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Job Responsibilities of a Urologist.
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JOB DESCRIPTION
DOCTOR-UROLOGIST
______________________________________________
(name of institution)
00.00.201_ #00
I. General provisions
1.1. This job description defines the job duties, rights and responsibilities of a urologist _____________________ (hereinafter referred to as the "enterprise").
1.2. A person who has a higher medical education and has been trained in the specialty "Urology" is appointed to the position of a urologist.
1.3. Appointment to the position of a urologist and dismissal from it is carried out in accordance with the procedure established by the current labor legislation by order of the head of the healthcare institution.
1.4. The urologist reports directly to _____________________
(Head of Department, Deputy Chief Physician)
1.5. The urologist should know:
Laws of the Russian Federation and other regulatory legal acts regulating the activities of healthcare institutions;
Current regulatory and methodological documents regulating the activities of medical institutions;
Methods and rules for the provision of medicinal and emergency medical care;
The content of urology as a separate clinical discipline;
Organization, structure, tasks, staffing and equipment of the urological service;
All legal and regulatory documents in their specialty;
Methods for prevention, diagnosis, treatment and rehabilitation of the patient;
Planning activities and all reporting of the urological service;
The methodology and procedure for monitoring your service;
Rules and norms of labor protection, industrial sanitation, safety and fire protection;
Basics of the labor legislation of the Russian Federation
Internal labor regulations;
1.6. During the absence of a urologist (business trip, vacation, illness, etc.), his duties are performed in the prescribed manner by an appointed person who is fully responsible for their proper performance.
II. Job Responsibilities
Urologist:
2.1. In his specialty, he provides qualified medical care, using modern methods of diagnosis, prevention, treatment and subsequent rehabilitation of the patient.
2.2. In accordance with the established rules and standards, he chooses the tactics of managing the patient, develops a plan for his examination
2.3. Clarifies the volume and methods of examination of the patient in order to obtain a reliable and complete diagnosis of the disease in the shortest possible time.
2.4. Based on the collected data, he makes an analysis, as well as prescribes and conducts the necessary treatment and procedures.
2.5. Performs daily check-ups in the hospital.
2.6. Modifies treatment plan as needed
2.7. Advises doctors of departments of healthcare facilities in their specialty
2.8. Manages junior medical staff
2.9. Monitors the correctness of diagnostic and therapeutic procedures, as well as the operation of equipment and apparatus, tools, drugs, reagents
2.10. Supervises compliance with the rules of safety and labor protection by lower-level medical personnel.
2.11. Timely and competently executes orders, instructions and instructions of the management of the institution
2.12. Complies with internal regulations.
2.13. Complies with the requirements of labor protection, industrial sanitation and safety
2.14. Timely and competently executes orders, instructions and instructions of the management of the institution
2.15. Complies with internal regulations.
2.16. Complies with the requirements of labor protection, industrial sanitation and safety
III. Rights
The urologist has the right:
3.1. Make proposals to the management of the enterprise on the optimization and improvement of medical and social assistance, including on issues of their work activities.
3.2. Require the management of the institution to assist in the performance of their duties and rights.
3.3. Receive information from the company's specialists necessary for the effective performance of their duties.
3.4. Pass certification in accordance with the established procedure with the right to obtain the appropriate qualification category.
3.5. To take part in the work of meetings, scientific and practical conferences and sections on issues related to their professional activities.
3.6. Enjoy labor rights in accordance with the Labor Code of the Russian Federation
I
V . A responsibilityThe urologist is responsible for:
4.1. For the proper and timely performance of the duties assigned to him, provided for in this job description
4.2. For the organization of their work and the qualified execution of orders, orders and instructions from the management of the enterprise.
4.3. To ensure that subordinate employees comply with their duties.
4.4. For non-compliance with internal regulations and safety regulations.
For offenses or omissions committed in the course of therapeutic measures; for errors in the process of carrying out their activities, which entailed serious consequences for the health and life of the patient; as well as for violation of labor discipline, legislative and regulatory acts, a urologist can be brought in accordance with applicable law, depending on the severity of the misconduct, to disciplinary, material, administrative and criminal liability.
Job description of a urologist
1. General Provisions
1. This job description defines the duties, rights and responsibilities of a urologist.
2. A person with a higher medical education who has completed postgraduate training or specialization in the specialty "Urology" is appointed to the position of a urologist.
