Chief Doctor Qualification Requirements. Qualification requirements for the head of the medical organization. Examples of court decisions

In practice, the question rarely arises: should the sole executive body and the actual head of a medical organization have medical education and professionally understand the main activity of the clinic or it is enough to be a capable administrator and to deal with non-core areas. Let us turn to the legislation and practice of its application.

The Labor Code of the Russian Federation and the Federal Law "On the Fundamentals of the Health of Citizens in the Russian Federation" No. 323-FZ does not contain special qualification requirements for the position of "Head of Medical Organization".

These requirements are contained in subband regulations governing the qualification characteristics of posts, such as:

Nomenclature of medical professionals and pharmaceutical workers, appliances. Order of the Ministry of Health of the Russian Federation No. 1183N of December 20, 2012;

Unified qualifying directory of managers, specialists and employees, section "Qualification characteristics of posts of workers in the field of health care", approved. Order No. 541n dated 07.23.2010

The list of posts that make up "positions of executives" reveals in the nomenclature of the posts of medical workers and pharmaceutical workers, appliance. By order of the Ministry of Health of the Russian Federation No. 1183N dated 12/20/2012, according to this document, the "position of executives" included in paragraph 1.1 of the I "Medical Workers" section. Therefore we can conclude that only medical workers can occupy positions.

So, section I "Medical Workers", subsection 1.1. "Managers posts":

chief doctor (chief) of a medical organization;

director of the hospital (houses) of nursing care, hospice;

deputy Head (Chief) of the Medical Organization;

head of the Structural Unit (Department, Department, Laboratory, Cabinet, Detachment, and Other) Medical Organization - a specialist;

head of the head physician, the head) of the structural unit exercising medical activities, other organizations;

main medical sister (home midwife, chief paramedic).

In a note to the Nomenclature of posts, an important reservation has been made for 3 posts from 6 above listed, namely, in relation to:

"Chief Doctor (Chief) of Medical Organization",

"Deputy Head (Chief) of Medical Organization",

"Head (chief physician, chief) of a structural unit exercising medical activities, other organizations."

Note to the document suggests that the positions listed above are the positions of medical professionals in the event that their labor (official) duties include implementing medical activities.

With respect to the remaining 3 posts, including the post "Director of the Hospital (at home) of a nursing care, a hospice" there is no such reservation.

Unified qualifying directory of managers, specialists and employees, appliances. Order No. 541n dated July 23, 2010 in section II "positions of executives" does not indicate the obligatory presence of medical education regarding position:

Head (chief physician, director, head) of federal budgetary institutions of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare,

Directors of the hospital (at home) of nursing care and hospice.

The employee for the post "Chief Physician (President, Director, Head of Manager, Head of Medical Organization)" can, how to have, and not have medical education, but in any case it is obliged to have a certificate of a specialist in the specialty "Organization of Health and Public Health" and Work experience in senior positions.

Let us give excerpts from regulatory documents.

In relation to the post "Chief Doctor (President, Director, Head of Manager, Head of Medical Organization)" the following qualifying requirements are imposed:

"Higher vocational education in the specialty" Medical Case "," Pediatrics "," Medical and Preventive Business "," Stomatology ", Postgraduate Professional Education and / or Additional Professional Education, Specialist Certificate of Specialist" Health Organization and Public Health "or Higher Professional (Economic, Legal) Education and special training in health management, work experience in senior positions for at least 5 years. For the President of the Medical Organization, work experience in medical organizations is at least 25 years.

In relation to the position "Director of the Hospital (Houses) of Nursing Care, Hospice", the following qualifications requirements are imposed:

"Higher Professional Education in the specialty" Medical Case "," Pediatrics "," Nursing ", Postgraduate Professional Education and / or Additional Vocational Education, Certificate of Specialist in the Specialty" Organization of Health and Public Health "or" Management of Nursing Activities ", work experience In medical organizations for at least 5 years or secondary vocational education (elevated) in the specialty "Nursing case", "therapeutic business", "obstetric matter" and a specialist certificate in the specialty "Organization of Nursing Case", work experience in medical organizations at least 10 years old".

In the letter of the Ministry of Labor and Social Protection of the Russian Federation No. 14-0 / 10 / B-2253 of April 4, 2016, two cases are named with reference to the TC RF, if there are requirements professional standards required:

if, in accordance with the Labor Code of the Russian Federation or other federal laws with the implementation of work on these posts, professions, specialties are related to the provision of compensation and benefits or the presence of restrictions (Article 57 of the Labor Code of the Russian Federation);

if the qualifications requirements required by the employee for the fulfillment of the labor function are established by the Labor Code of the Russian Federation, other federal laws, other regulatory legal acts of the Russian Federation (Article 195.3 of the Labor Code of the Russian Federation).

Legislation on medical licensing establishes requirements for the level of education of the Head of Medical Organization (sub. B, G. 4 provisions on licensing medical activities, approved. Decree of the Government of the Russian Federation No. 291 dated 16.04.2012).

So, at the head of the medical organization, deputy head of the medical organization responsible for the implementation of medical activities should be:

higher medical education;

postgraduate and (or) additional professional education provided for by qualifying requirements for specialists with higher and postgraduate medical education in the field of health;

specialist certificate;

as well as additional professional education and certificate of a specialist in the specialty "Health Organization and Public Health";

availability of work experience in a specialty at least 5 years.

Compliance with these requirements should have a documentary confirmation.

Attention attention and generates conflicts in the practice of the phrase "responsible for the implementation of medical activities."

As can be seen from the above regulatory acts, there is a collision between a single qualifying reference book, the nomenclature of health positions and the Regulations on licensing of medical activities. In this regard, it is an interest as evaluating the specified collision by the courts.

Law Enforcement Practice of Arbitration Courts.

The law enforcement practice of arbitration courts that we found indicates that controlling authorities, as a rule, the lack of medical education leader is always assessed as a violation of licensing requirements. The violator uses a fine under Part 4 of Article 14.1 of the Administrative Code of the Russian Federation.

Arbitration courts, considering the value of the validity of the use of penalties, in most cases, confirm the correctness of the controls of the controlling bodies, and less often fall on the side of the medical organization.

Below will be examples of court decisions: in the first case, the courts considered the situation when the head had medical education, but there is no certificate of a specialist in the specialist "Health Organization and Public Health and Work Experience in Medical Organizations; In the second case - there is no medical education.

Examples of court decisions.

Decision of the Arbitration Court of the Oryol region of April 22, 2016 in case number A48-1595 / 2016.

"... Documents confirming the presence of a medical organization at the head of the medical organization, the Deputy Head of the Medical Organization, which is responsible for the implementation of medical activities, additional professional education and a specialist certificate in the specialty" Organization of Health and Public Health ", are not presented, which indicates non-fulfillment ... Requirements PP.The Section 4 Decisions of the Government of the Russian Federation dated 16.04.2012 No. 291 "On licensing of medical activities ...".

Resolution of the Supreme Court of the Russian Federation of October 27, 2014 No. 302-kg14-2669 in case number A33-11226 / 2013.

"At the time of the inspection by the Ministry of Health of the Krasnoyarsk Territory, in violation of the above licensing requirements, the position of chief doctor of society occupied Lukashevsky Nikolai Gennadevich, appointed by Order No. 2a dated June 1, 2009, who graduated from the Krasnoyarsk State Medical Institute in the specialty of Dentistry in 1986, held internship with 1 August 1986 to June 30, 1987 in the specialty Dentistry surgical, having a specialist certificate specialty orthopedic dentistry, which has no vocational training in the specialty organization of health care and public health. "

Resolution of the Arbitration Court of the Moscow District of August 18, 2015 in case number A40-180007 / 2013

"... In violation of subparagraph" B "of paragraph 4 of the provisions of the head - General Director Sokolova V.L. (Order of September 05, 2012 No. 08-K) there is no higher medical education, at the Deputy General Director for the Medical Work Ryabova O.I. (Order of September 16, 2012 No. 09 / K, from 09/16/2012) There is no additional professional education and certificate of a specialist in the specialist "Organization of Health and Public Health.

The court of cassation considers the appointment by the Company of the administrative fine within the sanction of part 4 of Article 14.1 of the Administrative Code of the Russian Federation.

Society references to obtain a license on legal basis and according to the requirements of legislation on the date of its receipt, do not affect the legitimacy of bringing to administrative responsibility. The circumstances of obtaining a license are not subject to establishing within the framework of this dispute. The courts found that at the time of the inspection, the Company carried out activities with a gross violation of the conditions stipulated by a special permit (license). "

Decision of the Arbitration Court of the Far Eastern District of March 5, 2015 in case No. F03-213 / 2015.

"As a result of the inspection, it was established that the Director of the Company, which is a medical organization, has no higher medical education and a certificate of a health care specialist and public health."

Resolution of the Odenth Arbitration Court of Appeal of February 13, 2014 in case number A55-24619 / 2013

"From the case of the case, it is clear that at the time of the inspection, Lotos LLC carried out Borotov O.A. ...., having a diploma of higher education on the qualification" Manager "with a specialty" Sursing ", received on June 15, 2010, and work experience specialty less than 5 years.

From the presented ... Documents seemed that Borotovova O.A. Hased director, its obligations include the immediate implementation of the management of the Company's financial and economic activities of the Company medical services population, with issues of issues requiring special knowledge in the medical sphere.

The argument of society about the possibility of the inconsistency of his current sole executive body to the position of the requirements of the court of first instance informedly rejected.

The provision on licensing of medical activities does not provide for any seizures from the requirements for the head of the medical organization, which is a special subject in this case, regardless of solutions of other bodies, including its personal, as the sole executive body of the Company.

Presented by the Society of Deputy Director Lotos LLC for medical part, Regulations on internal quality control of the quality and safety of medical activities, LLC Lotos, Order of January 21, 2013 No. 1/21-01-13 "On the procedure for internal quality control and security of medical activities Lotos LLC are internal acts of the organization that do not exempt the subjects of medical activities to comply with the requirements of legislation in the field of licensing certain types of activities. "

Resolution of the Seventh Arbitration Court of Appeal dated November 7, 2014 in case No. A03-13309 / 2014.

"Head of Medical Organization - Gritsai O.V. Does not have higher medical education, postgraduate and (or) additional professional education provided for by the qualification requirements for specialists with higher and postgraduate medical education in the field of health care, a specialist certificate, as well as additional professional education and a specialist certificate in the specialist "Health Organization and Public Health" ....

... license requirements in the regulated field of activity is the availability of a medical organization ... responsible for the implementation of medical activities ... Higher medical education ..., and a specialist certificate of specialist "Health and Public Health".

Qualifying sign when applying the name of the right right is the fact of laying on the appropriate executive (Head, Deputy Head, Head of the Structural Unit) of responsibility for the implementation of medical activities.

At the same time, from the documents submitted by the Company it follows that Gritsai O.V. Not responsible for the implementation of medical activities, there are two heads in society: the director and head of the medical service, the order of 09.01.2013 N 3-1 distributed official responsibilities within the competence of the head of the medical service and the director. At the same time, it is precisely to the official responsibilities of the head of the medical service that includes duties related to the implementation of medical activities, which is also confirmed by the instructions of the Head of Medical Services approved in society.

Did to the director Gritsai O.V. It includes exclusively the organization and operational leadership of production and economic and financial and economic activities. All persons occupying (or previously) the position of the Head of Medical Services have the highest medical education, the necessary qualifications, work experience, etc.

In this connection, the court of first instance came to the legitimate conclusion about the unreasonable imposition in the guilt of the company of the specified violation. "

Footnote. The title made a change in the Kazakh language, the text in Russian does not change in accordance with the order of the Minister of Health of the Republic of Kazakhstan dated 19.05.2017№ 311
Note RCI!
The procedure for introducing the order, see paragraph 5.

In accordance with subparagraph 2) of paragraph 3 of Article 32 of the Code of September 18, 2009, "and in order to streamline the regulation of qualifying requirements for posts for workers in health organizations, Order:

1. To approve the qualification characteristics of health workers' positions according to Annex to this order.

2. Department of Science and Human Resources of the Ministry of Health of the Republic of Kazakhstan (Hamzina N.K.) to ensure the state registration of this order in the Ministry of Justice of the Republic of Kazakhstan in accordance with the procedure established by law.

3. Department of Administrative Leadership of the Ministry of Health of the Republic of Kazakhstan (Bismildin FB) to ensure the formative publication of this order in the media established by the legislation after its state registration.

4. Control over the execution of this order to entrust to the Vice-Minister of Health of the Republic of Kazakhstan Birtanova EA

5. This Order is enforced after ten calendar days after the day of its first official publication.

Qualification characteristics of health workers posts

Footnote. Qualification characteristics in the editorial office of the Order of the Minister of Health of the Republic of Kazakhstan dated August 24, 2012 No. 588 (commissioned after the expiration of ten calendar days after his first official publication).

Qualification characteristics (hereinafter referred to as the characteristics) of health workers are the basis for the development of provisions on structural units of health organizations, job descriptions of health workers, for the selection and placement of personnel, to monitor the effectiveness of their use, for the certification of employees of health organizations for compliance with the post office .

Qualification characteristics of posts of specialists: an accountant, economist, lawyer, personnel specialist, a translator, a psychologist, an instructor on therapeutic physical education and other specialists are defined in the qualification characteristics of individual posts of specialists of government agencies and government enterprises common to all areas of activity.

The qualification characteristics of each position consists of three sections: "Responsibilities", "should know", "qualification requirements".

Section 1. Health Organization

Footnote. The title of the section in the editorial office of the Order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. қr DSM-43 (enforced after ten calendar days after the day of its first official publication).

Paragraph 1. Positions of managers
Subsection 1. Head of the Health Organization of the Republican, regional, district and urban value (CEO, Director)

Footnote. The headline of the subsection in the editorial office of the Order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. қr DSM-43 (enforced after the expiration of ten calendar days after the day of its first official publication).
Footnote. Subsection 1 With amendments made by orders Minister of Health of the Republic of Kazakhstan dated July 26, 2013 No. 436 No. 500 No. 311 No. қr DSM-43 No. қr DSM-29 (commissioned after the expiration of ten calendar days after his first official publication).

Official duties. Heads the manufacturing, economic and financial and economic activities of the health organization, is brings all completeness of responsibility for decisions, safety and 4 efficient use of property, as well as financial and economic results of its activities. Defines policies, the organization's strategy and the mechanism of its implementation. Provides the introduction of new and improvement of existing organizational forms and methods of personnel, aimed at further improvement of the efficiency and quality of diagnostic, medical and preventive care, improving the quality and competitiveness of services provided, their compliance with state standards. Provides the effective interaction of structural divisions of the organization, directs their actions to the development and improvement of the medical services provided. Takes measures to ensure the organization by qualified personnel, the rational use of their professional knowledge and experience, creating safe working and health conditions, the formation of a favorable psychological atmosphere in the team. Based on the analysis of the organization and evaluation of its work, it takes the necessary measures to improve the forms and methods of the organization. Provides on the basis of the principles of social partnership, the development, conclusion and implementation of a collective agreement, compliance labor discipline, promotes the development of labor motivation, initiatives and activity of employees. Coordinates the work on the study and assessment of sanitary and epidemiological situations, determines the priority factors of adverse effects on human health. Effective measures to improve the sanitary and epidemiological situation. Organizes operational and laboratory and instrumental control and supervision of hygienic and anti-epidemic activities, for compliance with sanitary rules and norms and hygienic standards. Ensures compliance with the law in the activities of the organization, including in matters of financial and economic management, strengthening contractual and financial discipline, regulation of socio-labor relations. Adding and dismissing workers. Concludes contracts, makes transactions with individuals and legal entities. Editions of their competence of orders and orders, mandatory for all workers. Represents the organization B. state bodies, organizations and court. Ensures the implementation of medical ethics, the requirements of the internal labor regulation, the technical operation of instruments, equipment and mechanisms, compliance with the counter fire safety and safety, sanitary and epidemiological regime. Provides timely reporting of the organization.

