Job description of a surgeon. Profession surgeon Job description of a surgeon at a paid clinic

Job description surgeon[name of company]

This job description has been developed and approved in accordance with the provisions of the Order of the Ministry of Health and social development RF dated July 23, 2010 N 541n “On approval of the Unified Qualification Directory of positions of managers, specialists and employees, section “Qualification characteristics of positions of workers in the field of healthcare” and other regulations governing labor relations.

1. General Provisions

1.1. The surgeon belongs to the category of specialists and is directly subordinate to [name of the position of the immediate supervisor].

1.2. A surgeon is appointed to a position and dismissed from it by order of [name of position].

1.3. A person with a higher education degree is accepted for the position of a surgeon. professional education in one of the specialties “General Medicine”, “Pediatrics” and postgraduate professional education (internship and (or) residency) in the specialty “Surgery” without presenting requirements for work experience.

1.4. The surgeon must know:

Constitution Russian Federation;

Laws and other regulatory legal acts of the Russian Federation in force in the field of healthcare;

General issues of organizing surgical care in the Russian Federation;

Organization of ambulance work and emergency care adults and children;

Topographic anatomy of the main areas of the body (head, neck, chest, front abdominal wall And abdominal cavity, lower extremities);

Anatomical features of childhood;

Basic issues of normal and pathological physiology in surgical pathology;

Relationship functional systems organisms and their levels of regulation;

Causes pathological processes in the body, mechanisms of their development and clinical manifestations;

Basics of water-electrolyte metabolism;

Acid-base balance;

Possible types of their disorders and principles of treatment in childhood and in adults;

Pathophysiology of injury and blood loss, prevention and treatment of shock and blood loss, pathophysiology of wound healing;

Physiology and pathophysiology of the blood coagulation system, indications and contraindications for transfusion of blood and its components;

General, functional, instrumental and others special methods examination of a surgical patient;

Issues of asepsis and antisepsis in surgery;

Principles, techniques and methods of pain relief in surgery, questions intensive care and resuscitation in adults and children; basics of pharmacotherapy for surgical diseases, including general and local application antibiotics, hormone therapy;

Fundamentals of immunobiology, microbiology;

Fundamentals of Radiology and Radiology;

Clinical symptoms of major surgical diseases in adults and children, their prevention, diagnosis and treatment;

Clinical symptoms of “borderline” diseases in surgical clinic(urology, obstetrics and gynecology, pediatrics, infectious diseases);

Principles of preparing patients (adults and children) for surgery and managing the postoperative period;

Issues of temporary and permanent disability, medical examination and rehabilitation of surgical patients;

The use of physiotherapy, physical therapy;

Indications and contraindications for spa treatment;

Labor safety rules when working with equipment and surgical instruments;

Basics rational nutrition, principles of diet therapy in surgical patients, during preoperative preparation and in the postoperative period;

Equipment for intensive care operating rooms;

Surgical instruments used in various surgical operations;

Principles of organizing and conducting clinical examination of the population;

Economic issues of surgical services;

Issues of organization and activities medical service civil defense and military field surgery;

Forms and methods of sanitary educational work;

Rules of sanitary and epidemiological regime;

Basics labor legislation;

Internal labor regulations;

Labor protection and fire safety rules.

2. Job responsibilities

The surgeon is assigned the following job responsibilities:

2.1. Carrying out a list of works and services for diagnosing the disease, assessing the patient’s condition and clinical situation in accordance with the standard of medical care.

2.2. Carrying out a list of works and services for the treatment of a disease, condition, clinical situation in accordance with the standard of medical care.

2.3. Conducting an examination of temporary disability, referring patients with signs of permanent disability for examination for a medical and social examination.

2.4. Registration of the necessary medical documentation provided for by healthcare legislation.

2.5. Carrying out sanitary and educational work with the population and patients.

2.6. Drawing up a report on your work and analyzing its effectiveness.

2.7. [Other job responsibilities].

3. Rights

A surgeon has the right:

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

3.2. Get what you need to complete functional responsibilities information and documents from all departments directly or through the immediate superior.

