Functions of an obstetrician-gynecologist. Job description of an obstetrician-gynecologist at a maternity hospital. Job description of an obstetrician-gynecologist

January 16, 2016

Job description of an obstetrician-gynecologist. Job description of an obstetrician-gynecologist.

General provisions. 1. This job description defines the duties, rights and responsibilities of an obstetrician-gynecologist. A person with a higher medical education who has completed postgraduate training or specialization in the specialty "Obstetrics and Gynecology" is appointed to the position of an obstetrician-gynecologist. An obstetrician-gynecologist 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, an obstetrician-gynecologist should know modern methods of prevention, diagnosis, treatment and rehabilitation; content and sections of obstetrics and gynecology as independent clinical disciplines; tasks, organization, structure, staffing and equipment of the obstetric and gynecological service; current normative-legal and instructive-methodical 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 obstetric and gynecological service; methods and procedures for monitoring its activities. The obstetrician-gynecologist 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.

The obstetrician-gynecologist reports directly to the head of the department (antenatal clinic), and in his absence, to the head of the health facility or his deputy. 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.

Prescribes and controls the necessary treatment in accordance with established rules and standards. Organizes or independently conducts the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and activities. 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. Participates in the implementation of preventive measures to prevent and reduce gynecological morbidity, complications of pregnancy and childbirth, the postpartum period. Detects pregnant women (up to 1.

Conducts classes on physical and psychoprophylactic preparation of pregnant women for childbirth and their training at the "School of Mothers". Provides dietary advice. Identifies pregnant women in need of hospitalization in the departments of pathology of pregnant maternity hospitals and other healthcare facilities according to the profile of the disease. Conducts selection of pregnant women and gynecological patients subject to rehabilitation in sanatoriums-dispensaries. Gives recommendations on the employment of pregnant women, excluding the impact of industrial hazards, as well as on the employment of gynecological patients.

Organizes and conducts preventive gynecological examinations of women using modern methods of examination for the purpose of early detection and treatment of gynecological diseases. Participates in pre-employment and periodic medical examinations.

Job description of a midwife I. General part For the position of a midwife.

or together with him in the department, at the reception in the antenatal clinic, at

home. 4. alone or with an obstetrician-gynecologist when

pathology. Appointment to the position of an obstetrician - gynecologist (antenatal clinic) and release from it is carried out by order of the chief physician of the department. This job description has been developed and approved in

According to. As an obstetrician-gynecologist for women

consultations. Informs the obstetrician - gynecologist, senior midwife, head of the dressing material) in the department (antenatal clinic, office). Job description of an obstetrician-gynecologist 1. directly

reports to the head of the department (antenatal clinic), and with him

In necessary cases, doctors of other specialties for consultations,

The activities of an obstetrician-gynecologist and their own activities.

together with him in the department, at the reception in the antenatal clinic, at home. 1.2. job description of the doctor of the gynecological care office for adolescents who are part of the children's clinic (antenatal clinic). obstetrician-gynecologists with at least 3 years of work experience and. Job description of a midwife I. General part For the position of a midwife or together with him in the department, at the reception in the antenatal clinic, at home. 4. alone or with an obstetrician-gynecologist in case of pathology.

Carries out timely registration and dynamic observation of gynecological patients, carrying out a complex of medical and recreational activities using sanatorium and resort treatment, as well as other means and methods of examination and treatment, analysis of the effectiveness of clinical examination. Identifies gynecological patients in need of inpatient treatment.

Organizes work on family planning, individual selection of modern contraceptives. Conducts an in-depth analysis of the incidence of temporary disability due to diseases of the female genital organs, complications of pregnancy and the postpartum period, abortions, and the development of medical and recreational measures for its prevention. 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 and 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 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. Rights. The obstetrician-gynecologist has the right to: 1.

The obstetrician-gynecologist enjoys all labor rights in accordance with the Labor Code of the Russian Federation. Responsibility. The obstetrician-gynecologist is responsible for: 1.

For violation of labor discipline, legislative and regulatory legal acts, an obstetrician-gynecologist can be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the misconduct.< < < врача функциональной диагностики врача- акушера- гинеколога цехового врачебного. Интересное. Виды рабочего времени. Должностная инструкция техника.

Job descriptions for accountants. Cementing machine operator. Award accrual. Responsibilities of the sister of the mistress in the hospital. The basis for the emergence of labor relations. Rating: Rating results 3.

