What is the structure of a psychiatric hospital?
regular branch psychiatric hospital consists of two halves: restless and calm, or sanatorium. On the restless half are patients in an acute state with psychomotor agitation or stupor, abnormal behavior, hallucinations and delusions. In this state, patients pose a danger to themselves and others and therefore need round-the-clock supervision. Some of them are placed in the observation chamber, where there is a permanent post, consisting of an orderly (nurse) and nurse. The calm (sanatorium) half of patients are transferred during the recovery period, when they are already able to serve themselves and do not pose a danger to themselves and others.
The doors of the psychiatric ward are permanently locked with a special lock, the keys to which are available only to doctors and medical personnel. The windows have bars, screens or safety glass. Windows can only be opened if there is a grill, and the windows should be located out of reach of patients.
What are the basic requirements for paramedical personnel?
Bright cosmetics and jewelry should be avoided, especially beads and earrings. The nurse in the department wears a gown and a cap or scarf. There are several sisters in the department at the same time who perform different functions. There are general rules that are binding on all medical personnel, regardless of their duties. First of all, a patient, friendly and attentive attitude towards patients is necessary, even in those cases when they show aggressive tendencies. At the same time, the nurse must be vigilant and constantly remember that the actions of the mentally ill are unexpected and, as a result, sometimes lead to tragic consequences. It is necessary to ensure that all doors remain closed, and the keys do not fall into the hands of patients and their relatives. Patients often try to open doors with the help of spoon handles, wood chips, wire. Therefore, the nurse periodically checks the contents of the pockets of patients, their bedside tables, beds. In addition, all doors of the department must be in the field of view of the staff.
The nurse must ensure that scissors, blades and other cutting and stabbing objects are not left unattended in the department.
How are the duties of nurses in a psychiatric hospital distributed?
The duties of the sisters in the department are distributed as follows: procedural, insulin (see "Insulinotherapy"), chlorpromazine and guard sisters.
The duties of the procedural nurse include the fulfillment of therapeutic appointments, the receipt and storage of medicines, and the call of consultants.
An insulin nurse conducts insulin therapy, one of the treatments for schizophrenia.
What is the responsibility of the aminosine nurse of the hospital?
Aminazine sister distributes psychotropic drugs. Distribution is carried out in a special room equipped with a fume hood, in which already opened boxes of medicines are stored, medicines are prepared for distribution to patients, and injection syringes are filled. Before dispensing medicines, especially before filling syringes, the nurse puts on a rubber apron, another gown over it, and a gauze mask. After the distribution is over, the nurse removes the top coat, apron and mask and stores it in a special closet. Syringes and utensils are washed with rubber gloves. At the end of the work, the chlorpromazine cabinet is thoroughly ventilated. It is desirable to distribute medicines and injections of psychotropic drugs only within a special chlorpromazine room. Patients should not enter it in the absence of a sister. Do not turn away from the medicine tray when dispensing them, or allow patients to take their own pills. It is necessary to check whether the patient has swallowed the medicine. To do this, you should ask him to open his mouth and raise his tongue or check the oral cavity with a spatula. Medicines accumulated by the sick can be used for the purpose of suicide. The sister should ensure that patients do not collect gauze and bandages in cases where compresses and bandages are applied to them. Bandages can also be used for suicide attempts.
What are the responsibilities of a hospital nurse?
The duties of the guard sister include round-the-clock supervision and care of the sick. She monitors the implementation of the daily routine, the duration of night sleep and afternoon rest, medical work, food intake, and sanitary and hygienic measures.
How are patients cared for and monitored in a psychiatric hospital?
Once a week, patients take a bath and change bed linen. Particular attention is paid to debilitated patients, as well as patients with suicidal tendencies. Every day, under the supervision of staff, patients are taken for a walk in the garden, enclosed by a fence with a well-locked gate, near which there is a post. The nurse must be aware of the number of patients being taken out for a walk and pay special attention to those who are prone to escape and have suicidal thoughts. Every day, relatives give parcels to the sick and come to Oy*-Dania on the set days and hours. The nurse checks everything that is given to the sick. She has no right, bypassing the doctor, to send notes, to allow visits and telephone times. the thieves. In transfers and on dates, patients should not be given cutting and stabbing objects, products in glass jars, stimulating drinks, matches, cigarettes.
The sister keeps all products in a special closet and gives out to patients as needed. The sister enters her observations of the sick into the guard journal, which is transmitted by shift. The journal reflects changes in the condition of patients, features of their behavior and "statements. In children's and senile departments, the work of medical personnel has features associated with the age of patients. In these cases, care and feeding of the patient are of primary importance.
Qualification documentation for certification
Nurse of the ward department No. 1
Regional Public Institution "Lipetsk Regional Psychoneurological Hospital"
Drepina Svetlana Borisovna
Lipetsk 2012
I approve
Chief Physician of OCU "LOPNB"
__________________ Galtsov B.I. "______" ______________ 2012
REPORT
about work for 2012
Drepina Svetlana Borisovna
nurse of the ward department No. 1
Regional Public Institution "Lipetsk Regional Psychoneurological Hospital No. 1"
to confirm the qualification category for
specialty nursing
I, Drepina Svetlana Borisovna, graduated from the Lipetsk Medical School in 1989 with a degree in Nursing.
In 1989, she was hired as a ward nurse at the Lipetsk Regional Psychoneurological Hospital, where I currently work in department No. 1.
During her work, she underwent specialization in 1993 and advanced training courses for nurses of psychiatric hospitals at the Lipetsk Criminal Procedure Code of the SMR in 1998, 2002, 2006, 2011, where a specialist certificate was issued.
In August 2003, she passed the qualifying exam for the assignment of the first category. In 2008, she passed certification at the Health Department of the Lipetsk Region, where she was awarded the highest qualification category in the specialty "nursing". Work experience 25 years.
DEPARTMENT CHARACTERISTICS
MAIN INDICATORS OF THE DIVISION
PROFESSIONAL CHARACTERISTICS OF THE CERTIFIED In my work, I am guided by regulatory orders
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Orders regulating the activities of the certified |
Specific actions to fulfill the order |
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Order of the Ministry of Health of the Russian Federation No. 245 art.29 "Law on psychiatric care and guarantees of the rights of citizens in its provision" Article 5 "Rights of persons suffering from mental disorders" Article 39 "Duties of administration and medical staff in a mental hospital" |
I provide patients in a mental hospital with the necessary medical care: I provide an opportunity to get acquainted with the text of the law, the internal regulations of this psychiatric hospital; I ensure the safety of patients in the hospital, control the content of parcels and transfers. |
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SanPin 213 26 3010 dated May 18, 2010 Sanitary and epidemiological requirements for organizations engaged in medical activities. |
I carry out and control the sanitary and epidemiological regime in the department. All premises, equipment, medical and other inventory must be kept clean. Cleaning equipment is clearly marked indicating the premises and types of cleaning work, is used strictly for its intended purpose and is stored in a dedicated room. Wet cleaning of the premises is carried out at least 2 times a day using detergents and disinfectants. General cleaning of wards and other functional premises, offices is carried out according to the schedule once a week with the processing of walls, floors, equipment, lamps, inventory. Bactericidal lamps are used to disinfect air and surfaces. Pre-sterilization cleaning and sterilization of reusable medical devices is carried out in the CSO. In the meeting room in the department, a list of products allowed for transfer is posted with an indication of their limit. Every day I check compliance with the rules and terms of storage of food products stored in the refrigerator of the department and bedside tables of patients. |
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SanPin 3.2.1333-03 Upon admission to the department of patients, I carefully examine the skin, check for pediculosis, followed by an entry in the journal that the patient was examined. If pediculosis is detected, I inform the head nurse, head of the department. The department maintains an F-20 registration log. I spend bathing days 1 time in 7 days and, if necessary, with a change of underwear and bed linen. The department has anti-pediculosis styling, with the help of which disinsection and disinfection of clothes are carried out. When a patient is discharged or transferred to another department, I make sure that underwear and bed linen are processed in a disinfection chamber and register in the journal of chamber processing. I examine for helminthiases and protozooses. |
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SanPin 3.1.1.1.17-02 "Prevention of acute intestinal infections» |
When a patient enters the department, I take an analysis for a disgroup. I control the observance of personal hygiene by patients: washing hands before eating, after visiting the toilet. Talking to patients about prevention intestinal diseases. I am present at a meeting of patients with relatives. I control that relatives bring only foodstuffs allowed by the hospital administration, which are stored in the refrigerator. I control the work of barmaids, the availability of all disinfectants, compliance with sanitary and hygienic rules. I monitor the timely conduct of current and general cleaning of all premises with the use of disinfectants. |
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Order No. 706 "n" 23.08.2010 Ministry of Health of the Russian Federation“On measures to improve accounting, storage, prescribing, use of narcotic and psychotropic drugs. |
I receive medicines from the head nurse, taking into account daily requirement, I keep records of them, monitor the expiration date and storage. List A medicines are stored separately in a metal cabinet under lock and key. On the inside cabinet doors available list toxic substances with indication of higher single and daily doses. Medicinal substances of list "B" are stored separately in a wooden cabinet under lock and key. In places of storage of narcotic, psychotropic, potent and poisonous medicines at the posts of nurses and doctors on duty there is a table of higher single and daily doses and a table of antidotes. Medicines for internal and external use are stored separately. Stocks of narcotic drugs do not exceed 3-day requirement, poisonous substances 5-day requirement, potent 10-day requirement. |
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Order No. 785 of December 14, 2005 Ministry of Health of the Russian Federation " On the accounting of medicines, dressings and medical products in medical facilities" |
According to this order, I keep a quantitative record of medicines, dressings and medical products in the approved form, in a numbered journal, sealed and signed by the head of the institution. Medicinal products are stored in cabinets, on shelves in their original packaging separately, strictly by groups: by toxicological, by pharmacological, depending on the physical and chemical state and the influence of environmental factors, taking into account the expiration date, depending on the method of application: external, internal , injection. |
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Order of the Ministry of Health of the Russian Federation No. 36 of 07/05/1997 "On the improvement of measures for the prevention of diphtheria". |
When patients enter the department, I take a swab separately from the throat and nose for carriage of diphtheria bacillus. Send to the laboratory no later than 2 hours after sampling. |
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SanPin 31.1.2341-08 "Prevention of viral hepatitis "B" |
When a patient enters the department, I take blood for HBsAg and antibodies to hepatitis C. When carrying out manipulations, I observe the principles of one-time, individuality, sterility. I perform injections in special clothes: a gown marked “for injections”, I put on gloves, a protective screen, a cap. I make sure that directions for analysis are sent separately from test tubes with laboratory material. Everything that has been contaminated with blood and body fluids is class B hazardous waste. Syringes, cotton balls, gloves are disinfected in specially prepared containers. Disinfection time 1 hour. After processing, I hand over the syringes to the head nurse for subsequent disposal. After processing, I collect cotton balls, gloves in a bag (yellow), pack, indicate the date, the name of the institution, the number of the department and the nurse's signature on the tag. As a contact with blood, I annually take a blood test for HBsAg and antibodies to hepatitis C |
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Order of the Ministry of Health of the Russian Federation No. 338 dated November 24, 1998 Prevention of HIV infection in emergencies”. SanPin 3.1.5.2836-10 of 01/11/2011 |
I notify the head nurse and the head of the department of all cases of dangerous contacts and accidents with blood, and register in the F-50 Emergency Situations Journal. When contaminated with biological fluids or blood of patients in the department, I use the drugs included in the F-50 first-aid kit: 70% ethyl alcohol, 6% hydrogen peroxide solution, gauze wipes, bandages, 1% boric acid solution (it is possible to replace 0.05% solution of manganese acid potassium), 5% alcohol iodine solution, bactericidal adhesive plaster, adhesive plaster, eye droppers (2-3 pieces), scissors, medical gloves - 2 pairs or fingertips. |
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SanPin 2.1.7.2790-10 dated 12/09/2010 No. 163 |
Every day I am instructed on the rules of safe waste management. Class A waste collection I carry out white bags and send them to garbage containers. I pre-disinfect waste contaminated with biological fluids, then collect it in yellow bags, mark it, indicate the number of the department, full name. nurses and hand over for recycling. |
VOLUME OF WORK DURING THE WORKING DAY
At work, I am directly subordinate to the head of the department and the head nurse.
