Job responsibilities of a nurse: what does it include?

The job description of a nurse (orderly worker) is a local act that describes all the nuances of the work activity of a given staff unit within a specific institution. How a well-written job description for workers in this profession is drawn up and what provisions it contains will be discussed in our article.

What are the job responsibilities of a nurse (medic)?

Briefly about the job description for a nurse

Main job responsibilities of a clinic nurse

The main job responsibilities of a ward and operating nurse in a hospital

You can find more complete information on the topic in ConsultantPlus. Full and free access to the system for 2 days.

Rules for the design and application of job descriptions

What are the job responsibilities of a nurse (medic)?

Orderlies and nurses are junior medical personnel performing auxiliary labor functions in a medical institution. As a rule, the job responsibilities of nurses include:

• in sanitary and hygienic maintenance of premises;
• processing of instruments and patient care products;
• patient care;
• assisting medical personnel in carrying out procedures and manipulations.

The specific list of job responsibilities of an employee in this specialty depends on the area of ​​activity of the department to which he is attached (surgical, radiological, pulmonological) and the nature of the medical institution (hospital, clinic, etc.). Each employee can become familiar with the scope of their powers and responsibilities in their job description.

Rights

A ward nurse has the right:

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

3.2. To provide free special clothing, special shoes and other personal protective equipment.

3.3. Require the creation of conditions for the performance of professional duties, including the provision of the necessary equipment, inventory, a workplace that complies with sanitary and hygienic rules and regulations, etc.

3.4. Require the management of the organization to provide assistance in the performance of their professional duties and the exercise of rights.

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3.5. Submit proposals for improvement of the organization and the methods of work performed by it for consideration by the management of the organization.

3.6. Get acquainted with draft decisions of the organization’s management relating to its activities.

3.7. Improve your professional qualifications.

3.8. [Other rights provided for by the Labor legislation of the Russian Federation].

Briefly about the job description for a nurse

Each institution develops and approves job descriptions independently, based on the characteristics of the work of both the entire organization and specific specialists. However, the structure of this type of document, as a rule, remains unchanged, since the scheme developed over many years of office work practice makes it possible to take into account all the key aspects of the functioning of a nurse in any medical institution.

The standard form of job description for a nurse includes the following sections:

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1. Basic provisions. This is the first section of the document, which describes the fundamental working conditions of the employee, such as:
   • necessary education;

   experience;

2. the procedure for hiring, dismissing and replacing an employee;
3. the place of the staff unit in the overall organizational and staffing structure of the enterprise;
4. indication of the employee's immediate superior.

Since a nurse performs simple labor functions, a candidate for this position only needs to have a high school diploma, although sometimes a certificate of completion of special courses may be required. The required work experience depends on the salary level of the specialist and may not be required at all or range from 1 to 2 years.

5. Job rights and responsibilities of the employee. This is the key and most extensive section of the document, which deserves separate consideration (to follow below).
6. Responsibility of the employee. This section specifies the general provisions of the legislation on labor violations and employee punishment. Since nurses are junior medical personnel, there are usually no special provisions about their responsibilities in the job description; it simply states that the nurse is responsible:
   • for poor performance or failure to fulfill one’s official duties;

   causing material damage to the organization;

7. violation of administrative, criminal or civil laws.

Note: provisions on employee responsibility in a job description cannot be stricter than the norms established by law.

Prospects and earnings

Often future or former doctors work as orderlies. Students from medical colleges and universities, as well as retired doctors or nurses, are often hired for positions. Hospital employment will be beneficial for those starting a career in the healthcare field. By familiarizing yourself with the situation inside, you can understand whether the job is suitable.

What is the salary of a nurse? Income depends on responsibilities and job description. Usually the salary is 8-15 thousand rubles. Salary is determined by region and type of medical institution.

Thus, nurses are essential workers in health care settings. They are the ones who provide cleanliness and comfort for the sick. But this type of work is not suitable for everyone.

General provisions

2. The nurse is appointed and dismissed by the chief physician of the hospice in accordance with current legislation. When hired, a nurse undergoes a preliminary medical examination and examination in accordance with the established procedure.

3. The nurse is directly subordinate to the ward nurse, as well as to higher officials.

4. The nurse in her work is guided by the orders of higher officials and these Regulations.

5. The orders of the ward and senior nurse, the head and doctor of the hospital are mandatory for the nurse.

6. The nurse follows the hospice commandments.

Responsibilities

The hospital nurse must:

1. Clean the premises in accordance with established rules.

2. Strictly observe the sanitary and anti-epidemic regime when carrying out wet cleaning and performing other duties assigned to her under the supervision of the ward nurse and the housekeeper.

3. Carry out wet cleaning on window sills, windows, beds, chairs and other objects located in the premises.

4. Clean bedside tables, clean sinks, bathtubs, and toilets in the rooms assigned to her using special cleaning products.

5. Carry out current and final disinfection when an infectious disease is detected in a patient.

6. Monitor patients’ compliance with personal hygiene rules: wash, wash, comb and cut nails for patients who cannot do this due to their physical condition.

