This occupational health and safety manual for an orthopedic traumatologist is available for free viewing and download.
1. GENERAL LABOR PROTECTION REQUIREMENTS
1.1. This Instruction provides for basic labor protection requirements for orthopedic traumatologists.
1.2. To work as a traumatologist-orthopedist, persons are allowed to be at least 18 years old who have a higher professional education in the specialty "General Medicine" or "Pediatrics", postgraduate professional education (internship and (or) residency) in the specialty "Traumatology and Orthopedics", a specialist certificate in the specialty "Traumatology and Orthopedics" without presenting requirements for work experience, as well as having no medical contraindications and passed:
- training on labor protection, testing of knowledge of labor protection requirements;
- training in electrical safety rules, testing knowledge of electrical safety rules in the scope of job duties;
- training in fire safety rules, testing knowledge of fire safety rules in the scope of job duties;
- training in safe methods of performing work and methods of providing first aid to the victim in case of accidents at work;
- checking knowledge of safe methods and techniques for performing work;
- introductory and initial briefing on labor protection at the workplace;
- internship at the workplace (for 3-14 shifts, depending on the length of service, experience and nature of work);
- preliminary and periodic medical examinations.
1.3. In the process of performing work, the orthopedic traumatologist may be affected by the following hazardous and harmful production factors:
- toxic effects of various chemicals that are part of medicines, etc., funds when absorbed through the mucous membranes and skin;
- risk of injury (damage to hands when using stabbing, cutting tools, glassware, etc.);
- sharp edges, burrs and uneven surfaces of medical equipment, tools and devices;
- danger of electric shock;
- electromagnetic radiation (MRI);
- ultrasound radiation (ultrasound);
- X-ray radiation;
- irrational organization of the workplace;
- insufficient illumination of the working area;
- the risk of causing physical injury by patients;
- psycho-emotional stress, overwork.
Sources of harmful and hazardous production factors:
- faulty equipment or improper operation;
- faulty electrical equipment or improper operation;
- sharp edges, burrs and roughness on the surface of equipment and tools;
- absence, malfunction, improper use of PPE;
- direct contact with chemicals and biological material that have a harmful effect.
1.4. The orthopedic traumatologist notifies his immediate supervisor about any situation that threatens the life and health of people, about every industrial accident, about the deterioration of his health, including the manifestation of signs of an acute illness.
1.5. A traumatologist-orthopedist must undergo training in labor protection in the form of: introductory briefing, initial briefing at the workplace, special training in labor protection in the scope of job duties upon admission to work during the first month, then - as necessary, but not less often once every three years.
1.6. The traumatologist-orthopedist is provided with sanitary clothes in accordance with the current regulations.
The issued sanitary clothing and other personal protective equipment must correspond to the nature and conditions of work, ensure labor safety, and have a certificate of conformity.
Personal protective equipment for which there is no technical documentation is not allowed for use.
1.7. Personal clothing and sanitary clothing should be stored separately in lockers and dressing rooms. It is prohibited to take sanitary clothes outside the medical organization.
1.8. Premises of a medical organization should be equipped with first-aid kits with a set of medicines, dressings and tools necessary for providing first aid in case of accidents.
1.9. An orthopedic traumatologist should know:
- rules for the provision of emergency medical care for fractures and other injuries of the musculoskeletal system;
- the procedure for organizing the workplace, taking into account the measures of personal, sanitary, technical and fire safety;
- device, principle of operation of the equipment used, instruments, apparatus;
- instructions for the operation of equipment, instruments and apparatus;
- the procedure for the preparation and use of medical equipment, necessary tools, consumables and medicines;
- the requirements for the quality of work (services) performed, for the rational organization of work in the workplace;
- safe practices when performing work;
- measures to prevent emergency situations;
- the procedure for the elimination of emergency situations;
- the effect on a person of hazardous and harmful production factors that arise during work;
- the appointment of personal protective equipment, to be able to use them;
- rules and regulations for labor protection and industrial sanitation;
- the rules of the internal labor schedule established in the medical organization;
- the requirements of this manual, instructions on fire safety measures, electrical safety instructions, to be guided by them in their activities;
- be able to use fire extinguishing means in the event of a fire, call the fire brigade.
