General practice nurse. Responsibilities of a general practice nurse (district nurse) The role of a nurse in the activities of general medical practice

  • The date: 29.06.2020

Job responsibilities. Organizes an outpatient appointment with a general practitioner (family doctor), provides him with individual cards of outpatients, prescription forms, referrals, prepares devices and tools for work. Maintains personal records, information (computer) database of the health status of the population served, participates in the formation of groups of dispensary patients. Performs preventive, therapeutic, diagnostic, rehabilitation measures prescribed by a general practitioner (family doctor) in a polyclinic and at home, participates in outpatient operations. Provides a general practitioner (family doctor) with the necessary medicines, sterile instruments, dressings, overalls. Takes into account the consumption of medicines, dressings, tools, special accounting forms. Monitors the safety and serviceability of medical equipment and equipment, the timeliness of their repair and write-off. Conducts pre-medical examinations, including preventive ones, with a record of the results in an individual card of an outpatient. Identifies and solves medical, psychological problems of the patient within the framework of competence. Provides and provides nursing services to patients with the most common diseases, including diagnostic measures and manipulations (independently and in collaboration with a physician). Conducts classes (according to specially developed methods or a plan drawn up and agreed with the doctor) with various groups of patients. He accepts patients within his competence. Carries out preventive measures: performs preventive vaccinations for the attached population according to the vaccination calendar; plans, organizes, controls preventive examinations of contingents to be examined for the purpose of early detection of tuberculosis; takes measures to prevent infectious diseases. Organizes and conducts hygienic education and education of the population. Provides first aid in case of emergencies and accidents to the sick and injured. Maintains medical records in a timely and accurate manner. Receives the information necessary for the qualitative performance of functional duties. Supervises the work of junior medical staff, controls the volume and quality of their work. Collects and disposes of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the room, the rules of asepsis and antisepsis, the conditions for sterilizing instruments and materials, the prevention of post-injection complications, hepatitis, HIV infection.

Must know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare; theoretical foundations of nursing; the basics of the treatment and diagnostic process, disease prevention, promotion of a healthy lifestyle, as well as family medicine; rules for the operation of medical instruments and equipment; rules for the collection, storage and disposal of waste from medical institutions; statistical indicators characterizing the state of health of the population and the activities of medical organizations; fundamentals of the functioning of budget-insurance medicine and voluntary medical insurance; bases of clinical examination; social significance of diseases; rules for maintaining accounting and reporting documentation of a structural unit; main types of medical documentation; medical ethics; psychology of professional communication; fundamentals of labor legislation; internal labor regulations; rules on labor protection and fire safety.

Qualification requirements. Secondary vocational education in the specialty "General Medicine", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "General Practice" without presenting requirements for work experience.

Order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n
"On the approval of the Unified Qualification Directory for the positions of managers, specialists and employees,
section "Qualification characteristics of positions of workers in the field of healthcare"
(Registered in the Ministry of Justice of the Russian Federation on August 25, 2010 N 18247)

List of medical records of a general practice institution - family medicine

1. Card of a patient in a day hospital of a polyclinic, a hospital at home (f. 003-2 / o).

2. Medical record of an outpatient (f. 025 / y).

3. Voucher for an outpatient in a general practice institution - family medicine (f. 025-6-1 / o).

4. family journal plots of a family doctor (f. 025-8-1 / o).

5. Referral for a consultation in diagnostic rooms, laboratories and examination results (f. 028-1 / y).

6. Control card of dispensary observation (f. 030 / y).

7. Book of records of doctors' house calls (f. 031 / y).

8. Journal of obstetric care at home (f. 032 / y).

9. Book of registration of certificates of incapacity for work (f. 036 / y).

10. Record of visits to the polyclinic (outpatient clinic), dispensary, consultation, home (f. 039 / y).

11. Emergency notification of an infectious disease, food, acute occupational poisoning, unusual reaction to vaccination (f. 058 / y).