I carry out shifts according to the schedule. The working day begins with the reception of duty and ends with its delivery. Taking duty, I check the number of patients, their appearance, the presence of bruises or abrasions, as well as fever, weakened and seriously ill. I check the sanitary condition of the department, as well as the availability of medical instruments, patient care items, inventory. After that, I draw up the reception of duty in a comprehensive journal with my signature. It also records all changes in the condition of patients. Distribute junior staff. I acquaint them with the mental and somatic state, types of supervision of patients admitted.
During the entire duty I am in the department, I ensure order, according to the regime of the department.
When a patient is admitted to the department, I get acquainted with his medical history, examine the skin, pediculosis. I check the quality of the sanitation carried out in the emergency room. I distribute those admitted to the wards, according to supervision. I immediately take blood for BL and disgroup, followed by sending it to the laboratory. Also, while on duty, I write out the requirements for the necessary drugs, and then I receive them from the head nurse. I check the expiration dates of medicines.
In our department, drugs are stored in a locker, and poisonous and potent drugs are kept in a safe. General medicines are stored according to pharmacological groups, on shelves marked: external, internal, injectable. I lay out and distribute tableted preparations and control their intake. The distribution of medicines is carried out in accordance with the prescription sheet. In the morning and in the evening I measure the body temperature with the data recorded in the temperature sheets.
In the event of a change in the patient's condition, I inform the attending physician, and in his absence, the doctor on duty at the hospital. In our department, patients suffer not only from mental disorders, but also from somatic diseases. Therefore, I accompany patients for consultations with narrow specialists, as well as for additional examination methods: ECG, EEG, ultrasound, FGDS. While feeding the sick, I am in the dining room, distributing food and supervising the dietary tables prescribed by the doctor. I feed the weak and seriously ill on my own. I exercise control over the sanitary and epidemiological regime, which is strictly observed in the department. I monitor the appearance of patients, control the washing of hands before eating and after using the toilet. I am present at meetings of patients with relatives, I control the quality and expiration dates of the transferred products. I strictly control that cutting and stabbing objects are not handed over during a meeting with the patient.
LIST OF MANIPULATIONS I OWN
DIAGNOSTIC
Measurement of blood pressure and body temperature, sampling of urine, sputum, feces for laboratory biochemical and bacteriological studies, blood sampling from a vein for biological analysis, HBs Ag, AIDS, RW, preparing the patient for instrumental studies (ultrasound, FGS, X-ray).
THERAPEUTIC
I am fluent in the technique of subcutaneous, intramuscular, intravenous injections. Carrying out intravenous drip infusions. Statement of cleansing and therapeutic enemas. Instillation of drops in the ears, eyes, nose, bladder catheterization. Setting mustard plasters, compresses, washing the epicestomy.
REHABILITATION
Of particular importance for the rehabilitation of patients is related to them by medical personnel and others. I make sure that patients are not rude to each other, the rude attitude of medical staff towards patients is not acceptable. Of great importance is the appearance of the nurse, the comfort in the department, the good attitude and attention of the staff. I try to give patients as much attention as possible, talk to them, explain the importance of treatment and orient them to the need for treatment. I show a professional understanding of the painful nature, wrong behavior, ridiculous statements. Gradually, to improve the mental state of the patient, I conduct psychological preparation to overcome lethargy, indifference, physical weakness and return it to a normal rhythm of life. To distract patients from painful experiences, I organize entertainment events: I bring newspapers, magazines, books, patients play checkers, chess, watch TV shows. In the warm season I take patients for a walk.
EMERGENCY CARE
I know the technique of applying a hemostatic tourniquet and bandages. The technique of artificial lung ventilation and chest compressions. Methods of assisting with fainting, collapse, shock, hypertensive crisis, injuries, burns.
ANALYSIS OF PROFESSIONAL ACTIVITIES IN 2012
During the reporting period, I performed the following manipulations:
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Taking tests |
Injections |
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Blood on RW |
intravenous |
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Blood for Austrian antigen |
Intramuscular |
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Blood for bilirubin |
Subcutaneous |
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Urine collection |
Setting up systems for infusions |
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Fecal collection for disgroup |
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Fecal collection for i/ch. |
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Taking swabs for diphtheria |
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Urine according to Nechiporenko |
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PREVENTIVE AND HEALTH PROMOTION ACTIVITIES
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Kind of activity |
Workload |
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Examination for the presence of HBs Ag and antibodies to hepatitis C |
Annually |
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Examination by a therapist |
Annually |
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Clinical examination within the framework of the National project "Health" |
1 time in 3 years |
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Promotion of healthy lifestyles |
2 times per year |
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Interview with junior staff |
2 times per year |
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Interviews with patients and their families |
10 times a year |
In the department I conduct conversations with paramedical staff on the topics: “Prevention of acute intestinal infections”, “Care for seriously ill patients”, “Prevention of bedsores”. I also conduct conversations with junior staff on the topics: “Types of supervision”, “Fixation rules”.
PROFESSIONAL IMPROVEMENT
MENTORING
Young specialists come to work in our department. Trained a young nurse who came to our department Shabanova E.V. , within one month taught the technique of intravenous, subcutaneous, and intramuscular injections, about the rules for fixing patients during arousal and possible complications, about the features of disinfection, about personal precautions when working with patients.
NEW TECHNOLOGIES, DEVELOPMENT AND SPECIALTIES USED ON THE PROFILE; PARTICIPATION IN INNOVATIVE NURSING TECHNOLOGIES; INCREASING THE QUALITY OF NURSING CARE
Mastered the technique of taking blood with the help of vacuum systems VACUTEST.
Thanks to this, the greatest safety is ensured for health workers doing blood sampling. She also mastered the technique of determining blood sugar on a glucometer. She mastered the Sol-1 "Mobile shower-bath" apparatus for bathing seriously ill patients directly at the patient's bedside.
Findings:
In my report, I reflected the main functions of my work and came to the conclusion that in communicating with patients, a health worker should find a warm, encouraging word, since in sympathy and reassurance the word is one of the most important psychotherapeutic means. No wonder the ancient formula says: "Man heals the word"
Proposals for improving the quality of medical care.
Regularly work to improve the level of professional skills and meet moral criteria.
To provide highly qualified assistance to the patient not only with the help of medical manipulations, but with a sensitive attitude and a kind word.
In our department there are elderly people, many of them within the bed, so we would like the department to be provided with functional beds.
Added to site:
Job description senior psychiatric nurse[name of company]
This job description has been developed and approved in accordance with the provisions of the List of industries, workshops, professions and positions with harmful working conditions, work in which gives the right to additional leave and shortened working hours, approved. Decree of the USSR State Committee for Labor and the Presidium of the All-Union Central Council of Trade Unions of October 25, 1974 N 298 / P-22, Standard norms for the free issuance of special clothing, special footwear and other means personal protection employees employed in work with harmful and (or) dangerous working conditions, as well as in work performed in special temperature conditions or associated with pollution, approved. by order of the Ministry of Health and Social Development of Russia dated September 1, 2010 N 777n, and other regulatory legal acts regulating labor relations.
1. General Provisions
1.1. The Chief Psychiatric Nurse is a professional and reports directly to [title of immediate supervisor].
1.2. A person who has [insert required] education and at least [value] years of work experience in the specialty is accepted for the position of head nurse in the psychiatric department.
1.3. The head nurse of the psychiatric department is appointed to the position and dismissed from it by order of [name of the position of the head].
1.4. The head psychiatric nurse should know:
The laws Russian Federation and other regulations in the field of healthcare, including Law of the Russian Federation of July 2, 1992 N 3185-I "On psychiatric care and guarantees of the rights of citizens in its provision";
Fundamentals of the treatment and diagnostic process, disease prevention, promotion of a healthy lifestyle;
The procedure for scheduling work and the placement of nursing and junior staff;
Rules for the operation of medical instruments and equipment;
The order of organization of social and medical rehabilitation of patients;
Rules for the collection, storage and disposal of waste from medical institutions;
Fundamentals of functioning of budget-insurance medicine and voluntary health insurance;
Basic techniques and methods for providing first aid to patients and victims of accidents;
Main types of medical documentation;
The procedure for maintaining primary accounting and reporting documentation, including in electronic form;
Medical ethics and deontology;
Psychology of professional communication;
Basics of labor legislation;
Internal labor regulations;
Rules and norms of safety measures, industrial sanitation and fire protection;
- [other knowledge].
