The profession of a nurse. Medical professions: a list. Profession Nurse

The nurse must have an understanding of human anatomy and physiology, be able to provide urgent first aid, perform the necessary medical manipulations.

Nurse(nurse) - a specialist in the field of nursing, a professional assistant to the attending physician. The male version of the profession - nurse. The profession is suitable for those who are interested in biology (see choosing a profession for interest in school subjects).

Features of the profession

The doctor or paramedic examines the patient and prescribes treatment, someone must fulfill these appointments: give injections, put droppers, bandage the wound, give medicine, check the temperature, etc. All this is done by a nurse (or nurse) - a specialist from among the middle medical staff. Often a nurse communicates with patients even more than a doctor. And the success of the treatment depends on her skill.

The specific set of duties of a nurse depends on the place of work. For example, in a polyclinic, a nurse can help the doctor see patients. This district nurse. She oversees the delivery from the reception outpatient cards patients (they keep case histories); receives test results and conclusions in the laboratory and X-ray room; makes sure that the doctor always has sterile instruments and the necessary preparations at hand.

In anti-tuberculosis, dermatovenerological, neuropsychiatric dispensaries, as well as in women's and children's consultations, patronage nurses. Patronage (from French patronage - patronage, guardianship) means that healing procedures are carried out at home. Patronage nurses go to patients at home and give them injections, dressings, measure pressure, etc.

Nursein the physiotherapy room conducts medical procedures with the help of special devices: UHF, ultrasound, electrophoresis, etc.

procedural nurse makes injections (including intravenous), takes blood from a vein, puts droppers. All these are very difficult procedures - they require high qualifications and impeccable skills. Especially if the procedural nurse works in a hospital where severe patients can also lie.

Charge nurse- distributes medicines, puts compresses, banks, enemas, makes injections. It also measures temperature, pressure and reports to the attending physician about the well-being of each patient. And if necessary, the nurse provides emergency care(for example, fainting or bleeding).

The health of each patient depends on the work of the ward nurse. Especially if it's a seriously ill patient. IN good hospitals ward nurses (with the help of junior nurses and nurses) take care of weak patients: they feed, wash, change clothes, make sure that there are no bedsores.

A ward nurse has no right to be careless or forgetful. Unfortunately, the work of a ward nurse involves night shifts. This is bad for health.

operating room nurse assists the surgeon and is responsible for the constant readiness of the operating room for work. This is perhaps the most responsible nursing position. And the most favorite among those who at least had a little time to work on operations. The nurse prepares all the necessary instruments, dressings and suture materials for the future operation, ensures their sterility, checks the serviceability of the equipment. And during the operation, he assists the doctor, supplies tools and materials. The success of the operation depends on the coherence of the actions of the doctor and the nurse. This work requires not only good knowledge and skills, but also reaction speed and strong nervous system. And good health: like a surgeon, a nurse has to stand on her feet throughout the operation. If the patient needs dressings after the operation, they are also done by the operating room nurse.

For sterilization, instruments are referred to sterilization department. The nurse working there is managed with special equipment: steam, ultraviolet chambers, autoclaves, etc.

Head nurse supervises the work of all nurses in a hospital or polyclinic department. She draws up duty schedules, monitors the sanitary condition of the premises, is responsible for household and medical supplies, for the maintenance and safety of medical instruments and devices. In addition to medical duties nurses have to keep records, the head nurse monitors this as well. She also supervises the work of junior medical personnel (orderlies, nurses, nurses, etc.). To do this qualitatively, the head nurse must know the specifics of the department's work to the smallest detail.

junior nurse takes care of the sick: changes clothes, feeds, helps to move bedridden patients inside the hospital. Her duties are similar to those of a nurse, and her medical education is limited to short courses.

This is far from complete list nursing options. Each has its own specificity. They are united by the fact that, although a nurse is considered a doctor's assistant, the main goal of a nurse's work is to help sick people. Such work brings moral satisfaction, especially if it is work in a hospital. But it is also very hard work, even if you love it very much. There is no time for smoke breaks and thoughtfulness in the middle of the working day. The most difficult are the departments in which operations are performed and where emergency patients arrive. These are surgery, traumatology, otolaryngology.

Career

Nursing has several career options. It is possible, while remaining in the same position, to improve your qualifications and receive an appropriate salary increase. Another option is administrative: you can become the head nurse of a department or even a hospital. The third option is to continue your education and become a doctor.

But why "sister"?