7. Keep the dishes in patients’ rooms clean.

8. Inform the sister-hostess about malfunctions in the heating system, water supply, sewerage and electrical appliances.

Systematically maintain the cleanliness of doors and doorways, both on the inside and outside of the rooms.

10. Maintain proper sanitary condition of refrigerators in assigned rooms.

11. Monitor the safety and proper use of the soft and hard equipment assigned to her.

12. Systematically, as it accumulates, remove garbage to the garbage bin.

13. Constantly, in accordance with the rules of the sanitary and epidemiological regime, disinfect rags and cleaning containers, carry out regular markings on equipment and rags.

14. Systematically (at least once a month) carry out general cleaning in assigned rooms.

15. Help the junior nurse in caring for the sick.

16. If necessary, participate in the transportation of seriously ill patients.

17. Ensure proper use and storage of cleaning supplies.

18. Participate in classes on safety rules, labor protection and sanitary issues.

19. In your work, learn the skills of caring for patients, social and psychological support for patients and their relatives and, if necessary, carry out interchangeability and continuity in work.

20. Comply with internal labor regulations.

A hospital nurse has the right:

1. Make decisions within your competence.

2. Obtain information necessary to perform their duties.

3. Make proposals to the administration on improving the organization and conditions of their work.

4. Take part in meetings at which issues related to the scope of his activities are discussed.

Responsibility

The hospital nurse is responsible for failure to fulfill the duties provided for by these Regulations and internal labor regulations.

FIELD SERVICE STAFF

1. What is the name of your profession (position)?

My position is called: junior nurse (ward nurse).

2. What is your job and what are your responsibilities?

My responsibilities include caring for and inspecting mentally ill people, ensuring that patients and premises are kept clean and tidy, changing underwear and bed linen, wet cleaning of premises and ventilation of wards.

3. What education is required to obtain your position?

It just seems that no education is needed. First of all, you need to be a psychologist, I would even say a psychiatrist, because you work with people, both sick and with colleagues “in the workshop” - the ward.

4. Describe your work day.

My working day begins at 7.20, when I go to the bus stop and wait for the work bus. I work 24 hours a day. But after work I can arrive home at 9.00, or at 12.00. We work outside the city limits, so travel is a problem.

5. How comfortable are your working conditions (all day on the street, or in the office with a cup of coffee)?

How comfortable my working conditions are can be seen in the photos I published. This is a workers' cabin. This closet stores both our work clothes and the clean ones we arrived in. The entire shift—10-12 people—dines at this table. I wash my hands in the same sink as my clients.

6. What do you like most about your business?

What do you like most about your business? Communicating with people, providing all possible assistance and attention. You study and communicate, and you feel sorry for these disadvantaged people; almost anyone could be in their place.

7. What do you dislike most about your business?

When you remember that you are powerless against the system where I am the boss and you are a fool.

8. If it’s not a secret, what is your salary level (is it enough to write whether you’re satisfied or not)?

When you work part-time for a nurse who is on vacation, you get an extra 30%. It costs up to 900 hryvnia per month.

9. Describe your team, what people work with you?

The people who work with me are unique. Some have two higher educations, some have only secondary education. Just look for such soulful people! Many take their wards on vacation and bring them various things and food. In principle, these people work for pennies, but managed to maintain their spiritual generosity and human face.

10. What human qualities do you think are most important in your business?

You must be a sociable person, have the gift of anticipation of the development of a situation, friendliness, tolerance and kindness.

11. Work gives me additional opportunities (here is everything that work gives you besides money, from self-expression and communication with interesting people to the opportunity to visit different countries).

This job gave me the opportunity to study to become a nurse.

12. You have the opportunity to rate your work on a five-point scale, what rating would you give?

Only excellent and nothing else!

13. Why did you choose this job?

I didn’t choose my job, it chose me. Not everyone in this life was born bankers, someone needs to communicate with them and wipe people’s butts after bankruptcy.

All medical personnel are divided into senior (doctors with a diploma of higher medical education), middle (nurses and paramedics with a diploma of secondary specialized medical education) and junior (orderlies without any medical education).

We will talk about the functional responsibilities of the latter in a little more detail in our article.

Main job responsibilities of a clinic nurse

The more detailed and clearly the employee’s job responsibilities are defined in the relevant section of his job description, the easier it will be for him to work and the more efficiently he will be able to fulfill them. The specific list of job responsibilities of a nurse in each individual medical institution depends on the area of ​​work assigned to her, as well as the direction of the institution’s activities, but there is also a general range of job responsibilities that are typical for all workers in this specialization.

Such responsibilities may include:

1. Cleaning in the clinic premises: examination and treatment rooms, reception area, sick leave room, doctors’ offices.
2. Assisting the senior nurse in obtaining medications, instruments, equipment and delivering them to the department.
3. Receiving linen, household equipment, dishes, detergents from the sister-housewife and ensuring their storage and use in accordance with established standards.
4. Participation in disinfection and pre-sterilization cleaning of medical instruments and used syringes.
5. Conducting general cleaning of premises on a weekly basis in accordance with the schedule.
6. Acting as a courier for the delivery of outpatient cards from the registry to the clinic offices.
7. Notifying the housewife about malfunctions in electrical appliances and heating, water supply, and sewage systems.
8. Preparing premises for receiving patients.
9. Systematic (after each patient) sanitary and hygienic treatment of surfaces.
10. Assisting patients with undressing and dressing.
11. Timely informing the department management about the need to repair office equipment and inventory through the sister-owner.
12. Carrying out, in free time from the main work, by order of the head nurse, other work in the clinic, due to production needs.