Job description of an obstetrician-gynecologist (download sample text) I approve _______________________________ ______________ _____________________________ (organizational and legal form, (signature) (full name, name of organization, position of head or other enterprise) of an official authorized to approve the job description) "___" ____________ 2. M.P. Job description of an obstetrician-gynecologist ______________________________________________ (name of organization, enterprise, etc.) This job description was developed and approved on the basis of an employment contract with an obstetrician-gynecologist and in accordance with the provisions of the Labor Code of the Russian Federation and other regulatory legal acts regulating the activities of medical workers.

General provisions 1. An obstetrician-gynecologist belongs to the category of medical specialists and is directly subordinated to ______________________________________. (direct supervisor position) 1. A doctor who has specialized in obstetrics and gynecology or has experience in this specialty is accepted for the position of an obstetrician-gynecologist. 1. An obstetrician-gynecologist is hired and fired ______________________. (position) 1. An obstetrician-gynecologist is obliged to put into practice the principles of the scientific organization of labor, actively use electronic computing and medical diagnostic equipment in relation to the profile of his activity, be able to navigate modern scientific and technical information, effectively use it to solve practical problems , show initiative, adherence to principles and conscientiousness in work, promote a healthy lifestyle and follow its principles. 1. An obstetrician-gynecologist should know: - the basics of health legislation and policy documents that determine the activities of health authorities and institutions; - organization of obstetric and gynecological care in the country, organization of ambulance and emergency care; - indicators of maternal and perinatal mortality and measures to reduce them; - basics of topographic anatomy of body regions and, first of all, the anterior abdominal wall and abdominal cavity, retroperitoneal space, small pelvis and urogenital region in normal and pathological conditions; - the main issues of normal and pathological physiology, respectively, in healthy women and in obstetric and gynecological pathology; - interrelation of functional systems of an organism and levels of their regulation; - physiology and pathology of the menstrual function of a woman; - physiology and pathology of pregnancy, childbirth and the postpartum period, risk groups; - causes of pathological processes in a woman's body, mechanisms of their development and clinical manifestations; - the influence of production factors on the specific functions of the female body; - physiology and pathology of the hemostasis system, indications and contraindications for transfusion of blood and its components; - basics of water-electrolyte metabolism and acid-base state of the blood, possible types of their disorders and principles of treatment; - general and special research methods in obstetrics and gynecology, incl.

An obstetrician-gynecologist should be able to: - get information about the course of pregnancy, about the disease; - identify risk factors for the development of a particular obstetric and gynecological pathology and organize the implementation of preventive measures; - apply objective methods for examining a pregnant woman, a patient, identify general and specific signs of a gynecological disease or pregnancy complications; - assess the severity of the patient's condition, determine the volume and sequence of resuscitation measures; - provide the necessary urgent assistance in emergency conditions; - determine the need for the use of special research methods (laboratory, X-ray, endoscopic, functional), interpret the data obtained; - identify early signs of pregnancy, determine its timing, the position of the fetus, the size of the pelvis; - determine the indications for hospitalization of a pregnant or gynecological patient, organize hospitalization in accordance with the condition of the woman; - draw up a differentiated plan for the management of a pregnant woman and carry out its correction in dynamics; - to develop a plan for preparing the patient for emergency or planned surgery, to determine the degree of homeostasis disturbance, to prepare all functional systems of the body for surgery; - determine the blood type and perform intravenous or intra-arterial blood transfusion, reinfusion; identify possible transfusion complications and carry out the necessary therapeutic and preventive measures; - apply, according to indications, an adequate method of anesthesia in obstetric and gynecological practice; - resolve the issue of the patient's ability to work; - maintain medical documentation, implement continuity between medical and preventive institutions; - prevent unplanned pregnancy; - conduct medical examination and evaluate its effectiveness; - analyze the main performance indicators of the medical and preventive institution; - carry out sanitary and educational work; - establish the duration of pregnancy, assess the state of health of the pregnant woman, identify possible violations and implement a set of dispensary measures; - identify signs of early or late pathology of pregnancy (early and late toxicosis, dropsy, nephropathy, eclampsia) and take all necessary measures to eliminate it; - perform an external and internal obstetric examination, determine the phase of the course of labor and the position of the fetus, the degree of maturity of the cervix; - to carry out physiological childbirth, childbirth with occipital or cephalic presentation of the fetus; - timely recognize and conduct childbirth with extensor presentation of the fetus, breech presentation, large fetus and multiple pregnancies; - assess the degree of narrowing of the pelvis, justify the most rational tactic and implement it; - timely determine indications for caesarean section; - substantiate the tactics in the transverse position of the fetus and implement it; - to substantiate the tactics of labor management in case of extragenital diseases; - determine the anomalies of labor activity (primary weakness, secondary weakness, rapid and rapid labor) and carry out the regulation of labor activity; - establish the cause of obstetric bleeding (placenta previa, premature detachment, atonic bleeding) and provide the necessary assistance in this condition; - establish signs of intrauterine fetal hypoxia and provide the necessary assistance; - perform resuscitation measures in case of asphyxia and birth trauma of a newborn; - assess the course of the postpartum period, identify postpartum complications and fight them; - determine the complications of the neonatal period, develop therapeutic measures and carry them out; - establish a diagnosis and provide the necessary treatment for the following diseases: ectopic pregnancy, community-acquired abortion, genital tuberculosis, inflammatory diseases of the female genital organs of septic etiology, anomalies in the position of the genital organs, gonorrhea in women, urogenital trichomoniasis, dyshormonal diseases, benign tumors uterus and appendages, malignant tumors of the uterus and appendages. 2. Operations and manipulations 2. An obstetrician-gynecologist performs the following operations and manipulations: - colposcopy; - diagnostic curettage of the uterine cavity; - curettage of the uterine cavity during abortion; - classic manual manual; - extraction of the fetus; - obstetric forceps; - massage of the uterus with its atony; - C-section; - suturing rupture of the cervix, vagina, perineum; - manual separation and allocation of the placenta, manual control of the uterine cavity; - laparotomy for ectopic pregnancy and ovarian cyst torsion; - puncture of the posterior fornix; - hydrotubation; - amniotomy; - hysterosalpingography; - amputation of the uterus; - targeted biopsy; - removal of a polyp of the mucous membrane of the cervix; - bladder catheterization; - probing of the stomach; - siphon enema; - venesection, intravenous infusion, blood transfusion. 3.