The fact is that the first nurses appeared under the auspices of the church. And the word "sister" meant kinship not by blood, but by spirituality.

In the 11th century, communities of women and girls appeared in the Netherlands, Germany and other countries to care for the sick. In the XIII century, Countess Elisabeth of Thuringia, later canonized, built a hospital at her own expense, and also organized a shelter for foundlings and orphans, and she herself worked in it. In her honor, the Catholic community of Elizabethans was founded. In peacetime, sister nuns cared only for sick women, and in wartime, they also looked after wounded soldiers. They also cared for those with leprosy.

In 1617 in France, the priest Vincent Paul organized the first community of sisters of mercy. He first proposed this name - "sister of mercy", "elder sister". The community consisted of widows and maidens who were not nuns and did not take any permanent vows. The community was headed by Louise de Marillac, who organized a special school for the training of sisters of mercy and nurses.

Similar communities began to be created in France, the Netherlands, Poland and other countries. By the middle of the 19th century, there were already about 16 thousand sisters of mercy in Western Europe.

In Russia, the profession of a nurse appeared in 1863. Then the order of the Minister of War was issued on the introduction, by agreement with the Exaltation of the Cross community, of permanent nursing care for patients in military hospitals.

Workplace

Nurses and nurses work in hospitals, polyclinics, maternity hospitals, private clinics, children's institutions, military units and hospitals, sanatoriums and rest homes.

Important qualities

The former name of this profession is "sister of mercy". Mercy and sympathy for someone else's pain is one of the most important qualities of a nurse. This must be accompanied by care, accuracy and responsibility. Good coordination of movements is also important (this is especially important for operating rooms, procedural, ward nurses), good memory a desire for professional growth. Good health and stamina. Allergies to certain drugs can be an obstacle to work. For example, an operating room nurse cannot assist in operations if disinfectant vapors cause her to cough. But in the profession of a nurse, there is such a vast field of activity that you can simply move to another job.

Knowledge and skills

The nurse must have an understanding of human anatomy and physiology, be able to provide urgent first aid, perform the necessary medical manipulations, ensure infectious safety, and keep records.

They were called sisters of mercy. This most accurately characterized the professional duties of nursing staff. Sisters of Mercy were women who cared for the sick and wounded during the Crimean campaign. They replaced, their duties included not only the fulfillment of medical appointments, but also the moral support of the sick and all possible assistance during the period of illness or recovery from injuries.

Mercy or compassion is also a necessary quality for people in this profession, because for a speedy recovery, a sick person needs not only procedures, but also attention and a kind word spoken in time.

Times change, but the profession of a nurse remains in demand. Without a competent assistant to the doctor, it is impossible to provide full assistance to the patient. It happens that an experienced nurse can make a diagnosis and help a young doctor determine the treatment tactics.

Nurses work in operating rooms, in treatment rooms of hospitals and clinics, in dental clinics, sit at the reception with the doctor, etc. Where there is a doctor, there is always a nurse who performs all his appointments.

People in this profession communicate with patients more than doctors, and this requires special communication skills and stress resistance. They must understand the psychology of people, distinguish the patient's actual complaints of malaise from a simple demand for increased attention to their person. Therefore, the profession of a nurse is a very responsible occupation, it is not just a job, but also a way of life. In terms of the degree of responsibility for the life of the patient, it is no different from the profession of a doctor.

They prepare for this profession in specialized colleges, where future nurses and nurses study the structure human body, diseases and them, and also acquire specific skills. The tasks of the nurse include not only the precise implementation of the medical manipulations prescribed by the doctor, but also the preparation of instruments (processing, sterilization). Nurses are responsible for the work of nurses, i.e. draw up a schedule for cleaning and quartzing the premises in medical institution and control the quality of their work. It is their responsibility to ensure separation medicines and solutions, dressings, i.e. timely submission of an application in case of shortage of these substances. If a nurse does not cope with her duties, this can paralyze the work of the entire department and nullify all the efforts of doctors.

Choosing the profession of a nurse, you need to be prepared for certain difficulties. It is necessary to realize that you will have to devote yourself to the profession completely. This means being always at work. good mood and smile at patients, thereby helping them to recover. Even if behind heavy duty and a sleepless night. This means the unquestioning fulfillment of all medical prescriptions. This means knowing everything that happens in the entrusted department or office, being able to anticipate conflict situations and prevent them in time. A nurse is a doctor, a psychologist and a good organizer all rolled into one.

