Official instruction of a surgeon (2). Official instruction doctor-dentist surgeon Official duties surgeon Polyclinic

1. GENERAL PROVISIONS

1.1. This official instruction determines the duties, rights and responsibility of the surgeon dentist.

1.2. The dentist surgeon is appointed and dismissed by the order of the chief physician in accordance with the current legislation of the Russian Federation.

1.3. The dentist surgeon directly submits the head of the department, and in its absence - the chief doctor or his deputy.

1.4. At the moment of the absence of a surgeon's dentist (business trip, vacation, illness, etc.) his duties perform another employee appointed by the head of the department.

2. Qualification requirements

2.1. A person who has a higher medical education in the specialty "Dentistry", who has passed the postgraduate training or specialization in the specialty "Dentistry of Surgical" is appointed to the position of a dentist's dentist's surgeon.

2.2. The dentist surgeon in its activities is guided:

• legislative and regulatory documents in the field of health;
• charter, orders and orders for the establishment;
• regulations on the organization of the activities of the Dentist Surgeon;
• this official instruction.

2.3. Dentist's dentist Surgeon should know:

• legislative and other regulatory legal acts on health issues;
• basics of organizing medical and preventive care in hospitals and outpatient polyclinic institutions, emergency and emergency medical care, disaster medicine service, sanitary and epidemiological service, drug and medical and preventive institutions;
• theoretical foundations, principles and methods of dispensarization;
• organizational and economic foundations of the activities of health institutions and medical workers in the conditions of fiscal and insurance medicine;
• basics of social hygiene, organization and economics of health, medical ethics and deontology;
• legal aspects of medical activities;
• general principles and basic methods of clinical, instrumental and laboratory diagnostics of the functional state of organs and systems of the human body;
• etiology, pathogenesis, clinical symptoms, features of the course, the principles of integrated treatment of the main diseases;
• rules for the provision of emergency dental care of the surgical profile;
• the basics of examination of temporary disability and medical and social expertise;
• fundamentals of sanitary enlightenment;
• modern methods of prevention, diagnosis, treatment and rehabilitation of surgical diseases of the maxillofacial region;
• the contents and sections of surgical dentistry as an independent clinical discipline;
• tasks, organization, structure, states and equipment of the surgical dental service;
• rules for registration of medical records;
• principles of planning activities and reporting of a surgical dental service;
• methods and procedure for monitoring the activities of the surgical dental service;
• basics of labor legislation;
• labor regulations;
• rules for labor protection, environmental protection, industrial sanitation and fire safety.

3. Official duties

Dentist surgeon:

3.1. Provides qualified medical assistance in the field of surgical diseases of the maxillofacial area, using modern methods of prevention, diagnosis, treatment and rehabilitation, allowed for use in medical practice.

3.2. Determines the tactics of the patient in accordance with the established rules and standards.

3.3. Develops a patient survey plan, clarifies the volume and rational methods of the patient's survey in order to obtain full and reliable diagnostic information in the lowest time.

3.4. Based on clinical observations and surveys, collection of history, clinical and laboratory and instrumental research data establishes (or confirms) the diagnosis.

3.5. In accordance with the established rules and standards, prescribes and controls the necessary treatment, organizes or independently conducts the necessary diagnostic, medical and rehabilitation and preventive procedures and activities.

3.6. Makes changes to the treatment plan depending on the state of the patient and determines the need for additional methods of examination.

3.7. Provides advice to the doctors of other units of the medical institution in their specialty.

3.8. Provides urgent dental assistance to a surgical profile in full within the ambulatory conditions and in hospital conditions.

3.9. He directs the work of the subordinate to him of the middle and junior medical personnel (if available), promotes its official duties.

3.10. Controls the correctness of the diagnostic procedures, operation of tools, equipment and equipment, rational use of reagents, the implementation of safety and labor protection regulations by secondary and junior medical personnel.

3.11. Participates in conducting training to improve the qualifications of medical personnel.

3.12. Plans to work and analyzes the indicators of its activities.

3.13. Provides timely and qualitative design of medical and other documentation in accordance with the established rules.

