Who belongs to the nursing staff. Professional standard for junior medical personnel. I. Heads of health facilities

In accordance with subparagraph 5.2.100.91 of the Regulations on the Ministry of Health and social development Russian Federation, approved by Decree of the Government of the Russian Federation of June 30, 2004 No. 321 (Collected Legislation of the Russian Federation, 2004, No. 28, Art. 2898; 2005, No. 2, Art. 162; 2006, No. 19, Art. 2080; 2008, No. 11 (1 part), item 1036; No. 15, item 1555; No. 23, item 2713; No. 42, item 4825; No. 46, item 5337; No. 48, item 5618; 2009, No. 2 244; No. 3, item 378; No. 6, item 738; No. 12, items 1427, 1434; No. 33, items 4083, 4088; No. 43, item 5064; No. 45, item

Other personnel in healthcare facilities

5350; 2010, no. 4, art. 394; No. 11, Art. 1225; No. 25, Art. 3167; No. 26, Art. 3350; No. 31, Art. 4251; No. 35, Art. 4574; No. 52 (part 1), art. 7104; 2011, no. 2, art. 339; No. 14, Art. 1935, 1944; No. 16, art. 2294),

I ORDER:

Approve the Nomenclature of positions of medical and pharmaceutical personnel and specialists with higher and secondary vocational education health care institutions according to the application.

Minister
T.A. Golikova

Application
to the order of the Ministry
health and
social development
Russian Federation
dated July 25, 2011 No. 801n

The nomenclature of positions of medical and pharmaceutical personnel and specialists with higher and secondary vocational education in healthcare institutions

I. Heads of health facilities

1. Chief Physician(president, director, manager, chief, manager).

2. Director of the hospital (home) nursing care, hospice.

3. Director (manager) of a pharmacy organization.

4. Head of the medical warehouse of the mobilization reserve.

5. Head of the dairy kitchen.

6. Deputy head (chief physician, director, head, chief, manager).

7. Chief nurse, chief midwife, chief paramedic.

8. Head (chief doctor, director, head) of the federal budget institution Federal Service on supervision in the field of consumer protection and human well-being and the Federal Medical and Biological Agency.

II. Heads of structural subdivisions (departments, departments, laboratories, offices, detachments, etc.)

1. Manager.

2. Head.

III. Medical and pharmaceutical staff

1. Doctors:

a) a trainee doctor;

b) medical specialists, including:

doctor in aviation and space medicine;

obstetrician-gynecologist;

obstetrician-gynecologist of the shop medical section;

allergist-immunologist;

anesthesiologist-resuscitator;

bacteriologist;

virologist;

gastroenterologist;

hematologist;

geneticist;

geriatrician;

doctor-disinfectologist;

dermatovenereologist;

pediatric cardiologist;

pediatric oncologist;

pediatric urologist-andrologist;

pediatric surgeon;

pediatric endocrinologist;

diabetologist;

dietitian;

health center doctor;

infectious disease physician;

cardiologist;

doctor of clinical laboratory diagnostics;

clinical mycologist;

clinical pharmacologist;

coloproctologist;

cosmetologist;

laboratory doctor; *

* The title of the position "laboratory doctor" is retained for specialists hired for this position before October 1, 1999.

laboratory geneticist;

laboratory mycologist;

manual therapy doctor;

methodologist;

neurologist;

neurosurgeon;

neonatologist;

nephrologist;

general practitioner (family doctor);

oncologist;

orthodontist;

otorhinolaryngologist;

ophthalmologist;

ophthalmologist-prosthetist;

pathologist;

pediatrician;

city ​​(district) pediatrician;

local pediatrician;

plastic surgeon;

diving medicine doctor;

hygienist for children and adolescents;

food hygienist;

occupational health doctor;

doctor for hygienic education;

communal hygiene doctor;

physiotherapist;

doctor for medical and social expertise;

general hygienist;

radiation hygienist;

doctor for X-ray endovascular diagnostics and treatment;

doctor for sanitary and hygienic laboratory research;

sports medicine doctor;

admissions doctor;

occupational pathologist;

psychiatrist;

local psychiatrist;

pediatric psychiatrist;

district pediatric psychiatrist;

adolescent psychiatrist;

teenage district psychiatrist;

psychiatrist-narcologist;

local psychiatrist-narcologist;

psychotherapist;

pulmonologist;

radiologist;

radiotherapist;

rheumatologist;

radiologist;

reflexologist;

sexologist;

cardiovascular surgeon;

emergency doctor medical care;

statistician;

dentist;

pediatric dentist;

dentist-orthopedist;

dentist-therapist;

dentist-surgeon;

forensic medical expert;

forensic psychiatric expert;

audiologist-otorhinolaryngologist;

audiologist-prosthetist;

therapist;

adolescent therapist;

district physician;

physician-therapist of the local shop medical section;

toxicologist;

thoracic surgeon;

traumatologist-orthopedist;

transfusiologist;

doctor of ultrasound diagnostics;

urologist;

physiotherapist;

phthisiatrician;

district phthisiatrician;

doctor of functional diagnostics;

surgeon;

maxillofacial surgeon;

endocrinologist;

endoscopist;

epidemiologist;

senior doctor of the station (department) of emergency medical care;

senior doctor of the station (department) of emergency medical care of mountain rescue units;

ship's doctor.

2. Pharmacists:

trainee pharmacist;

pharmacist-analyst;

pharmacist-technologist;

senior inspector.

3. Nursing staff:

head of the feldsher-obstetric station - paramedic (midwife, nurse);

head of the health center - paramedic (nurse);

production manager of institutions (departments, departments, laboratories) of dental prosthetics;

Dentist;

senior nurse (midwife, paramedic, operating nurse, dental technician);

paramedic;

ambulance paramedic;

ambulance driver;

laboratory assistant (medical laboratory technician);

paramedic-narcologist;

paramedic for receiving ambulance calls and transferring them to mobile ambulance teams;

dental hygienist;

Dental Technician;

instructor-disinfector;

hygiene education instructor;

physiotherapy instructor;

laboratory assistant;

nurse;

nurse anesthetist;

nurse of a general practitioner (family doctor);

dietary nurse;

nurse of medical and social assistance;

ward nurse (guard);

nursing nurse;

dressing nurse;

cosmetic nurse;

massage nurse;

a nurse for receiving emergency calls and transferring them to mobile ambulance teams;

physiotherapy nurse;

rehabilitation nurse;

admissions nurse;

procedural nurse;

sterilization nurse;

district nurse;

medical disinfector;

medical laboratory technician;

medical optician-optometrist;

medical registrar;

medical statistician;

medical technologist;

operating room nurse;

assistant entomologist;

radiologist.

4. Paramedical staff:

senior pharmacist;

pharmacist.

5. Junior medical staff:

nursing assistant;

medical attendant;

housewife sister.

6. Junior pharmaceutical staff:

junior pharmacist;

packer;

nurse (washer).

IV. Specialists with higher professional education

1. Biologist.

2. Zoologist.

3. Engineer for technical means of rehabilitation of the disabled.

4. Instructor-methodologist in physiotherapy exercises.

5. Consultant for vocational rehabilitation of the disabled.

6. Medical psychologist.

7. Medical physicist.

8. Professional orientation specialist for the disabled.

9. Specialist in social work.

10. Specialist in labor physiology.

11. Ergonomics specialist.

12. Forensic expert (expert biochemist, expert geneticist, expert chemist).

13. Chemist-expert of healthcare institutions.

14. Expert physicist in the control of sources of ionizing and non-ionizing radiation.

15. Embryologist.

16. Entomologist.

V. Specialists with secondary vocational education

1. Occupational Therapy Instructor.

2. Instructor of industrial training for workers of mass professions.

3. Social worker.

4. Technician for technical means of rehabilitation of the disabled.

Notes:

1. The names of the positions of the deputy head of the healthcare institution (chief physician, director, head, chief, manager) are supplemented with the name of the section of work, which he manages. For example, “deputy chief physician for medical affairs”, “deputy chief physician for work with nursing staff" and etc.

2. The name of the position of a doctor is formed taking into account the specialty in which the employee has the appropriate training and work in which is imputed to the circle of his duties. For example, "physician".

3. Names of positions of managers structural divisions(departments, departments, laboratories, offices, detachments, etc.) are supplemented by the name of the position of the doctor, corresponding to the profile of the structural unit. For example, “the head of the surgical department is a surgeon”.

4. In a specialized health care institution or if there is a relevant specialized subdivision in the health care institution, the title of the position "doctor of the admission department" is supplemented with the title of the position of a doctor of the corresponding specialty. For example, "the doctor of the emergency department - the doctor of emergency medical care."

5. The names of the positions "obstetrician", "orderly", "packer" filled by females are named respectively: "midwife", "nurse", "packer"; and the name of the position “nurse”, filled by males, is called “nurse brother (nurse)”.

advertisement
Advertisement has no influence on content

A nurse (in the male version: a nurse) is a specialist with a specialized secondary medical education who helps a doctor, provides first aid, and performs many tasks for the needs of a medical institution.

Depending on the doctor of which specialty the nurse is assigned, she performs various auxiliary functions: collecting tests, performing injection prescriptions, droppers, changing linen, organizing medical nutrition, preparing surgical instruments, filling out medical documents.

The nurse is engaged in medical procedures, monitors the well-being of patients, distributes medicines, observing their dosage prescribed by the doctor, keeps records of medical equipment, controls the timing technical inspection medical equipment, submits documents for registration.

The profession of a nurse is designed to facilitate the work of a doctor, to free up his time for receiving patients and performing professional duties.

The nurse facilitates the work of the doctor, frees up his time for receiving patients and performing professional duties.

Nursing Specializations

There are many specializations of professions:

• chief nurse supervises the work of all nurses, fulfills requests for the purchase of medicines, dressings, and other means medical purpose, and also draws up a schedule of duty and vacations for nurses, monitors the material and technical equipment of the hospital. She must have a high school diploma.
• Senior nurse helps the head of the department, is responsible for the order in the department, controls the nurses and nurses subordinate to her.
• junior nurse takes care of patients, follows the instructions of senior colleagues.
• post nurse Responsible for the implementation of doctor's prescriptions, controls medication, visits to relatives.
• Charge nurse monitors the condition of patients in the wards of the ordinary and intensive care, is responsible for compliance with bed rest, diet, measures blood pressure, pulse, respiratory rate.
• procedural nurse works in the treatment room, makes injections, droppers, medical manipulations, prescribed by a doctor (nebulizer, aspirator), collects analyzes and sends them to the laboratory.
• operating room nurse assists the surgeon before, during and after the operation: prepares instruments, assists during surgery, counts the instruments and dressings used during the operation.
• surgical nurse works in surgical department, in the dressing room, makes dressings, removes sutures, assists the surgeon with minor surgical interventions (opening a boil, placing a catheter, drainage).
• laboratory nurse accepts biological material and performs manipulations as directed by the doctor.
• Patronage Nurse monitors the condition of the newborn after his discharge from the maternity hospital, monitors compliance with the schedule of vaccinations and examinations of the baby by narrow specialists.
• Gerontological nurse works in a nursing home, in the gerontology department of a medical organization, helps the elderly maintain their health, follows the recommendations of a doctor.
• school nurse(or a pre-school child care institution) monitors the condition of children, admits them to classes after a disease, conducts hardening measures, preventive examinations, performs vaccinations and medical tests, appoints quarantine if infections are detected, gives a diversion from physical education or sports competitions for health reasons.