The level of medicine in our country today cannot be called high. Government agencies not doing their job 100%. This is due to the lack of qualified personnel. Most professionals who graduate from medical universities seeks to go abroad in order to receive higher pay for their work. Good conditions offered only by private clinics. However, before being hired, the staff is interviewed. The nurse's job description must be carefully studied and signed by the junior employee.

Basic concepts

A nurse is usually called a specialist with an average medical education who has a diploma in nursing. This is the average staff that provides assistance to doctors in clinics, medical institutions and hospitals. Nurses are also assigned to educational institutions. Here they keep records of vaccinations, control student attendance, and submit data to the regional clinic.

The duties of an employee depend on the type and profile of the medical institution. All basic information is contained in the job description of a nurse. This document must be signed before a new employee begins to perform his job duties. Junior medical personnel can be approved for a position or relieved of their duties only by order of the head of the institution.

cabinet nurse

In state polyclinics, a nurse works with each specialist. Her responsibilities include clarifying the patient's data, accounting for all procedures performed during the day. Job description The nurse's office describes a list of other duties. For example, if a patient visiting a clinic needs to be given urgent help This work is done by a nurse. A junior employee can put a dropper in the office or perform an injection. Vaccination can also be carried out in a clinic setting.

The nurse assists the doctor during the reception of patients. In addition, the junior specialist is responsible for methodical literature institutions. Keeps records of all books and journals of the Cabinet, and also periodically updates them.

Department Nurse

In a hospital setting, most junior specialists work daily. The nurse enters the shift at 8.00 and receives all information about the patients of the department from the specialist who has finished work. The main duties of the employee depend on the purpose of the medical institution. All information is described by the job description of the department nurse. A junior employee must be able to inject intravenously or intramuscularly, put a dropper, and provide first aid. This is especially important for those nurses who work the night shift.

The responsibilities of the department nurse also include keeping a register of the consumption of medicines, which are funded by the state. If the right medicine was not in the first-aid kit, the patient should be informed in advance.

Many employees also undergo psychological training before they start working. The nurse's job description describes how to deal with a difficult patient. Support for the patient has great value. A friendly attitude helps to cope with even the most terrible ailment.

Kindergarten Nurse

Each educational institution has medical office. Children are vaccinated here, and first aid is provided. Nurse job description kindergarten describes what a specialist working with preschoolers should be able to do. Every day, the nurse makes rounds and examines all the babies. To avoid infecting other babies, a child with suspicious symptoms is taken to an isolation room until the parents arrive.

Each kindergarten nurse keeps records in children's cards. All data is transferred to the clinic to the local pediatrician. Vaccination of babies is also carried out within the walls preschool. Before administering the vaccination, the nurse must obtain written permission from the parents.

senior medical staff

Each medical institution has a senior nurse who monitors the quality of the performance of duties by junior nurses. If an employee made a mistake (for example, the patient was injected with the wrong drug), not only the junior, but also the senior employee will be responsible. The job description of the head nurse describes other duties. The specialist conducts trainings and education in case of retraining of the department.

The head nurse is an intermediary between the head physician and ordinary employees. She assists the manager in administrative and economic matters. The specialist has to monitor the cleanliness in the department, draw up a work schedule for junior employees. The job description of a nurse also includes the need to provide first medical care patients in case of force majeure.

What should every nurse know?

Regardless of the place of work, each nurse should have almost the same knowledge. First of all, these are the basic concepts of the first first aid. Every junior specialist must be able to do indirect massage heart, stop bleeding, apply tourniquets and bandages. The junior nurse should know how to put droppers and injections correctly.

The job description of a polyclinic nurse describes the secondary duties of a junior employee. A good specialist should be able to properly store drugs in ampoules, know where the vaccine is located. You have to spend properly medical devices. Failure to comply with these rules may result in disciplinary action. And when it comes to drugs, things are even more serious.

The rights of a nurse

Every junior employee is entitled to paid leave. For certain categories different time frames are set. Most of all, the nurses of the tuberculosis department can have a rest. They can count on vacation, the duration of which is 60 calendar days. In addition, employees of such departments retire much faster. Each working year counts as two. Nurses have the right to be served in hospitals and clinics without waiting in line.