3.14. Sanitary and educational work on the prevention of surgical dental diseases of the maxillofacial region.

3.15. Complies with the rules and principles of medical ethics and deontology.

3.16. Participates in conducting examination of temporary disability and prepares the necessary documents for medical and social expertise.

3.17. Analysis of its work and work subordinates to him specialists with secondary medical education.

3.18. Controls the implementation of the Middle and Junior Medical Personnel Safety Rules and Sanitary and Epidemic Mode.

3.19. Qualified and timely execute orders, orders and instructions of the management of the institution, as well as regulatory acts on their professional activities.

3.20. Prioritically takes action, including timely informing the leadership, to eliminate security violations, firefire and sanitary rules that have a threat to the activities of the health care institution, its employees, patients and visitors.

3.21. Systematically improves their qualifications.

Dentist surgeon has the right:

4.1. Independently establish a diagnosis in the specialty on the basis of clinical observations and surveys, the collection of history, data of clinical and laboratory and instrumental research.

4.2. Determine the tactics of the patient in accordance with the established rules and standards.

4.3. Assign the methods of instrumental, functional and laboratory diagnostics necessary for a comprehensive examination of the patient.

4.4. Conduct diagnostic, therapeutic, rehabilitation and preventive procedures using the allowed diagnostic and treatment methods.

4.5. Attract in the necessary cases of doctors of other specialties for consultation, surveys and treatment of patients.

4.6. To make suggestions to the management of the institution to improve the medical diagnostic process, including to improve the work of paraklinic and administrative and economic services, issues of organization and conditions of their work.

4.7. Control the work of subordinate employees (if available), give them orders as part of their official duties and require their clear execution, to make proposals to the management of the institution to promote or imposition.

4.8. Request, receive and use informational materials and regulatory documents necessary to fulfill their job responsibilities.

4.9. To undergo in the prescribed manner certification with the right to obtain the relevant qualification category.

4.10. Take part in the work of meetings, conferences, sections on which issues related to professional competence are considered.

4.11. Improve your qualifications on improvement courses at least once every 5 years.

5. Responsibility

The dentist surgeon is responsible:

5.1. For improper performance or non-fulfillment of its official duties provided for by this Official Instructions - in accordance with current labor legislation.

5.2. For violations committed in the process of carrying out their activities, in accordance with current civil, administrative and criminal law.

5.3. For causing material damage - in accordance with applicable law.

5.4. For violation of the rules of employment, fire safety and safety regulations established in the organization.

The job description was developed in accordance with the order of the chief physician of February 14, 2014 No. 3.

AGREED

Head of the Frame Department ______________ / ____________ /

With this instruction acquainted.
One copy received on the arms and binding to keep in the workplace.

Dentist surgeon ______________ / ____________ /

Appendix N ___
to the employment contract

Approve
__________________________
(FULL NAME.)

General director
__________________________
(name of company)

JOB DESCRIPTION
doctor Surgeon.

1. GENERAL PROVISIONS

The main tasks of the surgeon are the provision of specialized medical and preventive and advisory assistance to the adult population living in the area of \u200b\u200bthe Polyclinic, as well as workers and employees of attached enterprises. The appointment and dismissal of the surgeon is carried out by the Polyclinic Chief Physician in accordance with the current legislation. The surgeon in his work is subject to the deputy chief physician directly by the Deputy Head of Medical Part, and in his absence - the chief doctor of the Polyclinic. The surgeon's doctor is subordinate to the Middle Medical Personnel of the Surgical Cabinet. In its activities, the surgeon is guided by the instructions and orders of municipal health authorities, this official instruction, as well as methodical recommendations for improving medical care to a surgical profile patient.