There are also nurses at specialized departments - physiotherapy, exercise therapy, dental and other offices.

The school nurse monitors the condition of children, conducts preventive examinations, performs vaccinations and medical tests.

Places of work

Nurses work in polyclinics and hospitals, in schools, kindergartens, sanatoriums, rest homes, hospices, maternity hospitals, military hospitals, places of detention and many other institutions.

History of the profession

The Sisters of Mercy trace their genealogy back to the 11th century, when in Europe, on the basis of monasteries, the first women's communities began to appear, in which they cared for physically suffering patients. In the 13th century, the first orphanage was opened, where orphans and abandoned children were nursed. Then the sisters of mercy began to help the wounded, a little later they took responsibility for those with leprosy. Officially, the birth of the first community of sisters of mercy dates back to 1641 - then the first school was created to train women in this profession.

In Russia, sisters of mercy have been officially known since 1863, when the Ministry of War issued a decree on the establishment of nursing care for the wounded on a permanent basis. Since 1997, nurses in Russia have received an official code of ethics for communicating with patients.

Sisters of mercy of the Omsk military hospital during the First World War.

Responsibilities of a nurse

The main duties of a nurse are:

• Pre-medical care.
• Patient care.
• Assistance to doctors, sterilization of instruments.
• Collection of biological material for research.
• Fulfillment of medical orders.
• Management of junior medical staff.
• Disposal of medical waste.
• Records management.

Requirements for a nurse

The main requirements for a nurse are as follows:

• Higher medical or secondary medical education, a valid certificate in nursing.
• PC skills.
• Performance and courtesy.

The duties of a nurse include the collection of biological material for research, as well as the execution of medical appointments.

How to become a nurse

To become a nurse, you need:

1. Graduate from a university (faculty of higher nursing education) or a medical school / college with a degree in Nursing.
2. Receive a certificate along with a diploma for the right to self-employment.
3. To be eligible to work as a subspecialty nurse, you must complete advanced training courses.

Nurse's salary

The spread of income is large: a nurse receives from 15,000 to 80,000 rubles a month. The most demanded and paid profession in major cities and in the Far North (in Yamal-Nenets District found a vacancy for a nurse salary 80,000 rubles per month). The work of a nurse at home is paid by agreement.

average salary nurses - about 27,000 rubles per month.

Where to get training

In addition to higher education, there are a number of short-term studies on the market lasting, as a rule, from a week to a year.

The Interregional Academy of Additional Professional Education (MADPO) teaches in the specialization "Nursing" and issues a diploma and a certificate.

Personnel structure of a medical institution in a competitive environment

As you know, the quality of medical care and its availability are determined not only by the adequacy organizational forms and the state of the material and technical base of the medical institution (HCI), but also, to a large extent, the presence of qualified employees with specialized knowledge.

The personnel issue is especially acute in a competitive environment. characterizing the growing market of medical services in Russia. That's why personnel policy of a medical institution at all stages should be permanent, being the key to stability, competitiveness and successful development.

In general, the structural and functional model of a health care facility as a subject of the medical services market, and, therefore, endowed with the function of competition, should contain elements of the system that characterize this organization precisely from the point of view of its competitiveness.

From the point of view of system and integrated approach competitive advantages medical services are provided with legal, professional, technological, market, scientific, economic, organizational, psychological and other aspects, as well as their systemic correlation.

According to a number of experts, the field of attractive and moderate competition in the medical services market can be formed by performing a number of mandatory conditions some of which are listed in Table 1.

sign	Terms
Patient Level	- the right to freely choose a doctor; — ensuring free access of patients to medical institutions and in medical practice; — Equal guaranteed access to the choice of health care providers; — protecting the rights of patients; — health insurance system; — system of non-departmental quality control of medical care
Medical level	— licensing of doctors; — standardization of medical activity; - the right of medical institutions and private practitioners to earn and have a profit; — a system of fixed contractual fees with advance payment; — partnership rights of medical personnel; - open hire medical workers; — adoption of professional ethical standards
Medical facility level	– accreditation of medical institutions; — improving the quality of strategic management decisions; - freedom to adapt the functions, organizational and personnel structure of health facilities to dynamic markets for medical services; — freedom of health care institutions for self-financing and independent activities; — a system of continuous training of personnel
Scientific, economic and information tasks	— scientific substantiation of competition models in the sphere of production and consumption of medical services; — economic methods management of medical institutions; — freedom of commercial investment in the health sector; — information openness of the medical services market
Administrative and managerial and organizational arrangements	— demonopolization of the provision of medical care; — elimination of administrative separation and vertical integration of medical institutions and services; — privatization of medical institutions; — integration of primary health care services; - implementation of optimal and functional solutions for the restructuring of institutions and services of primary health care; – opening of previously closed (departmental) medical institutions for all citizens
State regulation	- development of legislation that creates conditions, guarantees and incentives for entrepreneurship, competition and restructuring of the health care system; - reorientation of new programs and projects in the field of health from vertically coordinated institutions to the level of primary health care centers; — regulation of the competitive environment in the markets of medical services; — address system social guarantees in obtaining medical care by certain categories of the population

Creation of conditions for the formation of a competitive environment in medicine, the formation and development of the competitiveness of medical services and medical work — effective tool on the way to a qualitative change in production relations in the healthcare industry itself and, most importantly, an absolutely necessary condition for the formation of modern market relations between patient and doctor.

The freedom to adapt the organizational and personnel structure of health facilities to dynamic markets for medical services is one of necessary requirements successful functioning of a medical institution in a competitive environment. It is a constituent element of the organization of personnel management of a medical institution, which determines the competitive level of medical facilities.

Scientific summary of modern effective areas of work with medical personnel allows you to select a set of activities that should be included as components in the system of organizing personnel management in health care:

• corporate activities aimed at creating a medical personnel management system and ensuring its functioning (creating departments for personnel management in healthcare facilities, developing long-term plans for managing human resources in healthcare facilities, creating an effective system for training and retraining personnel, attesting workplaces, creating a local computer network and etc.);
• training of all leading health personnel in an integrated systematic approach to solving personnel issues and mastering the technology of personnel management and individual sections of this work;
• ensuring a qualified personnel management process: organizing a full-fledged information support of this process in all sections of the work, systematic monitoring of the content of programs for obtaining information on personnel, making qualified decisions, planning and their implementation, the use of rational forms of regulation of the system of organization and work with personnel, monitoring the implementation of orders, plans for personnel issues.

Generally The personnel structure of health facilities can be divided into three groups:

• administrative and managerial staff of health facilities;
• medical staff of health facilities;
• employees and housekeeping staff.

Generally, administrative staff- these are employees of the administrative apparatus, employees included in the administration of an enterprise (firm, organization), directorate of enterprises and institutions.

Administrative and managerial personnel include heads of enterprises (institutions) and their deputies, heads of structural units not directly involved in production, chief specialists and their deputies, engineers and other specialists employed in the administrative apparatus.

The main distinguishing feature of the administrative and managerial staff of a medical institution from other employees is that they are not directly involved in medical activities, but are engaged in its organization and management.

Since there is no legal act that clearly defines which positions in a medical institution should be attributed to administrative and managerial personnel, it is logical to assume that these are:

• chief physician, deputy chief physicians who are not directly involved in the provision of paid medical services to the population;
• chief accountant, deputy chief accountants, accounting department;
• planning and Economic Department;
• department of personnel (service of personnel management of health facilities).

A medical institution can independently attribute positions to administrative and managerial personnel, reflecting this, for example, in the staffing table.

Medical staff are medical workers serving a medical institution. The medical staff of health facilities include senior, middle and junior medical staff.

Senior medical personnel are doctors and other specialists with higher and postgraduate medical and pharmaceutical education.

Nursing personnel are persons who have received special education and appropriate qualifications in secondary medical schools and are admitted to medical activities in the prescribed manner. Paramedical personnel include: paramedics, midwives, nurses, sanitary paramedics, paramedical laboratory assistants, X-ray laboratory assistants, dentists, dental technicians, etc.

Junior medical staff is a nurse, a nurse, a nurse, a nanny, a disinfector.

Medical personnel are the main, most significant part of health care resources and ultimately ensure the effectiveness and efficiency of the work of not only individual structural units, but also health care facilities as a whole.

The requirements for the qualification of medical personnel, especially in institutions providing high-tech medical care, are currently quite high due to the uniqueness of the equipment available and the performance of surgical interventions of the highest category of complexity.

The key points in the selection of medical personnel are:

• the level of education;
• level of professional training;
• professional experience;
• the ability to learn, as well as the desire to improve the professional level;
• resistance to stressful situations.

The need for continuous education of a medical worker is due to the progress of science and technology, the widespread use innovative technologies. According to some estimates, the average annual growth rate of new knowledge is 4-6%. This means that a specialist should receive about 50% of professional knowledge after graduation.

The composition of the third group of personnel structure of health facilities(employees and housekeeping staff) depends not only on the profile of the medical institution, but also on the “scale” of the institution.

Healthcare institutions in the development and approval staff standards should be guided by the order of the Ministry of Health of the Russian Federation of 09.06.2003 No.

Qualification categories and characteristics of positions in medical institutions

N 230 "On the approval of staffing standards for employees and workers of state and municipal institutions health care and employees of centralized accounting departments at state and municipal health care institutions.

It is this document that defines the positions of employees and workers of a medical institution, which can be attributed, respectively, to the administrative and managerial and housekeeping personnel of health care institutions.

The organizational and personnel structure of the institution and the number of positions are determined staffing. Staffing refers to local regulations which, in accordance with Art. 8 of the Labor Code of the Russian Federation are developed by employers (in our case, this is a healthcare institution) within their competence independently through the management bodies of the organization.

