Job description of a nurse in a traumatology department. Nurse Job Responsibilities: What's Included?

In medical institutions, the position of a nurse is incredibly valued. Despite the little prestigious category of junior medical staff and an insignificant salary, the duties of a nurse in a hospital are quite voluminous. The word nurse comes from the Latin sanitas which means "health". As a rule, orderlies work in sanitary and epidemiological and They do not have special medical training, so they are also called nurses or nannies.

The nuances of the profession

A large staff of employees in a medical institution speaks of its status and modernity. The nurse in the hospital, whose duties should be spelled out in the charter, performs important functions. She monitors the general order, takes care of the patients in the department. The profession intersects with the duties of a cleaning lady and a junior nurse. She has typical features. Everyone who wants to get a job should know that cleaning and sanitizing is included, which is carried out two to four times a day. Nurses provide assistance to senior medical staff, report on malfunctions in various systems and equipment.

The nuances of the profession include the psychological complexity and discomfort that these workers often experience. They do dirty, unattractive work, sometimes faced with disrespect from patients and doctors. Often nurses are overburdened with extra work. Before you look for jobs as a nurse, think about the disadvantages of this profession. To work in psychiatric hospitals, you will need high stress resistance, psychological attitude, and physical strength.

Responsibilities

Many are interested in what is included in the duties of a nurse in a hospital? It should be noted that the senior nurses on duty or ward nurses supervise the work of junior staff. The scope of the main work tasks of a nurse is directly dependent on what role she performs in the institution. Nurses are divided into barmaids, cleaners, washers. Male nurses work at physically difficult jobs (mortuaries, psychiatric hospitals). The main list of duties of nurses includes:

Polyclinic

What is the role of a nurse in a hospital? The duties of junior medical personnel relate to physical labor. It may seem to some that the job description of a nurse is similar to the work of a cleaner. There are similarities between these two professions, but in the first case, the duties are much more complicated and responsible. In a clinic or private medical facility, a nurse must undergo individual training. The head physician appoints her to the position. In the polyclinic, the orderlies are subordinate to the hostess of the corresponding department. They must carry out their work according to the instructions:

The duties of a nurse in a hospital with bedridden patients also include the functions of a courier. She reports to the senior medical staff on the physical condition of seriously ill patients, takes care of them (washes, washes, cuts nails, combs, turns over, sits down). In addition, the nurse must regularly improve their skills, attend classes that are held in the department for junior staff.

Mental hospital

The duties of a nurse in a psychiatric hospital are the same as in other medical institutions, but they differ in specifics. Trained personnel, women and men over 20 years old, are taken to such a position. The main feature of working in a psychiatric hospital: nurses and orderlies must have good health, strong physical data, and stress resistance. Often men are hired for this job. Applicants should understand that mental health caregivers can face a variety of traumatic situations. Impressive people in such an institution have nothing to do.

Rights

Like any other worker, the nurse is endowed with rights. She has social guarantees, the right to receive special clothing, footwear and other personal protective equipment. In addition, she may require management to create comfortable conditions for performing professional duties, as well as providing her with working equipment, tools that meet sanitary and hygienic requirements and standards. The employee has the right to make proposals for improving working conditions and methods, to improve her skills, to demand that her immediate superiors observe their rights and obligations. The rights are made up of the conditions of the institution in which the nurse works. In a hospital, duties depend on the charter and other criteria, as well as in a private clinic, a psychiatric hospital, a maternity hospital. In addition to rights and obligations, the nurse has certain responsibilities.

Salary

The nurse in the hospital must perform duties in accordance with the job description. Many may be interested in: how much does this worker receive? The national average salary of a nurse in a medical institution is 8-20 thousand rubles. It all depends on the region. For example, in Moscow, employees in this position receive 25,000 rubles. Working conditions and job description affect wages.

1. General Provisions

1.1. Nurse refers to junior medical staff.

1.2. A person who has

depending on the category of payment:

Primary general education and individual training are not

less than 3 months without presenting requirements for work experience;

Primary general education, individual education is not

less than 3 months and at least 2 years of work experience in the profile.