2. Functional duties

To fulfill its functions, the surgeon must:
2.1. Conduct an outpatient reception on the schedule approved by the Polyclinic Administration, adjusting the flow of visitors by rational distribution of repeated patients.
2.2. Provide early detection, qualified and timely examination and treatment of patients with surgical profile.
2.3. Conduct dispensary monitoring of patients with surgical pathology, war and labor veterans in accordance with the instructions of the Ministry of Health and MP of the Russian Federation.
2.4. Provide the correct examination of temporary disability and the timely direction of patients with chronic diseases of diseases on KEK and MCEC.
2.5. Advise patients in the direction of other institution specialists, including at home.
2.6. Implement, in accordance with the testimony, timely hospitalization of patients.
2.7. To ensure the continuity between the outpatient polyclinic institution and the hospital in the examination and treatment of patients.
2.8. Notify the Ministry of Internal Affairs on all cases of knife, firearms and other wounds associated with impaired personality inviolability.
2.9. Observe the principles of deontology in their work.
2.10. To carry out an analysis of the incidence and develop measures to prevent surgical diseases in the area of \u200b\u200bthe Polyclinic activities.
2.11. Conduct activities to improve the qualifications of medical and medium medical personnel institutions to provide emergency medical care.
2.12. Implement control and management of the work of the Surgical Cabinet.
2.13. We systematically increase your professional qualifications and level of medical knowledge of the medical sisters of the surgical office.
2.14. To organize and conduct among the population to promote sanitary and hygienic knowledge to prevent injuries and other surgical diseases.
2.15. Make medical cards outpatient patients, write recipes.
2.16. Provide the proper maintenance of medical records of the Cabinet Medical Sister.

3. Rights

The surgeon clinic surgeon has the right to:
3.1 to make the proposals of the administration of the Polyclinic on the improvement of the organization of medical and preventive care to the population, the organization and conditions of their labor and labor of the Surgical Cabinet of Middle Medical Personnel;
3.2 Participate in meetings on the organization of surgical assistance;
3.3 Appoint and cancel any medical and preventive measures, based on the patient's condition;
3.4 Receive the information necessary to fulfill official duties;
3.5 Representing the subordinate work of the Middle Medical Personnel to promotions and make proposals for the imposition of recovery in violation of their work discipline and unsatisfactory performance of official duties.

4. Responsibility

Evaluation of the work of the surgeon's doctor is carried out by the Deputy Chief Doctor of Polyclinic for Medical Parts following the results of the quarter (year) on the basis of accounting for high-quality and quantitative indicators of its work, compliance with the requirements of fundamental official documents, the rules of labor discipline, moral and ethical norms, public activity. The surgeon is responsible both for poor-quality work and erroneous actions, and for inaction and non-decisions, which are within the scope of his duties and competence, in accordance with applicable law.

This job description is developed in accordance with
Regulations on ______________ (number, document date).

Head of the Structural Unit
___________________________
"__" _______ 200 _

AGREED:
Head of the legal department ___________________________
"__" _______ 200 _

The instruction is familiar with: ___________________________
"__" _______ 200 _

The present form can be printed from the MS Word editor (in page markup mode), where the configuration of the viewing and printing parameters is automatically installed. To go to MS Word, click.

For more convenient fill in the form in MS Word is represented in the recycled format.

br /\u003e

1. General Provisions

1. GENERAL PROVISIONS

1.1. Plastic surgeon (hereinafter - "worker") refers to specialists.

1.2. This job description defines the functional responsibilities, rights, obligations, responsibility, working conditions, relationship (communications asked) employee, criteria for evaluating its business qualities and work results when performing work in the specialty and directly in the workplace in "________________" (hereinafter - " Employer").

1.3. The employee is appointed and dismissed by the order by the employer's order in the procedure established by the current labor law.

1.4. The employee obeys directly ____________________.

1.5. The employee must know:

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 on the chosen specialty; Modern methods of treatment, diagnosis and medicinal support of patients; Fundamentals of medical and social expertise; rules of action when the patient is detected with signs of particularly dangerous infections, HIV infection; The procedure for interaction with other specialist physicians, services, organizations, including insurance companies, doctors associations, etc.; Basics of functioning of budget and insured medicine and voluntary health insurance, providing sanitary and preventive and drugs to the population; medical ethics; psychology of professional communication; Basics of labor legislation; The rules of the internal labor regulation; Rules for labor protection and fire safety;

____________________.

1.6. The employee must comply with the qualification requirements for the specialty "Plastic Surgery", established by the order of the Ministry of Health of Russia from 08.10.2015 N 707n "On approval of qualifying requirements for medical and pharmaceutical workers with higher education in the direction of training" Health and medical sciences ":

- Higher education - a specialty specialty: "therapeutic case", "Pediatrics";

- preparation in the residency in the specialty "Plastic Surgery";

- Improving the qualifications at least once every 5 years throughout the work.