Must know: Constitution of the Republic of Kazakhstan, Civil Code of the Republic of Kazakhstan, Labor Code of the Republic of Kazakhstan, Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Countering Corruption", "", regulatory legal acts on health issues, statistics of public health, criteria and indicators characterizing the health of the population, the market conditions of the medical services, scientific achievements of domestic and foreign medicine, theoretical basis Health Organization and Health Management Systems, Sanitary Enlightenment Organization, Hygienic Education and Propaganda healthy image life, human habitat factors, basis planning and economic and financial activities Health organizations, fundamentals of the wage system of workers, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications:

head of the Health Organization of Republican Values \u200b\u200b(Director General / Director):

work experience in senior positions in the field of health care is at least 5 years;

head of the Organization of Republican Values \u200b\u200b(Director General / Director) in the field of treatment of medicines and medical devices:

higher education in the field of medicine;

availability of second higher education in the field of Economics / Finance and Credit / Law / Business Administration or Magistra's Domestic Research Institute for Special Public Health / Health Management / Management or Medicine (for persons completed training in scientific and pedagogical magistracy until 2011), "Business Administration", "Business Administration", "Economics", "Finance and Credit" or the presence of a PhD / Doctor PhD;

head of the Organization of Republican Values \u200b\u200b(Director General / Director), carrying out information in the field of health:

higher education in medicine or information systems and technologies / computer equipment and software;

work experience in senior positions for at least 5 years;

higher Education in Economics / Finance and Credit / Law / Business Administration and Availability of Master's Special Public Health or Health Management, Business Administration, Business Administration, "Economics", "Finance and Credit", "Information Systems", "Computer Engineering and Software", "Engineering Systems of Informatization and Communication";

work experience in senior positions for at least 5 years;

head of Health Organization of Regional Values \u200b\u200b(city of republican importance, capital) (director / Chief Doctor):

higher education in the field of medicine (for the organization - by profile);

availability of second higher education in the economy / finance and credit / right / business administration or the presence of a master's degree in the specialties "public health", "Health Management", "Management" or "Medicine" (for persons completed training in scientific and pedagogical magistracy to 2011), "Business Administration", "Business Administration", "Economics", "Finance and Credit";

higher Education in Economics / Finance and Credit / Law / Business Administration and Master's Existence on Special Public Health Organization or Health Management;

work experience in senior positions in the field of health care is at least 3 years;

head of the Health Organization of the district and urban value (director / Chief Doctor):

higher education in the field of medicine (for the organization of sanitary and epidemiological service - by profile);

availability of second higher education in the field of Economics / Finance and Credit / Right / Business Administration or Magistrian Extentivity in Special Public Health, Health Management, Management or Medicine (for persons completed training in scientific and pedagogical magistracy until 2011), "Business Administration", "Business Administration", "Economics", "Finance and Credit";

higher Education in Economics / Finance and Credit / Law / Business Administration and Master's Existence on Special Public Health Organization or Health Management;

work experience in senior health positions for at least 2 years;

Subsection 2. Deputy Head (Director General / Director) Health Organization (Medical Parts, to Control Quality of Medical Services, Strategic Development)

Footnote. The headline of subsection 2 in the editorial office of the Order of the Minister of Health of the Republic of Kazakhstan dated 04.11.2019 No. қr DSM-29 (enforced after ten calendar days after the day of its first official publication).
Footnote. Subsection 2 in the editorial office of the Order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. қr DSM-43 No. қr DSM-29 (enforced after ten calendar days after the day of its first official publication).

Official duties. Provides the management of the activities of the subordinate structural units of the health organization, organizes their work and effective interaction. Organizes the work of the team to provide timely and qualified medical care to the population, educational and scientific activities. Exercise organizational work on planning therapeutic and diagnostic activities of the organization. Carries out systematic control over the quality of medical services rendered. Ensures the introduction of new and improvement of existing organizational forms and methods of personnel, aimed at further improving the efficiency and quality of the rendered diagnostic, medical and preventive care, in accordance with the level of modern achievements and medical science and technology. Provides improving the quality and competitiveness of medical services provided, as well as their compliance with state standards. Organizes the implementation of the analysis of therapeutic activities of the organization, the study and assessment of sanitary and epidemiological situations, determines the priority factors of adverse effects on human health. Ensures the rational operation of medical equipment. Takes effective measures to improve therapeutic and preventive care, the sanitary and epidemiological situation. Provides operational and laboratory and instrumental control and supervision of hygienic and anti-epidemic activities, for compliance with sanitary rules and norms and hygienic standards. Plans and ensures measures to sanitation and hygienic education. Provides rational arrangement and organization of medical personnel, the development of their professional knowledge and experience. Organizes statistical accounting and submission of reporting on the organization's activities. Participates in the development of a program for effective management, which includes specific measures to develop and increase its competitiveness; ensures assessment of the quality of management on the results of assessment and monitoring the development process; analyzes the socio-economic performance indicators, conducts a comparative analysis of its competitiveness; Chooses a strategy and determines the priorities of the organization's development, determines the methods of achieving goals, justifies the choice of goals; Determines the tools to achieve goals, participates in the organization strategic planning In the organisation; participates in the development of innovative and investment activities of a medical organization, advertising strategyassociated with its further development; organizes the monitoring activities of the structural divisions of the organization of strategic goals, objectives and activities of the development plan; organizes activities to form reports on the execution of the annual operating plan, development plan and strategy (strategic plan) of the organization with proposals of further development prospects, for the subsequent provision by the manager; provides management projects management decisions on the strategic development of the organization; participates in the formation and conduct personal Policy, in the management and development of personnel and in regulating labor relations. Creates working conditions, safe and favorable for life and health, forms a favorable psychological atmosphere in the team. Develops a promising plan for improving the qualifications of medical workers. Presents within the competence, the organization in state bodies, organizations and court. Provides compliance with labor discipline, contributes to the development of labor motivation, initiative and activity of workers, medical ethics, fulfilling the requirements of the internal labor regulation, the technical operation of instruments, equipment, compliance with fire safety, safety and safety, sanitary and epidemiological regime.

The Constitution of the Civil Code of the Labor Code of the Republic of Kazakhstan of November 23, 2015, Code of the Republic of Kazakhstan dated September 18, 2009 "On the health of the people and the health system" of the year, the laws of the Republic of Kazakhstan of February 28, 2007 "", on November 18, 2015 " About countering corruption ", of July 11, 1997" On languages \u200b\u200bin the Republic of Kazakhstan Message

Requirements for qualifications:

higher education in the field of medicine (for the organization of sanitary and epidemiological service - by profile);

work experience in senior positions in the field of health care is at least 3 years;

deputy Head of the Organization in the field of treatment of medicines and medical devices:

higher pharmaceutical education;

work experience in senior positions in the field of health care is at least 3 years;

deputy Head of Health Organization Carriage of Health Informatization:

higher education in the field of information systems and technologies / computing equipment and software;

availability of second higher education in the field of Economics / Finance and Credit / Right / Business Administration or Magistrian Extentivity in Special Public Health, Health Management, Management or Medicine (for persons completed training in scientific and pedagogical magistracy until 2011), "Information Systems", "Business Information Systems", "Business Administration", "Business Administration", "Economics", "Finance and Credit" or the presence of a PhD / Doctor PhD;

work experience in senior positions in the field of health care is at least 3 years;

Subsection 3. Deputy Head (Director General / Director) Health Organization for Economic and Administrative and Economic Support

Footnote. The title of subsection 3 in the editorial office of the Order of the Minister of Health of the Republic of Kazakhstan dated 04/11/2019 No. қr DSM-29 (commissioned after ten calendar days after the day of its first official publication).
Footnote. Subsection 3 in the editorial office of the Order of the Minister of Health of the Republic of Kazakhstan dated 19.12.2018 No. қr DSM-43 (enforced after the expiration of ten calendar days after his first official publication); With amendments made by the Order of the Minister of Health of the Republic of Kazakhstan dated April 11, 2019 No. қr DSM-29 (commissioned after the expiration of ten calendar days after the day of its first official publication).

Official duties.

It provides the organization and improvement of the economic and administrative and economic activities of the Organization, the Methodological Guide and the coordination of the activities of all divisions of the Organization for the preparation of promising activities, developing plans with the necessary rationale and calculations laid down in their foundation, as well as organizational and technical measures to improve financial activities. Provides compliance with financial discipline, control over the implementation of planned tasks, organizes a comprehensive economic analysis and evaluation of the results of financial and economic activities of the Organization. Organizes the development of methodological materials on economic planning of the work of the organization's structural divisions, carrying out a comprehensive analysis of the assessment of the results of the administrative and economic activity of the organization. Provides strict adherence to the regime of the material and labor resources Organizations, contributes to increasing the efficiency of labor, economic independence of the organization. Provides maintenance and timely presentation of the planned, accounting and reporting documentation used in the organization, prepares proposals aimed at improving the efficiency of labor, financial and economic independence of the organization. Presents within the competence, the organization in state bodies, organizations and court. Develops measures for the use of intra-economic reserves, certification and rationalization of jobs. Develops a promising plan for improving the qualifications of specialists of financial institutions. Provides maintenance and timeliness of reporting on the financial and economic activities of the Organization, compliance with labor discipline, the requirements of the internal labor regulation, fire safety, safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan dated August 30, 1995, the Civil Code of the Republic of Kazakhstan dated December 27, 1994, the Labor Code of the Republic of Kazakhstan dated November 23, 2015, the Code of the Republic of Kazakhstan of September 18, 2009 "On the Health of the People and Health System", laws Of the Republic of Kazakhstan dated February 28, 2007 "On Accounting and Financial Reporting", from November 18, 2015 "On Countering Corruption", of July 11, 1997 "On Languages \u200b\u200bin the Republic of Kazakhstan", Strategic Plan of the Ministry of Health of the Republic of Kazakhstan for 2017-2021 Years approved by order of the Minister of Health of the Republic of Kazakhstan dated March 10, 2017 No. 61, the message of the President of the Republic of Kazakhstan dated December 14, 2012 "Strategy Kazakhstan-2050: a new political course of the state", regulatory legal acts on the issues of financial and economic activities of the Organization, Economic Organization management methods, organization planned slave Othi, theoretical foundations of social hygiene, health management systems, health care market, labor wages and forms of material incentives, labor legislation, rules and safety and safety regulations, industrial sanitation and fire safety.

Requirements for qualifications:

higher economic or financial education and the presence of a master's degree in the specialties "Public Health", "Health Management";

work experience in senior positions in the field of health care is at least 3 years;

higher Economic or Financial Education;

work experience in senior health positions for at least 5 years.

Subsection 4. Deputy Head of Health Organization for the Administrative and Economic Part

Footnote. Subsection 4 is expelled by order of the Minister of Health of the Republic of Kazakhstan dated 19.12.2018 No. қr DSM-43 (put into effect on the expiration of ten calendar days after his first official publication).

Subsection 5. Head of the Structural Unit of the Health Organization (Senior Doctor, Head of the Clinical (Paraklinic) division (department), Head of the Department, Elder Sister Medical / Nursing Manager, Head of the Laboratory of the Organization and Epidemiological Service, Head of the Vivarius of the Organization of Sanitary and Epidemiological Service)

Footnote. The title of subsection 5 in the editorial office of the Order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. қr DSM-43 (enforced after ten calendar days after the day of its first official publication).
Footnote. Subsection 5 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after ten calendar days after the day of its first official publication); dated 19.12.2018 No. қr DSM-43 (enforced after the expiration of ten calendar days after the day of its first official publication).

Official duties. Carries out the management of the structural unit of the organization. Organizes the work and effective interaction of structural units to provide timely and high-quality medical and drugs to the population. It is responsible for decisions, preservation and efficient use of property. Defines policies, the organization's strategy and the mechanism of its implementation. Takes measures to ensure the organization by qualified personnel, the rational use of their professional knowledge and experience, creating safe and healthy conditions for their lives and labor, the formation of a favorable psychological atmosphere in the team. Provides the introduction of new and improvement of existing diagnostic, medical and preventive care, improving the quality and competitiveness of services provided, their compliance with state standards. Organizes work on the study and evaluation of sanitary and epidemiological situations, determines the priority factors of adverse effects on human health, its habitat. Effective measures to improve the sanitary and epidemiological situation. Organizes operational and laboratory and instrumental control over the conduct of hygienic and anti-epidemic measures, for compliance with sanitary rules, norms and hygienic standards. Provides work to improve the qualifications of medical personnel, the development of their professional knowledge. It analyzes the activities of the structural division of the health organization and on the basis of the evaluation of its work indicators takes the necessary measures to improve the forms and methods of the organization. Ensures the fulfillment of the requirements of the internal labor regulation, compliance with medical ethics, fire safety and safety, sanitary and epidemiological regime. Provides reporting representation.

Must know: Constitution of the Republic of Kazakhstan, Code of the Republic of Kazakhstan "On the Health of the People and Health System", Labor Code of the Republic of Kazakhstan, the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts on health issues, theoretical foundations social hygiene and health care, theoretical and organizational foundations of therapeutic and preventive and sanitary and epidemiological services, population statistics, criteria and health indicators, health care market conditions, scientific achievements of domestic and foreign medicine, organization of social and medical rehabilitation of patients, labor legislation, Rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Higher medical education (for the organization of the sanitary and epidemiological service - by profile), and / or the existence of a master / degree / degree / doctorate of PHD in the specialty "public health" / "Health Management" / "Medicine" scientific organizations), according to the educational professional program of the MBA, work experience in the specialty for at least 3 years.

The senior doctor, head of the clinical (paraklinic) division (department), head of the department for medical activities (medical practice) - availability professional competencies: Compliance with the general requirements for the qualification of the doctor (by profile) of the first (highest) qualification category on clinical specialties, a specialist certificate for admission to clinical practice.

Elder Sister Medical / Nursing Manager - Higher Medical Education in the specialty "Sestrinsky case" without presentation of work on experience or technical and professional (secondary special, secondary vocational), mining (applied undergraduate) Medical education and first (higher) qualification category .

For the heads of non-profile activities - higher (or postgraduate) education by profile.

Subsection 6. Main Medical Sister
(Deputy Director for Nursing)

Footnote. Subsection 6 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (commissioned after the expiration of ten calendar days after the day of its first official publication); dated 19.12.2018 No. қr DSM-43 (enforced after the expiration of ten calendar days after the day of its first official publication).

Official duties. Provides a rational organization of the labor of middle and junior medical personnel. Carries out the overall leadership of the work of secondary and junior medical personnel of the organization. Organizes and controls the implementation of medium-sized medical personnel of medical prescriptions. Provides drawing up and execution of work schedules, compliance with the rules of therapeutic and security regime, infectious control, discipline. It develops the development of functional and official duties of secondary and junior medical personnel of the organization, timely statement, distribution and storage of dressings, medicines, including toxic, psychotropic and drugs, keeps accounting for their spending. Controls the sanitary and hygienic content of hospital departments, timeliness and quality of disinfection of premises (especially infectious). Carries out control of the quality of medical records with nursing staff. Develops promising and current improvement plans for medium and junior personnel, Evaluates the professional activities of nurses (brothers), midwifery (s), presents them to certification to obtain a qualifying category. Deals proposals to improve the quality of medical care to the population, improving the organization of labor. Provides reporting, compliance with medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the Labor Code of the Republic of Kazakhstan, the Laws of the Republic of Kazakhstan "On Countering Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts on health issues, theoretical and Organizational bases of social hygiene, health management systems, organization of social and medical rehabilitation of patients, public health statistics, criteria and health indicators, labor legislation, rules and norms of labor protection, safety, production sanitation and fire safety.

Requirements for qualifications. Higher medical education in the specialty "Surnery" or the prevalent (applied undergraduate) or technical and vocational education (secondary special, secondary professional), the first (highest) qualification category and the presence of a master's degree in the specialty "nursing case" (enhanced with 1 January 2025), work experience in the specialty at least 5 years.

Subsection 7. Clinical Head
(Paraklinic) division

Footnote. Subsection 7 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (commissioned after the end of ten calendar days after the day of its first official publication).

Official duties. Carries out the leadership of the clinical (paraklinic) division of the organization (hereinafter referred to as the division). Organizes the work of the team of the unit for the provision of timely and high-quality medical care, provides interaction with other divisions of the organization. Performs an analysis of the activities of the unit and takes on its basis a measure to improve the activities of the division. Provides the introduction of new and improving existing forms and methods of treating diseases. Introduces new innovative technologies in the division to diagnose and treat patients. Consultative assistance to doctors (as well as patients of divisions) on diagnosis and treatment. Determines with a doctor the tactics of the patient. Controls the work of medical, medium and junior personnel units. Takes measures to ensure the division of special equipment, monitors their proper operation. Creates conditions for improving the qualifications of medical professionals, contributes to the rational use and development of their professional knowledge and experience, as well as working conditions, safe and favorable for life and health, the formation of a favorable psychological atmosphere in the team. Provides maintenance and presentation of accounting and reporting documentation, compliance with medical ethics, internal labor regulations, fire safety and safety, sanitary-epidemiological regime.