Difficulties of the profession

The job responsibilities of a nurse-washer are suitable for responsible, attentive, neat people. Many employees who have worked in this position note the psychological complexity of the profession. Usually they have to do all the dirty work, and they may face disrespect from patients.

Colleagues are also not always respectful, and often overload with large amounts of work. Before you get a job, you need to understand whether this job is really suitable for you. Nurses are needed in every medical institution: both in the district clinic and in surgical buildings. To work in some highly specialized organizations, you need psychological stability.

The main job responsibilities of a ward and operating nurse in a hospital

The job responsibilities of a hospital nurse depend on where she works - in the ward or operating room.

Thus, the job responsibilities of a ward nurse include:

1. 24-hour monitoring of patients and immediate notification to medical staff if their condition worsens.
2. Providing assistance to doctors and nursing staff during diagnostic and therapeutic procedures.
3. Cleaning and maintaining cleanliness in assigned wards, sanitary rooms and other premises, carrying out ventilation and quartzing of the wards.
4. Cleaning the bedside tables of bedridden patients.
5. Receiving underwear and bed linen and replacing it.
6. Supply and cleaning of vessels, their timely emptying and disinfection.
7. Providing assistance to the sick.
8. Regular removal of garbage and other waste.

The job responsibilities of an operating room nurse include:

1. Ensuring cleanliness in all assigned areas.
2. Carrying out daily wet cleaning before operations, routine cleaning during operations and final cleaning after operations, as well as weekly general cleaning.
3. Cleaning your workplace and utility rooms.
4. Handing over dirty linen to the housewife and receiving clean linen, as well as putting the linen in bins for sterilization.
5. Helping the housewife send dirty laundry to the laundry and get clean clothes.
6. Carrying out minor repairs to linen.
7. Thorough knowledge of the structure of the operating table and how to position the patient during various operations.
8. Compliance with safety precautions when working with equipment in the operating room.
9. Knowledge of the basics of antisepsis and asepsis, strict adherence to them.
10. Compliance with the uniform adopted in the operating unit.

Should a nurse change diapers for bedridden patients?

Therefore, the nurses who worked then, two and three per shift, at 6 in the morning, loaded themselves with stacks of sheets, diapers and diapers, and walked through the wards, changing diapers and oilcloth linings, for severe, bedridden patients after a stroke, and emptying the vessels. So what to do? By eight o'clock, we had to hand over our shift, and there had to be complete order in the department. For this, we were paid an additional quarter of the rate due to vacant rates.

Sometimes, for some patients, relatives paid, giving a certain amount to the head nurse, and she distributed this money between all shifts. Or when I worked part time at a second job, part-time at an oncology center in Moscow in the urology oncology department. We were on duty for 24 hours, one at a time, for 30 sick people.

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From 6 am, we had to take everyone’s temperature, measure daily diuresis, empty bags of urine, who had catheters, empty the vessels and give morning injections to whom

Rules for the design and application of job descriptions

When working on drawing up a job description, you need to take into account not only the characteristics of the employee’s work activity, which affect the content, but also the rules for the external design of this document. A properly executed nurse's instruction must contain an approval mark, which is located on the title page or first page and includes:

• date of approval;
• information about the manager who approved the instructions;
• manager's signature.

Each employee confirms the fact of familiarization with the provisions of the job description by signing either directly on the document (in the space provided for this) or in a special journal.

Who can care for the sick?

In addition to nurses, this can be performed by the following people:

• Relatives of the patient;
• Specially hired nurses from social services.

Attention!

Nurses, cleaners and barmaids do not have the right to care for patients in the department.

Nurses are very responsible people. Their work is very hard. Unfortunately, many people and colleagues do not appreciate their work. But in vain. Without nurses, the work of doctors and nurses would be much more difficult.

It is necessary to appreciate the work of junior medical personnel in order to delay the approach of emotional burnout.

General provisions

1.1. A nurse belongs to junior medical personnel.

1.2. A person is appointed to the position of nurse who, depending on the pay grade:

— primary general education and individual training for at least 3 months without any work experience requirements;

— primary general education, individual training for at least 3 months and work experience in the profile for at least 2 years.

1.3. A nurse is appointed and dismissed by the chief physician (head of a medical institution) upon the recommendation of [fill in as necessary].

1.4. The nurse should know:

— rules of sanitation and occupational hygiene;

— purpose of detergents and rules for handling them;

— internal labor regulations;

— rules and regulations of labor protection, safety and fire protection;

- [fill in what you need].

1.5. In her activities, the nurse is guided by the internal labor regulations, orders of the head of the medical institution, this job description and reports directly to [fill in as appropriate].

1.6. [Enter as appropriate].