3.3. Sign and endorse documents within your competence.

3.4. Monitor, within the scope of their competence, the work of nursing and junior medical personnel, give them orders and demand their strict execution.

3.5. Get acquainted with draft orders of management relating to its activities.

3.6. Submit proposals to improve your work and the work of the organization for consideration by the manager.

3.7. Take part in meetings where issues related to his work are discussed.

3.8. Require management to create normal conditions to perform official duties.

3.9. Improve your professional qualifications.

3.10. [Other rights provided for labor legislation Russian Federation].

4. Responsibility

The surgeon is responsible for:

4.1. For failure to perform or improper performance of the duties provided for in this instruction, within the limits determined by the labor legislation of the Russian Federation.

4.2. For offenses committed in the course of carrying out their activities - within the limits determined by the current administrative, criminal and civil legislation of the Russian Federation.

4.3. For causing material damage to the employer - within the limits determined by the current labor and civil legislation of the Russian Federation.

The job description has been developed in accordance with [name, number and date of document].

Head of HR department

[initials, surname]

[signature]

[day month Year]

Agreed:

[initials, surname]

[signature]

[day month Year]

I have read the instructions:

[initials, surname]

[signature]

[day month Year]

Appendix N ___
to the employment contract

I APPROVED
__________________________
(FULL NAME.)

CEO
__________________________
(name of company)

JOB DESCRIPTION
surgeon

1. GENERAL PROVISIONS

The main tasks of a surgeon are to provide specialized medical, preventive and advisory assistance to the adult population living in the area where the clinic operates, as well as to workers and employees of attached enterprises. The appointment and dismissal of a surgeon is carried out by the chief physician of the clinic in accordance with current legislation. In his work, the surgeon reports directly to the deputy chief physician for medical affairs, and in his absence, to the chief physician of the clinic. The nursing staff of the surgical room is subordinate to the surgeon. In his activities, the surgeon is guided by the instructions and orders of municipal health authorities, this job description, as well as methodological recommendations to improve medical care for surgical patients.

2. FUNCTIONAL RESPONSIBILITIES

To perform his functions, the surgeon must:
2.1. Conduct outpatient appointments according to a schedule approved by the administration of the clinic, regulating the flow of visitors by rationally distributing repeat patients.
2.2. Provide early detection, qualified and timely examination and treatment of surgical patients.
2.3. Conduct dispensary observation for patients with surgical pathology, war and labor veterans in accordance with the instructions of the Ministry of Health and the Ministry of Health of the Russian Federation.
2.4. Ensure correct examination of temporary disability and timely referral of patients with chronic forms diseases on KEC and MSEC.
2.5. Consult patients with referrals from other specialists in the institution, including at home.
2.6. Carry out timely hospitalization of patients, in accordance with indications.
2.7. Ensure continuity between outpatient clinics and hospitals in the examination and treatment of patients.
2.8. Notify the Ministry of Internal Affairs of all cases of knife, gunshot and other wounds associated with a violation of personal integrity.
2.9. Observe the principles of deontology in your work.
2.10. Conduct morbidity analysis and develop measures to prevent surgical diseases in the area where the clinic operates.
2.11. Carry out activities to improve the qualifications of medical and nursing staff of the institution to provide emergency medical care.
2.12. Monitor and manage the work of nursing staff in the surgical room.
2.13. Systematically improve their professional qualifications and level of medical knowledge of surgical nurses.
2.14. Organize and conduct among the population the promotion of sanitary and hygienic knowledge on the prevention of injuries and other surgical diseases.
2.15. News medical records outpatients, write prescriptions.
2.16. Ensure correct medical records are maintained nurse office.

3. RIGHTS

A polyclinic surgeon has the right:
3.1 Make proposals to the administration of the clinic on improving the organization of treatment and preventive care to the population, the organization and conditions of their work and the work of nursing staff in the surgical room;
3.2 participate in meetings on the organization of surgical care;
3.3 prescribe and cancel any treatment and preventive measures based on the patient’s condition;
3.4 receive the information necessary to carry out job responsibilities;
3.5 represent subordinate nursing staff for incentives and make proposals to impose penalties if they violate labor discipline and unsatisfactory performance of official duties.