Must know: Constitution of the Republic of Kazakhstan, Code of the Republic of Kazakhstan "On the Health of the People and Health System", Labor Code of the Republic of Kazakhstan, the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts on health issues, general principles and the main methods of clinical, instrumental and laboratory diagnostics, the basics of the organization of medical and preventive, emergency medical care, medicinal support of the population, the basis of social hygiene, health management systems, public health statistics, criteria and health indicators, scientific achievements of domestic and foreign medicine, labor Legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Higher Medical Education, First / Higher Qualification Category in the specialty.

Subsection 8. Head of the Laboratory of the Organization
sanitary and epidemiological service

Footnote. Subsection 8 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (commissioned after the end of ten calendar days after the day of its first official publication).

Official duties. Manages the laboratory. Plans and organizes the effective work of the laboratory, ensures interaction with other units of the organizations of the Sanitary and Epidemiological Service. Makes up a plan of work in conjunction with the state authority of sanitary and epidemiological supervision. Conducts marketing research for the market of new technologies and research methods. Tests and introduces into practice new devices and equipment, methods of laboratory studies and measurements. Organizes and participates in the conduct of laboratory and instrumental studies of the incoming samples. Organizes the safe working conditions and monitors to ensure the safe study of the studied materials, movement, storage and transportation of pathogens of the I-IV pathogenicity groups. Provides effective financial and economic activities using new economic management methods, conducting accounting and reporting documentation, compliance with medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Requirements for qualifications. Higher medical education of the sanitary and epidemiological profile and work experience in at least 3 years.

Subsection 9. Wishing Head of Organization
sanitary and epidemiological service

Footnote. Subsection 9 with a change made by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after the expiration of ten calendar days after his first official publication).

Official duties. Gives guidance on the content and breeding of laboratory animals. Develops current and promising thematic plans for Wivarium's work and monitors their implementation. Organizes the acquisition of the necessary livestock and animal species, preservation, proper content, feeding and care for them. Plans and organizes the effective work of Vivarium, ensures interaction with other units of organizations of the sanitary and epidemiological service. Analyzes the work of Vivaria and takes the necessary measures to improve its work. Takes part in the conduct of laboratory and diagnostic research. Organizes the study of diseases, pathologies of animals contained in Vivaria. Provides effective financial and economic activities using new economic management methods. Conducts marketing research for the market of new technologies and research methods. Tests and introduces into practice new devices and equipment. Organizes work on providing epizootological well-being in the colonies of laboratory animals. Ensures compliance with bioethical rules for the content of animal and anti-epidemic manipulation regime to prevent infection from the laboratory. Analyzes the validity of the use of experimental animals in order to reduce experiments on the model of laboratory animals. Organizes the safe conditions of work of laboratory workers working with laboratory animals. Solves issues of improving the qualifications of the staff of Vivaria, their certification. Provides maintenance of accounting and reporting documentation, compliance with medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the Labor Code of the Republic of Kazakhstan, the Laws of the Republic of Kazakhstan "On Countering Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts on health issues, sanitary epidemiological well-being of the population, sanitary and epidemiological content and operation of livestock and animal animals, animal biology and the rules of their content, the basics of zootechnics, veterinary medicine, ecology, genetics and systematization of contained groups of animals, scientific achievements of domestic and foreign medicine in the field of sanitary and epidemiological well-being of the population, Criteria and health indicators, labor legislation, rules and norms of labor protection, safety, sanitation and fire safety.

Requirements for qualifications. Higher (medical, veterinary, biological) education and work experience in the specialty at least 3 years.

Paragraph 2. Positions of specialists with higher and seammed education

Footnote. Paragraph 2 title 2 in the editorial office of the Order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. қr DSM-43 (enforced after ten calendar days after his first official publication).

Subsection 10. Plot physician / general practitioner

Footnote. Subsection 10 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (commissioned after ten calendar days after the day of its first official publication).

Official duties. Carries out prevention, diagnosis, treatment, rehabilitation of patients. Provides qualified, ambulance and other types of medical care. Determines the tactics of the patient. Develops a patient survey plan. Based on clinical observations and surveys, the collection of history, data of clinical and laboratory and instrumental research establishes (confirms) the diagnosis. Informs the patient about the possibility of choosing methods and methods of treatment, as well as used tools and medical products, if such a choice is provided for by the results of the survey. Analyzes the indicators of their activities. Interactions with other specialists and services on treatment, rehabilitation, insurance. Together with health centers, it takes part in promoting a healthy lifestyle, rational nutrition. Consulting activities on feeding, hardening, preparing children to children's preschool institutions, school, family planning, contraception, immunoprophylaxis. Conducts work to identify early and hidden forms of diseases and risk factors. Organizes a complex of diagnostic, medical and wellness and rehabilitation activities. Conducts diagnostics of pregnancy, monitoring pregnancy, identification and treatment of extragnenital pathology in pregnant women, psychoprophylactic preparation for childbirth. Reuses contraindications to pregnancy and childbirth, sends to interrupt pregnancy. Conducts the rehabilitation of women in the postpartum period and after interrupting pregnancy. Determines the state of disability of patients, directs them to medical and social expertise. Determines the testimony for translation to lightweight working conditions, sanatorium-resort treatment. An analysis of the health status of the attached contingent is conducting accounting and reporting medical records. Introduces modern methods of treating and preventing diseases. Organizes and controls the work of the subordinate middle and junior medical personnel. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Subsection 11. Ordinator (profile specialist)

Footnote. Subsection 11 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (commissioned after the expiration of ten calendar days after his first official publication).

Official duties. Provides qualified, ambulance and other types of medical care. Determines the tactics of the patient, the plan of its survey. Based on clinical observations and surveys, the collection of history, data of clinical and laboratory and instrumental research establishes (confirms) the diagnosis. Appoints and controls the treatment, organizes or independently conducts the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and events. Informs the patient about the possibility of choosing methods and methods of treatment, as well as used tools and medical products. In the hospital daily examines the patient. Makes changes to the treatment plan depending on the state of the patient and determines the need for additional methods of examination. Controls the correctness of the diagnostic and therapeutic procedures, operation of the toolkit, equipment. Plans to work and analyzes the indicators of its activities. Provides advice to the doctors of other units within their specialty. Cooperates with other specialists and services on treatment, rehabilitation. Introduces modern methods of treating and preventing diseases. Organizes and controls the work of the subordinate middle and junior medical personnel. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime. Organizes and conducts sanitary enlightenment of the population and promotes a healthy lifestyle.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Countering Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health care, the basis of the examination of temporary disability and medical Social expertise, general issues of organizing services for the profile, the basics of the international and domestic classification of diseases, the basis of medical insurance, the statistics of public health, criteria and health indicators, labor legislation, rules and norms of labor protection, safety, safety sanitation and fire safety.

Requirements for qualifications. Higher medical education, certificate of a specialist in the relevant specialty.

Subsection 12. Doctor (or specialist) of sanitary-epidemiological service

Footnote. Subsection 12 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after ten calendar days after the day of its first official publication).

Requirements for qualifications. Higher medical education of a sanitary and epidemiological profile.

Subsection 13. Physical doctor (or specialist)
health (Valeologist, Epidemiologist, Statistics, Methodist)

Footnote. Subsection 13 with changes made by orders of the Minister of Health of the Republic of Kazakhstan dated July 26, 2013 No. 436 (commissioned after the expiration of ten calendar days after the day of its official publication); from 13.06.2016 No. 500 (commissioned after the end of ten calendar days after the day of its first official publication).

Official duties. Conducts a calculation and assessment of the demographic indicators of public health. Analyzes the volumes, types and forms of providing medical care to the population. Planning development different species Medical care. Assesses the causes and risk factors for the occurrence and distribution among the population of infectious and noncommunicable diseases. Develops and conducts preventive and anti-epidemic activities, current and retrospective epidemiological analysis of morbidity. Determines the socio-preventive focus on preserving and promoting the health of the population (society). Assesses the health and physical development of children and adolescents due to the influence of the factors of the educational habitat. Recovers the main factors affecting the health status of the population determines the priority directions for disease prevention, organizes preventive measures among the population. Develops and conducts health events, conducts promoting a healthy lifestyle, rational nutrition. Estimates the final results of the health organization. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health, methods of statistical and methodological analysis in health care , principles of professional activities on the chosen specialty (organizational, advisory, preventive), theoretical basis of social hygiene, health management systems, population health statistics, criteria and indicators of assessing the health of the population, methods of statistical analysis and sociological research methods, health care market conditions, The structure and basic principles of health care, labor legislation, rules and norms of labor protection, safety, sanitation and fire safety safety.

Requirements for qualifications:

Higher Medical Education (by the specialty "Medical Case", "Pediatrics", "General Medicine", "Eastern Medicine", "Stomatology", "Medical and Biological Case", "Nursing" and Retraining with a specialty "Public Health") or Higher medical education (specialty "Public Health", "Medical and Preventive Case").

Subsection 14. Health Manual
(for the quality of medical services, strategy and marketing
medical services, organization and methodology for providing
medical services)

Footnote. Subsection 14 with changes made by orders Minister of Health of the Republic of Kazakhstan dated July 26, 2013 No. 436 (commissioned after the expiration of ten calendar days after the day of its official publication); from 13.06.2016 No. 500 (commissioned after the end of ten calendar days after the day of its first official publication).

Official duties. Exercising organizational activities within a certain direction (plot):

according to medical services: participates in the formation of the general concept of quality management in the organization, provides preparation of projects of administrative and regulatory documents of a medical organization (including documents of the quality management system - rules and procedures), interaction with certification, standardization, licensing authorities and consulting firms Questions related to improving the quality of medical services. Takes part in the development of forms of primary medical and other (rules, instructions, provisions) of the documentation necessary to improve the processes of medical services. Participates in organizing patient safety activities from poor-quality treatment. Monitoring and monitoring the rational consumption of medical services and the appointment of drug therapy is carried out by expertise and organizes expert activities in organizing health care for the quality of medical services. Participates in the development of a medical personnel motivation system, identifies the quality indicators of the provision of medical services, assesses the level of deposit of medical personnel in improving quality. Conducts the survey of patients to satisfaction, management of patient complaints (collection of complaints and suggestions, processing, analysis and decision-making according to the regulations, informing applicable patients). Implementation and management of the registration system of incidents (registration of potential errors that occurred errors, and other incidents, analysis). Collection and systematization of information on activities in the form of indicators in clinical and management regions, aggregation and analysis of information (indicators and incident reports), providing the management of reports and draft management decisions on the processes and performance of the quality management system. Consulting I. methodological work with personnel on the process of quality management system. Drawing up a plan and program of internal checks of divisions, participation in internal audits divisions of the medical organization, bringing audit results to stakeholders (reports on audits conducted). Preparation of the organization to national and / or international accreditation.

according to the strategy and marketing of medical services: analyzes the external and internal environment of the activities of the medical organization. Participates in the development of a program for effective management of an organization, which includes specific measures to develop and increasing its competitiveness; ensures monitoring of indicators characterizing the increase in financial stability and rational resource allocation; Provides assessment of the quality of management based on the results of assessment and monitoring the development process of the organization. Performs an analysis of the resources of a medical organization. Analyzes and systematizes the technical and economic and socio-economic indicators of the work of a medical organization, conducts a comparative analysis of its competitiveness. Selects the strategy and determines the priorities of the development of a medical organization, determines the methods of achieving goals, justifies the choice of goals; Determines the tools to achieve goals, participates in the organization of strategic planning in the organization as a whole and, among other things, in separate structural units. Participates in the development of innovative and investment activities of a medical organization, an advertising strategy associated with its further development. An analysis of demand for medical services, a forecast and motivation of demand for medical services provided by studying and evaluating needs. Provides management projects management decisions on the strategic development of the organization and marketing of medical services.

for the organization and methodology for the provision of medical services: it assists in organizing the work of the team of the structural (clinical, paraklinic) division of the health care organization to provide timely and high-quality medical care, ensures interaction with other units of the organization, provides proposals for the rational management of labor and material and technical resources. Provides effective management of health organization through resource saving and efficiency, ensures control over the regulation of patient flow in the organization. Provides maintenance and presentation of accounting and reporting documentation, the collection and systematization of information on productive / medical activities of the structural (clinical, paraklinic) division of the health organization. It develops and monitor the implementation of various plans, programs or rules for the organization of labor, to improve therapeutic and diagnostic processes and procedures, on the introduction of new and improving existing medical and management technologies. It monitors the implementation of the established procedure for conducting primary accounting, the accuracy of the received reporting data, compliance with medical ethics, the rules of the internal labor regulation, safety and labor protection of fire safety and sanitary and epidemiological rules and norms in the organization's divisions. Conducts a regular analysis of the activities of the unit and on its basis makes a proposal to the upstream guide to improve the activities of the division. Organizes control over the correct application of instructions and methodological instructions. It monitors the organization of the organization of the accounting methodology, established deadlines for the development and provision of operational and statistical reporting on the activities of the division. Organizes the guidance meetings, conducts technical and methodological training of employees of the organization, participates in classes.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health, theoretical foundations, principles and methods of social hygiene, health management systems, criteria and health indicators, ethical-deontological health issues, the basics of strategic development and health policies, corporate governance, medical care marketing, the basis for managing medical services processes, the fundamentals of personnel management and self-government, the basis of the economy Health and financial management, informatization and statistics in health care, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications:

Higher medical education (bachelor) in the specialty "Public Health", "Nursing" (or higher medical education in the specialty "Medical work", "Pediatrics", "General Medicine", "Medical and Preventive Case", "Eastern Medicine", "Medico-biological business", "Dentistry" and retraining in the specialty "Health Management").

Subsection 15. Expert doctor

Footnote. Subsection 15 With a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (introduced into action after ten calendar days after the day of its first official publication).

Official duties. Conducts examination of volumes and quality provided medical care to the population. Controls the implementation of medical services provided to the population in accordance with health standards. Conducts a retrospective analysis of medical diagnostic measures for compliance with standards, develops medical care quality management programs in health care organizations. Interactions with medical and social expert commissions. Introduces innovative technologies in the service of the population. He examines the quality of the quality of medical services provided to the population, according to the results of the analysis, solves the problems (complaints) of patients in place. Provides timely and qualitative design of medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Requirements for qualifications. Higher medical education, first / highest qualification category for the appropriate specialty.

Subsection 16. Doctor - Forensic Medical Expert
(general expert, forensic biological,
chemical-toxicological, judicial and histological
medical and Criminalist, Molecular Genetic Research)

Footnote. Subsection 16 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (introduced into action after ten calendar days after the day of its first official publication); From 11.04.2019 No. қr DSM-29 (enforced after ten calendar days after his first official publication).

Official duties. Carries out a qualified forensic examination (hereinafter - expertise) of all provided objects of expert research on the profile of the expert unit, using modern research methods.

The forensic expert of the general expert study is conducting forensic examination; corpse; corpural material; living persons to establish harm caused to health and determines the percentage of disability; with genital crimes; According to criminal, administrative and civil cases; in cases of professional activities of medical workers; Medical documentation and other types of expertise on the profile of the expert division.

The person performing laboratory expert activities also perform laboratory tests, measurements during examinations, chemical, physical, photographic research methods; Worst for the good condition of the laboratory equipment (performs it and configure it according to the instructions and technical documentation). Consultative assistance to employees of the internal affairs bodies, prosecutors and courts. Decides medical and biological issues arising in judicial and legal practice by conducting forensic examinations on the principles of legality, independence, objectivity and completeness of research within the limits of special competence. It gives a scientific and sound, argued and objective written conclusion on the issues related to the studies. Plans to work and analyzes the indicators of its activities. Ensures the correct operation of the tools, equipment and equipment, rational use of reagents. Carries out the leadership of the middle and junior medical personnel. Applies new research methods in practice. It does not disclose the information that has become famous in connection with the production of forensic examination. Provides prefigure assistance in emergency conditions. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

The Constitution of the Republic of Kazakhstan, the Basics of the Civil Code of the Republic of Kazakhstan, the Criminal Code of the Republic of Kazakhstan, the Criminal Procedure Code of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", Code of the Republic of Kazakhstan " administrative offenses", Laws of the Republic of Kazakhstan" On Judicial Examination "," On Counteracting Corruption "," On Languages \u200b\u200bin the Republic of Kazakhstan ", regulatory legal acts in the field of health and forensic examination, labor legislation, rules and norms of labor protection, safety, production, production Sanitation and fire safety.

Requirements for qualifications. Higher medical education, advanced training in the specialty "forensic medical examination", for a general expert examination doctor, a specialist certificate of a specialist "forensic medical examination" or "Pathological anatomy (cytopathology) (adult, children)."

Subsection 17. Specialist - Forensic Medical Expert
(forensic, chemical-toxicological,
judicial and histological, medical and forensic,
molecular Genetic Research)

Footnote. Subsection 17 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after ten calendar days after the day of its first official publication).

