Rules for organizing the provision of primary medical care to adults - Rossiyskaya Gazeta. Hygiene education instructor. Job description Staffing standards for outpatient clinics

Hygiene education instructor

Job responsibilities. Monitors the implementation of preventive measures aimed at preserving and strengthening the health of the population and imparting skills to it healthy image life, compliance with current regulatory legal acts that determine the activities of medical organizations in terms of hygienic education and education of the population. Identifies the health reserves of various population groups. Carries out registration, accounting and statistical processing of infectious and non-infectious morbidity data. Under the guidance of the supervising physician, he coordinates the activities of medical workers in terms of identifying risk factors for public health, promoting medical and sanitary-hygienic knowledge, and promoting a healthy lifestyle. Collects questionnaires when conducting sociological research among the population on issues of medical and hygienic education. Creates and maintains the relevance of an information data bank on a computer based on health education literature and materials from medical periodicals. Provides organizational and methodological assistance to specialists of medical and social organizations, educational organizations in resolving issues of hygienic education of the population. Organizes lectures, schools, seminars for the population on health issues and provides students with health education literature. Interacts with the media on issues of prevention of infectious and non-infectious diseases. Provides first aid in emergency situations.

Must know: laws and other regulatory legal acts Russian Federation relating to issues of the sanitary and epidemiological state of the population, healthcare institutions for supervision in the field of consumer rights protection and human well-being and pharmacy institutions; methods for determining health reserves, lifestyle correction, and promoting medical and sanitary-hygienic knowledge among the population; organizational structure of medical organizations; methods of conducting sociological research; rules for operating office equipment and medical equipment used; medical ethics; psychology of professional communication; basics of disaster medicine; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty "Nursing", "General Medicine", "Midwifery", "Medical and Preventive Care" and a specialist certificate in the specialty "Hygiene Education" without any work experience requirements.

1. General provisions

1. This job description defines the job duties, rights and responsibilities of a hygiene education instructor.
2. A person with secondary medical education and appropriate training in the specialty “Hygienic Education” is appointed to the position of instructor in hygienic education.
3. An instructor in hygienic education must know the basics of the legislation of the Russian Federation on healthcare; regulatory documents regulating the activities of healthcare institutions; fundamentals 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 foundations, principles and methods of medical examination; organizational and economic basis for 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 of the functional state of organs and systems of the human body; etiology, pathogenesis, clinical symptoms, clinical features, principles of complex treatment of 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; methods for determining health reserves, lifestyle correction, promoting medical and sanitary-hygienic knowledge among the population; organizational structure of health care institutions; methods of conducting sociological research; rules for operating office equipment in your workplace.
4. An instructor in hygienic education is appointed and dismissed by order of the head of the institution in accordance with the current legislation of the Russian Federation.
5. The hygiene education instructor is directly subordinate to the head of his structural unit (department, department), and in his absence, to the head of the institution or his deputy.

2. Job responsibilities

Monitors the implementation of preventive measures aimed at preserving and strengthening the health of the population and instilling in them healthy lifestyle skills, compliance with current regulations that determine the activities of health authorities and institutions in terms of hygienic education of the population and the formation of a healthy lifestyle. Identifies the health reserves of various population groups. Carries out registration, accounting and statistical processing of infectious and non-infectious morbidity data. Under the guidance of the supervising physician, he coordinates the activities of medical workers in terms of identifying risk factors for public health, promoting medical and sanitary-hygienic knowledge, and promoting a healthy lifestyle. Collects questionnaires when conducting sociological research among the population on issues of medical and hygienic education. Creates and maintains the relevance of an information data bank based on sanitary educational literature, materials from medical periodicals, and social and hygienic monitoring data. Provides organizational and methodological assistance to healthcare facility specialists and workers educational institutions on issues of hygienic education of the population. Organizes seminars for the population on health issues and provides students with health education literature. Prepares appropriate materials for the media. Qualifiedly and timely carries out orders, instructions and instructions from the management of the institution, as well as regulations on his professional activities. 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.

The hygiene education instructor has the right:
1. make proposals to the management of the institution to improve hygienic education, incl. on issues of organization and conditions of their work;
2. request, receive and use information materials and regulatory documents necessary to perform their official duties;
3. take part in scientific and practical conferences and meetings at which issues related to his work are discussed;
4. undergo certification in the prescribed manner with the right to receive the appropriate qualification category;
5. improve your qualifications through advanced training courses at least once every 5 years.
The hygiene education instructor enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The hygiene education instructor 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. 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 hygiene education instructor may be subject to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.