4. RESPONSIBILITY

An assessment of the work of a surgeon is carried out by the deputy chief physician of the clinic for the medical unit based on the results of work for the quarter (year) based on taking into account the qualitative and quantitative indicators of his work, his compliance with the requirements of the fundamental official documents, rules of labor discipline, moral and ethical standards, social activity. The surgeon is responsible both for poor quality work and erroneous actions, as well as for inaction and failure to make decisions that fall within the scope of his duties and competence, in accordance with current legislation.

This job description has been developed in accordance with
Regulations on ______________ (number, date of document).

Head of structural unit
___________________________
"__" _______ 200 _ g.

AGREED:
Head of the legal department ___________________________
"__" _______ 200 _ g.

I have read the instructions:___________________________
"__" _______ 200 _ g.

I. General part

1. A person with a higher medical education who has completed specialization in surgery (surgeon), as well as a nephrologist who has completed specialization in the CIUV or “on the job” in the hemodialysis department, is appointed to the position of a surgeon.

2. A surgeon is appointed and dismissed from work by order of the heads. clinic doctor according to personal statement.

3. Submits and follows the instructions of the manager. department and director of the clinic.

4. Subordinate to the surgeon is the operating nurse assigned to prepare and conduct the operation to create vascular access, to carry out dressing work, who is exempt from working in the dialysis room during this time.

5. To participate in the operation, the surgeon attracts a nurse from the post or from the dialysis room (if a nurse is available) or an orderly to participate in the operation (without sterile clothing).

6. The surgeon is guided in his work by the orders of the Rector, the chief physician of the clinics, the director of the clinic, and the methodological instructions of the Ministry of Health of the Russian Federation.

II. Main goals:

Participation of the surgeon in the performance of medical, educational and scientific work according to the department plan.

III. Job responsibilities

1. Creation of vascular access for hemodialysis in patients with ESRD. The surgeon together with the attending physician and the head. The department selects the volume of the operation (shunt or fistula) and the time of the operation.

2. Performs operations in case of complications from a shunt or fistula.

3. Carrying out initial connections in patients with arteriovenous fistula.

4. The number of operations according to the staffing schedule is approximately 8.8 per dialysis place per year.

5. A surgeon teaches nephrologists the technique of installing an arteriovenous shunt.

6. The surgeon is responsible for maintaining the sanitary and epidemiological regime during surgical and dressing work. Conducts classes with operating room nurses on the rules of asepsis and antisepsis and the implementation of sanitary and epidemiological regulations.

7. The surgeon also performs operations: paracentesis, pleural puncture, if necessary, pericardial puncture (threat of cardiac tamponade), sewing in a peritoneal catheter for peritoneal dialysis.

IV. Responsible

1. For the quality of the work performed.

2. For the correctness and accuracy of documentation (operational journal).

3. 3a compliance with sanitary and epidemiological regulations in the operating room by all those participating in the operation.

4. For the proper use and safety of equipment in the operating room.

V. Relationships

1. Presents an annual report on the operational work of the manager. department.

2. Reports to the director of the clinic and deputy. director of the clinic.

VI. Rights

1. Has the right to undergo certification at the CIUV to obtain a category.

2. Has the right to undergo retraining at the CIUV once every 5 years.

3. Has the right to lead scientific work under the guidance of the clinic's scientific staff.

4. Has the right to combine his work in others medical institutions or in the same department with the permission of the head. department, taking into account the performance of their duties in the department, in their free time from their duties.

VII. Incentives and punishments

1. Gratitude may be expressed at the clinic, at the institute, or by the rector of the academy.

2. Issuance of a cash bonus.

3. Place on the honor board: clinic, institute.

4. Announcing a reprimand at the clinic, at the institute.

5. Imposition of an administrative penalty.

  1. Imposition of a monetary fine for an irresponsible attitude towards operated equipment, premises and other material assets, resulting in damage to the latter.

1. General Provisions

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

2. A person who has a higher medical education and has completed postgraduate training or specialization in the specialty “Surgery” is appointed to the position of a surgeon.

