Nurse - responsibilities and training. Operating room nurse - become the star of the operating room! Who can work as an operating room nurse?

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:

St. Petersburg Medical College named after. V. M. Bekhtereva.
College of the First Moscow State Medical University named after I.M. Sechenov.
College of Rostov State Medical University.
Sverdlovsk Regional Medical College.
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:

Ward. Her responsibilities include caring for and monitoring patients in certain wards of the hospital or hospital.
Procedural. Takes blood for laboratory tests and gives injections.
Precinct. Helps supervise patients in assigned territory and perform procedures at home.
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 head 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.

In any medical institution there is a strict hierarchy of all nurses. Each nurse has specific rights and responsibilities, depending on her. This division ensures the efficient and high-quality work of the entire medical department.

Despite the fact that the position of a nurse is a junior staff compared to the main specialist - a doctor, her contribution to caring for the health of patients should not be diminished.

A nurse is a doctor's first assistant. The main components of her work, from an ethical point of view, are mercy and humanity towards the sick. It includes caring for the patient, restoring and strengthening his health, as well as preventing various diseases.

There is a special distribution of nurses into categories, which depends on the type of activity and education:

A woman with a higher education and a specialty in Nursing can work as a head nurse. Her responsibilities include monitoring the work of junior and mid-level medical workers.
monitors the work of the ward and junior nurses of the hospital.
A nurse who cares for patients in the wards is called a ward or guard nurse.
The procedural nurse performs such manipulations as blood sampling, injections and infusions.
In the operating room, the surgeon is assisted by an operating room nurse. She also prepares instruments, bandages and other things necessary for the operation.
The local nurse helps the local doctor receive patients.

Nurse's rights

Any nurse has the following rights:

In addition, a nurse working in surgery has the right to control antiseptic standards during operations. Also, when meetings are held in a medical institution at which the work of a paramedic is discussed. staff, the nurse has the right to attend such a meeting.

Responsibilities of junior and senior nurses

Junior honey Personnel are considered to be nursing nurses, housekeepers and nurses.

These nurses help the ward care for the sick, maintain order and ensure that patients are comfortable in the wards. The hostess sister must be responsible for the economic issues of the hospital and monitor the work of the nurses.

There are general responsibilities for all junior staff:

Cleaning of medical premises institutions
Helping ward nurses
Accompanying and transporting patients around the hospital
Carrying out sanitary and hygienic treatment of patients

The responsibilities of the senior nurse are mainly concentrated on monitoring the work of the junior nurse. personnel. They must ensure the efficient operation of their department, train junior staff, ensure discipline and adherence to safety rules in the department. Also, senior nurses are responsible for receiving and storing medications and medical equipment.

Nurses' responsibilities

In addition to the rights and responsibilities, nurses are responsible for:

For poor performance of one's duties
For failure to comply with labor and discipline rules, failure to comply with safety precautions and fire safety

It is very important for every employee of a medical institution to clearly know their rights and responsibilities. This will help ensure successful activities and harmonious relationships within the team.

Write your question in the form below

Profession nurse - description

A nurse is an indispensable assistant to any doctor, his right hand.

The entire organizational component of work in the hospital falls on her shoulders.

It should be borne in mind that graduates of this specialty are not allowed to independently determine the course of treatment, prescribe medications and make other prescriptions.

However, the skills acquired will be sufficient to identify and diagnose various diseases and provide first aid.

The nurse must be able to measure blood pressure, give injections and place IVs, and carry out other medical procedures (washing, rinsing, and so on).

A nurse at a district clinic mainly performs the work of a secretary-assistant for a doctor.

issues certificates, prescriptions for pharmacies,
referrals for tests and examinations;
fills out outpatient cards.

The responsibilities of a nurse in a hospital department include more items.

gives injections
measures pressure,
gives medicines to patients,
provides first aid before the doctor arrives in case of exacerbations.

She also monitors the sanitary condition of the wards and the regimen of patients, and compliance with the routine prescribed by the doctor in the department.

