P nurses. For anyone and everyone. The doors of the MCD are open to “medical tourists” from all over Russia. Little things matter to patients

1.1. Persons with the specialty of primary vocational education “Junior nurse in patient care” are allowed to work as a junior nurse.

1.2. A junior nurse is appointed and dismissed by order of the chief physician, in accordance with the current labor legislation of the Russian Federation.

1.3. When performing functional duties, the junior nurse of the department reports to the head and senior nurse.

1.4. The junior nurse in her work is guided by the Constitution of the Russian Federation, Federal Law of the Russian Federation of November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation (including the norms of articles 2, 4-6, 10, 11, 13, 18-28, 31-35, 37, 39, 45-48, 52-75, 77-81, 84, 85, 87-90, 92-94, 98, 99, 100), Territorial program of state guarantees for the provision of free medical care assistance to the population (types of medical care provided to the population free of charge, medical care provided within the framework of the Territorial Compulsory Health Insurance Program, provided at the expense of budgets at all levels), orders and regulations of the Ministry of Health and Social Development of the Russian Federation, the Ministry of Health of the Volgograd Region, orders and orders of higher authorities, the chief physician and this Job Description.

1.5 The primary task of the patient care nurse is to provide assistance to the nurse in patient care.

1.6 The junior nurse must undergo a periodic medical examination upon entering work, according to the hospital schedule, but at least once a year.

1.7. The junior nurse of the intensive care unit should know:

basics of Labor legislation;

have an idea of ​​the organizational and economic foundations of the activities of healthcare institutions and medical workers in the conditions of budgetary insurance medicine; fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology.

Requirements of the hospital’s internal labor regulations (timely arrival and departure from work, etc.).

Rules for occupational safety and health, fire safety, location of the keys to the emergency exit and the sequence of evacuation of patients and property in case of fire.

Requirements of sanitary-epidemiological and medical protective regimes.

Requirements of a collective agreement between the administration and the hospital staff.

Technology of manipulations for general patient care.

General information about especially dangerous infections, HIV infection, etc.

The basic principles of anti-epidemic measures when identifying patients with acute respiratory infections, their purpose and set of responsibilities for it.

Basic principles of infection control.

Instructions for general and routine cleaning.

Rules for handling biological materials, precautions when delivering them for research.

Rules for waste collection and disposal.

Rules for transporting dirty and clean linen.

Nursing is a specialty whose importance cannot be overestimated. Essentially, no doctor will be able to cope with his duties if he does not have such an assistant. Taking this into account, we can safely say that a nurse is indispensable in any clinic or hospital.

However, how much do we know about the duties that this employee performs? What kind of difficulties do they sometimes have to face? And what prospects await a girl who has chosen the path of a nurse?

General information about the profession

The nurse is first and foremost the doctor's right hand. Her main task is to follow the instructions of the doctor to whom she is assigned. This could be collecting tests, installing an IV, providing bed linen to the patient, and so on. That is, by and large, the role of the nurse is auxiliary.

But despite this, she is an important member of the staff of any medical institution. After all, the nurse takes on the lion's share of the work, thereby relieving the doctors. And they, in turn, will be able to devote more time to more important tasks: diagnosing diseases, prescribing a course of treatment, therapy, and so on.

How to become a nurse?

The duties of a nurse require appropriate education. You can get it at a medical college or school. The training takes from 3 to 4 years, depending on the chosen institution.

During this time, students will learn all the skills necessary to work in this specialty. In particular, they will study Latin (which is indispensable when writing recipes), methods of first aid, the basics of therapy, rules for using medicinal drugs, and so on.

Statutory classification of nurses

When discussing this profession, one cannot ignore the fact that there is a classification of nurses. And, despite the fact that the education required is the same, the range of responsibilities is different for everyone.

So, what types of nurses are there?

