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Medicine is a very complex science, but at the same time, it is certainly one of the most useful. There are about 60 medical specialties, and this is just a list of doctors. But we shouldn’t forget about the average medical staff: paramedics, nurses, laboratory assistants, dental technicians, obstetricians, etc. I must say that they play one of the most important roles in medical practice.

And that's why today Reconomica I decided to reveal all the features of the profession from the list of nursing staff, or rather, we will talk about a nurse. Today, the nursing profession is considered one of the most in demand and popular. The demands placed on such workers are no lower, and sometimes even greater, than on doctors. After all, it depends on the nurse how the procedures will go, how comfortable the patient will feel, and how the treatment will proceed. Often, nurses communicate with patients even more than doctors. Our new article is about such irreplaceable people.

My name is Kamanina Ekaterina Valerievna, I am 23 years old, I have been working as a procedural nurse in the urology department at the St. Petersburg International Medical Center for 3 years.

Nurse for doctor - right hand and a faithful assistant, for the patient - a reliable support and close friend.

She is the one who carries out all the doctor’s orders, helps the patient adapt to the hospital environment, monitors his condition, answers questions, supports and sets him up for recovery.

Competent work and a friendly attitude of a nurse increase the success of the treatment prescribed by the doctor and have a positive effect on the emotional and physical health of the patient.

Nursing is a specialty whose importance can hardly be overestimated.

Medicine is a fast-growing industry, so there is no need to get stuck in knowledge; you need to master over and over again the skills of working with new medical equipment, study new drugs, and apply new patient care technologies in practice. The work is very interesting, active, and involves communicating with people.

Knowledge, skills and education necessary to master the profession

I graduated from the Ulyanovsk College of Pharmacy in 2014 with a degree in Nursing, where I also received a certificate for admission to work in the specialization “Nursing.” The duration of training was 3 years and 8 months.

It was hard to study, but interesting. No concessions were given, excuses like “I was sick, here is a certificate” and “I spoke at an event” did not work. Any missed topic had to be learned and submitted to the teacher in the form of rewritten lectures, oral answers and practical manipulations. And this is right, because at work you have no right to make mistakes, because people trust you with their lives.

During the training, a lot of time was spent practicing in the hospital. Already from the first year we visited various medical institutions: maternity hospitals, clinics, hospices, health schools, children's hospitals, etc. Therefore, before going to work, I could try this or that specialization on my own skin.

The required knowledge and skills may vary in different areas of medicine.

Knowledge and skills that a nurse should possess in different areas specializations (surgery, internal medicine, cardiology, pediatrics, etc.) vary, but the main ones must be at the highest level.

Qualities of a nurse.

To successfully get a job you need to be able to provide first aid, perform various types injections, competently maintain medical documentation and perform a number of nursing procedures. Knowledge of sanitary standards, main groups of drugs, indications and contraindications for them is also required.

This is a small list of key knowledge, skills and abilities. Specialized ones can only be obtained when applying for a job, and they will depend on the chosen vacancy.

For example, to work at the reception desk, a nurse does not have to be able to insert IVs; it is enough to keep documentation correctly, but to work in the operating room or anesthesiology department, on the contrary, it is necessary to undergo additional training and obtain the appropriate certificate.

What a procedural nurse should be able to do

I work as a procedural nurse. Accordingly, I must be good at performing various types of injections - intravenous, subcutaneous, intramuscular, etc. Patients in our clinic undergo tests, so I need to know how to prepare a patient for a particular test, correctly collect biomaterial and transport it to the laboratory. In addition, I must competently maintain medical documentation - write out directions, fill out mandatory journals attached to my office.

Procedural nurse at work.

Since everything is now computerized, it is necessary to have at least basic knowledge of a PC to make your work easier.

Where and how to look for work

It is very easy to find a job for the vacancy “nurse”. There are a lot of offers. It is enough to place an ad with yours on the Internet or search on various sites offering work.

You can also go to the nearest hospitals and personally find out if they need an employee. As a rule, there are always vacancies or appear in the near future; you can find out about them by leaving your contacts.

You can ask your friends who work in this field if their organization needs employees. Friends can recommend you to an employer, tell you about the pros and cons of working in a given institution, and when you are hired later, they will help you adapt to the workplace.

During your medical internship, you can personally agree with your supervisor to accept you into the department you like after graduation.

I found a job simply - I posted an ad with my detailed resume on the Internet. On the same day they called me back and offered me an interview.