Nurses working in inpatient hospitals also often serve as surgical assistants during operations:

provide the doctor with instruments and dressings,
prepare them for work and clean them after operations,
help work with the patient.

In addition to the places listed above, nurses can also work in nursing homes, shelters, and nursing homes. A nurse is indispensable wherever there is a first-aid post: in production, in schools and kindergartens.

Where to become a nurse

One of the mandatory requirements for everyone who wants to receive education in this profile is the ability to sympathize and the desire to help people, otherwise the daily performance of duties within the competence of a nurse will become a burden and will not bring any joy.

The profession of “nurse” can be obtained in specialized schools, technical schools and colleges; sometimes it is acceptable to obtain it in one-year or two-year courses.

Students of this profile do not study medicine as deeply as future doctors, but the training lasts much less.

Pros and cons of being a nurse

The disadvantages of this profession include

night shifts, which often occur on holidays;
low salary;
stressful situations in medical institutions;
excessive physical activity.
danger of contracting a dangerous infectious disease,
ingratitude on the part of patients.

The advantages include:

the opportunity to obtain medical education;
awareness that the nurse is involved in saving lives;
gratitude from recovered patients.
an experienced nurse can quickly find work and additional income.

We can say with confidence that for a woman this is the most sought-after and prestigious profession.

This article will also help you prepare an essay, report, essay or presentation about the profession.

10:38, 02.04.2013 / /

Read also

The head of the Ministry of Health, Veronika Skvortsova, said that nurses will soon be replaced by computers at doctor’s appointments. Blogger Valkyrie is trying to imagine which of the doctors will lose their assistants first and what all this could lead to.

31 comments

in the clinic there are nurses of retirement and pre-retirement age. Soon they won't be able to work. So and so it turns out that the doctor is without medical advice. Nowadays the situation often happens when a doctor conducts an appointment without a doctor. It will be hardest for young specialists after college. She will help and advise. (Remembered the first years of work)

He will help, tell you how to treat - the pharmacist and nurse are the best doctors, and then he will also lay out...

Then we should immediately start with the fact that we will have to cut 50% of medical colleges throughout the country. I wonder on what principle they will cut nurses? Those who are older or have a shorter tongue.....If a doctor has medical assistants my sister can’t cope with the workload, then we’ll generally have to work 1st shift from 9-21, and please take into account that the 2nd shift starts at 15. And there’s only one office. This means we’ll be sitting on each other’s heads. Well, let’s Let's see who can work without nurses? It seems that nurses only write out directions and tests. I would like to hear Sarkisova’s opinion on this matter, what she thinks about this, and how she will defend her colleagues?

Well, yes, let's get the nurses' association to look into this issue. Especially those who are already so far from the problems of modern practical healthcare. Having 22 years of nursing experience, I’ll be honest, there is no need for nurses to see a therapist and specialized specialists. Apart from papers and a computer (if they have one), they become dull over time and practically do nothing with their hands. Can every clinic nurse easily access any vein or bandage a patient? Will she be able to provide first aid in practice? I’m generally silent about the sanitary and epidemiological regime.

This can only be suggested by a person who, I repeat, doesn’t even know what it’s like to work in a clinic. At first they were filled with a mountain of waste paper, not a single specialized program for working with medical documentation, forms, messengers, endless certificates, documentation at the site. Itching to command. There is no one left to work - so they are looking for a way out. Stupefied woman.

For NBC, I’ll see how, for example, an ophthalmologist or otolaryngologist can work for someone, perform manipulations, hospitalize patients and collect anamnesis, this is 20-45 in 5 hours. Correctly noted above, doctor 2 room 1. The first one arrived at 9 00 and should , the office should be cleaned by 14:00, so that the second doctor can come in at 15:00... It would be funny, actually, if everything weren’t so sad and terrible.