The staffing table is used to formalize the structure, staffing and staffing of the organization in accordance with its Charter (Regulations) and contains a list of structural units, the names of positions, specialties, professions, indicating qualifications, information on the number of staff units. Example organizational structure multidisciplinary medical facility is shown in the figure.

According to Article 12 of the Fundamentals of the Legislation of the Russian Federation on the Protection of the Health of Citizens, approved by the Supreme Council of the Russian Federation dated July 22, 1993 No. 5487-1 (hereinafter referred to as the Fundamentals of the Legislation of the Russian Federation on the Protection of the Health of Citizens), the state healthcare system includes federal executive bodies authorities in the field of healthcare, executive authorities of the constituent entities of the Russian Federation in the field of healthcare, the Russian Academy of Medical Sciences, planning and implementing measures to protect the health of citizens within their competence.

In accordance with Part 2 of Article 12 of the Fundamentals of the Legislation of the Russian Federation on the Protection of the Health of Citizens, in state system health care also includes state-owned and subordinated to the management bodies of the state health care medical and preventive and research institutions, educational institutions, pharmaceutical organizations, pharmacies, sanitary facilities, territorial bodies established in accordance with the established procedure for the implementation of sanitary and epidemiological supervision, institutions forensic medical examination, logistics services, production organizations medical preparations and medical equipment and other institutions and organizations.

In accordance with Part 3 of Article 12 of the Fundamentals of the Legislation of the Russian Federation on the Protection of the Health of Citizens, the state healthcare system includes medical organizations, including medical institutions; pharmaceutical organizations; pharmacy establishments created by federal executive authorities in the field of healthcare, other federal executive authorities and executive authorities of the constituent entities of the Russian Federation.

In accordance with Article 13 of the Fundamentals of the Legislation of the Russian Federation on the Protection of the Health of Citizens, the municipal health care system includes municipal health authorities, as well as those located in municipal property medical, pharmaceutical and pharmacy organizations that are legal entities.

Financial support for the activities of organizations municipal system health care is an expenditure obligation of the municipality.

According to Article 14 of the Fundamentals of the Legislation of the Russian Federation on the Protection of the Health of Citizens, the private healthcare system includes medical and preventive and pharmacy institutions, the property of which is privately owned, as well as persons who are engaged in private medical practice and private pharmaceutical activities.

For more information on issues related to the private healthcare system, you can find in the book of the authors of CJSC "BKR - INTERCOM - AUDIT" "Health Services".

According to the Order of the Ministry of Health and Social Development of the Russian Federation of October 7, 2005 No. 627 "On approval of a unified nomenclature of state and municipal health care institutions" (hereinafter - Order of the Ministry of Health and Social Development No. 627), this category of health care institutions includes the following medical institutions:

1. Medical institutions.

1.1. Hospital institutions.

1.1.1. Hospitals including:

Precinct;

District;

City ambulance;

Central (city, district);

Regional, including children's (regional, republican, district).

1.1.2. Specialized hospitals, including:

Rehabilitation treatment, including for children;

Gynecological;

Geriatric (Order of the Ministry of Health of the Russian Federation dated July 28, 1999 No. 297 "On improving the organization of medical care for citizens of the elderly and senile ages in the Russian Federation") (hereinafter - Order No. 297);

Infectious, including children (Order of the Ministry of Health of the Russian Federation dated September 17, 1993 No. 220 "On measures to develop and improve the infectious service in the Russian Federation");

Narcological;

oncological;

Ophthalmic;

Psychoneurological, including children's;

Psychiatric, including children's;

Psychiatric (hospital) specialized type;

Psychiatric (hospital) of a specialized type with intensive supervision;

Tuberculosis, including children's.

1.1.3. Hospital.

1.1.4. Medical and sanitary part, including the central one.

1.1.5. Home (hospital) nursing care.

1.1.6. Hospice.

1.1.7. Leper colony.

1.2. Dispensaries:

Medical and physical culture (Order of the Ministry of Health of the Russian Federation dated August 20, 2001 No. 337 "On measures for the further development and improvement of sports medicine and physiotherapy exercises");

Cardiology;

Dermatovenerological (Order of the Ministry of Health of the Russian Federation dated July 30, 2001 No. 291 "On measures to prevent the spread of sexually transmitted infections");

Mammological;

Narcological;

Oncological;

Ophthalmic;

Antituberculous;

Neuropsychiatric;

Endocrinological.

1.3. Outpatient clinics.

1.3.1. Ambulatory.

1.3.2. Clinics including:

Urban, including children's;

Central district;

Dental, including children's;

Consultative and diagnostic, including for children;

Psychotherapeutic;

Physiotherapy.

1.4. Centers, including scientific and practical:

Rehabilitation Therapy for Internationalist Warriors;

Restorative medicine and rehabilitation;

Geriatric (Order No. 297);

Diabetes (Order of the Ministry of Health of the Russian Federation of July 16, 2001 No. 267 "On the development of diabetic care for the population of the Russian Federation");

Narcological rehabilitation center (Order of the Ministry of Health of the Russian Federation dated March 18, 1997 No. 76 “On drug rehabilitation centers”);

Medical, including district;

Occupational pathology;

Prevention and control of AIDS and infectious diseases;

Clinical diagnostic;

Pathology of speech and neurorehabilitation (Appendix No. 3 to the Order of the Ministry of Health of the Russian Federation dated August 22, 2005 No. 534 "On measures to improve the organization of neurorehabilitation care for patients with the consequences of stroke and traumatic brain injury");

rehabilitation;

Medical and social rehabilitation;

General medical (family) practice (Appendix No. 3 to the Order of the Ministry of Health of the Russian Federation dated November 20, 2002 No. 350 "On improving outpatient care for the population of the Russian Federation");

Consultative and diagnostic, including for children;

Hearing rehabilitation;

Therapeutic exercise and sports medicine;

Manual therapy;

Therapeutic and preventive nutrition;

Specialized types of medical care;

Psychophysiological diagnostics.

1.5. Emergencies and blood transfusion facilities:

1.5.1. Ambulance station.

1.5.2. Blood transfusion station.

1.5.3. Blood center.

1.6. Institutions for the protection of motherhood and childhood.

1.6.1. Perinatal center (Appendix No. 1 to the Order of the Ministry of Health and Social Development of the Russian Federation of December 9, 2004 No. 308 "On the organization of the activities of perinatal centers").

1.6.2. Maternity hospital.

1.6.3. Women's consultation.

1.6.4. Center for family planning and reproduction.

1.6.5. Adolescent Reproductive Health Center.

1.6.6. Orphanage, including specialized (Appendix No. 1 to the Order of the Ministry of Health of the Russian Federation dated January 24, 2003 No. 2 "On improving the activities of the orphanage").

1.6.7. Dairy cuisine.

1.7. Sanatorium-resort establishments.

1.7.1. Balneological clinic.

1.7.2. Mud bath.

1.7.3. Resort clinic.

1.7.4. Sanatorium, including children's, as well as for children with parents.

1.7.5. Sanatorium-dispensary.

1.7.6. Sanatorium health Camp year-round activity.

2. Health care facilities of a special type.

2.1. Centers:

Medical prevention;

Disaster medicine (federal, regional, territorial);

Medical mobilization reserves "Reserve" (republican, regional, regional, city);

Licensing of medical and pharmaceutical activities (republican, territorial, regional);

Quality control and certification of medicines;

Medical Information and Analytical;

Information and methodological for the examination, accounting and analysis of the circulation of medical products.

Medical statistics;

Pathological and anatomical;

Forensic Medical Examination.

2.3. Control and analytical laboratory.

2.4. Military medical commission, including the central one.

2.5. Bacteriological laboratory for the diagnosis of tuberculosis.

3. Health care institutions for supervision in the field of consumer protection and human well-being.

3.1. Centers for Hygiene and Epidemiology.

3.2. Centers for State Sanitary and Epidemiological Surveillance.

3.3. Anti-plague center (station).

3.4. Disinfection center (station).

3.5. Center for hygienic education of the population.

Treatment-and-prophylactic institutions, such as hospitals, dispensaries, maternity hospitals and other institutions that are used for the purpose of teaching by higher medical educational institutions (faculties) or for scientific purposes by medical scientific organizations, are clinical institutions.

Health care institutions listed in subsection 1.1 "Hospital institutions" in the Order of the Ministry of Health and Social Development No. 627 may include a polyclinic (outpatient clinic).

Feldsher-obstetric stations are structural subdivisions of healthcare institutions.

Health centers (medical, feldsher) are structural subdivisions of health care institutions or organizations. They are designed to provide first aid to workers, employees and students.

The composition of the regional, regional, republican hospital or health care institution for disaster medicine may include air ambulance, acting on the rights of its department.

Clinics - medical and preventive institutions (hospitals, maternity hospitals and other health care institutions), which are part of higher medical educational institutions, medical scientific organizations or are subordinate to medical universities and scientific organizations, are their structural divisions.

According to the Order of the Ministry of Health and Social Development No. 627, specialized medical institutions include orphanages for children:

“- with an organic lesion of the central nervous system with a mental disorder;

- with organic damage to the central nervous system, including cerebral palsy, without mental disorders;

- with dysfunctions of the musculoskeletal system and other defects in physical development without mental disorders;

- with hearing and speech impairments (deaf-mute, deaf, hearing-impaired);

- with speech disorders (stuttering, with alalia and other speech disorders);

- visually impaired (blind, visually impaired);

- with tuberculosis intoxication, small and subsiding forms of tuberculosis;

- sanatorium.

The Center for Medical and Social Rehabilitation includes a department of permanent residence for adolescents and adults with disabilities with severe forms of cerebral palsy who do not move independently and do not serve themselves.

According to Appendix 1 to the Decree of the Ministry of Labor of the Russian Federation of August 27, 1997 No. 43 "On the harmonization of pay categories and tariff and qualification characteristics for the positions of healthcare workers of the Russian Federation" (hereinafter referred to as the Decree of the Ministry of Labor No. 43), the following tariff (qualification) ) ranks:

· Chief physician of a healthcare institution (director, head, head);

· The chief doctor (head) of the institution of the State Sanitary and Epidemiological Service (the center of the State Sanitary and Epidemiological Supervision - the Chief State Sanitary Doctor, the disinfection station, the anti-plague center, the Russian Republican Information and Analytical Center, the anti-plague station);

Director of the hospital (home) nursing care, hospice;

· Manager of the dairy kitchen;

· Chief nurse (chief midwife, chief paramedic);

Head of the medical warehouse of the mobilization reserve.

2.1. Specialists with higher medical education:

Doctor-intern;

Doctor-intern of the institution of the State Sanitary and Epidemiological Service;

· Doctor-specialist;

Doctor-specialist of the institution of the State Sanitary and Epidemiological Service.