2. Job responsibilities
Senior Psychiatric Nurse:
2.1. Carries out the selection, placement, rational organization of work of the middle and junior medical staff of the department.
2.2. Draws up work schedules for middle and junior medical personnel, keeps records of working hours.
2.3. Under the guidance of [name of the position of the immediate supervisor] organizes and conducts activities for advanced training, improvement, specialization, certification and re-certification of nursing and junior medical personnel, holds professional skills competitions, conferences, trains young professionals and staff to provide emergency care and prevention of especially dangerous infections.
2.4. Controls the timeliness of the implementation of medical instructions by nurses, the quality of patient care in accordance with technological requirements.
2.5. Controls the implementation of the principles of the medical and protective regimen, compliance with the uniform and labor discipline by middle and junior medical personnel through regular rounds.
2.6. Provides the department with the necessary medicines, tools, care items, and also monitors their use, organization of accounting and storage.
2.7. Carries out control over the safety of inventory, serviceability of equipment, medical nutrition, transfers from relatives and compliance with internal regulations by patients and visitors.
2.8. Conducts weekly housekeeping rounds of the department with [name of immediate supervisor] and housewife.
2.9. Carries out a write-off of medical equipment, tools and care items that have become unusable.
2.10. Organizes individual posts for the care of seriously ill patients as directed by [position title of immediate supervisor].
2.11. Prepares required paperwork in a timely manner.
2.12. It studies and implements elements of best practices in the work of middle and junior medical personnel.
2.13. Organizes and conducts events that enhance the prestige of nursing staff.
2.14. It monitors the serviceability of heating, water supply, lighting, ventilation, radio and telephone communications, alarms and the sanitary and technical condition of the premises.
2.15. Ensures compliance with the sanitary and anti-epidemic regime, the implementation of measures to prevent the spread of infections (intestinal, airborne, scabies, pediculosis).
2.16. Controls the quality of registration, maintenance and storage of medical records in accordance with the nomenclature of cases.
2.17. Analyzes documents reflecting the activities of nursing and junior staff.
2.18. Organizes training, knowledge control and compliance by employees with internal labor regulations, instructions for labor protection, safety, operation medical technology and equipment, industrial sanitation, occupational health, fire protection, department activities in extreme conditions.
2.19. Conducts reconciliation of material assets with data accounting.
2.20. Provides pre-medical medical care in the event of an emergency.
2.21. Systematically increases its professional qualification.
2.22. [Other Job Responsibilities].
3. Rights
The head nurse of the psychiatric department has the right to:
3.1. For all social guarantees provided for by the legislation of the Russian Federation.
3.2. For extra leave.
3.3. For the free issue of special clothing, special footwear and other personal protective equipment.
3.4. To pay additional expenses for medical, social and professional rehabilitation in cases of damage to health due to an accident at work and occupational disease.
3.5. Demand the creation of conditions for the performance of professional duties, including the provision of the necessary equipment, inventory, a workplace that meets sanitary and hygienic rules and regulations, etc.
3.6. Independently make decisions within their competence and organize their implementation by subordinate employees.
3.7. Require the management of the organization to assist in the performance of their professional duties and the exercise of rights.
3.8. Receive information and documents necessary to fulfill their official duties.
3.9. Get acquainted with the draft decisions of the management of the organization relating to its activities.
3.10. Sign and endorse documents within their competence.
3.11. [Other rights under labor law Russian Federation].
4. Responsibility
The Senior Psychiatric Nurse is responsible for:
4.1. For non-fulfillment, improper fulfillment of the duties provided for by this instruction - within the limits 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 current administrative, criminal and civil legislation of the Russian Federation.
4.3. For causing material damage to the employer - within the limits determined by the current labor and civil legislation of the Russian Federation.
The job description was developed in accordance with [name, number and date of the document].
Head of Human Resources
[initials, last name]
[signature]
[day month Year]
Agreed:
[initials, last name]
[signature]
[day month Year]
Familiarized with the instructions:
[initials, last name]
[signature]
[day month Year]
^ 2. JOB RESPONSIBILITIES
Head psychiatrist
Draws up a work plan for the department and submits it for approval to the Deputy Chief Physician for Medical Affairs.
Directly supervises the activities of the medical staff of the department.
Together with the doctor, he conducts a commission examination of newly admitted patients, if necessary, participates in commission examinations of patients during their treatment.
Controls the correctness of the diagnosis and the volume of treatment and diagnostic measures carried out by the doctors of the department, organizes conferences of the department with clinical reviews of complex cases of diagnosis and treatment, diagnostic errors.
In diagnostically complex and conflict cases, he decides on the hospitalization of patients in the department.
Immediately notifies the chief physician or his deputy of all emergencies in the department.
Ensures the maintenance of accounting and reporting documentation; analyzes qualitative and quantitative indicators, prepares and submits to deadlines department reports.
Monitors the correctness and timeliness of medical documentation by the staff.
Carries out control over the safety and rational use of medical equipment, apparatus, tools, as well as the maintenance of complex medical equipment.
Controls the correctness of the discharge, receipt, storage, use of medicines (including potent, narcotic substances), alcohol, dressings.
Participates in the selection of personnel; ensures the rational placement and movement of personnel: provides conditions for the proper performance of their duties by medical personnel.
Timely communicates to the staff of the department orders, orders of the head physician, instructions from the management of the institution, as well as instructive-methodical and other materials.
Draws up and submits for approval to the chief physician plans for advanced training of doctors of the department. Organizes the training of medical personnel for certification.
Draws up and submits to the management of the institution the work schedules and vacations of the department staff.
Monitors compliance by the staff of the department with the rules of labor protection, fire safety and internal labor regulations.
Prepares, draws up and submits, in accordance with the established procedure, applications for the purchase of medical equipment, consumables, medicines.
Monitors the condition of the premises of the department, technical communications, draws up applications for repairs.
Considers citizens' complaints about the quality and timeliness of medical care.
Carries out constant control over the performance by the attending physicians of the functions of organizing and conducting the treatment and diagnostic process and examination of temporary disability, issuing documents certifying temporary disability of citizens, timely and correctly substantiated referral of patients to meetings of the clinical expert commission and medical and social expertise.
Monitors patient compliance with the medical and protective regimen.
Takes measures to prevent nosocomial infections. Carries out constant monitoring of compliance with the sanitary and epidemiological regime in the department.
Controls the nutrition of patients.
Certifies all documentation coming out of the department (answers, requests, powers of attorney).
Resolves issues of social adaptation of patients, in case of abuse by guardians or trustees, takes measures to notify the guardianship and guardianship authorities, the prosecutor's office.
Fulfills the planned indicators approved by the chief physician for paid services, VHI.
Checks the correctness and completeness of the fulfillment by the staff of the department of doctors' prescriptions.
^ JOB DESCRIPTION
psychiatrist at a psychiatric rehabilitation complex with a day hospital
1. General part.
The psychiatrist organizes and conducts therapeutic and preventive care for patients of the department.
Appointed and dismissed by the chief physician of the hospital on the proposal of the head of the department. Directly reports to the head of the department and works under his supervision.
Works according to the schedule approved by the Deputy Chief Physician for Medical Affairs.
In his work, he is guided by official documents on the section of work being performed, orders and instructions from higher authorities and officials, this instruction, as well as articles of the RF Law “On Psychiatric Care and the Rights of Citizens in its Provision”.
The orders of the doctor are obligatory for the middle and junior medical staff of the department.
2. Responsibilities.
1. Provides an appropriate level of examination and treatment of patients in accordance with modern achievements in medical science and technology. If necessary (difficulties in diagnosis, seriously ill patients, etc.), organizes and participates in the work of councils and commissions with the participation of deputy. ch. medical doctor, head of the department, researchers of the Department of Psychiatry and other departments of the State Medical Academy and narrow specialists with the subsequent implementation of the recommendations of consultants.
2. Assigns and controls the necessary treatment of patients on the basis of the principles of a medical-protective regimen and compliance with the rules of medical deontology, as well as the implementation by patients of the established hospital regimen.
3. Respects the rights of persons suffering from mental disorders.
4. Does not disclose information constituting a medical secret in the provision of psychiatric care, except as otherwise provided by applicable law.
5. Represents the district psychiatrist of patients upon discharge from the department who need psychiatric supervision.
6. Requires patients and their relatives to provide a passport, pension certificate, MSEC certificate and insurance policy.
7. Every day, independently, as well as together with the head of the department and the senior nurse (according to the internal schedule, but at least 1-2 times a week), conducts rounds of patients, noting the main changes in their condition that occurred during the day and, depending on this, determines the necessary measures for treatment and care.
8. Prescribes diet food.
9. Keeps case histories, entering into them the necessary data, dating all the information received from the patient or relatives, sending various requests, and responding to them.
10. Fills in the case history in the prescribed manner:
10.1. For a newly admitted patient - no later than 24 hours from the moment of his admission to the department.
10.2. Provides a person suffering from a mental disorder, in a form accessible to him and taking into account his mental state, information about the nature of the mental disorder, the goals, methods and duration of the recommended treatment, as well as pain sensations, possible risk, side effects and expected results with obtaining the written consent of the patient for treatment with an entry in the medical history.
10.3. Familiarizes the patient with the rights, according to Art. 37 of the Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision" and makes an appropriate entry about this with the signature of the patient.
10.4. Diary entries in the medical history are made daily for 7 days from admission, followed by a staged epicrisis. Within 7 days the patient is examined by a commission together with the head of the department. After a stage epicrisis, records with the dynamics of the treatment process are carried out at least 1 time in 5 days. When the patient's condition changes, the frequency of recordings should correspond to the nature of these changes.
10.5. The patient's discharge is made out by an epicrisis signed by the attending physician and the head of the department, deputy. chief physician.
11. Checks the correctness and timeliness of the fulfillment by the middle and junior staff of the appointment and instructions for the treatment and care of the patient.
12. At certain hours, according to the work schedule, receives visitors, informs them of the necessary information about the condition of patients.
