Responsibilities of a nurse in a hospital. What is the role of a nurse in various medical institutions. Functional responsibilities of a nurse
Job responsibilities nurse may vary depending on which one medical institution she works (hospital, clinic). Therefore, the proposed sample job description for a nurse needs to be adapted to a specific work situation.
Nurse job description
1.1. The nurse is a specialist.
1.2. A nurse is appointed and dismissed by order of the head of the institution.
1.3. The nurse reports directly to the head of the department / senior nurse of the department.
1.4. A person who meets the following requirements is appointed to the position of a nurse: secondary medical education in the specialty "Nursing".
1.5. During the absence of a nurse, his rights and obligations are transferred to another official, which is announced in the order for the organization.
1.6. The nurse should know:
- the laws Russian Federation and others normative legal acts on health issues;
- the basics of the medical and diagnostic process, disease prevention;
- organizational structure healthcare institutions;
- safety rules when working with medical instruments and equipment.
1.7. A nurse is guided in her activities by:
- legislative acts of the Russian Federation;
- the Charter of the organization, the Internal Labor Regulations, other regulations companies;
- orders and orders of the management;
- this job description.
2. Job responsibilities of a nurse
The nurse performs the following job duties:
2.1. Carries out all stages of the nursing process in caring for patients (initial assessment of the patient's condition, interpretation of the data obtained, planning of care, final assessment of what has been achieved).
2.2. Timely and efficiently performs preventive and diagnostic and treatment procedures prescribed by a doctor.
2.3. Assists with medical and diagnostic manipulations and minor operations in outpatient and inpatient settings.
2.4. Provides emergency first aid in case of acute diseases, accidents and different types catastrophes with the subsequent call of the doctor to the patient or referral to the nearest medical and preventive institution.
2.5. Introduces medications, anti-shock agents (for anaphylactic shock) to patients for health reasons (if it is impossible for the doctor to arrive at the patient in time) in accordance with the established procedure for this condition.
2.6. Informs the doctor or the head, and in their absence, the doctor on duty about all detected serious complications and diseases of patients, complications arising from medical manipulations or about cases of violation internal regulations institutions.
2.7. Ensures the correct storage, accounting and disposal of drugs, compliance with the rules for taking drugs by patients.
2.8. Maintains approved medical records and reports.
3. The rights of a nurse
A nurse has the right to:
3.1. Receive the information necessary for the efficient performance of their professional duties.
3.2. Make suggestions for improving the work of a nurse and the organization of nursing in the institution.
3.3. Require the senior nurse of the department to provide the post (workplace) with equipment, equipment, tools, care items, etc., necessary for the high-quality performance of their functional duties.
3.4. Improve their qualifications in the prescribed manner, undergo certification (recertification) in order to assign qualification categories.
3.5. Participate in the work of professional associations nurses and others public organizationsnot prohibited by the legislation of the Russian Federation.
4. Nurse responsibility
The nurse is responsible for:
4.1. For non-fulfillment and / or untimely, negligent fulfillment of their duties.
4.2. For non-compliance with the applicable instructions, orders and orders for the preservation of confidential information.
4.3. For violation of the internal labor regulations, labor discipline, safety and fire safety regulations.
You can download the job description of a nurse - option 1 is free.
Responsibilities of a nurse - option 1.
I approve
________________________________ (Last name, initials)
(name of the institution, its ________________________
organizational legal form) (director; other person
authorized to approve
job description)
JOB DESCRIPTION
MEDICAL NURS
______________________________________________
(name of institution)
00.00.201_y. No. 00
I. General provisions
1.1. This job description defines the job duties, rights and responsibilities of a nurse _____________________ (hereinafter referred to as the "enterprise").
Institution name
1.2. A person who has a secondary medical education in the specialty "Nursing" and a document confirming the assignment of a _____________________ qualification category is appointed to the position of a nurse. (II, I, highest)
1.3. Appointment to the position of a nurse and release from her is carried out in accordance with the procedure established by the current labor legislation by order of the head of the health care institution.