ECSD 2018. Revision dated April 9, 2018 (including those with changes that entered into force on July 1, 2018)
To search for approved professional standards of the Ministry of Labor of the Russian Federation, use directory of professional standards

Hygiene education instructor

Job responsibilities. Monitors the implementation of preventive measures aimed at preserving and strengthening the health of the population and instilling in them healthy lifestyle skills, compliance with current regulatory legal acts that determine the activities of medical organizations in terms of hygienic education and education of the population. Identifies the health reserves of various population groups. Carries out registration, accounting and statistical processing of infectious and non-infectious morbidity data. Under the guidance of the supervising physician, he coordinates the activities of medical workers in terms of identifying risk factors for public health, promoting medical and sanitary-hygienic knowledge, and promoting a healthy lifestyle. Collects questionnaires when conducting sociological research among the population on issues of medical and hygienic education. Creates and maintains the relevance of an information data bank on a computer based on health education literature and materials from medical periodicals. Provides organizational and methodological assistance to specialists of medical and social organizations, educational organizations in resolving issues of hygienic education of the population. Organizes lectures, schools, seminars for the population on health issues and provides students with health education literature. Interacts with the media on issues of prevention of infectious and non-infectious diseases. Provides first aid in emergency situations.

Must know: laws and other regulatory legal acts of the Russian Federation concerning issues of the sanitary and epidemiological state of the population, health care institutions for supervision in the field of consumer rights protection and human well-being and pharmacy institutions, methods for determining health reserves, lifestyle correction, and promoting medical and sanitary-hygienic knowledge among the population, the organizational structure of medical organizations, methods of conducting sociological research, rules for the operation of office equipment and medical equipment used, medical ethics, psychology of professional communication, the basics of disaster medicine, the basics of labor legislation, internal labor regulations, labor protection and fire safety rules.

Vacancies for the position of Hygiene Education Instructor in the all-Russian vacancy database

Must know: laws and other regulatory legal acts of the Russian Federation concerning issues of the sanitary and epidemiological state of the population, health care institutions for supervision in the field of consumer rights protection and human well-being and pharmacy institutions; methods for determining health reserves, lifestyle correction, and promoting medical and sanitary-hygienic knowledge among the population; organizational structure of medical organizations; methods of conducting sociological research; rules for operating office equipment and medical equipment used; medical ethics; psychology of professional communication; basics of disaster medicine; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty “Nursing”, “General Medicine”, “Midwifery”, “Medical and Preventive Care” and a specialist certificate in the specialty “Hygiene Education” without any requirements for work experience.

Medical statistician

Job responsibilities. Systematizes and processes accounting and reporting data of a medical organization. Determines statistical indicators characterizing the work of the organization. Instructs employees of structural divisions of the organization on the rules for maintaining accounting forms and drawing up statistical reports. Monitors the correctness of maintaining and filling out statistical documentation, the reliability of the data in the annual statistical report, participates in the organization and conduct of instructive and methodological seminars on medical statistics in the structural divisions of the organization. organization of statistical accounting and statistical document flow in a medical organization. means and materials in the installation; compiles an annual statistical report on the work of the organization. Draws up and submits applications for the purchase of forms of accounting and reporting statistical forms of medical documentation, provides them to the structural divisions of the organization. Prepares various certificates based on statistical data.

Must know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare; organization of statistical accounting; basics of statistics and records management; accounting and reporting system for medical organizations; main types of medical documentation; methods of statistical data analysis; forms of primary documents on statistical accounting and reporting, instructions for filling them out; current international classification of diseases; statistical indicators for assessing the health of the population and the activities of medical organizations; the basics of the functioning of budgetary insurance medicine and voluntary health insurance; basics of valeology and sanology; basics of medical examination; social significance diseases; basics of disaster medicine; rules for operating computer equipment; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty “Nursing”, “General Medicine”, “Midwifery”, “Medical and Preventive Care”, “Laboratory Diagnostics”, “Dentistry”, “Preventive Dentistry”, “Orthopedic Dentistry” and a specialist certificate in the specialty “Medical statistics” without any requirements for work experience.

Medical receptionist

Job responsibilities. Maintains registration of patients who contact a medical organization to receive medical services. Ensures storage and delivery of medical records to the physician's office. Participates in the preparation and registration of certificates of incapacity for work.

Must know: rules for working with primary documentation, computer and organizational equipment; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the profile of the work performed without requirements for work experience or secondary (complete) general education and additional training in the field of professional activity for at least 6 months without requirements for work experience.

Medical disinfector

Job responsibilities. Works under the guidance of a disinfectologist, biologist, zoologist, entomologist, bacteriologist, and virologist. Prepares disinfection solutions, preparations, baits, equipment, laboratory glassware, etc. for disinfestation, disinfection and deratization work. Receives, records, stores and dispenses pesticides and products for preparing baits in accordance with the requirements of the instructions; upon completion of work, promptly hand over unused disinfectants and materials in the prescribed manner. Checks the quality and serviceability of protective equipment: gas masks, workwear, equipment, etc. Carries out measures to comply with the rules of safe work with harmful substances when performing disinfection, pest control and deratization work. Prepares primary accounting and reporting documentation.

Must know: regulatory and methodological documents defining the procedure and rules for carrying out disinfection work; rules for the use of approved disinfectants and sterilization agents; nomenclature and consumption rates of disinfectants, rules for their storage and transportation; rules for operating disinfection equipment; rules for working with autoclaves, dry-heat ovens, electric distillers; methods and types of disinfection and sterilization, processing of laboratory glassware; rules for using funds personal protection and first aid for poisoning; internal labor regulations; labor protection and fire safety rules.

