1. General Provisions

1. This job description defines the duties, rights and responsibilities of a surgeon.

2. A person with a higher medical education who has completed postgraduate training or specialization in the specialty "Surgery" is appointed to the position of a surgeon.

3. The surgeon must know the basics of the RF legislation on health care; legal documents regulating the activities of healthcare institutions; the basics of organizing medical and preventive care in hospitals and outpatient clinics, emergency and emergency medical care, disaster medicine services, sanitary and epidemiological services, drug supply to the population and health care facilities; theoretical foundations, principles and methods of clinical examination; organizational and economic foundations for the activities of health care institutions and medical workers in the context of budgetary insurance medicine; fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology; legal aspects of medical activity; general principles and basic methods of clinical, instrumental and laboratory diagnostics of the functional state of organs and systems of the human body; etiology, pathogenesis, clinical symptoms, course features, principles of complex treatment of major diseases; rules for the provision of emergency medical care; bases of examination of temporary incapacity for work and medico-social examination; fundamentals of health education; internal labor regulations; rules and norms of labor protection, safety measures, industrial sanitation and fire protection.

According to his specialty, a surgeon must know modern methods of prevention, diagnosis, treatment and rehabilitation; content and sections of surgery as an independent clinical discipline; tasks, organization, structure, staffing and equipment of the surgical service; current legal and instructive and methodological documents in the specialty; rules for issuing medical documentation; the procedure for conducting an examination of temporary disability and medical and social examination; principles of activity planning and reporting of the surgical service; methods and procedures for monitoring its activities.

4. The surgeon is appointed to the position and dismissed by the order of the chief physician of the health facility in accordance with the current legislation of the Russian Federation.

5. The surgeon is directly subordinate to the head of the department, and in his absence to the head of the health facility or his deputy.

2. Job responsibilities

Provides qualified medical care in his specialty, using modern methods of prevention, diagnosis, treatment and rehabilitation, permitted for use in medical practice. Determines the tactics of managing the patient in accordance with established rules and standards. Develops a plan for examining the patient, specifies the volume and rational methods of examining the patient in order to obtain complete and reliable diagnostic information in the shortest possible time. Based on clinical observations and examinations, anamnesis, data from clinical, laboratory and instrumental studies, establishes (or confirms) the diagnosis. In accordance with the established rules and standards, prescribes and controls the necessary treatment, organizes or independently conducts the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and measures. The patient is examined daily in the hospital. Makes changes to the treatment plan depending on the patient's condition and determines the need for additional examination methods. Provides consultative assistance to doctors of other departments of health care facilities in their specialty. Supervises the work of secondary and junior medical personnel subordinate to him (if any), facilitates the performance of his duties. Controls the correctness of carrying out diagnostic and therapeutic procedures, the operation of instruments, apparatus and equipment, the rational use of reagents and drugs, compliance with safety and labor protection rules by middle and junior medical personnel. Participates in training sessions to improve the skills of medical personnel. Plans its work and analyzes the performance of its activities. Ensures timely and high-quality execution of medical and other documentation in accordance with established rules. Carries out sanitary-educational work. Complies with the rules and principles of medical ethics and deontology. Participates in the examination of temporary disability and prepares the necessary documents for medical and social examination. Qualified and timely executes orders, instructions and instructions of the management of the institution, as well as regulatory legal acts on his professional activities. Complies with the rules of internal regulations, fire safety and safety, sanitary and epidemiological regime. Promptly takes measures, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors. Systematically improves his skills.

The surgeon has the right:

1. independently establish a diagnosis in the specialty on the basis of clinical observations and examinations, anamnesis, data from clinical, laboratory and instrumental studies; determine the tactics of patient management in accordance with established rules and standards; prescribe the methods of instrumental, functional and laboratory diagnostics necessary for a comprehensive examination of the patient; carry out diagnostic, therapeutic, rehabilitation and preventive procedures using approved diagnostic and treatment methods; involve, if necessary, doctors of other specialties for consultations, examination and treatment of patients;

2. to make proposals to the management of the institution on improving the diagnostic and treatment process, improving the work of administrative, economic and paraclinical services, issues of organization and conditions of their work;

3. control the work of subordinate employees (if any), give them orders within the framework of their official duties and demand their precise execution, make proposals to the management of the institution on their encouragement or imposition of penalties;

4. request, receive and use information materials and legal documents necessary for the performance of their duties;

5. to take part in scientific-practical conferences and meetings, which discuss issues related to his work;

6. pass certification in accordance with the established procedure with the right to obtain the appropriate qualification category;

7. to improve their qualifications at refresher courses at least once every 5 years.