13. Determines the patient’s temporary disability, monitors the timing of the next re-examination, submits it to the MSEC at the personal request of the person being examined, promptly draws up the documents necessary for this, having coordinated all issues with the head. department, deputy ch. doctor for clinical and expert work and forensic psychiatric expertise.
14. Takes part in the reception / delivery, change of duty medical. staff, informs the shift on duty about the condition of newly admitted patients, about the regimen and the therapy being carried out.
15. Participates in conducting classes to improve the skills of middle and junior staff, including issues of psychosocial rehabilitation.
16. Takes on duty in accordance with the approved deputy. chief physician for the medical part of the schedule.
17. Systematically improves his qualifications through active participation in out-of-hospital councils, clinical conferences.
18. Has a certificate confirming the theoretical and practical knowledge and skills of a psychiatrist.
19. Follows the rules of the internal labor schedule and monitors its implementation by the middle and junior medical staff.
20. Bears personal responsibility for the implementation of regulations and orders of the head physician, orders of the head of the department and deputy. chief medical officer.
21. Conducts psychoeducational sessions with relatives and patients, takes part in psychosocial rehabilitation activities.
^ JOB DESCRIPTION
senior nurse of a psychiatric rehabilitation complex with a day hospital
I. GENERAL PROVISIONS
One of the experienced nurses who has organizational skills, the first qualification category, a high level of general culture, has received a higher medical education in the specialty "Nursing" or a secondary medical education, a diploma in the specialty "Nursing", " General Medicine", "Obstetrics", a second diploma in the specialty "Nurse-Organizer of Nursing" and a certificate in the specialty "Nursing".
The head nurse of the department is appointed and dismissed by the head physician of the hospital on the proposal of the head of the department, the head nurse of the hospital.
The senior nurse should know:
Constitution of the Russian Federation.
Fundamentals of the legislation of the Russian Federation on the protection of the health of citizens, federal laws and other regulatory legal acts on health issues.
The procedure for scheduling work and the placement of nursing and junior staff.
Theoretical foundations of hygiene and healthcare organization.
Organization of social and medical rehabilitation of patients.
Theoretical and organizational foundations of the sanitary and epidemiological service.
Organization of health education, hygienic education of the population and promotion of a healthy lifestyle.
Labor law.
The nursing and junior staff of the department is directly subordinate to the senior nurse.
The head nurse of the department is the financially responsible person for the receipt, storage, accounting and issuance of potent drugs, medicines, care items, medical equipment.
During the absence of the head nurse (business trip, vacation, illness, etc.), her duties are performed by a person appointed by order of the head of the institution. This person acquires the relevant rights and bears responsibility for non-fulfillment or improper fulfillment of duties temporarily assigned to him.
In his activities, he is guided by the position, qualification characteristics of specialists with secondary medical and pharmaceutical education in the specialty "Nursing", this job description, hourly work schedule, legislative and regulations, official documents in the field of healthcare and orders, instructions and orders of higher officials.
^ II. JOB DUTIES
Senior nurse:
Implements professional activity in accordance with the ethical code of the Russian nurse.
He constantly improves his professional level of knowledge, skills and abilities through self-education, participation in hospital-wide nursing conferences, seminars and certifications at the workplace, studies and conferences in the department, hospital-wide events.
Timely improvement takes place 1 time in 5 years. with a certificate in the specialty "Nursing".
Performs duty in the hospital according to the approved schedule.
Participates in the organization of activities of the hospital in extreme situations.
Renders first aid in emergency conditions.
Prepares and submits reports on the sections of its activities in a timely and qualitative manner.
Timely and qualitatively draws up and maintains medical documentation, according to the nomenclature of cases.
Prepares the necessary documentation for the operational department and visits it according to the approved schedule.
Conducts daily purposeful rounds and weekly administrative rounds of the department together with the head of the department and the hostess.
Supervises the safety of hard and soft inventory in the department.
It monitors the serviceability of heating, water supply, lighting, ventilation, radio and telephone communications, alarms and the sanitary and technical condition of the premises. Timely notifies the head of the department and the chief nurse of all malfunctions, as well as other emergencies that have occurred in the department.
Supervises assigned areas on the territory of the hospital, ensures order and cleanliness on them.
Participates in the decision of the issue of hiring and dismissal of nursing and junior staff.
Provides placement and rational organization of work of nursing and junior staff.
Carries out planning, organization, motivation, control and coordination of the activities of nursing and junior staff.
Conducts familiarization and monitoring of the implementation of professional job descriptions by nursing and junior staff.
Organizes and conducts events for professional adaptation, advanced training and retraining, professional career development, attestation and certification of nursing staff and promotes advanced training of junior staff.
Organizes and conducts events that enhance the prestige of nursing staff.
It contributes to the creation of a business, creative environment in the department, support for the initiative and activity of employees.
Organizes the work of nursing and junior staff in accordance with the standards. Provides a system of interaction with the medical and diagnostic departments of the hospital.
Controls the quality of registration, maintenance and storage of medical records, according to the nomenclature of cases. Conducts analysis of documents reflecting the activities of nursing and junior staff.
Organizes training, knowledge control and compliance by employees with internal labor regulations, instructions on labor protection, safety precautions, operation of medical equipment and equipment, industrial sanitation, occupational health, fire protection, department activities in extreme conditions.
Organizes and supervises:
for the activities of nursing and junior staff in the field of prevention, diagnosis, treatment, care, rehabilitation treatment and rehabilitation of patients;
the work of nursing and junior staff in the admission and discharge of patients;
transportation of patients within the department, institution;
timely fulfillment of medical appointments by nursing staff, the quality of all medical procedures and patient care in accordance with standards;
sanitary-hygienic and anti-epidemic state of the department, workplaces of nursing and junior staff, clothes and underwear of patients;
the timeliness of medical examinations of employees of the department;
the timeliness and quality of disinfection of the premises where infectious patients were located;
medical nutrition, transfers, compliance with the medical and protective regime;
compliance with the internal regulations in the department by visitors and patients;
Provides the department with the necessary medicines, medical instruments, equipment and apparatus, care items and forms. Control over their accounting, storage and use.
Conducts reconciliation of material assets with accounting data of the material group of accounting.
Carries out metrological verification and preventive maintenance of medical equipment.
Carries out control over the safety and serviceability of medical equipment and equipment, medical instruments, care items, their timely repair and write-off.
Organizes and supervises the conduct of sanitary-educational work and promotion of a healthy lifestyle.
Carries out control and expert evaluation of the activities of nursing and junior staff.
Carries out mentoring and pedagogical activities.
It instills in nursing and junior staff a sense of responsibility for the assigned area of work, a humane attitude towards patients. Carries out control over labor discipline, observance of moral and legal standards of professional communication.
Organizes the work of nursing and junior staff in the new economic conditions. Organizes paid services for individual patient care.
Uses modern office equipment in the activities of the department.
She studies and uses the best domestic and foreign experience in organizing nursing in the department.
Contributes to the creation of conditions for the provision of quality medical care based on the improvement of nursing care.
Manages nursing care for patients nursing process, organizes nursing care for incurable patients based on the nursing process.
Leads psychosocial groups.
Individual group sessions with patients (Art therapy, movement therapy).
Participates in the organization of festive events for patients of the hospital.
^ JOB DESCRIPTION
medical psychologist of a psychiatric rehabilitation complex with a day hospital.
1. General Provisions.
A medical psychologist is a specialist with a higher psychological education in the specialty "psychology" and who has received additional training in medical psychology who owns the methods of psychoprophylaxis, psychodiagnostics, psychological counseling provided by the training program in accordance with the requirements of the qualification characteristics.
In his work, a medical psychologist is guided by the Law of the Russian Federation “On Psychiatric Care and Guarantees of the Rights of Citizens in its Provision”, other regulatory documents of the Russian Federation on public health protection, this instruction, and the Labor Code of the Russian Federation.
The medical psychologist reports to the head of the department.
The medical psychologist is appointed and dismissed by the chief physician of the hospital in accordance with applicable law.
^ 2. Duties of a medical psychologist.
On the direction of the doctor conducts a psycho diagnostic tests and diagnostic monitoring of patients, with particular attention to individuals with risk factors for mental disorders, which are based on pathopsychological and pathogenic behavioral stereotypes.
Carries out work on psychoprophylaxis, psychocorrection, psychological counseling of patients, their relatives, as a result of which it provides assistance in solving personal, professional and domestic psychological problems.
Together with the doctor, he develops psycho-corrective programs, performs work on career guidance for patients.
Carries out work aimed at psychosocial impact (psychosocial therapy) and psychosocial rehabilitation of patients and their relatives.
Conducts individual and group work on the psychoeducation of patients and their relatives.
Introduces into practice modern methods of psychoprophylaxis, psychodiagnostics, psychological counseling.
Develops rehabilitation programs for patients.
Conducts training of medical personnel in the field of medical and social psychology.
Provides psychological support and control of the work of social workers, labor instructors of the rehabilitation complex.
Prepares documentation of the established sample in accordance with the requirements of the current legislation of the Russian Federation.
Improves his qualifications in medical psychology on improvement cycles at least once every 5 years.
^ JOB DESCRIPTION
specialist in social work psychiatric rehabilitation complex with a day hospital
1. GENERAL PROVISIONS
Social work specialist higher education in the specialty "social work" or with another higher education, owning the methods of individual and group work with patients on their social adaptation, training of communication skills, methods of social and legal protection of patients, methods of interaction with institutions and organizations related to the provision of social assistance.
Appointed and dismissed in accordance with applicable law and the terms of the contract.
Directly reports to the head of the department.
In his work, he is guided by: the fundamentals of the legislation of the Russian Federation on the protection of the health of citizens, the Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision", the Labor Code of the Russian Federation, the Charter of the hospital, resolutions, orders, instructions of higher authorities (by subordination), other regulatory documents of the Russian Federation for the section of work being performed, orders and orders of the chief physician and this instruction.
A social work specialist should know: the basics of the legislation of the Russian Federation on the protection of the health of citizens; Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision"; sociology, organization of social assistance and social protection of the population, social psychology, psychology of work, psychohygiene, psychoprophylaxis, the basics of medical and social expertise and the employment of persons suffering from mental illness, including the disabled, ethics and deontology.