1.10. While on the territory of a medical organization, in production and household premises, at work areas and workplaces, an orthopedic traumatologist is obliged to:
- timely and accurately follow the rules of the internal labor regulations, orders of the administration, provided that he is trained in the rules for the safe performance of this work;
- comply with the requirements of local regulations on labor protection, fire safety, industrial sanitation, governing the procedure for organizing work at the facility;
- observe labor discipline, work and rest regime;
- take good care of the property of the employer;
- to carry out only the work included in his official duties, to work on the instructions of his immediate supervisor.
1.11. Smoking and eating is allowed only in specially designated places. Wash hands thoroughly with soap and water before eating.
1.12. It is not allowed to perform work while intoxicated or in a state caused by the consumption of narcotic drugs, psychotropic, toxic or other intoxicating substances, as well as drinking alcoholic beverages, using narcotic drugs, psychotropic, toxic or other intoxicating substances at the workplace or at work. time.
1.13. A traumatologist-orthopedist who has committed a violation or failure to comply with the requirements of the labor protection instructions is considered as a violator of production discipline and may be brought to disciplinary responsibility, and depending on the consequences - to criminal liability; if the violation is related to the infliction of material damage, then the perpetrator may be held liable in accordance with the established procedure.
2. LABOR PROTECTION REQUIREMENTS BEFORE STARTING WORK
2.1. Ensure personal safety during work:
2.1.1. Arrive at work in advance to avoid haste and, as a result, falls and injuries, while:
- do not go up or down the stairs;
- do not sit down or lean on fences and random objects;
- pay attention to safety signs, signals and comply with their requirements.
2.1.2. Check the availability and serviceability of personal protective equipment, put on them and sanitary clothing (suit (dressing gown), cap, slippers, mask), put everything in order.
Sanitary clothing should not have fluttering ends, sleeves and collars should be tied, hair tucked under a cap.
During the working day, clothes must be kept clean.
2.1.3. Do not pin the clothing with pins, do not keep sharp, fragile objects in clothing pockets.
Do not keep personal toilet items, cigarettes and other foreign objects in the pockets of a suit (dressing gown).
2.1.4. Wash your hands with soap and water. Fingernails should be trimmed short, unpainted and unadorned.
2.1.5. Check the availability and serviceability of medical and other equipment, instruments, as well as the availability of necessary medicines, it is convenient to place them.
2.1.6. Prepare the workplace for safe work:
- inspect it, remove all unnecessary items;
- check the approaches to the workplace, evacuation routes for compliance with labor protection requirements;
- establish the sequence of operations;
- check the availability of fire-fighting equipment, first-aid kit (its complete set).
2.1.7. Check by visual inspection:
- no cracks and chips on the cases of sockets and switches, as well as the absence of bare contacts;
- Reliability of closure of all current-carrying and starting devices of medical equipment;
- the presence and reliability of grounding connections (absence of breaks, strength of contact between metal non-current-carrying parts of the equipment and the grounding wire);
- the integrity of the insulation of electrical wires and power cords of electrical appliances, the serviceability of safety devices;
- sufficiency of lighting of the workplace;
- absence of foreign objects around the equipment;
- condition of floors (absence of potholes, irregularities, etc.);
- the presence and accessibility of items that patients can injure staff and themselves.
2.1.8. Report all detected faults and malfunctions to the immediate supervisor (chief doctor, head of the department) and (or) the employee responsible for eliminating the identified violations (senior nurse, etc.).
2.2. Ensure safety and allow subordinates to work:
2.2.1. Visually check the general condition of the subordinate employee.
If you suspect a general malaise, send the employee to the first-aid post and report this to the immediate management (chief doctor, head of the department). If you suspect alcoholic intoxication, report this to your immediate supervisor in order to remove the subordinate from work.