The surgeon enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The surgeon is responsible for:

1. timely and high-quality implementation of the duties assigned to him;

2. organization of their work, timely and qualified execution of orders, instructions and instructions of the management, regulatory legal acts on their activities;

3. compliance with internal regulations, fire safety and safety;

4. timely and high-quality execution of medical and other service documentation provided for by the current legal documents;

5. providing, in accordance with the established procedure, statistical and other information on their activities;

6. Ensuring compliance with executive discipline and performance of their duties by subordinate employees (if any);

7. prompt action, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors.

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

I. General part

The main tasks of a surgeon are to provide specialized medical, preventive and advisory assistance.

Adult population living in the area of ​​operation of the clinic, as well as workers and employees of attached enterprises.

The appointment and dismissal of a surgeon is carried out by the chief

Clinic doctor in accordance with applicable law.

The surgeon in his work reports directly to the deputy chief physician for medical affairs, and in his absence

Chief Physician of the Polyclinic.

The surgeon is subordinate to the middle medical staff of the surgical office.

In his work, the surgeon is guided by the instructions and

By order of the municipal health authorities, this

Job description, as well as methodological recommendations for

Improving medical care for surgical patients.

II. Responsibilities

To perform his functions, the surgeon must:

1. Carry out outpatient appointments according to the schedule approved by the administration of the polyclinic, regulating the flow of visitors through the rational distribution of repeat patients.

2. Ensure early detection, qualified and timely examination and treatment of surgical patients.

3. To carry out dispensary observation of patients with surgical pathology, war and labor veterans in accordance with the instructions of the Ministry of Health and the Ministry of Defense of the Russian Federation.

4. Ensure the correct examination of temporary

Disability and timely referral of patients with chronic diseases to CEC and MSEC.

5. Counsel patients with referrals from other specialists

institutions, including at home.

6. Carry out, in accordance with the indications, timely

Hospitalization of patients.

7. Ensure continuity between the outpatient facility and the hospital in the examination and treatment of patients.

8. Notify the Ministry of Internal Affairs about all cases of knife, gunshot

And other injuries related to the violation of personal integrity.

9. Follow the principles of deontology in your work.

10. Conduct an analysis of the incidence and develop measures for the prevention of surgical diseases in the area of ​​the polyclinic.

11. Carry out activities to improve the skills of medical and paramedical personnel of the institution for the provision of emergency medical care.

12. To control and manage the work of the nursing staff of the surgical room.

13. Systematically improve their professional qualifications and the level of medical knowledge of nurses in the surgical room.

14. Organize and conduct propaganda among the population of sanitary and hygienic knowledge on the prevention of injuries and other

Surgical diseases.

15. Keep medical records of outpatients, prescribe

16. Ensure proper medical record keeping

Cabinet nurse.

The doctor-surgeon of the polyclinic has the right to:

Make suggestions to the administration of the polyclinic on issues

Improving the organization of medical and preventive care for the population,

Organization and conditions of their work and work of secondary medical

Surgical staff;

Participate in meetings on the organization of surgical care;

Prescribe and cancel any therapeutic and preventive measures, based on the patient's condition;

Receive information necessary for the performance of official duties

Responsibilities;

Represent subordinates at work for nursing staff for incentives and make proposals for the imposition of penalties

In case of violation of labor discipline and unsatisfactory performance of official duties.

IV. Job evaluation and responsibility

Evaluation of the work of a surgeon is carried out by the Deputy Chief

The doctor of the polyclinic for the medical part based on the results of work for the quarter (year) on the basis of taking into account the qualitative and quantitative indicators of his work, his compliance with the requirements of the fundamental

Official documents, rules of labor discipline, moral and ethical standards, social activity.