To the Nurse - I meant narrow specialists of a non-surgical profile. By the way, in many private clinics (and they know how to save money on staff), the issue of the number of nurses has been thought out. And competently. And they have enough writings. Especially with the introduction of electronic medical records, hemorrhoids have also increased.

NBC - YOU are wrong, you should NEVER compare state and private clinics. When the same patients go to private clinics as in state clinics, then you will argue. Mostly people FAR OVER 70 go to state clinics - without money with huge bouquets chronic diseases, and with certificates of benefits. I have been working (for work experience) in a private clinic for 7 years. So in the State I have 40 patients at my appointment (9.00-14.00), 85% of them are over 70 years old and in a private clinic 9 .00-21.00-15-18 and age up to 55 years Although I combine both here and there as an OPHTHALMOLOGIST... so I know the problem VERY well and there’s no way without nurses

Dear opponents! I seem to express myself in Russian. Narrow specialists of a NON-SURGICAL profile - therapists, cardiologists, neurologists and others like them. They only need a monkey who can write and think a little. Nurses of such specialists only lose their qualifications. Endless paperwork and preparing a workplace is not the job of a nurse.

PS. In the old days of working as a procedural nurse at a day hospital in one of the city's district clinics, I often remember a picture - grandparents (and where would we be without them), who came to us for IV drips, showed off their black hands and blue-violet asses - so to speak, victims of incompetent actions of district nurses, who either have their hands growing in the wrong place, or don’t care about their work or their patients.

It’s a pity for our people, just as Russia was the experimental laboratory of the world, and remains so. If you are now in line with our neurologist at 8.30, then you will go to the appointment at 15-16 hours. And if the sister is removed, she will see the patient for an hour and a half. It is necessary to introduce a coupon system, as it was before. I received a ticket with the date and time indicated. Doctors enter the amount of time per patient. I can’t keep up with the schedule to say goodbye to such a doctor. You need to pay in such a way that you cling to work, in rural clinics at least 30 thousand, in the city 40 thousand. After all, the doctor used to be a figure, but now he’s just waiting for someone to unfasten his belt, that is, a beggar. Good health to everyone, so as not to get sick in 2014.

How can all of you patients not understand that according to the technical specifications, a local therapist works from 9:00 to 1:00 pm. That’s 4 hours, and then he is obliged to go to the station in 4 hours NO ONE WILL NEVER CAN. Yes, even if he is provided with all the support with computers and super electronic cards, admit from 20 to 40 people. As the head doctors order. Very often you have to spend more than an hour on 1 patient, so do the math. And if suddenly the patient becomes ill in the doctor’s office, then you have to suspend the appointment and provide assistance and call the Emergency Room or the Republican Clinical Hospital or the Regional Clinical Hospital. This is not a paid clinic where EVERYONE works in his own office. And in the clinic there are 2 shifts. Let those who came up with this nonsense come themselves and work in the clinic for at least a month. And they also have office equipment such a feature as “freezing” and sometimes the computer “freezes” for >hours and then, how? If they really do this, then you can FINALLY PUT BOLD+ on the primary care system

In the operational development of the information received, there are always parameters for obtaining, processing and concluding on this information. If all this is assigned to one individual, then will there be incorrect processing or registration of the received information with the loss of the necessary data and the further impossibility of using it.

Probably our Minister of Health is not even close to practical medicine if she declares such nonsense. I think that nurses working with medical specialists are not in danger, as they have worked and will continue to work, and there are a lot of reasons for this, for example, a doctor - a male gynecologist at an appointment without a midwife will not get out of court over attacks on the honor and dignity of patients, yes Almost any male doctor will not be immune from such accusations, even an otolaryngologist, and video surveillance in a doctor’s office is unlikely to ever be possible. And with children the situation is even worse, as one of the commentators already pointed out, a pediatrician who takes in a teenage girl without a nurse can easily get labeled as a pedophile, and then get imprisoned for ten years for nothing. Therefore, I think that at least male doctors from the outpatient department will disappear immediately after they lose their nurses. And the remaining female doctors will feverishly point at the keyboard with one finger, filling out all the necessary fields in the electronic documentation, but there will be no time to interview and examine patients, not to mention having at least a little time to establish a diagnosis and treatment, because time for the appointment of one patient they will leave the same amount, if not reduce it. You can give many more examples of the stupidity of this decision, but it’s just a pity for the time to list it. So, sleep well, dear nurses, even if they start laying you off (there are plenty of idiots everywhere), then literally in a couple of months everything will return to normal.

