Ward nurse (guard nurse). Exd - nurse I. General provisions

Job responsibilities. Organizes an outpatient appointment with a local general practitioner (pediatrician), provides him with individual outpatient cards, prescription forms, referrals, prepares equipment and instruments for work. Together with the general practitioner (pediatrician), he forms a local medical (therapeutic) site from the population assigned to it, maintains personal records, an information (computer) database of the health status of the population served, and participates in the formation of groups of dispensary patients. Carries out dispensary observation of patients, including those entitled to receive a set of social services, in the prescribed manner. Conducts pre-medical examinations, including preventive ones, recording the results in the outpatient’s medical record. Conducts activities on sanitary and hygienic education and education of the population served, advises on the formation of a healthy lifestyle. Carries out preventive measures to prevent and reduce morbidity, identify early and latent forms of diseases, socially significant diseases and risk factors, organize and conduct classes in health schools. Studies the needs of the population served for health-improving activities and develops a program for carrying out these activities. Organizes the diagnosis and treatment of diseases and conditions, including rehabilitation treatment of patients on an outpatient basis, day hospital and hospital at home. Provides emergency pre-hospital medical care to patients with acute diseases, injuries, poisoning and other emergency conditions on an outpatient basis, day hospital and home hospital. Refers patients for consultations with medical specialists, including for inpatient and rehabilitation treatment, for medical reasons. Carries out measures to prevent infectious diseases, organizes and conducts anti-epidemic measures and immunoprophylaxis in the prescribed manner. Draws up documentation for the examination of temporary disability in the prescribed manner and documents for referral for medical and social examination, as well as a conclusion on the need to refer patients for medical reasons to sanatorium-resort treatment. Interacts with medical organizations of state, municipal and private healthcare systems, medical insurance companies, and other organizations. Together with the social protection authorities, it organizes medical and social assistance to certain categories of citizens: single, elderly, disabled, chronically ill, in need of care. Manages the activities of junior medical staff. Maintains medical records. Takes part in the analysis of the health status of the population served and the activities of the medical (therapeutic) site. Carries out the collection and disposal of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the premises, the rules of asepsis and antisepsis, the conditions for sterilization of instruments and materials, and the prevention of post-injection complications, hepatitis, and HIV infection.

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

Qualification requirements. Secondary vocational education in the specialty "General Medicine", "Midwifery", "Nursing" and a specialist certificate in the specialty "Nursing", "Nursing in Pediatrics", "General Practice" without any work experience requirements.

ECSD 2018. Revision dated April 9, 2018 (including those with changes that entered into force on July 1, 2018)
To search for approved professional standards of the Ministry of Labor of the Russian Federation, use directory of professional standards

Nurse

Job responsibilities. Provides pre-medical care and collects biological materials for laboratory research. Provides care to patients in medical institutions and at home. Sterilizes medical instruments, dressings and patient care items. Assists when a doctor performs therapeutic and diagnostic procedures and minor operations in outpatient and inpatient settings. Prepares patients for various types of studies, procedures, surgeries, and outpatient doctor appointments. Ensures the implementation of medical prescriptions. Carries out accounting, storage, use of medicines and ethyl alcohol. Maintains personal records and an information (computer) database of the health status of the population served. Manages the activities of junior medical staff. Maintains medical records. Conducts health education work among patients and their relatives to promote health and prevent diseases, promote a healthy lifestyle. Carries out the collection and disposal of medical waste. Carries out measures to comply with the sanitary and hygienic regime, the rules of asepsis and antisepsis, the conditions for sterilization of instruments and materials, and the prevention of post-injection complications, hepatitis, and HIV infection.

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

Qualification requirements. Secondary vocational education in the specialty "General Medicine", "Midwifery", "Nursing" and a specialist certificate in the specialty "Nursing", "General Practice", "Nursing in Pediatrics" without any work experience requirements.

Senior nurse - secondary vocational education (advanced level) in the specialty "General Medicine", "Midwifery", "Nursing" and a specialist certificate in the specialty "Nursing", "General Practice", "Nursing in Pediatrics" without presentation work experience requirements.

Vacancies for the position of Nurse on the all-Russian vacancy database

In accordance with Article 143 of the Labor Code of the Russian Federation, the tariffing of work and the assignment of tariff categories to employees are carried out taking into account the unified tariff and qualification directory of works and professions of workers, the unified qualification directory of positions of managers, specialists and employees.