The surgeon is responsible for both poor-quality work and erroneous actions, as well as for inaction and failure to make decisions that fall within the scope of his duties and competence, in accordance with applicable law.

I. General part

1. A person with a higher medical education who has specialized in surgery (surgeon), as well as a nephrologist who has specialized in the CIUV or “on the job” in the hemodialysis department, is appointed to the position of a surgeon.

2. A surgeon is appointed and dismissed from work by order of the heads. doctor clinics according to a personal statement.

3. Submits and follows the instructions of the head. department and director of the clinic.

4. The operating room nurse assigned to prepare and conduct the operation to create vascular access, to perform dressing work, who is released from work in the dialysis room for this time, reports to the surgeon.

5. The surgeon to participate in the operation involves a nurse from the post or from the dialysis room (if there is a free nurse) or an orderly to participate in the operation (without sterile clothing).

6. The surgeon is guided in his work by the orders of the Rector, the chief physician of the clinics, the director of the clinic, and the guidelines of the Ministry of Health of the Russian Federation.

II. Main goals:

Participation of a surgeon in the implementation of medical, educational and scientific work according to the plan of the department.

III. Job Responsibilities

1. Creation of vascular access for hemodialysis in patients with ESRD. Surgeon together with the attending physician and head. The department chooses the scope of the operation (bypass or fistula) and the time of the operation.

2. Performs surgery for complications from a shunt or fistula.

3. Carrying out primary connections of patients with arteriovenous fistula.

4. The number of operations according to the staffing table is approximately 8.8 per dialysis site per year.

5. A surgeon teaches nephrologists how to install an arteriovenous shunt.

6. The surgeon is responsible for the implementation of the sanitary and epidemiological regime during surgical dressing work. Conducts classes with operating nurses on the rules of asepsis and antiseptics and the implementation of the sanitary and epidemiological regime.

7. The surgeon also performs operations: paracentesis, pleural puncture, if necessary, pericardial puncture (threat of cardiac tamponade), sewing in of a peritoneal catheter for peritoneal dialysis.

IV. Responsible

1. For the quality of the work performed.

2. For the correctness and accuracy of documentation (operational log).

3. 3a compliance with the sanitary and epidemiological regime in the operating room by all those involved in the operation.

4. For the proper use and safety of equipment in the operating room.

V. Relationships

1. Submits an annual report on the operational work of the head. department.

2. Reports to the director of the clinic and deputy. clinic director.

VI. Rights

1. Has the right to pass certification at the CIUV to obtain a category.

2. Has the right to undergo retraining at the CIUV once every 5 years.

3. Has the right to carry out scientific work under the guidance of the scientific staff of the clinic.

4. Has the right to combine his work in other medical institutions or in the same department with the permission of the head. department, taking into account the performance of their duties in the department, in their free time from their duties.

VII. Reward and Punishment Measures

1. Appreciation can be given at the clinic, at the institute, by the rector of the academy.

2. Issuance of a cash bonus.

3. Premises on the board of honor: clinics, institutes.

4. Announcement of a reprimand at the clinic, at the institute.

5. Imposition of an administrative penalty.

1. The imposition of a fine for an irresponsible attitude towards the equipment in use, premises, and other material values, which caused damage to the latter.

1. General Provisions

1. This job description defines the duties, rights and responsibilities of a surgeon.

2. A person with a higher medical education who has completed postgraduate training or specialization in the specialty "Surgery" is appointed to the position of a surgeon.

3. The surgeon must know the basics of the RF legislation on health care; legal documents regulating the activities of healthcare institutions; the basics of organizing medical and preventive care in hospitals and outpatient clinics, emergency and emergency medical care, disaster medicine services, sanitary and epidemiological services, drug supply to the population and health care facilities; theoretical foundations, principles and methods of clinical examination; organizational and economic foundations for the activities of health care institutions and medical workers in the context of budgetary insurance medicine; fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology; legal aspects of medical activity; general principles and basic methods of clinical, instrumental and laboratory diagnostics of the functional state of organs and systems of the human body; etiology, pathogenesis, clinical symptoms, course features, principles of complex treatment of major diseases; rules for the provision of emergency medical care; bases of examination of temporary incapacity for work and medico-social examination; fundamentals of health education; internal labor regulations; rules and norms of labor protection, safety measures, industrial sanitation and fire protection.