12. Register of infectious diseases (f. 060 / y).

13. Card of preventive vaccinations (f. 063 / y).

14. Register of preventive vaccinations (f. 064 / y).

15. Journal of recording outpatient operations (f. 0b9 / o).

16. Help for obtaining a ticket (f. 070 / y).

17. Consolidated record of diseases and causes of death in this

medical institution for children under 17 years old inclusive (f. 071 / y).

18. Consolidated record of diseases and causes of death in this medical institution among the adult population (f. 071-1 / y).

19. Consolidated record of newly registered injuries and poisonings in this medical institution (f. 071 -2 / o).

20. Sanatorium and resort card (f. 072 / y).

21. Sanatorium-resort card for children and adolescents (f. 076 / y).

22. A ticket to a children's sanatorium (f. 077 / y).

23. Medical certificate for a student who is leaving for a health camp (f. 079 / y).

26. Certificate of the period of temporary disability for submission to the insurance company (form 094-I / o).

27. Medical certificate of death (f. 106 / o 95).

28. Individual card of a pregnant woman and a puerperal (f. 111 / y).

29. The history of the development of the child (f. 112 / y).

30. List of persons subject to periodic medical examination (f. 122/0).

31. Journal of registration of the dead (f. 151 / y).

32. Journal of registration of newborns (f. I52 / o).

33. Recipes f. 1, f. 2.

The main functions and content of the work of a family doctor. Regulations on a general practitioner - family doctor

General provisions

1.1. General practitioner - family doctor(hereinafter referred to as the family doctor) is specialist with higher medical education having the legal right to provide primary health care assigned families and others assigned categories of the population regardless of age, gender and nature of pathology.

1.2. The position of a family doctor is assigned to a doctor who has completed an internship in the specialty "general practice - family medicine", or doctors with a degree in general medicine and pediatrics who have been trained in the cycle of specialization in family medicine in higher medical education with various forms of training doctors and received a certificate of a specialist in the specialty "general practice (family medicine)".

1.3. The family doctor carries out its activities:

In a state medical institution (P MSD center, medical unit. City or rural outpatient clinic, outpatient clinic of the ZPSM)

- In a non-state medical institution(private, joint-stock, public, etc.).

1.4. A family doctor can work individually or in a group of family doctors (group practice). Depending on the structure of the population serving the team of doctors, it is advisable to involve specialists, including social workers.

1.5. A family doctor works under a contract (agreement) with state or municipal authorities, medical insurance companies, and medical institutions.

1.6. The contingents of the population, their number are formed taking into account the right of free choice of a doctor and are fixed by the terms of the contract.

1.7. A family doctor provides outpatient appointments and home visits, a set of preventive, diagnostic, therapeutic and rehabilitation measures in all age groups, for all types of diseases and injuries in accordance with the qualification characteristics of a specialist in the specialty "general practice - family medicine", provides urgent medical assistance in emergency conditions and traumatic injuries, assistance in solving medical and social problems of the family.

1.8. By agreement, a family doctor may be allocated hospital beds in a day hospital for patient management. The family doctor organizes home hospitals, day hospitals in outpatient clinics.

1.9. The family doctor is directly subordinate to the paramedical staff, with special training as well as in agreement with the social protection authorities - social workers.

1.10. In their activities, a family doctor is guided by this provision, legislative and regulatory documents of Ukraine on health issues.

1.11. Control over the activities of a family doctor is carried out in accordance with the established procedure by the health authorities at the place of work of the doctor.

1.12. Evaluation of the activities of a family doctor is carried out on the basis of a system of indicators of the volume and quality of his activities.

1.13. The appointment and dismissal of a family doctor is carried out in accordance with applicable law and the terms of the contract.

We bring to your attention a typical example of a job description for a nurse of a general practitioner (family doctor), a sample of 2019. should include the following sections: general position, duties of a nurse of a general practitioner (family doctor), rights of a nurse of a general practitioner (family doctor), responsibility of a nurse of a general practitioner (family doctor).

Job description of a nurse of a general practitioner (family doctor) belongs to the section Qualification characteristics of positions of workers in the field of healthcare".