Decree of the Government of the Russian Federation dated October 31, 2002 N 787 established that the Unified Tariff and Qualification Directory of Work and Professions of Workers (hereinafter referred to as UTKS) consists of tariff and qualification characteristics containing characteristics of the main types of work by profession of workers, depending on their complexity, and corresponding to them tariff categories, as well as requirements for the professional knowledge and skills of workers.

The development of the ETKS is carried out by the Ministry of Health and Social Development of the Russian Federation together with the federal executive authorities, which are entrusted with the management, regulation and coordination of activities in the relevant sector (sub-sector) of the economy (clause 2 of the Decree of the Government of the Russian Federation of October 31, 2002 N 787).

Before the approval of new issues of ETKS, issues approved by the resolutions of the State Committee for Labor of the USSR and the Secretariat of the All-Union Central Council of Trade Unions and valid on the territory of Russia in accordance with Resolution of the Ministry of Labor of the Russian Federation dated May 12, 1992 N 15a are applied.

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Job responsibilities. Prepares the operating room, members of the surgical team, surgical instruments, linen, suture and dressing materials, and equipment for the operation. Monitors the timeliness of patient transportation, as well as the routes of movement of the surgical team in accordance with the sterility zones in the operating unit. Ensures infection safety of the patient and medical personnel, and also ensures compliance with the rules of asepsis and antisepsis by all personnel in the operating room. Prepares the patient for surgery: creates the necessary surgical position on the operating table, treats the surgical field, and ensures isolation of the surgical field. Participates in surgical operations, provides members of the surgical team with the necessary tools, materials, and equipment. Provides early postoperative care for the patient and prevention of postoperative complications. Monitors the timely referral of biological material taken from the patient during surgery for histological and bacteriological examination. Conducts quantitative accounting of the instruments used, suture and dressing materials, linen, medicines and equipment. Performs primary disinfection treatment of used instruments, materials and equipment. Monitors the sterilization of linen, dressings and suture materials, instruments and equipment. Prepares and monitors the operation of equipment located in the operating room. Replenishes consumables. Maintains medical records. Provides first aid in emergency situations. Carries out the collection and disposal of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the premises, the rules of asepsis and antisepsis, the conditions for sterilization of instruments and materials, and the prevention of post-injection complications, hepatitis, and HIV infection.

Must know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare; theoretical foundations of nursing; organization of surgical care, ambulance and emergency medical care for the population; procedure for obtaining, recording, storing, using medicines, incl. narcotic drugs and strictly controlled drugs, dressings and suture materials, clothing, linen, surgical gloves; infection control system, infection safety of patients and medical personnel; rules of asepsis and antiseptics; types, forms and methods of rehabilitation; organizing and conducting activities for the rehabilitation of patients with surgical diseases and injuries; organization of surgical care according to the principle of “1 day surgery”; basics of perioperative nursing care; modern methods of disinfection and sterilization; basics of transfusiology; types of bleeding and ways to stop them; rules of general and local anesthesia; design and principles of operation of anesthesia-respiratory equipment; rules for the collection, storage and disposal of waste from medical institutions; fundamentals of disaster medicine and military surgery; rules for maintaining accounting and reporting documentation of a structural unit, main types of medical documentation; medical ethics; psychology of professional communication; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty “General Medicine”, “Midwifery”, “Nursing” and a specialist certificate in the specialty “Operations” without any work experience requirements.

Senior operating nurse - secondary vocational education with in-depth training in the specialty “General Medicine”, “Midwifery”, “Nursing”, additional professional education and a specialist certificate in the specialty “Operational Science” without presenting requirements for work experience or secondary vocational education basic training in the specialty “Nursing”, additional professional education and a specialist certificate in the specialty “Operations” and work experience in the specialty of at least 3 years.

hygiene doctor for children and adolescents, hygiene doctor

nutrition, occupational health doctor, municipal hygiene doctor,

general hygiene doctor, radiation hygiene doctor

Must know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare, epidemiology and immunobiology; methods of monitoring compliance with sanitary rules, norms and hygienic standards; basic organizational and administrative documents regulating the activities of the sanitary and epidemiological institution and its divisions; basics of disaster medicine; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Assistant physician-epidemiologist