Official duties. The forensic examinations of material evidence entrusted to him, including the study of the body material, laboratory expert activities on the profile of the expert unit work. Performs laboratory tests, measurements during examinations, photographic and physical methods Research. It monitors the serviceable state of laboratory equipment (it also performs it and configure according to the instructions and technical documentation), prepares the reagents and chemical dishes for research, provides advice to employees of the internal affairs bodies, prosecutors and courts. Solves medical and biological issues arising in judicial and legal practice through examinations on the principles of legality, independence, objectivity and completeness of research within special competence. Gives a scientifically based, argued and objective written conclusion on the issues assigned to him related to the conducted studies. Applies recommended and new research methods in practice. Constantly increases the level of qualifications and theoretical knowledge. It does not disclose the information that has become famous in connection with the production of forensic examination. Provides timely and qualitative design of medical records. Carries out the leadership of the middle and junior medical personnel. Provides prefigure assistance in emergency conditions. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

The Constitution of the Republic of Kazakhstan, the Basics of the Civil Code of the Republic of Kazakhstan, the Criminal Code of the Republic of Kazakhstan, the Criminal Procedure Code of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the Labor Code of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On Administrative Offenses" , Laws of the Republic of Kazakhstan "On Judicial Examination", "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health and judicial medical examination, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Higher education (medical, pharmaceutical, biometic, chemical, biological, physico-mathematical, physico-chemical, natural, technical, pedagogical (chemistry and biology) and advanced training on the relevant specialty.

Subsection 18. Specialist of the laboratory

Footnote. Subsection 18 With a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 NPA: V1600013839 # 23 00 (entered into action after ten calendar days after the day of its first official publication).

Official duties. Performs laboratory tests, tests, measurements during research and development. Watch out for the good condition of laboratory equipment (performs its testing and setting), prepares reagents, nutrient media and chemical dishes for research. Takes part in the collection and processing of materials, performs the necessary preparatory and auxiliary operations, conducts observations, removes the instrument readings, processes, systematizes and draws out the results of analyzes, measurements in accordance with the methodological documents, maintains them. Provides prefigure assistance in emergency conditions. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: Constitution of the Republic of Kazakhstan, Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health, the basics of sanitary and microbiological research and internal Diseases, microbiological diagnostics of major infectious diseases, methods and techniques of generallygic, biochemical, hematological and cytological laboratory research, instrumentation and rules for its operation, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Higher (medical, biomedical, medical and preventive, biological, chemical, chemical-biological, pharmaceutical, physico-mathematical) education, advanced training in the relevant specialty.

Subsection 19. Specialist of the Sanitary and Epidemiological Service
(biologist, zoologist / epizootologist, entomologist)

Footnote. Subsection 19 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after the expiration of ten calendar days after the day of its first official publication).

Must know: Constitution of the Republic of Kazakhstan, Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health and epidemiology, basics, principles and methods Sanitary and epidemiological assessment, systematics and ecology of wild and synanthropic animals, organization of laboratory services, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Higher biological education.

Subsection 20. Public Health Specialist
(Epidemiologist, statistics, Methodist, Valeologist)

Footnote. Subsection 20 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (introduced in the expiration of ten calendar days after the day of its first official publication).

Official duties. Conducts a calculation and assessment of the demographic indicators of public health. Analyzes the volumes, types and forms of providing medical care to the population. Plans to develop medical care. Assesses the causes and risk factors for the occurrence and distribution among the population of infectious and noncommunicable diseases. Develops and introduces methodological materials in the field of health. Develops and conducts preventive and anti-epidemic activities, current and retrospective epidemiological analysis of morbidity. Performs work on the preparation of various types of statistical reporting. Makes informational and analytical references based on statistical data. Evaluates the final results of health organizations. Conducts visual agitation and promoting a healthy lifestyle, rational nutrition. Develops and conducts wellness activities. Conducts statistical analysis and sociological research methods. Provides registration of medical records. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Requirements for qualifications. Higher education and retraining (advanced training) in the specialty "public health".

Subsection 21. Socialist in social work in the field of health

Footnote. Subsection 21 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after ten calendar days after his first official publication).

Official duties. Conducts the general diagnosis of social situation and the needs of the person in social services; Determines the package of social services. Informs the population about the types of special social services. Provides assistance in the development of the ability to independently solve their problems, involves patients into the process of social recovery. Leads accounting and reporting documentation for social service. Promotional medical care. Coordinates the work on organizing assistance to children with limited features, lonely, the elderly, disabled, chronic patient, including care, device in boarding houses, on prosthetics, receiving means of movement, technical means of rehabilitation, organization of psychotherapeutic work with patients, as well as family members. Takes part in organizing work on the formation of a healthy lifestyle. Organizes work on interaction, coordination and cooperation with public organizations, government agencies and organizations, develops volunteer movement. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", Code of the Republic of Kazakhstan "on marriage (marriage) and the family", the laws of the Republic of Kazakhstan "On Social and Medical and Pedagogical Correctional Support for Children with Disabilities", "On the Rights of the Child in the Republic of Kazakhstan", "On the social protection of persons with disabilities in the Republic of Kazakhstan", "On special social services", "On Countering Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health, social services , Labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Higher (medical, social, sociological, pedagogical) education and retraining (advanced training) in the specialty "Social work".

Subsection 21-1. Sister / brother medical (s) expanded practice

Footnote. Paragraph 2 is complemented by subsection 21-1 in accordance with the order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. қr DSM-43 (enforced after ten calendar days after his first official publication).

Official duties.

Exercises a nursing examination, puts the nursing diagnosis, constitutes the plan of nursing interventions for the patient, controls the implementation of nursing events with medical sisters of technical and vocational education, assesses the effectiveness of the appointed plan of nursing interventions in general practice, therapy, surgery, obstetrics and gynecology, psychiatry, geriatia, rehabilitation , Palliamental care and other specialized areas of health sector in the primary health and sanitary and inpatient levels. It carries out individual reception of patients with the most common noncommunicable diseases and acute respiratory viral infections within their competence. Organizes, monitor efficiency and controls the patient's training / family procedures to overall care and management of the disease. Carries out the patronage of pregnant women, women after childbirth, children up to the year, dispensary patients and elderly. Organizes activities to improve the health and prevention of diseases, controls the implementation of preventive measures by nurses of the level of technical and vocational education, assesses the effectiveness and effectiveness of events. Provides consideration and storage of medicines, blood and blood suppliers. Organizes the proper implementation of medical prescriptions with medical sisters. Provides maintenance and reporting nursing documentation in a medical and preventive institution. Provides first medical assistance to citizens, including extreme conditions, trial and palliative medical care. Provides control over the organization of a safe hospital environment and infectious control. Complies with medical ethics, the rules of the internal labor chart of fire safety, safety and safety, sanitary-epidemiological regime. Participates in the development of evidential nursing guides and protocols. Takes part in organizing the interprofessional work of nurses, doctors and other health workers. Participates in the development of organizational policies and quality improvement activities in Nursing. Controls the organization of nursing documentation under electronic health care.

Must know: the Constitution of the Republic of Kazakhstan dated August 30, 1995, the Code of Corruption, "on July 11, 1997" On Languages \u200b\u200bin the Republic of Kazakhstan ", regulatory legal acts in the field of health, the basic principles of the organization of health care, labor legislation, rules and regulations Labor, safety, industrial sanitation and fire safety.

Requirements for qualifications:

Higher medical education in the specialty "Nursing", the prevalence of education in the specialty "nursing" (applied undergraduate), without the presentation of the work

Paragraph 3. Positions of specialists with secondary qualifications
Subsection 22. Senior (s) Medical (s) sister / brother
(Senior Feldsher, senior obstetrician)

Footnote. Subsection 22 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (commissioned after the end of ten calendar days after its first official publication).

Official duties. Organizes the work of medium and younger medical personnel and controls their duties. Organizes the provision of separation by drugs, medical products and medical equipment; The safety of the property and medical equipment of the department, the timely repair of medical products and medical equipment, the organization of nutrition of patients, is monitored, accounting and storage of potent, poisonous, drugs, psychotropic medicines and precursors, compliance with the rules of labor protection and safety, asepsis and antiseptics staff Departments, timely and accurate implementation by secondary medical personnel of the appointment of a doctor, sanitary processing of incoming patients, compliance with anti-epidemic activities, the sanitary and hygienic state of the premises. Provides medical and prophylactic, sanitary and preventive, prefigured medical care, including pregnant women and a newborn, assisters a doctor with surgical manipulations, adopts physiological genera, provides first medical care in emergency conditions. Organizes the carrying out of the dispensary and the patronage of pregnant and herds. Conducts laboratory research, sanitary and educational work among the population, including hygienic training and education, promoting a healthy lifestyle. Carries out the current sanitary supervision, organizes and conducts anti-epidemic measures. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Requirements for qualifications. Technical and professional (secondary special, secondary professional) medical education on the profile and work experience in a specialty at least 3 years old, a specialist certificate of a specialty or insertion (applied undergraduate in the specialty "Nursing case") or higher medical (specialty "Nursing" , "Therapeutic case", "Pediatrics", undergraduate in the specialty "General Medicine") education without the presentation of the work experience and a certificate of a specialist with an average level of qualification.

Subsection 23. Feldsher

Footnote. Subsection 23 with changes made by orders of the Minister of Health of the Republic of Kazakhstan dated July 26, 2013 No. 436 (enforced after ten calendar days after the day of its official publication); from 13.06.2016 No. 500 (commissioned after the end of ten calendar days after the day of its first official publication).

Official duties. It provides the presence of therapeutic and preventive and sanitary and preventive, emergency medical care in acute diseases and accidents. Leads personal accounting of the population of the site, plans to operate on the site. Prepares patients to examine and consults from medical professionals. Wires outpatient reception and serves patients at home. Conducts diagnostics, treatment, disease prevention. Provides trial assistance, assisters a doctor with surgical manipulations, adopts physiological genera. Carries out the current sanitary supervision, organizes and conducts anti-epidemic measures. Sanitary and educational work among the population, including hygienic training and education, promoting a healthy lifestyle. Conducts fence and chemical macro- and microscopic studies of biological material of blood, gastric content, spinal fluid, dischargeable liquids, study of separated, helminthic-oxoic examination, using the methods of studying hemorrhagic syndrome, technique of bacteriological and serological studies. Watch for a good condition of laboratory equipment. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Requirements for qualifications:

Technical and professional (secondary special, secondary professional) medical education in the specialty "Therapeutic business" (or "obstetric matter" and advanced training in the specialty "Therapeutic business", as well as in the specialty "Laboratory Diagnostics", "Feldsher-Laberante", " Hygiene, Sanitation and Epidemiology "," Sanitary Feldscher "," Stomatology "," Dentist "," Nursing ", for persons who have begun to this position until February 11, 2003, retraining in the specialty" Medical Case "), a specialist certificate By the specialty "Therapeutic case" or higher medical education in the specialty "Therapeutic case", "Pediatrics", undergraduate with a specialty "General Medicine" and a certificate of a specialist with an average level of qualification.

Subsection 24. Laberaent

Footnote. Subsection 24 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (introduced in the expiration of ten calendar days after the day of its first official publication).

Official duties. Conducts laboratory studies under the guidance of a doctor and independently prepares for their conduct of laboratory equipment, reagents, chemical dishes, nutrient media, coloring and disinfecting solutions. Accepts and registers the biological material received for the study, checks the compliance of its packaging and delivery time necessary requirements. Carries out the availability of the suitability of the material received for the study, the correctness of the accompanying documentation. It prepares standard and working solutions to graduate devices, nutrient media, reagents, paints and disinfectant solutions. Conducts sterilization of laboratory tools, dishes. Transmits the results of research to the doctor. Performs various computing and graphic work related to research conducted. Provides prefigure assistance in emergency conditions. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: Constitution of the Republic of Kazakhstan, Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health, the microbiological diagnostics of the main infectious diseases, the basis Sanitaryrobiological studies, methods of generally clinical, biochemical, hematological and cytological laboratory research, technology of laboratory research using laboratory equipment, the rules of operation of laboratory equipment, control and measuring equipment, labor legislation, rules and norms of labor protection, safety, production sanitation and fire safety safety .

Footnote. Subsection 25 with a change made by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (commissioned after the end of ten calendar days after the day of its first official publication).

Official duties. Conducts sanitary-anti-epidemic (preventive) events. Takes part in collecting and processing materials. Sanitary and educational work among the population, including hygienic training and education, promoting a healthy lifestyle. Sanitary and epidemiological examination of objects and epidemiological foci with sampling for laboratory studies: food, products, products, building materials, widespread consumption, toxic, radioactive and biological substances, drinking water, wastewater, soils and their laboratory and instrumental research. Performs laboratory studies, tests, measurements accompanying public sanitary-epidemiological surveillance. Provides registration, accounting and statistical processing of these infectious and noncommunicable morbidity. Watch for a good condition of laboratory equipment. Prepares equipment to carry out laboratory studies, instrumental measurements. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Requirements for qualifications. Technical and professional (secondary special, secondary professional) medical education of the sanitary and epidemiological profile.

Local sister (brother) Medical (s) / sister (brother) Medical (s) of general practice.

Footnote. Subsection 26 in the editors of the Order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. қr DSM-43 (enforced after ten calendar days after his first official publication).

Official duties. Under the supervision of a medical sister's expanded practice or a doctor, there is an outpatient reception and performs nursing care, assesses the patient's need for nursing assistance (nursing diagnosis), constitutes a survey plan, treatment, patient care, assesses the dynamics of the state, treatment efficiency, registers these dynamics in the history of the disease , Conducts daily bypass of patients, monitor the patient's condition and provides data from the medical sister of expanded practices and / or a doctor. Assists a general practice doctor and a medical sister of expanded practice in the organization of clinical examination and patronage of patients, carries out care for patients in a medical and prophylactic organization and at home (patronage) within its competence. Provides first medical care to citizens, including in extreme conditions, prefabricated and palliative medical care. It takes a fence of materials for laboratory research, control over the expenditure of medicines in the department provides accounting, storage, the use of drugs. Provides medical appointments. Assists a doctor in the implementation of diagnostic and therapeutic manipulations. Carries out the patient care, the introduction of medicines into the body, prepares patients with diagnostic research, removes electrocardiography. Performs the simplest physiotherapeutic procedures. Assists a general practice doctor and a medical sister of expanded practice in preventing diseases and healthy lifestyles, conducts sanitary and educational work among patients and their relatives. Heads accounting and reporting medical records. Complies with medical ethics, the rules of the internal labor chart of fire safety, safety and labor protection, sanitary and epidemiological regime. ";

Must know: the Constitution of the Republic of Kazakhstan dated August 30, 1995, the Code of the Republic of Kazakhstan of September 18, 2009 "On the Health of the People and Health System", the laws of the Republic of Kazakhstan dated November 18, 2015 "On Countering Corruption", of July 11, 1997 " languages \u200b\u200bin the Republic of Kazakhstan, "regulatory legal acts in the field of health, the basic principles of the organization of health care, labor legislation, rules and norms of safety and labor protection, industrial sanitation and fire safety.

Requirements for qualifications:

Technical and professional (secondary special, secondary professional) medical education in the specialty "nursing case" (or "therapeutic case", "obstetric matter", certificate of a specialist in the specialty "nursing case" or "therapeutic case", as well as in the specialty "laboratory Diagnostics "," Feldsher-Laborante "," Hygiene, Sanitation and Epidemiology "," Sanitary Feldsher "," Stomatology "," Dentist "for persons who have begun to this position until February 11, 2003, retraining with a specialty" Nursing " ), Mixed education in the specialty "Nursing case" (Applied undergraduate) or higher medical education in the specialty "Therapeutic case", "Pediatrics", undergraduate in the specialty "General Medicine", "Nursing" and a certificate of a specialist with an average qualification level.

Subsection 27. Sister (brother) Medical (s) (specialized (s)

Footnote. Subsection 27 in the editorial office of the Order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. қr DSM-43 (enforced after the expiration of ten calendar days after the day of its first official publication).

Official duties. Under the supervision of a medical sister of an extended practice or a doctor, sister care is evaluated by the patient's need for nursing assistance, assesses the dynamics of the state, treatment efficiency, monitor the patient's condition and provides data from the medical sister of expanded practices and / or a doctor. Provides first medical care, including in extreme conditions, a prefiguration specialized, palliative medical assistance, makes a fence of materials for laboratory research, sterilization of medical instruments, dressing agents and patient care objects. Provides proper execution of medical appointments. Assists a doctor in the implementation of diagnostic and therapeutic manipulations. Carries out a full range of care measures for patients of various ages and pathologies, the introduction of medicines into the body, prepares patients with diagnostic research, operational interventions, removes an electrocardiogram. Performs physiotherapeutic procedures. Regulates the requirements for medicines and medical products, controls their use, storage. Heads accounting and reporting medical records. Exercises special care in the postoperative period. Performs dressings and care for wounds. Assists the doctor and medical sister of expanded practice in the prevention of diseases and a healthy lifestyle, conducts promoting a healthy lifestyle and sanitary and hygienic education. Complies with medical ethics, approved work schedule, rules of internal labor regulations, fire safety, safety and safety, sanitary and epidemiological regime.