2.2.2. Check whether the subordinates have PPE sanitary clothes, their external condition and serviceability.
2.2.3. Inspect their workplaces.
2.2.4. Check the availability and serviceability of equipment, instruments, apparatus, etc.
2.2.5. Check the availability of fire-fighting equipment.
2.2.6. Make sure of reliable illumination of workplaces.
2.2.7. Issue a production assignment.
2.3. Start working after eliminating all identified violations and malfunctions.
2.4. When working with toxic chemicals, as well as in other work associated with an increased danger, undergo targeted instruction and receive (issue) a work permit.
2.5. A traumatologist-orthopedist should not start work in the presence of the following violations of labor protection requirements:
- in the presence of a malfunction specified in the manufacturer's instructions for the operation of medical and other equipment, in which its use is not allowed;
- in case of untimely carrying out of the next tests (technical examination) of the equipment;
- in the absence or malfunction of personal protective equipment;
- in the absence of fire-fighting equipment, first aid kit;
- with insufficient illumination of the workplace and approaches to it;
- without passing targeted instruction for the production of one-time work not related to his job duties, as well as work associated with increased danger;
- without passing a periodic medical examination.
3. REQUIREMENTS FOR LABOR PROTECTION DURING WORK
3.1. Do not allow untrained and unauthorized persons (including the sick) to work.
3.2. When performing medical procedures, use disposable surgical gloves. Once removed, gloves are not reused.
3.3. All injuries on the skin of the hands should be sealed with BF glue or adhesive plaster before putting on gloves.
3.4. During medical procedures, do not touch your eyes, nose, mouth, unprotected skin areas with your gloved hands.
3.5. During work, strictly observe the requirements of asepsis and antiseptics, the rules of personal hygiene. Demand the same from the personnel subordinate to him. Before and after each manipulation, the orthopedic traumatologist must wash his hands, followed by their treatment with one of the licensed bactericidal drugs.
3.6. After performing any procedures and removing gloves, wash your hands thoroughly with soap and warm running water for at least 10 seconds. Do not use hard brushes to wash your hands. When wiping hands, rubbing movements should be avoided, only an individual towel should be used.
3.7. Do not allow medications to come into contact with your hands.
3.8. Take special care when working with cutting and piercing objects (scalpels, scissors, glass objects). When performing medical procedures, it is necessary to take (take) the instrument only by the handle, constantly monitor the position of its sharp ends.
3.9. Monitor the integrity of glass parts of equipment and medical utensils, do not use damaged glass objects.
3.10. When working with electrical equipment, observe the rules for its operation in accordance with the instructions for labor protection.
3.11. Use serviceable medical equipment, tools, lighting devices necessary for safe work, use them only for those works for which they are intended.
3.12. Monitor the operation of medical equipment, periodically conduct its visual preventive examination.
3.13. In case of detection of faulty medical equipment, apparatus, tools, other violations of labor protection requirements that cannot be eliminated on our own, and a threat to health, personal or collective safety, the orthopedic traumatologist should inform the management about this. Do not start work until the identified violations are eliminated.
3.14. Fulfill the sanitary and hygienic requirements for the ventilation regime, temperature regime.
3.15. Exercise control over the observance by subordinates of the rules of labor protection and safety measures, production and labor discipline.
3.16. Be attentive, not distracted by extraneous affairs and conversations, do not rush.
3.17. When working together, coordinate your actions with the actions of other employees.
3.18. Noticing a violation of labor protection requirements by another employee, the traumatologist-orthopedist should warn him about the need to comply with them.
3.19. Observe the rules for moving in the room and on the territory of the medical organization, use only the established passages.
3.20. Keep the workplace clean, do not obstruct the aisles to the workplace.
3.21. Strictly comply with the orders and instructions of the management, officials responsible for the implementation of production control, as well as the instructions of representatives of state supervision bodies in a timely manner.