D official duties. Carrying out preventive measures prescribed by an epidemiologist in a hospital and outpatient clinic. Monitoring the identification and registration of nosocomial infections and the provision of daily information from all functional departments of the hospital. Compliance with sanitary, hygienic and disinfection regimes in medical and preventive institutions, aseptic and antiseptic rules. Monitoring the conditions of sterilization, use, storage and disposal of medical instruments and materials, implementation of measures to prevent post-injection complications, serum hepatitis, AIDS, in accordance with current instructions and orders. Control over the conditions of delivery and storage of immunobiological preparations; timely and high-quality implementation of preventive vaccinations. Sending, in the prescribed manner, emergency notifications about cases of infectious diseases to territorial sanitary and epidemiological surveillance centers, as well as information to the main specialists of health authorities. Compliance with internal labor regulations, medical ethics, labor protection and safety requirements.
D must know. Legal aspects of preventive and anti-epidemic activities, enshrined in the Constitution of the Russian Federation, “Civil Code of the Russian Federation”, “Fundamentals of the legislation of the Russian Federation on the protection of public health”, Law “On the sanitary and epidemiological welfare of the population of Russia”, legislative and regulatory documents regulating the organization of preventive and anti-epidemic measures.
Qualification requirements. Secondary vocational education in the specialty “Medical and Preventive Care”, additional professional education in the specialty “Epidemiology”, a specialist certificate in the specialty “Epidemiology”, without any work experience requirements.

Entomologist Assistant

Must know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare and epidemiology; methods of monitoring compliance with sanitary rules, norms and hygienic standards; basic organizational and administrative documents regulating the activities of the sanitary and epidemiological institution and its divisions; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty “Medical and Preventive Care”, additional vocational education and a specialist certificate in the specialty “Entomology” without any work experience requirements.

X-ray technician

Job responsibilities. Prepares patients for x-ray examinations. Prepares documentation and prepares contrast agents for the procedure. Makes radiographs, tomograms, carries out photo processing, and participates in fluoroscopy. Monitors the dose of x-ray radiation, the serviceability of the x-ray machine, and the cleanliness and order in the x-ray room. If necessary, provides first aid to victims of electric current. Monitors the patient’s condition during the study and ongoing monitoring of the condition of the equipment used, its timely repair and decommissioning. Independently eliminates simple equipment malfunctions. Carries out collection and delivery of silver-containing waste. Provides first aid in emergency situations.

Must know: laws and other regulatory legal acts of the Russian Federation concerning the organization of radiation diagnostics and radiation therapy services in the Russian Federation; methods of providing primary medical care, working with diagnostic equipment; the procedure for preparing photochemical solutions, contrast agents, and processing X-ray film; basics of medical informatics, rules for working on a personal computer, rules for working in the radiology department; rules for maintaining accounting and reporting documentation; basics of sanitary-epidemiological and sanitary-hygienic regime; basics of organization and activities of military field radiology; methods and means of health education; medical ethics; psychology of professional communication; the basics of the functioning of budgetary insurance medicine and voluntary health insurance; basics of disaster medicine; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty “Nursing”, “General Medicine”, “Midwifery”, “Dentistry”, “Preventive Dentistry”, “Orthopedic Dentistry”, additional professional education and a specialist certificate in the specialty “Radiology” without any experience requirements work.

Pharmacist

Job responsibilities. Accepts prescriptions and requirements of medical organizations, dispenses medicines and medical products. Manufactures medications and checks their quality using the simplest methods of in-pharmacy control. Participates in the acceptance of goods, their distribution to storage locations, ensures storage conditions for medicines and medical products in accordance with their physical and chemical properties and current storage rules. Provides advisory assistance to packers on packaging medicines. Conducts health education and information work among the population about medicines and medical products, their use and storage at home. Provides first aid in emergency situations.

Must know: laws and other regulatory legal acts of the Russian Federation on pharmacy issues; basics of pharmaceutical business; basics of economics; technology for the manufacture of medicines, rules for their storage and dispensing; nomenclature of medicines and medical products; rules for providing first aid; methods and means of pharmaceutical information; medical ethics and deontology; psychology of professional communication; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty “Pharmacy” and a specialist certificate in the specialty “Pharmacy” without any work experience requirements.

Senior pharmacist - secondary vocational education of advanced training in the specialty "Pharmacy" and a specialist certificate in the specialty "Pharmacy" without presenting requirements for work experience or secondary vocational education of basic training in the specialty "Pharmacy", additional professional education and a specialist certificate in the specialty "Pharmacy" and work experience in the specialty of at least 3 years.