Mandatory conditions for employment

In my field, it is very easy to find a job, even for a nurse.

Some hospitals are specifically looking for newcomers to train them from scratch in the specialty they need, since young specialists are usually ambitious, quickly grasp the material and have fresh knowledge.

The interview is conducted by the senior nurse of the hospital.

It takes place in a conversation format, but sometimes the employer may ask to demonstrate skills in practice, for example, setting a sterile table or filling out documentation.

During the interview, the employer pays special attention to the following points:

Availability of a diploma and a valid certificate

Everything is clear with the diploma, but let’s talk about the certificate in more detail. It is initially issued by an educational institution after completing special paid courses. The validity period of such a certificate is 5 years, then you will need to pass them again in order to be allowed to work.

It is a great advantage to have a valid certificate. It is unlikely that an employer will want to pay for courses for a newcomer who may not even work for him. Subsequently, when you are already working and the certificate expires, advanced training is always carried out at the expense of the employer.

Availability of a health certificate

A health certificate is issued at the educational institution for admission to practice. The employer pays attention to the current medical examination. If you don’t have it, then no one will allow you to work until you pass it.

It is better to have a fresh medical examination before the interview in order to start working as soon as possible, since sometimes the employer is in dire need of an employee and may refuse in favor of another candidate. Just like with a certificate, after being hired, all medical examinations are carried out at the expense of the institution.

Knowledge and skills

They again depend on the profile of the institution in which you will work. Don't lie to your employer about your skills.

For example, I had very little experience in administering intravenous injections, and I did not know how to draw blood with vacuum devices, only with a syringe, but I was good at intramuscular and subcutaneous injections. The employer agreed to these conditions and gave me time for internship and training at their institution.

Appearance

Clean hair, ironed clothes, minimal discreet makeup, short-cut nails without varnish, no jewelry on hands, clean shoes - all this is very important.

“You look like angels in white coats,” a patient once told me.

“Angels” do not have long red nails, provocative makeup and a dirty robe. It is necessary to remember that you are the face of the institution in which you work. Tattoos and piercings are not acceptable. It is better to remove piercings and hide tattoos under clothing.

PC knowledge level

Even the most basic level computer knowledge. Much documentation in medicine is now maintained electronically, there are special programs for recording patients, and almost all laboratories accept requests for tests only via the Internet. Some medical devices only work when connected to a computer.

Special programs are taught on the job, but you need to know how to turn on a computer, type text and send a document to print. Knowing the basics of working on a PC will help you easily master other medical equipment and increase your technical literacy.

Communication skills

It is known that words can both heal and cripple. Therefore, the employer pays close attention to your speech. There will be a lot to talk about. Explain to the patient in clear language everything that the doctor said, tell how to prepare for tests, explain the essence and benefits of the procedures performed, communicate on the phone, report to the doctor about the patient’s condition.

Being able to comfort with words and instill hope for a speedy recovery is a very important skill.
The ability to get out of conflict situations, and these are not uncommon, since the mental state of a sick person is very unstable, and he can “throw out” all the stress on you. In this case, it is better to remain silent or support and reassure the patient.

Work schedule and main responsibilities

With doctors common language I found it quickly, they were all loyal to me, gave me advice and taught me a lot.

I got a job at a clinic with a 2/2 schedule of 12 hours of work. On weekdays, the working day begins at 9.00 am and ends at 21.00, on weekends at 10.00 and ends at 18.00.

The team is mostly young, everyone is very kind and open.

We love to spend time together outside of work - we go out into nature and to cafes, and visit each other. The management tries very hard to unite the team: maintains friendly relations between colleagues, organizes corporate parties, gives gifts, and quickly resolves conflicts that arise.

It was hard to get used to the specificity of the department; after all, urology is a very intimate matter, and you have to work mainly with men. But the main thing here is to position yourself not as a woman, but, first of all, as a medical worker who wants to help.

How is my working day going?

I come to work half an hour before the start of the working day, as I need to change into a medical uniform and prepare the office for receiving patients. The working day begins with filling out medical logs: shift log, temperature in the refrigerator with medications, etc. I check the equipment in my office and the doctor's office, then do a damp cleaning and turn on all the equipment.

Patients come to me for IVs and procedures by appointment at intervals of 10 minutes to 2 hours. Also, the doctor who is receiving in his office at this time can prescribe treatment from the appointment or ask to pick up tests from the patient. Plus, patients come without an appointment and just want to get tested.