^ 2. JOB RESPONSIBILITIES
Social Work Specialist:
On the direction of a doctor, he organizes individual and group work with patients aimed at increasing the level of their social adaptation, training communication skills.
Conducts a social examination of patients, including family relationships, the possibility of independent living, the availability of documents, earnings and pension services.
Makes up a social characteristic of the patient.
Together with the doctor, he develops individual plans for the social and professional rehabilitation of patients.
Organizes, and if necessary, directly conducts activities for the social and legal protection of the rights and interests of patients.
Together with a doctor, psychologist and social worker, he creates a therapeutic environment, therapeutic communities of patients, interest groups, carries out club and cultural work.
Defines specific forms of work of social workers to improve the social functioning of patients in the family, at work.
Organizes interaction with institutions and organizations, including those providing social assistance.
Organizes studies and provides advisory and organizational and methodological assistance social workers hospitals.
Participates in the development of new technologies of social work, in the development of best practices in social work, introduces them into practice.
Manages patients using case management.
current labor, criminal and civil legislation of the Russian Federation.
^ JOB DUTIES
Ward nurse for work with documentation of a psychiatric rehabilitation complex with a day hospital
^ I. GENERAL PROVISIONS
A person with a higher medical education in the specialty "Nursing" or a secondary medical education in the specialty "Nursing", "General Medicine", "Obstetrics", a certificate in the specialty "Nursing" is appointed to the position of a ward nurse for working with documentation .
Appointment to the position of a ward nurse for work with documentation and release from it is carried out by order of the head of the institution on the proposal of the head of the department, the head nurse of the department and in agreement with the head nurse of the hospital.
The ward nurse for work with documentation should know:
The ward nurse for work with documentation is directly subordinate to the head of the department, the attending physician and the head nurse of the department.
To organize their work, a ward nurse for working with documentation has the right to give mandatory orders to junior medical personnel - a ward orderly (nurse), a cleaning nurse.
In her activities, the ward nurse is guided by orders, instructions, orders of the Ministry of Health of Russia, the charter of the institution, this job description.
^
Organizes his work in accordance with this instruction, hourly work schedule, the Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision", treatment and rehabilitation regimes, "Collection of technologies and standards for organizing and performing work by ward nurses", "Collection recommendations for preparing patients for research, treatment, surgical interventions».
takes into account the admission, discharge, transfer of patients to other departments of the hospital and other hospitals (based on the medical history and daily diary);
draws up portion requirements, form 007-u, and delivers them to the operational department in a timely manner;
submits information about dropped out patients to the admission department;
prepares and delivers all the necessary documentation to the operational department in compliance with the requirements and deadlines;
draws up a medical history in accordance with uniform requirements;
timely and clearly transfers medical appointments to the sheets of marks for the fulfillment of medical appointments from the medical history and the sheet of medical appointments; in the journals of planning examinations and examinations by specialist doctors, brings them to the attention of the ward nurse;
submits information about the appointment of dietary tables, additional nutrition for patients to the duty staff of the department and to the distribution room;
fills out referrals to specialist doctors, laboratories and other medical and diagnostic divisions of the OKPB. Deliver them to their destination in a timely manner;
plans and prepares the examination of patients by a specialist doctor (informs the staff on duty about the upcoming examination, prepares medical documentation: case histories, examination log of a specialist doctor, compulsory health insurance log);
regularly enters the results of analyzes and studies into the medical history, as well as completed sheets of notes on the fulfillment of medical appointments;
submits to the post of appointment about vaccination (revaccination) of patients with a subsequent mark in the register of vaccination with ADS-m, EPS, in the medical history;
prepares a monthly report on the vaccination of patients.
Prepares the following documents:
draws up certificates, disability certificates based on the medical history;
declares to the admission department that the patient has documents, valuables, money;
organizes the timely and complete receipt by the patient of valuables, money, documents;
organizes the referral and escort of the patient for examination by the district doctor of the dispensary department with all the necessary documents.
Work in the department of ACS:
timely makes corrections in the database of information about admitted patients, enters information about discharge, transfers of patients, vaccination with ADS-m, EPS, fluorographic examination, examination for HIV infection, infections, information about disability, data on compulsory medical insurance, etc.
Working with departments of the psycho-neurological dispensary:
receives and submits outpatient cards of patients at the OPND registry.
prepares and submits for signature referrals to the ITU, VK certificates, etc. to the Deputy Chief Physician for Expertise.
Working with the archive:
prepares applications for receiving case histories in the archive on the basis of a doctor's prescription.
receives and submits case histories to the archive in a timely manner.
Participates in the management of an individual case - case management.
^ JOB DESCRIPTION
Chamber nurse for the rehabilitation of a rehabilitation complex with a day hospital
1. GENERAL PROVISIONS
A person who has a higher medical education in the specialty "Nursing" or a secondary medical education in the specialty "Nursing", "Obstetrics", a certificate in the specialty "Nursing" is appointed to the position of a ward nurse.
Appointment to the position of a ward nurse and dismissal from it is carried out by order of the head of the institution on the proposal of the head of the department, the head nurse of the department and in agreement with the head nurse of the hospital.
Fundamentals of the treatment and diagnostic process, disease prevention, promotion of a healthy lifestyle;
organizational structure healthcare institutions;
Safety rules for working with medical instruments and equipment;
Labor legislation, internal regulations;
Rules and norms of labor protection, safety measures, industrial sanitation and fire protection.
The ward nurse is directly subordinate to the head of the department and the head nurse of the department.
The junior medical staff (ward nurses and orderlies, cleaning nurses) is directly subordinate to the ward nurse.
In their activities, the ward nurse is guided by orders, instructions, orders of the Ministry of Health of Russia, the charter (regulations) of the institution, and the job description.
^ 2. JOB RESPONSIBILITIES
Studying the social status of the patient, conducting a material and household survey of the conditions of his residence.
Assistance in processing or obtaining the documents necessary to resolve the patient's social issues (passport, pension certificate, etc.; including certifying the right to real estate and registration at the place of stay and residence).
Assistance in the initial registration, and if necessary, the renewal of the receipt of a pension.
Receipt of pensions, compensations and other payments by proxy.
Work in the department:
Participation in the discussion of social issues of patients with doctors, head of the department.
Interaction with social protection authorities in restoring the social rights of patients.
Assistance in the registration of incompetent patients in boarding schools for psychochronics.
Control for:
Compliance with the treatment and rehabilitation regimen.
Together with a psychologist and a social work specialist, set a time frame for involvement in functioning groups that represent various forms of a therapeutic community.
Conducting psychoeducational sessions with patients and their relatives.
Teaching nursing and junior staff in psychosocial rehabilitation.
^ JOB DUTIES
Nurse of the medicinal office of the psychiatric rehabilitation complex with a day hospital
^ I. GENERAL PROVISIONS
A person who has a higher medical education in the specialty "Nursing" or a secondary medical education in the specialty "Nursing", "General Medicine", "Obstetrics", a certificate in the specialty "Nursing", work experience in a psychiatric hospital for at least 3 years and who has undergone special on-the-job training.
Appointment to the position of a nurse in a medicinal office and dismissal from it is carried out by order of the head of the institution on the proposal of the head of the department, the head nurse of the department and in agreement with the head nurse of the hospital.
The medical office nurse should know:
Federal laws and other regulatory legal acts on health issues;
Fundamentals of the treatment and diagnostic process, disease prevention, promotion of a healthy lifestyle;
Organizational structure of the healthcare institution;
Safety rules for working with medical instruments and equipment;
labor law,
Rules and norms of labor protection, safety measures, industrial sanitation and fire protection, anti-terrorist protection.
In the direct subordination of the nurse is the junior medical staff - the ward orderly (nurse).
In her activities, the nurse of the medicinal office is guided by orders, instructions, orders of the Ministry of Health of Russia, the charter of the institution, and this job description.
^ II. FUNCTIONAL RESPONSIBILITIES:
Pharmacy Nurse:
Organizes his work in accordance with this instruction, hourly work schedule, the Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision", treatment and rehabilitation regimes, "Collection of major psychopathological disorders, technologies and standards for organizing and performing work by medical nurses office of the State Healthcare Institution of Public Organization “KPB im. N.N. Solodnikov", the main regulatory orders.
He has good theoretical and practical training in the treatment process with the use of psychopharmacological drugs, strictly follows the technology of all procedures.
Carries out professional activities in accordance with the Code of Ethics for Russian nurses.
Maintains a schedule of interaction with colleagues and employees of the medical and diagnostic departments of the hospital in the interests of the patient.
Organizes workplace(drug room) according to the standard.
Complies with the requirements for labeling medical supplies.
Together with the head nurse of the department, he conducts classes with the nurses of the department on organizing the work of the drug office and observing the rules of work in the office.
Conducts group sessions of psychosocial rehabilitation with patients.
Complies with the requirements of labor legislation, internal labor regulations, medical diagnostic, rehabilitation regimens for monitoring patients.
Informs the ward (on duty) nurse about the presence of patients being treated with psychopharmacological drugs.
Leaves the department with the obligatory notification of the head nurse of the department.
Keeps confidential information about the mental state of patients.
Complies with and monitors compliance with the requirements of labor protection, safety, industrial sanitation, occupational health, fire safety during the operation of the premises and equipment of the drug office and anti-terrorism protection.
Carries out the reception (delivery) of the workplace - a medicine cabinet at the ward nurse, checking the availability and serviceability of medical equipment, inventory, tools; medicines, according to the established list; the presence of keys, the integrity of windows, doors, gratings.
Strictly observes the rules of preparation for work with psychopharmacological drugs (layout of medicines, performance of parenteral and enteral prescriptions).
Ensures infectious safety (complies with the rules of the sanitary-hygienic and anti-epidemic regime, asepsis; correctly stores, processes, sterilizes and uses medical products);
15.2. Timely delivers and receives sterile material to the CSO, carries out sterility control;
15.3. Conducts a set of measures to prevent nosocomial, especially dangerous infections.
15.4.
15.5. Carries out a set of measures to prevent the occurrence of post-injection complications, serum hepatitis and HIV infection.
15.6. Observes the rules of personal hygiene and uniforms.
15.7. Regularly and on time medical checkup, examination for RW, HBs-Ag, viral hepatitis C, fluorographic examination with the approval of a trusted doctor.
Maintains approved medical records and reports.