3.22. When performing work, an orthopedic traumatologist is FORBIDDEN:
- leave the workplace without the permission of the immediate supervisor (chief physician, head of the department);
- leave the office during medical procedures using medical equipment, leave patients unattended;
- leave medicines, medical devices, equipment unattended;
- store and use drugs without labels, as well as in damaged packaging;
- transfer medicines from one package to another, replace labels;
- store medicinal products together with food products, solutions for technical purposes (handling hands, tools, furniture, linen, etc.), etc.;
- to perform self-opening and repair of equipment, instruments and apparatus. The repair must be carried out by a specialist;
- use faulty equipment, as well as devices and equipment, the handling of which he is not trained;
- perform work without using the necessary PPE;
- start performing one-time work not related to his direct responsibilities in his specialty without receiving targeted instruction;
- to allow the use of the equipment by untrained unauthorized persons.
4. REQUIREMENTS FOR LABOR PROTECTION IN EMERGENCY SITUATIONS
4.1. When eliminating an emergency, it is necessary to act in accordance with the approved emergency response plan.
4.2. If equipment, devices and apparatus malfunctions are detected, as well as other conditions that threaten the life and health of workers, the orthopedic traumatologist should stop working and report them to the immediate supervisor (chief doctor, head of the department) and the employee responsible for the production control.
4.3. When a fire source appears, it is necessary:
- turn off electrical equipment;
- stop working;
- organize the evacuation of people;
- immediately start extinguishing the fire.
4.4. When electrical equipment catches fire, only carbon dioxide or dry powder fire extinguishers should be used.
4.5. If it is impossible to carry out extinguishing on their own, the orthopedic traumatologist should call the fire brigade by phone 101 or 112 and inform the immediate supervisor (chief doctor, head of the department).
4.6. In case of injury or deterioration of health, the orthopedic traumatologist must stop working, transfer responsibilities to another person, inform the management and seek medical help.
4.7. In the event of injury or deterioration in the health of a subordinate employee, remove him from work and send him to the first-aid post, and, if necessary, call the city ambulance.
4.8. If the integrity of the gloves is broken during medical procedures, they must be replaced immediately, and the hands must be treated with an alcohol-containing skin antiseptic.
4.9. In case of injury with used instruments (including microtrauma), it is necessary to immediately squeeze out the blood, treat the wound with iodine, and take measures for emergency prevention of infectious diseases.
4.10. If an accident occurs, witnessed by an orthopedic traumatologist, he should:
- stop working;
- Immediately report the incident to the immediate supervisor;
- Immediately withdraw or remove the victim from the danger zone;
- provide the victim with first aid,
- call an ambulance or help organize the delivery of the victim to the nearest medical facility.
4.11. When investigating the circumstances and causes of the accident, the orthopedic traumatologist should inform the commission of the information he knows about the accident.
5. LABOR PROTECTION REQUIREMENTS AT THE END OF WORK
5.1. Accept the results of the work of subordinate employees, control the process of putting their workplaces in order.
5.2. Control the process of storage by subordinates of equipment, devices, materials, medical and disinfectants in specially designated places (inaccessible to patients).
5.3. Clean the workplace, make sure that not currently used devices and equipment are disconnected from the mains.
5.4. Prepare disposable items (syringes, dressings, gloves, masks) for pre-sterilization treatment, and then for disposal. Single-use products after use should be filled with a 2.5% formalin solution or then collected in special polyethylene bags (tanks), which should be filled with 100-200 ml of a 40% formalin solution.
5.5. Remove sanitary clothing. Place them in an individual closet.
5.6. Thoroughly wash hands, face and other exposed areas of the body with warm water and soap, if necessary, take a shower. Treat the skin of the hands with a licensed bactericidal preparation.
5.7. Report to the immediate supervisor (chief physician, head of the department) about all violations of the production process, labor protection requirements, cases of injuries at work.
You can download the job description of an orthopedic traumatologist is free.
Responsibilities of an orthopedic traumatologist.
I approve
________________________________ (Last name, initials)
(name of the institution, its ________________________
organizational and legal form) (director; other person
authorized to approve
job description)
JOB DESCRIPTION
DOCTOR-TRAUMATOLOGIST-ORTHOPEDIC
______________________________________________
(name of institution)
00.00.201_y. No. 00
I. General Provisions
1.1. This job description defines the job descriptions, rights and responsibilities of a traumatologist-orthopedist _____________________ (hereinafter - the "enterprise").