• Chief nurse is the only position that requires a higher education. Its main task is control. It is this employee who makes adjustments to the work of middle and junior medical staff.
• Senior nurse is a position assigned to each head of the department. The main function is to maintain order in the territory entrusted to it by managing its own subordinates.
• A guard nurse is a specialist who makes sure that patients strictly follow all the doctor’s instructions: take medications, follow bed rest or diet.
• Procedural nurse. She is the one responsible for the injections and IVs prescribed by the doctor. In addition, she collects samples and takes them to the laboratory.
• The operating room nurse is the surgeon's right hand. She prepares the operating room before the operation, checks that everything is in place, and brings all the necessary instruments. In the future, she follows all the instructions that the surgeon gives her: give a scalpel, a clamp or, say, a tampon.
• A community nurse is a specialist assigned to a specific doctor. Most often, this position involves paperwork: filling out cards, working with documents, keeping records, and so on.
• The junior nurse is the lowest level of the hierarchy. Her responsibilities include caring for the sick and following orders from senior colleagues.

Required qualities

So, the duties of a nurse cannot be called too complex, especially when compared with the work of doctors. However, you should not underestimate them, because the health of another person is at stake.

Therefore, the future specialist must have the following personal qualities:

• good memory in order to remember many terms and names of medications;
• responsibility, because, as mentioned earlier, any mistake can cost a person his life;
• speed of reaction in order to make the right decision at a critical moment;
• compassion, because without it she will not be able to provide the sick with the care they need;
• strong nerves and psyche, since in medicine you will have to deal with many things, including unpleasant ones.

What will you have to do at work?

Each medical institution has its own instructions (job description) for nurses. This document contains a complete list of all responsibilities of this employee, and upon taking up the position, he is required to familiarize himself with it. It is simply not possible to describe all possible requirements listed in this document, as they may vary depending on institutional policies.

However, here are a few examples:

1. First of all, the nurse monitors the condition of the patients. He takes tests, inquires about their well-being and takes them to treatment procedures.
2. Any nurse follows the instructions of doctors, especially if they relate to working with patients.
3. This employee is also responsible for a number of procedures related to the treatment of the patient. So, nurses administer intravenous drips, give injections, conduct physical therapy, and give dosages of medications.
4. In addition, nurses often work with hospital documentation. For example, they fill out patient cards, keep records of hospital equipment, submit documents for discharge, and so on.

Advantages and disadvantages of the profession

If we talk about the advantages, then first of all we need to note the high demand in the labor market. Almost every specialist can count on a free place in their city.

However, there are also disadvantages. In particular, low wages and lack of career growth. Even with all your desire, you simply won’t be able to rise above the position of head nurse.

Even doctors do not always know all the secrets of hospital life, which nurses have heard well about. That is why their opinion is worth hearing if you want to get the most information.

Sometimes it is worth consulting with different doctors

No one will say that the doctor is incompetent. However, sometimes the nurse may recommend that you consult someone else. Consider this a secret signal.

Gossip carefully

The hospital is not a fun place and you might want to chat with the nurse. But she has a long working day, and there is a chance that the most interesting gossip will be retold later to someone else.

Nurses may give more medicine than prescribed

When a patient is terminally ill, the doctor does not always prescribe enough pain medication. If a person is suffering, the nurse may give him more than prescribed.

Service depends on your attitude

Patients with incontinence should only be wiped with a cloth. If you are nice and polite, the nurse will do much more for you, but if you are rude, the service will be at the required minimum.

The nurse is supposed to remain calm

The nurse's calm tone does not mean anything - even if she is very excited, she will not show it.

You need to see a doctor on time

No one will directly blame you for delaying a visit to the doctor, but sometimes it is really stupid.

Don't lie about how much it hurts you

If you calmly use your phone and laugh until you notice the nurse, no one will believe that you really are unbearably ill.

Your life is in your hands

You must independently follow the doctor’s instructions, because mistakes are quite possible. It depends only on you how good the treatment will be.