2.2. Specialists with higher professional education:

· Medical psychologist;

· Zoologist, entomologist;

· Biologist;

· Expert physicist in control of sources of ionizing and non-ionizing radiation;

· Instructor-methodologist in physiotherapy exercises;

· Chemist-expert of the health care institution.

2.3. Specialists with secondary vocational education, secondary medical and staff:

· Dentist;

· Medical technologist;

midwife;

· Paramedic;

· Paramedic-laboratory assistant (medical laboratory technician);

· Nurse;

· Medical optician-optometrist;

· Dental Technician;

· Laboratory assistant;

· X-ray technician;

· Physiotherapy instructor;

Instructor-disinfector;

· Occupational Therapy Instructor;

· Hygiene education instructor;

· Medical statistician;

· Medical registrar;

· Medical disinfector;

· Junior pharmacist;

· Seller of optics;

· Packer;

· Dental hygienist.

3. Junior medical staff:

Nursing Assistant Nurse;

Sister-mistress;

· Nurse (washer).

4. Other personnel of medical and labor workshops at healthcare institutions:

· Instructor of industrial training of workers of mass professions 4 - 8.

All state and municipal medical institutions subordinate to the Ministry of Health of the Russian Federation are required to use the indicated tariff (qualification) categories, since they relate to public sector financing, for which payment is provided under the Unified tariff scale. With regard to private medical organizations and persons engaged in private medical practice, they independently develop a document regulating remuneration.

In order for the category to be assigned not arbitrarily, but according to certain criteria, there are tariff and qualification characteristics. The named characteristics for employees of medical institutions are established in Appendix No. 2 of the Decree of the Ministry of Labor No. 43. All job titles are indicated in accordance with OKPDTR.

Tariff and qualification characteristics contribute to the correct selection and placement of personnel, improve their qualifications, division of labor between managers and specialists, and also ensure unity in determining official duties these categories of workers and the qualification requirements for the categories of wages imposed on them.

The tariff and qualification characteristics of the positions of deputy heads of healthcare institutions and their structural divisions have not been developed, since their job responsibilities, knowledge and qualification requirements are established on the basis of the characteristics of the respective positions of managers.

Based on the tariff and qualification characteristics of a specialist doctor, a medical institution develops job descriptions for doctors of all specialties and titles, taking into account the specifics of their work.

Section "Job Responsibilities" of Appendix No. 2 to Decree of the Ministry of Labor No. 43 contains the main functions that can be fully or partially entrusted to the employee who holds this position. This section is the basis for developing job descriptions, which fix the specific duties, rights and responsibilities of the employee.

The certification commission determines the compliance of the duties actually performed and the qualifications of employees with the requirements that are imposed by the tariff qualifications.

Certification of medical workers is carried out in accordance with the provisions on the certification procedure for doctors, pharmacists, paramedical and pharmaceutical personnel, which are approved by orders of the Ministry of Health of the Russian Federation.

In accordance with the indicators approved by the Ministry of Health of the Russian Federation, medical institutions are classified by health authorities in various groups in terms of remuneration of managers. In the Order of the Ministry of Health of the Russian Federation dated October 15, 1999 No. 377 "On approval of the regulation on the remuneration of healthcare workers" (hereinafter - the Order of the Ministry of Health No. 377), groups for remuneration of heads of medical institutions are differentiated by the presence of beds:

1 group of remuneration of managers - the presence of estimated beds of 1200 or more;

2 group of remuneration of managers - the availability of estimated beds from 810 to 1200;

3 group of remuneration of managers - the availability of estimated beds from 510 to 800;

4 group of remuneration of managers - the availability of estimated beds from 260 to 500;

5 group of remuneration of managers - the presence of estimated beds over 50 to 250.

The establishment of the official title "senior" is possible provided that the employee, in addition to performing his direct official duties, also manages the performers subordinate to him.

Medical workers who hold senior positions: paramedics, midwives, nurses, dental technicians, doctors of stations (departments) of emergency medical care and mountain rescue units, city (district) pediatricians are charged one category higher in relation to the category, which is established according to the relevant positions in Appendix No. 2 to the Decree of the Ministry of Labor No. 43.

Medical workers who manage departments, departments, offices, laboratories, teams and other structural units of healthcare institutions are charged higher in relation to the category, which is established for the corresponding position with a higher medical education, by one category - if there are up to 6 medical and pharmacist departments in the unit positions, into two categories - if there are 7 or more of the above positions in the unit.

In the event that doctors have a break in work in their specialty for more than 5 years or change their specialty profile and move to another position that requires special training and qualifications, for the period of specialization in the prescribed manner in order to obtain the necessary special knowledge, skills and abilities, necessary for independent work in a new position, and the issuance of a certificate of obtaining the appropriate qualification, they are appointed to the position of a trainee doctor.

Persons related to junior medical personnel who do not have special training or work experience established qualification requirements, but have sufficient practical experience and perform qualitatively and in full the duties assigned to them, on the recommendation attestation commission, as an exception, may be appointed to the relevant positions in the same way as persons who have special training and work experience. These persons may be assigned an appropriate category of remuneration.

Heads of medical institutions:

1) for the chief physician (director, head, head) of a healthcare institution in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43

The presence of higher medical education and work experience in healthcare facilities for at least 5 years:

13 category - in a healthcare institution that is not included in the groups for the remuneration of managers;

14 category - in a healthcare institution, which is assigned to the V group in terms of remuneration of managers;

15th category - in a healthcare institution, which is assigned to group IV in terms of remuneration of managers;

16 category - in a healthcare institution, which is assigned to group III in terms of remuneration of managers;

17 category - in a healthcare institution, which is assigned to group II in terms of remuneration of managers;

18 category - in a health care institution, which is assigned to group I in terms of remuneration of managers.

2) for the chief physician (head) of an institution of the State Sanitary and Epidemiological Service (the center of the State Sanitary and Epidemiological Supervision - the chief state sanitary doctor, a disinfection station, an anti-plague center, the Russian Republican Information and Analytical Center, an anti-plague station), in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following qualification requirements for payment grades:

The presence of higher medical education, work experience in the specialty for at least 5 years:

15th category - in the institution of the State Sanitary and Epidemiological Service, which is assigned to the IV group for the remuneration of managers;

16 category - in the institution of the State Sanitary and Epidemiological Service, which is assigned to the III group for the remuneration of managers;

17 category - in the institution of the State Sanitary and Epidemiological Service, which is assigned to the II group for the remuneration of managers;

18 category - in the institution of the State Sanitary and Epidemiological Service, which is assigned to group I in terms of remuneration of managers.

3) for the director of the hospital (home) nursing care, hospice

12 - 13 categories - higher medical education and work experience in healthcare institutions for at least 5 years, secondary medical education and work experience in healthcare institutions for at least 10 years.

4) for the head of the dairy kitchen in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

secondary medical education and at least 3 years of work experience in healthcare institutions in the profile:

7th category - in the dairy kitchen, which is assigned to the V group in terms of remuneration of managers;

8th category - in the dairy kitchen, which is assigned to group IV in terms of remuneration of managers;

9th category - in the dairy kitchen, which is assigned to group III in terms of remuneration of managers;

10 category - in the dairy kitchen, which is assigned to group II in terms of remuneration of managers;

11 category - in the dairy kitchen, which is assigned to group I in terms of wages for managers.

5) for the chief nurse (chief midwife, chief paramedic)

· The presence of higher medical education in the specialty "nursing" without presenting requirements for work experience.

secondary medical education of an advanced or basic level and at least 5 years of work experience in the profile:

9th - 10th categories - in a health care institution, which is assigned to the V group in terms of remuneration of managers;

11 - 12 categories - in a healthcare institution, which is assigned to group IV in terms of remuneration of managers;

12 - 13 categories - in a health care institution, which is assigned to group III in terms of remuneration of managers;

13 - 14 categories - in a healthcare institution, which is assigned to group II in terms of remuneration of managers;

14 - 15 categories - in a health care institution, which is assigned to group I in terms of remuneration of managers.

6) for the head of the medical warehouse of the mobilization reserve in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

Higher professional education and at least 3 years of work experience in the profile:

11 category - when performing official duties of the head of the medical warehouse of the mobilization reserve, which has an area of ​​\u200b\u200bless than 1 thousand square meters;

12 category - when performing official duties of the head of a medical warehouse of a mobilization reserve, which has an area of ​​​​1 to 3 thousand square meters, or when performing official duties of the head of a medical warehouse of a mobilization reserve, having an area of ​​\u200b\u200bless than 1 thousand square meters, on which narcotic drugs are placed;

13 category - when performing official duties of the head of the medical warehouse of the mobilization reserve, which has a warehouse area of ​​​​3 to 5 thousand square meters, or when performing the official duties of the head of the medical warehouse of the mobilization reserve, having an area of ​​​​1 to 3 thousand square meters, on which stocks are located narcotic drugs;

14th category - when performing official duties of the head of the medical warehouse of the mobilization reserve, which has a warehouse area of ​​​​more than 5 thousand square meters. m, or when performing official duties of the head of the medical warehouse of the mobilization reserve, having an area of ​​​​3 to 5 thousand square meters, on which stocks of narcotic drugs are located;

15th category - in the performance of official duties of the head of the medical warehouse of the mobilization reserve, which has a warehouse area of ​​​​more than 5 thousand square meters, which contains stocks of narcotic drugs.

Specialists with higher medical education:

7) for an intern doctor, an intern doctor of an institution of the State Sanitary and Epidemiological Service in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

The presence of a higher medical education without presenting requirements for work experience.

9th grade.

8) for a Medical Specialist in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

11 category - a specialist doctor who does not have qualification category;

12 category - a specialist doctor who has the II qualification category;

a surgeon of all denominations who operates on patients in a hospital who does not have a qualification category;

a doctor of an ambulance team or a permanent mobile medical unit (installation) who does not have a qualification category;

general practitioner (family) who does not have a qualification category;

a neonatologist who does not have a qualification category;

a doctor - a forensic psychiatric expert and a doctor - a forensic medical expert who do not have a qualification category;

13 category - a specialist doctor who has the I qualification category;

a surgeon of all kinds, who operates on patients in a hospital and has a II qualification category;

a doctor of an ambulance team or a permanent mobile medical unit (installation), which has a II qualification category;

general practitioner (family), who has the II qualification category;

neonatologist who has II qualification category;

a doctor - a forensic psychiatric expert and a doctor - a forensic medical expert, who have the II qualification category;

14 category - a specialist doctor who has the highest qualification category;

a surgeon of all kinds, who operates on patients in a hospital and has a qualification category;

a doctor of an ambulance team or a permanent mobile medical unit (installation), which has the I qualification category;

general practitioner (family), who has the I qualification category;

neonatologist, who has the I qualification category;

a doctor - a forensic psychiatric expert and a doctor - a forensic medical expert, who have the I qualification category;

15th category - a surgeon of all kinds, who operates on patients in a hospital and has the highest qualification category;

a doctor of an ambulance team or a permanent mobile medical unit (installation), which has the highest qualification category;

general practitioner (family), who has the highest qualification category;

a neonatologist who has the highest qualification category;

a doctor - a forensic psychiatric expert and a doctor - a forensic medical expert, who have the highest qualification category.