1.3. Nurse appointed and dismissed

chief physician (head of a medical institution) on the proposal of ____

1.4. The nurse should know:

Rules of sanitation and occupational health;

Appointment of detergents and rules for handling them;

Internal labor regulations;

Rules and norms of labor protection, safety and

fire protection;

- ___________________________________________________________.

1.5. In its activities, the nurse is guided by the rules

internal labor regulations, orders of the head

medical institution, this job description and

reports directly to ______________________________________

_________________________________________________________________.

1.6. ________________________________________________________.

2. Job responsibilities

Nurse:

2.1. Performs cleaning of premises in a healthcare facility in accordance with sanitary standards.

2.2. Helps the senior nurse in obtaining medicines, tools, equipment and delivering them to the department.

2.3. Receives from the hostess and ensures the proper storage and use of linen, household equipment and detergents.

2.4. Removes bedside tables from bedridden patients after each meal.

2.5. At the direction of the ward nurse, she accompanies patients to the treatment and diagnostic rooms.

2.6. It performs the functions of a courier, in pharmacies it carries out washing of pharmacy dishes.

2.7. Informs the hostess about malfunctions in the heating system, water supply, sewerage and electrical appliances.

2.8. ______________________________________.

The nurse has the right to:

3.1. Submit proposals on issues related to their activities for consideration by their direct management.

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

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

3.4. ______________________________________.

4. Responsibility

The nurse is responsible for:

4.1. For improper performance or non-performance of their official duties provided for by this job description - to the extent determined by the labor legislation of the Russian Federation.

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

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

4.4. ______________________________________.

Type sample

APPROVE

___________________________________ (initials, surname)
(name of organization, pre- ________________________
acceptance, etc., its organizational (director or other
legal form) official person, authorized
must approve
nostalgic instruction)
"" ____________ 20__
m.p.

Job description
nurses
______________________________________________
(name of organization, enterprise, etc.)
"" ______________ 20__ N_________

This job description has been developed and approved for
on the basis of an employment contract with __________________________________________
(name of the position of the person for whom
______________________________________________________ and in accordance with
this job description has been drawn up)
the provisions of the Labor Code of the Russian Federation and other regulatory
acts regulating labor relations in the Russian Federation.

1. General Provisions
1.1. Nurse refers to junior medical staff.
1.2. A person who, depending on
from the category of payment:
- primary general education and individual training for at least 3
months without presenting requirements for work experience;
- primary general education, individual training for at least 3
months and at least 2 years of work experience in the profile.
1.3. The nurse is appointed and dismissed by the chief
doctor (head of a medical institution) on the recommendation
________________________________________________________________________.
1.4. The nurse should know:
- rules of sanitation and labor hygiene;
- the purpose of detergents and the rules for handling them;
- internal labor regulations;
- rules and norms of labor protection, safety measures and
fire protection;
- _________________________________________________________________.
1.5. In its activities, the nurse is guided by the rules
internal labor regulations, orders of the head
medical institution, this job description and is subject to
directly ____________________________________________________________.
1.6. ______________________________________________________________.

2. Job responsibilities
Nurse:
2.1. Cleans rooms in a healthcare facility
in accordance with sanitary standards.
2.2. Assists the senior nurse in obtaining medications,
tools, equipment and their delivery to the department.
2.3. Receives from the hostess and ensures proper storage and
use of linen, household equipment and detergents.
2.4. Removes bedside tables from bedridden patients after each
food intake.
2.5. At the direction of the ward nurse, accompanies patients to
medical and diagnostic rooms.
2.6. Performs the functions of a courier, in pharmacies carries out
washing pharmaceutical dishes.
2.7. Informs the hostess about malfunctions in the heating system,
water supply, sewerage and electrical appliances;
2.8. ______________________________________________________________.

3. Rights
The nurse has the right to:
3.1. Submit your direct
guide proposals on their activities.
3.2. Receive from the institution's specialists the information necessary for
carrying out their activities.
3.3. Require the management of the institution to provide assistance in
performance of their official duties.
3.4. ______________________________________________________________.