1.4. The nurse reports directly to _____________________
(to the head nurse,
head of department)
1.5. The nurse should know:
Laws of the Russian Federation and other regulatory legal acts regulating the activities of healthcare institutions;
Organizational structure of a healthcare institution;
Fundamentals of the treatment and diagnostic process, disease prevention, propaganda healthy way life;
The main methods and techniques for providing first aid medical care;
Internal labor regulations;
Rules and norms of labor protection, industrial sanitation, safety and fire protection;
The basics labor legislation Russian Federation;
1.6. During the absence of a nurse (business trip, vacation, illness, etc.), his duties are performed in the prescribed manner by an appointed person who bears full responsibility for their proper performance.
II. Job responsibilities
Nurse:
3.1. Prepares the room and everything necessary materials for the reception of patients.
3.2. Carries out control of cleanliness and order in the medical office.
3.3. Performs disinfection, pre-sterilization cleaning and sterilization of medical instruments, including dressings.
3.4. Monitors compliance with the rules of sanitary and hygienic and anti-epidemic regime, asepsis, correctly stores and uses medical products and complies with other rules of infectious safety.
3.5. Politely greets the patient at the reception, greeting and calling the patient by name and patronymic, introducing himself and escorting the patient to the office.
3.6. Follows the orders of the doctor when receiving patients.
3.7. Prepares medical documentation in a timely manner, including making entries in the "Sterilizer Operation Control" and "Pre-sterilization Treatment Quality Control" logs at the end of the working day.
3.8. At the end of the working day, he removes medicines, processes and lubricates handpieces, turns off dental units and equipment from the network, makes an entry in the General and Current Cleaning and Bactericidal Irradiators logs, turns off the lights, and closes the doors of the offices.
3.9. Makes entries in the event of a hardware malfunction in the "Fault log", which is at the registry.
3.10. Carries out extracts of consumables for the office.
3.11. Every week on the day determined by the management of the enterprise, he spends general cleaning, which includes cleaning walls, ceilings and other surfaces using disinfectants.
3.12. Interacts with other employees of the medical institution, representing the interests of the patient.
3.13. Helps the doctor fill out medical documentation and enter information into the dental clinic program during the patient's appointment.
3.14. Controls the availability and correctness of filling in all forms of medical documentation, including the presence of all the necessary signatures.
3.15. She should always be ready to provide first aid in the event of a patient's emergency.
3.16. If necessary, he helps the administrators of the medical institution to call patients to continue the unfinished treatment.
3.17. Attends assistants' meetings at the time specified by the head nurse or clinic management.
III... Rights
A nurse has the right to:
3.1. Make proposals to the management of the enterprise on the optimization and improvement of medical and social assistance, including on the issues of their labor activities.
3.2. Require the management of the institution to assist in the performance of their duties and rights.
3.3. Apply conservative methods of treating patients as prescribed by a doctor, carry out certain medical procedures.
3.4. Receive information from the company's specialists necessary for the effective fulfillment of their duties.
3.5. Require the senior nurse of the department to provide a workplace necessary equipment, equipment and tools for the high-quality performance of their duties.
3.6. Take part in meetings, scientific and practical conferences and sections on issues related to their professional activities.
3.7. Improve your qualifications, be certified for the assignment of a qualification category.
3.8. To enjoy labor rights in accordance with the Labor Code of the Russian Federation
III... A responsibility
The nurse is responsible for:
4.1. For the proper and timely performance of the duties assigned to him, provided for by this job description
4.2. For the organization of their work and the qualified execution of orders, orders and instructions from the management of the enterprise.
4.3. For ensuring that employees subordinate to him comply with their duties.
4.4. For non-compliance with internal rules and safety regulations.
For offenses or omissions committed in the course of carrying out medical measures; for mistakes in the process of carrying out their activities, which entailed serious consequences for the patient's health and life; as well as for violation of labor discipline, legislative and regulatory legal acts, a nurse may be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the offense.
Nurse - This is a person trained in a nursing education program who is qualified and qualified to perform responsible patient care work. The tasks assigned to the nurse are extremely versatile.