Regularly keeps records of the manipulations performed for the day, month, quarter, half year, year.
Timely submits a report and analyzes its activities.
Ensures the correct placement of junior staff to monitor patients while taking psychopharmacological drugs.
Controls the intake of psychopharmacological drugs by patients, in accordance with the specifics of the work of the psychiatric hospital department.
Timely and qualitatively performs preventive and healing procedures prescribed by the doctor.
Carries out the stages of the nursing process in caring for patients (initial assessment of the patient's condition, interpretation of the data obtained, planning nursing interventions together with the patient, the final assessment of what has been achieved).
Introduces newly admitted patients with the work schedule of the drug office, the rules for taking psychopharmacological drugs.
Prepares the patient for taking psychopharmacological drugs.
Strictly adheres to the algorithms for performing all types of manipulations.
Complies with the rules for the introduction of psychopharmacological drugs (dosage, expiration date, compatibility, rate of administration, contraindications).
Follows the order of administration of psychopharmacological drugs to patients according to the severity of the condition.
Monitors the patient's condition before, during and after the treatment with psychopharmacological drugs; prevents the development of complications.
Immediately notifies the attending physician and the head of the department, and in their absence the doctor on duty, of the patient's refusal to undergo procedures or manipulations; about complications associated with medical manipulations, procedures, taking medications; about cases of emergency and violations of the internal regulations of the hospital.
Provides emergency first aid acute diseases, accidents and various types of catastrophes, followed by a doctor's call to the patient.
He knows the methods of providing first aid in case of emergency conditions and complications arising from the treatment with psychopharmacological drugs.
Introduces drugs, anti-shock agents (with anaphylactic shock) to patients according to vital indications in accordance with the established procedure for actions in this condition.
He analyzes the current situation and makes a decision within his professional competence and powers, observing the Law of the Russian Federation "On Psychiatric Care and Guarantees of Citizens' Rights in its Provision".
To apply conservative methods of treatment of patients according to the doctor's prescription, to carry out certain medical procedures.
Responsibilities for accounting, storage and use of material assets: ensures proper storage, accounting and write-off medicines compliance with the rules for taking medications by patients.
Uses material values and resources economically and rationally.
Keeps a strict record of the consumption of poisonous, potent, psychopharmacological drugs, alcohol.
Carries out sanitary-educational work on health promotion and disease prevention, promotion of a healthy lifestyle.
Complies with and monitors compliance with the requirements of labor protection, safety, industrial sanitation, occupational health, fire safety in the operation of premises and equipment, anti-terrorist protection.
Systematically improves his professional qualifications through self-education, development of related specialties, participation in general hospital conferences, attestation at the workplace, technical studies and conferences in the department. Undergoes improvement on the basis of the OCPC (1 time in 5 years) with a certificate in the specialty "Nursing".
^ JOB DUTIES
ward nurse of a psychiatric rehabilitation complex with a day hospital
I. GENERAL PROVISIONS
A person with a higher medical education in the specialty "Nursing" or a secondary medical education in the specialty "Nursing", "General Medicine", "Obstetrics", a certificate in the specialty "Nursing" is appointed to the position of a ward nurse.
Appointment to the position of a ward nurse and dismissal from it is carried out by order of the head of the institution on the proposal of the head of the department, the head nurse of the department and in agreement with the head nurse of the hospital.
The ward nurse should know:
Federal laws and other regulatory legal acts on health issues;
Fundamentals of the treatment and diagnostic process, disease prevention, promotion of a healthy lifestyle;
Organizational structure of the healthcare institution;
Safety rules for working with medical instruments and equipment;
Labor legislation, internal labor regulations;
Rules and norms of labor protection, safety measures, industrial sanitation and fire protection, anti-terrorist protection.
The ward nurse is directly subordinate to the head of the department, the attending physician and the head nurse of the department.
To organize their work, a ward nurse has the right to give mandatory orders to junior medical staff - a ward orderly (nurse), a cleaning nurse, a barmaid.
In their activities, the ward nurse is guided by orders, instructions, orders of the Ministry of Health of Russia, the charter (regulations) of the institution, this job description.
^ II. FUNCTIONAL RESPONSIBILITIES:
Nurse ward for work with documentation:
Organizes his work in accordance with this instruction, hourly work schedule, the Law "On Psychiatric Care", treatment and rehabilitation regimes, "Collection of technologies and standards for organizing and performing work by ward nurses", "Collection of recommendations for preparing patients for research, treatment , surgical interventions.
Carries out professional activities in accordance with the Code of Ethics for Russian nurses.
Maintains a schedule of interaction with colleagues and employees of the medical and diagnostic departments of the hospital in the interests of the patient.
Conducts group sessions on psychosocial rehabilitation with patients.
Organizes the workplace according to the standard.
Complies with the requirements for labeling medical supplies.
Complies with the requirements of labor legislation, internal labor regulations, medical diagnostic, rehabilitation regimens for monitoring patients.
Leaves the department with the obligatory notification of the head nurse of the department.
Keeps confidential information about the mental state of patients.
Conducts morning hygiene exercises with patients.
Facilitates the implementation of rehabilitation stages and the involvement of patients in labor processes.
Complies with and monitors compliance with the requirements of labor protection, safety, industrial sanitation, occupational health, fire safety in the operation of premises and equipment and anti-terrorist protection.
Provides infectious safety (complies with the rules of the sanitary-hygienic and anti-epidemic regime);
Ensures the proper order and sanitary condition of the workplace.
Conducts a set of measures to prevent nosocomial, especially dangerous infections. Takes precautions when working with disinfectants.
Observes the rules of personal hygiene and uniforms.
Regularly and timely undergoes a medical examination, fluorographic examination.
Timely delivers and receives dressings, care and styling items to the CSO in a timely manner hygiene care for the patients.
Examines patients for pediculosis.
Maintains approved medical records and reports.
Accurately and timely draws up forms and referrals for medical diagnostic studies.
Compiles and submits statistical reports to the admissions department on the number of patients, the presence of seriously ill patients, patients on vacation, escape, etc.
Ensures the correct placement of the junior staff of the shift for the care and observation of patients, organizes a fixed post for round-the-clock observation in accordance with the specifics of the work of the psychiatric (narcological) hospital department.
Supervises the work of junior staff and the performance of their duties, the volume and quality of work.
Carries out the reception and delivery of duty at the patient's bedside, workplace, checking the availability of care items, medical instruments, medicines according to the established list, the availability of keys, swaddling bags; integrity of windows, lattices; the presence and compliance of patients with regimens and wards.
Accepts and acquaints newly admitted patients with the internal regulations, the established regime in the department and monitors their implementation.
Examines newly admitted patients for bodily injuries, foreign objects. All personal belongings, documents, valuables, money are transferred to the employees of the reception department according to the inventory.
Timely and qualitatively performs preventive and therapeutic diagnostic procedures prescribed by the doctor.
Carries out all stages of the nursing process when caring for patients (initial assessment of the patient's condition, interpretation of the data obtained, planning care together with the patient, final assessment of what has been achieved).
Provides quality care for seriously ill, incurable patients and monitors their condition.
Conducts high-quality preparation of patients for various types of examinations, procedures, operations.
Transports and accompanies patients for all types of examinations in the medical and diagnostic units and the dead to the temporary storage room for corpses.
Controls medication intake by patients.
Immediately notifies the attending physician and the head of the department, and in their absence the doctor on duty, of the patient's refusal to undergo procedures or manipulations; about refusing to eat; about complications associated with medical manipulations, procedures, taking medications; about cases of emergency and violations of the internal regulations of the hospital.
He analyzes the current situation and makes a decision within his professional competence and powers, observing the Law of the Russian Federation “On Psychiatric Care and Guarantees of the Rights of Citizens in its Provision”.
Provides emergency first aid for acute illnesses, accidents and various kinds catastrophes with the subsequent call of the doctor to the patient.
Introduces drugs, anti-shock agents (for anaphylactic shock) to patients according to vital indications, in accordance with the established procedure for this condition.
Ensures proper storage, accounting and write-off of medicines, compliance with the rules for taking medicines by patients.
Prescribes and receives from the head nurse the necessary medicines for work, alcohol, medical instruments, medical supplies.
Ensures the availability and completeness of the first aid kit for emergency care in accordance with the standard.
Timely prepares patients and wards for bypassing the attending physician.
Supervises the organization of therapeutic nutrition and the receipt of dietary tables by patients.
Supervises the washing of patients' hands before meals.
Controls the reception of transmissions from food products from visitors, storing them in a handout refrigerator.
Carries out sanitary-educational work on health promotion and disease prevention, promotion of a healthy lifestyle.
Systematically improves his professional qualifications through self-education, development of related specialties, participation in general hospital conferences, attestation at the workplace, technical studies and conferences in the department. Undergoes improvement on the basis of the OCPC (1 time in 5 years) with a certificate in the specialty "Nursing".
Uses material values and resources economically and rationally.
Individual and group sessions with patients (art therapy, dance therapy, etc.).
Participation in the organization of festive events for patients of the hospital.
Conducting an individual case - case management.
^ JOB DESCRIPTION
housewives of a psychiatric rehabilitation complex with a day hospital
I. GENERAL PROVISIONS
The hostess sister belongs to the category of technical performers.
A person with a secondary (full) general education and additional training of the OCTC on special program"Modern aspects of the work of nurses-hostesses of health facilities."
Appointment to the position of a housewife and dismissal from office is carried out by order of the head of the institution on the proposal of the head of the department, the head nurse of the department and in agreement with the chief nurse of the hospital, the chief accountant and the director of the hospital.
The hostess should know:
Expiration dates used in the State Healthcare Institution OO CPB named after. N.N. Solodnikov linen and inventory.
Time and methods of sanitizing inventory.
Conditions for the use and storage of inventory.
Forms of accounting and reporting documentation and the correctness of their completion.
Rules for compliance with sanitary and hygienic and sanitary and anti-epidemic regimes in the hospital departments.
Inner order rules.
Rules and norms of labor protection, safety and fire protection.
Organization and execution of work of junior staff.
The hostess sister is directly subordinate to the senior nurse of the department, the head of the department.
The junior staff is directly subordinate to the hostess sister.
The sister-owner of the department is financially responsible for the receipt, storage, accounting and use of soft and hard equipment.