3. A surgeon must know the basics of Russian legislation on healthcare; regulatory documents regulating the activities of healthcare institutions; the basics of organizing medical and preventive care in hospitals and outpatient clinics, ambulance and emergency medical care, disaster medicine services, sanitary-epidemiological services, drug provision for the population and health care facilities; theoretical basis, principles and methods of medical examination; 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; legal aspects of medical practice; general principles and basic methods of clinical, instrumental and laboratory diagnostics functional state of organs and systems of the human body; etiology, pathogenesis, clinical symptoms, course features, principles complex treatment major diseases; rules for providing emergency medical care; basics of examination of temporary disability and medical and social examination; basics of health education; internal labor regulations; rules and regulations of labor protection, safety, industrial sanitation and fire protection.

In his specialty, a surgeon must know modern methods prevention, diagnosis, treatment and rehabilitation; content and sections of surgery as an independent clinical discipline; tasks, organization, structure, staffing and equipment of the surgical service; current regulatory, legal, instructional and methodological documents in the specialty; rules for processing medical documentation; the procedure for conducting an examination of temporary disability and medical and social examination; principles of planning and reporting of surgical services; methods and procedures for monitoring its activities.

4. A surgeon is appointed to a position and dismissed from a position by order of the chief physician of a healthcare facility in accordance with the current legislation of the Russian Federation.

5. The surgeon is directly subordinate to the head of the department, and in his absence, to the head of the medical facility or his deputy.

2. Job responsibilities

Provides qualified medical care in their specialty, using modern methods of prevention, diagnosis, treatment and rehabilitation, approved for use in medical practice. Determines the tactics of patient management in accordance with established rules and standards. Develops a patient examination plan, specifies the scope and rational methods examination of the patient in order to obtain complete and reliable diagnostic information in the shortest possible time. Based on clinical observations and examination, anamnesis, data from clinical, laboratory and instrumental studies, establishes (or confirms) a diagnosis. In accordance with established rules and standards, appoints and supervises necessary treatment, organizes or independently carries out the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and measures. In the hospital, he examines the patient daily. Makes changes to the treatment plan depending on the patient's condition and determines the need for additional examination methods. Provides advisory assistance to doctors of other departments of health care facilities in their specialty. Supervises the work of the nursing and junior medical personnel subordinate to him (if any), assists them in the performance of their official duties. Monitors the correctness of diagnostic and treatment procedures, operation of instruments, apparatus and equipment, rational use reagents and medicines, compliance with safety and labor protection rules by nursing and junior medical personnel. Participates in conducting training courses for medical personnel. Plans his work and analyzes his performance indicators. Ensures timely and high-quality execution of medical and other documentation in accordance with established rules. Conducts sanitary education work. Complies with the rules and principles of medical ethics and deontology. Participates in the examination of temporary disability and prepares Required documents for medical and social examination. Qualified and timely executes orders, instructions and instructions from the management of the institution, as well as regulatory legal acts in its own right professional activity. Complies with internal regulations, fire and safety regulations, and sanitary and epidemiological regulations. Promptly takes measures, including timely informing management, to eliminate violations of safety regulations, fire safety and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors. Systematically improves his skills.

3. Rights

A surgeon has the right:

1. independently establish a diagnosis in the specialty based on clinical observations and examination, medical history, data from clinical, laboratory and instrumental studies; determine patient management tactics in accordance with established rules and standards; assign the necessary for comprehensive examination patient methods of instrumental, functional and laboratory diagnostics; carry out diagnostic, therapeutic, rehabilitation and preventive procedures using approved diagnostic and treatment methods; attract to necessary cases doctors of other specialties for consultations, examination and treatment of patients;

2. make proposals to the management of the institution to improve the treatment and diagnostic process, improve the work of administrative, economic and paraclinical services, issues of organization and conditions of their work;

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

4. request, receive and use information materials and regulatory documents necessary to perform their official duties;

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

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

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

The surgeon uses everyone labor rights in accordance with Labor Code RF.

4. Responsibility

The surgeon is responsible for:

1. timely and high-quality implementation of the official duties assigned to him;

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

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

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

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

6. ensuring compliance with executive discipline and performance of their official duties by employees subordinate to him (if any);

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

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

You can download job description surgeon for free.
Job responsibilities of a surgeon.