Responsibilities 3. The main task of an obstetrician-gynecologist is to provide qualified obstetric and gynecological care. 3. In accordance with the main task, the obstetrician-gynecologist provides: 3.

VTEK; 3. 2. 3 carrying out health education work among women; 3. Rights and obligations 4. An obstetrician-gynecologist is obliged: 4. An obstetrician-gynecologist has the right to: 4. Responsibility 5. An obstetrician-gynecologist is responsible for violations of the rights of citizens in the field of health protection resulting from non-performance or improper performance of their professional duties , in accordance with the legislation of the Russian Federation. 5.

In the event of a violation of the rights of citizens in the field of health protection due to the unfair performance by an obstetrician-gynecologist of his professional duties, which resulted in harm to the health of citizens or their death, he is obliged to compensate for the damage in the amount and in the manner established by the legislation of the Russian Federation. 5.

Job description of a midwife. Job description of a midwife. General provisions. 1. The midwife belongs to the category of specialists. A person who has a secondary medical education in the specialty "Obstetrics" and (having; not having) (I, II, highest) qualification category (s) is appointed to the position of a midwife. Appointment to the position and dismissal from it is carried out by order of the head of the institution. The midwife must know.

Russian Federation and other regulatory legal acts on health issues; basic hygiene of a woman during pregnancy and after childbirth; the course of normal childbirth and their variants; management of pregnancy with complications, the main methods of prevention and control of complications. Russian Federation; internal labor regulations; rules and norms of labor protection, safety measures, industrial sanitation and fire protection; 1. The midwife reports directly to _____________________2. Duties of a midwife.

The midwife performs the following duties. Carries out medical and preventive sanitary and educational work, care for patients in accordance with the profile of the department under the guidance of a doctor. Carries out preparatory work for the medical and diagnostic activities of an obstetrician-gynecologist and his own activities. Provides medical and diagnostic assistance to pregnant women, women in childbirth, puerperas, gynecological patients as prescribed by a doctor or together with him in the department, at the reception in the antenatal clinic, at home. Provides medical care for uncomplicated childbirth independently or with an obstetrician-gynecologist in case of pathology of childbirth, the postpartum period, performs primary treatment and, if necessary, primary resuscitation of newborns. Provides emergency pre-medical care for acute illnesses and accidents according to the profile of activity, followed by a call to a doctor or referral of a patient to a medical institution. Informs the obstetrician-gynecologist, senior midwife, head of the department or doctor on duty about extreme situations in the condition of patients, incidents in the department, wards, offices.