9) for a doctor-specialist of the institution of the state sanitary and epidemiological service in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

The presence of a higher medical education and a document on conferring the title of a medical specialist:

10th category - a specialist doctor (trainee) who has a break in work;

11 category - a specialist doctor who does not have a qualification category, in the institutions of the State Sanitary and Epidemiological Service, assigned to II - IV groups for the remuneration of managers;

12 category - a doctor-specialist who has the II qualification category, in the institutions of the State Sanitary and Epidemiological Service, classified as II - IV groups for the remuneration of managers;

a specialist doctor who does not have a qualification category in an institution classified as group I in terms of remuneration of managers;

13 category - a doctor-specialist who has the I qualification category, in the institutions of the State Sanitary and Epidemiological Service, classified as II - IV groups for the remuneration of managers;

a specialist doctor who has a qualification category II in an institution classified as group I in terms of remuneration of managers;

14 category - a doctor-specialist who has the highest qualification category, in the institutions of the State Sanitary and Epidemiological Service, assigned to II - IV groups for the remuneration of managers;

a doctor-specialist who has the I qualification category in an institution assigned to group I in terms of remuneration of managers;

Category 15 - a specialist doctor who has the highest qualification category in an institution of the State Sanitary and Epidemiological Service, classified as group I in terms of remuneration of managers.

Specialists with higher professional education:

10) for medical psychologist in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

Higher education in psychology and additional education in medical psychology:

11 category - a medical psychologist who does not have a qualification category;

12 category - medical psychologist, who has the II qualification category;

13 category - a medical psychologist who has the I qualification category;

14 category - a medical psychologist who has the highest qualification category.

11) for zoologist, entomologist in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

The presence of higher biological education:

10th category - a biologist (zoologist, entomologist), who does not have a qualification category, in health care institutions assigned to groups II - IV in terms of remuneration of managers;

11 category - a biologist (zoologist, entomologist), who has the II qualification category, in health care institutions assigned to groups II - IV in terms of remuneration of managers;

a biologist (zoologist, entomologist), who does not have a qualification category, in a health care institution assigned to group I in terms of remuneration of managers;

12 category - a biologist (zoologist, entomologist), who has the I qualification category, in health care institutions classified as groups II - IV in terms of remuneration of managers;

a biologist (zoologist, entomologist), who has a qualification category II, in a health care institution assigned to group I in terms of remuneration of managers;

13 category - a biologist (zoologist, entomologist), who has the highest qualification category, in health care institutions classified as groups II - IV in terms of remuneration of managers;

a biologist (zoologist, entomologist), who has the I qualification category, in a health care institution, referred to the I group in terms of remuneration of managers;

14th category - a biologist (zoologist, entomologist), who has the highest qualification category, in a health care institution classified as group I in terms of wages for managers.

12) for biologist in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

The presence of higher professional education in the specialty "Biologists":

10th category - a biologist who does not have a qualification category in sanitary and epidemiological institutions classified as groups II - IV in terms of remuneration of managers;

11 category - a biologist, who has the II qualification category, in sanitary and epidemiological institutions, classified as groups II - IV in terms of remuneration of managers;

a biologist who does not have a qualification category in medical institutions and sanitary and epidemiological institutions classified as Group I in terms of remuneration of managers;

12 category - a biologist, who has the I qualification category, in sanitary and epidemiological institutions, assigned to groups II - IV in terms of remuneration of managers;

biologist, who has the II qualification category, in medical institutions and sanitary and epidemiological institutions, referred to group I in terms of remuneration of managers;

13th category - a biologist with the highest qualification category, in sanitary and epidemiological institutions classified as groups II - IV in terms of remuneration of managers;

biologist, who has the I qualification category, in medical and preventive institutions and sanitary and epidemiological institutions, referred to group I in terms of remuneration of managers;

14 category - a biologist who has the highest qualification category in medical and preventive institutions and sanitary and epidemiological institutions classified as Group I in terms of wages for managers.

13) for Expert Physicist for the control of sources of ionizing and non-ionizing radiation in accordance with the said Decree, the following qualification requirements are established by payment categories:

Higher physical and technical education:

10 category - an expert physicist who does not have a qualification category in health care institutions classified as groups II - IV in terms of remuneration of managers;

11 category - an expert physicist, who has the II qualification category, in health care institutions assigned to groups II - IV in terms of remuneration of managers;

an expert physicist who does not have a qualification category in a healthcare institution classified as group I in terms of remuneration of managers;

12 category - an expert physicist, who has the I qualification category, in health care institutions assigned to groups II - IV in terms of remuneration of managers;

an expert physicist, who has a qualification category II, in a healthcare institution classified as group I in terms of remuneration of managers;

13 category - expert physicist, who has the highest qualification category, in health care institutions classified as groups II - IV in terms of remuneration of managers;

an expert physicist, who has the I qualification category, in a health care institution, referred to the I group in terms of remuneration of managers;

14th category - an expert physicist who has the highest qualification category in a healthcare institution classified as group I in terms of remuneration of managers.

14) for an instructor-methodologist in physical therapy in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

The presence of higher physical education with additional training in physiotherapy exercises and massage:

9th category - at least 3 years of work experience in the profile is required;

10 category - work experience as an instructor-methodologist in physiotherapy exercises for at least 3 years or work experience in the profile for at least 5 years is required;

11 category - work experience as an instructor-methodologist in physical therapy for at least 5 years is required;

12 category - work experience as an instructor-methodologist in physical therapy for at least 7 years is required;

13 category - work experience as an instructor-methodologist in physical therapy for at least 10 years is required.

15) for an expert chemist of a healthcare facility in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

The presence of higher professional education (in the field of study "Chemistry", "Chemical Technology and Biotechnology") and additional training on issues of sanitary and hygienic laboratory research:

8 category - work experience in the specialty for at least 3 years;

9 category - work experience in the specialty for at least 5 years;

10 category - work experience in the position of a chemist-expert of a healthcare institution who does not have a qualification category, at least 3 years;

11 category - a chemist-expert of a health care institution, who has the II qualification category, in health care institutions that are assigned to groups II - IV in terms of remuneration of managers;

12 category - a chemist-expert of a healthcare institution who has a qualification category I, in healthcare institutions assigned to groups II - IV in terms of wages, or has a II qualification category in healthcare institutions assigned to group I in terms of wages of managers;

13 category - a chemist-expert of a health care institution who has the highest qualification category in health care institutions assigned to groups II - IV in terms of remuneration of managers, or has a qualification category I in health care institutions assigned to group I in terms of remuneration of managers;

Category 14 - an expert chemist of a healthcare institution, who has the highest qualification category, in healthcare institutions that are assigned to group I in terms of wages for managers.

Nursing staff:

16) for a dentist in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

The presence of a secondary medical education in the specialty "Dentistry":

9th category - a dentist who does not have a qualification category;

10 category - a dentist who has a II qualification category;

11 category - a dentist who has the I qualification category;

12 category - a dentist who has the highest qualification category.

In our opinion, the assignment of a dentist to the category of nursing staff is somewhat outdated and does not correspond to reality when a higher medical education is required for this position.

17) for medical technologist in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

The presence of secondary medical education in the specialty "Laboratory diagnostics":

9th category - a medical technologist who does not have a qualification category;

10th category - medical technologist, who has the second qualification category;

11 category - medical technologist, who has the first qualification category;

12 category - a medical technologist who has the highest qualification category.

18) for midwife in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

The presence of secondary medical education in the specialty "Obstetrics":

8th category - a midwife who does not have a qualification category;

9th category - midwife, who has the II qualification category;

10 category - midwife, who has the I qualification category;

11 category - a midwife who has the highest qualification category.

19) for paramedic in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

The presence of secondary medical education in the specialty "General Medicine":

8th category - a paramedic who does not have a qualification category;

9th category - paramedic, who has the II qualification category;

10 category - paramedic, who has the I qualification category;

11 category - paramedic, who has the highest qualification category.

20) for a laboratory assistant, medical laboratory technician in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

8th category - paramedic-laboratory assistant (medical laboratory technician), who does not have a qualification category;

9th category - medical assistant-laboratory assistant (medical laboratory technician), who has the II qualification category;

10 category - paramedic-laboratory assistant (medical laboratory technician), who has the I qualification category;

11 category - medical laboratory assistant (medical laboratory technician), who has the highest qualification category.

The presence of secondary medical education.

22) for a nurse in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

The presence of secondary medical education in the specialty "Nursing":

6 - 7 categories - a nurse who does not have a qualification category;

7 - 8 categories - a nurse who has the II qualification category;

8 - 9 categories - a nurse who has the I qualification category;

9 - 10 categories - a nurse who has the highest qualification category;

a nurse who has the II qualification category: operating room, anesthetist, ward, procedural, dressing, massage, general practitioner;

10 category - a nurse who has the I qualification category: operating room, anesthetist, ward, procedural, dressing, massage, general practitioner;

11 category - a nurse who has the highest qualification category: operating room, anesthetist, ward, procedural, dressing, massage, general practitioner.

23) for medical optician-optometrist in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

The presence of secondary medical education in the specialty "Medical optics" (advanced level):

6 - 7 categories - medical optician-optometrist, who does not have a qualification category;

7 - 8 categories - medical optician-optometrist, who has the second qualification category;

8 - 9 categories - medical optician-optometrist, who has the first qualification category;

9 - 10 categories - medical optician-optometrist, who has the highest qualification category.

24) for dental technician in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

The presence of secondary medical education in the specialty "Orthopedic Dentistry":

6 - 7 categories - a dental technician who has a 3rd qualification category;

7 - 8 categories - a dental technician who has a 2nd qualification category;

8 - 9 categories - a dental technician who has 1 qualification category;

9 - 10 categories - a dental technician who has the highest qualification category.

25) for laboratory assistant in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

The presence of secondary medical education in the specialty "Laboratory":

6 - 7 digits - a laboratory assistant who does not have a qualification category;

7 - 8 categories - a laboratory assistant who has the 2nd qualification category;

8 - 9 categories - a laboratory assistant who has 1 qualification category;

9 - 10 digits - a laboratory assistant who has the highest qualification category.

