quality of medical care depends on it. Unfortunately, in our country this issue is often treated negligently, hence medical errors or improperly performed treatment appear, which sometimes has the most sad consequences.

To stop this and reach a qualitatively different level of service, this project was developed. It will allow, after implementation, to carefully select medical personnel, knowing what functions they should perform.

Sometimes a nurse is more important than a doctor. This is especially true for the care and treatment of seriously ill people. Therefore, these employees should not only be professionals in their field, but also be able to find contact with patients. After all, most often the result of his treatment or rehabilitation depends on the psychological mood of the latter. The nurse must by all means assure the patient of successful treatment and a favorable outcome.

When middle and junior medical personnel are selected in accordance with regulatory requirements, then medical services in our country will reach a different level.

Job description of the hostess of a medical institution[name of organization, enterprise, etc.]

This job description has been developed and approved in accordance with the provisions and other regulations governing labor relations in the Russian Federation.

1. General Provisions

1.1. The nurse-mistress of a medical institution refers to the junior medical staff.

1.2. A person who, depending on the category of payment, is appointed to the position of a housewife:

Secondary (complete) general education and additional training under a special program without presenting requirements for work experience;

Secondary (complete) general education, additional training in a special program and at least 2 years of work experience in the profile.

1.3. The hostess is appointed and dismissed by the chief physician (head of the medical institution) on the proposal of [fill in as needed].

1.4. The hostess should know:

Expiration dates of linen and equipment used in a healthcare facility (department);

Time and methods of sanitizing inventory;

Conditions for the operation and storage of inventory;

Forms of accounting and reporting documentation and the correctness of their completion;

Rules for compliance with the sanitary and hygienic regime in a healthcare institution (subdivision);

Internal labor regulations;

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

- [fill in as needed].

1.5. In her activities, the hostess is guided by the internal labor regulations, the orders of the head of the medical institution, this job description and reports directly to [fill in the right one].

1.6. [Enter as required].

2. Job responsibilities

Nurse-owner of a medical institution:

2.1. Supervises the work of nurses and cleaners to keep the premises of a healthcare institution (subdivision) clean and tidy, provides the serviced unit with household equipment, overalls, hygiene items, stationery, detergents, bed linen and underwear for patients.

2.2. Changes bathrobes and towels for employees.

2.3. Draws up requests for the repair of premises, equipment, inventory and supervises its implementation.

2.4. Provides power supply units (buffet, canteen) with equipment, utensils and monitors their correct labeling and use.

2.5. Maintains accounting records.

2.6. [Enter as required].

3. Rights

The hostess of a medical institution has the right to:

3.1. Submit proposals on the issues of their activities for consideration by their direct management.

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

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

3.4. [Enter as required].

4. Responsibility

The hospital nurse is responsible for:

4.1. 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.

4.2. 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.

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

The job description was developed in accordance with [name, number and date of the document].

Head of structural unit

[initials, last name]

[signature]

[day month Year]

Agreed:

Head of the legal department

[initials, last name]

[signature]

[day month Year]

Familiarized with the instructions:

[initials, last name]

[signature]

[day month Year]

Occupational standards are a new stage in the development of professional competencies of employees.

In practice, many medical organizations have questions with the professional standard "Junior medical personnel". It requires that orderlies receive vocational training. Previously, they did not have such a duty.

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For information on how to implement the professional standard "Junior Medical Personnel" and what to pay attention to, read the recommendation.

The answer to this question is not so obvious. Yes, the section "Other positions of medical workers (junior medical personnel)" of the nomenclature of positions of medical workers contains the following positions:

nursing assistant;
orderly;
medical attendant;
housewife sister.

These positions are also in the order of the Ministry of Health and Social Development of Russia dated July 23, 2010 No. 541n, which approved the qualification characteristics of positions of workers in the healthcare sector (hereinafter - Order No. 541n).

However, the Law of November 21, 2011 No. 323-FZ (hereinafter - Federal Law No. 323-FZ) determines that a health worker is a person who:

has a medical or other education;
works in a medical organization;
carries out medical activities.

This definition is provided by paragraph 13 of Article 2 of Federal Law No. 323-FZ.

That is, in order to attribute the positions of junior medical staff to medical workers, it is necessary that they meet these requirements.

The nursing assistant has the greatest clarity on this issue.

Her job responsibilities include participating in the measurement of body temperature, pulse rate, blood pressure, respiratory rate, etc.

Qualification requirements in accordance with the professional standard include “Secondary general education and vocational training for the position of Nurse Nurse for Patient Care”; Secondary vocational education in the specialties "Nursing", "Medicine", "Obstetrics" - educational programs for the training of qualified workers (employees) for the position of "Junior Nurse for Patient Care".

Formally, both conditions, in order to classify a junior nurse as a medical worker, comply with the requirements of the law. That is, a nursing assistant is a health worker.

If we consider the orderly, then there are more questions

A nurse who does not provide medical care is not engaged in medical activities. However, medical activities also include sanitary and anti-epidemic measures (Order No. 541n). The same position contains the professional standard "Junior medical personnel".

Order No. 521n, in turn, does not require the orderly to have a special (medical) education. To eliminate this inconsistency, the requirements of the professional standard should just be. He assumes that the orderly should have a secondary general education and vocational training for the position of "orderly".

With regard to the positions of "orderly-driver" and "sister-hostess", it should be recognized that they do not meet the definition of "medical worker" either by the nature of the work or by the requirements for education. That is why they are absent in the professional standard "Junior medical personnel".

The Ministry of Labor approved the professional standard "Junior medical personnel" by its order of January 12, 2016 No. 2n.

Please note that as long as the qualification characteristics are valid, medical organizations have the right to keep these positions in the staffing table.