4. Responsibility
The nurse is responsible for:
4.1. For improper performance or non-performance of their official
duties set out in this job description
within the limits determined by the labor legislation of the Russian Federation.
4.2. For offenses committed in the course of exercising their
activities, - within the limits determined by administrative, criminal and
civil legislation of the Russian Federation.
4.3. For causing material damage - within the limits determined
the current legislation of the Russian Federation.
4.4. ______________________________________________________________.

The job description was developed in accordance with ________________
(Name,
_____________________________.
document number and date)

Head of structural unit (initials, surname)
_________________________
(signature)
"" _____________ 20__

AGREED:
Head of the legal department
(initials, surname)
_____________________________
(signature)
"" ________________ 20__

I am familiar with the instruction: (initials, surname)
_________________________
(signature)
"" _____________ 20__

APPROVE:

[Job title]

_______________________________

_______________________________

[Name of company]

_______________________________

_______________________/[FULL NAME.]/

"______" _______________ 20___

JOB DESCRIPTION

nurses

1. General Provisions

1.1. This job description defines and regulates the powers, functional and job duties, rights and responsibilities of the nurse [Name of organization in the genitive case] (hereinafter referred to as the Medical Organization).

1.2. A nurse is appointed and dismissed in accordance with the procedure established by the current labor legislation by order of the head of the Medical Organization.

1.3. The nurse belongs to the category of specialists and is subordinate to [name of the position of subordinates in the dative case].

1.4. The nurse reports directly to [name of the position of the immediate supervisor in the dative case] of the Medical Organization.

1.5. A person with a secondary (complete) general education is appointed to the position of a nurse without presenting requirements for work experience.

1.6. The nurse is responsible for:

• effective performance of the work entrusted to her;
• compliance with the requirements of performance, labor and technological discipline;
• the safety of the documents (information) that are in its custody (become known to it), containing (constituting) the trade secret of the Medical Organization.

1.7. The nurse should know:

• rules of sanitation and occupational health;
• the purpose of detergents and the rules for handling them;
• internal labor regulations;
• rules on labor protection and fire safety.

1.8. Sanitary in its activities is guided by:

• local acts and organizational and administrative documents of the Medical Organization;
• internal labor regulations;
• rules of labor protection and safety, ensuring industrial sanitation and fire protection;
• instructions, orders, decisions and instructions of the immediate supervisor;
• this job description.

1.9. During the period of temporary absence of a nurse, her duties are assigned to [name of the position of the deputy].

2. Job responsibilities

The nurse performs the following labor functions:

2.1. Cleans rooms in a medical facility.

2.2. Helps the senior nurse in obtaining medicines, tools, equipment and delivering them to the department.

2.3. Receives from the hostess and ensures the proper storage and use of linen, household equipment, dishes and detergents.

2.4. Removes bedside tables from bedridden patients after each meal.

2.5. At the direction of the ward nurse, she accompanies patients to the treatment and diagnostic rooms.

2.6. Performs the functions of a courier, carries out washing of pharmacy dishes.

2.7. Informs the hostess about malfunctions in the heating system, water supply, sewerage and electrical appliances.

2.8. Prepares rooms and bathrooms.

2.9. Systematically (after each patient) carries out sanitary and hygienic treatment of the bath and washcloths.

2.10. Provides assistance to patients when taking a hygienic bath, when undressing and dressing.

2.11. In the absence of a junior nurse to care for the sick, she receives underwear and bed linen from the hostess and changes them.

2.12. Receives prepared food at the catering department, checks it by weight and count.

2.13. Signed in the distribution sheet.

2.14. Produces food heating.

2.15. Distributes hot food to patients according to the menu and prescribed diet.

2.16. Washes dishes, cleans the pantry and dining room, observing sanitary requirements.

2.17. Systematically cleans refrigerators intended for storage of products of patients.

2.18. Provides sanitary and hygienic maintenance of the pantry and dining room.

2.19. Informs the management of the department in a timely manner about the need to repair equipment and pantry inventory.

In case of official necessity, a nurse may be involved in the performance of her official duties overtime, in the manner prescribed by the provisions of federal labor legislation.

3. Rights

The nurse has the right to:

3.1. Give subordinate employees and services instructions, tasks on a range of issues included in functional duties.

3.2. Control the execution of production tasks, the timely execution of individual orders and tasks by subordinate services.