Cool!!! What technology has come to: now the computer will do the dressings and apply plaster for me.

I already wrote about self-medication kiosks. You shove your compulsory medical insurance policy into it, enter the symptoms, and you get a treatment algorithm. These kiosks also need to be equipped with anesthesia equipment and surgical manipulators. I made a mistake in writing the symptoms - your problem....

A few dreams about the future of racial medicine - we are dispersing nurses to collective farms (to milk the caraf), half (most) of the doctors of the streets of revenge. Sample empty space. On this topic, the number of pathologists (without education), carpentry specialists, coffin makers, grave diggers, managers of places in cemeteries and weavers for making shrouds has increased. We are finally silent about funeral services from various clerical cantors. I'll be in life. Baldessh.
Everything looks beautiful on TV, but in real life, look for yourself.

I think first of all, the district police officers will be left without police officers; they have a disaster with police officers. The current remnants of the m/s will be regrouped and sent “to the fields.” You won’t even have to retrain anyone; on the contrary, God willing, you can scrape together so that you can get around all the new and old neighborhoods. Perhaps neurologists will also be dispossessed; they only write m/s (they don’t go from house to house, they don’t prepare instruments).
The wait for an appointment is longer, the negative is correspondingly. The requirements are sky-high. Will the doctors survive?

But maybe doctors will begin to value their nurses more and respect them accordingly. A nurse is not an errand girl.

HERE IS MY OPINION.
Those who believe that an m/s is not needed at a doctor’s appointment in a clinic, and that it (m/s) can be replaced by installing a PC in the office, do not have even the slightest idea about this work! Or these people are criminals who have decided to completely ruin medicine!
It is a fact!
First of all, this will affect the quality of reception, and of course the patients will suffer!
After all, it’s simply incomprehensible to the mind what kind of global work m/s is carrying!!!
The heap of papers, magazines, all kinds of certificates and forms required to be filled out increases exponentially every year! And believe me, with the installation of a PC, this heap will not decrease (don’t doubt it), it will simply add an additional need, in addition to the “writing,” to enter all the information into the PC, which will constantly “hang”, the printer will break down, the network will fail! I'm not even saying that people will buy the cheapest equipment and software for a lot of money. And naturally, in most health care facilities there is no system administrator, or one is incoming.
THIS IS ALSO A FACT!!!
And the time to see a patient will remain 10 minutes.
In addition, the doctor will constantly be distracted by patients who made an appointment 2 weeks ago with an interval of 10-15 minutes, as well as by patients who showed up without an appointment because they wanted to, who showed up late, who came for a certificate or prescription and think that they should be discharged - this is 2 minutes, showing up with acute pain or just making a fuss, ordering tests, picking up tests, someone who felt sick in the queue and needs to call an ambulance... etc., etc.
AND ALL THIS WORK IS DRAWED AND RUINED BY THE NURSE!!!
While the doctor is conducting an appointment, for which I repeat, only 10 minutes of time are allotted for one person!
Well, when there is no m/s, it’s a disaster!
THE DOCTOR HAS TO DO ALL THIS IN THE SAME 10 MINUTES OF TIME!!!
Here is the state’s concern for the quality of medical care at the outpatient stage.
So what about the doctor? If you want to live, know how to spin!
Just then don’t ask the doctor about the quality of treatment and what you didn’t listen to carefully - the main thing is accessibility.