Optics seller

Job responsibilities. Provides distribution of spectacle optics and contact lenses to the population and medical organizations. Places orders for the manufacture and repair of glasses, makes minor repairs to glasses, using the necessary optical instruments for work. Maintains accounting and reporting documentation. Conducts health education work among the population about the use of spectacle optics and contact lenses.

Must know: principles of organizing pharmaceutical services; device, properties, rules of operation and storage of spectacle optics, contact lenses used in the operation of optical instruments; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty “Medical Optics” or “Pharmacy” without any work experience requirements.

IV. Junior medical positions

and pharmaceutical personnel

Junior nursing nurse

Job responsibilities. Assists in patient care under the direction of a nurse. Performs simple medical procedures (placement of cups, mustard plasters, compresses). Ensures that patients and premises are kept clean. Ensures proper use and storage of patient care items. Changes bed and underwear. Participates in the transportation of seriously ill patients. Monitors compliance by patients and visitors with the internal regulations of the medical organization. Carries out the collection and disposal of medical waste. Carries out measures to comply with the rules of asepsis and antisepsis, conditions for sterilization of instruments and materials, and the prevention of post-injection complications, hepatitis, and HIV infection.

Must know: techniques for performing simple medical procedures; rules of sanitation and hygiene, patient care; rules for the collection, storage and disposal of waste from medical institutions; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Primary vocational education in the specialty “Nursing” or secondary vocational education in the specialty “Nursing”, “General Medicine”, “Midwifery” without presenting requirements for work experience bots(reflects the requirements of the Federal State Educational Standard).

Junior pharmacist

Job responsibilities. Dispenses sanitary and hygiene items, patient care, other medical products, and medicinal herbs. Provides storage and monitoring of expiration dates of medicinal herbs and medical products. Participates in the acceptance, placement and packaging of goods, using the necessary equipment and observing health and safety regulations. Conducts health education and information work on the use of medical products.

Must know: basics of organizing pharmaceutical services; basic regulatory legal acts on pharmacy issues; nomenclature of medicinal herbs and medical products; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty “Pharmacy” without any work experience requirements.

Nurse

Job responsibilities. Cleans premises in a medical organization. Assists the senior nurse in obtaining medications, instruments, equipment and delivering them to the department. Receives from the housewife and ensures proper storage and use of linen, household equipment, dishes and detergents. Cleans bedside tables for bedridden patients after each meal. As directed by the ward nurse, accompanies patients to diagnostic and treatment rooms. Acts as a courier and washes pharmaceutical glassware. Informs the sister-housewife about malfunctions in the heating system, water supply, sewerage and electrical appliances. Prepares rooms and baths. Systematically (after each patient) carries out sanitary and hygienic treatment of the bathtub and washcloths. Assists patients in taking a hygienic bath, undressing and dressing. In the absence of a junior nurse, he receives underwear and bed linen from the housewife and changes it. Receives ready-made food at the catering unit, checks it by weight and count. Signs the handout sheet. Heats food. Distributes hot food to patients according to the menu and prescribed diet. Washing dishes, cleaning the pantry and dining room, observing sanitary requirements. Systematically cleans refrigerators intended for storing food for patients. Provides sanitary and hygienic maintenance of the pantry and dining room. Promptly informs department management about the need to repair pantry equipment and inventory.

Must know: rules of sanitation and occupational hygiene; purpose of detergents and rules for handling them; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary (complete) general education without any work experience requirements.

Nurse driver

Job responsibilities. Together with the paramedic, he carries out carrying, loading and unloading of sick and injured people during their transportation, assists the doctor and paramedic when they perform diagnostic and therapeutic procedures, and carries medical equipment. Provides assistance to medical personnel in accompanying patients. Drives an emergency medical vehicle classified as one of categories “B” or “C”. Fills the vehicle with fuel, lubricants and coolant. Prepares travel documents. Checks the technical condition and acceptance of the vehicle before leaving the line. Returning the car and placing it in the designated place upon returning from work. Eliminates minor operational malfunctions of rolling stock that arise during operation on the line, which do not require disassembling the mechanisms. Carry out sanitary and hygienic treatment of the car interior after each patient (injured). Reports vehicle malfunctions.