Requirements for qualifications:

Technical and professional (secondary special, secondary professional) medical education in the specialty "Nursing case" (or "therapeutic case", "obstetric matter", a certificate of a specialist in the relevant specialty, as well as in the specialty "Lab Diagnostics", "Feldsher-Laberante" , "Hygiene, Sanitation and Epidemiology", "Sanitary Feldsher", "Stomatology", "Dentist", who started this position until February 11, 2003, retraining with a specialty "Sestrinsky case"), possessive education in the specialty "Nursing" (Applied undergraduate) or higher medical education in the specialty "Therapeutic case", "Pediatrics", undergraduate in the specialty "General Medicine", "Nursing Case" and a certificate of a specialist with an average qualification level.

Subsection 28. X-ray Patent.

Footnote. Subsection 28 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (introduced in the expiration of ten calendar days after the day of its first official publication).

Official duties. Conducts X-ray studies under the guidance of the doctor and independently prepares for their conduct of radiographic equipment, reagents, X-ray films. Prepares patients to contrasting examination methods. Performs the correctness of the accompanying documentation. Conducts as styling (ordinary, complex) when conducting x-ray surgery. Produces, manifests, rinsing, fixes, labels, dries a radiograph. Provides prefigure assistance in emergency conditions. Heads accounting and reporting medical records. Complies with medical ethics, the rules of domestic labor regulations, radiation safety, fire safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health, the biological effect of X-ray radiation and methods of dosimetry , principles of protection of medical staff and patients; photo laboratory process, x-ray, principles of the X-ray apparatus; Principles, features, rules and methods of x-ray research of all organs and systems, features of X-ray studies in pediatrics, dentistry; Principles of operation of new digital x-ray, principles of computer tomography and magnetic nuclear resonance, angiography; Principles of fluorography and electric power supply, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Technical and professional (secondary special, secondary) medical education in the specialty "nursing case" (or "therapeutic case", "obstetric case", "dentistry" and advanced training in the specialty "nursing case" on the "X-ray-plating" cycle) or higher Medical education in the specialty "Therapeutic case", "Pediatrics", "Dentistry", undergraduate in general "general medicine", and advanced training on a "X-ray-plaster" cycle.

Subsection 29. Obstetrician (ka)

Footnote. Subsection 29 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (commissioned after the end of ten calendar days after the day of its first official publication).

Official duties. There is an outpatient reception, fills and draws up medical records. Conducts a survey, establishes the period of pregnancy, reveals pregnant women, differentiates them in the risk group. Provides prefigured medical care for pregnant women and gynecological patients; Emergency obstetric and gynecological assistance, urgent prefigure newborn help. Conducts dispensarization and patronage of pregnant and maternity hospitals at home, preventive inspection of women and sanitary and educational work on the protection of women and children. Takes birth, conducting a newborn processing. Watches the state of health and development of children of the first year of life. Assists with small obstetric and gynecological operations. Conducts work on the protection of women's reproductive health, breastfeeding prevention. It evaluates the severity of the state in the pathological flow of childbirth and the postpartum period. Appoints and conducts treatment, performs medical manipulations. Provides emergency medical care for acute diseases and accidents. It conducts a study of urine analysis to protein, determining the blood type, rhesus, hemoglobin, erythrocyte sedimentation speed, preventive and sanitary work on promoting a healthy lifestyle, gives advice on family planning. Provides dispensary monitoring of women with intrauterine contraceptives. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health, the flow of labor and their options, maintenance Pregnancy with complications, aspatchka and antiseptics, sanitary-anti-epidemic regime of generic institutions, the basic principles of the health of mother and child health, methods of dispensary monitoring of pregnant and gynecological patients, labor legislation, rules and norms of labor protection, safety, industrial safety and fire safety .

Requirements for qualifications. Technical and professional (secondary special, secondary professional) medical education in the specialty "obstetric matter" or specialty "Therapeutic business" and advanced training in the specialty "obstetric case", certificate of a specialist in the specialty "obstetric matter" or higher medical education in a specialty " Therapeutic case "," Pediatrics ", undergraduate in the specialty" General Medicine "and a certificate of a specialist with an average level of qualification.

Subsection 30. Dietary sister

Footnote. Subsection 30 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after ten calendar days after the day of its first official publication).

Official duties. Provides the organization of rational medical nutrition in health organizations, constitutes daily menus, dish card files, layout menu, monitors compliance with the instructions for the preparation of therapeutic nutrition, the procedure for the extraction of nutrition patients, receiving grocery gear. Systematically controls the chemical composition and calorie content of the diet, directs dishes to a laboratory study, is responsible for the quality of the prepared food. Ensures compliance with sanitary standards in the sophistication. Conducts accounting and reporting documentation. Organizes the work of the subordinate medium and younger medical personnel. Controls the regularity of the passage of medical examinations by employees, organizes a technical minimum among the technical and maintenance personnel of the food company. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: Constitution of the Republic of Kazakhstan, Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", Regulatory Legal Acts of the Republic of Kazakhstan in the field of health, general issues of the organization and the main The principles of therapeutic nutrition, the basics of nutrition, the technology of cooking dishes, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety safety.

Requirements for qualifications. Higher (nursing) medical education or technical and professional (secondary special, secondary professional) medical education in the specialty "Nursing case", "therapeutic business", "obstetric matter", "hygiene and epidemiology", advanced training on the relevant specialty.

Subsection 31. Instructor disinfector

Footnote. Subsection 31 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (introduced into action after ten calendar days after the day of its first official publication).

Official duties. Performs and performs work on the conduct of disinfective measures, determines their volume, methodology and means of disinfection, disinsection and deratization of individual objects. Exercises the leadership of the disinfection brigade and takes part in the final and preventive disinfection. Controls the preparation, the use of disinfection solutions, the use of equipment, inventory, the quality of the disinfection, compliance with the disinfectors of the rules of personal and public security. Controls the observance of methods when performing disinfection, derativational and disinsection work. Regulates documentation for disinfection work. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Requirements for qualifications. Technical and professional (secondary special, secondary professional) medical education of sanitary epidemiological profile, advanced training for the relevant profile.

Subsection 32. Optic and opticalist

Footnote. Subsection 32 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after ten calendar days after his first official publication).

Official duties. Exercises the study of the functions of the patients using modern ophthalm diagnostic equipment: conducts an inspection of visual acuity, perimetry, refractometry, ophthalmometry, biomicroscopy, tonometry. Explores binocular vision, determines the appearance and degree of ametropy, the presence of astigmatism. Diagnoses the main signs of disease organs. Picks up vision correction facilities. Gives individual recommendations for the care of them. Provides emergency medical care for acute diseases and injuries of the organ of vision (including the removal of foreign bodies from the surface of the conjunctivores of the eye). Receives among the contacting persons who need complex correction and treatment from a doctor-ophthalmologist, directs them to him. Participates in the definition of applications for spherical optics products. Conducts accounting and reporting documentation. Takes part in hygienic education and promotion of a healthy lifestyle among the population. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Requirements for qualifications: technical and professional (secondary special, secondary professional) medical education in the specialty "Medical Optics".

Subsection 33. Dentist (dentist)

Footnote. Subsection 33 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (enforced after ten calendar days after his first official publication).

Official duties. Diagnosis and treatment of diseases and lesions of teeth, oral cavity and the maxillofacial region in accordance with the profile of the position. Conducts work on the prevention of diseases and lesions of the teeth, the occasion of the oral cavity in children and adults. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Requirements for qualifications. Technical and professional (secondary special, secondary professional) medical education in the specialty "Dentistry" (Dentist qualification and dentist), a specialist certificate of specialist "Dentistry" or higher medical education in the specialty "Dentistry".

Subsection 34. Assistant dentist doctor
(dental assistant)

Footnote. Subsection 34 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (introduced into effect after ten calendar days after the day of its first official publication).

Official duties. Consultative and diagnostic assistance to the population in dental diseases, registration of the patient's dental status, urgent prefigible assistance in acute diseases in the maxillofacial region, compliance with the sanitary and hygienic and sanitary and epidemiological regime in dental institutions. The hygienic state of the oral cavity of patients and trains their teeth cleaning methods, gives individual guidelines for choosing hygiene for children and adults, care for orthodontic and orthopedic structures. Heads accounting and reporting medical records. Carries out help with a dental doctor in the treatment of diseases and lesions of teeth, the oral organs and the maxillofacial area. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health, the principles of population dispensing, intensity registration indices Caries and periodontal diseases, the hygienic state of the oral cavity, methods and means of individual and professional occasion of the oral cavity, methods of dental education of the population, modern methods of diagnosis, treatment of diseases and lesions of teeth, oral bodies and maxillofacial areas, methods of sterilization of the toolkit, the basis of the organization Dental care, types and methods of dental prosthetic and features of working with dental materials, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Technical and professional (secondary special, secondary professional) medical education in the specialty "Dentistry (qualifications" Assistant Doctor-Dentist "," Hygienist Dental "," Dentist ")", Specialist Certificate or Higher Medical Education in the specialty "Dentistry".

Subsection 35. Dental hygienist

Footnote. Subsection 35 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after the expiration of ten calendar days after the day of its first official publication).

Official duties. Diagnosis of caries of teeth, periodontal diseases, non-carious lesions, diseases of the mucous membrane and the registration of the patient's dental status. Determines the hygienic state of the oral cavity and teaches the patient to teeth cleaning methods, gives individual guidelines for choosing hygiene for children and adults, care for orthodontic and orthopedic structures. Carries out prophylactic procedures (tooth coating with fluorulak and fluorogel, rinsing and appliques with remineralizing solutions, sealing of fissure teeth, removal of over-and-fit dental sediments, periodontal applications) and hygienic measures aimed at preserving the dental health of the population and the development of rational oral care skills . Makes up and implements the program of individual prevention of dental diseases. Conducts the prevention of the main dental diseases of children of organized children's teams, dental education among the population of various age groups, medical personnel, educators of children's preschool institutions, teachers, parents, questioning in the prevention of dental diseases. Heads accounting and reporting medical records. He carries out the dentist's doctor in the diagnosis and treatment of diseases and lesions of teeth, the oral cavity and the maxillofacial region. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health, the principles of population dispensing, intensity registration indices Caries and periodontal diseases, the hygienic state of the oral cavity, methods and means of individual and professional oral cavity, methods of dental education of the population, modern methods of diagnosis, treatment of diseases and lesions of teeth, oral cavity, maxillofacial area, assistance, types and methods of dental prosthetic and features when working with prosthetic material, labor legislation, rules and norms of labor protection, safety, safety sanitation and fire safety.

Requirements for qualifications. Technical and professional (secondary special, secondary professional) medical education in the specialty "Dentistry (qualifications" Assistant Doctor-Dentist "" Dentist ")", certificate of a specialist in a specialty or higher medical education in the specialty "Dentistry".

Subsection 36. Dental technician
(Laboratory of Tool-Strike Branch, Cabinet)

Footnote. Subsection 36 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after ten calendar days after the day of its first official publication).

Official duties. It makes dentures, artificial crowns, including metal ceramics, simple designs of pin teeth, bridges, burealed and removable lamellar prostheses, orthodontic and maxillofacial structures. Makes prints and manufactures working models from various materials. Soldering, spans, firing, bleaching, finishing, polishing of parts, prostheses and devices. Systematically replenishes the department (office) with medical instruments, medicines and materials, ensures the safety of property and medical equipment in the department and timely repair of equipment, the correctness of the accounting and storage of potent, toxic, narcotic and psychotropic drugs. Provides the execution of rules for aseptic and antiseptics, timely and accurate execution of the tasks of a dentist, execution of work on unnothessing. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: Constitution of the Republic of Kazakhstan, Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health, the basis of medical dental care, organization of production Dental laboratory, basic materials used in non-proof techniques, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Technical and professional (secondary, secondary professional) medical education in the specialty "Dentistry orthopedic" and "Dentistry" with the qualification "Dentist" and advanced training in the specialty "Orthopedician dentistry" or higher medical education in the specialty "Dentistry" and advanced training in a cycle "Dental Technician".

Subsection 37. Healing Physical Instructor

Footnote. Subsection 37 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (enforced after the end of ten calendar days after his first official publication).

Official duties. Premises, gymnastic items and shells for conducting treatment on therapeutic physical education. Controls the well-being of patients before- and after classes. Conducts classes with patients in the pool and on mechanoterapeutic devices. By appointment, the doctor conducts separate species Therapeutic massage. Together with a physician physical education doctor, the diagrams of therapeutic gymnastics and complexes of physical exercises are developing. Conducts individual and group studies with therapeutic and hygienic gymnastics, conducting functional tests with physical activity, assessing the physical development, human physical performance, function of external respiration, cardiovascular system, neuromuscular apparatus in the treatment of physical education. Ensures compliance with sanitary and hygienic requirements for organizing the work of halls for group and individual studies of therapeutic physical education. Provides first medical care for emergency conditions. Heads accounting and reporting medical records. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Physical Culture and Sport", "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health , physical education and sports, the basics of anatomy, physiology and pathophysiology of the body, age physiology, methods of conducting treatment on therapeutic physical culture for patients with various diseases, testimony and contraindications to conduct treatment on therapeutic physical education, the basics of therapeutic massage, types and types of massage, possible complications during medical physical education, measures to prevent and eliminate, labor legislation, Rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Technical and professional (secondary special, secondary vocational) (medical, physical education) education, advanced training in the relevant specialty.

Paragraph 4. Other employees
Subsection 38. Medical recorder

Footnote. Subsection 38 with changes made by the orders of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (introduced into action after ten calendar days after the day of its first official publication); dated 19.05.2017 No. 311 (injected after ten calendar days after his first official publication); dated 19.12.2018 No. қr DSM-43 (enforced after the expiration of ten calendar days after the day of its first official publication).

Official duties. Registration of patients who have applied for medical care to the medical organization. Provides storage and delivery of medical records into a doctor's office in a clinic or in a hospital department. Monthly presents a report to medical statistics of the organization. Complies with medical ethics, the rules of the internal labor schedule, labor protection, fire safety and safety, sanitary and epidemiological regime.

Requirements for qualifications. Technical and professional (secondary special, secondary professional) medical education or general secondary education and individual training at least 3 months or short-term education based on the organization of education without the presentation of work experience.

Subsection 39. Junior (s) Medical (s) sister (brother)

Footnote. Subsection 39 in the editorial office of the Order of the Minister of Health of the Republic of Kazakhstan dated 19.12.2018 No. қr DSM-43 (enforced after ten calendar days after his first official publication).

Official duties. Perfects your duties under the guidance of a medical sister. Carries out the basic care for patients in the medical and preventive organization and at home, including the provision of personal hygiene, a change in native and bed linen, feeding a patient with disabilities, observes and evaluates the patient's condition. Assists a medical sister of general practice in the implementation of sister care activities for patients. Provides transportation, support and movement of patients. It carries out the sterilization of tools, dressing agents and objects of patient care, carries out disinfective measures. Performs anthropometric measurements and registers patient data. Heads accounting and reporting medical records. Provides content in the purity of patients, premises. Monitors the right use and storage of patient care objects. Complies with medical ethics, the rules of the internal labor regulations, fire safety, safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan dated August 30, 1995, the Code of the Republic of Kazakhstan of September 18, 2009 "On the Health of the People and Health System", the laws of the Republic of Kazakhstan dated November 18, 2015 "On Countering Corruption", of July 11, 1997 " languages \u200b\u200bin the Republic of Kazakhstan, "regulatory legal acts in the field of health, labor legislation, rules and norms of safety and labor protection, industrial sanitation and fire safety.

Requirements for qualifications. Technical and professional (secondary special, secondary) (medical) education in the specialty "nursing case" or general secondary education and short-term training for at least 10 months or the main secondary education and short-term training for at least 1 year and 10 months in the specialty "nursing business "On the basis of the Organization of Education without the presentation of the work on experience.

Subsection 40. Social worker in the field of health

Footnote. Subsection 40 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after ten calendar days after the day of its first official publication).