3.3. Request and receive the necessary materials and documents related to the activities of the nurse, subordinate services and units.

3.4. Interact with other enterprises, organizations and institutions on production and other issues related to the competence of the nurse.

3.5. Sign and endorse documents within their competence.

3.6. Submit for consideration by the head of the Medical Organization submissions on the appointment, transfer and dismissal of employees of subordinate units; proposals for their promotion or for the imposition of penalties on them.

3.7. Enjoy other rights established by the Labor Code of the Russian Federation and other legislative acts of the Russian Federation.

4. Responsibility and performance evaluation

4.1. The nurse bears administrative, disciplinary and material (and in some cases, provided for by the legislation of the Russian Federation - and criminal) responsibility for:

4.1.1. Non-fulfillment or improper fulfillment of official instructions of the immediate supervisor.

4.1.2. Failure to perform or improper performance of their labor functions and assigned tasks.

4.1.3. Unlawful use of the granted official powers, as well as their use for personal purposes.

4.1.4. Inaccurate information about the status of the work assigned to her.

4.1.5. Failure to take measures to suppress the identified violations of safety regulations, fire and other rules that pose a threat to the activities of the enterprise and its employees.

4.1.6. Failure to enforce labor discipline.

4.2. Evaluation of the work of a nurse is carried out:

4.2.1. The immediate supervisor - regularly, in the course of the daily implementation by the employee of his labor functions.

4.2.2. Attestation Commission of the enterprise - periodically, but at least once every two years based on the documented results of the work for the evaluation period.

4.3. The main criterion for evaluating the work of a nurse is the quality, completeness and timeliness of her performance of the tasks provided for by this instruction.

5. Working conditions

5.1. The nurse's work schedule is determined in accordance with the internal labor regulations established by the Medical Organization.

Familiarized with the instruction ___________ / ____________ / "____" _______ 20__

All medical personnel are divided into senior (doctors with a diploma of higher medical education), middle (nurses and paramedics with a diploma of secondary specialized medical education) and junior (orderlies who do not have any medical education).

We will talk about the functional responsibilities of the latter in our article in more detail.

Job functions

Each individual hospital and department has its own duties of nurses, developed by the head nurse and approved for implementation by the head nurse of the hospital.

If we take into account all the hospital nurses, they are divided into the following categories:

• Washers;
• cleaning ladies;
• Barmaids.

Attention! Each category of nurses has its own responsibilities. It is unacceptable for a room cleaner to take care of a bedridden patient.

Now a little more about the duties of nurses in various departments.

ward

The ward nurse has the following job responsibilities:

1. She is required to monitor patients around the clock;
2. If any of the patients became worse, the nurse must immediately notify the middle and senior medical staff of the department;
3. Provides assistance to nurses and doctors during both diagnostic and therapeutic procedures;
4. The nurse is obliged to perform various types of cleaning of such premises as wards, a dining room, a sanitary room and other premises that are assigned to her;
5. Monitors the regularity of ventilation and quartzization of the chambers;
6. If the patient is lying down, the nurse cleans the bedside table next to the patient's bed after each meal;
7. Performs cleaning of refrigerating chambers, which are reserved for the storage of perishable food products of the patients of the department;
8. Receives clean underwear and bed linen from the hostess, and also monitors the regularity of its change. Linen is also changed by the nurse of the department;
9. She is obliged to supply vessels and urinals to bedridden patients in time, and after their use, empty them and subsequent disinfection;
10. If necessary, the nurse should help patients take a hygienic bath, and then dry themselves and dress;
11. Duties also include regular removal of household waste and other garbage;
12. The nurse is obliged to perform the function of a courier. This concept includes accompanying patients to procedures and diagnostic tests, to the emergency department. Such an action may be assigned by a senior or ward nurse;
13. If problems are found in the water supply, sewerage and heating systems, the nurse must inform the hostess about this.