A procedural nurse has many worries and responsibilities.

There is a lot of paperwork, almost every action needs to be recorded in certain journals, since in medicine everything is as responsible as possible, no one will take your word for it.

The flow of patients is quite large, you spend almost the entire day on your feet, but for me this is a plus - time flies by very quickly, and movement is life, no matter how you look at it.

There is no set lunch; you eat when you don’t have patients. But I will say that I definitely have time to eat 3 times a day. The working day also ends with wet cleaning and filling out documentation.

Communication with patients deserves a separate topic.

You often have to guess what the patient really wants from you. For example:

Take my analysis from there.
- What kind of analysis do you need?
-Are they also different?

So you wonder what, where and how to take.

For many tests, preparation is important. You ask the patient:

Did you come on an empty stomach?
- Yes, but only I ate.

The most unusual tests that they asked me to take were “blood for COALAGRAM” (no, not for the content of koalas in the blood, but a coagulogram - blood for clotting), “blood for the content of urine in it” and “a swab from the mouth for the genitals contacts".

When taking genital smears, people often ask: “Do I have to take off my pants, or something like that?” We will certainly cope “somehow.”

Patients can sometimes surprise you.

And there’s no shortage of ingenuity when using containers to transport tests to patients! Urine in a cognac bottle or mayonnaise bucket, feces in a Kinder Surprise “egg” - guess which part the “surprise” is in!

But sometimes we scare our patients ourselves.

Once I decided to transfer blood from a syringe into a vacuum tube and did not think that vacuum container It will draw in the blood itself, so I inserted the syringe into it and pressed the plunger with force.

As a result, the needle breaks off, and blood splashes in a small fountain all over everything: on my snow-white robe, on the tiled walls, blinds, and the medicine cabinet. At this time, a patient comes to me and says: “Sorry, I came early.”

I turn to him in all my glory and, like a butcher from a horror movie, say: “Wait in the corridor, your time has not come yet.” The patient quickly retreated out the door with a muffled “Oh!” and round eyes.

Communication with foreigners

The patient population is very diverse, some come from other countries. The patient from Germany had to explain everything in simple terms, because I didn’t know the language, but we still understood each other and communicated very warmly in mixed English-Russian.

I love my patients, and they love me back. The main thing is to find an approach to everyone.
I repeat that working in the urology department requires maintaining maximum tact, politeness and intimacy.

Standing in front of the nurse important tasks- verbally prepare the patient for the procedure, try to win favor, and overcome his shyness with him as much as possible.

Of course, sometimes you are so mentally exhausted that it is very difficult to even just talk to patients. At such moments, I imagine myself in the patient’s place, how confused and scared he is, and you are his lifeline and bright ray. Then I exhale and again begin to smile at everyone, encourage and reassure.

Salaries of medical workers are a sore subject

The work of a nurse is not paid as decently as we would like, especially in public hospitals. The salary is small, the responsibility is huge, hence the shortage of personnel. Now nurses receive approximately 10-20 thousand rubles in public hospitals and 20-50 thousand rubles in private clinics.

Nurses are not paid fairly for their work.

My pay is 190 rubles per hour, holidays double payment. General wages depends on the number of shifts you take during the month. Payments occur twice a month.

With a 2/2 schedule, my salary is approximately 30 thousand rubles. 190 rubles are multiplied by the number of hours worked per month, and a 13% tax is deducted from this amount. Monthly bonus for good job and no complaints - fixed 3000 rubles. Plus 10% of the amount of tests that patients want to take themselves, without a referral from our doctor. All salaries are white.

When I first got a job, my first salary was small, about 11 thousand, because in the first month I tried to take fewer shifts and did not start work at the beginning of the month.

But if you want to earn more, you can ask the head nurse to give you additional shifts in other departments. If you need to replace an employee, again these are additional shifts and additional pay.

I received the largest salary in the amount of 45 thousand, this was in January, many employees were on vacation, they had to be replaced, plus holidays were paid twice, and there was a large influx of patients taking tests.

I think this salary is quite decent for 15-16 days a month, and the work is not too difficult. Paid vacation - 28 calendar days. Provided free lunches, medical form and a 30% discount on treatment and testing for you and your immediate family.

Pros and cons of the profession

As with any other profession, there will always be both advantages and disadvantages to being a healthcare professional. Let's talk about them in more detail.

