Manipulations of the junior nurse. Job description of a junior nurse. Job description of a nurse
1. This job description defines the functional duties, rights and responsibilities of a junior nurse in caring for patients.
2. A person who has an initial professional education in the specialty "Nursing" without presenting requirements for work experience or secondary (complete) general education, additional training in the direction of professional activity without presenting requirements for work experience .
3. The junior nurse for patient care should know: techniques for conducting simple medical manipulations; rules of sanitation and hygiene, patient care; rules for the collection, storage and disposal of waste from healthcare facilities; internal labor regulations; rules on labor protection and fire safety.
4. The junior nurse for patient care is appointed to the position and dismissed from the position by order of the head of the organization in accordance with the current legislation of the Russian Federation.
5. The junior nurse for patient care reports directly to the head of her structural unit (head of the department) or to the senior nurse.
2. Job responsibilities
Assists in the care of patients under the guidance of a nurse. Carries out simple medical manipulations (setting cans, mustard plasters, compresses). Ensures cleanliness of patients and rooms. Ensures proper use and storage of patient care items. Makes a change of bed and underwear. Participates in the transportation of seriously ill patients. Monitors compliance by patients and visitors with the internal regulations of the medical organization. Collects and disposes of medical waste. Carries out activities to comply with the rules of asepsis and antisepsis, sterilization conditions for instruments and materials, prevention of post-injection complications, hepatitis, HIV infection.
3. Rights
The nursing assistant has the right to:
- make proposals to the management on the organization and conditions of their work;
- use information materials and legal documents necessary for the performance of their duties;
- pass certification in accordance with the established procedure with the right to receive the appropriate qualification category;
- improve your qualifications.
The junior nurse for patient care enjoys all labor rights in accordance with the Labor Code of the Russian Federation.
4. Responsibility
The nursing assistant is responsible for:
- timely and high-quality implementation of the duties assigned to it;
- timely and qualified execution of orders, instructions and instructions of the management, regulatory legal acts on their activities;
- compliance with internal regulations, fire safety and safety;
- maintenance of documentation provided for by the current regulatory legal acts;
- promptly taking measures, including timely informing management, to eliminate violations of safety, fire and other rules that pose a threat to the organization, its employees and other persons.
For violation of labor discipline, legislative and regulatory acts, a junior nurse for patient care may be brought in accordance with applicable law, depending on the severity of the misconduct, to disciplinary, material, administrative and criminal liability.
Patients are cared for by middle and junior medical personnel.
Nursing staff
A nurse is a specialist with a secondary medical education (graduates from a medical college). A nurse is classified as a nurse, she acts as a doctor's assistant in medical institutions, performs medical appointments and carries out the nursing process. According to the WHO definition, the essence of the nursing process lies precisely in the provision of patient care.
The duties of a nurse depend on the type and profile of the medical institution where she works, her position and the nature of the work performed. There are following positions of nurses.
Chief Nurse. Currently, this is a specialist with a higher medical education, graduating from the faculty of higher nursing education at a medical university. She deals with the issues of rational organization of work, advanced training of the middle and junior medical staff of the hospital and monitors their work.
Senior nurse assists the head of the department of the hospital (polyclinic) in administrative and economic matters, organizes and supervises the work of ward nurses and junior medical personnel.
Ward Nurse carries out medical appointments for patients in the wards assigned to it, monitors the condition of patients, takes care of them and organizes their meals.
procedural nurse performs medical appointments (intravenous injections and infusions), helps with manipulations that only a doctor has the right to perform, takes blood from a vein for biochemical studies.
Operating room nurse helps the surgeon during surgical interventions, prepares surgical instruments, suture and dressing material, linen for the operation.
District nurse assists the local doctor at the reception of patients living in the area assigned to him, performs medical procedures at home as prescribed by the doctor and participates in preventive measures.