Quality of treatment, you say? Do not make me laugh. Even now he is practically absent, despite the fact that the nurse is present.

just genocide.. patients are not needed.. why should a doctor waste time examining a patient when you need to look at a computer and type a lot, a lot... from my own experience, I don’t advise anyone to go to one doctor, to start treatment, you need to visit at least two doctors, compare diagnoses, treatment options, etc., otherwise you will die, I was convinced from my own experience...

Read my previous message more carefully!
And really, don't be ridiculous!
According to your compulsory medical insurance policy, the state has allocated 10 minutes of time for you to see a doctor at the clinic! This is along with filling out reams of medical documentation.
What quality do you want in 10 minutes? Even with two nurses.
I’m saying that if the doctor is not at the appointment, then the doctor will not be able to provide even the current quality.
For comparison, in Soviet times, 30 minutes were allocated for an appointment with a specialist at the clinic, despite the fact that in addition to the ambulatory card, only 1 document had to be filled out (form 25 is a statistic card), and, if necessary, a certificate of incapacity for work ( b/l), which took much less time to fill.
AND IT'S ALL!
And there was order, God forbid! If the doctor gave recommendations, try not to follow them, they will report to work and wherever necessary. And without an appointment, no one barged in for an appointment, and no one was rude in the clinics, because... it was fraught.
So, dear NBC, start with yourself!
And demand from your government (and not from the doctor at the reception) a revision of the standards for medical services (there is no medical care according to the regulations now).
I wish you health!

An experienced doctor, why are you crying? You are not satisfied with the workload - goodbye. Better no doctors than those who send patients to the government.
PS. I work as a nurse in gynecology. 22 years of experience. Problems at work are through the roof. But we try not to send them to Putin.

Dear NWS!
Firstly: I did not cry, but stated my position on the issue of staff reductions.
Secondly: it is very doubtful that you would work as a nurse with such a mentality, or you are not of this world! Another option is possible: this is exactly what some chief doctors say, who care not for their colleagues and health care facilities, but for their chair, and diligently lick the ass of the management from above.
I work in a clinic, in a hospital, and conduct consultations in a private clinic; in all places, doctors and nurses agree on the issues of the current healthcare system, which, unfortunately, does not suit either doctors or patients. I highlighted one of these problems in my statement.
Much to your surprise, it (this system) suits only you.
Thirdly: it’s amazing how you, a healthcare worker, in conditions of a chronic shortage of medical personnel, can easily throw away specialists. This suggests that you either have nothing to do with medicine, or you are (excuse me) a very narrow-minded person and not a competent specialist.
Fourth: Surely, it is because of people with your mentality that we, citizens of Russia, have today the problems that we have, both in medicine and in all other sectors.
And fifthly: only together (doctors and patients) will we be able to move forward and create a high-quality system for providing medical care in the state, without pushing these problems onto each other. Together! Therefore, I urge patients to fight not with doctors, but with officials who establish the existing “wild” standards.
However, if you really were a nurse, you would understand this.
And again, I wish you health, physical and mental.

I completely agree with my colleague! - thank you, and mental health comes first!

As soon as I reached the fifth point, I realized that everything was in order with my head. But it wouldn’t hurt to rest somewhere in a warm region. I would like to give such speeches in the stands.

“The head of the Ministry of Health, Veronika Skvortsova, said that soon nurses will be replaced by computers at doctor’s appointments.”
“It is assumed that the doctor, while at work, will have access to information systems, special decision aid systems, an electronic medical library, as well as all forms and prescription directions. Therefore, the doctor will be able to write prescriptions and fill out forms independently, without assistance nurses."
“A nurse should not sit during an outpatient appointment,” explains Veronika Skvortsova. “She should work where her specialized help is needed.”...

The question is, what does a doctor need electronic decision-making systems, etc. and so on. ?
A doctor is a ready-made specialist who, over 7-8 years of training, has been taught to make decisions on differential issues. diagnostics and treatment tactics in accordance with the profile of his specialization.