I approve

________________________________ (Last name, initials)

(name of institution, its ___________________________

organizational and legal form) (director; other person

authorized to approve

job description)

JOB DESCRIPTION

SURGEON

______________________________________________

(name of institution)

00.00.201_g. №00

I. General provisions

1.1. This job description defines the job duties, rights and responsibilities of the surgeon _____________________ (hereinafter referred to as the “enterprise”).

1.2. A person with a higher medical education and training in the specialty “Surgery” is appointed to the position of a surgeon.

1.3. Appointment to the position of a surgeon and dismissal from it is made in the manner established by the current labor legislation by order of the head of the healthcare institution.

1.4. The surgeon reports directly to _____________________

(head of department, deputy chief physician)

1.5. The surgeon must know:

Laws of the Russian Federation and other legal acts regulating the activities of healthcare institutions;

Current normative and methodological documents regulating the activities of medical institutions;

Methods and rules for providing medicinal and emergency medical care;

Contents of surgery as a separate clinical discipline;

Organization, structure, tasks, staffing and equipment of the surgical service;

All legal and regulatory documents in your specialty;

Methods for prevention, diagnosis, treatment and rehabilitation of the patient;

Planning the activities and all reporting of the surgical service;

Methodology and procedure for monitoring your service;

Rules and regulations of labor protection, industrial sanitation, safety and fire protection;

Fundamentals of labor legislation of the Russian Federation

Internal labor regulations;

1.6. During the absence of a surgeon (business trip, vacation, illness, etc.), his duties are performed in the prescribed manner by an appointed person who bears full responsibility for their proper performance.

II. Job responsibilities

Surgeon:

2.1. In his specialty, he provides qualified medical care, using modern methods of diagnosis, prevention, treatment and subsequent rehabilitation of the patient.

2.2. In accordance with established rules and standards, he selects patient management tactics and develops a plan for his examination.

2.3. Specifies the scope and methods of examining the patient to obtain a reliable and complete diagnosis of the disease in the shortest possible time.

2.4. Based on the collected data, he performs an analysis, as well as prescribes and carries out the necessary treatment and procedures.

2.5. Conducts daily examination of the patient in the hospital.

2.6. Changes treatment plan as needed

2.7. Consults doctors of health care facilities in his specialty

2.8. Supervises lower-level medical personnel

2.9. Monitors the correctness of diagnostic and therapeutic procedures, as well as the operation of equipment and equipment, instruments, medications, reagents

2.10. Monitors compliance with safety and labor protection rules by lower-ranking medical personnel.

2.11. Timely and competently executes orders, instructions and instructions from the management of the institution

2.12. Complies with internal regulations.

2.13. Complies with labor protection, industrial sanitation and safety regulations

2.14. Timely and competently executes orders, instructions and instructions from the management of the institution

2.15. Complies with internal regulations.

2.16. Complies with labor protection, industrial sanitation and safety regulations

III. Rights

A surgeon has the right:

3.1. Make proposals to the management of the enterprise on the optimization and improvement of medical and social care, including on issues of their work activities.

3.2. Demand that the management of the institution provide assistance in the performance of their official duties and rights.

3.3. Receive information from company specialists necessary to effectively fulfill your job responsibilities.

3.4. Pass certification in the prescribed manner with the right to receive the appropriate qualification category.

3.5. Take part in meetings, scientific and practical conferences and sections on issues related to your professional activities.

3.6. Enjoy labor rights in accordance with the Labor Code of the Russian Federation

I V . Responsibility

The surgeon is responsible for:

4.1. For the proper and timely performance of the duties assigned to him, provided for by this job description

4.2. For organizing your work and qualified execution of orders, instructions and instructions from the management of the enterprise.

4.3. For ensuring that employees subordinate to him comply with their duties.

4.4. For failure to comply with internal rules and safety regulations.

For those committed during the process therapeutic measures wrongdoing or omission; for errors in the process of carrying out their activities that entailed serious consequences for the health and life of the patient; as well as for violation of labor discipline, legislative and regulatory acts, a surgeon may be subject to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.