The job description of a nurse of a general practitioner (family doctor) should reflect the following items:

Responsibilities of a nurse of a general practitioner (family doctor)

1) Job responsibilities. Organizes an outpatient appointment with a general practitioner (family doctor), provides him with individual cards of outpatients, prescription forms, referrals, prepares devices and tools for work. Maintains personal records, information (computer) database of the health status of the population served, participates in the formation of groups of dispensary patients. Performs preventive, therapeutic, diagnostic, rehabilitation measures prescribed by a general practitioner (family doctor) in a polyclinic and at home, participates in outpatient operations. Provides a general practitioner (family doctor) with the necessary medicines, sterile instruments, dressings, overalls. Takes into account the consumption of medicines, dressings, tools, special accounting forms. Monitors the safety and serviceability of medical equipment and equipment, the timeliness of their repair and write-off. Conducts pre-medical examinations, including preventive ones, with a record of the results in an individual card of an outpatient. Identifies and solves medical, psychological problems of the patient within the framework of competence. Provides and provides nursing services to patients with the most common diseases, including diagnostic measures and manipulations (independently and in collaboration with a physician). Conducts classes (according to specially developed methods or a plan drawn up and agreed with the doctor) with various groups of patients. He accepts patients within his competence. Carries out preventive measures: performs preventive vaccinations for the attached population according to the vaccination calendar; plans, organizes, controls preventive examinations of contingents to be examined for the purpose of early detection of tuberculosis; takes measures to prevent infectious diseases. Organizes and conducts hygienic education and education of the population. Provides first aid in case of emergencies and accidents to the sick and injured. Maintains medical records in a timely and accurate manner. Receives the information necessary for the qualitative performance of functional duties. Supervises the work of junior medical staff, controls the volume and quality of their work. Collects and disposes of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the room, the rules of asepsis and antisepsis, the conditions for sterilizing instruments and materials, the prevention of post-injection complications, hepatitis, HIV infection.

The general practitioner (family doctor) nurse should know

2) A nurse, a general practitioner (family doctor), in the performance of her duties, must know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare; theoretical foundations of nursing; the basics of the treatment and diagnostic process, disease prevention, promotion of a healthy lifestyle, as well as family medicine; rules for the operation of medical instruments and equipment; rules for the collection, storage and disposal of waste from medical institutions; statistical indicators characterizing the state of health of the population and the activities of medical organizations; fundamentals of the functioning of budget-insurance medicine and voluntary medical insurance; bases of clinical examination; social significance of diseases; rules for maintaining accounting and reporting documentation of a structural unit; main types of medical documentation; medical ethics; psychology of professional communication; fundamentals of labor legislation; internal labor regulations; rules on labor protection and fire safety.

Requirements for the qualification of a nurse of a general practitioner (family doctor)

3) Qualification requirements. Secondary vocational education in the specialty "General Medicine", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "General Practice" without presenting requirements for work experience.

Job description of a nurse of a general practitioner (family doctor) - a sample of 2019. The duties of a nurse of a general practitioner (family doctor), the rights of a nurse of a general practitioner (family doctor), the responsibility of a nurse of a general practitioner (family doctor).

Job description of a nurse of a general practitioner [name of organization, institution]

This job description was developed and approved in accordance with the provisions of the order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On approval of the Unified Qualification Handbook for the positions of managers, specialists and employees, section" Qualification characteristics of positions of workers in the field of healthcare ", and other legal acts regulating labor relations.

1. General Provisions

1.1. The nurse of a general practitioner (family doctor) belongs to the category of specialists and reports directly to [title of the head].

1.2. A nurse of a general practitioner (family doctor) is appointed to the position and dismissed from it by order of [position title].

1.3. A person who has a secondary professional education in the specialty "General Medicine", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "General Practice" without presenting requirements for work experience is accepted for the position of a nurse of a general practitioner (family doctor).