Chief Nurse
The head nurse must have organizational skills and high professionalism. A person with a higher medical education in the specialty "Nursing" or with a secondary medical education in the specialty "General Medicine" and having a certificate "Organization of Nursing" confirmed by the highest qualification category is appointed to this position. The chief nurse is directly subordinate to the deputy chief physician for medical work and the chief physician. She must ensure the rational work of nurses, conduct regular visits to departments, checking the quality of the work of nurses. Tours can be carried out in the daytime and in the evening. In addition, the responsibilities include organizing control over the advanced training of nurses, the use of medicines and dressings. Together with the epidemiologist, the chief nurse monitors the observance of the sanitary and epidemiological regime in the departments, the implementation of organizing orders.
Senior nurse
A person with secondary medical education who has a diploma in the specialty "Nursing" or "General Medicine" and a certificate in the specialty "Organization of Nursing", confirmed by the highest qualification category, is appointed to this position. The senior nurse is subordinate to the head of the department, the deputy chief physician for medical work, and the chief nurse. The orders of the senior nurse are mandatory for the middle and junior medical staff of the department. In the department, she is the financially responsible person. The head nurse should:
Directly supervise the activities of the middle and junior staff of the department;
To carry out the placement of personnel in the department from among the middle and junior personnel;
Timely replace nurses and nurses who have not come to work;
Keep records and ensure the safety of property and medical equipment of the department, timely repair of equipment;
Monitor the timeliness and quality of fulfillment of doctor's prescriptions by nurses;
Control the quality of sanitization of newly admitted patients;
Compile information about the movement of patients, control the timeliness of submission to the archive of case histories of discharged patients;
Draw up a work schedule and keep a timesheet for employees of the department;
Monitor the execution of middle and junior medical staff internal labor regulations and compliance with anti-epidemic measures;
Ensure and strictly control the observance of the rules of asepsis and antisepsis by the staff of the department;
Write out requirements to the hospital pharmacy for the necessary medicines, materials, instruments, control their correct consumption;
Ensure the correct storage and accounting of potent, poisonous and psychotropic substances;
Monitor the implementation of the plan for advanced training by the nursing staff of the department;
Maintain the necessary accounting and reporting documentation;
Participate in the work of the council of nurses of the hospital, scientific and practical conferences for nurses;
Draw up a vacation schedule for employees of the department for a year, draw up certificates of incapacity for work for staff;
Monitor the observance of the rules of ethics and deontology by middle and junior medical personnel;
Supervise the conduct of hygienic education and upbringing of the population, promote a healthy lifestyle;
Ensure the correct organization of nutrition for patients, draw up portion sheets for food for patients, control the receipt and quality of food;
Ensure the organization and control of the timeliness of medical examinations by the department staff.
Ward nurse
A person with a secondary medical education in the specialty "Nursing" or "General Medicine" and having a corresponding certificate is appointed to this position. The duties of the ward nurse include:
Care and supervision of patients in accordance with the principles of medical deontology;
Timely and accurate fulfillment of the prescriptions of the attending physician;
Participation in bypasses of attending physicians;
Sanitary and hygienic services for physically weakened and seriously ill persons;
Reception and accommodation of newly admitted patients, quality control of the sanitization performed, familiarization with the internal regulations;
Checking transmissions to patients, preventing the intake of contraindicated products, monitoring the storage of products in refrigerators, bedside tables;
Watch in the wards at the patient's bedside;
Control over the receipt of food according to the number of the diet table appointed by the attending physician;
Control over the timely administration of medicines;
Timely and accurate registration of medical documentation;
Ensuring the safety, serviceability and readiness for the use of medical instruments, overalls;
Professional development, participation in scientific and practical conferences for nurses;
Promotion of a healthy lifestyle among patients and their relatives.
Treatment room nurse
A person with a secondary medical education in the specialty "Nursing" or "General Medicine" and having a corresponding certificate is appointed to this position. The procedural nurse organizes the work of the office, performs the prescribed procedures. The duties of a procedural nurse include:
Preparation of the treatment room for work;
Carrying out prescribed medical procedures that are allowed to be performed by nurses;
Assistance in performing medical procedures;
Blood sampling from a vein for diagnostic studies;
Strict registration and storage of drugs of group A and B, ensuring the availability of emergency medical aid;
Compliance with the rules of asepsis and antiseptics in treatment rooms;
Preparation of medical products, linen for sterilization;
Control of the sanitary and hygienic content of the treatment room;
Maintaining the necessary accounting and reporting documentation;
Professional development;
Promotion of a healthy lifestyle among patients and their relatives.
