Professional Nursing Standard in the Social Field

The professional standard of a nurse implies job descriptions that all employees are required to follow. For each category of nurses there is a list of skills and knowledge that it should possess. In the article we will consider them.

What a nurse should do

The professional standard of a nurse includes the following skills:

Not only the provision of medical services, but also the interaction with relatives, doctors and patients.
Participation in the creation of a hospital safe environment, the organization of a work space for yourself in a dressing room, manipulation room or treatment room.
Obtaining written consent to carry out certain procedures prescribed by the doctor.
The use of medicines as prescribed by a doctor.
The introduction of injections, the setting of infusion media and droppers.
Keeping records of medicines, filling out reports and documentation for the administration and storage of medicines.
Monitoring the condition of patients.
Providing emergency care before the doctor arrives if the patient has a complication of a particular medicine.

Nurse skills

The professional standard of the nurse has a section that focuses on the basic skills of the staff. The main skills are as follows:

In medical work with patients, use all procedures and rules of professional communication.
The ability to find a common language with both ordinary patients and those with abnormalities in consciousness, behavior, vision or hearing.
The ability to organize the workspace in such a way that it complies with all the rules and norms that are approved in our country.
The nurse must be able to calculate the necessary dose of the drug, which was prescribed by the doctor.
The professional standard of a nurse requires the latter to be able to perform peripheral vein puncture and their catheterization. The nurse should be able to care for the vascular catheter.
She must correctly administer the drug to the patient, taking into account all regulatory documents.
The nurse should also have skills in working with medical records. This also includes the registration and storage of medicines.
Nursing staff should provide emergency care to the patient if there is no doctor nearby.
The nurse is required to comply with the requirements for sanitary-epidemiological and infectious safety.

Dietary Skills

The professional standard of a medical dietary nurse has its own differences, but, nevertheless, it is included in the set of professional standards. The main activity of such a nurse is the planning of the patient’s medical nutrition. That is, the nurse must:

On the issues of medical nutrition, interact with other services of a medical institution such as a food unit, accounting department or a dietitian.
Organize the work of the food block.
Form a diet food card.
Make a menu for the week, which will correspond to different therapeutic diets.
On the advice of a medical institution to present projects of the treatment menu, which depends on the type of diet.
In their activities, analyze the natural and monetary indicators.
Keep accounting and accounting documentation.

Dietary Responsibilities

The responsibilities of the diet are more extended. These include:

Formation of a dietary menu for institution patients.
Compliance with physiological nutritional standards for patients.
Taking into account the type of medical diet before forming a menu for a week.
Formation of a weekly menu with a dietitian, taking into account seasonality.
Compilation of various dishes.
The correct distribution of money on products for a weekly diet.
Calculation together with the nutritionist of the nutritional value and chemical composition of the dish.
Reconciliation of the implementation of natural and monetary norms for dietetic nutrition together with accounting. This is done in the reporting period, for which they can take a month, a week.

Social Standards

The social nurse's professional standard is a document that is a section of the general professional standard.

This document contains the following requirements:

The nurse should interact with social protection institutions, ITU commissions, institution services and its staff. In this case, the interaction should be in the interests of patients.
A nurse is required to keep records of people with disabilities at a given site, as well as older people.
To form a base of people who need social and medical care.
The nurse should conduct an examination of the social conditions of patients in conjunction with other services.
Provide citizens with medical and social information and determine their own need for social assistance.
Work on social adaptation of the elderly and disabled.
Help the patient get the necessary funds for rehabilitation.
Help patients exercise their rights to receive benefits.

The standards of professional work of a nurse include:

Conducting a patient examination, the possibility of independent domestic services, movement or communication.
Formation of databases and collection of necessary information.
Identification of the main problems in elderly patients and people with disabilities who have lost social skills.
Work with the patient’s relatives, training them to adapt to the capabilities or needs of the elderly and disabled.
Comprehensive patient care for benefits, medical devices, or warranties.
Training patients to use technical equipment or medical devices for rehabilitation.

Rehabilitation Nurse Standards

The standards of professional work of a nurse, which helps in rehabilitation, are as follows:

Interaction with both the rehabilitation department and other services for the benefit of the patient.
Performing medical appointments at any stage of rehabilitation.
Conducting activities for physiotherapy and physiotherapy.
Conducting therapeutic massage.
Using methods that allow you to psychologically relieve the patient.
Assessment of the effectiveness of rehabilitation procedures that have already been carried out.

