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Instructions for the position " Nurse - anesthetist", presented on the website, meets the requirements of the document - "DIRECTORY OF Qualification Characteristics of Workers' Professions. Issue 78. Healthcare. (As amended in accordance with orders of the Ministry of Health No. 131-O dated June 18, 2003, No. 277 dated May 25, 2007, No. 153 dated March 21, 2011, No. 121 dated February 14, 2012)", which was approved by order of the Ministry of Health of Ukraine of March 29, 2002 N 117. Agreed by the Ministry of Labor and Social Policy of Ukraine. The document status is "valid".

Preface to the job description

0.1. The document comes into force from the moment of approval.

0.2. Document developer: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

0.3. The document has been approved: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.

0.4. Periodic verification of this document is carried out at intervals not exceeding 3 years.

1. General Provisions

1.1. The position "Medical nurse - anesthetist" belongs to the "Specialists" category.

1.2. Qualification requirements - incomplete higher education (junior specialist) or basic higher education (bachelor) in the field of training "Medicine", specialty "Nursing", "General Medicine" or "Midwifery". Specialization in "Anesthesiology and Reanimatology". No work experience requirements.

1.3. Knows and applies in practice:
- current legislation on health protection and regulatory documents regulating the activities of health care institutions;
- organization of work in operating rooms, resuscitation and intensive care units;
- rights, duties and responsibilities of a nurse anesthetist;
- the effect of basic anesthetics;
- types of anesthesia (simple ether, ether-oxygen, endotracheal method, intravenous inhalation anesthesia, etc.);
- technique and administration of anesthesia;
- features of anesthesia during emergency surgical and obstetric operations, operations in children;
- preparing patients before anesthesia;
- clinical and electrocardiological diagnosis of threatening conditions during anesthesia and in the postoperative period;
- basics of cardiopulmonary resuscitation;
- principles of resuscitation and intensive care for acute cardiovascular, renal and liver failure, shock, coma;
- features of resuscitation and intensive care in obstetrics and pediatrics;
- structure of anesthesia machines, instruments;
- features of observation and care for patients;
- pharmacological action of the most common medications, their compatibility, dosage, administration method;
- basics of asepsis and antiseptics;
- organization of sanitary-anti-epidemic and medical-protective regime;
- rules for preparing medical documentation;
- safety rules when working with medical instruments and equipment;
- modern literature on the specialty.

1.4. A medical nurse - anesthetist is appointed to a position and dismissed from a position by order of the organization (enterprise/institution).

1.5. The nurse anesthetist reports directly to _ _ _ _ _ _ _ _ _ _ .

1.6. The nurse anesthetist supervises the work _ _ _ _ _ _ _ _ _ _ .

1.7. During absence, a medical nurse - anesthetist is replaced by a person appointed in the prescribed manner, who acquires the appropriate rights and is responsible for the proper performance of the duties assigned to him.

2. Characteristics of work, tasks and job responsibilities

2.1. Guided by the current legislation of Ukraine on health care and regulations that determine the activities of health care institutions.

2.2. Carries out professional activities under the guidance of a doctor or independently.

2.3. Prepares supplies and related equipment for work.

2.4. Performs pre-sterilization treatment of anesthesiological instruments and equipment.

2.5. Prepares the patient for anesthesia.

2.6. Monitors the activity of the heart, brain, breathing, temperature during surgery.

2.7. Provides observation and care for patients in the early postoperative period.

2.8. Maintains documentation during pain management.

2.9. Proficient in resuscitation techniques for acute cardiovascular, renal and liver failure, shock, and comatose states.

2.10. Able to provide assistance in case of traumatic injury, bleeding, mechanical asphyxia, drowning, electrical trauma, poisoning, burns, frostbite, and allergic conditions.

2.11. Provides anti-epidemic regime in the department.

2.12. Adheres to the principles of medical deontology.

2.13. Constantly improves his professional level.

2.14. Knows, understands and applies current regulations relating to his activities.

2.15. Knows and complies with the requirements of regulations on labor protection and environmental protection, complies with the norms, methods and techniques for the safe performance of work.