This list of responsibilities may be somewhat expanded due to the specifics of some departments and hospitals in general.

operating room

Nurse working in the operating room is required to do the following:

• Perform a thorough cleaning of all premises assigned to it;
• Clean the operating room before, during and after surgery;
• On a specific day, once a week, perform a general cleaning of the operating room;
• Perform cleaning in the back rooms of the department;
• After the end of the working day, hand over the dirty linen to the hostess and get clean linen, and then put it in biks for further sterilization;
• Take out the trash daily
• once a week, together with the hostess, send dirty linen to the laundry;
• Strictly observe the basics of asepsis and antisepsis;
• In case of minor damage to linen, repair it;
• Comply with safety standards when using sterilization devices that are located in the operating room;
• Do not leave the workplace without the prior permission of the operating room or the head nurse;
• Do not take anything out of the operating room without the permission of the head nurse;
• Strictly observe the dress code. Clothing must be made of cotton only. No synthetic fabrics are allowed.

In dentistry

The duties of a nurse in a dental office are less.

She must daily thoroughly clean the office, and during the reception to carry out washing and processing of tools and trays.

General cleaning is carried out according to a certain schedule in accordance with the rules of the dental clinic.

In the intensive care unit

People who have not completed certain training courses are not allowed to work in the intensive care unit. Since the term "orderly" means the absence of any specialized training, the concept was introduced "Junior Nurse"

Responsibilities of the Junior Nurse include:

1. Assistance to the nurse in feeding the sick;
2. Assist the nurse in patient care;
3. Round-the-clock monitoring of the health of patients. If it worsens, the junior nurse is obliged to inform the nurse and the doctor of the department about this;
4. Keeping the department clean and tidy;
5. Ensuring hygiene and care for intensive care patients;
6. Compliance with the moral and legal norms of professional communication, the requirements of labor discipline;
7. Carrying out some simple medical manipulations that are performed only with the permission of the procedural or head nurse;
8. Assisting a nurse in setting up a gastric tube, urinary catheter, and the like.

Bedridden patients

The nurses are responsible for providing household care to bedridden patients.

Orderlies are therefore sometimes called nannies:

• they look after their health,
• carry out their transportation to the necessary procedures and examinations,
• help them take a hygienic bath,
• dressing and changing bed linen,
• cleaning bedside tables and bedside tables,
• bring a vessel or urinal for the patient.

In the surgical department

In general, the duties of orderlies in the surgical department are similar to those in other departments of the hospital.

At the pharmacy

Pharmacies are also health care institutions where the same doctors, nurses and nurses work.

The responsibilities of the latter include the following:

1. Cleaning the pharmacy and all its premises at least once per shift;
2. Before the start of the working day, disinfection of entrance mats;
3. Cleaning dishes and materials;
4. Timely cleaning of the dishes used in the assistant, as well as the workplace;
5. Daily garbage disposal
6. Compliance with safety precautions when using drying cabinets, gas stoves and other equipment located in the pharmacy;
7. If necessary, the implementation of the function of a courier;
8. Implementation of the internal order.

In a psychiatric clinic

In general, the requirements are the same as in somatic hospitals. However, not everyone is suitable for working in such a specific place.

Attention! As a rule, they try to recruit junior medical staff in the form of strong young men or women with good physical fitness, as well as with "steel" nerves.

With patients in psychiatric departments, one must be strict and not give up slack, otherwise some can cause serious injury (in a state of twilight clouding of consciousness, they can even kill).

Can someone perform these functions?

If nurses need help due to lack of time and energy, they have the right to accept assistance from relatives of patients in caring for him if the latter have the desire and ability.

Also, some hospitals have a separate position of a courier who delivers and accompanies patients, as well as takes tests and the results of various studies to the right places. All other duties must be performed by the nurse.

Attention! If a roommate was the first to notice that the patient was feeling unwell and immediately informed the first medical worker of the department that came across about this (whether it be a doctor or a nurse), the nurse should not be blamed for the oversight.

She has many other responsibilities and she cannot physically be with every patient every second.

Who can care for the sick?

In addition to nurses, this can be done the following people:

• relatives of the patient;
• Specially hired caregivers from the social service.

Attention! Cleaning nurses and barmaids do not have the right to care for the patients of the department.

Nurses are very responsible people. Their work is very hard. Unfortunately, many people and colleagues do not appreciate their work. But in vain. Without nurses, the work of doctors and nurses would be much more difficult.

It is necessary to appreciate the work of junior medical personnel in order to delay the moment of approaching emotional burnout.