A nurse's job is full of paperwork.

You can’t even imagine how many documents you have to fill out during the working day. The life of a nurse is not all about patients.

Hospitals are full of infections

Despite all efforts, hospitals are still quite dirty and full of drug-resistant infections.

Only seriously ill patients are admitted to the hospital

With mild symptoms, you will simply be sent on sick leave. Even if you are seriously ill, you will most likely be discharged before you have fully recovered.

Don't insult nurses

Those who really feel bad have no time to complain

Nurses know very well who is really unwell. The loudest and most dissatisfied patients are those who do not have any serious illnesses.

They will always smile at you

Any nurse tries to be as attentive as possible, even if you behave intrusively. However, she may complain to her colleagues, which will affect how you are treated in the future.

Name all the medications you took

Even if it was medicinal herbs or secretly purchased medications, which usually require a prescription. You should list everything to avoid complications when prescribing treatment.

Reality is different from TV series

What you see on screen happens completely differently in real life. In addition, nurses have much less free time.

A hospital is not a hotel

Yes, the food is not always appetizing, but you should understand that these are the conditions. For the same reason, relatives cannot be with you at any time.

The tests should be carried out by a doctor

Do not ask nurses about the results of your tests - all this should be discussed exclusively with your doctor.

There are conflicts between nurses

Sometimes they also conflict, interfere with each other and quarrel in front of patients. The thing is that this job causes too much stress.

It is difficult for a nurse to point out a mistake to a doctor

It can be difficult to watch a doctor make a mistake, but it is also difficult to object to him - you may receive not the most flattering comments in response.

Don't blame everything on the nurse

Sometimes nurses are unfairly accused even by doctors themselves. But not everything depends solely on them!

Patients should try to be friendly

If you like the nurse, show your gratitude - positive comments make you happy and are remembered for a long time.

Don't forget about the nurse

If you have been in the hospital for a long time, you can visit the nurse after you are discharged and thank her. It will be very nice for her.

Nurses believe in miracles

During the course of their work, everyone has experiences that cannot be called anything other than miraculous. People wake up from comas and recover in critical cases. You should never give up and stop believing in the best.

Working in a hospital is very exhausting.

There are physically demanding professions. Some are mentally exhausting. A nurse's job involves both. If you are not getting enough help, simply ask another nurse.

Demand attention to yourself

Many nurses and doctors only discuss test results during rounds. If you want your opinion to be listened to, pay attention to yourself.

Do not distract the nurse while preparing medications

In this matter, mistakes are unacceptable. Avoid distracting the nurse who is dispensing medications to avoid causing problems.

A good nurse knows how to give an injection the first time

If they can't get into your vein, call another nurse. Of course, inexperienced workers need practice, but you are not a guinea pig! The injection must be done the first time.

Don't stand the pain

If you feel pain, it is better to report it immediately. Mild discomfort is easier to eliminate than a critical condition.

Drink more water before your blood test

If you have a blood test, drink a few glasses of water. This will make your veins more visible, which means everything will be as comfortable as possible for everyone.

Don't hold your breath from the pain

Holding your breath only worsens the pain, so it’s better to try to breathe regularly.

Don't go to hospital in the summer

If you have a choice, do not go to the hospital in the summer - this is when new employees begin work, who may not be very experienced.

Doctors don't tell you everything

Not every doctor speaks directly; some will reassure you, even if the situation is critical.

Some doctors don't care about pain

Some perform painful procedures without pain relief or give too little medication.

All visitors must wash their hands

Constantly remind everyone who comes to you to wash their hands. This even applies to doctors!

Stay close to seriously ill relatives

It is always difficult for nurses to watch a terminally ill person suffer less from pain than from loneliness.

Little things matter to patients

Just wrap the patient in a warm blanket - comfort and attention are most important.