3. Rights

3.1. The nurse anesthetist has the right to take action to prevent and eliminate cases of any violations or inconsistencies.

3.2. A medical nurse - anesthetist has the right to receive all social guarantees provided for by law.

3.3. A nurse anesthetist has the right to demand assistance in the performance of her official duties and the exercise of her rights.

3.4. The nurse anesthetist has the right to demand the creation of organizational and technical conditions necessary for the performance of official duties and the provision of the necessary equipment and supplies.

3.5. A nurse anesthetist has the right to get acquainted with draft documents relating to his activities.

3.6. A nurse anesthetist has the right to request and receive documents, materials and information necessary to fulfill her job duties and management orders.

3.7. A nurse anesthetist has the right to improve his professional qualifications.

3.8. The nurse anesthetist has the right to report all violations and inconsistencies identified in the course of her activities and make proposals for their elimination.

3.9. A nurse anesthetist has the right to familiarize himself with documents defining the rights and responsibilities of his position, and criteria for assessing the quality of performance of official duties.

4. Responsibility

4.1. The nurse anesthetist is responsible for failure to fulfill or untimely fulfillment of the duties assigned by this job description and (or) failure to use the granted rights.

4.2. The nurse anesthetist is responsible for failure to comply with internal labor regulations, labor protection, safety precautions, industrial sanitation and fire protection.

4.3. A medical nurse - anesthetist is responsible for disclosing information about an organization (enterprise/institution) that is a trade secret.

4.4. The nurse anesthetist is responsible for failure to comply or improper fulfillment of the requirements of internal regulatory documents of the organization (enterprise/institution) and legal orders of management.

4.5. The medical nurse-anesthetist is responsible for offenses committed in the course of her activities, within the limits established by the current administrative, criminal and civil legislation.

4.6. A nurse anesthetist is responsible for causing material damage to an organization (enterprise/institution) within the limits established by current administrative, criminal and civil legislation.

4.7. The medical nurse - anesthetist is responsible for the unlawful use of the granted official powers, as well as their use for personal purposes.

1. General Provisions

1. This job description defines the job duties, rights and responsibilities of a nurse anesthetist.
2. A person with secondary medical education and appropriate training in the specialty “Anesthesiology and Reanimatology” is appointed to the position of nurse anesthetist.
3. A nurse anesthetist must know the basics of healthcare legislation and the main regulatory documents that determine the activities of healthcare bodies and institutions; the basics of organizing medical and preventive care in hospitals and outpatient clinics, ambulance and emergency medical care, disaster medicine services, sanitary-epidemiological services, drug provision for the population and health care facilities; fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology; legal aspects of medical practice; 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, clinical features, principles of complex treatment of major diseases; rules for providing emergency medical care; basics of health education; internal labor regulations; rules and regulations of labor protection, safety, industrial sanitation and fire protection; theoretical foundations and methods of anesthesia.
4. A nurse anesthetist is appointed and dismissed by order of the head of a healthcare institution in accordance with the current legislation of the Russian Federation.
5. The nurse anesthetist is directly subordinate to the head of his structural unit (head of the department, operating unit), and in his absence, to the head of the institution or his deputy.