26) for X-ray technician in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

6 - 7 digits - an X-ray laboratory assistant who does not have a qualification category;

7 - 8 categories - X-ray laboratory technician, who has the 2nd qualification category;

8 - 9 categories - X-ray laboratory technician, who has 1 qualification category;

9 - 10 digits - X-ray laboratory technician, who has the highest qualification category.

27) for a physiotherapy instructor in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

The presence of secondary medical or secondary physical education:

6 - 7 categories - an instructor in physical therapy, who does not have a qualification category;

7 - 8 digits - an instructor in physical therapy, who has a 2nd qualification category;

8 - 9 categories - an instructor in physical therapy, who has 1 qualification category;

9th - 10th categories - an instructor in physical therapy, who has the highest qualification category.

28) for instructor-disinfector in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

The presence of secondary medical education and additional training in the courses of disinstructors:

6 - 7 categories - instructor-disinfector who does not have a qualification category;

7 - 8 categories - instructor-disinfector, who has the 2nd qualification category;

8 - 9 categories - instructor-disinfector, who has 1 qualification category;

9 - 10 ranks - instructor-disinfector, who has the highest qualification category.

29) for occupational therapy instructor in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

5th category - the presence of a secondary medical education without presenting requirements for work experience or secondary vocational education in the profile of the work performed in the absence of work experience;

6 category - the presence of secondary medical education and work experience in the profile of at least 2 years

the presence of secondary vocational education in the profile of the work performed and work experience in the profile of at least 2 years.

30) for hygiene education instructor in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

The presence of secondary medical education and special training in the specialty "Hygienic education":

6 - 7 category - an instructor in hygienic education, who does not have a qualification category;

7 - 8 category - hygiene education instructor, who has the 2nd qualification category;

8 - 9 category - hygiene education instructor, who has 1 qualification category;

9 - 10 category - an instructor in hygienic education, who has the highest qualification category.

31) for medical statistics in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

Availability of secondary medical education:

5 - 6 digits - medical statistician, who does not have a qualification category;

6 - 7 categories - medical statistician, who has the 2nd qualification category;

7 - 8 categories - medical statistician, who has 1 qualification category;

8 - 9 digits - a medical statistician who has the highest qualification category.

32) for medical registrar in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

4th category - in the presence of secondary (complete) general education, as well as the passage of individual training for at least 3 months without presenting requirements for work experience;

33) for medical disinfector in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

4th category - secondary (complete) general education and individual training at least 3 months there are no requirements for work experience;

5th category - in the presence of secondary medical education without presenting requirements for work experience or secondary (complete) general education and work experience in the profile of at least 2 years.

34) for dental hygienist in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

The presence of secondary medical education in the specialty "Preventive Dentistry":

6 - 7 categories - a dental hygienist who does not have a qualification category;

7 - 8 categories - dental hygienist, who has the 2nd qualification category;

8 - 9 categories - dental hygienist, who has 1 qualification category;

9 - 10 categories - dental hygienist, who has the highest qualification category.

Junior medical staff:

35) for nursing assistant in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

3rd category - the presence of secondary (complete) general education and additional training in the courses of junior nurses in caring for patients in the absence of requirements for work experience;

4th category - secondary (complete) general education, additional training in nursing courses for nursing assistants with at least 2 years of work experience in the profile.

36) for the housewife sister in accordance with Appendix No. 2 to the Decree of the Ministry of Labor No. 43, the following requirements for qualifications by pay categories are established:

3rd category - the presence of secondary (complete) general education and additional training according to a special program in the absence of requirements for work experience;

4th category - secondary (complete) general education, additional training according to a special program with at least 2 years of work experience in the profile.

37) for a nurse (washer) in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

2 category - the presence of primary general education and individual training for at least 3 months in the absence of requirements for work experience;

3rd category - primary general education, individual training for at least 3 months with at least 2 years of work experience in the profile.

Other personnel of medical and labor workshops at health care institutions:

38) for an instructor of industrial training for mass workers in accordance with the said Decree, the following requirements for qualifications by categories of payment are established:

4 - 5 categories - secondary vocational education in the absence of requirements for work experience or secondary (complete) general education, special training with at least 3 years of work experience in the profile;

6 - 8 categories - the presence of secondary vocational education and work experience in the profile of at least 3 years or secondary (complete) general education, special training in the presence of work experience in the profile of at least 5 years.

According to the Order of the Ministry of Health No. 377, wage categories under the Unified Tariff Scale are established for this category of workers, taking into account the qualification category, within 5 years from the date of issuance of the order of the health authority (institution) on awarding the qualification category.

Three months before the expiration of the qualification category, the employee has the right to apply in writing to the certification commission for recertification in the manner prescribed by the Order of the Ministry of Health of the Russian Federation dated August 9, 2001 No. 314 "On the procedure for obtaining qualification categories" (hereinafter - Regulation No. 314).

The attestation commission is obliged to consider them within three months from the date of receipt of attestation materials for the assignment of a qualification category.

In the presence of good reason on the proposal of the head of the institution, the term for recertification of a specialist may be postponed for three months. During this time, the employee is paid a salary based on the qualification category.

If a specialist refuses the next recertification, then the previously assigned qualification category is lost from the moment the five-year period for its assignment expires.

In accordance with Regulation No. 314, upon receipt of a qualification category, professional qualification, the competence of the employee, as well as his ability to perform job responsibilities according to the position.

A specialist has the right to obtain a qualification category in specialties that correspond to both the main and combined positions.

Specialists who have expressed a desire to obtain a qualification category must submit the following documents to the certification commission: an application, a completed certification sheet and a work report for the last three years - for specialists with higher professional education and for the last year - for employees with secondary professional education, approved the head of the organization in which the specialist works.

The attestation sheet is filled out in the form provided for in Appendix No. 1 to Regulation No. 314.

CERTIFICATION SHEET

1. Surname, name, patronymic ____________________________________________

2. Year of birth ________________ 3. Gender __________________________

5. Work after graduation (according to records work book and references

about partnerships):

(position, name of institution,

location)

from _________ to _________ _____________________________________________

from _________ to _________ _____________________________________________

from _________ to _________ _____________________________________________

from _________ to _________ _____________________________________________

6. Work experience in healthcare facilities ___ years.

7. Specialty _________________________________________________

(according to certification profile)

8. Work experience in this specialty _________ years.

9. Other specialties _______ Work experience - _______ years.

11. Qualification categories for other specialties

_________________________________________________________________

(indicate existing, year of assignment)

12. Academic degree _________________________________________________

(year of assignment, diploma number)

13. Academic title __________________________________________________

(year of assignment, diploma number)

14. Scientific works (printed) _______________________________________

15. Inventions, rationalization proposals, patents _________ ____

(registration numbers of certificates, date of issue)

16. Knowledge of a foreign language ______________________________________________

17. Honorary titles ______________________________________________

18. Business address, phone number _____________________________________

19. Home address, telephone ______________________________________

20. Characteristics for a specialist:

__________________________________________________________________

(The performance of the specialist, business and professional quality(responsibility, exactingness, volume and level of skills, practical skills, etc.): medical errors that led to undesirable consequences, knowledge and use of deontological principles, increasing professional competence, using modern medical achievements in practice, and so on. Sections of the specialty, methods, techniques that the specialist is fluent in, unique methods, techniques, technologies mastered by the specialist, etc.).

Head of the organization _____________ __________________________

Place of printing Date

21. Conclusion of an independent specialist of the attestation commission on

report on the activities of the doctor:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

____________________________________ ____________________________

(signature of an independent specialist) (last name, first name, patronymic)

A specialist has the right to submit an application for confirmation of an existing qualification category or for obtaining a higher one to the certification commission three months before the expiration of the qualification category.

In accordance with paragraph 2.3. Regulations No. 314, the specialist has the right to:

“- obtain a qualification category in the attestation commission established in accordance with this regulation;

- get acquainted with the documents submitted to the attestation commission;

- get a written explanation from the manager, if the manager refuses to sign the work report;

- undergo advanced training in the specialty;

- apply with an application to the Central Attestation Commission or the body under which the Attestation Commission was created, in case of disagreement with the decision of the Attestation Commission.

To exercise the rights of specialists to obtain a qualification category, the following attestation commissions can be created:

· Central Attestation Commission - Ministry of Health of the Russian Federation;

attestation commissions - health authorities of the constituent entities of the Russian Federation, Federal Office biomedical and extreme problems under the Ministry of Health of the Russian Federation, centers of state sanitary and epidemiological surveillance in the constituent entities of the Russian Federation;

· attestation commissions in healthcare institutions, educational and scientific medical institutions - by the Ministry of Health of the Russian Federation, other ministries and departments according to their subordination.

The structure and composition of the attestation commission is determined and approved by the body under which it was created.

In its activities, the certification commission must be guided by the current legislation of the Russian Federation, the regulatory legal acts of the Ministry of Health of the Russian Federation, Regulation No. 314, as well as the orders of the body under which it was created.

In accordance with clause 3.4. Regulations No. 314 by the certification commission:

The order, procedures and methods of work of the commission are determined;

Independent specialists are involved to give opinions on the work reports;

Submitted documents are considered within two months from the date of their receipt (registration);

Decisions are made on the assignment, confirmation or removal of qualification categories;

A certificate of the established form is issued (Appendix No. 2), and, if necessary, an extract from the order on obtaining a qualification category is provided;

Business is underway.

A sample certificate is presented in Appendix No. 2 to Regulation No. 314.

CERTIFICATE No._____

__________________________________________________________________

(Full Name)

__________________________________________________________________

Solution __________________________________________________________

(name of the attestation commission)

__________________________________________________________________

dated _____________________ protocol No. _____________________

assigned ___________________ qualification category

by specialty ________________________

Order ___________________________________________________________

(indicate the name of the health authority (institution))

dated _________________ №________________

________________________________ ___________________________

(position of the head of the body (surname, name, patronymic)

(health institutions)

Qualifications are assessed and recommendations are made for further vocational training specialist by voting in the presence of at least 2/3 of the number of members of the approved composition of the attestation commission. The results are determined by a majority of votes from the number of members of the commission present, and in the event of an equality of votes, the decision is considered adopted in favor of the specialist.

If a decision is made to assign a qualification category to a specialist who is himself a member of the attestation commission, then this specialist does not participate in the voting.

The decision of the attestation commission is drawn up in a protocol (Appendix No. 3), which is signed by the chairman of the commission, the secretary and members of the attestation commission who took part in the meeting. The form of the protocol is provided for in Appendix No. 3 to Regulation No. 314.