Assists in some obstetric and gynecological operations. Monitors the health and development of children in the first year of life. Carries out patronage at home of pregnant women, puerperas, gynecological patients with the implementation of organizational and therapeutic measures. Carries out preventive examinations of women in order to detect gynecological diseases (together with a doctor or independently), work on family planning.

Performs measures to comply with the sanitary and hygienic regime (observance of the rules of asepsis and antiseptics, proper storage, processing, sterilization of instruments, devices, dressings) in the department (antenatal clinic, office). Prepares the medical documentation established by the Ministry of Health of Russia for the relevant unit. The rights of a midwife. The midwife is right.

Obtain the necessary information for the accurate performance of their duties. Give instructions to junior medical personnel on compliance with the sanitary and epidemiological regime of the department (office).

Make suggestions to improve the work of junior and middle medical personnel. Be a member of the Council of Midwives and Nurses, take part in the work of professional medical associations. Improve your skills.

Get a qualification. Responsibility of the midwife. The midwife is responsible. For improper performance or non-performance of their official duties provided for by this job description - to the extent determined by the current labor legislation of the Russian Federation. 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. For causing material damage - within the limits determined by the current labor and civil legislation of the Russian Federation.

Perhaps the most important doctor for a woman is a gynecologist. Everyone knows the importance of regular visits to this specialist. It helps to maintain health, can detect any deviations in a timely manner. To control the condition of the pregnant woman, there is an obstetrician-gynecologist. In his competence - all issues related to pregnancy and the recovery process.

In any profession, it is important to know what is required from a specialist, what skills and knowledge are needed. This article presents the characteristics of an obstetrician-gynecologist. For the doctor, this can become a reference, and for the patient - an assistant in choosing.

You will be interested:

Job description

The job description of an obstetrician-gynecologist regulates the activities of an employee. It prescribes what responsibility is provided for the performed (or non-performed) actions. This document is compiled by the employer on the basis of the Labor Code of the Russian Federation, signed when concluding an employment contract.

Range of duties

Based on the job description, an obstetrician-gynecologist must have a number of skills that he will use in the performance of work. The main duty is to provide professional medical care using modern diagnostic methods.

Other main responsibilities include:

• carrying out the necessary procedures for the purpose of treatment or prevention;
• conducting a survey and drawing up a document determining temporary disability;
• records management.

Luggage of knowledge

Endowed with great responsibility, the obstetrician-gynecologist has a huge store of knowledge. Moreover, the list of what you need to know includes not only information on his specialty. This direction is closely intertwined with others, and therefore it is important to apply basic knowledge from various fields of medicine, such as pharmacology, oncology, etc. Only all together will show the correct picture of reality.

Given the influence of various life factors on reproductive function, it is possible to help prevent or eliminate most of the diseases.

Studying the duties prescribed in the job description, it becomes clear what a specialist needs to know. Below is a list of what an obstetrics and gynecology doctor should know:

• structure and functioning of the reproductive system;
• the main and less common factors that can affect health;
• features of the course of pregnancy, the process of childbirth and the postpartum period;
• criteria that determine the likelihood of a fatal outcome in a mother or child, measures to reduce them;
• the main signs of the presence of pathologies in a woman during pregnancy;
• interconnection of organ systems;
• information about medicinal substances and their effect on the body during and outside of pregnancy;
• the physiology of a woman's menstrual function, as well as the criteria for determining the presence of abnormalities that affect health;
• the influence of production factors (the presence of harmful substances at work, as well as dangerous working conditions, severe fatigue, heavy loads, and a number of others) on the body;
• structure and functioning of the excretory system;
• normal level of blood components, indications and prohibitions for blood transfusion;
• fundamentals of immunology and genetics;
• methods of anesthesia;
• organization and criteria for prescribing intensive care;
• resuscitation care standards;
• criteria for determining the presence of oncological diseases, tumor formations, as well as methods for their prevention;

important papers

There are a number of documents, regulations and legal acts that are included in the list of mandatory studies by an obstetrician-gynecologist. They will bring clarity to the work, indicate the scope of what is permitted.

The basis is the Constitution, which is recommended to be studied by everyone without exception. On its basis, all other documents regulating the activities of the obstetric and gynecological service and the organization of the relevant organizations are built. There are certain standards of care that you need to know.