Official duties. Carries out its activities under the guidance of a specialist in social work in the field of health. Carries out the patient care in the medical and preventive organization and at home, observes the patient's condition. Leads accounting and reporting documentation for social service. Promotes the medical and psychological treatment of patients, helps the patient's adaptation to new conditions of stay, if it is placed in the hospital, or to a new state, if complications are developing, the symptoms of the disease is growing. Solves questions social support the patient (registration of requests, legal documents, participation or assistance in the design of the direction for medical and social expertise, to the nursing home and disabled); Organizes at the request of patients to send religious needs; Organizes at the request of relatives of mourning ritual ceremonies. Conducts accounting and reporting documentation. Complies with medical ethics, rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime

Must know: Constitution of the Republic of Kazakhstan, Code of the Republic of Kazakhstan "On the Health of the People and Health System", Labor Code of the Republic of Kazakhstan, the Laws of the Republic of Kazakhstan "On the Social Protection of Disabled in the Republic of Kazakhstan", "on social and medical and pedagogical correctional support for children with disabilities "," On Countering Corruption "," On Languages \u200b\u200bin the Republic of Kazakhstan ", regulatory legal acts in the field of social protection, the basic principles on the organization of social and domestic services for single disabled citizens and children with disabilities, psychological and physiological features of the elderly, health care system , communal service organizations, facilitation of urgent prefigure, labor legislation, rules and norms of labor protection, safety, safety sanitation and fire safety.

Requirements for qualifications. Technical and professional (secondary special, secondary professional) (social, medical, psychological, pedagogical) education, advanced training on profile.

Subsection 41. Sanitary (ka)

Footnote. Paragraph 4 is supplemented by subsection 41 in accordance with the order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. қr DSM-43 (enforced after ten calendar days after his first official publication).

Official duties. Cleaning premises in accordance with sanitary standards. Carries out the patient care: shift linen and clothing, feeding, cleaning the vessel. Removes bedside tables (tables) in laying patients after each meal. Receives lingerie, economic inventory and detergents from the sister-hostess, carries out the pharmacy dishes. Complies with medical ethics, the rules of the internal labor regulations, fire safety, safety and safety, sanitary and epidemiological regime.

Must know: the rules of sanitation and hygiene, the appointment of detergents and the rules of treatment of them, the basis of labor legislation, rules and norms of safety and labor protection, industrial sanitation and fire safety.

Requirements for qualifications. Primary or secondary general education, individual training for at least 3 months without the presentation of work experience.

Objects in the field of drug circulation,
medical and Medical Products
Paragraph 5. Positions of managers
Subsection 41. Head (manager) of the object in the field of circulation

medical equipment

Footnote. Subsection 41 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after the expiration of ten calendar days after his first official publication).

Official duties. Organizes the manufacturing, economic and financial and economic activities of the object. Ensures compliance with state standards in the field of drug circulation. Independently solves the task of the object in the field of the organization of medicinal support of the population and health organizations. Based on the analysis of the activities of the pharmaceutical activity facility, production indicators takes measures to improve drug support for the population and medical organizations. Provides effective financial and economic activities of the facility using modern economic approaches. Is responsible for the quality of medicines. Takes measures to ensure the object of qualified personnel, the rational use and development of their professional knowledge and experience, creating safe and favorable labor and health conditions. Ensures compliance with the legality in the activities of the object and the implementation of its economic and economic relations. Provides accounting and reporting. Concludes contracts, makes transactions with individuals and legal entities. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: Constitution of the Republic of Kazakhstan, Labor Code of the Republic of Kazakhstan, Civil Code of the Republic of Kazakhstan, Code of the Republic of Kazakhstan "On the Health of the People and Health System", Laws of the Republic of Kazakhstan "On Permissions and Notifications", "On Countering Corruption", "On Languages \u200b\u200bin the Republic Kazakhstan ", regulatory legal acts in the field of health and pharmaceuticals, treatment of medicines, medical products and medical equipment, criteria and indicators characterizing the state of providing drugs with drugs, scientific achievements and international experience in the development of medicines, government standards in the field of drug circulation funds, framework frames and financial Management, Features of managerial labor, the basis of the economy, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Higher pharmaceutical education and work experience in the specialty of at least 5 years or higher medical or economic education, master's program in the specialties "Management", "Public Health", "Health Management" and work experience in leadership positions for at least 5 years.

Subsection 42. Deputy Head of the Object in the Sphere
creating medicines, medical products
appointments and medical equipment

Footnote. Subsection 42 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after ten calendar days after the day of its first official publication).

Official duties. Carries out the activities of the facility under the general guidance of the first leader. Organizes the work of warehousing, creates conditions for the storage and safety of material resources and finished products. An analysis of the activities of the pharmaceutical object. Carries out measures to improve medicinal support of the population. It is responsible for the quality of medicines, materials, equipment and medical equipment. Takes measures to make timely conclusion of economic and financial contracts with suppliers and consumers. Organizes work to improve the conditions and safety of labor, the rationalization of structures and states, strengthening the discipline of labor. Watching the condition of the premises and takes measures to be timely repairs. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime. Conducts accounting and reporting documentation.

Must know: Constitution of the Republic of Kazakhstan, Civil Code of the Republic of Kazakhstan, Code of the Republic of Kazakhstan "On the Health of the People and Health System", Labor Code of the Republic of Kazakhstan, the Laws of the Republic of Kazakhstan "On Permissions and Notifications", "On Countering Corruption", "On Languages \u200b\u200bin the Republic Kazakhstan ", regulatory legal acts in the field of health and pharmaceuticals, as well as the regulatory activities of pharmaceutical activities, government standards in the field of drug circulation, scientific achievements and international experience in the development of medicines, the basics of financial and personnel management, the basis of the economy, labor legislation, Rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Higher pharmaceutical education, work experience at least 3 years in the specialty.

Subsection 43. Head of the Communications Object Department
medicines, medical products and
medical equipment

Footnote. Subsection 43 with a change made by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after the expiration of ten calendar days after his first official publication).

Official duties. Provides a qualified guide to the structural unit of the object in accordance with its tasks, functions and applicable law. Controls the execution of subordinate orders and orders determining the procedure for the activities of the facility. An analysis of the population of drugs and medical products, based on its specifications. Develops and measures aimed at improving the activities of an object of drug assistance, medical medicines and medical products of the population. He studies the conjuncture of the domestic and international market of medicines and medical products. Decides on the activities of the structural division of the task in the field of drug security and healthcare facilities. Is responsible for the quality of the division. Conducts accounting and reporting documentation. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Permissions and Notifications", "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health care, Pharmaceutics, criteria and indicators characterizing the state of providing drugs with drugs, medical products, the procedure for the functioning of the pharmaceutical activity object, the criteria for assessing the activities of the structural unit of the object of pharmaceutical activities, the basics of logistics, marketing and merchandising, the rules for the provision of first medical care, labor legislation, rules and Occupational safety standards, safety, sanitation and fire safety.

Requirements for qualifications. Higher (pharmaceutical, medical, chemical-technological, chemical) education and work experience at least 3 years in the specialty.

Paragraph 6. Positions of specialists with higher qualifications
Subsection 44. Pharmacist (pharmacist)

Footnote. Subsection 44 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (introduced into operation after ten calendar days after the day of its first official publication).

Official duties. Adding recipes, demands of medical and preventive organizations, vacation of medicines and medical products in accordance with their physicochemical properties and established storage rules. Medicinal products manufactures, the quality of applicants incoming and manufactured in the drug pharmacy, applying all types of intraptic control and pharmaceutical analysis, conducts chemical-toxicological examination. Informs doctors and the population about the presence and use of medicines and medical products, conducts sanitary and educational work on their application among the population. Participates in the design of the application for obtaining, accepting and distributing medicines and medical products. Conducts accounting and reporting documentation. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Permissions and Notifications", "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health care, Pharmacy, pharmaceuticals, organization and economy of pharmacy service, drug manufacturing technology in a pharmacy, rules for their storage and vacation, nomenclature of medicines and medical products, the rules for the first prefiguration medical care, methods for conducting chemical and physicochemical analyzes, medicinal marketing Medical products and products, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Higher pharmaceutical education.

Subsection 45. Engineer-technologist for the production of medicinal
funds, medical products and medical equipment

Footnote. Subsection 45 with a change made by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after ten calendar days after his first official publication).

Official duties. Implements the development of technological regulations and technical Conditions on the production of drugs. Controls the production of products according to specifications, serviced equipment used in the production process. Provides technology development in the process of developing and producing new drugs for production, in carrying out technological processes in mass production. Makes production instructions for the development and implementation of measures for the disposal of waste production, neutralization and purification of industrial effluents, emissions to the atmosphere. Defines technical and economic standards and raw material and materials. Provides control of observance of sanitary and hygienic rules and norms, storage conditions, raw materials, semi-finished products, auxiliary materials and manufactured products. Provides the quality of work performed. Conducts accounting and reporting documentation. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Requirements for qualifications. Higher (pharmaceutical, engineering, technological) education.

Paragraph 7. Positions of specialists with secondary qualifications
Subsection 46. Pharmacist.

Footnote. Subsection 46 with a change made by the Order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 13.06.2016 No. 500 (enforced after ten calendar days after his first official publication).

Official duties. Adding recipes and requirements of medical and preventive institutions, drug leave, medical products, sanitation and hygiene products. Products drugs according to an individual recipe in a pharmacy, performs their internal quality control. Prepares reagents, titted solutions, works with measuring instruments and equipment in laboratories. Conducts an express analysis of dosage forms, macro and microscopic, merchantly analysis of medicinal plant materials. Provides first prefigible assistance to patients and victims in extreme situations. Provides storage and control of the expiration of medicinal herbs and medical products. Takes part in the acceptance, placement and packaging of goods using the necessary equipment. Sanitary and educational and information work on the use of medical devices. Conducts accounting and reporting documentation. Complies with medical ethics, the rules of internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Must know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the Health of the People and Health System", the laws of the Republic of Kazakhstan "On Permissions and Notifications", "On Counteracting Corruption", "On Languages \u200b\u200bin the Republic of Kazakhstan", regulatory legal acts in the field of health care, Pharmacy, pharmaceuticals, the structure of the drug management system, a modern nomenclature of medicines, medical products and medical products, the basic principles of the preparation and storage of medicinal plant materials, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Requirements for qualifications. Technical and professional (secondary special, medium professional) (pharmaceutical) education.

Order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n
"On approval of the Unified qualifying reference book Positions of managers, specialists and employees, section "Qualification characteristics of posts of workers in the field of health care"

With changes and additions from:

Registration N 18247.

The qualification characteristics of the posts of employees in the field of health care are determined.

We are talking about the chief physician, the head of the dairy kitchen, about the main nurse, a doctor, a specialist, genetics, infectiousness, a gynecologist, psychiatrist, therapist, about a judicial expert, embryologist, etc.

Using the characteristics, you can correctly select frames, increase their business qualifications.

The qualification characteristic of each position contains 3 sections: "Official duties", "should know" and "qualifying requirements".

The first defines the functions that the employee must exercise. The technological homogeneity and interconnectedness of work, professional formation are taken into account.

The second contains the basic requirements for special knowledge. It is also about the provisions, instructions, methods and means that the employee must be able to apply when performing job duties.

The third, the levels of the professional formation required to perform the assigned duties, and the required work experience are established.

Persons who do not have the required additional professional formation or experience, but with sufficient practical experience and perform qualitatively and fully assigned responsibilities, on the recommendation of the attestation commission may appoint to relevant posts.

Order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On approval of a single qualifying reference book of managers, specialists and employees, section" Qualification characteristics of posts of workers in the field of health care "

Act Editorial 23.07.2010

Name Document	Order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On approval of a unified qualifying reference book of managers, specialists and employees, section" Qualification characteristics of employees in the field of health care "
Type of document	order, reference book
Accepted by	ministry of Health and Social Development of the Russian Federation
Document Number	541n
Date of adoption	08.10.2010
Date of editorial	23.07.2010
Registration number in the Ministry of Justice	18247
Date of registration in the Ministry of Justice	25.08.2010
Status	act
Publication	"Russian newspaper", N 217, 09/27/2010
Navigator	Notes

Order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On approval of a unified qualifying reference book of managers, specialists and employees, section" Qualification characteristics of employees in the field of health care "

Section "Qualification characteristics of posts of workers in the field of health care" I. General

1. Section "Qualification characteristics of posts of employees in the field of health" of a single qualifying certificate of managers of managers, specialists and employees (hereinafter referred to Approaches in determining the official duties of these categories of workers and presented to them qualifying requirements and consists of five sections: I - " General provisions"; II -" positions of managers "; III -" Positions of specialists "; IV -" posts of junior medical personnel "; V -" Positions of other personnel of medical and labor workshops in medical organizations. "

2. Qualification characteristics contained in the "Qualification Characteristics of Health Workers 'Positions" The EKS (hereinafter referred to as qualification characteristics) are used as regulatory documents, and also serve as the basis for developing job descriptions containing a specific list of official duties taking into account the work of workers' medical organizations. The names of the posts of specialists with higher medical and pharmaceutical education are established in accordance with the qualification requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of health, approved in the established procedure of the Ministry of Health and Social Development of Russia. For example, the name "Therapist" position corresponds to the medical specialty "Therapy".

The names of the posts of medical professionals and specialist providers are established in accordance with the name of medical and provincial specialties, the nomenclature of which is approved in the prescribed manner.

The Name of the Position "The Laborante's" position remains for specialists with the highest professional (non-medical) education adopted by this position until October 1, 1999.

In the case when a specialist (provisionalist) has a break in work in a specialty for more than 5 years, either changes the profile of a specialty requiring special training and qualifications, it is appointed to the post of a trainee doctor (internship provision) for the period of passage in the prescribed manner of professional retraining In order to obtain special knowledge, skills and skills necessary for independent work In the post of a doctor-specialist (pharmacist), and receiving a certificate for the appropriate specialty.

During this period of time, he can perform job responsibilities provided for by the qualification characteristic of a specialist doctor (doctor of a specialist institution of state -plain service, provisions), only under the guidance of a specialist doctor (doctor, a specialist institution of state -plain services, a provisional system), which has a certificate of a specialist in the relevant specialty, responding Along with him for their actions.

3. The names of the posts of Deputy Head of Medical Organization (Chief Doctor, Director, Head, Chief) are complemented by the name of the work section, the leadership of which he implements. For example, "Deputy Chief Doctor for Medical Parts", "Deputy Chief Doctor for Work with Nursing Personnel", etc.

The names of the heads of the heads of structural units (departments, departments, laboratories, cabinets, detachments, etc.) are complemented by the name of the medical position corresponding to the specialty for the profile of the structural division. For example, "Head of Surgical Department - a surgeon".

4. The qualification characteristic of each position contains three sections: "Official duties", "should know" and "qualifying requirements".

In the "Official Responsibilities" section, a list of basic functions that can be assigned to the employee who occupies this position, taking into account the technological homogeneity and interconnectedness of the work received by vocational education.

The section "Must know" contains the basic requirements for the employee with respect to special knowledge, as well as knowledge of legislative and other regulatory legal acts, regulations, instructions and other documents, methods and funds that the employee must be able to apply when performing job duties.

In the "Qualification Requirements" section, the levels of the required vocational education of the employee needed to fulfill official duties assigned to it, as well as the required work experience. The levels of the required training specified in the "Qualification Requirements" section are given in accordance with the Law of the Russian Federation "On Education" of July 10, 1992 N 3266-1 (Meeting of the Legislation of the Russian Federation, 1996, N 3, Art. 150) and other regulatory legal acts.

5. The official name "Senior" is established on the condition that the specialist leads to the subordinate performers.

6. Persons who do not have the relevant additional professional education or experience of the work established by the qualification requirements, but possess sufficient practical experience and perform qualitatively and fully assigned official duties, on the recommendation of the Certification Commission of the Medical Organization, in order to exception, can be appointed For relevant posts, as well as persons with special training and necessary work experience.

The employer takes measures to further prepare the persons mentioned.

7. In medical organizations, the name of posts: "Okup", "Medical sister", "Sanitary", "Packing", replaced by men of male, are referred to: "Obster", "Medical Brother (Medbrat)", "Sanitary", " Packovier.

II. Positions of managers Chief Doctor (President, Director, Head, Manager, Head) Medical Organization

<*> The name of the post "Chief Doctor" can be applied only if the head of the medical organization of the Higher Professional (Medical) education has a medical organization.