When hiring a hostess, a contract on material liability of the established form is concluded; allowed to work in the presence of an act of acceptance of material assets.
In her activities, the hostess is guided by orders, instructions, orders of the Ministry of Health of Russia, the charter of the institution, this job description, the "Collection of technologies and standards for the organization and performance of work by the hostess and junior staff", the Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens while providing it."
^ II. JOB RESPONSIBILITIES:
The housewife organizes her work in accordance with the orders, instructions, orders of the Ministry of Health of Russia, the charter of the institution, this job description, the hourly work schedule, the "Collection of technologies and standards for organizing and performing work by the housekeeper and junior staff" and the Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision.
Organizes a workplace: an office of a housewife, a material room, a sanitary room and a room for diluting disinfectants according to the standard.
Complies with the schedule of interaction with warehouses of personal belongings and material values, laundry, disinfection chamber, sanitary service in the interests of patients.
Complies with the requirements for labeling household items.
Timely and qualitatively draws up and maintains documentation in accordance with the nomenclature of cases.
Conducts daily purposeful rounds and participates in weekly administrative and economic rounds of the department of the head of the department and the head nurse.
Ensures the safety and serviceability of equipment, repairs and decommissions it in a timely manner.
Draws up requests for the repair of premises, equipment, inventory and supervises its implementation.
Provides control of the serviceability of heating, water supply, lighting, ventilation, radiotelephone communications, alarms and sanitary conditions of the premises; promptly informs the head nurse about all malfunctions, as well as other emergencies that have occurred in the department.
Provides the department with soft and hard equipment, overalls for the department staff. Provides proper accounting, storage, rational use of soft and hard equipment, overalls; saves material values, resources:
Monthly checks the availability of material assets in the department.
Makes an annual application for soft and hard equipment together with the head of the department and the senior nurse.
Conducts reconciliation of material assets with accounting data and material assets once a quarter.
Prepares and participates in the write-off of soft inventory 1 time per quarter, hard inventory - 1 time in 6 months.
Ensures the availability of inventory numbers on all accountable equipment, furniture and high-quality marking on soft inventory.
Draws up an act on the damage by patients of material assets in the department in a timely manner for taking appropriate measures.
Provides patients with high-quality washed, ironed underwear and bed linen, repairs linen in a timely manner.
Strictly adheres to the schedule of washing clothes in the laundry.
Provides a supply of replacement linen for patients and transfers them to the ward nurse for appropriate storage.
In order to prevent particularly dangerous actions of patients in relation to themselves and others, they conduct daily inspections of patients and premises for foreign objects together with ward nurses and junior staff.
Carries out a daily examination together with ward nurses for pediculosis and, if detected, takes part in anti-pediculosis measures.
Participates in the organization and conduct of patient walks.
Participates in holding visits of patients with relatives.
Cleans the territory assigned to the department with patients and employees of the department.
Follows appearance patients in and out of the ward.
Performs sanitization of incoming patients.
Participates in the organization of discharge of patients.
Organizes work and controls the activities of junior staff, their performance of duties, the volume and quality of work performed.
Observes and controls the implementation by junior staff of the internal labor regulations, discipline requirements; observance of moral and legal norms of professional communication and norms of ethics and deontology; instills in junior staff a sense of responsibility for the assigned area of work, a humane attitude towards patients.
Performs and controls the implementation by junior staff of differentiated regimens for monitoring patients, the Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision"
Performs and monitors the fulfillment by junior staff of the requirements of labor protection, safety, industrial sanitation, fire safety, occupational health during the operation of premises and equipment.
Organizes and controls the quality of fulfillment by junior staff of sanitary-hygienic and anti-epidemic regimes:
Observes and controls the implementation by junior staff of the rules of personal hygiene, uniforms, precautions when working with biological fluids.
Observes and controls the implementation of sanitary and hygienic and sanitary and anti-epidemic measures by junior staff when caring for patients.
Receives and dilutes disinfectants in compliance with dilution technology and precautions when working with them.
Organizes and controls the quality of disinfection, disinfestation and deratization activities.
When a patient with a suspected infectious disease is identified, he organizes, conducts and controls the quality of disinfection measures by junior staff in a timely manner.
Controls the quality of the cleaning of landings assigned to the department.
Timely medical examination.
Carries out quality control of registration, maintenance and storage of documentation in accordance with the nomenclature of cases. Conducts analysis of documents reflecting the activities of junior staff.
Leaves the department with the obligatory notification of the head nurse or head of the department.
In case of need for temporary absence (vacation, incapacity for work), he transfers material values to the understudy for temporary preservation by an act of the established form.
Improves qualifications by attending technical studies in the department, participates in holding hospital-wide events, seminars, planning meetings of hostesses.
Passes certification at the workplace 1 time in 5 years.
^ JOB DESCRIPTION
nurses (nurses) of the ward (th) psychiatric rehabilitation complex with a day hospital
I. GENERAL PROVISIONS
The ward nurse belongs to the category of technical performers.
A person who has a secondary general education, who has undergone primary instruction and internship at the workplace, is appointed to the position of a ward nurse
Appointment to the position of a ward nurse and dismissal from it is carried out by order of the head of the institution on the proposal of the head of the department and the head nurse of the department.
The ward nurse should know:
Techniques for carrying out simple manipulations for patient care;
Internal labor regulations;
Rules and norms of labor protection, safety measures, industrial sanitation and fire protection.
The ward nurse is directly subordinate to the ward nurse and the housewife of the department.
In her activities, the ward nurse is guided by this instruction, the "Collection of technologies and standards for the organization and performance of work by housewives and junior staff", orders for the nature of her activity, the Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision", as well as orders and instructions of higher authorities and officials.
^ II. JOB RESPONSIBILITIES:
Sanitary ward:
Uses material values and resources economically and rationally.
Leaves the department with the obligatory notification of the head nurse of the department.
Knows and strictly observes the treatment and rehabilitation regimens for monitoring patients and the Law of the Russian Federation "On psychiatric care and guarantees of the rights of citizens in its provision"
Provides continuous post round the clock monitoring of patients. He is dismissed from his post only with the notification of the ward nurse.
Knows and strictly observes the rules of behavior of junior staff when the patient is excited, the technique of temporarily mechanical restraint of the patient.
Under the guidance and with the participation of the ward nurse:
Knows all patients by last name, first name and patronymic, takes into account the peculiarities of their behavior and has under special control patients prone to suicide, refusal to eat, damage to linen and clothes, etc., suffering from epileptic seizures;
Ensures infection safety and a safe hospital environment for patients in the hospital - complies with the rules of sanitary-hygienic and sanitary-anti-epidemic regimes: conducts
ventilation and quartzization of fixed chambers,
change of bed and underwear for patients,
disinfection of underwear and bed linen contaminated with feces and biological secretions.
Timely submits, removes vessels and urinals, empties and disinfects them correctly.
Contains entrusted soft, hard inventory, care items in safety, cleanliness and order.
Complies with the requirements for labeling, processing and disinfection of cleaning equipment, uses it for its intended purpose
Observes the rules of personal hygiene and uniforms.
Observes precautions when working with biological fluids and disinfectants.
Timely receives from the hostess soft and hard equipment, disinfectants, cleaning and detergents.
^ JOB DUTIES
nurses for monitoring patients and their support of a psychiatric rehabilitation complex with a day hospital
^ I. GENERAL PROVISIONS
A nurse for monitoring patients and accompanying them belongs to the category of technical performers.
A person with a secondary education who has undergone primary instruction and internship at the workplace is appointed to the position of a nurse to monitor patients and accompany them.
Appointment to the position of a nurse to monitor patients and accompany them and release from it is carried out by order of the head of the institution on the proposal of the head of the department and the head nurse of the department.
A nurse to monitor patients and accompany them should know:
Rules of sanitation, hygiene, patient care;
Internal labor regulations;
Rules and norms of labor protection, safety measures, industrial sanitation and fire protection.
The nurse for monitoring patients and accompanying them is directly subordinate to the ward nurse and the mistress of the department.
In her activities, the nurse for monitoring patients and accompanying them is guided by this instruction, the “Collection of technologies and standards for the organization and performance of work by housewives and junior staff”, orders for the nature of their activities, the Law of the Russian Federation “On psychiatric care and guarantees of the rights of citizens in its provision”, as well as orders and instructions of higher authorities and officials.
^ II. FUNCTIONAL RESPONSIBILITIES:
Nurse to monitor patients and accompany them:
Organizes his work in accordance with this instruction, hourly work schedule, the Law "On psychiatric care and guarantees of the rights of citizens in its provision", "Collection of technologies and standards for the organization and performance of work by housewives and junior medical personnel."
Complies with the schedule of interaction with the treatment and diagnostic departments in the interests of the patient.
Complies with the rules of internal labor regulations, the requirements of labor discipline, medical and protective regime, moral and legal standards of professional communication, ethics and deontology.
Complies with the requirements of the instruction on labor protection, safety precautions, industrial sanitation, labor hygiene, fire safety during the operation of premises and equipment.
Uses material values and resources economically and rationally.
Leaves the department with the obligatory notification of the head nurse of the department.
Knows and strictly observes the treatment and rehabilitation regimens for monitoring patients and the Law of the Russian Federation “On Psychiatric Care and Guarantees of Citizens’ Rights in its Provision”.
Knows and strictly observes the rules of behavior of junior staff when the patient is excited, the technique of temporary mechanical restraint of the patient.
A nurse to monitor patients and accompany them is not entitled to release patients from the department, only with the permission of the ward nurse.
Observes patients during walks.
She must know all patients by last name, first name and patronymic, take into account the peculiarities of their behavior and has special control over patients suffering from epileptic seizures.
Provides assistance to the ward nurse in the transfer, transportation of bedridden patients.
Delivers medical documentation to the treatment and diagnostic departments and back.
Maintains medical records.
Timely informs the ward nurse:
about a sudden deterioration in the patient's condition;
about cases of violation of the internal labor regulations of the department and hospital by patients.
Provides assistance to the ward nurse in the transportation of instruments and care items to the CSO.
Receives and delivers linen to the hostess sister.
Participates in the reception, sorting, transportation of used and clean linen.