1.2. A person with a higher medical education and trained in the specialty "Traumatology and Orthopedics" is appointed to the position of a traumatologist-orthopedist.
1.3. Appointment to the position of a traumatologist-orthopedist and release from it is carried out in accordance with the procedure established by the current labor legislation by order of the head of the health care institution.
1.4. The orthopedic traumatologist reports directly to _____________________
(to the head of the department, deputy chief physician)
1.5. An orthopedic traumatologist should know:
Laws of the Russian Federation and other regulations governing the activities of healthcare institutions;
Existing normative and methodological documents regulating the activities of medical institutions;
Methods and rules for the provision of drug and emergency medical care;
The content of traumatology and orthopedics as a separate clinical discipline;
Organization, structure, tasks, staff and equipment of the service of traumatology and orthopedics;
All legal and regulatory documents in their specialty;
Methods for the prevention, diagnosis, treatment and rehabilitation of the patient;
Planning the activities and all reporting of the Traumatology and Orthopedics Service;
Methodology and order of control of their service;
Rules and norms of labor protection, industrial sanitation, safety and fire protection;
Fundamentals of the labor legislation of the Russian Federation
Internal labor regulations;
1.6. During the absence of an orthopedic traumatologist (business trip, vacation, illness, etc.), his duties are performed in the prescribed manner by an appointed person who bears full responsibility for their proper execution.
II. Job responsibilities
Traumatologist-orthopedist:
2.1. In her specialty, she provides qualified medical care, using modern methods of diagnosis, prevention, treatment and subsequent rehabilitation of the patient.
2.2. In accordance with the established rules and standards, he chooses the tactics of managing the patient, develops a plan for his examination, and also specifies the scope and methods of examining the patient in order to obtain, in the shortest possible time, a reliable and complete diagnosis of the disease.
2.4. Based on the collected data, he performs an analysis, as well as prescribes and conducts the necessary treatment and procedures
2.5. Conducts a daily examination in a hospital patient.
2.6. Changes the treatment plan as needed
2.7. Consults doctors of health care facilities in their specialty
2.8. Supervises subordinate medical personnel
2.9. Monitors the correctness of diagnostic and therapeutic procedures, as well as the operation of equipment and apparatus, instruments, drugs, reagents
2.10. Monitors the observance of health and safety regulations by subordinate medical personnel.
2.11. Timely and efficiently executes orders, orders and instructions of the institution's management
2.12. Complies with the internal regulations.
2.13. Complies with the requirements of labor protection, industrial hygiene and safety
2.14. Timely and efficiently executes orders, orders and instructions of the institution's management
2.15. Complies with the internal regulations.
2.16. Complies with the requirements of labor protection, industrial hygiene and safety
III. Rights
Traumatologist-orthopedist has the right to:
3.1. Make proposals to the management of the enterprise on the optimization and improvement of medical and social assistance, including on the issues of their labor activity.
3.2. Require the management of the institution to assist in the performance of their duties and rights.
3.3. Obtain information from the company's specialists necessary for the effective fulfillment of their duties.
3.4. To undergo certification in accordance with the established procedure with the right to receive the appropriate qualification category.
3.5. Take part in meetings, scientific and practical conferences and sections on issues related to their professional activities.
3.6. Enjoy labor rights in accordance with the Labor Code of the Russian Federation
I V ... A responsibility
The orthopedic traumatologist is responsible for:
4.1. For the proper and timely performance of the duties assigned to him, provided for by this job description
4.2. For the organization of their work and the qualified execution of orders, orders and instructions from the management of the enterprise.
4.3. For ensuring that the employees subordinate to him comply with their duties.
4.4. For non-observance of internal rules and safety regulations.
For offenses or inaction committed in the course of carrying out medical measures; for mistakes in the process of carrying out their activities, which entailed serious consequences for the health and life of the patient; as well as for violation of labor discipline, legislative and regulatory acts, a traumatologist-orthopedist may be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the offense.