Official duties. Managing the activities of a medical organization. Organizes the work of the team of the organization for the provision and provision of high-quality medical services to the population. Provides the organization of therapeutic and prophylactic, administrative and economic and financial activities of the organization. An analysis of the activities of the organization and on the basis of the assessment of its work indicators takes the necessary measures to improve forms and working methods. Approves staff schedule, financial plan, annual report and annual accounting balance of the organization. Ensures the fulfillment of obligations collective Treaty. Provides employees timely and fully paid wages. Improves the organizational and management structure, planning and forecasting of activities, forms and methods of the organization of the organization, selection of personnel, their placement and use in accordance with the qualifications. Organizes and ensures employees to the organization of additional professional education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Takes measures to ensure employees of the organization of their official duties. Provides and monitors the execution of the rules of the internal labor regulation, on labor protection and fire safety during the operation of instruments, equipment and mechanisms. Represents the organization in state, judicial, insurance and arbitration bodies, at international events, in state and public organizations on health care issues previously agreed with a higher authority this organization. Interactions with local governments, services civil Defense, disaster medicine, territorial bodies internal affairs and other operational services. Takes part in conferences, seminars, exhibitions. Ensures preventive measures to prevent industrial injuries and professional diseases.

Official duties. Carries out vacation subjects of sanitation and hygiene, patient care, other medical devices, medicinal herbs. Provides storage and control over the shelf life of medicinal herbs and medical devices. Takes part in the acceptance, placement and packaging of goods, using the necessary equipment and observing the safety and safety regulations. Sanitary and educational and information work on the use of medical devices.

Must know: the foundations of the organization of the pharmaceutical service; The main regulatory legal acts on pharmacy issues; nomenclature of medicinal herbs and medical devices; Basics of labor legislation; The rules of the internal labor regulation; Rules for labor protection and fire safety.

Requirements for qualifications. Secondary vocational education in the specialty "Pharmacy" without the presentation of work experience requirements.

Sister-mistress

Official duties. Manages the work of the sanitary and customer cleaners in the cleanliness and manner of premises of the medical organization (divisions), provides a serviced division of economic equipment, overalls, hygiene, stationery, detergents, bedding and underwear for patients. Changes a change of bathrobes, towels to employees of a medical organization. Makes applications for the repair of premises, equipment, inventory and controls its conduct. Provides power supplies (buffet, dining room) equipment, dishes and monitors the correct marking and use. Conducts accounting and reporting documentation.

Must know: the shelf life of the underwear used in a medical organization (division) of linen and inventory; methods of sanitary processing inventory; conditions of operation and storage of the inventory; forms of accounting and reporting documentation and the rules of their fill; rules for compliance with sanitary and hygienic regime in a medical organization (division); The rules of the internal labor regulation; Rules for labor protection and fire safety.

Packovier

Official duties. Performs work on packing and dosage of medicines, medical devices using the necessary equipment, mechanization tools, compliance with the rules of their operation. Takes part in the acceptance and distribution of goods between the pharmacy departments.

Must know: the main methodological and regulatory documents on pharmacy issues; The rules of the internal labor regulation; Rules for labor protection and fire safety.

Requirements for qualifications. Average (full) general education and additional training in the direction of professional activity without the presentation of the work experience.

Sanitary

Official duties. Cleaning premises in a medical organization. Helps the older medical sister when receiving medicines, tools, equipment and delivery of them to the department. Receives from the sister-hostess and provides the right storage and use of linen, business inventory, dishes and detergents. Removes bedside tables from lying patients after each meal. Upon specifying the ward medical sister accompanies patients to medical diagnostic cabinets. Performs the functions of the courier, carries out the cleaning of the pharmacy dishes. Reports the sister-hostess about faults in the system of heating, water supply, sewage and electrical appliances. Purses premises and baths. Systematically (after each patient) carries out sanitary and hygienic processing of the bath and washcloths. It assists the patients when taking a hygienic bath, when stripping and dressing. In the absence of a younger medical care sister for patients, a hutting and bed linen from the sister and makes it a shift. Gets ready-made food on the sophistication, checks it in weight and account. Scheduled in the dispensing statement. Produces heated food. It makes it possible to distribute patients with food hot according to the menu and the designated diet. Produces washing dishes, cleaning buffet and dining room, observing sanitary requirements. Systematically cleans refrigerators designed to store patient products. Provides sanitary and hygienic content of buffet and dining room. In a timely manner informs the management of the department on the need to repair equipment and inventory buffet.

Must know: rules of sanitation and labor hygiene; appointment of detergents and rules for handling them; The rules of the internal labor regulation; Rules for labor protection and fire safety.

Requirements for qualifications. The secondary (full) general education without the presentation of the work experience.

Sanitary driver

Official duties. Performs with the paradise carrying, loading and unloading of patients and affected by their transportation, assists the doctor and paradise when performing diagnostic and therapeutic manipulations, tolerates medical equipment. Provides assistance to medical personnel accompanied by patients. Manages emergency medical care car, assigned to one of the categories "B" or "C". Fills the car with fuel, lubricants and coolant. Regulates travel documents. Checks the technical condition and reception of the car before leaving the line. Delivery of the car and setting it to the designated place on return from work. Eliminates the minor operational malfunctions of rolling stock, which do not require disassembling mechanisms during operation. Carries out sanitary and hygienic processing of the car interior after each patient (victim). Reports about car malfunctions.

Must know: the rules of operation of the use of medical tools and equipment used; safety regulations when working with medical instruments and equipment; psychology of professional communication; Basics of medicine disasters; Sanitary and hygienic content of the medical salon; rules of sanitation and labor hygiene; appointment of detergents and rules for handling them; Traffic Laws; Motion safety basics; Rules for the technical operation of cars (drivers related to drivers); The main indicators of the work of cars, paths and ways to increase productivity; Signs, reasons and dangerous consequences faults arising during the operation of the car, methods for their detection and elimination; order of conduct maintenance cars and trailers; Rules for storing cars in garages and outdoor parking; rules of operation of batteries and automotive tires; The influence of weather conditions for the safety of driving a car; ways to prevent road traffic accidents; receptions of first aid for accidents; Rules for filling the primary documents on car operation accounting; rules running in new cars and after major repairs; The procedure for emergency evacuation of passengers in road traffic accidents; Basics of labor legislation; The rules of the internal labor regulation; Rules for labor protection and fire safety.

Requirements for qualifications. Average (full) general education. Special preparation for first aid programs. The right to control the car category "B", work experience as a car driver for at least 3 years.

V. Positions of other personnel of therapeutic workshop at medical organizations Instructor of production training of workers' mass professions

Official duties. Teachs unqualified workers, students to modern techniques for performing production operations, work on cars, machines, etc. Plans studying and keeps accounting for the implementation of production training programs, the results of the labor of the student and their academic performance. Carries out control over ensuring the safe working conditions of the student, for equipping their jobs to all necessary for work. Conducts the introductory and current briefing of all new arriving workers. Summarizes best practices in the relevant profession, transfers it to trainees in order to improve their qualifications, introducing rational techniques and working methods. Controls the correctness of the execution of training technological operations, the quality and performance of their labor. Conducts additional instructions of the student to eliminate the identified deficiencies.

Must know: laws and other regulatory legal acts of the Russian Federation regarding the preparation of working mass professions; Basics of therapeutic and diagnostic process, disease prevention; curricula and tariff-qualification characteristics of the respective workers' professions; Principles and methods of industrial training; technological process of production; device and interaction of nodes and mechanisms of served machines and machines; rules for the technical operation of equipment; assortment of products produced; Requirements for the quality of raw materials, semi-finished products and finished products; advanced methods of organization, labor planning and performing work techniques and operations on the relevant professions; Ways to control and analyze the work of the student; the procedure for taking into account the implementation of programs of production training, the labor results of the learned and their progress; Basics of labor legislation; The rules of the internal labor regulation; Rules for labor protection and fire safety.

Requirements for qualifications. Secondary vocational education on the profile of the work performed without the presentation of work experience or secondary (full) general education, special training and work experience on the profile at least 3 years.

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On the site "Zakonbase" you will find an order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On approval of a single qualifying reference book of managers, specialists and employees, section" Qualification characteristics of employees in the field of health care "in the fresh and full version, in which all changes are made and amendments. This guarantees the relevance and accuracy of the information.

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Order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n
"On approval of a unified qualifying reference book of managers, specialists and employees, section" Qualification characteristics of posts of workers in the field of health care "

To approve a single qualifying reference book of managers, specialists and employees, section "Qualification characteristics of posts of workers in the field of health care" according to the annex.

Registration N 18247.

application

to the order of the Ministry of Health
and social development of the Russian Federation
july 23, 2010 N 541n

Unified qualifying directory of managers, specialists and employees

Section "Qualification characteristics of posts of workers in the health sector"

The "Qualification Characteristics of the Offices of Health Workers" of a Unified Qualification Directory of Managers, Specialists and Employees (hereinafter - EKS) is intended to contribute to the right selection and placement of personnel, improving their business qualifications, division of labor between managers, specialists, as well as ensuring the unity of approaches when Definition of official duties of these categories of workers and presented qualifying requirements and consists of five sections: I - "General Provisions"; II - "positions of managers"; III - "Positions of specialists"; IV - "posts of junior medical personnel"; V - "Positions of other personnel of medical and labor workshops in medical organizations."

The Name of the Position "The Laborante's" position remains for specialists with the highest professional (non-medical) education adopted by this position until October 1, 1999.

In the case when a specialist (provisionalist) has a break in work in a specialty for more than 5 years, either changes the profile of a specialty requiring special training and qualifications, it is appointed to the post of a trainee doctor (internship provision) for the period of passage in the prescribed manner of professional retraining In order to obtain special knowledge, skills and skills necessary for independent work as a specialist doctor (provision), and receiving a certificate for the respective specialty.

During this period, he can perform job duties envisaged by the qualification characteristic of a specialist doctor (doctor of a specialist institution of state -plain service, pharmacist), only under the guidance of a specialist doctor (doctor of a specialist institution of state -plain service, providing a specialist certificate of an appropriate specialty, responding Along with him for their actions.

4. The qualification characteristic of each position contains three sections: "Official duties", "should know" and "qualifying requirements".

5. The official name "Senior" is established on the condition that the specialist leads to the subordinate performers.

The employer takes measures to further prepare the persons mentioned.

II. Positions of executives

Chief Doctor * (President, Director, Head, Manager, Head) Medical Organization

Official duties. Managing the activities of a medical organization. Organizes the work of the team of the organization for the provision and provision of high-quality medical services to the population. Provides the organization of therapeutic and prophylactic, administrative and economic and financial activities of the organization. An analysis of the activities of the organization and on the basis of the assessment of its work indicators takes the necessary measures to improve forms and working methods. Approves staff schedule, financial plan, annual report and annual accounting balance of the organization. Provides fulfillment of obligations under a collective agreement. Provides employees timely and in full payment of payroll. Improves the organizational and management structure, planning and forecasting of activities, forms and methods of the organization of the organization, selection of personnel, their placement and use in accordance with the qualifications. Organizes and ensures employees to the organization of additional professional education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Takes measures to ensure employees of the organization of their official duties. Provides and monitors the execution of the rules of the internal labor regulation, on labor protection and fire safety during the operation of instruments, equipment and mechanisms. Introduces the organization in state, judicial, insurance and arbitration bodies, at international events, in state and public organizations on health care issues, previously agreed with a higher authority, in which this organization is being conducted. Interactions with local governments, civil defense services, disaster medicine, territorial internal affairs bodies and other operational services. Takes part in conferences, seminars, exhibitions. Provides preventive measures to prevent production injuries and occupational diseases.

Must know: the Constitution of the Russian Federation; Laws and other regulatory legal acts of the Russian Federation in the field of health care, the protection of consumer rights and the sanitary and epidemiological well-being of the population; Theoretical foundations of social hygiene and health care organizations; management systems and organization of labor in health care; statistics of the health of the population; evaluation criteria and indicators characterizing the health of the population; organization of medical and social expertise; organization of social and medical rehabilitation of patients; medical ethics; psychology of professional communication; Basics of labor legislation; fundamental basis; The procedure for the conclusion and execution of economic and employment contracts; Fundamentals of insurance medicine; Rules for labor protection and fire safety; Basics of medicine disasters.

Requirements for qualifications. Higher vocational education in the specialty "Medical Case", "Pediatrics", "Medical and Preventive Case", "Stomatology", Postgraduate Professional Education and / or Additional Vocational Education, Specialist Certificate of Specialist "Health Organization and Public Health" or Higher Professional ( Economic, Legal) Education and special training in health care, work experience in leadership positions for at least 5 years.

For the president of a medical organization - work experience in medical organizations for at least 25 years.

Head (chief physician, director, chief) of the federal budgetary institution of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare

Official duties. He has been managed by the activities of the federal budgetary institution of the Federal Service for Supervision in the Sector of Consumer Rights Protection and Human Welfare. The team is organized by the team of the institution to ensure the activities of the supervisory authorities of the Federal Service for Supervision in the Sphere of Consumer Rights Protection and the well-being of a person to fulfill the tasks assigned to them to provide and provide quality services to the population. Approves staff schedule, financial plan, annual report and annual balance sheet institution. Interactions with state authorities and public associations on the protection of consumer rights and ensuring the sanitary and epidemiological well-being of the population. Contributions to state authorities proposals on the implementation of sanitary legislation. It analyzes the activities of the institution and on the basis of an assessment of its work indicators takes the necessary measures to improve forms and working methods. Provides fulfillment of obligations under a collective agreement. Provides employees timely and in full payment of payroll. Implements the organizational and management structure, planning and forecasting of activities, forms and methods of work of the institution, selection of personnel, their placement and use in accordance with the qualifications. Organizes and ensures employees to the organization of additional professional education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Takes measures to ensure employees of the institution of their official duties. Provides and monitors the execution of the rules of the internal labor regulation, on labor protection and fire safety during the operation of instruments, equipment and mechanisms. Represents the organization in state, judicial, insurance and arbitration bodies, at international events, in state and public organizations on health issues, the protection of consumer rights and the sanitary and epidemiological well-being of the population, previously agreed with the higher authority, in which this organization is being conducted. Represents an institution in relations with government agencies, local governments, public and other organizations. Takes part in conferences, seminars, exhibitions. Provides preventive measures to prevent production injuries and occupational diseases.

Must know: the Constitution of the Russian Federation; Laws and other regulatory legal acts of the Russian Federation in the field of health care, the protection of consumer rights and the sanitary and epidemiological well-being of the population; Theoretical and organizational foundations of state sanitary and epidemiological supervision and its ensuing; evaluation criteria and indicators characterizing the health of the population, human habitat factors; Principles of organization of labor, planning and economic and financial activities of the institution; The procedure for the conclusion and execution of economic and employment contracts; Forms and methods of organizing hygienic education and education of the population; The procedure for maintaining primary accounting and reporting documentation; medical ethics; psychology of professional communication; Basics of labor legislation; Rules for labor protection and fire safety; Basics of medicine disasters.

Requirements for qualifications. Higher vocational education in the specialty "Medical and Preventive Case", Postgraduate Professional Education and / or Additional Professional Education, Specialist Certificate of Specialist "Social Hygiene and Organization of Gossen Epid Services", Work experience in the specialty in leadership positions for at least 5 years.

For the main doctors of federal state health care facilities - Hygiene and Epidemiology Centers - higher vocational education in the specialty "Medical and Preventive Case" and postgraduate vocational education and / or additional professional education and a specialist certificate "Social Hygiene and Organization of Gossen Epidem Services", work experience specialty in senior positions for at least 5 years.

Director of the Hospital (at home) of nursing care, hospice

Official duties. He has managed the activities of the hospital (at home) of nursing care, hospice. Provides palliative treatment of patients, observance of sanitary and hygienic and anti-epidemic regimes of the hospital (at home) of nursing care, hospice. He carries out the organization of medical care and social rehabilitation of patients, administrative and economic and financial activities of the organization, rational use of labor, financial and material resources of the hospital (at home) of nursing care, hospice. Approves staff schedule, financial plan, annual report and annual accounting balance of hospital (houses) of nursing care, hospice. The analysis of the activities of the hospital (at home) of nursing care, hospice and on the basis of evaluation of performance indicators takes the necessary measures to improve forms and working methods. Provides fulfillment of obligations under a collective agreement. Provides hospital employees (at home) of nursing care, hospice timely and in full payload payment. The organizational and management structure, planning and forecasting of activities, forms and methods of work of the hospital (at home) of nursing care, hospice, carries out the selection of personnel, their placement and use in accordance with the qualifications. Organizes and ensures the receipt by employees of the hospital (houses) of nursing care, an additional professional education hospital (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Takes measures to ensure the fulfillment by employees of their official duties. Provides and monitors the execution of the rules of the internal labor regulation, on labor protection and fire safety during the operation of instruments, equipment and mechanisms. Represents the hospital (home) of nursing care, the hospice in state bodies, local governments, at international events, in state and public organizations on health care issues, previously coordinated with a higher authority, in which this organization is being conducted. Takes part in conferences, seminars, exhibitions. Provides preventive measures to prevent production injuries and occupational diseases.