3. A urologist must know the basics of the RF legislation on health care; legal documents regulating the activities of healthcare institutions; the basics of organizing medical and preventive care in hospitals and outpatient clinics, emergency and emergency medical care, disaster medicine services, sanitary and epidemiological services, drug supply to the population and health care facilities; theoretical foundations, principles and methods of clinical examination; organizational and economic foundations for the activities of health care institutions and medical workers in the context of budgetary insurance medicine; fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology; legal aspects of medical activity; 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, course features, principles of complex treatment of major diseases; rules for the provision of emergency medical care; bases of examination of temporary incapacity for work and medico-social examination; fundamentals of health education; internal labor regulations; rules and norms of labor protection, safety measures, industrial sanitation and fire protection.
In his specialty, a urologist must know modern methods of prevention, diagnosis, treatment and rehabilitation; content and sections of urology as an independent clinical discipline; tasks, organization, structure, staffing and equipment of the urological service; current legal and instructive and methodological documents in the specialty; rules for issuing medical documentation; the procedure for conducting an examination of temporary disability and medical and social examination; principles of activity planning and reporting of the urological service; methods and procedures for monitoring its activities.
4. A urologist is appointed to the position and dismissed by order of the head physician of the health facility in accordance with the current legislation of the Russian Federation.
5. The urologist directly reports to the head of the department, and in his absence to the head of the medical facility or his deputy.
2. Job responsibilities
Provides qualified medical care in his specialty, using modern methods of prevention, diagnosis, treatment and rehabilitation, permitted for use in medical practice. Determines the tactics of managing the patient in accordance with established rules and standards. Develops a plan for examining the patient, specifies the volume and rational methods of examining the patient in order to obtain complete and reliable diagnostic information in the shortest possible time. Based on clinical observations and examinations, anamnesis, data from clinical, laboratory and instrumental studies, establishes (or confirms) the diagnosis. In accordance with the established rules and standards, prescribes and controls the necessary treatment, organizes or independently conducts the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and measures. The patient is examined daily in the hospital. Makes changes to the treatment plan depending on the patient's condition and determines the need for additional examination methods. Provides consultative assistance to doctors of other departments of health care facilities in their specialty. Supervises the work of secondary and junior medical personnel subordinate to him (if any), facilitates the performance of his duties. Controls the correctness of carrying out diagnostic and therapeutic procedures, the operation of instruments, apparatus and equipment, the rational use of reagents and drugs, compliance with safety and labor protection rules by middle and junior medical personnel. Participates in training sessions to improve the skills of medical personnel. Plans its work and analyzes the performance of its activities. Ensures timely and high-quality execution of medical and other documentation in accordance with established rules. Carries out sanitary-educational work. Complies with the rules and principles of medical ethics and deontology. Participates in the examination of temporary disability and prepares the necessary documents for medical and social examination. Qualified and timely executes orders, orders and instructions of the management of the institution, as well as legal acts on his professional activities. Complies with the rules of internal regulations, fire safety and safety, sanitary and epidemiological regime. Promptly takes measures, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors. Systematically improves his skills.
3. Rights
The urologist has the right:
1. independently establish a diagnosis in the specialty on the basis of clinical observations and examinations, anamnesis, data from clinical, laboratory and instrumental studies; determine the tactics of patient management in accordance with established rules and standards; prescribe the methods of instrumental, functional and laboratory diagnostics necessary for a comprehensive examination of the patient; carry out diagnostic, therapeutic, rehabilitation and preventive procedures using approved diagnostic and treatment methods; to involve, in necessary cases, doctors of other specialties for consultations, examination and treatment of patients;
2. to make proposals to the management of the institution on improving the diagnostic and treatment process, improving the work of administrative, economic and paraclinical services, issues of organization and conditions of their work;
3. control the work of subordinate employees (if any), give them orders within the framework of their official duties and demand their precise execution, make proposals to the management of the institution on their encouragement or imposition of penalties;
4. request, receive and use information materials and legal documents necessary for the performance of their duties;
5. to take part in scientific-practical conferences and meetings, which discuss issues related to his work;
4. timely and high-quality execution of medical and other service documentation provided for by the current legal documents;
5. providing, in accordance with the established procedure, statistical and other information on their activities;
6. Ensuring compliance with executive discipline and performance of their duties by subordinate employees (if any);
7. prompt action, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors.
For violation of labor discipline, legislative and regulatory acts, a urologist may be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the offense.
1. GENERAL PROVISIONS
1.1. The main task of the urologist of the LDO sanatorium is to receive and examine patients, make a diagnosis, prescribe treatment and monitor the implementation of their appointments and the course of the treatment process.
1.2. The urologist is appointed and dismissed by the general director of the enterprise in agreement with the head physician of the sanatorium and the head of the LDO.