Must know: rules for operating the medical instruments and equipment used; safety rules when working with medical instruments and equipment; psychology of professional communication; basics of disaster medicine; sanitary and hygienic maintenance of the medical salon; rules of sanitation and occupational hygiene; purpose of detergents and rules for handling them; Traffic Laws; basics of traffic safety; rules for the technical operation of vehicles (related to drivers); basic indicators of vehicle performance, ways and means of increasing labor productivity; signs, causes and dangerous consequences of malfunctions that arise during the operation of a vehicle, methods for their detection and elimination; procedure for technical maintenance of vehicles and trailers; rules for storing cars in garages and open parking lots; rules for operating batteries and car tires; the influence of weather conditions on the safety of driving a car; ways to prevent road accidents; first aid techniques in case of accidents; rules for filling out primary documents for recording vehicle operation; rules for running in new cars and after major repairs; procedure for emergency evacuation of passengers in road accidents; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary (complete) general education. Special training in first aid programs. The right to drive a category “B” car, work experience as a car driver for at least 3 years.

Sister-hostess

Job responsibilities. Supervises the work of nurses and cleaners in keeping the premises of a medical organization (unit) clean and in order, provides the serviced unit with household equipment, special clothing, hygiene items, office supplies, detergents, bed and underwear for patients. Changes gowns and towels for employees of medical organizations. Draws up requests for repairs of premises, equipment, inventory and monitors its implementation. Provides food units (buffet, canteen) with equipment, utensils and ensures their correct labeling and use. Maintains accounting and reporting documentation.

Must know: expiration dates of linen and equipment used in a medical organization (unit); methods of sanitizing equipment; conditions of operation and storage of equipment; forms of accounting and reporting documentation and rules for filling them out; rules for observing the sanitary and hygienic regime in a medical organization (unit); internal labor regulations; labor protection and fire safety rules.

Qualification requirements.

Packer

Job responsibilities. Performs work on packaging and dosing of medicines, medical products, using the necessary equipment, mechanization, observing the rules of their operation. Participates in the receipt and distribution of goods between pharmacy departments.

Must know: basic methodological and regulatory documents on pharmacy issues; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary (complete) general education and additional training in the field of professional activity without presenting requirements for work experience.

V. Positions of other personnel of occupational therapy workshops

at medical organizations

Industrial training instructor for workers

mass professions

Job responsibilities. Trains unskilled workers and apprentices in modern techniques for performing production operations, operating machines, machine tools, etc. Plans educational work and keeps records of the implementation of industrial training programs, the results of students’ work and their progress. Monitors the provision of safe working conditions for trainees and the equipping of their workplaces with everything necessary to perform the work. Conducts introductory and ongoing training for all new workers. Summarizes best work experience in the relevant profession, transfers it to trainees in order to improve their qualifications, introduce rational techniques and methods of work. Monitors the correct execution of technological operations by trainees, the quality and productivity of their work. Provides additional instruction to trainees to eliminate identified deficiencies.

Must know: laws and other regulatory legal acts of the Russian Federation concerning the issues of training workers in mass professions; fundamentals of the diagnostic and treatment process, disease prevention; training programs and tariff and qualification characteristics of the relevant professions of workers; principles and methods of industrial training; technological production process; design and interaction of components and mechanisms of serviced machines and machines; rules for technical operation of equipment; range of manufactured products; requirements for the quality of raw materials, semi-finished products and finished products; advanced methods of organizing, planning labor and performing work techniques and operations in relevant professions; methods of monitoring and analyzing the work of trainees; the procedure for recording the implementation of industrial training programs, the results of trainees’ work and their academic performance; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the profile of the work performed without requirements for work experience or secondary (complete) general education, special training and work experience in the profile of at least 3 years.

 The qualification characteristics for the position “Doctor-specialist” apply to positions of medical specialists for which this section of the EKS does not provide for separate qualification characteristics.

In accordance with Part 1 of Art. 70 of the Federal Law of the Russian Federation No. 323-FZ, the attending physician is appointed by the head of the medical organization (division of the medical organization) or is selected by the patient taking into account the consent of the doctor. If a patient requests a replacement doctor, the head of a medical organization (division of a medical organization) must facilitate the patient’s choice of another doctor in the manner established by the authorized federal executive body.

The attending physician organizes timely qualified examination and treatment of the patient, provides information about the state of his health, at the request of the patient or his legal representative, invites specialist doctors for consultations, and, if necessary, convenes a council of doctors for the purposes established by Part 4 of Article 47 of this Federal Law. Recommendations of consultants are implemented only in agreement with the attending physician, with the exception of cases of emergency medical care (Part 2 of Article 70).