According to his specialty, a surgeon must know modern methods of prevention, diagnosis, treatment and rehabilitation; content and sections of surgery as an independent clinical discipline; tasks, organization, structure, staffing and equipment of the surgical service; current legal and instructive and methodological documents in the specialty; rules for issuing medical documentation; the procedure for conducting an examination of temporary disability and medical and social examination; principles of activity planning and reporting of the surgical service; methods and procedures for monitoring its activities.

4. The surgeon is appointed to the position and dismissed by the order of the chief physician of the health facility in accordance with the current legislation of the Russian Federation.

5. The surgeon is directly subordinate to the head of the department, and in his absence to the head of the health facility or his deputy.

2. Job responsibilities

Provides qualified medical care in his specialty, using modern methods of prevention, diagnosis, treatment and rehabilitation, permitted for use in medical practice. Determines the tactics of managing the patient in accordance with established rules and standards. Develops a plan for examining the patient, specifies the volume and rational methods of examining the patient in order to obtain complete and reliable diagnostic information in the shortest possible time. Based on clinical observations and examinations, anamnesis, data from clinical, laboratory and instrumental studies, establishes (or confirms) the diagnosis. In accordance with the established rules and standards, prescribes and controls the necessary treatment, organizes or independently conducts the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and measures. The patient is examined daily in the hospital. Makes changes to the treatment plan depending on the patient's condition and determines the need for additional examination methods. Provides consultative assistance to doctors of other departments of health care facilities in their specialty. Supervises the work of secondary and junior medical personnel subordinate to him (if any), facilitates the performance of his duties. Controls the correctness of carrying out diagnostic and therapeutic procedures, the operation of instruments, apparatus and equipment, the rational use of reagents and drugs, compliance with safety and labor protection rules by middle and junior medical personnel. Participates in training sessions to improve the skills of medical personnel. Plans its work and analyzes the performance of its activities. Ensures timely and high-quality execution of medical and other documentation in accordance with established rules. Carries out sanitary-educational work. Complies with the rules and principles of medical ethics and deontology. Participates in the examination of temporary disability and prepares the necessary documents for medical and social examination. Qualified and timely executes orders, orders and instructions of the management of the institution, as well as legal acts on his professional activities. Complies with the rules of internal regulations, fire safety and safety, sanitary and epidemiological regime. Promptly takes measures, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors. Systematically improves his skills.

3. Rights

The surgeon has the right:

1. independently establish a diagnosis in the specialty on the basis of clinical observations and examinations, anamnesis, data from clinical, laboratory and instrumental studies; determine the tactics of patient management in accordance with established rules and standards; prescribe the methods of instrumental, functional and laboratory diagnostics necessary for a comprehensive examination of the patient; carry out diagnostic, therapeutic, rehabilitation and preventive procedures using approved diagnostic and treatment methods; involve, if necessary, doctors of other specialties for consultations, examination and treatment of patients;

2. to make proposals to the management of the institution on improving the diagnostic and treatment process, improving the work of administrative, economic and paraclinical services, issues of organization and conditions of their work;

3. control the work of subordinate employees (if any), give them orders within the framework of their official duties and demand their precise execution, make proposals to the management of the institution on their encouragement or imposition of penalties;

4. request, receive and use information materials and legal documents necessary for the performance of their duties;

5. to take part in scientific-practical conferences and meetings, which discuss issues related to his work;

6. pass certification in accordance with the established procedure with the right to obtain the appropriate qualification category;

7. to improve their qualifications at refresher courses at least once every 5 years.