CAN ALSO PROVIDE THE DOCTOR WITH A SPACE SUIT AND A LASER PISTOL FOR PROTECTION FROM CARELESS OFFICIALS WHO WOULD NOT HURT TO DESCEND TO MOTHER EARTH.
THERE IS AN IDEA WHICH IMPLEMENTATION WILL ALLOW, IN A VERY QUICK TIME, TO SIGNIFICANTLY INCREASE THE LEVEL OF HEALTHCARE IN OUR COUNTRY, THE QUALITY OF PRODUCTS IN STORES, TO ELIMINATE LINES AT KINDERGARTENS, AND TO SOLVE MANY OTHER PROBLEMS...
NAMELY: TO REQUIRE OFFICIALS AND THEIR CHILDREN TO USE THOSE INSTITUTIONS AND STORES THAT ALL NORMAL PEOPLE USE, AND ALSO TO RECEIVE THE WAGES THAT ALL NORMAL PUBLIC EMPLOYEES RECEIVE, IN ACCORDANCE WITH EXISTING M LIVING MINIMUM AND MINIMUM WAGE.

I am sure that many problems in the country will be resolved by themselves within 1 (one) year!!!
It’s just a pity that the person who could implement this has not yet come to power.

“A nurse should not sit during an outpatient appointment,” explains Veronika Skvortsova. “She should work where her specialized help is needed...” - I’ll probably repeat myself, and let them throw rotten tomatoes at me, but on this I agree with Mrs. Skvortsova 100%. What does a local therapist’s nurse know and what can she do with her HANDS ? Or any specialized NON-SURGICAL specialist? Write papers, communicate with a computer? To do this, you don’t need to have a MEDICAL education. You don’t need to take advanced training courses once every 5 years, or take an exam to obtain or confirm a category. aunts who are ready to work as a clerical rat for pennies. So that he doesn’t bury himself in papers even for 10 minutes (what an idiot would write the standards) is enough for the doctor. And the nurse must work with both her hands and her head, where there is an acute shortage of personnel.

Once again for NBC and others like it:

This is exactly what officials think, who are not familiar with the specifics of the work of not only the outpatient clinic, but also the health care system as a whole.
Thanks to such reasoning, the state healthcare system is being gradually reduced.
First, first aid stations, outpatient clinics, district hospitals, and now maternity hospitals were reduced (modernized), as a result of which throughout Russia the population of many small settlements was left absolutely without medical care and obstetric services.
Then, in several stages, beds in large city hospitals were reduced, which led to queues for planned inpatient treatment ranging from 6 months to 3-5 years. It can be assumed with some degree of probability that officials are not standing in those queues.
Now let's cut back on therapeutic nurses, then general practitioners, and then we'll cut off surgeons as well. What are they needed for? Those who have a strong body will survive.
Leave the main Ministry of Health, in that situation they will have a lot of work!
Let's restore midwives and healers; there is no need to allocate money from the budget for this.
You can also get treatment online!
The Internet will provide access to information systems, special decision aid systems, an electronic medical library, etc., etc.
Hooray!

I would like to answer the polemic “doctor with senior” and HBC. At first I completely agreed with the doctor, but now I understand that there is some truth in HBC here. After all, what’s the point of studying for 3-4 years, and after writing a paper and listening to humiliation from the doctors with whom you work. Here you already have to learn again. (listen when you can’t hear, analyze when it’s not clear, look for an approach to the doctor, fulfill all his whims) So, doctors, if you want nurses nearby, then please have conscience and respect.