Nurses working at the reception of patients with doctors of narrow specialties(oculist, otorhinolaryngologist, neuropathologist, etc.).
dietary nurse(dietary) under the guidance of a dietitian is responsible for the organization and quality of medical nutrition, composes the menu, controls the cooking and distribution of food, as well as the sanitary condition of the kitchen and dining room for patients. Despite a certain division of the functions of nurses, there is a range of responsibilities adopted for the middle medical level as a whole.
1. Fulfillment of medical appointments: injections, distribution of medicines, setting mustard plasters, enemas, etc.
2. Implementation of the nursing process, including:
nursing examination - primary examination of the patient, measurement of body temperature, calculation of the frequency of respiratory movements (NCR) and pulse, measurement of blood pressure, control of daily diuresis, etc .;
correct collection of material for analysis (blood, sputum, urine and feces);
providing care for the sick - care for the skin, eyes, ears, oral cavity; control over the change of bed and underwear; organization of proper and timely nutrition of patients.
3. Providing first aid.
4. Ensuring the transportation of patients.
5. Reception of admitted patients and organization of discharge of patients.
6. Implementation of control over the sanitary condition of the departments.
7. Monitoring compliance by patients with internal regulations
medical institutions and their compliance with the rules of personal hygiene.
8. Maintaining medical records.
Junior medical staff
Junior medical staff include junior nurses, housewives and nurses.
The junior nurse (nursing nurse) helps the ward nurse in caring for the sick, carries out a change of linen, ensures that the patients themselves and the hospital premises are clean and tidy, participates in the transportation of patients, and monitors patients' compliance with the hospital regime.
The housewife takes care of household issues, receives and distributes linen, detergents and cleaning equipment, and directly supervises the work of nurses.
Nurses: the range of their duties is determined by their category (nurse of the department, nurse-barmaid, nurse-cleaner, etc.).
The general responsibilities of nursing staff are as follows.
1. Regular wet cleaning of premises: wards, corridors, common areas, etc.
2. Assistance to the nurse in caring for the sick: changing linen, feeding the seriously ill, hygienic provision of physiological supplies for the seriously ill - giving, cleaning and washing vessels and urinals, etc.
3. Sanitary and hygienic treatment of patients.
4. Accompanying patients for diagnostic and treatment procedures.
5. Transportation of patients.
Cupping for a patient
Banks are used in inflammatory processes in the organs of the chest (bronchitis, pneumonia), intercostal neuralgia, radiculitis, myositis. Usually banks are placed on the back, lower back and in front on the right side of the chest. You can not put cans on the area of \u200b\u200bthe heart, shoulder blades,...
Staging mustard plasters
mustard plasters- sheets of paper coated on one side with a thin layer of mustard seed powder. The standard size of mustard plasters is 8x12.5 cm. Mustard plasters act on the patient's skin by irritating it and expanding the skin blood vessels with essential mustard oil. They need to be kept...
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Responsibilities of a doctor in the organization of patient care
Organization of patient care
Patients are cared for by all medical workers of the surgical department: doctors, senior and ward nurses, nurse assistants (nurses), barmaid.
determines the hospital and motor modes for the patient, the need to use a functional bed and various devices to create a comfortable position for the patient in bed;
determines the method of transporting the patient to diagnostic and therapeutic manipulations and surgery;
appoints a diet and a way of food;
determines the need and nature of therapeutic exercises;
Controls the timeliness and correctness of the fulfillment of appointments for diagnostic procedures and treatment of the patient.
Direct care of patients in accordance with medical appointments is carried out by a nurse.
reception of newly admitted patients;
organization of discharge of patients;
transportation of patients for diagnostic and treatment procedures;
Feeding bed patients;
control over the storage of products of patients and the quality of transmissions;
Timely and correct fulfillment of medical prescriptions (injections, enemas, banks, etc.);
monitoring the patient's condition (counting the pulse, measuring blood pressure, daily diuresis, etc.);
Proper collection of the patient's secretions for laboratory testing (sputum, urine, feces);
In the event of clinical death, she should be able to carry out artificial ventilation of the lungs and closed heart massage, provide assistance with drug anaphylactic shock, apply a tourniquet for external arterial bleeding;
Carrying out hygienic measures to care for the body of a bed patient;
control over the sanitary condition of the department, change of bed and underwear;
Control over compliance by patients with the internal regulations of the department and personal hygiene;
Maintaining the necessary medical documentation: filling out temperature sheets, a journal of appointments, receiving and handing over shifts, issuing requirements for medicines, compiling a ration.