The surgeon enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The surgeon is responsible for:

1. timely and high-quality implementation of the duties assigned to him;

2. organization of their work, timely and qualified execution of orders, instructions and instructions of the management, regulatory legal acts on their activities;

3. compliance with internal regulations, fire safety and safety;

4. timely and high-quality execution of medical and other service documentation provided for by the current legal documents;

5. providing, in accordance with the established procedure, statistical and other information on their activities;

6. Ensuring compliance with executive discipline and performance of their duties by subordinate employees (if any);

7. prompt action, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors.

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

Job description of a surgeon[name of company]

This job description has been developed and approved in accordance with the provisions of the Order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On Approval of the Unified Qualification Handbook for the Positions of Managers, Specialists and Employees, section" Qualification characteristics of positions of workers in the field of healthcare "and other normative legal acts regulating labor relations.

1. General Provisions

1.1. The surgeon belongs to the category of specialists and reports directly to [name of the position of the immediate supervisor].

1.2. A surgeon is appointed to a position and dismissed from it by order of [position title].

1.3. A person who has a higher professional education in one of the specialties "Medicine", "Pediatrics" and postgraduate professional education (internship and (or) residency) in the specialty "Surgery" is accepted for the position of a surgeon without presenting requirements for work experience.

1.4. The surgeon must know:

the Constitution of the Russian Federation;

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

General issues of organizing surgical care in the Russian Federation;

Organization of the work of ambulance and urgent care for adults and children;

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

Anatomical features of childhood;

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

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

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

Fundamentals of water-electrolyte metabolism;

Acid-base balance;

Possible types of their disorders and principles of treatment in childhood and adults;

Pathophysiology of trauma and blood loss, prevention and treatment of shock and blood loss, pathophysiology of the wound process;

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

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

Issues of asepsis and antisepsis in surgery;

Principles, techniques and methods of anesthesia in surgery, issues of intensive care and resuscitation in adults and children; fundamentals of pharmacotherapy for surgical diseases, including general and local use of antibiotics, hormone therapy;

Fundamentals of immunobiology, microbiology;

Fundamentals of radiology and radiology;

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

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

Principles of preparation of patients (adults and children) for surgery and management of the postoperative period;

Issues of temporary and permanent disability, clinical examination and rehabilitation of surgical patients;

The use of physiotherapy, physiotherapy exercises;

Indications and contraindications for spa treatment;

Labor protection rules when working with equipment and surgical instruments;

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

Equipment for intensive care operating rooms;

Surgical instruments used in various surgical operations;

Principles of organizing and conducting medical examination of the population;

Economic questions of surgical service;

Issues of organization and activities of the medical service of civil defense and military field surgery;

Forms and methods of sanitary and educational work;

Rules of the sanitary and epidemiological regime;

Basics of labor legislation;

Internal labor regulations;

Rules on labor protection and fire safety.

2. Job responsibilities

The surgeon is responsible for the following duties:

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

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

2.3. Conducting an examination of temporary disability, referral of patients with signs of permanent disability for examination for medical and social examination.

2.4. Registration of the necessary medical documentation provided by the legislation on health care.

2.5. Carrying out sanitary and educational work with the population and patients.

2.6. Compiling a report on their work and analyzing its effectiveness.

2.7. [Other Job Responsibilities].

3. Rights

The surgeon has the right:

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

3.2. Receive information and documents necessary for the performance of functional duties from all departments directly or through the immediate superior.

3.3. Sign and endorse documents within their competence.

3.4. To control, within its competence, the work of middle and junior medical personnel, give them orders and demand their strict execution.

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

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

3.7. Participate in meetings that discuss issues related to his work.

3.8. Require management to create normal conditions for the performance of official duties.

3.9. Improve your professional qualifications.

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

4. Responsibility

The surgeon is responsible for:

4.1. For non-fulfillment, improper fulfillment of the duties stipulated by this instruction, within the limits determined by the labor legislation of the Russian Federation.

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

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

The job description was developed in accordance with [name, number and date of the document].

Head of Human Resources

[initials, last name]

[signature]

[day month Year]

Agreed:

[initials, last name]

[signature]

[day month Year]

Familiarized with the instructions:

[initials, last name]

[signature]

[day month Year]