Career orientation. Topic: "Meet the nurse - right hand the doctors!". Abstract

Description of work:
extracurricular activity for 4th grade students was developed as part of a cycle of career guidance in primary school. The main task of career guidance in primary school is to expand the horizons and awareness of the child about professions in the process of communicating with an adult.
Subject:"Meet the nurse - the doctor's right hand!"
Target:
creation of conditions for the formation of concrete and visual representations of the essential aspects of the nursing profession.
Tasks:
1) to form concrete and visual representations of the essential aspects of the nursing profession;
2) to acquaint students with the diversity of the world of professions;
3) to form motivation and interest in labor and educational activities, the desire for work that is useful for oneself and society.

Event plan:

1. Organizational moment.
2. The main part.
Referring to a professional dictionary.
Discussion: "What a nurse should be able to do."
Time travel.
Discussion: "Professional qualities of a nurse."
game situation. "Sister, help!"
Specialty education.
Creative task "The best nurse".
3. Summary of the lesson. Homework assignment.

Lesson progress:

Teacher:
Today we continue our journey to the "Land of Professions". And meets us today ....
(mystery)
The patient did not eat in the hospital
He was in a chill, then he was sweating:
He was in the cold without a hat -
And the wind easily caught a cold.
Like a fire-breathing fire
The patient was tormented by fever at night.
With him next to the night until the morning
She was on duty ... (choir answer) NURSE.

Guys, who is a nurse?
Student:
(plays the role of an expert, reads out a certificate)
Help from the "professional dictionary":
“A nurse is a qualified assistant to a doctor in all areas of his work. Fulfills the instructions and prescriptions of the doctor, in his absence is obliged to provide medical assistance to a sick or injured person in a life-threatening condition. The nurse performs various diagnostic and therapeutic procedures - measures the temperature, makes dressings, injections, vaccinations, helps doctors with surgical operations and therapeutic manipulation, gives patients medicines prescribed by a doctor, monitors their condition and well-being, gives massage, and provides comprehensive care.

Teacher:
Listen to Maria Skrebtsova's poem "Nurse":
Student:
Who is a nurse?
This is the sister of all patients.
A sister should be able to feel sorry for her loved ones,
Calm down, support
Give a hand in time
Make a gentle injection
So that it does not hurt, he pricked.
She must convince
That the disease is not so terrible,
What are you much stronger
What are you fighting with?
And win.
Conversation with a good nurse
like medicine for the sick
Words do wonders.
Who is a nurse?
She is the sister of all patients.
Can't love?
You don't have to be a nurse!
Teacher:
Guys, what do you think?
Why is a kind word so important for a sick person?
When you are sick, what helps you to recover?

Discussion: What should a nurse be able to do?
1) to assist during the doctor's treatment and diagnostic manipulations and operations;
2) administer drugs;
3) carry out all stages nursing process when caring for patients;
4) timely and efficiently perform preventive and treatment-diagnostic procedures prescribed by the doctor;
5) interact with colleagues and employees of other services in the interests of patients.
- Make a conclusion: prove that the nurse is the doctor's right hand.

Time travel.
Teacher:
This hour we will go with you to the distant year 1844. The first community formed in Russia nurses. But they were called then - sisters of mercy.
- What do you think these words mean: “sister of mercy”? Think from what words "MERCY" was formed, why "SISTER"?

The sisters of mercy assumed obligations: to care for the sick - this means "to help a person suffering from an illness to live the most full life that brings pleasure"
According to the charter, girls and widows aged 20 to 40 were accepted into the community. The first year of work was a test year, where mental and physical qualities necessary for work, which only strong-willed women could withstand. Doctors taught sisters the rules of patient care, wound dressing methods, pharmacy, and recipes. A year later, the sisters took an oath and became full members of the community. Over time, they began to be invited to private and public hospitals, in times of war they went to field hospitals.

Discussion:
What qualities do you think a nurse should have?
1) fine hand-eye coordination, well developed fine motor skills hands;
2) composure, endurance, responsibility, balance;
3) communication skills, good concentration, good memory.

Pair play. "Sister, help!"
Children are divided into pairs. One person from the pair plays the role of a nurse, the other - a patient. In a dialogue scene, the children should show how the nurse solves difficult situations:
The man is afraid of an injection
The patient does not follow the doctor's orders
The patient refused to go to the hospital
The patient believes that medicine will not help him.
Outcome of the game: was it easy for you to cope with the duties of a nurse? What caused difficulties?