The work of an obstetrician-gynecologist is, first of all, interaction with people. And any work of this kind, its norms are enshrined in legislation. For example, the well-known consumer protection law.

After 30 weeks until childbirth, you should come to the doctor once a week. At this time, special attention is paid to the fetus and mother, the date of birth is scheduled, and all preparations are underway for them.

ultrasound

Ultrasound examination (ultrasound) during pregnancy is mandatory. For many women, this is an important event. At the appointment of an obstetrician-gynecologist in the ultrasound room, a picture is taken, the mother sees her child for the first time. Some clinics offer ultrasound based on three-dimensional echography (3D) and in real time (4D).

In the absence of complaints and good health of the mother, the procedure is carried out once every three months. If there are suspicions of the presence of pathologies, the obstetrician-gynecologist in the maternity hospital will prescribe an ultrasound scan. This allows you to control the situation and respond to changes in time.

Ultrasound at different times

The earliest ultrasound is performed already at 5-6 weeks using a vaginal probe. Its purpose is to find a fetal egg in the uterus. Not all women undergo the procedure at this time, but obstetrician-gynecologists recommend ultrasound. It can determine the duration of pregnancy with an accuracy of 1 week, and also helps to establish the presence or absence of pathologies.

• 1st trimester (11-14 weeks). Confirmation of the fact of pregnancy, assessment of the position of the embryo.
• 2nd trimester (18-24 weeks). Fetal anatomy analysis, diagnostics.
• 3rd trimester (30-34 weeks). This ultrasound is mandatory for all expectant mothers. It displays the development of the fetus at this stage, shows the location of the placenta, the position of the fetus in the womb. Such a study helps determine how a woman will give birth.

There is no clear answer to the question of whether ultrasound is harmful. Some believe that there is nothing wrong with it, others prove the negative impact of ultrasound. But still, most doctors agree that with a normal pregnancy, it is not at all necessary to undergo this procedure at every appointment.

The best

The government has established an annual award "Vocation", which determines the best worker in the field of medicine. But in addition to it, regional competitions are held in individual cities, which allow you to identify "the best of the best." Not only victory, but also participation in such an event shows a high level of skill.

Of course, for each person there is a "best doctor", his name evokes a feeling of deep respect. In any field, it is important to find a doctor who will understand the patient well. Pregnancy lasts 9 months - it would seem not long, but during this time there are so many changes that only with a good doctor nearby, you can enjoy this process. Such a specialist will become the best obstetrician-gynecologist.

Afterword

The presence and observance of all of the above makes the doctor a true professional. Patients line up for him, the work is highly valued, appreciated. "Doctor from God", "guardian angel"... This is how a woman sees and describes a doctor who has facilitated a difficult period.

Women who are about to give birth should study reviews about clinics and people working in them. Careful selection, preliminary preparation - the key to an easy pregnancy.

Added to site:

Job description of an obstetrician-gynecologist at a maternity hospital[name of company]

This job description has been developed and approved in accordance with the provisions of the Regulations on the obstetrician-gynecologist of the hospital, approved. Order of the Ministry of Health of the USSR of April 8, 1980 N 360, Order of the Ministry of Health of the USSR of July 21, 1988 N 579 "On approval of the qualification characteristics of medical specialists", the Unified qualification directory of positions of managers, specialists and employees, section "Qualification characteristics of positions of workers in healthcare sector," by order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n, List of industries, workshops, professions and positions with harmful working conditions, work in which gives the right to additional leave and a shorter working day, approved. Decree of the State Committee for Labor of the USSR and the Presidium of the All-Union Central Council of Trade Unions of October 25, 1974 N 298 / P-22, and other regulatory legal acts regulating labor relations.

1. General Provisions

1.1. The obstetrician-gynecologist of the maternity hospital belongs to the category of specialists and reports directly to [position title of the immediate supervisor].

1.2. A person with a higher professional education in the specialty "General Medicine", "Pediatrics", postgraduate professional education (internship or residency) and a certificate of a specialist in the specialty "Obstetrics and Gynecology" is accepted for the position of an obstetrician-gynecologist at a maternity hospital, without presenting requirements for experience work.

1.3. The obstetrician-gynecologist of the maternity hospital is appointed to the position and dismissed from it by order of [name of the position of the head].