Sometimes nurses speak harshly to relatives

Family members must clearly understand what the patient needs, so they will be told about it as clearly as possible, even if the information is difficult.

Nurses may be more important than doctors

They are the ones who monitor your medication intake and your condition throughout the day!

Men should see a doctor more often

Listen to your wife who advises you to go to the hospital, don’t try to endure it - this is not at all a sign of masculinity.

If you don't understand something, ask

Ask for an explanation of any diagnosis that you do not understand.

Know what further treatment involves

Monitor the treatment process and ask detailed questions about what to do next.

Treatment can be unpredictable

Nurses face a wide variety of life situations, so they are used to giving advice.

Understand boundaries

You should not flirt with a nurse and ask her out on a date - this is unethical.

Keep a positive mood

Keeping your spirits high is very important for a quick recovery.

Give thanks

Giving thanks is not as difficult as it seems!

Don't hide bad habits

Do not underestimate your alcohol intake and do not hide bad habits, the doctor will find out about it anyway.

Don't make others wait

Don't distract the nurse with petty requests - someone might feel really bad.

Sometimes you are deceived

Nurses need white lies for your peace of mind.

Wet the patch

Finally, when removing the bandage, ask to wet the patch - this will make it come off much easier.

If you like helping people, and biology, anatomy and chemistry were your favorite subjects, then it is likely that you will like the profession of a nurse.

Average salary: 25,000 rubles per month

Demand

Payability

Competition

Entry barrier

Prospects

The profession of a nurse (in the male version, nurse) is a very popular specialty, the importance of which is difficult to overestimate. It will be very difficult for a doctor to fulfill his duties if he suddenly does not have such an assistant. Let's take a closer look at what this specialty is, what it consists of, how many years and where you need to study to get it.

Story

For a long time, all auxiliary manipulations in the treatment of patients were performed by young doctors, who later became doctors. The first community of sisters of mercy appeared in the 11th century. Their duties included helping women, but later they began to help men as well - first those wounded on the battlefield, and then ordinary civilian patients.

The first hospital, where only patient care was provided, was opened by the Hungarian Countess Elisabeth of Thuringia. Later, similar institutions began to be organized throughout Europe. In the 17th century, there was an urgent need for the profession of a nurse, since in those days there were numerous wars, and accordingly, there were many wounded who required first aid on the battlefield, and then care in military hospitals after operations and amputations. Later, the girls began to assist during surgical interventions.

Description and characteristics of the profession

In any medical institution, nurses are the doctor’s right hand and his most important assistants. The skills acquired during training give them the right to provide first emergency aid, perform simple manipulations (give injections, measure temperature and pressure), simple procedures (enemas, gastric lavage, etc.), and describe the examination under the dictation of a doctor. At the clinic, the nursing staff is busy writing out certificates, referrals for tests, and examinations.

In the hospital, these items are supplemented with the dispensing of medications. In surgical departments, this position provides assistance during an operation: the nurse must prepare instruments, present them to the doctor on time, and then remove and sterilize them.

The nurse cannot fully assume the responsibilities of a doctor and make a diagnosis, establish a sequence of treatment, cancel or prescribe recommended medications, since it is the doctor who is responsible for the final result of therapy or the outcome of the operation.

Specialties, universities and Unified State Exam subjects

To become a nurse, you must attend nursing school. There is a wide choice in this area - in total there are more than 245 establishments in all regions of the country, for example:

1. St. Petersburg Medical College named after. V. M. Bekhtereva.
2. College of the First Moscow State Medical University named after I.M. Sechenov.
3. College of Rostov State Medical University.
4. Sverdlovsk Regional Medical College.
5. Medical and Pharmaceutical College of the Kazan State Medical Institute.

The specialty of a nurse (nurse) can be obtained after completing 9 or 11 classes. For admission to college, the results of the Unified State Exam or Unified State Exam are not required. Admission is based on a competition of certificates (if competition for budget places is high, and, as a rule, this is the case, then the results of the State Examination Test are also taken into account). Colleges have the right to conduct entrance examinations in the form of testing or interviews to check the psychological qualities of applicants. Their results are assessed on a pass/fail scale.