In addition, the nurse must:

Be able to use physiotherapy and medications prescribed by the doctor.
Perform physiotherapy in accordance with the patient rehabilitation program.
Conduct physical therapy classes.
Conduct both hardware massage and manual sessions.
Conduct classes in art therapy, music therapy, etc.
Provide psychological support for the patient.
To be able to stimulate the patient to train fine motor skills or engage in manual labor, if necessary for the rehabilitation process.

Standards for Junior Staff

In 2016, the Ministry of Social Protection and Labor approved the professional standard for a younger nurse. This document was adopted because the duties of a junior nurse and a nurse were often confused. The professional standard made it possible to clearly distinguish these two professions.

Based on the document, qualification levels are identified that directly depend on the abilities and skills that the employee has, as well as those responsibilities that the management of the medical institution entrusts to them.

So, the professional standard of a younger nurse includes procedures for caring for patients of a medical institution. That is, in the staff list, together with two posts indicate the set of their duties and functions necessary for accounting.

Both the nurse and the younger nurse are required to have a specialized education. If this is not the case, then you need to send the employee to courses. But this requirement is not mandatory, and therefore, the professional standard of a younger nursing care nurse is observed at the request of the head of the medical institution.

So, the younger nurse is obliged:

Process incoming information from patients and their relatives.
Help patients move around the facility.
Maintain hygiene standards while caring for seriously ill patients.
Helping severely ill patients meet their natural needs.
Feed patients who are not able to eat on their own.
Take pillowcases, blankets, sheets, pillows, shoes and clothing for the patient.
Change the bedding and underwear of the patient.
Assist the doctor during temperature measurement, pressure measurement and other simple procedures.
Observe the general condition of the patient.
Transport biological materials to the laboratory.
Provide first aid if the patient’s life is in danger.

Since it is a matter of approving the professional standard of a nurse of lower qualification, then she must be able to:

Receive and transmit information that is related to the patient’s condition.
Be able to use special equipment for ergonomic transportation of the patient.
Monitor the factors that surround the patient and prevent their effects if they threaten the patient's condition.
Be able to handle a medical inventory.
Be able to measure blood pressure and temperature.
Be able to provide first aid.
Accompany and help the patient during a medical examination.
Helping patients meet their natural needs if their musculoskeletal system is damaged.

Professional standard for senior staff

The professional standard of the head nurse differs markedly from all others. Rather, as such, there is no document on this topic, but, nevertheless, the requirements are more stringent in comparison with nurses of other qualifications. The professional standard of the head nurse is based on the fact that she has more responsibilities, a wider right to control subordinates, and a higher degree of responsibility to management.

A candidate for the position of head nurse must have a secondary specialized or higher education. Work experience of at least ten years with secondary education and at least five with higher education.

In this sense, the professional standards of a senior nurse are no different.

Procedural Nurse Standards

The treatment nurse performs standard duties. She fulfills the appointments that are prescribed for drug therapy. The nurse not only provides services, but also collaborates with doctors, relatives of the patient and the patient himself. It creates a safe hospital environment and organizes its workplace correctly.

The professional standard of a procedural nurse also includes obtaining written consent to carry out certain procedures from patients. In addition, the nurse is obliged to keep a record of medicines and fill out documentation on their storage and reception. Provide emergency care if the patient becomes worse after administering the medicine.

The professional standard of the nurse in the treatment room of the clinic has a list of employee skills. It:

Ability to use the rules for medical work with patients.
The ability to establish contact with the patient, even if he has impaired vision, hearing or consciousness.
Organize your workspace in accordance with all norms and rules of the law.
The ability to calculate the required dose of the drug.
Correctly administer drugs and draw up the necessary documents.
Work with documents.
Compliance with the requirements of sanitary and epidemiological safety and infectious.

The same skills are indicated in the professional standard of the ward nurse.

Standards for a nurse in the dressing room

Since we have already dealt with almost all the qualifications, we will tell about the rest. So, professional standards give the dressing nurse special responsibilities. We will only consider them, since the rest are absolutely identical to the duties of a procedural nurse.

So, the professional standard of the nurse in the dressing room obliges the employee to be able to treat wounds, apply dressings and splints, work with plaster and provide psychological support to the patient in a state of shock and severe pain.