Professional education.
Teacher:
- To become a good specialist, we know that it is necessary first of all to receive a special education. In the educational specialty "Junior nurse for patient care" you can get a secondary professional education at Petrozavodsk Medical College.
This educational institution Karelia with its rich history. In 1916 he turned 117 years old. And it originates from November 24, 1899, from the time of the opening of the Petrozavodsk paramedic school.
After completing the training, the future nurse will gain knowledge of methods for performing physiotherapeutic and treatment-and-prophylactic procedures. Master the basic methods and techniques of providing first aid. Will own the basics of the treatment and diagnostic process, disease prevention, propaganda healthy lifestyle life.

Creative task "The best nurse".
All children stand in a circle. One person plays the role of the chief physician, who must recruit a nurse. He asks everyone what the nurse should do in the following situations:
Someone got cut. And there is no bandage and iodine at hand;
Someone broke his leg or arm in the forest;
Someone has a headache, but there is no pill;
Someone became ill from stuffiness in the subway car.
After the children's answers, the doctor must choose the best nurse.

Summary of the lesson.
Teacher:
Guys, it's time to return from a trip to the country of professions. We got to know the nursing profession. Please select three qualities that you think are most important for a nurse: responsiveness, compassion, attractive appearance, good health, sociability, charm, attention, responsibility, good memory.
Homework: Make up a story about a fairy who turned into a nurse.

The nurse must be knowledgeable. She needs to be familiar with all the provisions of the laws relating to the health system and have a clear understanding of them. The nurse must also know what rights she has in carrying out her work.

Its activities are guided by:

doctor's orders to which she obeys;
the charter of the medical institution in which she works;
compliance with hygiene standards;
work schedule;
job description (the current one is taken as the basis).

The history of the profession

Medicine has existed since ancient times. But such a profession as a nurse did not stand out for a long time. Her functions were performed by the students of doctors. Subsequently, they themselves began medical practice.

The emergence of the nursing profession dates back to the 11th century. Its representatives belonged to the communities that existed in the states Western Europe. The workers were called sisters of mercy.

Initially, nurses cared only for the fairer sex. But in connection with the needs that the wars brought, their activities extended to the wounded.

In 1228, the first hospital was opened, which provided shelter and care for the poor. Its founder was the Hungarian Countess Elisabeth of Thuringia. She founded it with her own funds. The workers of this hospital were called "Elizabeth".

This period is marked by a high level of construction of such establishments in all European countries. In the end, nurses received a new name - "hospital".

At the beginning of the 17th century, a new milestone begins in the history of nurses. The first community appears where girls and women are trained to care for the sick. Since then, the profession has developed rapidly. The activity of nurses extends not only to orphans, lepers and the sick, but also to soldiers. Over time, they are connected as assistants to operations. The profession is gaining popularity. The ranks of nurses are replenished by ladies of high society.

What are the responsibilities of a nurse

The modern nurse has a wide range of responsibilities. She happens to be indispensable assistant any doctor.

The duties of a nurse include the following:

nursing;
provision of medical care before the appearance of a doctor;
disinfection of instruments;
preparation of material for dressings and other means of treatment;
control over storage and use medicines.

The functional duties of a nurse involve recording indications about the patient's condition and ensuring that they undergo proper medical procedures.

She puts infusions and injections in the hospital, takes blood for analysis, prepares instruments for surgery, measures blood pressure, bandages wounds, etc.

The functional duties of a nurse at a children's clinic include monitoring a sick child and giving advice to his parents about caring for a baby at home. Nurses fill out cards and checklists, certificates.

In the operating room, an employee of this profile is obliged to monitor the availability of a set of all necessary tools. She helps the surgeon by promptly bringing the required instrument at his request.

In school and kindergarten institutions, the nurse is responsible for the passage of seasonal and routine vaccinations by children.

What are the duties of a procedural nurse

The employee of the treatment room is subordinate to the head nurse of the department. The functional duties of the procedural nurse include the implementation of all manipulations in strict accordance with the prescription of the doctor. At the same time, strict accounting is maintained. All data is logged. Also indicated possible complications after the procedure.

In the event of a complication after the manipulation performed with the patient, the nurse is obliged to inform the attending physician about this and provide assistance to the patient in accordance with the existing instructions.

The procedural nurse has the right (in accordance with the doctor's prescription):

take blood from the patient and transport it to the laboratory;
determine whether blood belongs to a particular group;
perform various injections.

During the procedure, the nurse must comply with hygiene standards, as well as adhere to the rules for disease prevention. infectious nature, complications after injection, anaphylactic reaction organism to the drug used.