1.4. A general practitioner (family doctor) nurse should know:

Laws and other regulatory legal acts of the Russian Federation in the field of healthcare;

Theoretical foundations of nursing;

Fundamentals of the treatment and diagnostic process, disease prevention, promotion of a healthy lifestyle, as well as family medicine;

Rules for the operation of medical instruments and equipment;

Statistical indicators characterizing the state of health of the population and the activities of medical organizations;

Rules for the collection, storage and disposal of waste from medical institutions;

Fundamentals of the functioning of budget-insurance medicine and voluntary medical insurance;

Fundamentals of clinical examination;

The social significance of diseases;

Rules for maintaining accounting and reporting documentation of a structural unit;

Main types of medical documentation;

medical ethics;

Psychology of professional communication;

Basics of labor legislation;

Internal labor regulations;

Rules of sanitary, personal hygiene;

Rules and norms of labor protection, safety and fire protection.

2. Job responsibilities

The following duties are assigned to the nurse of a general practitioner (family doctor):

2.1. Organization of an outpatient appointment with a general practitioner (family doctor), providing him with individual cards of outpatients, prescription forms, referrals, preparation for the operation of devices, tools.

2.2. Maintenance of personal records, information (computer) database of the health status of the population served, participation in the formation of groups of dispensary patients.

2.3. Implementation of preventive, therapeutic, diagnostic, rehabilitation measures prescribed by a general practitioner (family doctor) in a polyclinic and at home, participation in outpatient operations.

2.4. Providing a general practitioner (family doctor) with the necessary medicines, sterile instruments, dressings, overalls.

2.5. Accounting for the consumption of medicines, dressings, tools, special accounting forms.

2.6. Monitoring the safety and serviceability of medical equipment and equipment, the timeliness of their repair and write-off.

2.7. Carrying out pre-medical examinations, including preventive ones, with recording the results in an individual card of an outpatient.

2.8. Identification and solution within the competence of medical, psychological problems of the patient. Providing and providing nursing services to patients with the most common diseases, including diagnostic measures and manipulations (independently and in collaboration with a doctor).

2.9. Conducting classes (according to specially developed methods or a plan drawn up and agreed with the doctor) with various groups of patients.

2.10. Reception of patients within their competence.

2.11. Carrying out preventive measures: performing preventive vaccinations for the attached population according to the vaccination calendar; planning, organization, control of preventive examinations of contingents to be examined for the purpose of early detection of tuberculosis; taking measures to prevent infectious diseases.

2.12. Organization and conduct of hygienic education and upbringing of the population.

2.13. Providing first aid in case of emergencies and accidents to the sick and injured.

2.14. Timely and high-quality maintenance of medical records.

2.15. Obtaining the information necessary for the qualitative performance of functional duties.

2.16. Managing the work of junior medical personnel, monitoring the volume and quality of their work.

2.17. Collection and disposal of medical waste.

2.18. Implementation of measures to comply with the sanitary and hygienic regime in the room, the rules of asepsis and antisepsis, the conditions for sterilizing instruments and materials, the prevention of post-injection complications, hepatitis, HIV infection.

2.19. [Other Job Responsibilities].

3. Rights

The nurse of a general practitioner (family doctor) has the right to:

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

3.2. For the free issue of special clothing, special footwear and other personal protective equipment.

3.3. Receive information about the activities of the organization necessary for the performance of functional duties from all departments directly or through the immediate supervisor.

3.4. Require the management of the organization to assist in the performance of their professional duties and the exercise of rights.

3.5. Get acquainted with the draft orders of the management regarding its activities.

3.6. Participate in meetings that discuss issues related to its work.

3.7. 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.

3.8. Improve your professional qualifications.

3.9. [Other rights under labor law Russian Federation].

4. Responsibility

The nurse of a general practitioner (family doctor) 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]

1. General Provisions

1. This job description defines the job duties, rights and responsibilities of a general practitioner nurse.

2. A person who has a secondary professional education in the specialty "Medicine", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "General Practice" without presenting requirements for work experience is appointed to the position of a nurse of a general practitioner.