Operating unit nurse
A person with a secondary medical education in the specialty "Nursing" or "General Medicine" and having a corresponding certificate is appointed to this position. The work of an operating room nurse is complex and requires clarity and organization from her. Each operating room nurse should:
Observe the rules of asepsis and antiseptics in the operating room;
Own the method of preparation of suture and dressing material, technique and method of blood transfusion;
Assist with endoscopic examinations;
Know the progress of all typical operations;
Be able to apply all the typical bandages, transport splints and plaster splints;
Monitor the safety and serviceability of equipment, repair faulty inventory;
Systematically replenish the operating room with the necessary medicines, dressings, linen and inventory;
Directly participate in the operation as an assistant surgeon, if necessary, perform the duties of an assistant.
A nurse is a specialist with a secondary medical education. This level of specialized knowledge is given in a medical college.
Nurses have three main tasks: to help the doctor, carry out his assignments and look after the patient (nursing process). Nurses are considered paramedics. The list of their duties depends on the profile of the medical institution, the department where the nurse works and the position held.
Nurses are different
A nurse can occupy one of many positions and thus grow professionally.
The top rung in the “hierarchy” of nurses is the head nurse.
In order to take this position, you need to have higher education - successfully graduate from the Faculty of Higher Nursing Education. The duties of the chief nurse include the rational organization of staff work, the organization of retraining of workers, and control over their activities.
The head nurse is the assistant to the head of the department for all administrative matters. The elder sister is the immediate supervisor of the ward nurses and auxiliary staff.
The duties of ward nurses include the fulfillment of medical appointments, monitoring and caring for patients, in particular, organizing their meals.
The procedural nurse also fulfills the doctor's prescriptions, helps him with various manipulations.
Operating nurses help surgeons - prepare instruments, linen, sutures and dressings.
The district nurse assists the district doctor during the reception of patients, according to his appointment, performs procedures at the patient's home, participates in measures to prevent diseases.
A separate "type" of nurses are specialists who assist a neuropathologist, ophthalmologist and other "narrow" doctors.
A dietary nurse, or dietitian, is a dietitian assistant. She organizes nutritional therapy and controls its quality. Her responsibilities include monitoring the processing and distribution of food, the sanitary condition of the kitchen and dining room.
List of responsibilities common to all nurses
Despite such a wide variety of positions and functional responsibilities, there is a certain list of functions that are common to all nurses.
This list includes:
- direct implementation of the attending doctor's prescriptions (mustard plasters, injections, enemas, distribution of medicines);
- the implementation of the nursing process - the initial examination of the patient, the removal of vital important indicatorscollection of biological material for further testing, patient care, including the organization of their meals;
- providing assistance before the arrival of the doctor;
- transportation of patients;
- admission and discharge of patients;
- control of the sanitary condition of hospital departments;
- control of patients' compliance with the schedule of a medical institution;
- maintaining documents.
Typical sample
APPROVED
___________________________________ (initials, surname)
(name of the organization, before - ________________________
acceptance, etc., his organizational- (director or other
legal form) legal entity, authorized
must approve
(see instructions)
"" ____________ 20__.
Job description
nurse
______________________________________________
(name of organization, enterprise, etc.)
"" ______________ 20__ N_________
This job description was developed and approved for
basis employment contract from __________________________________________
(name of the position of the person for whom
______________________________________________________ and in accordance with
the present job description is drawn up)
provisions Labor Code Russian Federation and other regulatory
acts regulating labor relations in the Russian Federation.
1. General Provisions
1.1. The nurse is a specialist.
1.2. A person who has
secondary medical education in the specialty "Nursing" and
having a ______________________ qualification category.
(II, I, highest)
1.3. Nursing appointment and exemption from
it is made by order of the head of the institution.