2. Official duties

Worker:

2.1. Carries out surgery aimed at eliminating deformations and defects of any organ, tissue or surface of the human body.

2.2. Informs the patient about the procedures for independent execution; It gives recommendations for the care of cover tissues of the body, including learning the necessary hygienic skills.

2.3. Experts temporary disability.

2.4. He has medical records in the prescribed manner.

2.5. Plans and analyzes the results of its work.

2.6. Complies with the principles of medical ethics.

2.7. Manages the work of medium and younger medical staff.

2.8. Sanitary and educational work among patients and their relatives to strengthen the health and prevention of diseases, promoting a healthy lifestyle.

3. Employee Rights

The worker has the right to:

providing him with work due to the employment contract;

workplace conforming to the state regulatory requirements of labor protection and conditions provided for by the collective agreement;

timely and in full payment of wages in accordance with its qualifications, complexity of labor, the number and quality of work performed;

rest, provided by the establishment of a normal duration of working time, abbreviated working time for individual professions and categories of workers, the provision of weekly weekend days, non-working holidays paid for annual holidays;

full reliable information on working conditions and labor protection requirements in the workplace;

vocational training, retraining and professional development in the manner established by the Labor Code of the Russian Federation and other federal laws;

association, including the right to establish trade unions and entry into them to protect their labor rights, freedoms and legitimate interests;

participation in the management of the organization in the Russian Federation provided for by the Labor Code of the Russian Federation, other federal laws and a collective contract for forms;

This job instruction is translated automatically. Note, the automatic translation does not give 100% accuracy, so there may be minor translation errors in the text.

Instructions for position " Surgeon", presented on the site, meets the requirements of the document -" Certificate of Qualification Characteristics of Professions of Workers. Issue 78. Health. (With amendments made in accordance with the orders of the Ministry of Health No. 131-O of 18.06.2003 N 277 dated 25.05.2007 N 153 dated March 21, 2011 No. 121 of 14.02.2011) ", which approved Order of the Ministry of Health of Ukraine 29.03.2002 N 117. Consisted by the Ministry of Labor and Social Policy of Ukraine. The status of the document is "acting".

Preface to the job instruction

0.1. The document comes into force from the date of approval.

0.2. Document Developer: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

0.3. The document is agreed: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

0.4. Periodic verification of this document is made with an interval not exceeding 3 years.

1. General Provisions

1.1. The post "Surgeon" refers to the category "Professionals".

1.2. Qualification requirements - complete higher education (specialist, master) in the direction of training "Medicine", the specialty "Therapeutic case". Specialization in the specialty "Surgery" (internship, specialization courses). The presence of a specialist doctor's certificate. Without demands to face work.

1.3. Knows and applies in activities:
- current legislation on health protection and regulatory documents regulating the activities of the management and healthcare agencies;
- organization of surgical and traumatological assistance;
- organization of the work of injuries, ambulance and emergency medical care in the conditions of extreme situations;
- the basics of law in medicine;
- the rights, duties and responsibility of the surgeon doctor;
- indicators of the work of therapeutic and preventive institutions, injuries, surgical hospitals, etc.;
- organization of dispensary observation, medical control;
- work of medical and advisory and medical and social expert commissions;
- normal and pathological anatomy and physiology, topographic anatomy;
- constants of homeostasis, water and electrolyte metabolism, the relationship of functional systems in healthy and patients;
- general functional and special research methods;
- a modern classification of surgical diseases;
- the clinic of infectious diseases, "acute abdomen", adjacent states;
- Rules for registration of medical records;
- Modern literature in the specialty and methods of its generalization.

1.4. The surgeon is appointed and exempt from office by order to an organization (enterprise / institution).

1.5. The surgeon obeys directly _ _ _ _ _ _ _ _ _ _.

1.6. The surgeon manager manages the work _ _ _ _ _ _ _ _ _ _.

1.7. The surgeon doctor during the absence is replaced by the face appointed in the prescribed manner, which acquires relevant rights and is responsible for the proper fulfillment of responsibilities assigned to it.