I largely agree with the opinion of NBC. I have been working as an ophthalmologist for more than 10 years. During the appointment, my nurse must check the patient’s vision, select simple glasses, measure intraocular pressure, and, if necessary, check the visual field. plus documentation, journals, directions for tests, statistical coupons, issuing preferential prescriptions, setting a sterile table. While nurses see a neurologist, cardiologist, therapist, etc. They do mostly paperwork. And all this for the same salary, and sometimes (generalist nurses) they receive even more than an ophthalmologist nurse. Of course, no one particularly wants to go to the ophthalmologist’s office and do several times more work for the same money. And write down the name of the medicine under the dictation of the doctor on a piece of paper for the patient, “close” the stat. coupon, fill out a log - this can really be taught to any literate person; no special medical education is needed for this. After all, sick leave certificates have long been filled out in special offices by people without medical education, although once upon a time this was done by doctors. Of course, in surgical rooms, in hospital departments, in treatment rooms, emergency rooms, and in ambulances, you can’t do without COMPETENT nurses! But where they do only “paper” work is really worth thinking about.
Dear “experienced doctor,” have you ever seen the notorious order No. 1000, issued in Soviet times? What 30 minutes per patient with specialists are you talking about??!!! An ophthalmologist and an otolaryngologist had to see 8 people per hour, and if it was a medical examination, dispensary patients, then 16 people per hour! Neurologist - 6 people per hour, etc. If you divide an hour into 8 people, it won’t even take 10 minutes, not to mention medical examinations! I wonder what kind of “experience” you have if you don’t know anything about this order; Thank God it's not working now. And there is no need to insult anyone! It’s better to learn to write correctly. And about insults to nurses from doctors. It is unknown who else usually insults whom. Or rather, it is known. It is especially unpleasant to listen to rudeness from young nurses who came from medical school and do not know how to measure eye pressure or choose glasses, and have not learned how to give intravenous injections. Maybe if our number of nurses decreases, the prestige of the profession will be higher.

Undoubtedly, the work of doctors is noble, restoring sick people to health and saving them from death. The work of nurses is no less important. The foundations of nursing were laid back in the 11th century and have undergone many changes over the years. But the main postulate still remains unshakable - the ability of nurses to do their best to help the patient recover, and the incurable - to die without suffering.

The most famous nurse

It is generally accepted that nursing was founded by the Englishwoman Florence Nightingale. Indeed, she did an incredible amount for the proper organization of the work of medical staff. The activities of Florence and her associates in hospitals during the Crimean War contributed to a decrease in mortality among the wounded from 42 to just over 2 percent. This is an amazing result! It was achieved thanks to the introduction of aseptic rules in the wards, especially in postoperative and critically ill patients. In memory of this wonderful woman, a medal named after her was approved, which is considered the highest award for modern nurses, and the date of Florence’s birth (May 12) is now celebrated as an International holiday. feelings for his wards.

The first steps of nursing in pediatrics and surgery

No matter how great the merit of Florence Nightingale, the practice of medical or, as they said then, nurses of mercy existed long before her. Back in the 11th century, the first women's societies for caring for the sick arose. History remembers the name of Elizabeth of Tyurineng, who built a hospital with her own funds and organized a community of Elizabethans helping sick people, including lepers (with symptoms of leprosy, which was considered incurable and so contagious that even relatives abandoned the unfortunate ones). She also built an orphanage where sick orphans were cared for. This can be considered the first “swallow” of nursing in pediatrics.

In the same Crimean War, regardless of Nightingale’s activities, the nursing work of our domestic nurses was quite well organized, as the famous Pavlov repeatedly mentioned. They not only carried the wounded from the battlefield, but also independently performed operations, applied bandages, provided treatment and controlled medications. Currently, the nursing practice of operating room nurses includes new functions, but its basis - providing effective treatment for operable patients - remains the same.

The work of current nurses

In the modern world, every year new medical technologies appear, treatment processes are improved, and more effective medications are created. Every nurse must be aware of all these changes in order to adequately perform their professional duties. For this purpose, hospitals and clinics regularly organize seminars and advanced training courses. The specialty "Nursing" can be obtained at a medical school or college. There are the following categories of nurses:

ward;
guard;
operating room;
procedural;
district;
dietary

Each of the above positions has its own specifics, knowledge of which is gained in the process of training and internship. Upon completion of studies, a certificate is issued. “Nursing” is the name of the specialty, and in addition to it, the specialization is indicated.