1.4. The nurse should know:
- laws of the Russian Federation and other normative legal acts on
health issues;
- the basics of the treatment and diagnostic process, prevention
diseases, promotion of a healthy lifestyle;
- basic techniques and methods of providing first-aid medical care
sick and injured in accidents;
- organizational structure of a healthcare institution;
- safety rules when working with a medical
tools and equipment;
- fundamentals of labor legislation;
- internal labor regulations;
- rules and regulations of labor protection, safety measures,
industrial sanitation and fire protection;
- _________________________________________________________________.
1.5. The nurse reports directly
_________________________________________________________________________
(to the head nurse of the department; the doctor she works with)
and in its activities is guided by the charter of the institution, orders
his leader, his immediate superior and the present
job description.
1.6. ______________________________________________________________.
2. Job responsibilities
Nurse:
2.1. Provides infectious safety (follows the rules
sanitary and hygienic and anti-epidemic regime, asepsis,
stores, processes, sterilizes and uses products correctly
medical purposes).
2.2. Carries out all stages of the nursing process in caring for
patients (initial assessment of the patient's condition, interpretation of the received
data, planning of care with the patient, final assessment
achieved).
2.3. Timely and efficiently performs preventive and
medical and diagnostic procedures prescribed by a doctor.
2.4. Assists when a doctor conducts medical and diagnostic
manipulations and small operations in outpatient and inpatient conditions.
2.5. Provides emergency first aid for acute
diseases, accidents and various types of disasters with
subsequent call of the doctor to the patient or referral to the nearest
medical and preventive institution.
2.6. Introduces drugs, anti-shock agents (with
anaphylactic shock) to patients in terms of vital signs (with
impossibility of timely arrival of the doctor to the patient) in accordance with
the established procedure for this condition.
2.7. Tells the doctor or manager, and in their absence, the person on duty
to the doctor about all detected serious complications and diseases of patients,
complications arising from medical procedures
or about cases of violation of the internal order of the institution.
2.8. Ensures correct storage, accounting and disposal of medicinal
drugs, compliance with the rules for taking drugs by patients.
2.9. Interacts with colleagues and employees of other services in
the best interests of the patient.
2.10. Maintains approved medical records and reports.
2.11. He systematically improves his professional qualifications.
2.12. Conducts sanitary and educational work to strengthen
health and disease prevention, promotion of a healthy lifestyle.
2.13. Strictly observes the moral and legal norms of the professional
communication with patients.
3. Rights
A nurse has the right to:
3.1. Apply conservative treatment methods as directed by a doctor
patients, to carry out certain medical procedures.
3.2. Receive the information you need to accurately fulfill your
professional responsibilities.
3.3. Make proposals for improving the work of medical
nurses and nursing organizations in the institution.
3.4. Require the senior nurse of the support department
post (workplace) equipment, equipment, tools,
care items, etc., necessary for the quality performance of their
functional responsibilities.
3.5. Improve your qualifications in the prescribed manner, pass
certification (recertification) in order to assign qualification
categories.
3.6. Participate in the work of professional associations of medical
sisters and other public organizations not prohibited
the legislation of the Russian Federation.
3.7. ______________________________________________________________.
4. Responsibility
The nurse is responsible for:
4.1. For improper performance or non-performance of their duties
responsibilities provided for by this job description - in
within the current labor legislation of the Russian Federation.
4.2. For offenses committed in the process of exercising their
activities - within the limits of the current administrative, criminal and
civil legislation of the Russian Federation.
4.3. For causing material damage - within the current
labor and civil legislation of the Russian Federation.
4.4. For mistakes in the performance of their duties, which entailed
serious consequences for the life and health of patients, - within
the current legislation of the Russian Federation.
4.5. ______________________________________________________________.
The job description is developed in accordance with ________________
(name,
_____________________________.
document number and date)
Leader structural unit (initials, surname)
_________________________
(signature)
"" _____________ 20__
AGREED:
Head of the legal department
(initials, surname)
_____________________________
(signature)
"" ________________ 20__
I have read the instructions: (initials, surname)
_________________________
(signature)