Nurses for holding pre-trip medical examinations. Office of a medical worker on pre-trip medical examinations of drivers work of the pre-trip inspection medical sister

  • Date: 20.06.2020

Office of a medical worker on pre-trip medical examinations of drivers [name of the organization, enterprise]

This job description was developed and approved in accordance with the provisions, "Instructions on holding pre-trip medical inspections of motorways of autotransport funds", approved by the Order of the USSR Ministry of Health of September 29, 1989 N 555, Methodical Recommendations "Medical Support of Road Safety. Organization and procedure for pre-trip Medical inspections of vehicle drivers "approved by the Ministry of Health of the Russian Federation and the Ministry of Transport of the Russian Federation on January 29, 2002 and other regulatory acts regulating labor relations.

1. General Provisions

1.1. Pre-trip medical inspections of motor vehicles drivers are conducted by a medical worker of the organization, with the aim of identifying persons who do not be allowed to manage a car both from the position of ensuring the safety of road traffic and the health of the driver and passengers.

1.2. Medical employee according to pre-trip medical examinations directly subordinate [name of the head].

1.3. Pre-trip medical examinations are carried out only by a medical worker who has the appropriate certificate.

1.4. A medical worker on pre-trip medical examinations is accepted and dismissed from work by order [the position of the head of the organization].

1.5. Medical employee for pre-trip medical examinations should know:

Decisions, orders, orders and other guidelines, methodological and regulatory documents for conducting pre-trip medical examinations of drivers;

The procedure and rules for handling instruments intended for measuring blood pressure, pulse, body temperature, determination of the reaction to the presence of alcohol in exhaled air;

Methods of pre-trip inspections of drivers;

Rules of the organization's internal labor regulation;

Basics of Labor Organization;

Rules for labor protection, industrial sanitation and fire safety.

1.6. Professionally important qualities: [List quality].

2. Official duties

The following job responsibilities are assigned to the medical worker on pre-trip medical examinations:

2.1. Implementation of control over the health of drivers.

2.2. Conducting pre-trip medical examinations before the start of the work shift, including:

Collection of anamnesis;

Determination of blood pressure and pulse;

Determination of alcohol and other psychotropic substances in exhaled air or biological substrates one of the officially recognized methods;

In the presence of testimony - any other permitted medical studies necessary to solve the issue of admission to work.

2.3. Entering the results of a pre-trip medical inspection log.

2.4. Deciding on the tolerance of drivers to work.

2.5. Upon admission to the flight, a medical worker on travel sheets puts a stamp "Passed pre-trip medical examination" and signature.

2.6. If necessary, first aid.

2.7. Registration in the prescribed manner of directions to medical institutions of drivers.

2.8. According to the results of pre-trip medical inspection, the maintenance of politician accounting of drivers detached from the work, for which the blanks of the outpatient patient cards are used (form 25). Covering the results of examination in a map (history, objective inspection data, the cause of removal).

2.9. Analysis of the reasons for removing drivers from work.

2.10. Taking participation in the investigation of road accidents, in order to identify the reasons depending on the health status of the driver who has committed a traffic accident.

2.11. Analysis of the effectiveness of pre-trip medical examinations of drivers.

2.12. Once a year, drawing up a list of persons consisting on dispensary accounting, as well as in the primary identification of patients with a diagnosis and brief recommendations for admission to work.

2.13. Informing the head of the organization on the results of the inspection.

3. Employee Rights

Medical employee for pre-trip medical examinations has the right:

3.1. All social guarantees provided for by law.

3.2. Require from the head of the organization to assist in the performance of its professional duties and the implementation of rights.

3.3. To improve the qualifications on the organization of pre-trip medical examinations.

3.4. Submit proposals on issues related to the execution of official duties provided for by this official instruction.

3.5. To request personally or on behalf of the direct supervisor, documents, materials, tools, etc. necessary to fulfill their job responsibilities.

3.6. Other rights provided for by labor legislation.

4. Employee responsibility

Medical employee for pre-trip medical examinations is responsible:

4.1. Disciplinary, and in cases stipulated by law and other responsibility for the quality of the pre-trip medical examination and issuing a conclusion on the admission of drivers to the management of the vehicle.

Head of the Structural Unit [initials, surname]

[signature]

[day month Year]

Agreed:

Head of Legal Department [initials, surname]

[signature]

[day month Year]

Instructions are familiar with: [initials, surname]

[signature]

[day month Year]

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Updated: 12.12.2019 14:47

"Approve"
_____________________

"____" _________ 20__

Job description
nurses for pre-trip medical examinations
motor vehicles

1. General Provisions

1.1. For the position of nurses to conduct pre-trip medical inspections of motor vehicles, a person with a middle medical education, which has passed special training and having a corresponding certificate are appointed.

1.2. Subordinates the head of the medical office and ........................................., and when combined The posts of the head of honeybee and nurse - ....................................

1.3. In practical work, guided by the methodological recommendations of "Organization and the procedure for holding pre-trip medical examinations of motor vehicles", approved by the Ministry of Health of the Russian Federation and the Ministry of Transport of the Russian Federation on January 29, 2002.