1.4. The obstetrician-gynecologist of the maternity hospital should know:

the Constitution of the Russian Federation;

Laws and other regulatory legal acts of the Russian Federation in the field of healthcare, consumer protection and sanitary and epidemiological welfare of the population;

Regulatory legal documents regulating the activities of healthcare institutions;

Modern methods of prevention, diagnosis, treatment and rehabilitation of patients in the field of "obstetrics and gynecology";

General principles and basic methods of clinical, instrumental and laboratory diagnostics of the functional state of organs and systems of the human body;

Organization of obstetric and gynecological service;

Indicators of maternal and perinatal mortality and measures to reduce them;

The main issues of normal and pathological physiology, respectively, in healthy women and in obstetric and gynecological pathology;

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

Physiology and pathology of pregnancy, childbirth and the postpartum period, risk groups;

Causes of pathological processes in a woman's body, mechanisms of their development and clinical manifestations;

Issues of asepsis and antisepsis in obstetrics and gynecology;

Fundamentals of pharmacotherapy, immunology and genetics in obstetrics and gynecology;

Principles, techniques and methods of anesthesia in obstetrics and gynecology, the basics of intensive care and resuscitation in women and newborns;

Principles of preoperative preparation and postoperative management of patients, methods of rehabilitation;

New modern methods of prevention and treatment of obstetric and gynecological pathology, as well as unplanned pregnancy;

Fundamentals of oncological alertness for the prevention and early diagnosis of malignant neoplasms in women;

Issues of temporary and permanent disability, medical and labor expertise in obstetrics and gynecology;

Organization and conduct of medical examination of women, analysis of its effectiveness;

Features of the sanitary and epidemiological regime in the departments of the obstetric and gynecological hospital;

Indications for hospitalization of pregnant women and gynecological patients;

Equipment and equipment of operating rooms and intensive care wards, safety precautions when working with equipment, surgical instruments used in various obstetric and gynecological operations;

Rules for issuing medical documentation;

Internal labor regulations;

Rules on labor protection and fire safety;

- [other general and special knowledge].

1.5. The obstetrician-gynecologist of the maternity hospital should be able to:

Establish the gestational age, assess the health of the pregnant woman, identify possible violations and implement a set of dispensary measures;

Identify signs of early or late pathology of pregnancy (early and late toxicosis, dropsy, nephropathy, eclampsia) and take all necessary measures to eliminate it;

Perform external and internal obstetric examination, determine the phase of the course of labor and the position of the fetus, the degree of maturity of the cervix;

Carry out medical examination and evaluate its effectiveness;

Carry out physiological childbirth, childbirth with occipital or head presentation of the fetus;

Timely recognize and conduct childbirth with extensor presentation of the fetus, breech presentation, large fetus and multiple pregnancy;

Timely determine indications for caesarean section;

Justify tactics in the transverse position of the fetus and implement it;

Substantiate the tactics of conducting childbirth in extragenital diseases;

Determine anomalies and carry out the regulation of labor activity;

Determine the cause of obstetric bleeding (placenta previa, premature detachment, atonic bleeding) and provide the necessary assistance in this condition;

Establish signs of intrauterine fetal hypoxia and provide the necessary assistance;

Perform resuscitation measures for asphyxia and birth trauma of the newborn;

Assess the course of the postpartum period, identify postpartum complications and fight them;

Determine the complications of the neonatal period, develop and carry out therapeutic measures;

- [other general and special skills].

1.6. The obstetrician-gynecologist of the maternity hospital should be able to establish a diagnosis and carry out the necessary treatment for the following diseases:

Ectopic pregnancy;

community abortion;

genital tuberculosis;

Inflammatory diseases of the female genital organs of septic etiology;

Anomalies in the position of the genital organs;

Gonorrhea in women;

Trichomoniasis of the urinary organs;

dishormonal diseases;

Benign tumors of the uterus and appendages;

Malignant tumors of the uterus and appendages.

2. Job responsibilities

Obstetrician-gynecologist of the maternity hospital:

2.1. Provides qualified medical care in the specialty "Obstetrics and Gynecology", using modern methods of diagnosis, treatment, prevention and rehabilitation.