The attending physician, in agreement with the relevant official (head) of the medical organization (division of the medical organization), may refuse to monitor the patient and his treatment, and also notify in writing of the refusal to perform an artificial termination of pregnancy, if the refusal does not directly threaten the patient’s life and health of others. If the attending physician refuses to monitor the patient and treat the patient, as well as in the event of a written notification of refusal to perform an artificial termination of pregnancy, the official (head) of the medical organization (division of the medical organization) must organize a replacement of the attending physician (Part 3 of Art. 70).

The attending physician, when recommending a medicinal product, medical device, specialized medical nutrition product or breast milk substitute to a patient, is obliged to inform the patient about the possibility of receiving the corresponding medicinal product, medical device, specialized medical food product or breast milk substitute without charging a fee in accordance with the legislation of the Russian Federation. Federation (Part 4, Article 70).

The attending physician establishes a diagnosis, which is based on a comprehensive examination of the patient and a medical report drawn up using medical terms about the patient’s disease (condition), including the cause of the patient’s death (Part 5 of Article 70).

The diagnosis, as a rule, includes information about the underlying disease or condition, concomitant diseases or conditions, as well as complications caused by the underlying disease and concomitant disease (Part 6 of Article 70).

Certain functions of the attending physician for the direct provision of medical care to the patient during the period of observation and treatment, including the prescription and use of medications, including narcotic drugs and psychotropic drugs, by the head of a medical organization when organizing the provision of primary health care and emergency medical services may be assigned to a paramedic or midwife in the manner established by the authorized federal executive body (part 7 of article 70).

Doctor's oath contained in Art. 71 of the Federal Law of the Russian Federation No. 323-FZ, according to which Persons who have completed the educational program of higher medical education, upon receipt of a document on education and qualifications, take a doctor’s oath with the following content:

“Receiving the high title of doctor and starting my professional activities, I solemnly swear:

honestly perform your medical duty, devote your knowledge and skills to the prevention and treatment of diseases, preserving and strengthening human health;

be always ready to provide medical care, maintain medical confidentiality, treat the patient with care and attention, act exclusively in his interests, regardless of gender, race, nationality, language, origin, property and official status, place of residence, attitude to religion, beliefs, affiliation to public associations, as well as other circumstances;

show the highest respect for human life, never resort to euthanasia;

remain grateful and respectful to your teachers, be demanding and fair to your students, and promote their professional growth;

treat colleagues kindly, turn to them for help and advice if the interests of the patient require it, and never refuse colleagues help and advice;

constantly improve your professional skills, protect and develop the noble traditions of medicine.”

The doctor's oath is taken in a solemn atmosphere.

Federal Law No. 323-FZ does not contain articles specifically devoted to paramedical workers. However, it is necessary to separately consider qualification characteristics of a nurse , set out in the Unified Qualification Directory of Positions for Managers, Specialists and Employees, approved by Order of the Ministry of Health and Social Development of the Russian Federation (Ministry of Health and Social Development of Russia) dated July 23, 2010 No. 541n, in the section “Qualification characteristics of positions of workers in the field of healthcare.”

The qualification characteristics of the nurse indicate:

« Job responsibilities. Provides pre-medical care and collects biological materials for laboratory research. Provides care to patients in medical institutions and at home. Sterilizes medical instruments, dressings and patient care items. Assists when a doctor performs therapeutic and diagnostic procedures and minor operations in outpatient and inpatient settings. Prepares patients for various types of studies, procedures, surgeries, and outpatient doctor appointments. Ensures the implementation of medical prescriptions. Carries out accounting, storage, use of medicines and ethyl alcohol. Maintains personal records and an information (computer) database of the health status of the population served. Manages the activities of junior medical staff. Maintains medical records. Conducts health education work among patients and their relatives to promote health and prevent diseases, promote a healthy lifestyle. Carries out the collection and disposal of medical waste. Carries out measures to comply with the sanitary and hygienic regime, the rules of asepsis and antisepsis, the conditions for sterilization of instruments and materials, and the prevention of post-injection complications, hepatitis, and HIV infection.

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

Qualification requirements. Secondary vocational education in the specialty “General Medicine”, “Midwifery”, “Nursing” and a specialist certificate in the specialty “Nursing”, “General Practice”, “Nursing in Pediatrics” without any work experience requirements.

Senior nurse - secondary vocational education (advanced level) in the specialty “General Medicine”, “Midwifery”, “Nursing” and a specialist certificate in the specialty “Nursing”, “General Practice”, “Nursing in Pediatrics” without presentation work experience requirements."