The remaining duties coincide with the functions of the nurse of the treatment room.

Standards for the hostess sister

Since professional standards even apply to nurses, why not develop them for the hostess? So, the mistress sister is lower in position than nurses, but higher than the nurse. According to the professional standard, she should have a secondary or complete general education and special courses in the specialty. Work experience does not play a role.

Professional standards of the hostess sister of a medical organization oblige her:

To monitor the performance of the work of nurses and cleaners.
Head of household equipment.
Provide your department with special clothing, hygiene items, stationery and detergents.
Provide sanitization for patients.
Hand over dirty laundry to the disinfection department.
Monitor patient clothing. It should match the height and gender of the patient.
Change dressing gowns.
Give towels to paramedics.
Responsible for preparing the room for patient reception. This includes the purchase of inventory and repair requests.
Monitor the condition of the dining room, i.e. equipment, utensils and the presence of markings on items from the power supply.
Fill in reports on the work done and keep other documentation.

In addition to duties, the hostess sister has the right to learn from the management the information necessary for her work, participate in the commission, which writes off the used equipment, and give instructions for the junior medical staff.

The hostess sister is responsible for the safety of material assets and property of a medical institution. If she does not comply with these rules, then she can bear not only administrative, but also criminal liability.

The job of a housewife sister is to communicate a lot with people. These are her direct responsibilities, as well as the fact that she must be able to organize the work process. After all, she has about twenty people subordinate.

That is, in order to successfully work as a sister-mistress, you need to be able to communicate with people around and be a stress-resistant person. The aforementioned work requires not only moral, but also physical strength, which means that the candidate for the position must be hardy. Attentiveness, accuracy and restraint are also necessary qualities for this employee.

Standards for a nurse in a clinic

The professional standard of a polyclinic nurse is no different from a procedural nurse. The only thing still imputed to her is to lead the patients who are attached to her site. And here you can draw an analogy with a social nurse. After all, it should not only provide emergency care, but also help to get preferential medicines or medical devices.That is, if we talk about responsibilities, it should be a savvy employee on all sides who can not only keep records, but also administer the drug or help the patient during the examination.

The impact of professional standards on the work of the institution

The project "Professional Nurse Standard" is only about to be accepted. That is, this is a document in which all the labor functions of a specialist will be indicated. If professional standards for junior staff already exist, no one knows what the standards for nursing will be. But, nevertheless, medical institutions are obliged now to begin preparations for the introduction of the document.

First of all, after the project comes into force, the management of the medical institution is obliged to notify all employees about this. It is necessary to convey as clearly as possible those norms that will be taken as a basis.

Standards will be approved for the main and senior nurse, as well as for highly specialized nurses - dressing, procedural and others. This will entail a review of job descriptions, which means that the management of the institution must do the following:

Conduct outreach to employees of the medical institution. They should be aware of what is required of them and the content of the standard.
After the job descriptions are reviewed and the professional standard is put into operation, it is necessary to sign additional agreements with secondary and senior medical personnel.
Management is required to analyze the compliance of employees' qualifications with professional standards. That is, employees must have a special certificate and secondary vocational education.
If there is a discrepancy between one another, then management must decide how to improve the skills of the employee. For example, to comply with the professional standard of a massage nurse, a special certificate is needed, which you need to get.
It will also be useful to study a professional standard for the knowledge of employees who are used inside a medical institution.

If all these points are met, then the implementation of the project will be painless for the institution.

Conclusion

It is very important to comply with medical standards, because the quality of medical care depends on this. Unfortunately, in our country this issue is often neglected, hence medical errors or incorrectly performed treatment, which sometimes has the most sad consequences.

To stop this and reach a qualitatively different level of service, this project was developed. It will allow after implementation to carefully select the medical staff, knowing what functions it should perform.

Sometimes a nurse is more important than a doctor. This is especially true for the care and treatment of seriously ill people. Therefore, these employees should be not only professionals in their field, but also able to find contact with patients. Indeed, most often it depends on the psychological mood of the latter and the result of his treatment or rehabilitation depends. The nurse must by all means assure the patient of a successful treatment and a favorable outcome.

When the middle and junior medical staff will be selected in accordance with regulatory requirements, then the medical services in our country will go to a different level.