2. Job responsibilities

Performs diagnostic and treatment measures prescribed by a doctor. Takes part in surgical operations. Prepares anesthesia-respiratory and control-diagnostic equipment for work, monitors its serviceability, correct operation, and safety precautions. Prepares his workplace. Monitors the patient's condition during anesthesia, intensive care and resuscitation. Monitors the safety and dosage of medications during pre-anesthesia preparation, anesthesia, and the post-anesthesia period, and records their use. Participates in general and pre-anesthesia preparation of patients for surgery, monitors patients in the early postoperative period, and takes part in the prevention of complications during and after operations. Organizes and conducts nursing care for postoperative patients. Ensures infectious safety of patients and medical personnel, compliance with sanitary and epidemic regulations, aseptic and antiseptic requirements. Processes anesthesia-respiratory and control-diagnostic equipment after use. Prepares medical and other official documentation in a timely and high-quality manner. Complies with moral and legal standards of professional communication. Provides pre-hospital medical care in emergency situations. Qualifiedly and timely carries out orders, instructions and instructions from the management of the institution, as well as regulatory legal acts related to his professional activities. Complies with internal regulations, fire and safety regulations, and sanitary and epidemiological regulations. Promptly takes measures, including timely informing management, to eliminate violations of safety regulations, fire safety and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors. Systematically improves his skills.

The nurse anesthetist has the right:
1. make proposals to the management of the institution to improve the diagnostic and treatment process, incl. on issues of organization and conditions of their work;
2. control the work of junior medical personnel (if any), give them orders within the framework of their official duties and demand their strict execution, make proposals to the management of the institution for their encouragement or imposition of penalties;
3. request, receive and use information materials and regulatory documents necessary for the performance of their official duties;
4. take part in scientific and practical conferences and meetings at which issues related to his work are discussed;
5. undergo certification in the prescribed manner with the right to receive the appropriate qualification category;
6. improve your qualifications through advanced training courses at least once every 5 years.
A nurse anesthetist enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The nurse anesthetist is responsible for:
1. carrying out the official duties assigned to her;
2. organization of its work, timely and qualified execution of orders, instructions and instructions from management, regulations on its activities;
3. compliance with internal regulations, fire safety and safety regulations;
4. timely and high-quality execution of medical and other official documentation provided for by current regulatory documents;
5. provision of statistical and other information on its activities in the prescribed manner;
6. promptly taking measures, including timely informing management, to eliminate violations of safety regulations, fire safety and sanitary rules that pose a threat to the activities of a healthcare institution, its employees, patients and visitors.
For violation of labor discipline, legislative and regulatory acts, a nurse anesthetist may be subject to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.

I CONFIRM:

[Job title]

_______________________________

_______________________________

[Name of company]

_______________________________

_______________________/[FULL NAME.]/

"_____" _______________ 20___

JOB DESCRIPTION

Nurse anesthetist

1. General Provisions

1.1. This job description defines and regulates the powers, functional and job responsibilities, rights and responsibilities of a nurse anesthetist [Name of the organization in the genitive case] (hereinafter referred to as the Medical Organization).

1.2. A nurse anesthetist is appointed and dismissed in accordance with the procedure established by current labor legislation by order of the head of the Medical Organization.

1.3. A nurse anesthetist belongs to the category of specialists and is subordinate to [names of subordinate positions in the dative case].

1.4. The nurse anesthetist reports directly to [name of the position of the immediate supervisor in the dative case] of the Medical Organization.

1.5. A person with secondary vocational education in the specialty “General Medicine”, “Midwifery”, “Nursing” and a specialist certificate in the specialty “Anesthesiology and Reanimatology” is appointed to the position of nurse anesthetist without presenting requirements for work experience.

1.6. The nurse anesthetist is responsible for:

• effective performance of the work assigned to her;
• compliance with the requirements of performance, labor and technological discipline;
• the safety of the documents (information) that are in her custody (became known to her) and contain (constitute) the commercial secret of the Medical Organization.

1.7. The nurse anesthetist must know:

• laws and other regulatory legal acts of the Russian Federation in the field of healthcare;
• theoretical foundations of nursing;
• modern methods of general, local and regional anesthesia;
• basics of clinical and pharmacological justification of the drugs used during anesthesia and intensive care;
• methods of preoperative examination, preparation for surgery (anesthesia, premedication);
• age-related anatomical and physiological characteristics;
• theoretical foundations of resuscitation;
• modern methods of intensive care and resuscitation for various diseases and critical conditions;
• types, forms and methods of rehabilitation;
• infection control system, infection safety of patients and medical personnel of a medical organization;
• rules of asepsis and antiseptics;
• rules for the collection, storage and disposal of waste from medical institutions;
• a system of interaction between a medical organization and sanitary and epidemiological institutions;
• 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.