1. This job description defines the duties, rights and responsibilities of a traumatologist-orthopedist.
2. A person who has a higher professional education in the specialty "General Medicine" or "Pediatrics", postgraduate professional education (internship and (or) residency) in the specialty "Traumatology and Orthopedics", a certificate of a specialist in the specialty is appointed to the position of a traumatologist-orthopedist. "Traumatology and Orthopedics" without any requirements for work experience.
3. A traumatologist-orthopedist must know: the Constitution of the Russian Federation; laws and other regulatory legal acts of the Russian Federation in the field of healthcare; the basics of the organization of medical and sanitary care, emergency medical care, specialized, including high-tech; theoretical foundations, principles and methods of medical examination; organizational and economic foundations of the activity of a traumatologist-orthopedist and medical workers in the conditions of budgetary insurance medicine; basics of occupational health, organization and economics of health care, 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, course features, principles of complex treatment of major diseases; rules for the provision of emergency medical care; bases of examination of temporary disability and medical and social examination; modern methods of prevention, diagnosis, treatment and rehabilitation; content and sections of traumatology and orthopedics as an independent clinical discipline; tasks, organization, structure, staff and equipment of the service of traumatology and orthopedics; rules for the preparation of medical documentation; the procedure for the examination of temporary disability and medical and social examination; principles of planning and reporting of the traumatology and orthopedics service; on the territorial program of state guarantees for the provision of free medical care to citizens in the constituent entity of the Russian Federation; issues of connection of diseases of the musculoskeletal system with the profession; rules of the sanitary and epidemiological regime; fundamentals of labor legislation; internal labor regulations; rules for labor protection and fire safety.
4. A traumatologist-orthopedist is appointed and dismissed by order of the head of a medical organization in accordance with the current legislation of the Russian Federation.
5. The traumatologist-orthopedist is directly subordinate to the head of the department, and in his absence to the head of the medical organization or his deputy.
2. Job responsibilities
Performs a list of works and services for the diagnosis of the disease, assessment of the patient's condition and the clinical situation in accordance with the standard of medical care. Carries out a list of works and services for the treatment of a disease, condition, clinical situation in accordance with the standard of medical care. Provides advisory assistance to medical specialists in their specialty. Supervises the correctness of diagnostic and therapeutic procedures, the operation of instruments, apparatus and equipment, the rational use of reagents and drugs, the observance of safety and labor protection rules by middle and junior medical personnel. She plans her work and analyzes her performance indicators. Provides timely and high-quality execution of medical and other documentation in accordance with the established rules. Conducts 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.
3. Rights
Traumatologist-orthopedist has the right to:
- independently establish a diagnosis in the specialty on the basis of clinical observations and examination, collection of anamnesis, data of clinical laboratory and instrumental studies; determine the tactics of patient management in accordance with the established rules and standards; prescribe the methods of instrumental, functional and laboratory diagnostics necessary for a comprehensive examination of the patient; carry out diagnostic, therapeutic, rehabilitation and preventive procedures using approved diagnostic and treatment methods; if necessary, involve, in accordance with the established procedure, doctors of other specialties for consultations, examination and treatment of patients;
- make proposals to the management to improve the treatment and diagnostic process, improve the work of administrative and economic and paraclinical services, the organization and conditions of their work;
- control, within the framework of its competence, the work of middle and junior medical personnel, give them orders and demand their strict implementation, make proposals to the management on their encouragement or imposition of penalties;
- request, receive and use information materials and regulatory documents necessary for the performance of their official duties;
- take part in scientific and practical conferences and meetings at which issues related to its work are considered;
- undergo certification in accordance with the established procedure with the right to receive the appropriate qualification category;
- improve their qualifications at advanced training courses at least once every 5 years.
Traumatologist-orthopedist enjoys all labor rights in accordance with the Labor Code of the Russian Federation.