Optics seller

Job responsibilities. Provides distribution of spectacle optics and contact lenses to the population and medical organizations. Places orders for the manufacture and repair of glasses, makes minor repairs to glasses, using the necessary optical instruments for work. Maintains accounting and reporting documentation. Conducts health education work among the population about the use of spectacle optics and contact lenses.

Must know: principles of organizing pharmaceutical services; device, properties, rules of operation and storage of spectacle optics, contact lenses used in the operation of optical instruments; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty “Medical Optics” or “Pharmacy” without any work experience requirements.

Dental hygienist

Job responsibilities. Diagnoses dental caries, periodontal diseases, non-carious lesions, diseases of the mucous membrane and registers the patient’s dental status. Determines the hygienic state of the oral cavity and teaches the patient how to brush teeth; carries out control teeth cleaning; gives individual recommendations on the choice of hygiene products for children and adults. Provides recommendations to patients on the care of orthodontic and orthopedic structures. Carries out preventive and hygienic measures aimed at preserving the dental health of the population and developing skills in rational oral care. Draws up and implements a program for individual prevention of dental diseases. Performs preventive procedures: coating of teeth with fluoride varnish and fluoride gel, rinsing and application with remineralizing solutions, sealing of dental fissures, removal of supra- and subgingival dental plaque, periodontal applications. Conducts prevention of major dental diseases in children of organized children's groups. Provides dental education among the population of different age groups, medical personnel, preschool teachers, teachers, parents. Conducts surveys of the population on the prevention of dental diseases. Designs oral hygiene corners in organized children's groups, prepares reminders and health bulletins. Maintains accounting and reporting documentation. Carries out measures to comply with the rules of asepsis and antisepsis, conditions for sterilization of instruments and materials, prevention of post-injection complications, serum hepatitis, HIV infection. Provides first medical and emergency care to patients and victims for injuries, poisoning, allergic reactions, acute heart failure, fainting, shock, collapse.

Must know: laws and other regulatory legal acts of the Russian Federation in the field of healthcare related to the provision of dental care to the population; principles of medical examination of the population; organization of dental care for the population; medical ethics; psychology of professional communication; principles of organizing preventive dental care for children and adults; methods and means of preventing dental diseases; human anatomy and physiology; fundamentals of pathology, microbiology, virology, immunology, epidemiology; etiology and pathogenesis, diagnosis and general principles of treatment of major dental diseases; indices for recording the intensity of caries and periodontal diseases, the hygienic state of the oral cavity; methods and means of individual and professional oral hygiene; methods of teaching oral hygiene to children in organized children's groups; methods of dental education of the population; the basics of the functioning of budgetary insurance medicine and voluntary health insurance; basics of disaster medicine; basics of labor legislation; internal labor regulations; labor protection and fire safety rules.

Qualification requirements. Secondary vocational education in the specialty “Preventive Dentistry” and a specialist certificate in the specialty “Preventive Dentistry” without any work experience requirements.

Order of the Ministry of Health and social development RF dated May 15, 2012 N 543n
"On approval of the Regulations on the organization of provision of primary health care to the adult population"

With changes and additions from:

In accordance with Article 32 Federal Law dated November 21, 2011 N 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation” (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724) I order:

1. Approve the attached Regulations on the organization of primary health care for the adult population.

2. To recognize as invalid:

Order of the Ministry of Health and Social Development of the Russian Federation dated July 29, 2005 N 487 “On approval of the Procedure for organizing the provision of primary health care” (registered by the Ministry of Justice of the Russian Federation on August 30, 2005, registration N 6954);

Order of the Ministry of Health and Social Development of the Russian Federation dated August 4, 2006 N 584 “On the procedure for organizing medical care for the population on a local basis” (registered by the Ministry of Justice of the Russian Federation on September 4, 2006, registration N 8200).

Registration No. 24726

The Regulations on the organization of primary health care were approved. We are talking about helping the adult population in Russia.

This type of assistance is the basis of the medical care system. It includes activities for the prevention, diagnosis, treatment of diseases and conditions, rehabilitation, monitoring the course of pregnancy, promoting a healthy lifestyle and sanitary and hygienic education.

Free assistance is provided within the framework of the Program of State Guarantees for the free provision of medical care to Russian citizens at the expense of compulsory medical insurance funds and funds from the relevant budgets, as well as in other cases established by law.

Assistance is provided in planned and emergency forms, on an outpatient basis and in a day hospital. It includes pre-medical, medical and specialized health care.

To increase the efficiency of providing care for sudden acute diseases, conditions, exacerbation of chronic diseases that are not life-threatening to the patient and do not require emergency intervention, an emergency department (office) can be organized in medical organizations.

Orders approving the procedure for organizing the provision of primary medical care and the procedure for organizing medical care for the population on a local basis were declared invalid.

Order of the Ministry of Health and Social Development of the Russian Federation dated May 15, 2012 N 543n “On approval of the Regulations on the organization of primary health care for the adult population”

Registration No. 24726

This order comes into force 10 days after the day of its official publication