1.8. The nurse anesthetist in his activities is guided by:

• local acts and organizational and administrative documents of the Medical Organization;
• internal labor regulations;
• rules of labor protection and safety, ensuring industrial sanitation and fire protection;
• instructions, orders, decisions and instructions from the immediate supervisor;
• this job description.

1.9. During the period of temporary absence of a nurse anesthetist, her duties are assigned to [name of the deputy position].

2. Job responsibilities

A nurse anesthetist performs the following job functions:

2.1. Participates in surgical operations.

2.2. Participates in general and pre-anesthesia preparation of patients for surgery, monitors patients in the early postoperative period, and participates in the prevention of complications during and after operations.

2.3. Prepares anesthesia-respiratory and control-diagnostic equipment and the workplace for work, monitors the serviceability and correct operation of the equipment.

2.4. Monitors the patient’s condition during anesthesia, intensive care and resuscitation, as well as the safety, use, and dosage of medications during pre-anesthesia preparation, anesthesia, and the post-anesthesia period.

2.5. Organizes and conducts nursing care for postoperative patients.

2.6. Ensures infection safety of patients and medical personnel, infection control, aseptic and antiseptic requirements.

2.7. Processes anesthesia-respiratory and control-diagnostic equipment after use.

2.8. Maintains medical records.

2.9. Provides first aid in emergency situations.

2.10. Carries out the collection and disposal of medical waste.

2.11. Carries out measures to comply with the sanitary and hygienic regime in the premises, the conditions for sterilization of instruments and materials, and the prevention of post-injection complications, hepatitis, and HIV infection.

In case of official necessity, a nurse anesthetist may be involved in the performance of his official duties overtime, in the manner prescribed by the provisions of federal labor legislation.

3. Rights

The nurse anesthetist has the right:

3.1. Give subordinate employees and services instructions and tasks on a range of issues included in their functional responsibilities.

3.2. Monitor the implementation of production tasks, timely completion of individual orders and tasks by subordinate services.

3.3. Request and receive the necessary materials and documents related to the activities of the nurse anesthetist, subordinate services and departments.

3.4. Interact with other enterprises, organizations and institutions on production and other issues related to the competence of the nurse anesthetist.

3.5. Sign and endorse documents within your competence.

3.6. Submit proposals on the appointment, transfer and dismissal of employees of subordinate departments for consideration by the head of the Medical Organization; proposals to encourage them or to impose penalties on them.

3.7. Use other rights established by the Labor Code of the Russian Federation and other legislative acts of the Russian Federation.

4. Responsibility and performance evaluation

4.1. The nurse anesthetist bears administrative, disciplinary and material (and in some cases provided for by the legislation of the Russian Federation, criminal) responsibility for:

4.1.1. Failure to carry out or improperly carry out official instructions from the immediate supervisor.

4.1.2. Failure to perform or improper performance of one's job functions and assigned tasks.

4.1.3. Illegal use of granted official powers, as well as their use for personal purposes.

4.1.4. Inaccurate information about the status of the work assigned to him.

4.1.5. Failure to take measures to suppress identified violations of safety regulations, fire safety and other rules that pose a threat to the activities of the enterprise and its employees.

4.1.6. Failure to ensure compliance with labor discipline.

4.2. The nurse anesthetist’s work is assessed by:

4.2.1. By the immediate supervisor - regularly, in the course of the employee’s daily performance of his labor functions.

4.2.2. By the certification commission of the enterprise - periodically, but at least once every two years, based on documented results of work for the evaluation period.

4.3. The main criterion for assessing the work of a nurse anesthetist is the quality, completeness and timeliness of his performance of the tasks provided for in these instructions.