Operating room nurse

This position is appointed by the chief physician of the medical institution. Only persons with at least secondary medical education who have completed practice in operating rooms and dressing rooms can apply for it. Nursing in surgery is extremely responsible. The main functions here are complete preparation for the operation, and during its implementation - following the instructions of the surgeons. The professionalism of the nurse ensures the protection of the patient from surgical infections and the smooth work of doctors.

Preparation for surgery consists of sterilization according to aseptic requirements and placing them on the nursing table. Robes, gloves, and sheets are also sterilized. This includes providing the surgeons’ work process with all the necessary sterile material (bandages, cotton swabs, suture threads, antiseptics, other necessary medications) and checking the working condition of medical equipment.

Responsibilities during surgery

Nursing in surgery is not only responsible, but also incredibly complex. The operating nurse must have an absolute understanding of the progress of the upcoming operation in order to prepare for it without a single mistake. It is even important in what order she arranged the instruments on her table, because the surgeon focuses all his attention on his manipulations at the site of the incision and is not distracted by such trifles as telling the sister what kind of object to give him. She must know this herself, and also be able to present the instrument without violating its sterility. Selecting the optimal needle size, the desired thickness and length of the suture thread and checking its strength are also the functions of the operating room nurse. At the end of the work process, her responsibilities include inspecting all instruments, sending them for sterilization and preparing the patient for transportation to the ward.

Skills

In some cases, the operating nurse helps the surgeon as an assistant. Nursing in such situations consists of performing manipulations to ensure the normal course of the surgical process. The nurse must be able to give blood transfusions, place and remove drainage, catheters, perform actions to stop bleeding, apply and remove sutures, assist the doctor in conducting endoscopic examinations, taking punctures, monitor the sending of material taken from the patient for further research, and surgically treat purulent and inflamed wounds, apply bandages and plaster.

Functions of ward and procedural nurses

Of course, the patient’s recovery depends not only on how well the work was done in the operating room. Nursing also involves further care for the patient. It is performed by ward nurses. They ensure the patient’s hygiene, monitor the healing of wounds, carry out doctors’ orders, administer IVs, give injections, give medications, measure blood pressure and temperature, together with the dietary nurse provide proper nutrition and monitor the work of the nurses in the ward to ensure all sanitary standards.

The responsibilities of procedural nurses include keeping all instruments and materials needed for work clean and in a sterile condition. Of course, they must be able to perform all types of injections, draw blood for analysis, and prepare the patient for To become a ward or procedural nurse, it is enough to complete special courses, upon completion of which they pass exams and receive a certificate.

Work with children

If the patient in the hospital is a child, working with him has its own nuances. This makes pediatric nursing significantly different from other categories. Young patients cannot always talk clearly about their condition. Many of them do not know how to take care of themselves and suffer from urinary incontinence. The child's psyche is very vulnerable and sensitive to any negative manifestation from adults. Therefore, ward nurses in children's departments must be attentive, kind, responsive and patient. Their responsibilities include:

daily hygiene procedures for each baby;
washing children after defecation;
changing bed linen if a child wets the bed;
feeding small and weakened children;
preparation for injections in such a way as not to frighten the child in advance, and during injections the ability to distract and calm the baby;
constant control over the condition of their little charges.

A kind and affectionate attitude is not specified in the job description, but these qualities are no less necessary when working with children than professionalism.

District nurses

Pediatric nursing is not limited to work in hospitals. The activities of nurses in clinics are also of great importance. Their responsibilities include assisting the doctor at appointments with sick and healthy children, maintaining documentation for each child, recording dispensary patients and promptly inviting them for follow-up examinations, writing prescriptions and certificates, and providing the doctor with the necessary medical material. Together with the doctor, district nurses provide care for infants according to the existing standard schedule, as well as for older children and toddlers as the need arises. In addition, the responsibilities of children's nurses also include working with parents, conducting preventive conversations in order to protect children from infectious and other diseases.