PROTOCOL

MEETINGS OF THE CERTIFICATION COMMISSION

___________________________________________________

(name of the body under which the commission was created)

№______ Date ___________

Chairman _____________________________________

Secretary ________________________________________

Commission members present:

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Heard: About the assignment of ____________________________________________

(Full Name)

Questions to a specialist and evaluation of answers

1. __________________________ ______________________ complete, incomplete, incorrect

(emphasize)

2. __________________________ ______________________________ complete, incomplete, incorrect

(emphasize)

3. __________________________ _______________________ complete, incomplete, incorrect

(emphasize)

4. __________________________ _______________________ complete, incomplete, incorrect

(emphasize)

5. __________________________ ______________________________ complete, incomplete, incorrect

(emphasize)

6. _________________________________________________ complete, incomplete, incorrect

(emphasize)

Decision of the attestation commission:

Assign _______________ qualification category

(specify which one)

Confirm ______________ qualification category

by specialty _____________________________________________

(specify which one)

Remove ________________ qualification category

(specify which one)

by specialty _____________________________________________

Refuse to assign (confirm) ________________________

Specialist __________________________________________________

(Full Name)

issued certificate No. ______________ on assignment (confirmation)

Qualification category

(specify which one)

by specialty _________________________________________________

(specify which one)

Comments, suggestions of the attestation commission ___________________

__________________________________________________________________

__________________________________________________________________

Comments, suggestions of the certified specialist __________________

__________________________________________________________________

__________________________________________________________________

Order ___________________ dated ______________ No. ___________________

Chairman of the attestation commission ________ ___________________________

(signature) (surname, name, patronymic)

Secretary of the Attestation Commission ___________ ____________________________

(signature) (surname, name, patronymic)

The body under which the attestation commission is created, within one month, issues an order to assign a qualification category to a specialist. This order is brought to the attention of the specialist, as well as to the head of the healthcare institution.

If the specialist disagrees with the decision of the attestation commission, the latter may be appealed by the specialist to the Central Attestation Commission of the Ministry of Health of the Russian Federation within a month from the date of the decision.

Learn more about positions and qualifying categories in medical institutions, you can find in the book of the authors of CJSC "BKR - INTERCOM - AUDIT" "Positions, tariff categories, qualification characteristics in medical and educational institutions”.

Nursing staff- persons who have received special education and relevant qualifications in secondary medical schools and are admitted in the prescribed manner to medical activities. In accordance with the level and profile of education, the medical center provides first aid, cares for the sick, performs preventive, diagnostic, treatment and rehabilitation, sanitary and anti-epidemic and organizational work under the guidance of a doctor.

Medical assistants, midwives, nurses, sanitary assistants, laboratory assistants, X-ray laboratory assistants, dentists, dental technicians, etc. are part of the S. m. determined by qualification characteristics: the official rights and obligations of the C. m. p. are regulated by the relevant provisions and instructions. The list of positions of the S. m. item contains approximately 120 items.

In 1989, the average medical staff in the USSR totaled 3386.0 thousand people, the vast majority of whom worked in healthcare institutions. The ratio of the number of doctors and S. m. p. in the whole country was 1:2.67. The number of S. m. items and the provision of the population with them are constantly increasing. During the period from 1940 to 1989, the provision of the population with S. m. item in the whole country increased by almost 5 times.

Preparation of S. of m of the item is carried out in medical schools (see. Medical education ). The duration of training depends on the specialty and general education of students. The training period for paramedics, midwives and sanitary paramedics is 2 years 6 months for those who have completed secondary school, 3 years 6 months for those who have completed incomplete secondary school, the duration of training for nurses and laboratory paramedics is 1 year 10 months and 2 years 10 months, respectively. Training of dental technicians is carried out only on the basis of general secondary education and is 1 year 10 months.

A system of continuous education is being created for S. m. p. Long (lasting more than one month) cycles of postgraduate specialization and improvement of S. m. p.

Nursing staff of all categories with work experience of at least 5 years is allowed to be certified for the qualification category.

The FAP paramedic provides the population with pre-hospital medical care, conducts outpatient appointments and visits patients at home; if necessary, directs patients for a consultation with a doctor or hospitalizes the sick and injured in the district hospital; at the direction of a doctor, conducts certain types of therapeutic measures (injections, physiotherapy, etc.), as well as anti-relapse treatment of persons under dispensary supervision; maintains a record of morbidity and ensures the conduct of medical examinations of the population (see. Medical checkup ), under the guidance of a doctor, carries out a set of sanitary and recreational measures aimed at reducing the incidence, increasing the hygienic culture of the population and landscaping.

Paramedic of the mobile ambulance brigade and emergency care provides emergency medical care to the population in case of life-threatening conditions, accidents, acute severe diseases and exacerbations chronic diseases at the scene of the incident and during the transportation of the sick and injured. Works under the direct supervision of the team doctor.

In health care, the main role is given, of course, to doctors. Without their skillful qualifying work many patients would remain sick, and someone would even say goodbye to life altogether. But no less than doctors, those employees who are commonly called paramedical personnel are also important. Who are they and what is their role in saving lives and helping people?

What does average staff mean?

Nursing personnel are doctors who have received education not in higher educational institutions, but in secondary ones. They, as a rule, perform pre-medical care for patients, and also, under the direct supervision of their doctor, carry out different types activities related to patients: sanitary, medical, rehabilitation, and so on. Nursing staff is called average because its work directly depends on the orders of the doctor who stands above him and is his direct and immediate supervisor.

Who belongs to the nursing staff

Below we list all the specialties that are commonly called nurses, but we will clarify right away: this is only in Russia. In other states, this category includes some other professions.

So, in our country, middle-level healthcare personnel are considered to be: a paramedic and job types, a medical instructor, a nurse or a nurse, an obstetrician, a dentist and / or a dental technician, instructors: a disinfector, in physiotherapy exercises, a pharmacist, an X-ray laboratory assistant and an optometrist. We will talk about each of these professions in a little more detail below, but first about which educational institutions train such specialists.

I'll go to the nurses, let them teach me!

Or in nurses, or in pharmacists - it does not matter. Another thing is important - where to go, to be taught, to get the desired specialty?

As we mentioned above, such specialties are not taught in higher educational institutions. You need to go to a specialized secondary, that is, to a medical school. It is there that all the above specialists are trained. An important point: in some cities there are separate schools for pharmacists, most often they are called pharmaceutical colleges. And in some, on the contrary, in ordinary medical schools they offer training in this specialty as well.

As a rule, in most schools (including medical schools) there is a similar practice: a person who has graduated from such educational institution and those who wish to continue their studies at the highest level are taken to the institute immediately for the third or at least for the second year. It all depends on the specific program of a particular institution.

Education at the medical school can be roughly divided into four stages. This is, firstly, a theoretical course, where the basics of science are put into the heads of future specialists; educational practice, aimed at practicing the acquired skills and usually taking place on dummies within the walls of the native school; production and technological practice is already outside its walls, according to its profile; and finally, an internship, which is also a pre-diploma practice, during which a graduate can immediately be taken to a vacant position in a hospital or healthcare institution where he is an intern.

What does it take to get into medical school? Regardless of the chosen profile (by the way, nursing and midwifery are recognized as the most popular areas), you need documents on graduation - you must have a USE certificate, a document confirming your identity and citizenship, a certificate of passing a medical examination and six photographs three by four in size. In some schools, they accept only according to the results of the Unified State Examination, in some there are their own entrance tests. This issue needs to be clarified locally.

Paramedic

Let's start talking about specialties related to paramedical personnel with paramedics, and the first on their list is sanitary. He is also sometimes called an assistant sanitary doctor. Who is this, what is the specificity of his work? We will say further, but first we will briefly explain who, in principle, is called a paramedic. This is a doctor with a secondary education, who has the right to diagnose a particular disease, independently carry out the necessary treatment and send the patient to the required specialist. The assistance provided by the paramedic is called pre-medical, and the specifics of his work are essentially no different from the activities of a therapist or an emergency doctor.

So, paramedic. The paramedic of this variety performs preventive work related to the prevention of the occurrence of possible diseases in the population of any age. Its tasks include providing enterprises and various institutions such working conditions under which people will face minimal exposure to negative factors that could affect their health. So, for example, it is such a paramedic who is responsible for monitoring sanitary and hygienic conditions, for ensuring that water bodies are not contaminated, for preventing infections, and so on. The activities of the nursing staff of this plan are not only practical, but also partly research-based: for example, these specialists study the impact of various factors on human health and well-being, conduct various hygienic studies, and the like. As a rule, medical assistants are really assistants to sanitary doctors, but they can work not only with them: they also work as assistants to epidemiologists, for example, at city epidemiological stations. The salary of such a specialist in each city is different, but the average for the country is about twenty to twenty-five thousand rubles.

Who else belongs to the middle medical staff is a military paramedic. There are no tricks here: this is an ordinary paramedic, who at the same time consists of military service and having military rank. They are attached to all military units and are also available in every military medical institution.

It is interesting that for the first time paramedics began to be trained just under the armed forces. And even more interesting is the fact that barbers were originally taught these tricks - the most, of course, trained. Mass training of military paramedics took place during the Great Patriotic War, then their task was to provide assistance on the battlefield. Now military paramedics are trained in specialized military medical institutions.

laboratory assistant

This is the third type of paramedic, also related to nursing staff. To obtain such a specialty, it is necessary to enter the medical diagnostic business or laboratory diagnostics. Accordingly, as you might guess from the name of the profile, diagnostic activity is also included in the list of functions and responsibilities of a laboratory assistant. He works in a laboratory - in a research institute, a hospital, a polyclinic - and is engaged in all kinds of research there: biological material of blood, stomach, cerebrospinal fluid, and the like, in other words, he conducts tests. He does not work alone - under the direct supervision of higher-ranking doctors, and provided that he has enough experience, he may well be considered a "generalist" specialist. How well the quality and competent work of the paramedic-laboratory assistant largely depends on how correctly the doctor will diagnose the patient and prescribe treatment.

medical instructor

The next one who belongs to the middle medical staff is a sanitary instructor.

Like a military paramedic, this is a specialization of a military medical nature, but, so to speak, a lower rank. They also study in special institutions, are also members of military units, and also undergo certain military training. The task of medical instructors is to provide medical support to their unit, including personal hygiene products, as well as to provide assistance to sick servicemen and monitor compliance with hygiene standards and requirements. The medical instructor, in addition, instructs, as follows from the very title of the position, military personnel about the methods of providing medical care to themselves and to other people. The sanitary instructor in the medical part is subordinate to the paramedic, and in the military - to the head of the unit to which he is attached.

nurse (nurse)

One of the most popular and demanded specialties. And, of course, there are many more nurses than nurses, but recently they often appear. There are special nursing courses that are also gaining popularity. As a result of passing these courses, you can get a lot of specializations - from junior medical staff to care for the sick to a masseur or cosmetologist. It all depends specifically on the courses themselves and, of course, on different regions and cities. But in general, nursing (or nursing) courses are good example obtaining additional specialization, and consequently, additional income.