Positive aspects

1. Large selection and variety of vacancies.

2. Decent wages in private medical institutions.

3. The opportunity to contact a doctor with your problem in working hours. You can undergo an ultrasound, get tested at a discount and “on the job.”

4. Patients are pampered with gifts. I don’t buy sweets for home, as people often give thanks with chocolate, candies and cakes. There are also unusual gifts. One patient gave me a huge wooden box self made. Another, being the editor of Hunting and Fishing magazine, brought me a new issue of the magazine at every appointment. And another one gave me 10 pairs of white socks, explaining that it was cool in the clinic and my socks were thin.

5. After 30 years of work, a nurse can retire, but only if she worked in an institution where she is undergoing medical training. If you work in rural areas, then you can retire after 25 years of work. There is no length of service in our clinic, so I won’t be able to retire early.

6. Health literacy. You can recognize the disease yourself, refer it to the appropriate doctor, take tests from your relatives, treat them at home, but strictly after a doctor’s prescription!

7. The opportunity to communicate with people and help them. This gives rise to such an unprecedented feeling of pride in oneself and joy in others.

Negative points

1. Low wages in some institutions.

2. Some patients may insult you, shout, or write a complaint against you. All people are different, you shouldn’t pay attention to this, but rather focus on the good.

3. You can’t do a manicure or wear jewelry. But this problem is more for women.

4. Danger of injury from a needle after injection or contact of biological fluids with the skin and mucous membranes. But to prevent this, it is enough to follow safety precautions and know how to provide yourself with emergency assistance.

5. Professional burnout. I have met nurses who are already mentally exhausted. Hence - rudeness to patients, disdainful attitude towards them and indifference. I believe that we need to fight this by simply maintaining humanity and mercy.

I think that the profession undoubtedly has more advantages, but the disadvantages can be minimized.

Parting words to readers

Working as a nurse is not as scary and hard as it seems. The main thing is not to lose the person inside you, to be open and sympathetic, to understand the patient’s mood.

I love my patients, and they love me back.

You don't need to listen to those who say nurses don't earn enough. These people are simply lazy to work. If you want to make money, then all roads are open - take more working hours, night shifts, work part-time in other hospitals.

Medicine is an interesting and diverse field in which everyone can find a job to their liking.

A nurse (or male nurse) is a professional assistant to a doctor in a hospital; in other institutions, he is the chief first aid specialist.

Wages

25,000–40,000 rub. (rabota.yandex.ru)

Place of work

Hospitals, clinics, children's institutions, military units, sanatoriums, resorts, holiday homes.

Responsibilities

First of all, the nurse must be able to make a bandage, apply an angle, apply a tourniquet, give medicine, take the temperature - these are skills developed during the training stage. When applying for a job, the range of responsibilities becomes much wider, it all depends on the department and specialization of the doctor with whom the nurse works.

A nurse in a clinic receives patients, monitors outpatient records, receives test data, and ensures that the doctor has sterile items at hand.

In a physical therapy room, a nurse works with special devices(ultrasound, electrophoresis, etc.). In hospital departments, nurses give injections, place IVs, monitor the treatment prescribed by the doctor, and provide assistance in emergency situations. emergency assistance. In the operating room, the nurse is responsible for the readiness of the equipment and ensures the continuity of the surgeon’s work.

Important qualities

Attentiveness, kindness, the desire to help in any situation, quick response are qualities that characterize good nurses. Patience, resistance to stress, communication skills and good health (especially when working with children) will not interfere with your work.

Reviews about the profession

“Having chosen the profession of a doctor and nurse, you are ready for self-sacrifice, physical and psychological difficulties and risks. You are real specialists and professionals in your profession, good psychologists. You know how to listen to the patient, penetrate into the soul, know how to calm, instill hope, confidence, faith, and convince of the correctness and necessity of the prescribed treatment.”

Svetlana Polyanskaya,
editor of the portal about medicine.

Stereotypes, humor

Stereotypes about the nursing profession are inspired by numerous films about the war. A stable image of a nurse carrying wounded soldiers from the field of pain was formed.

Many people consider nurses to be solely assistants to doctors who cannot set foot without a word of guidance.

In fact, a nurse is a specialist in the field of medicine with secondary education who can professional level perform nursing duties.

Education

To work as a nurse, a secondary medical education is required. Sometimes knowledge of working with special equipment is required, which is taught in courses for nurses.

In any medical institution there is a strict hierarchy of all nurses. Each nurse has specific rights and responsibilities, depending on her. This division ensures effective and quality work the entire medical department.