The duration of training depends on the level of basic education. After nine grades, study at the medical college will last three years and 10 months, after eleven - two years and 10 months.

Nurses can have different specializations, for example:

1. Ward. Her responsibilities include caring for and monitoring patients in certain wards of the hospital or hospital.
2. Procedural. Takes blood for laboratory tests and gives injections.
3. Precinct. Helps supervise patients in assigned territory and perform procedures at home.
4. Dietary. Deals with nutrition for a particular disease, monitors the preparation of menus and the quality of food.

Responsibilities

The profession of a nurse or nurse involves performing a certain range of responsibilities, which includes:

• provision of emergency assistance;
• fulfilling doctor's prescriptions (injections, IVs, etc.);
• blood pressure measurement;
• preparing the patient for procedures;
• patient care;
• drawing blood for testing;
• issuing certificates, maintaining documentation.

The specific list of responsibilities of a nurse depends on her specialization, but, as in ancient times, her main occupation is observing and caring for the patient.

Who is the profession suitable for?

The nursing profession is not for everyone. To successfully work in your specialty, you need:

• the ability to find a common language with the patient and his relatives;
• quick response to doctor’s orders - you often have to instantly navigate when an emergency situation arises in order to provide timely assistance;
• politeness, tact;
• strong nervous system;
• responsibility and dedication.

A good nurse is also a psychologist: it is important for her to find words to support a sick person, to help him not only with deeds (with her knowledge and skills), but also to inspire him, because the success of treatment depends 50% on the patient’s mood.

The advantages of the profession include:

• high demand for this specialty (and not only in Russia, but throughout the world);
• employment opportunity in any city in the country;
• the ability to skillfully help yourself and your loved ones when your health status changes.

The profession of a nurse also has disadvantages:

• very low salary;
• irregular schedule;
• psycho-emotional stress;
• risk of infection from infectious patients;
• threat from antisocial elements;
• very high responsibility.

In addition, it is necessary to be prepared in advance for the arrogant attitude of senior medical staff. Unfortunately, in our hospitals, doctors do not always show proper tact towards the nursing staff. Therefore, it will not be easy for ambitious and ambitious people to work in such a position.

Wage

By 2018, the average salary for a nurse in the country corresponds to the subsistence level. In large cities it is higher and varies from 17 thousand to 20 thousand rubles. In private clinics they receive more - approximately 30,000 rubles.

In Moscow, the salary of an average health worker is 31-40 thousand rubles. The amount depends on the status and specialization of the medical institution. The maximum rate in the country is 90,000 rubles. (but for those who decide to make nursing their profession, it is better to focus on more modest statistics).

Depending on the type of activity of a nurse, the average salaries in rubles are as follows:

• senior - 38,000;
• operating room - 34,000;
• cosmetology - 32,000;
• procedural - 30,000;
• dental - 25,000.

How to build a career

Many people wonder whether a nurse can make a career. Currently, higher education institutions offer advanced training courses. With additional education, you can take an administrative position as a senior nurse (department or even hospital), and also get the opportunity to teach “Nursing” at a college. But by and large, the nursing profession does not imply dizzying career growth.

There is also the opportunity to continue education and study to become a doctor, and then build a career from a higher starting position. Work experience in this case will help you master specialized subjects faster. Those who are not satisfied with the salary are advised to gain experience, improve their skills, receive a new category every five years, or get a job in a private clinic.

Prospects for the profession

Nurses, like doctors, will always be needed - at least for sure in the coming centuries. So, from the point of view of demand in the foreseeable future, the profession has no problems. Another thing is salary prospects. Unfortunately, they are not so rosy, but if you are a pessimist, then it is better not to go into medicine to work in any specialty.