2. Official duties

2.1. The main task of pre-trip medical examinations is the identification of vehicles from drivers of vehicles of various diseases, signs of alcohol, drugs, forbidden drugs, residual phenomena of alcohol intoxication (hangover syndrome), fatigue. In case of identifying specified signs, drivers are not allowed to manage vehicles.

2.2. Take drivers of motor vehicles for pre-trip medical examination of individually each, with a track sheet.

2.3. Start an inspection with a driver survey, finding out its subjective well-being, the presence or absence of complaints of health. When the driver is expressed by the driver, a medical worker is obliged to identify and confirm (or disprove) their objectivity when inspecting).

2.4. The grounds for removal of motor vehicles are the following deviations in the health state:

  • the presence of symptoms of acute disease or exacerbation of chronic disease (an increase in body temperature over 370 s, complaints about poor health, general weakness, headache and toothache, acute eye disease, pain in the ear, chest or abdominal cavity, etc.).
  • increased or degradation of heart rate and changes in blood pressure above or below the levels characteristic of the driver inspected.
  • finding under the action of alcoholic beverages or other means (narcotic and psychotropic drugs or toxicants) that violate the functional state. In this case, a medical worker conducting a pre-trip medical examination is obliged to monitor the sobriety of the driver.

2.5. The results of a pre-trip medical examination are mandatory to enable the established sample log.

2.6. In the absence of complaints and objective grounds for removing work (p. 2.4.) To allow the driver to work with a mark in the track sheet (stamp prostano), indicating the date, the exact time of the passage of medical examination, surnames, initials and the signatures of the medical worker who conducted Survey.

2.7. When identifying during pre-inspection medical examination of signs of drinking alcohol, narcotic and other psychoactive substances, to control the driver's sobriety. When determining the control of sobriety to determine the state of health, the driver's inspected must be subjected to a clinical examination and should be laboratory diagnostics of the driver's biological media (exhaled air and urine). Blood fence is strictly prohibited. When monitoring sobriety, it is obligatory to compile a protocol for controlling the sobriety of the established form in two copies, clearly and specifically filling each point of the document. One copy of the protocol remains at the health worker, the second is issued to the head of the organization.

2.8. Each case of sobriety control should be registered in a special issue-figuced, laid journal, bonded by the organization. The magazine records the name, name, patronymic, age, place of work and position, the cause of the direction for the examination, who is sent, the date and time of the control of sobriety, the conclusion, the measures taken, the surname and initials of the medical worker.

2.9. If there are severe signs of intoxication, as well as the failure of the surveyed person from examination, hardware or test research, the administration of the organization is drawn up with an act on the emergence of an employee in the workplace in a drunken state.

2.10. Retained from work on the health of drivers to send during working hours to a doctor to the clinic at the place of residence or to serving it with a polyclinic on medical insurance, while not working time - to recommend to appear in the clinic on the next day to address the issue of recognition of the driver disrupted timelessly disabled and issuing a hospital sheet in the prescribed manner. At the same time, to give the driver a certificate for his signature, in arbitrary form, indicating the hour of exemption from work and short data on the nature of the disease or injury.

2.11. Admission to the work of persons suffering from hypertension or explicit hypotension, to carry out strictly individually according to the recommendations of the doctor. These recommendations are recorded in the health status card. The map is filled with a medical worker on drivers who have chronic diseases.

2.12. Once a year, as well as in the primary identification of patients to draw lists of persons co-standing on dispensary accounting, indicating the diagnosis and brief recommendations for admission to work.

2.13. Monthly summarizes pre-trip medical examinations with the analysis of the causes of the removal from the work of the drivers, the results bring to the attention of the head of the organization.

2.14. Provide accounting and storage of drugs in a special dosage cabinet.

2.15. Provide strict observance of all the rules of asepsis and antiseptics in the office during procedures. Sterilize the toolkit and material in accordance with the applicable instructions.

2.16. Ensure the sanitary and hygienic content of the medical device.

2.17. Will conduct the necessary Cabinet accounting documentation in the prescribed form, timely compile applications for tools, equipment, medicines and dressing material.

2.18. We systematically increase their professional qualifications by participating in conferences for medium-sized medical personnel in medical institutions on applications through the head of the organization.

3. Rights

3.1. In the absence of a doctor, provide emergency prefigure medical care for patients in honey.

3.2. Improve professional qualifications at special courses in the prescribed manner.

3.3. Require compliance with the rules of asepsis and antiseptics when working in the honeycomb.

3.4. Receive the information necessary to fulfill their job duties.

3.5. To make suggestions to the management of the company aimed at improving work on pre-trip medical inspections of motor vehicles.

4. Responsibility

4.1. A medical professional carries a disciplinary, and in cases provided by law-based and other responsibility for the quality of pre-trip medical examination and issuing a conclusion about the admission of drivers to the management of the vehicle.

4.2. It is responsible for non-fulfillment, fuzzy or late fulfillment of the duties stipulated by this Instruction and the rules of the Company's domestic labor regulation.

__________________________________________
(direct supervisor)

The job description is familiar with:
(Date, signature, surname):

________________________________________________________________________

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