2. Characteristics of works, tasks and job responsibilities

2.1. Guided by the current legislation of Ukraine on health and regulatory acts, which determine the activities of the Offices and Health Agencies, Surgical Organization and Traumatological Aid.

2.2. Conducts a targeted clinical examination of the patient.

2.3. Determines the volume of laboratory, radiological and other special research, assesses their results.

2.4. Differential diagnostics.

2.5. Determines the severity of the patient's condition.

2.6. It has emergency medical care patients with terminal states, group and mass lesions.

2.7. Supervision over the side reactions / actions of medicines.

2.8. Determines the testimony for hospitalization by the profile of the disease, the tactics of drug and surgical treatment, taking into account the state of the patient, the need for preoperative preparation.

2.9. Applies modern methods of treating and dispensing of patients with surgical profile.

2.10. Works in close contact with other specialists and services.

2.11. Manages the work of medium medical personnel.

2.12. Adheres the principles of medical deontology.

2.13. Plans to work and analyzes its results.

2.14. Leads medical documentation.

2.15. Constantly improves its professional level.

2.16. He knows, understands and applies existing regulatory documents relating to its activities.

2.17. He knows and fulfills the requirements of regulations on labor protection and the environment, complies with norms, methods and techniques for safe performance of work.

3. Rights

3.1. The surgeon has the right to take action to prevent and eliminate cases of any violations or inconsistencies.

3.2. The surgeon has the right to receive all social guarantees provided for by law.

3.3. The surgeon doctor has the right to demand assistance in fulfilling its official duties and implementing rights.

3.4. The surgeon doctor has the right to demand the creation of the organizational and technical conditions necessary for the performance of official duties and the provision of the necessary equipment and inventory.

3.5. The surgeon has the right to get acquainted with draft documents regarding its activities.

3.6. The surgeon has the right to request and receive documents, materials and information necessary to fulfill their job responsibilities and managing orders.

3.7. The surgeon is entitled to increase its professional qualifications.

3.8. The surgeon has the right to report all violations and inconsistencies identified in the process of its activities and make proposals for their elimination.

3.9. The surgeon doctor has the right to be familiar with the documents defining the rights and obligations of the position, the criteria for assessing the quality of performance of official duties.

4. Responsibility

4.1. The surgeon is responsible for non-fulfillment or late fulfillment of obligations assigned to this official instruction and (or) non-use of the rights provided.

4.2. The surgeon is responsible for non-compliance with the rules of the internal labor regulation, labor protection, safety, industrial sanitation and fire protection.

4.3. The surgeon is responsible for disclosing information about the organization (enterprise / institution) relating to a commercial secret.

4.4. The surgeon is responsible for non-fulfillment or improper fulfillment of the requirements of internal regulatory documents of the Organization (enterprise / institution) and legitimate management orders.

4.5. The surgeon is responsible for the offenses committed in the process of its activities within the limits established by applicable administrative, criminal and civil law.

4.6. The surgeon is responsible for causing material damage to the organization (enterprise / institution) within the limits established by applicable administrative, criminal and civil law.

4.7. The surgeon is responsible for the unlawful use of official authority provided, as well as using them for personal purposes.

Official instruction doctor surgeon[name of company]

This Job Description was developed and approved in accordance with the provisions, the 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 the posts of workers in the field of health care "and other regulatory acts regulating labor relations.

1. General Provisions

1.1. The surgeon doctor refers to the category of specialists and directly subordinate [the name of the post of direct supervisor].

1.2. The surgeon is appointed to the position and exempt from it by order [Name of position].

1.3. A person who has a higher professional education in one of the specialties "therapeutic case", "Pediatrics" and postgraduate vocational education (internship and (or) ordinature) are accepted for the position of a surgeon, with a specialty "Surgery" without presentation of work on experience.