2.2. Determines the tactics of managing the patient in accordance with established standards.

2.3. Establishes (or confirms) the diagnosis.

2.4. Independently conducts or organizes the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and activities.

2.5. Carries out the following operations and manipulations:

Colposcopy;

Diagnostic curettage of the uterine cavity;

Curettage of the uterine cavity during abortion;

Classic manual allowance;

Fetal extraction;

obstetric forceps;

Massage of the uterus with its atony;

C-section;

Sewing up the rupture of the cervix, vagina, perineum;

Manual separation and separation of the placenta, manual control of the uterine cavity;

Laparotomy for ectopic pregnancy and ovarian cyst torsion;

Puncture of the posterior fornix;

Hydrotubation;

Amniotomy;

Hysterosalpingography;

Amputation of the uterus;

targeted biopsy;

Removal of a polyp of the mucous membrane of the cervix;

Bladder catheterization;

Probing of the stomach;

Siphon enema;

Venesection, intravenous infusion, blood transfusion.

2.6. Carries out an examination of temporary disability.

2.7. Every day he makes rounds in the wards together with the midwife (nurse) and participates in the rounds of the head of the department.

2.8. Provides sanitary and hygienic maintenance of the wards, compliance with the established regime, anti-epidemic measures.

2.9. Participates in the reception of pregnant women, women in childbirth, puerperas and patients entering the department during its opening hours, examines them, prescribes the necessary medical and diagnostic measures.

2.10. Carries out duty in accordance with the approved schedule.

2.11. At the personal appeal of relatives, he gives certificates about the state of health of women in childbirth, puerperas and patients, taking into account the principles of maintaining medical secrecy.

2.12. Reports to the head of the department, and in his absence directly to the deputy chief physician for medical affairs (or the chief physician) about life-threatening changes in the state of health of patients and about all deaths, as well as about gross violations of internal regulations by medical personnel and patients.

2.13. Systematically improves his skills.

2.14. Maintains proper medical records.

2.15. Supervises the work and conducts activities to improve the skills of subordinate middle and junior medical personnel.

2.16. [other duties].

3. Rights

The obstetrician-gynecologist of the maternity hospital has the right to:

3.1. Assign and cancel (previously appointed by him) any treatment and diagnostic measures arising from the changing condition of the patient and the availability of opportunities in the field of diagnosis and treatment.

3.2. Discharge and transfer a woman to another department of the maternity hospital or other medical and preventive institution in agreement with the head of the department.

3.3. Issue sick leave.

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

3.5. For extra leave.

3.6. Demand the creation of conditions for the performance of professional duties, including the provision of the necessary equipment, inventory, a workplace that meets sanitary and hygienic rules and regulations, etc.

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

3.8. Get acquainted with the draft decisions of the organization's management regarding its activities.

3.9. Give instructions to subordinate middle and junior medical workers, make proposals for encouraging these workers or imposing disciplinary sanctions on them.

3.10. [other rights provided labor law Russian Federation].

4. Responsibility

The obstetrician-gynecologist of the maternity hospital is responsible for:

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

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

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

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

Head of Human Resources

[initials, last name]

[signature]

[day month Year]

Agreed:

[initials, last name]

[signature]

[day month Year]

Familiarized with the instructions:

[initials, last name]

[signature]

[day month Year]

Job description of a doctor - obstetrician-gynecologist

[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 legal acts regulating labor relations.

1. General Provisions

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

1.2. An obstetrician-gynecologist is appointed to the position and dismissed from it by order of [position name].

1.3. A person with a higher professional education in the specialty "General Medicine", "Pediatrics", postgraduate professional education (internship or residency) and a certificate of a specialist in the specialty "Obstetrics and Gynecology" is accepted for the position of an obstetrician-gynecologist, without presenting requirements for work experience .

1.4. The obstetrician-gynecologist should know:

the Constitution of the Russian Federation;

Laws and other regulatory legal acts of the Russian Federation in the field of healthcare, consumer protection and sanitary and epidemiological welfare of the population;

Regulatory legal documents regulating the activities of healthcare institutions;

Modern methods of prevention, diagnosis, treatment and rehabilitation of patients in the field of "obstetrics and gynecology";

Theoretical aspects of all nosologies, both in the field of obstetrics and gynecology, and other independent clinical disciplines, their etiology, pathogenesis, clinical symptoms, course features;

General principles and basic methods of clinical, instrumental and laboratory diagnostics of the functional state of organs and systems of the human body;

Principles of complex treatment of major diseases;

Rules for the provision of emergency medical care;

Fundamentals of examination of temporary disability and medical and social examination and the procedure for their conduct;

Fundamentals of health education;

Organization of the obstetric and gynecological service, structure, staffing and equipment of obstetric and gynecological healthcare institutions;

Rules for issuing medical documentation;

Principles of activity planning and reporting of the obstetric and gynecological service;

Methods and procedure for monitoring its activities, theoretical foundations, principles and methods of clinical examination;

Medicinal provision of the population;

Fundamentals of organizing medical and preventive care in hospitals and outpatient clinics, emergency and emergency medical care, disaster medicine services, sanitary and epidemiological services, 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;

Basics of labor legislation;

Internal labor regulations;

Rules on labor protection and fire safety.