5. Working conditions

5.1. The work schedule of a nurse anesthetist is determined in accordance with the internal labor regulations established in the Medical Organization.

6. Signature right

6.1. To ensure her activities, a nurse anesthetist is given the right to sign organizational and administrative documents on issues within her competence by this job description.

I have read the instructions ___________/___________/ “____” _______ 20__

1. General Provisions

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

2. A person with secondary medical education and appropriate training in the specialty “Anesthesiology and Reanimatology” is appointed to the position of nurse anesthetist.

3. A nurse anesthetist must know the basics of healthcare legislation and the main regulatory documents that determine the activities of healthcare bodies and institutions; the basics of organizing medical and preventive care in hospitals and outpatient clinics, ambulance and emergency medical care, disaster medicine services, sanitary-epidemiological services, drug provision for the population and health care facilities; fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology; legal aspects of medical practice; 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, clinical features, principles of complex treatment of major diseases; rules for providing emergency medical care; basics of health education; internal labor regulations; rules and regulations of labor protection, safety, industrial sanitation and fire protection; theoretical foundations and methods of anesthesia.

4. A nurse anesthetist is appointed and dismissed by order of the head of a healthcare institution in accordance with the current legislation of the Russian Federation.

5. The nurse anesthetist is directly subordinate to the head of his structural unit (head of the department, operating unit), and in his absence, to the head of the institution or his deputy.

2. Job responsibilities

Performs diagnostic and treatment measures prescribed by a doctor. Takes part in surgical operations. Prepares anesthesia-respiratory and control-diagnostic equipment for work, monitors its serviceability, correct operation, and safety precautions. Prepares his workplace. Monitors the patient's condition during anesthesia, intensive care and resuscitation. Monitors the safety and dosage of medications during pre-anesthesia preparation, anesthesia, and the post-anesthesia period, and records their use. Participates in general and pre-anesthesia preparation of patients for surgery, monitors patients in the early postoperative period, and takes part in the prevention of complications during and after operations. Organizes and conducts nursing care for postoperative patients. Ensures infectious safety of patients and medical personnel, compliance with sanitary and epidemic regulations, aseptic and antiseptic requirements. Processes anesthesia-respiratory and control-diagnostic equipment after use. Prepares medical and other official documentation in a timely and high-quality manner. Complies with moral and legal standards of professional communication. Provides pre-hospital medical care in emergency situations. Qualifiedly and timely carries out orders, instructions and instructions from the management of the institution, as well as regulatory legal acts related to his professional activities. Complies with internal regulations, fire and safety regulations, and sanitary and epidemiological regulations. Promptly takes measures, including timely informing management, to eliminate violations of safety regulations, fire safety and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors. Systematically improves his skills.

3. Rights

The nurse anesthetist has the right:

1. make proposals to the management of the institution to improve the diagnostic and treatment process, incl. on issues of organization and conditions of their work;

2. control the work of junior medical personnel (if any), give them orders within the framework of their official duties and demand their strict execution, make proposals to the management of the institution for their encouragement or imposition of penalties;

3. request, receive and use information materials and regulatory documents necessary for the performance of their official duties;

4. take part in scientific and practical conferences and meetings at which issues related to his work are discussed;

5. undergo certification in the prescribed manner with the right to receive the appropriate qualification category;

6. improve your qualifications through advanced training courses at least once every 5 years.

A nurse anesthetist enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The nurse anesthetist is responsible for:

1. carrying out the official duties assigned to her;

2. organization of its work, timely and qualified execution of orders, instructions and instructions from management, regulations on its activities;

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

4. timely and high-quality execution of medical and other official documentation provided for by current regulatory documents;

5. provision of statistical and other information on its activities in the prescribed manner;

6. promptly taking measures, including timely informing management, to eliminate violations of safety regulations, fire safety and sanitary rules that pose a threat to the activities of a healthcare institution, its employees, patients and visitors.

For violation of labor discipline, legislative and regulatory acts, a nurse anesthetist may be subject to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.