Despite the fact that the position of a nurse is a junior staff compared to the main specialist - a doctor, her contribution to caring for the health of patients should not be diminished.

A nurse is a doctor's first assistant. The main components of her work, from an ethical point of view, are mercy and humanity towards the sick. It includes caring for the patient, restoring and strengthening his health, as well as preventing various diseases.

There is a special distribution of nurses into categories, which depends on the type of activity and education:

1. Woman having higher education and specialty “Nursing”, can work as a chief nurse. Her responsibilities include monitoring the work of junior and mid-level medical workers.
2. monitors the work of the ward and junior nurses of the hospital.
3. A nurse who cares for patients in the wards is called a ward or guard nurse.
4. The procedural nurse performs such manipulations as blood sampling, injections and infusions.
5. In the operating room, the surgeon is assisted by an operating room nurse. She also prepares instruments, bandages and other things necessary for the operation.
6. The local nurse helps the local doctor receive patients.

Nurse's rights

Any nurse has the following rights:

In addition, a nurse working in surgery has the right to control antiseptic standards during operations. Also, when meetings are held in a medical institution at which the work of a paramedic is discussed. staff, the nurse has the right to attend such a meeting.

Responsibilities of junior and senior nurses

Junior honey Personnel are considered to be nursing nurses, housekeepers and nurses.

These nurses help the ward care for the sick, maintain order and ensure that patients are comfortable in the wards. The hostess sister must be responsible for the economic issues of the hospital and monitor the work of the nurses.

There are general responsibilities for all junior staff:

• Cleaning of medical premises institutions
• Helping ward nurses
• Accompanying and transporting patients around the hospital
• Carrying out sanitary and hygienic treatment of patients

The responsibilities of the senior nurse are mainly concentrated on monitoring the work of the junior nurse. personnel. They must provide effective work of his department, prepare for junior staff, ensure discipline and compliance with safety rules in the department. Also, senior nurses are responsible for receiving and storing medications and medical equipment.

Nurses' responsibilities

In addition to their rights and responsibilities, nurses are responsible for:

• For poor performance of one's duties
• For failure to comply with labor and discipline rules, failure to comply with safety precautions and fire safety

It is very important for every employee of a medical institution to clearly know their rights and responsibilities. This will help ensure successful operations and harmonious relationships within the team.

What is the profession of a nurse?

A nurse works under the direction of a doctor or paramedic. She is not responsible for diagnostics, does not perform examinations and does not write prescriptions, however, the profession nurses are very important.

It depends on the nurse how the procedures will go, how comfortable the patient will feel and how she will recover after treatment. So in practice, this is the second most important person after the doctor.

Concepts " profession nurse" and "humanist" are not identical, but they are closely related. After all, people of this specialty should help others in any situation.

Today, the nursing profession is considered one of the most popular . At the same time, the demands placed on workers in this field are no less, and sometimes greater, than on doctors. Accordingly, there is nothing strange in the fact that it is good to master nursing profession only those who can have certain knowledge. At a minimum, to enter this specialty you will need training in chemistry and biology. Having mastered these subjects at the proper level, you will be able to enter a secondary specialized medical educational institution. And teachers from the online tutoring service will help you prepare for this. Tutoronline.ru.

In addition to certain knowledge, a health worker needs qualities such as courage and dedication. Only then will patients trust him as a professional who knows his business well.

A little about the responsibilities of a nurse

The main functions of a nurse are as follows:

Care of the sick and newborns;
- performing procedures prescribed by a doctor;
- provision of feasible psychological assistance;
- monitoring the sanitary condition in the department;
- preparation of medical documents;
- monitoring the condition of patients;
- support for patients;
- registration of patients;
- control, storage and accounting of drugs;
- rehabilitation measures;
- propaganda of the fight against drugs, smoking and alcoholism.

The exact scope of duties of a nurse largely depends on the place of work. Historically

so that this profession is a continuation of the societies that consisted of nurses. Their main task has always been to help the weak and suffering. And the first nurses helped nurse wounded soldiers during the war.

This specialty is noble, and therefore, choosing it as a matter of life, a person obliged Continuously improve your skills even after graduating from college. The first nurses usually did not have medical training, but for current This is a mandatory condition for health workers. So if you want to go to one of the educational institutions where specialists in this profession are trained, contact the teachers of the online tutoring service Tutoronline.ru, and they will definitely help you gain knowledge, which are needed for further development of the specialty.

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