The treatment room should be equipped with appropriate medical instruments, dressing material, preparations.

The nurse strictly monitors the expiration date of all medicines. It provides timely delivery of blood for analysis to the laboratory, provides convenience for the patient during manipulations.

The office nurse can act as a doctor's assistant:

when determining the blood group and Rhesus;
during the transfusion of blood and its analogues;
at a puncture of a spinal cord;
when taking samples for allergies;
during drug administration to patients with serious illness(the effect of drugs may not be fully understood).

What are the functions of a polyclinic nurse

These nurses are in the professional category. They must have an incomplete higher education (specialist) or a certificate of basic higher education(bachelor) with a degree in nursing, general medicine or obstetrics.

Functional duties of a nurse in a polyclinic include:

following a doctor's prescription;
carrying out procedural manipulations, according to the profile of work;
assistance with operations at the outpatient level;
taking blood for analysis and ensuring its delivery to the laboratory;
providing care for patients in the outpatient setting, as well as at home;
resuscitation of the patient;
assisting with trauma, blood loss, intoxication, shock, drowning, burns, frostbite, allergies.

Clinical nurses should be knowledgeable in the following areas:

laws;
regulatory documentation;
regulations of the medical institution in which they work;
rights and functions;
principles of work of outpatient institutions;
rules for caring for sick people;
bases of medical examination of citizens;
pharmacological effects of essential medicines;
methods of instrument sterilization;
organization of hygiene;
preparation of a therapeutic diet;
safety rules for handling medical instruments.

A nurse of this level is involved in informing the public about preventive measures taken against diseases, and their possible complications.

A nurse in a polyclinic must constantly improve her professionalism.

What are the responsibilities of a nursing assistant

The functional duties of the nurse of the department are as follows:

observation of general condition sick;
implementation of patient care activities;
fulfillment of prescriptions given by the doctor;
communication on professional level with medical personnel, sick people and their relatives;
preparation of patients for examinations;
observance of hygiene standards in the department;
maintaining documents in the prescribed form.

A nurse working in the department should be able to make all types of injections, use a sterile table and tray. She is obliged to change the patient's linen, both underwear and sleeping. Her duties include measuring temperature, pulse and blood pressure patient. The obtained data are clearly recorded in the graphic sheet of the patient. The nurse of the department knows how to draw up all the necessary documentation.

In addition, her responsibilities include:

preparation of biks for sterilization;
removal of an ECG;
setting compresses, cans, enemas and heating pads;
tying the limbs with an elastic bandage;
performance preventive measures that do not allow the appearance of bedsores;
gastric lavage;
acceptance and surrender of duty.

District nurse

The district nurse conducts diagnostic and treatment procedures in accordance with the doctor's prescription.

The functional responsibilities of the district nurse are quite wide. She must prepare the office for receiving patients. Under the supervision of a doctor, certificates are issued, prescriptions are issued, referrals for examination and other medical documentation are issued.

The nurse tells the patients about the stages of preparation for a particular procedure, issues coupons for a second visit to the doctor, transfers the patient's record sheets to the doctor to the registry. Responsible for the timely receipt of test responses and posting them on the cards.

The nurse should be able to measure pressure, temperature and perform other medical manipulations, according to the instructions of the doctor. It collects material for bacteriological culture. The district nurse visits patients at home and oversees their treatment. Under the guidance of a doctor, she carries out preventive vaccinations.

The district nurse must constantly work on their professional development.

Responsibilities of the Head Nurse

The main vocation of the head nurse is to use the professionalism of the department's employees with maximum efficiency in order to provide medical care at a high level.

The head sister of the department is appointed in accordance with the recommendation of the head. This position is usually held by a nurse high level professionalism. She must have management skills. Her work experience in medical institution is at least 5 years. As a financially responsible person, she monitors the equipment and apparatus in the department. The head nurse takes part in all meetings held in the hospital department.

A specialist of this level acts as an organizer of the work of middle and junior medical personnel, is responsible for discipline in the team and maintaining order at work.

The functional duties of the head nurse include drawing up acts for the supply necessary equipment, medicines and tools.

The head nurse is responsible for occupational health and safety. She personally draws up a work schedule for her subordinates and distributes their vacation time. She maintains a payroll and draws up sick leave for temporarily disabled employees.

A nurse of this profile keeps a record of medicines containing poisonous, narcotic and potent substances, controls their use. Its functions include monitoring the cleanliness of the dressing material and the sterilization of medical instruments.