3. A general practitioner nurse should know:

laws and other regulatory legal acts of the Russian Federation in force in the field of healthcare; theoretical foundations of nursing; the basics of the treatment and diagnostic process, disease prevention, promotion of a healthy lifestyle, as well as family medicine; rules for the operation of medical instruments and equipment; rules for the collection, storage and disposal of waste from healthcare facilities; statistical indicators characterizing the state of health of the population and the activities of medical organizations; fundamentals of the functioning of budget-insurance medicine and voluntary medical insurance; bases of clinical examination; social significance of diseases; rules for maintaining accounting and reporting documentation of a structural unit; main types of medical documentation; medical ethics; psychology of professional communication; fundamentals of labor legislation; internal labor regulations; rules on labor protection and fire safety.

4. A nurse of a general practitioner is appointed to the position and dismissed by order of the head of the organization in accordance with the current legislation of the Russian Federation.

5. The general practitioner's nurse is directly subordinate to the general practitioner.

2. Job responsibilities

Organizes an outpatient appointment with a general practitioner (family doctor), provides him with individual cards of outpatients, prescription forms, referrals, prepares devices and tools for work. Maintains personal records, information (computer) database of the health status of the population served, participates in the formation of groups of dispensary patients. Performs preventive, therapeutic, diagnostic, rehabilitation measures prescribed by a general practitioner (family doctor) in a polyclinic and at home, participates in outpatient operations. Provides a general practitioner (family doctor) with the necessary medicines, sterile instruments, dressings, overalls. Takes into account the consumption of medicines, dressings, tools, special accounting forms. Monitors the safety and serviceability of medical equipment and equipment, the timeliness of their repair and write-off. Conducts pre-medical examinations, including preventive ones, with a record of the results in an individual card of an outpatient. Identifies and solves medical, psychological problems of the patient within the framework of competence. Provides and provides nursing services to patients with the most common diseases, including diagnostic measures and manipulations (independently and in collaboration with a physician). Conducts classes (according to specially developed methods or a plan drawn up and agreed with the doctor) with various groups of patients. He accepts patients within his competence. Carries out preventive measures: performs preventive vaccinations for the attached population according to the vaccination calendar; plans, organizes, controls preventive examinations of contingents to be examined for the purpose of early detection of tuberculosis; takes measures to prevent infectious diseases. Organizes and conducts hygienic education and education of the population. Provides first aid in case of emergencies and accidents to the sick and injured. Maintains medical records in a timely and accurate manner. Receives the information necessary for the qualitative performance of functional duties. Supervises the work of junior medical staff, controls the volume and quality of their work. Collects and disposes of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the room, the rules of asepsis and antisepsis, the conditions for sterilizing instruments and materials, the prevention of post-injection complications, hepatitis, HIV infection.

3. Rights

The general practitioner nurse has the right to:

  1. make proposals to the management on improving the organization and improving the conditions of their work;
  2. control, within its competence, the work of junior medical personnel (if any), give them orders and demand their strict execution, make proposals to the management for their encouragement or imposition of penalties;
  3. request, receive and use information materials and legal documents necessary for the performance of their duties;
  4. take part in scientific and practical conferences and meetings, which discuss issues related to its work;
  5. pass certification in accordance with the established procedure with the right to obtain the appropriate qualification category;
  6. improve their qualifications at refresher courses at least once every 5 years.

A general practitioner nurse enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The GP nurse is responsible for:

  1. performance of the duties assigned to it;
  2. failure to provide medical care to patients in life-threatening conditions, for illegal actions or inaction that resulted in damage to the health or death of the patient;
  3. timely and qualified execution of orders, instructions and instructions of the management, regulatory legal acts on their activities;
  4. compliance with internal regulations, fire safety and safety;
  5. timely and high-quality execution of medical and other official documentation provided for by the current regulatory documents;
  6. providing, in accordance with the established procedure, statistical and other information on its activities;
  7. prompt action, including timely informing management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of a medical organization, its employees, patients and visitors.

For violation of labor discipline, legislative and regulatory legal acts, a nurse of a general practitioner may be held in accordance with applicable law, depending on the severity of the misconduct, to disciplinary, material, administrative and criminal liability.