Responsibilities of Nursing Nursing Personnel:
regular sanitary and hygienic cleaning and maintenance of cleanliness in the wards, corridors and common areas (toilet, hygiene room, bathroom, dining room, etc.);
assistance to the nurse in changing underwear and bed linen;
Assistance to the nurse in feeding bed patients;
Assistance in the supply of the vessel, urinal, their washing and sanitization;
Accompanying patients for various examinations;
· delivery to the laboratory for the study of urine, feces, sputum, etc. secretions.
Patient care items:
urinals;
bedpans;
· spittoons;
gastric probes;
· Esmarch's irrigator;
rubber cans in the form of a pear;
gas pipes;
· putty knife;
forceps;
cotton wool, bandages;
heating pads, jars, ice packs;
basins for washing the head and feet in bed patients with appropriate markings;
washcloths;
buckets or basins for wet cleaning of premises with appropriate markings - “for wards”, “for toilets”, etc.;
rags.
Chapter 4. MEDICAL ETHICS AND DEONTOLOGY IN CARE
Medical ethics is the science of morality and ethics in the activities of medical workers. Medical deontology is an integral part of medical ethics. Deontology (from the Greek words "deon" - duty, due and "logos" - teaching) - the science of the professional duty of medical workers, about how they should behave among themselves (doctor - nurse), in relation to the patient, his relatives, friends and colleagues.
The first acquaintance of patients, their relatives with medical workers begins with the registry of polyclinics, emergency departments of hospitals, nurses and nurses. Hence the need to improve the general culture of medical institutions and their employees.
Basic deontological principles:
· "Do no harm";
“Everything that is applied must be useful.”
Personal qualities necessary for a medical worker when caring for a patient:
· high professionalism;
care and attention to patients;
· patience;
· politeness and tact;
high sense of responsibility for the fate of patients;
Ownership of your feelings.
Basic principles of relationships between medical workers:
subordination (a system of subordination of the junior to the senior). The nurse must strictly follow the medical appointments, observe the dosage of medicinal substances, the time and sequence of their administration. Negligence and error can be life-threatening for the patient and lead to irreparable consequences. It is unacceptable for a nurse to cancel doctor's appointments herself, to make them at her own discretion. She should not take the responsibility of diagnosing and treating a patient without a doctor's prescription. If changes occur in the patient's condition that require the abolition of drugs or the appointment of new drugs, the doctor should be informed about this, who will give appropriate orders. In emergency situations, in the absence of a doctor, the order is given by the nurse of the corresponding unit. The middle and junior medical personnel of other divisions of the department must fulfill them immediately and unquestioningly;
tact, courtesy. It is unacceptable to criticize your colleagues in the presence of patients and visitors. This undermines the authority of the criticized, deprives further confidence of patients who can exaggerate the significance of the mistake made.
friendliness, mutual assistance and mutual assistance. If a doctor or nurse feels inadequately prepared to perform some therapeutic or diagnostic procedures, they should seek help and advice from more experienced colleagues. At the same time, more trained medical workers should help less experienced colleagues master the technique of various manipulations. Arrogance and arrogance in relations between medical workers are not acceptable.
Unified qualification directory of positions of managers, specialists and other employees (CEN), 2019
Section "Qualification characteristics of positions of workers in the field of healthcare"
The section is approved by the Order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 N 541n
Nursing Assistant Nurse
Job responsibilities. Assists in the care of patients under the guidance of a nurse. Carries out simple medical manipulations (setting cans, mustard plasters, compresses). Ensures cleanliness of patients and rooms. Ensures proper use and storage of patient care items. Makes a change of bed and underwear. Participates in the transportation of seriously ill patients. Monitors compliance by patients and visitors with the internal regulations of the medical organization. Collects and disposes of medical waste. Carries out activities to comply with the rules of asepsis and antisepsis, sterilization conditions for instruments and materials, prevention of post-injection complications, hepatitis, HIV infection.