But back to the nurse and her functions. Of course, they vary slightly depending on which institution and in which office (there is a difference - a physio or surgery room) the specialist works, but they generally coincide, and you can get a general idea.

To get the specialty of a nurse / nurse, you must first learn in the direction of "Nursing". Obtaining such an education will enable the physician to carry out primary care for patients, including assessing their condition; carry out the appointments and orders of doctors, their immediate supervisors; perform the necessary procedures, and also assist in operations; provide emergency first aid and send to a specialist and much more. Nurses and nurses work in different profiles - everyone needs them: a pediatrician, an oculist, and a cardiologist ... The average salary of nurses in this field in the country is about thirty thousand rubles.

Obstetrician

This specialty should not be confused with an obstetrician-gynecologist, which refers to senior medical personnel. An obstetrician, or in other words, an obstetrician, is a mid-level specialist who provides the necessary assistance during childbirth to women in labor, as well as pregnant women. Obstetricians are trained in the direction of "Medical and Obstetrical Affairs", and after receiving the appropriate education, they can perform the following functions: attending childbirth, assisting in gynecological operations, providing first aid in a gynecological profile, taking smears for analysis, patronage of women in labor and newborns, and the like.

At first, back in ancient times, women who were engaged in such work were called in Russia midwives, midwives. Later, the word "obstetrician" came from the French language, and the profession itself, previously quite rare, became more in demand and came to the fore.

Dentist (dental technician)

Surprisingly, but who else belongs to the nursing staff is a dentist. It would seem that he is like a doctor! Why, then, is he classified as a middle-level specialist?

In Russia, dentists have been known since the time of Peter the Great, it was he who brought instruments for dental treatment to our country. Then dentists were called dentists (this word was again borrowed from French), but later the word “dentist” came to replace the name and practically replaced the first one from common use. Meanwhile, there is a fundamental difference between these terms and, consequently, between the professions themselves. A dentist is a specialist who has received higher education. A dentist, on the other hand, is someone who has a specialized secondary education, he is engaged in prosthetics of teeth and provides practical assistance in their treatment. He is able to cure simple cases with unstarted caries, more and more difficult - already to the dentist. Dentists are specialists such as a dental technician and a dental assistant.

Instructor-disinfector

This specialist carries out all kinds of disinfection measures, while he also decides with what help, in what way and to what extent these measures will be carried out. It is his responsibility to control the preparation and use of solutions for disinfection, keeping the necessary equipment clean and in order. The same specialist regulates the observance by disinfectors (they are subordinate to him) of labor protection rules and safety rules. In addition, the job description of a medical disinfector stipulates the need to complete all relevant documents. The average salary of a disinfector varies between twenty and thirty thousand rubles.

Exercise therapy instructor

Exercise therapy is an abbreviated name for physiotherapy exercises. What it is, no need to explain. But the duties of the nursing staff of this profile are the following things: conducting individual and group classes in exercise therapy and preparing for them; recommendations to patients on the necessary physical exercises and self-study; control over the state of all kinds of simulators, swimming pools and other equipment and facilities necessary for exercise therapy. This physician must have knowledge of the physiological (including pathological) characteristics of the human body, methods of physiotherapy exercises, the specifics of therapeutic massage, and also understand the indications and contraindications for physiotherapy exercises. A person who has received a secondary medical and / or physical education can become an exercise therapy instructor.

Pharmacist

A pharmacist, in other words, a pharmacist, is the same person who stands behind the counter in a pharmacy and not only dispenses the necessary medicines, but can also give recommendations if necessary. Pharmacists are trained, as mentioned above, depending on the region, both in ordinary medical schools and in specialized pharmaceutical colleges.

Despite the apparent simplicity, this is a very difficult job: how much you need to know the drugs, keep all kinds of analogues in your head, remember what this remedy is for, and what it is for another ... The pharmacist must know, in addition to what contraindications the drug has, what else can be advised applied patient. This is really serious and responsible work.

X-ray laboratory assistant

A person applying for this position can complete a course in any direction - "Obstetrics", "General Medicine", "Nursing", but a certificate of an X-ray laboratory assistant in radiology must be a plus.

This specialist conducts x-ray examinations, maintains the necessary equipment and the x-ray room itself, monitors the patient's condition during the procedure and, if necessary, provides first aid. Those who want to work in this area should know a lot important information, including the rules of work in the departments of radiation diagnostics.

optometrist

This specialist has common roots with an ophthalmologist, he is also in the part of the eyes, but in a slightly different area. The name "optometrist" is related to the word "optics". This person is a vision correction professional. In many countries, an optometrist is only separate profession, in our country, you can meet an ordinary ophthalmologist working in a clinic who prescribes glasses himself, that is, he is also an optometrist. Nevertheless, individual specialists in this field, of course, also exist. They work in optics salons, for example.

An optometrist can not only prescribe glasses and give advice, but he also measures intraocular pressure, checks the condition of the cornea or lens, and also diagnoses the quality of vision using a computer. It is the optometrist who can see the alarming symptoms of the disease and advise you to contact an ophthalmologist who is already directly involved in the treatment - this is the essential difference between these two relatives, but different professions. The average salary of an optometrist fluctuates around 45 thousand rubles.

Training

Advanced training of nursing staff is possible in a fairly large number of different areas. This is nursing, and obstetrics with gynecology, and operating business, and so on. You can get an increase in special centers for advanced training or on the basis of medical technical schools and institutes.

From all of the above, it can be seen with the naked eye how important and responsible the role of nursing staff is in preserving the health and life of the population. Involuntarily, the memory of the so-called little man comes to mind. Nursing staff is also a "little man", but without him there would be no "big" people!

In January 2016, by order of the Ministry of Labor and Social Protection, a new professional standard “Nurse”, or “Junior Medical Personnel”, was approved, which defines and officially registers what is the responsibility of junior medical personnel. In our article, we will figure out how important it is not to lose sight of it and what threatens the leadership of the clinic if the document is neglected.

The objectives of the development of the professional standard "Junior medical personnel"

The professional standard "Nurse", or "Junior Medical Staff", like any other professional standard, was developed so that the management had the opportunity to clearly define and delineate what is included in the duties of the employee and what is not. In other words, it outlines the characteristics of those species professional activity that are mandatory for the employee to complete.

As you can see, two types of common labor functions. Firstly, it is caring for the patients of the clinic, secondly, cleaning the premises in a medical institution (doctor's offices, wards for patients, etc.), moving various material objects, thirdly, processing the bodies of the dead, working with medical waste.

Before the creation of a professional standard for junior medical personnel, personnel department employees always had a question, how, when compiling staffing correctly designate an auxiliary health worker, how to distinguish a junior nurse from a nurse, what job title will be correct. But now new document clearly separated the junior nurse and nurse. Now allocate skill levels to a separate labor activity, which, in turn, directly depend on the set of skills and abilities that the employee possesses, as well as on the responsibilities assigned to him by management.

The difference in the definition of these two positions can be seen by comparing them. To begin with, let's take an employee indicating the position of "nurse". According to the professional standard "Junior Medical Personnel", her duties include sanitary services. Here you can name such activities, transportation of clinic facilities, timely disposal of medical waste, processing medical equipment, cleaning the premises of a medical institution, processing the bodies of deceased patients.

The duties of the junior nurse, on the basis of the same standard, include the implementation of manipulations in the care of the patients of the clinic.

As a result, both positions are indicated in the staffing table, with the amendment that each of them has its own clear set job duties and features to consider.

In addition to drawing up a staffing table, the new professional standard can be applied when organizing the work of health workers and for monitoring their activities, when compiling job descriptions or developing new training programs.

When to apply the professional standard "Junior medical personnel"

To answer this question, let's turn to the Labor Code of the Russian Federation, which indicates in which cases the director of the clinic must be guided by the professional standard "Junior Medical Staff".

Firstly, these are the cases when specific requirements for the qualification of an employee are legally approved. Here, the application of the professional standard will be partially mandatory. So, for example, the new standard indicates what kind of education a nurse or nurse is required to have. junior nurse: if the employee has only a general secondary education, then he must be sent for training under a special program. This is due to the fact that junior medical staff is not just a “cleaner”, they need to have the appropriate knowledge in order to be able to perform their duties competently. However, the need for qualified nursing staff in the clinic is not an obligation, according to the Federal Law "On Health Protection". It does not contain provisions for the mandatory special education of nurses and junior nurses, so the management can apply the professional standard "Junior medical personnel" in part, starting from their own requirements.

As for the dismissal of an employee in case of non-compliance with the requirements of the professional standard "Junior Medical Personnel", in Labor Code there is no clear indication of this; if the nurse approaches the performance of her labor duties responsibly and there are no complaints about her, she cannot be fired. However, if, during the certification, a discrepancy with the position she occupies is revealed, in this case, the dismissal will be justified.

Due to the fact that, to date, training programs for nurses and junior nurses have not been developed, many medical institutions transfer their junior medical workers to the positions of cleaners, however, this is legal only with the written consent of the employee.

The second case in which an appeal to the standard is required is the moment an employee fills a particular position, which implies the right to receive benefits and compensation or entails the application of some restrictions.

As in any situation related to violation of the requirements of the law, in case of non-compliance with these rules by the head physician or other administrative staff, the clinic may face a fine in accordance with Art. 5.27 of the Code of Administrative Offenses of the Russian Federation.

Positions of junior staff according to the new professional standard

The Federal Law "On Health Protection" states that medical personnel include persons who not only work in a medical institution, but have a medical education and carry out medical activities. Thus, nurses and junior nurses who do not have the appropriate education cannot be classified as medical personnel. Therefore, the new professional standard "Junior medical personnel" contains requirements directly for personnel performing support functions in the process of providing medical care.

Accordingly, junior medical staff cannot directly participate in medical activities, but their duties include the implementation of sanitary and anti-epidemiological measures. According to the order of the Ministry of Health No. 541n, for this the employee is not required to have a special education, however, the professional standard corrects given order by the fact that it introduces the need for junior medical staff to take specialized courses.

Thus, according to this document, junior medical personnel include:

1. Nurse
2. Nursing Assistant Nurse.

The “housekeeper” and “ambulance driver” present in the official list of medical positions cannot be classified as junior medical staff, because the essence of their duties is not directly related to medical activities.