4. Responsibility
The orthopedic traumatologist is responsible for:
- timely and high-quality implementation of the duties assigned to him;
- timely and qualified execution of orders, orders and instructions of the management, regulatory legal acts on their activities;
- compliance with internal regulations, fire safety and safety measures;
- timely and high-quality registration of medical and other service documentation provided for by the current regulatory documents;
- provision of statistical and other information on their activities in accordance with the established procedure;
- observance of performing discipline and performance of official duties by employees subordinate to him (if any);
- prompt adoption of measures, including timely notification of management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of a medical organization, its employees, patients and visitors.
For violation of labor discipline, legislative and regulatory legal acts, a traumatologist-orthopedist may be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the offense.
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Supervises the correctness of diagnostic and therapeutic procedures, the operation of instruments, apparatus and equipment, the rational use of reagents and drugs, the observance of safety and labor protection rules by middle and junior medical personnel. Participates in conducting training courses for medical personnel.
About 12 million people are injured in the Russian Federation every year. The vast majority (83-85%) of the total number of injured people need only outpatient treatment. You get used to good things quickly. So the transformation of domestic medicine is no longer a novelty for anyone.
The names of the positions of the heads of structural divisions (departments, divisions, laboratories, offices, detachments, etc.) are supplemented by the name of a medical position corresponding to the specialty in the profile of the structural division. For example, "the head of the surgical department is a surgeon."
Provides the population with psychiatric care. Performs a list of works and services for the diagnosis of the disease, assessment of the patient's condition and the clinical situation in accordance with the standard of medical care. Carries out a list of works and services for the treatment of a disease, condition, clinical situation in accordance with the standard of medical care. Carries out an examination of temporary disability.
Monitors the patient's condition during the study and monitors the condition of the equipment used, its timely repair and write-off.
Subscribe to the vacancies mailing list and you will receive a message as soon as new vacancies appear! Earn up to RUB It doesn't matter if you have your own car or not - we will offer you a suitable solution. Subscription completed You will receive the first letter in the next morning.
It seemed that this was not a problem at all. Did the letters begin to blur while reading, while working? Sometimes I don’t recognize people on the street? I thought it was okay, just need to replace the glasses.
D 26 Symptomatic periodontitis as a manifestation of systemic diseases: Textbook. Method. allowance / L.N. Dedova, I.N. Fedorova, L.V. Shebeko. - Minsk: BSMU, 2004.
Dentistry as a science dealing with the etiology and pathogenesis of diseases and injuries of the oral cavity and maxillofacial region and in the dentition, offering methods for their diagnosis, treatment and prevention.
Traumatologist-orthopedist belongs to the category of specialists and is directly subordinate to [name of the position of the immediate supervisor].
The author was more fortunate than others, probably it is destined for it. While still a student, preparing for the profession of a surgeon, he worked first in an anatomical specialist, then in operative surgery. After graduation, he was drafted into the army, where he had to take up aviation medicine, which required multidisciplinary knowledge of both a doctor and the extreme conditions in which the pilot is.
General Provisions A person with a higher medical education, postgraduate training or specialization in the specialty "Traumatology and Orthopedics" is appointed to the position of a traumatologist-orthopedist. A traumatologist-orthopedist is appointed and dismissed by order of the head physician of a medical facility in accordance with the current legislation.
A traumatologist-orthopedist is appointed to the position, moved and dismissed by the order of the chief physician. The traumatologist-orthopedist is directly subordinate to the head of the department. Responsible for the organization of sanitary and anti-epidemic work.
In cities with a population of 100 to 200 thousand people, which are not regional, regional and republican centers, a round-the-clock trauma center can be organized by the decision of local health authorities. In the Russian Federation in 2008, the provision of primary trauma care on an outpatient basis was carried out in 2562 trauma and orthopedic departments (offices).
The regulatory documents are the order of the Ministry of Health of the Russian Federation No. 140 of April 20, 1999, the order of the Ministry of Health and Social Development of the Russian Federation on March 31, 2010.
By order of one of the best ministers of health of the USSR B.V. Petrovsky, all specialized institutions of the country were involved in this work, the leading specialists of which were to transform their knowledge in relation to the tasks of space medicine: therapists, surgeons, traumatologists, oculists, dentists, pharmacists, pharmacologists, engineers of various profiles.
