Job description for a nephrologist

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Job description for a nephrologist. Full document

Occupational Safety and Health

Occupational Safety and Health / Job descriptions

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I. General Provisions

A person with a higher medical education in the specialty "General Medicine", who has a certificate in the specialty "Neprology" and the legal right to engage in medical activities in this specialty, is accepted for the position of a nephrologist.
Appointed and dismissed by order of _______ in accordance with applicable law.
Directly reports to the head of the department.
Orders of the nephrologist of the department on the work performed are mandatory for the middle and junior medical and technical staff of the department.
His work is guided by:

official documents on the work performed;
orders and orders of higher bodies and officials;
this instruction;
internal labor regulations.

Works according to the schedule approved by the head physician of the clinic.

II. Official duties

The nephrologist must:

treatment of up to 8 patients, including outpatients, with hemodialysis sessions and other extracorporeal methods;
daily curation of hospitalized patients;
operations to create vascular access and management of patients in the postoperative period;
minor operations and manipulations (pleural and sternal punctures, paracentesis) and resuscitation aid (artificial respiration, chest compressions, intracardiac injections);
planned and emergency hospitalization, transfers and discharge of patients in agreement with the head of the department;
medical and labor expertise within their competence (to issue certificates of incapacity for work, to represent the patient at the CEC, to monitor the timing of the transfer to disability).

The nephrologist must control:

the correctness and timeliness of the fulfillment by middle and junior medical personnel of appointments and orders for the treatment and care of patients;
preparation, execution and completion of extracorporeal procedures;
operation of hemodialysis machines, water treatment systems and other equipment of the department;
compliance with the rules of medical deontology by middle and junior staff;
compliance with the established hospital regimen by patients.

A nephrologist is obliged to keep medical records and fill it out in the prescribed manner:

the initial examination of the patient, who arrived before 15:15, is recorded in the medical history on the same day; later than 24 hours - no later than 1 hours from the moment of his arrival at the department; make diary entries in the patient's medical history daily; stage epicrisis to be 30 time in 1 days (for severe patients - 10 time in XNUMX days); draw up a discharge epicrisis on the day of discharge;
in the outpatient card, record a detailed history of the disease and life, objective examination data, the results of outpatient and instrumental studies (including discharges from the hospital), the course and features of each extracorporeal procedure, as well as milestone epicrises (at least 1 time in 30 days).

The nephrologist of the artificial kidney department is obliged to:

supervise the work of middle and junior medical personnel involved in carrying out extracorporeal methods of treatment and operations;
to accept a shift from the medical staff on duty in the absence of the head of the department, to inform the shift on duty about the condition of newly admitted patients and the therapy they are undergoing;
at the end of the working day, report in writing to the responsible doctor on duty of the clinic about patients requiring additional medical supervision;
be on duty by the responsible hemodialysis doctor according to the schedule drawn up by the head of the department;
come to the clinic on an emergency call for an extraordinary hemodialysis and about complications from the vascular access;
participate in clinical conferences, pathoanatomical studies, CILI meetings;
advise doctors and patients from other departments on the treatment of renal failure as directed by the head of the department;
systematically improve their qualifications and confirm the legal right to engage in medical activities in this specialty in the prescribed manner;
involve doctors of other specialties for consultation and treatment of patients, as well as refer patients for consultation and treatment to other medical institutions in agreement with the head of the department.

The nephrologist of the "artificial kidney" department is obliged to carry out:

classes to improve the skills of middle and junior staff according to the plan drawn up by the head of the department;
reception of patients' relatives during the hours determined by the "clinic's daily routine";
regular conversations with patients on the observance of the sanitary and epidemiological regime, the need to fulfill medical appointments and adherence to the schedule of hemodialysis procedures.

The nephrologist of the "artificial kidney" department is obliged to observe:

internal labor regulations, safety regulations, fire protection;
principles of medical ethics and medical deontology, the requirements of the sanitary and anti-epidemic regime.

III. Rights

The nephrologist of the hemodialysis department has the right to:

Receive the information necessary to carry out their duties.
Make suggestions to the head of the department to improve their working conditions.
Receive guaranteed vaccination against viral hepatitis "B" at the expense of the state budget.
Provide protective clothing as required.
In case of viral hepatitis "B" or "C", undergo a medical examination to link the disease with the profession. In the case of a proven professional nature of the disease, he has the right to enjoy benefits in the prescribed manner.

IV. A responsibility

The nephrologist is responsible for:

Clear and timely fulfillment of their duties provided for by this Job Description and the internal labor regulations of the clinic.
Inaction and failure to make decisions on issues within its competence.

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