1.4. The surgeon must know:

Constitution of the Russian Federation;

Laws and other regulatory legal acts of the Russian Federation, operating in the health sector;

General issues of organizing surgical assistance in the Russian Federation;

Organization of work of ambulance and emergency care to adulthood and children;

Topographic anatomy of the main areas of the body (head, neck, chest, front abdominal wall and abdominal cavity, lower extremities);

Anatomical features of children's age;

The main issues of normal and pathological physiology in surgical pathology;

The relationship of the functional systems of the body and the levels of their regulation;

Causes of pathological processes in the body, the mechanisms of their development and clinical manifestations;

Basics of water and electrolyte exchange;

Acid-alkaline balance;

Possible types of their violations and the principles of childcare treatment and in adults;

Pathophysiology of injury and bloodstures, prevention and therapy of shock and blood loss, the pathophysiology of the wound process;

Physiology and pathophysiology of the coagulation system of blood, indications and contraindications to blood transfusion and its components;

General, functional, instrumental and other special methods of surgical examination of the surgical patient;

Issues of asepsis and antiseptics in surgery;

Principles, techniques and methods of anesthesia in surgery, issues of intensive therapy and resuscitation in adults and children; Fundamentals of pharmacotherapy in surgical diseases, including the overall and local use of antibiotics, hormone therapy;

The basics of immunobiology, microbiology;

The basics of radiology and radiology;

Clinical symptoms of major surgical diseases in adults and children, their prevention, diagnosis and treatment;

Clinical symptoms of "border" diseases in a surgical clinic (urology, obstetrics and gynecology, pediatrics, infectious diseases);

Principles of preparing patients (adults and children) to surgery and postoperative period;

Questions of temporary and disability, closerization and rehabilitation of surgical patients;

The use of physiotherapy, therapeutic physical education;

Testimony and contraindications to sanatorium-resort treatment;

Rules for labor protection when working with equipment and surgical instrumentaries;

The basics of rational nutrition, the principles of diet and therapy in surgical patients, during preoperative preparation and in the postoperative period;

Equipment of operational chambers of intensive therapy;

Surgical instruments used for various surgical operations;

Principles of organization and monitoring of the population;

Economic issues of surgical service;

Questions of the organization and activities of the Medical Service of Civil Defense and Military Field Surgery;

Forms and methods of sanitary and educational work;

Rules of the sanitary and epidemiological regime;

Basics of labor legislation;

The rules of the internal labor regulation;

Rules for labor protection and fire safety.

2. Official duties

The following job responsibilities are assigned to the surgeon doctor:

2.1. Implementation of the list of works and services for the diagnosis of the disease, assessing the condition of the patient and the clinical situation in accordance with the standard of medical care.

2.2. Implementation of the list of works and services for the treatment of disease, state, clinical situation in accordance with the standard of medical care.

2.3. Conducting temporary disability examination, the direction of patients with signs of resistance to disability to examine on medical and social expertise.

2.4. Registration of the necessary medical records stipulated by the legislation on health care.

2.5. Conducting sanitary and educational work with the population and patients.

2.6. Drawing up a report on their work and the analysis of its effectiveness.

2.7. [Other job duties].

3. Rights

The surgeon is entitled to:

3.1. For all social guarantees provided for by the legislation of the Russian Federation.

3.2. Receive the information and documents from all units directly or through the direct supervisor to fulfill the functional duties.

3.3. Subscribe and sight documents within your competence.

3.4. To control the work of secondary and junior medical personnel as part of its competence, give them orders and demand their clear execution.

3.5. Get acquainted with projects of management orders regarding its activities.

3.6. Submit for consideration by the head of proposals to improve its work and the organization of the organization.

3.7. Take part in meetings on which issues related to its work are considered.

3.8. Require from managing the creation of normal conditions to fulfill official duties.

3.9. Improve your professional qualifications.

3.10. [Other rights provided labor legislation Russian Federation].

4. Responsibility

The surgeon is responsible:

4.1. For non-fulfillment, improper fulfillment of responsibilities provided for by this Instruction, within the limits of the labor legislation of the Russian Federation.

4.2. For the offenses committed in the process of carrying out their activities - within the limits defined by the current administrative, criminal and civil law of the Russian Federation.

4.3. For causing material damage to the employer - within the limits defined by the current labor and civil law of the Russian Federation.

The job instruction is designed in accordance with [Name, number and document date].

Head of Personnel Service

[initials, surname]

[signature]

[day month Year]

Agreed:

[initials, surname]

[signature]

[day month Year]

The instructions are familiar with:

[initials, surname]

[signature]

[day month Year]