Paralytic deformities: - poliomyelitis; - obstetric paralysis. 4.2.9. Diseases of the neck, chest and spine: - torticollis; - trachytic deformity of the chest; - scoliosis, kyphosis, lordosis; - osteochondrosis of the spine.
Direct supervisors of the dentist-therapist are the head of the department, as well as the deputy head.
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1. General Provisions
1. GENERAL PROVISIONS
1.1. Traumatologist-orthopedist (hereinafter referred to as the "Worker") is a specialist.
1.2. This job description defines the functional duties, rights, duties, responsibilities, working conditions, relationships (connections by position) of the Employee, criteria for assessing his business qualities and work results when performing work in the specialty and directly at the workplace in "____________________" (hereinafter - " Employer").
1.3. The employee is appointed to the position and dismissed from the position by order of the Employer in accordance with the procedure established by the current labor legislation.
1.4. The employee reports directly to ____________________.
1.5. The employee must know:
The Constitution of the Russian Federation; laws and other regulatory legal acts of the Russian Federation in the field of healthcare; the basics of the organization of medical and sanitary care, emergency medical care, specialized, including high-tech; theoretical foundations, principles and methods of medical examination; organizational and economic foundations of the activity of a traumatologist-orthopedist and medical workers in the conditions of budgetary insurance medicine; basics of occupational health, organization and economics of health care, 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, course features, principles of complex treatment of major diseases; rules for the provision of emergency medical care; bases of examination of temporary disability and medical and social examination; modern methods of prevention, diagnosis, treatment and rehabilitation; content and sections of traumatology and orthopedics as an independent clinical discipline; tasks, organization, structure, staff and equipment of the service of traumatology and orthopedics; rules for the preparation of medical documentation; the procedure for the examination of temporary disability and medical and social examination; principles of planning and reporting of the service of traumatology and orthopedics; on the territorial program of state guarantees for the provision of free medical care to citizens in the constituent entity of the Russian Federation; issues of connection of diseases of the musculoskeletal system with the profession; rules of the sanitary and epidemiological regime; fundamentals of labor legislation; internal labor regulations; labor protection and fire safety rules;
____________________.
1.6. The employee must meet the qualification requirements for the specialty "Traumatology and Orthopedics" established by the order of the Ministry of Health of Russia dated 08.10.2015 N 707n "On approval of the qualification requirements for medical and pharmaceutical workers with higher education in the direction of training" Health and Medical Sciences ":
- Higher education - specialization in one of the specialties: "General Medicine", "Pediatrics";
Internship / residency training in Traumatology and Orthopedics;
- Professional development at least once every 5 years during the entire labor activity.
2. Job responsibilities
Worker:
2.1. Performs a list of works and services for the diagnosis of the disease, assessment of the patient's condition and the clinical situation in accordance with the standard of medical care.
2.2. Carries out a list of works and services for the treatment of a disease, condition, clinical situation in accordance with the standard of medical care.
2.3. Provides advisory assistance to medical specialists in their specialty.
2.4. Supervises the correctness of diagnostic and therapeutic procedures, the operation of instruments, apparatus and equipment, the rational use of reagents and drugs, the observance of safety and labor protection rules by middle and junior medical personnel.
2.5. She plans her work and analyzes her performance indicators.
2.6. Provides timely and high-quality execution of medical and other documentation in accordance with the established rules.
2.7. Conducts sanitary and educational work.
2.8. Complies with the rules and principles of medical ethics and deontology.
2.9. Participates in the examination of temporary disability and prepares the necessary documents for medical and social examination.
3. Rights of the Employee
The employee has the right to:
providing him with work stipulated by the employment contract;
a workplace that meets the state regulatory requirements for labor protection and the conditions provided for by the collective agreement;
timely and full payment of wages in accordance with their qualifications, labor complexity, quantity and quality of work performed;
rest, provided by the establishment of normal working hours, reduced working hours for certain professions and categories of workers, the provision of weekly days off, non-working holidays, paid annual leave;