Must know: techniques for conducting simple medical manipulations; rules of sanitation and hygiene, patient care; rules for the collection, storage and disposal of waste from medical institutions; internal labor regulations; rules on labor protection and fire safety.
Qualification requirements. Initial vocational education in the specialty "Nursing" without presenting requirements for work experience or secondary (complete) general education, additional training in the direction of professional activity without presenting requirements for work experience.
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Responsibilities of a Junior Nurse.
I approve
________________________________ (Surname, initials)
(name of the institution, its ________________________
organizational and legal form) (director; other person
authorized to approve
job description)
JOB DESCRIPTION
JUNIOR NURSE
PATIENT CARE
______________________________________________
(name of institution)
00.00.201_ #00
I. General provisions
1.1. This job description defines the job duties, rights and responsibilities of a junior nurse for the care of patients _____________________ (hereinafter referred to as the "enterprise").
1.2. A person who has a secondary (complete) general education and additional training in the courses of junior nurses in nursing without presenting requirements for work experience or secondary (complete) general education, additional training in junior courses nurses to care for patients and work experience in the profile of at least 2 years.
1.3. Appointment to the position of a junior nurse for patient care and dismissal from it is carried out in accordance with the procedure established by the current labor legislation by order of the head of the healthcare institution.
1.4. The nursing assistant reports directly to _____________________
(head nurse)
1.5. The nursing assistant should know:
Laws of the Russian Federation and other regulatory legal acts regulating the activities of healthcare institutions;
Organizational structure of the healthcare institution;
Techniques for conducting simple medical manipulations;
Rules of sanitation and hygiene, patient care;
Fundamentals of the treatment and diagnostic process, disease prevention, promotion of a healthy lifestyle;
Basic methods and techniques for providing pre-hospital medical care;
Ethical standards of behavior when dealing with patients;
Internal labor regulations;
Rules and norms of labor protection, industrial sanitation, safety and fire protection;
1.6. During the absence of a junior nurse to care for patients (business trip, vacation, illness, etc.), his duties are performed in the prescribed manner by an appointed person who is fully responsible for their proper performance.
II. Responsibilities
Nursing Assistant Nurse:
2.1. Carries out simple medical manipulations, such as setting cans, mustard plasters and compresses.
2.2. Monitors the cleanliness and order in the premises of the medical institution.
2.3. Assists in the care of patients under the guidance of a nurse.
2.4. Monitors compliance by patients and visitors with the internal regulations of the healthcare facility.
2.5. Participates in the transportation of seriously ill patients.
2.6. Makes a change of bed and underwear.
2.7. Monitors compliance with the rules of the sanitary-hygienic and anti-epidemic regime when using and storing patient care items.
III. Rights
The nursing assistant has the right to:
3.1. Make proposals to the management of the enterprise on the optimization and improvement of medical and social assistance, including on issues of their work activities.
3.2. Require the management of the institution to assist in the performance of their duties and rights.
3.3. Receive information from the company's specialists necessary for the effective performance of their duties.
3.4. Enjoy labor rights in accordance with the Labor Code of the Russian Federation
III. A responsibility
The nursing assistant is responsible for:
4.1. For the proper and timely performance of the duties assigned to him, provided for in this job description
4.2. For the organization of their work and the qualified execution of orders, orders and instructions from the management of the enterprise.
4.3. To ensure that subordinate employees comply with their duties.
4.4. For non-compliance with internal regulations and safety regulations.
For offenses or omissions committed in the course of therapeutic measures; for errors in the process of carrying out their activities, which entailed serious consequences for the health and life of the patient; as well as for violation of labor discipline, legislative and regulatory acts, a junior nurse for patient care may be brought in accordance with applicable law, depending on the severity of the misconduct, to disciplinary, material, administrative and criminal liability.