2. Job responsibilities

The obstetrician-gynecologist has the following job responsibilities:

2.1. Providing qualified medical care in the specialty "Obstetrics and Gynecology", using modern methods of diagnosis, treatment, prevention and rehabilitation.

2.2. Determination of patient management tactics in accordance with established standards.

2.3. Based on the collection of anamnesis, clinical observation and the results of clinical, laboratory and instrumental studies, the establishment (or confirmation) of the diagnosis.

2.4. Independent conduct or organization of the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and measures.

2.5. Carrying out examination of temporary incapacity for work.

2.6. Maintaining proper medical records.

2.7. Supervising the work of subordinate middle and junior medical personnel.

2.8. [Other Job Responsibilities].

3. Rights

The obstetrician-gynecologist 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 obstetrician-gynecologist is responsible for:

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

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

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

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

Head of Human Resources

[initials, last name]

[signature]

[day month Year]

Agreed:

[job title]

[initials, last name]

[signature]

[day month Year]

Familiarized with the instructions:

[initials, last name]

[signature]

[day month Year]

We bring to your attention a typical example of the job description of an obstetrician-gynecologist, sample 2019/2020. should include the following sections: general position, duties of an obstetrician-gynecologist, rights of an obstetrician-gynecologist, responsibility of an obstetrician-gynecologist.

Job description of an obstetrician-gynecologist belongs to the section Qualification characteristics of positions of workers in the field of healthcare".

The following items should be reflected in the job description of an obstetrician-gynecologist:

Responsibilities of an obstetrician-gynecologist

1) Job responsibilities. Provides qualified medical care in the specialty "Obstetrics and Gynecology", using modern methods of diagnosis, treatment, prevention and rehabilitation. Determines the tactics of managing the patient in accordance with established standards. Based on the collection of anamnesis, clinical observation and the results of clinical, laboratory and instrumental studies, establishes (or confirms) the diagnosis. Independently conducts or organizes the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and activities. Carries out an examination of temporary disability. Maintains proper medical records. Supervises the work of the secondary and junior medical personnel subordinate to him.

The obstetrician-gynecologist should know

2) The obstetrician-gynecologist in the performance of his duties must know: the Constitution of the Russian Federation; laws and other regulatory legal acts of the Russian Federation in the field of healthcare, consumer protection and sanitary and epidemiological welfare of the population; normative legal documents regulating the activities of healthcare institutions; modern methods of prevention, diagnosis, treatment and rehabilitation of patients in the field of "obstetrics and gynecology"; theoretical aspects of all nosologies, both in the field of obstetrics and gynecology, and other independent clinical disciplines, their etiology, pathogenesis, clinical symptoms, course features; general principles and basic methods of clinical, instrumental and laboratory diagnostics of the functional state of organs and systems of the human body; principles of complex treatment of major diseases; rules for the provision of emergency medical care; the basics of examination of temporary disability and medical and social examination and the procedure for their conduct; fundamentals of health education; organization of the obstetric and gynecological service, structure, staffing and equipment of obstetric and gynecological healthcare institutions; rules for issuing medical documentation; principles of activity planning and reporting of the obstetric and gynecological service; methods and procedure for monitoring its activities, theoretical foundations, principles and methods of clinical examination; drug supply of the population; 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, organizational and economic foundations for the activities of health care institutions and medical workers in the conditions of budgetary insurance medicine; fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology; legal aspects of medical activity; internal labor regulations; rules on labor protection and fire safety.

Requirements for the qualification of an obstetrician-gynecologist

3) Qualification requirements. Higher professional education in the specialty "General Medicine", "Pediatrics", postgraduate professional education (internship or residency) and a certificate of a specialist in the specialty "Obstetrics and Gynecology", without presenting requirements for work experience.

Job description of an obstetrician-gynecologist - sample 2019/2020. The duties of an obstetrician-gynecologist, the rights of an obstetrician-gynecologist, the responsibility of an obstetrician-gynecologist.