Provides infectious safety and a safe hospital environment for patients in the hospital - complies with the rules of sanitary-hygienic and sanitary-anti-epidemic regimes, conducts:
all types of cleaning, maintains cleanliness and order in the assigned wards, sanitary room and department premises,
ventilation and quartzization of fixed chambers.
Strictly observes the rules of personal hygiene and uniforms.
Regular and timely medical examination.
Contains the entrusted soft, hard inventory, in safety, cleanliness and order.
Complies with the requirements for labeling, processing and disinfection of cleaning equipment, uses it for its intended purpose.
Observes precautions when working with biological fluids and disinfectants.
Carries out regular removal of garbage and medical waste.
Timely receives from the hostess soft and hard inventory, disinfectants, cleaners and detergents
Constantly improves his professional level by attending technical studies in the department, attestation at the workplace.
^ JOB DUTIES
occupational therapy instructor of a psychiatric rehabilitation complex with a day hospital
I. GENERAL PROVISIONS
A person who has been instructed in health, safety and safety is accepted for the position of an occupational therapy instructor.
The labor instructor is hired and fired by the chief physician in accordance with applicable law.
The labor instructor is directly subordinate to the senior medical. sisters and chief department.
The labor instructor is a financially responsible person for receiving, storing and accounting for raw materials received from the hospital, as well as for all the equipment and tools available in the workshop, which is registered in the workshop on the balance sheet of the hospital.
In his activities, he is guided by this instruction, hourly work schedule, official documents regulating the work of financially responsible persons by orders according to the nature of his activity.
^ II. JOB DUTIES
Organize your work in accordance with this instruction hourly work schedule.
Bear full financial responsibility for the raw materials and materials received, as well as for the fixed assets, equipment and tools available in the workshop.
Be responsible for the state of safety of labor processes in the sewing department.
Conduct briefings with patients arriving at the site.
Observe labor production discipline at the site.
Prepare the workplace and work before the patients arrive at the site.
check the availability and serviceability of tools and equipment.
Take from honey. sisters of the hospital and place them in the workplace according to the type and complexity of the work, agreed on the appointment of doctors.
Educate primary patients on labor processes.
Pay special attention to patients who are difficult to be involved in labor processes.
To carry out the advancement of patients through the stages of complexity, considering the main indicators in the work, acquiring new skills by the patient.
Pay attention to the observance of the work schedule.
Maintain cleanliness and order in the workplace.
Assist medical staff in selecting patients for the site.
For the safety of patients, monitor sharp-cutting instruments.
Strictly issue and accept the instrument on the account.
Monitor the condition of patients and, if necessary, report honey. staff.
Avoid clutter in the workplace.
Do not trust anyone with the keys to the doors, take patients to the workshop on a bill, accompanied by honey. personnel.
Conduct sanitary and hygienic cleaning of premises.
On strengthening measures for the prevention of epidemiological typhus and the fight against pediculosis. 6. Order of the Ministry of Health of the Russian Federation No. 36 dated 03.02.1997 "On the improvement of measures for the prevention of diphtheria". TRAINING. Working as a nurse, I constantly improve my professional level, I attend all nursing studies. Annual testing according to orders No. 408, according to OSTU, nosocomial infections, emergency care, OOI, test tasks for nurses of the infectious diseases department. For self-education and to improve my professional level, I constantly read medical literature I systematically improve my skills by studying relevant literature, participating in conferences and seminars.
Job description of a nurse in a neurological office
Responsibilities of the head nurse The main vocation of the head nurse is to use the professionalism of the department staff with maximum efficiency in order to provide high-level medical care. The head sister of the department is appointed in accordance with the recommendation of the head. Usually this position is held by a nurse with a high level of professionalism.
Important
She must have management skills. Her work experience in a medical institution is at least 5 years. As a financially responsible person, she monitors the equipment and apparatus in the department. The head nurse takes part in all meetings held in the hospital department.
A specialist of this level acts as an organizer of the work of middle and junior medical personnel, is responsible for discipline in the team and maintaining order at work.
Info
A nurse in a polyclinic must constantly improve her professionalism. What are the responsibilities of a nursing assistant Functional responsibilities Nursing departments are as follows:
- monitoring the general condition of the patient;
- implementation of patient care activities;
- fulfillment of prescriptions given by the doctor;
- communication at a professional level with medical personnel, sick people and their relatives;
- preparation of patients for examinations;
- observance of hygiene standards in the department;
- maintaining documents in the prescribed form.
A nurse working in the department should be able to make all types of injections, use a sterile table and tray. She is obliged to change the patient's linen, both underwear and sleeping.
Her duties include measuring the temperature, pulse and blood pressure of the patient.
Functional duties of a nurse in the neurological department.
The functional duties of the head nurse include drawing up acts for the supply of the necessary equipment, medicines and tools. The head nurse is responsible for occupational health and safety. She personally draws up a work schedule for her subordinates and distributes their vacation time. She maintains a payroll and draws up sick leave for temporarily disabled employees. A nurse of this profile keeps a record of medicines containing poisonous, narcotic and potent substances, controls their use. Its functions include monitoring the cleanliness of the dressing material and the sterilization of medical instruments.
Job description of a nurse in a psychiatric office of a polyclinic
EXAMPLE DUTIES OF THE NURSE OF THE NEUROLOGICAL DEPARTMENT (OFFICE) 1. A specialist with a secondary medical education and special training is appointed to the position of a nurse in the neurological department (office). 2. The nurse of the neurological department (office) is appointed to the position and dismissed by the chief physician (head) of the polyclinic in the prescribed manner.
3. In her work, the nurse of the neurological department (office) is guided by the regulatory legal acts of the Republic of Belarus, the Regulations on the polyclinic, the Regulations on the neurological department (office), orders and orders of the head physician, orders of the head nurse and neurologist, job description. 4.
Functional duties of a nurse in a polyclinic and department
VYKOV I have professional skills in accordance with the requirements in the field of "Nursing". I know: - the theoretical foundations of nursing; - organization nursing care for patients by stages of the nursing process; - psychology of professional communication; - the basics of nutrition; - main reasons, clinical manifestations, diagnostic methods, complications, principles of treatment, prevention of diseases and injuries; – the main drug groups and their indications, contraindications, complications of drugs, regulations regulating the pharmaceutical order in medical institutions; - infection control system, infection safety of patients and staff of a medical institution; — main types of medical documentation; — safety and labor protection in medical institutions; - health insurance system; — medicine of catastrophes and emergencies.
Job description of a nurse in the pre-medical reception room
In my work I great importance I pay attention to: - the culture of relationships with colleagues, doctors and other nurses of the polyclinic and hospital - attitude to one's own health. I try to maintain the authority and reputation of my profession. I observe the rules of personal hygiene - an integral quality of a person.
Attention
I pay due attention to my workplace, I do not allow violations of the sanitary and hygienic regime. My work is proactive and creative. In my work are not allowed: ambition, elevated tone, imposing one's own opinion, personal hostility. I accurately and competently provide medical care to patients who seek help.
An important role in communicating with subordinates and patients is played by how I look. A snow-white, starched dressing gown is my visual characteristic.
403 forbidden
Responsibilities To perform their functions, the nurse of the neurological office is obliged to: 1. Prepare workplaces before an outpatient appointment with a neuropathologist, controlling the availability of the necessary medical Documentation, equipment, inventory, checking the serviceability of equipment and office equipment. 2. Prepare and submit to the registry self-recording sheets of patients, coupons for an appointment with a doctor for the current week. 3. Before starting the appointment, bring outpatient medical records from the card storage, selected by the registrars in accordance with the self-recording sheets. 4. Monitor the timely receipt of research results and stick them in the medical records of outpatients. 5. Regulate the flow of visitors by fixing the appropriate time in the self-registration sheets for repeat patients and issuing coupons to them. 6.
Abstract: the acquisition of professional skills
In my work I use literature: Directory of a nurse, journals: "Nursing", "Nursing". Health education is one of the important and effective methods of disease prevention and control. Promotion of prevention issues consists of two main components: - hygiene education and education of the general population - preventive propaganda (primary prevention).
It is carried out in two directions - a) dissemination of knowledge about prevention among the general population. It is important that this work is carried out correctly methodically - only in terms of targeted information designed to provide early detection diseases and mass participation of the population in activities aimed at strengthening the body's defenses; b) hygienic education of the patient and their families.
The nurse of the neurological department (office) is responsible for failure to perform or improper performance of their duties, non-compliance with labor and performance discipline, internal regulations, medical ethics and deontology. ^ APPROXIMATE PROVISIONS on the cardiology office of the city polyclinic 1. The cardiology office, as a structural subdivision of the city polyclinic, is created in the absence of a cardiological dispensary in the city. If there is a cardiological dispensary, a cardiologist of the dispensary can work in the office.
2. The management of the cardiology office is carried out by a cardiologist appointed and dismissed in the prescribed manner by the chief physician of the polyclinic. 3.
The main tasks of a cardiologist are the development and implementation of preventive measures, early detection and effective treatment patients suffering from heart disease vascular system 6. Evaluation of the work of a cardiologist is carried out by the deputy chief physician of the polyclinic for the medical unit based on the results of work for the quarter (year) on the basis of taking into account the qualitative and quantitative indicators of his work, his compliance with the requirements of fundamental official documents, rules of labor discipline , moral and ethical standards, social activity. 7. In accordance with the tasks assigned to the cardiology office, the cardiologist: 7.1.
conducts outpatient appointments according to the schedule approved by the administration of the polyclinic, regulating the flow of visitors through the rational distribution of repeat patients; 7.2.
Functional duties of a nurse in a neurological office of a polyclinic
The obtained data are clearly recorded in the graphic sheet of the patient. The nurse of the department knows how to draw up all the necessary documentation. In addition, her responsibilities include:
- preparation of biks for sterilization;
- removal of an ECG;
- setting compresses, cans, enemas and heating pads;
- tying the limbs with an elastic bandage;
- implementation of preventive measures that prevent the appearance of bedsores;
- gastric lavage;
- acceptance and surrender of duties.
District nurse The district nurse performs treatment and diagnostic procedures in accordance with the doctor's prescription. The functional responsibilities of the district nurse are quite wide. She must prepare the office for receiving patients. Under the supervision of a doctor, certificates are issued, prescriptions are issued, referrals for examination and other medical documentation are issued.
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