Must know: the Constitution of the Russian Federation; Laws and other regulatory legal acts of the Russian Federation in the field of health care, the protection of consumer rights and the sanitary and epidemiological well-being of the population; Theoretical foundations of social hygiene and health care organizations; health management systems; Organization of labor, planning and economic and financial activities of the hospital (houses) of nursing care, hospice; the foundations of the functioning of budget and insured medicine and voluntary health insurance; statistics of the health of the population; criteria and indicators characterizing the health of the population; the procedure for the conclusion and execution of contracts; organization of workability examination in medical and prophylactic organizations; organization of social and medical rehabilitation of patients; Theoretical and organizational foundations of the sanitary and epidemiological service; medical ethics and deontology; psychology of professional communication; Basics of pedagogy; Basics of medicine disasters; Basics of labor legislation; Rules for labor protection and fire safety.

Requirements for qualifications. Higher professional education in the specialty "Medical Case", "Pediatrics", "Nursing", Postgraduate Professional Education and / or Additional Professional Education, Certificate of Specialist in the Specialty "Health Organization and Public Health" or "Management of Nursing Activity", Work experience in medical organizations for at least 5 years or secondary vocational education (elevated) in the specialty "nursing case", "therapeutic case", "obstetric business" and a specialist certificate in the specialty "Organization of the Nursing Cause", work experience in medical organizations for at least 10 years .

Director (head) pharmaceutical organization

Official duties. Managing the activities of a pharmaceutical organization. Organizes the work of the organization's team to implement the timely and high-quality support of the population by drugs, interaction with other medical organizations. Controls the execution by employees of orders and orders of the organization. An analysis of the activities of the organization and on the basis of its work indicators takes measures to improve the provision of drugs with drugs. Approves staff schedule, financial plan, annual report and annual accounting balance of the organization. Organizes the financial and economic activities of the organization. Provides fulfillment of obligations under a collective agreement. Provides employees of the organization equal to pay for the work of equal value. Improves the organizational and management structure, planning and forecasting of activities, forms and methods of the organization of the organization, selection of personnel, their placement and use in accordance with the qualifications. Organizes work to improve the skills of workers. Takes measures to ensure employees of the organization of their official duties. Controls the fulfillment of the requirements of the rules of the internal labor regulation, on labor protection, technical operation of instruments, equipment and mechanisms. Participates in addressing the issues of improving the organization's activities. Represents the organization in government agencies, local governments, at international events, in state and public organizations, according to previously agreed with higher authorities, issues related to the development of health care. Takes part in conferences, seminars, exhibitions.

Must know: the Constitution of the Russian Federation; laws and other regulatory legal acts of the Russian Federation in the health sector and pharmaceuticals; criteria and indicators characterizing the state of providing the population by drugs; Theoretical and organizational foundations of the pharmaceutical case; medical ethics; psychology of professional communication; Basics of the economy, organization of labor and management; office work, types and forms of documentation, order documentary the results of the work performed; methods and means of pharmaceutical information; Basics of labor legislation; Rules for labor protection and fire safety.

Requirements for qualifications. Higher vocational education in the specialty "Pharmacy" and a specialist certificate in the specialty "Management and Economics of Pharmacy", work experience in leadership posts for at least 5 years.

Milk Kitchen Head

Official duties. Manows dairy kitchen activities. Provides compliance with the sanitary rules and norms and rules of operation of dairy kitchen equipment, the fulfillment of the requirements of the sanitary and epidemic regime, the rational use of labor, financial and material resources, the timely supply of production with high-quality products in the required assortment. Approves staffing, financial plan Annual report and annual balance of dairy kitchen. Organizes and ensures employees to the organization of additional professional education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Provides preventive measures to prevent production injuries and occupational diseases.

Must know: the Constitution of the Russian Federation; Laws and other regulatory legal acts of the Russian Federation in the field of health care, the protection of consumer rights and the sanitary and epidemiological well-being of the population; Basics of the organization of food healthy and sick children; technology of cooking dishes for healthy and sick children, depending on their age; Sanitary and hygienic requirements for food production; medical ethics; psychology of professional communication; Basics of the economy, organization of production and management, labor legislation; Rules for labor protection and fire safety.

Requirements for qualifications. Higher vocational education in the specialty "Nursing case" and a specialist certificate in the specialty "Management of Nursing Activities" without the presentation of work on experience or secondary vocational education (elevated) in the specialty "Nursing case", "therapeutic case", "obstetric matter" and Certificate of a specialist in the specialty "Organization of the Nursing Business" or "Dietology", work experience in the direction of professional activity at least 3 years.

Deputy Chief Doctor for Medical Parts of the Emergency Care Station

Official duties. It leads to the leadership of all the activities of the subordinate units of the ambulance station on the basis of uniqueness within the limits of the rights, powers provided by the head of the station. Participates in the organization of rational selection of personnel, distribution and use of the ambulance team of all types. Together with the heads of subordinate divisions, the proposals of workers to improve the work of the station and presents them to the head of the station. Takes part in the organization and work of medical councils, conferences and meetings. Organizes work with statements, letters and complaints of the population. Organizes and provides employees of additional professional education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. On the instructions of the head of the station, participating in international activities related to the development of health care, conferences, seminars, exhibitions, as well as in the work of commissions and headquarters on emergency medical care for patients and affected, including during emergencies. Analysis of information on hospitalization of patients and loads of hospitals, morgues and truspels. Carries out control over the daily delivery of the corpses of the dead and those killed in the morgue and body. Organizes and monitors compliance with the sanitary and epidemic regime at the station. Performs the functional responsibilities of other deputy station manager in their absence. Provides preventive measures to prevent production injuries and occupational diseases. Conducts clinical and expert work, including: analysis of diagnostic and tactical errors in the activities of exit brigades; Analysis of the deaths of a patient and (or) victim before arrival and in the presence of exit brigades; conducting an expert assessment of medical records of exit brigades, volume, quality and timeliness of emergency medical care, the correctness of the diagnosis, the use of drugs, and indications for hospitalization; Develops activities aimed at preventing and preventing violations of legislation in the field of health care, in providing # medical care in the pre-hospital stage.

Must know: the Constitution of the Russian Federation; Laws and other regulatory legal acts of the Russian Federation in the field of health care, the protection of consumer rights and the sanitary and epidemiological well-being of the population; regulatory legal acts governing the issues of turnover of potent, psychotropic and narcotic drugs; rules of the internal labor regulation of the ambulance station and official documentation regulating its activities; The procedure for the preparation of work schedules and the arrangement of medical personnel; Theoretical foundations and health care organizations; organization of social and medical rehabilitation; Theoretical and organizational foundations of the sanitary and epidemiological service; organization of sanitary education, hygienic education and propaganda of a healthy lifestyle; medical ethics; psychology of professional communication; Basics of pedagogy; Basics of the economy, organization of labor and management; Basics of labor legislation; Rules for labor protection and fire safety.

Requirements for qualifications. Higher professional education in the specialty "Medical Case", "Pediatrics", Postgraduate Education and (or) Additional Professional Education, Specialist Certificate of Specialty "Ambulance" or "Health Organization and Public Health", Work experience in the direction of professional activity 5 years.

Main Medical Sister (Home Obstep, Chief Feldscher)

Official duties. Provides a rational organization of labor of secondary and junior medical personnel, advanced training, organizes employees of subordinate units of additional vocational education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Promotes the introduction of new organizational forms and resource-saving technologies for the activities of nursing staff to the practice of new organizational forms. It takes a timely statement, the distribution and storage of dressings, medicines, including toxic substances and drugs, conducts accounting for their spending. Controls: the work of secondary and junior medical personnel on the reception and discharge of patients; organization of transportation of patients within the departments of the medical organization, with emergency medical assistance; implementation of secondary medical personnel of medical appointments, qualified patient care; compliance with the medical organization of medical and security and sanitary and epidemiological regimes, sanitary rules and norms; Preventive measures to prevent production injuries and occupational diseases. Leads the necessary accounting and reporting documentation.

Must know: the Constitution of the Russian Federation; laws and other regulatory legal acts of the Russian Federation in the health sector; regulatory legal acts governing the issues of turnover of potent, psychotropic and narcotic drugs; The procedure for compiling work schedules and alignment of medium and junior medical personnel; theoretical foundations of the organization of health care; organization of social and medical rehabilitation; Theoretical and organizational foundations of the sanitary and epidemiological service; organization of sanitary education, hygienic education and propaganda of a healthy lifestyle; medical ethics; psychology of professional communication; Basics of pedagogy; Basics of the economy, organization of labor and management; Basics of labor legislation; Rules for labor protection and fire safety.

Requirements for qualifications. Higher vocational education in the specialty "Nursing business" and a specialist certificate of specialty "Management of Nursing Activities", work experience in the specialty of at least 5 years or secondary vocational education (elevated) in the specialty "nursing case", "obstetric matter", "therapeutic The case "and the certificate of a specialist in the specialty" Organization of the Nursing Cause ", work experience in the direction of professional activity for at least 10 years.

Head of Mobilization Reserve Medical Warehouse

Official duties. Managing the activities of the medical warehouse of the mobilization reserve. Organizes measures to accumulate and storing property taken to the warehouse, laboratory tests, as well as checking and repairing medical equipment. Provides in order to maintain material values \u200b\u200bto maintain the temperature regime and other special conditions for storing medicines, biological preparations, medical instruments, equipment, sanitary and special property; Compliance with the rules for storing material values. Organizes the development of plans for accumulation, refreshment, replacement, preservation, support of property and controls their execution. Regularly conducts verification of the quantitative and qualitative state of the stored property (including at acceptance) and takes measures to eliminate the identified deficiencies. Provides readiness for issuing property by direct

Chief Doctor Qualification Requirements. Qualification requirements for the head of the medical organization. Examples of court decisions

Law Enforcement Practice of Arbitration Courts.

Examples of court decisions.

Decision of the Arbitration Court of the Oryol region of April 22, 2016 in case number A48-1595 / 2016.

Resolution of the Supreme Court of the Russian Federation of October 27, 2014 No. 302-kg14-2669 in case number A33-11226 / 2013.

Resolution of the Arbitration Court of the Moscow District of August 18, 2015 in case number A40-180007 / 2013

Decision of the Arbitration Court of the Far Eastern District of March 5, 2015 in case No. F03-213 / 2015.

Resolution of the Odenth Arbitration Court of Appeal of February 13, 2014 in case number A55-24619 / 2013

Resolution of the Seventh Arbitration Court of Appeal dated November 7, 2014 in case No. A03-13309 / 2014.

Qualification characteristics of health workers posts

Section 1. Health Organization

Paragraph 1. Positions of managers Subsection 1. Head of the Health Organization of the Republican, regional, district and urban value (CEO, Director)

Subsection 2. Deputy Head (Director General / Director) Health Organization (Medical Parts, to Control Quality of Medical Services, Strategic Development)

Subsection 3. Deputy Head (Director General / Director) Health Organization for Economic and Administrative and Economic Support

Subsection 4. Deputy Head of Health Organization for the Administrative and Economic Part

Subsection 6. Main Medical Sister (Deputy Director for Nursing)

Subsection 7. Clinical Head (Paraklinic) division

Subsection 8. Head of the Laboratory of the Organization sanitary and epidemiological service

Subsection 9. Wishing Head of Organization sanitary and epidemiological service

Paragraph 2. Positions of specialists with higher and seammed education

Subsection 10. Plot physician / general practitioner

Subsection 11. Ordinator (profile specialist)

Subsection 12. Doctor (or specialist) of sanitary-epidemiological service

Subsection 13. Physical doctor (or specialist) health (Valeologist, Epidemiologist, Statistics, Methodist)

Subsection 14. Health Manual (for the quality of medical services, strategy and marketing medical services, organization and methodology for providing medical services)

Subsection 15. Expert doctor

Subsection 16. Doctor - Forensic Medical Expert (general expert, forensic biological, chemical-toxicological, judicial and histological medical and Criminalist, Molecular Genetic Research)

Subsection 17. Specialist - Forensic Medical Expert (forensic, chemical-toxicological, judicial and histological, medical and forensic, molecular Genetic Research)

Subsection 18. Specialist of the laboratory

Subsection 19. Specialist of the Sanitary and Epidemiological Service (biologist, zoologist / epizootologist, entomologist)

Subsection 20. Public Health Specialist (Epidemiologist, statistics, Methodist, Valeologist)

Subsection 21. Socialist in social work in the field of health

Subsection 21-1. Sister / brother medical (s) expanded practice

Paragraph 3. Positions of specialists with secondary qualifications Subsection 22. Senior (s) Medical (s) sister / brother (Senior Feldsher, senior obstetrician)

Subsection 23. Feldsher

Subsection 24. Laberaent

Local sister (brother) Medical (s) / sister (brother) Medical (s) of general practice.

Subsection 27. Sister (brother) Medical (s) (specialized (s)

Subsection 28. X-ray Patent.

Subsection 29. Obstetrician (ka)

Subsection 30. Dietary sister

Subsection 31. Instructor disinfector

Subsection 32. Optic and opticalist

Subsection 33. Dentist (dentist)

Subsection 34. Assistant dentist doctor (dental assistant)

Subsection 35. Dental hygienist

Subsection 36. Dental technician (Laboratory of Tool-Strike Branch, Cabinet)

Subsection 37. Healing Physical Instructor

Paragraph 4. Other employees Subsection 38. Medical recorder

Subsection 39. Junior (s) Medical (s) sister (brother)

Subsection 40. Social worker in the field of health

Subsection 41. Sanitary (ka)

Objects in the field of drug circulation, medical and Medical Products Paragraph 5. Positions of managers Subsection 41. Head (manager) of the object in the field of circulation medical equipment

Subsection 42. Deputy Head of the Object in the Sphere creating medicines, medical products appointments and medical equipment

Subsection 43. Head of the Communications Object Department medicines, medical products and medical equipment

Paragraph 6. Positions of specialists with higher qualifications Subsection 44. Pharmacist (pharmacist)

Subsection 45. Engineer-technologist for the production of medicinal funds, medical products and medical equipment

Paragraph 7. Positions of specialists with secondary qualifications Subsection 46. Pharmacist.

With changes and additions from:

Last

It is necessary to know

Paragraph 1. Positions of managers
Subsection 1. Head of the Health Organization of the Republican, regional, district and urban value (CEO, Director)

Subsection 6. Main Medical Sister
(Deputy Director for Nursing)

Subsection 7. Clinical Head
(Paraklinic) division

Subsection 8. Head of the Laboratory of the Organization
sanitary and epidemiological service

Subsection 9. Wishing Head of Organization
sanitary and epidemiological service

Subsection 13. Physical doctor (or specialist)
health (Valeologist, Epidemiologist, Statistics, Methodist)

Subsection 14. Health Manual
(for the quality of medical services, strategy and marketing
medical services, organization and methodology for providing
medical services)

Subsection 16. Doctor - Forensic Medical Expert
(general expert, forensic biological,
chemical-toxicological, judicial and histological
medical and Criminalist, Molecular Genetic Research)

Subsection 17. Specialist - Forensic Medical Expert
(forensic, chemical-toxicological,
judicial and histological, medical and forensic,
molecular Genetic Research)

Subsection 19. Specialist of the Sanitary and Epidemiological Service
(biologist, zoologist / epizootologist, entomologist)

Subsection 20. Public Health Specialist
(Epidemiologist, statistics, Methodist, Valeologist)

Paragraph 3. Positions of specialists with secondary qualifications
Subsection 22. Senior (s) Medical (s) sister / brother
(Senior Feldsher, senior obstetrician)

Subsection 34. Assistant dentist doctor
(dental assistant)

Subsection 36. Dental technician
(Laboratory of Tool-Strike Branch, Cabinet)

Paragraph 4. Other employees
Subsection 38. Medical recorder

Objects in the field of drug circulation,
medical and Medical Products
Paragraph 5. Positions of managers
Subsection 41. Head (manager) of the object in the field of circulation

medical equipment

Subsection 42. Deputy Head of the Object in the Sphere
creating medicines, medical products
appointments and medical equipment

Subsection 43. Head of the Communications Object Department
medicines, medical products and
medical equipment

Paragraph 6. Positions of specialists with higher qualifications
Subsection 44. Pharmacist (pharmacist)

Subsection 45. Engineer-technologist for the production of medicinal
funds, medical products and medical equipment

Paragraph 7. Positions of specialists with secondary qualifications
Subsection 46. Pharmacist.