1.3. The urologist reports directly to the head of the LDO.
1.4. A doctor who has undergone special training in urology is appointed to the position of a urologist.
1.5. In case of temporary absence of a urologist, he is replaced by another urologist.
1.6. The urologist supervises the work of the middle and junior medical staff of the office.
1.7. The urologist should know:
Fundamentals of health care legislation and policy documents that determine the activities of health authorities and institutions;
General issues of organizing urological care in the country, the main policy documents that determine its activities;
Fundamentals of topographic anatomy of body regions and, first of all, the anterior abdominal wall and abdominal cavity, retroperitoneal space of the small pelvis and urogenital region in normal and pathological conditions, age anatomy in the main age groups;
The main issues of normal and pathological physiology in urological pathology in the main age groups, the relationship of the functional systems of the body and the levels of their regulation;
Causes of pathological processes in the body, mechanisms of their development and clinical manifestation;
Fundamentals of water-electrolyte and mineral metabolism, acid-base balance; possible types of their disorders and principles of treatment in different age groups;
The system of hematopoiesis and hemostasis, the physiology and pathophysiology of the blood coagulation system, the basics of blood replacement therapy, homeostasis indicators in normal and pathological conditions; indications and contraindications for transfusion of blood and its components;
Physiology and pathophysiology of urination and urination, the composition of normal urine and its possible changes;
Pathophysiology of traumatism and blood loss, prevention and therapy of shock and blood loss; pathophysiology of wound and purulent process;
General and functional examination methods in urology;
Issues of asepsis and antisepsis in urology;
Principles, techniques and methods of anesthesia in urology; issues of intensive care and resuscitation;
Fundamentals of infusion therapy in urology, characteristics of blood products and blood substitutes;
Fundamentals of pharmacotherapy in urology;
Clinical symptoms of major urological diseases in different age groups, their prevention, diagnosis and treatment;
Fundamentals of sexology; clinical andrology;
Clinical symptoms of borderline conditions in urology and diseases that have a secondary effect on the function of the genitourinary organs;
Indications and contraindications for special research methods (X-ray contrast, X-ray, radiological, ultrasound, etc.);
Principles of drug therapy of urological diseases; modern drugs, their mechanism of action, dosage, contraindications for use, complications and their prevention;
Fundamentals of non-drug therapy, the use of physiotherapy, exercise therapy and medical supervision, indications and contraindications for spa treatment;
Fundamentals of rational nutrition of a healthy and sick organism, principles of diet therapy for urological patients;
Fundamentals of oncological vigilance for the prevention and early diagnosis of malignant neoplasms;
Indications for hospitalization of urological patients;
Organization of intensive care and resuscitation service for urological patients, equipment of intensive care and resuscitation wards;
Fundamentals of legal law in urology;
Anti-epidemic measures in the event of a focus of infection;
Forms and methods of sanitary and educational work among the population;
Issues of organization and activities of the civil defense medical service;
The structure and organization of the work of the sanatorium with its specialized departments;
Decrees, orders, orders of higher authorities and services, other instructive and methodological documents on medical and diagnostic, anti-epidemic and sanitary and educational work coming from the administration of the sanatorium and higher medical institutions;
Balneology, spa therapy, physiotherapy, diet therapy, emergency conditions, infectious diseases, physiotherapy exercises and other clinical disciplines related to the treatment of patients;
Compatibility of applied medical procedures on the same day and throughout the course of treatment, medical methods and guidelines used to treat patients;
Indications and contraindications for balneotherapy;
Permissible periods of stay of patients in isolation and the nomenclature of diseases to be sent to the isolation ward:
OOI, anti-epidemic and sanitary-hygienic measures to prevent their occurrence;
Scheme for alerting the personnel of the Department for Especially Dangerous Infections and Civil Defense;
Disinfection current and final, disinfectants, their preparation and use, disinsection and deratization, means used for these purposes;
Functional responsibilities;
Dates, time and place of business qualification classes, OOI, civil defense, sanitary days, sanitary hours, trade union meetings and other public events;
The procedure for compiling the established reporting;
The order of registration of documentation for the examination of patients;
Law of Ukraine "On labor protection";
Law of Ukraine "On fire safety";
Regulatory documents and acts on labor protection;
Rules and norms of labor protection;
Fire safety and industrial sanitation rules;
Electrical safety rules;
Internal labor regulations;
Instructions on labor protection and fire safety;
Law of Ukraine on Civil Defense;
Regulations on the Civil Defense of Ukraine;
Collective agreement;
Basics of labor legislation;
Job instruction.
2. FUNCTIONS
2.1. The area of work of the urologist LDO is:
examination and prescription of treatment for patients and monitoring their implementation.
The workplace of a urologist is a doctor's office equipped with the necessary medical equipment, devices and instruments, according to the equipment sheet.
2.2. Urologist of the department according to the job description:
2.2.1. Prepares his workplace.
2.2.2. Carries out the reception of patients.
2.2.3. Determines indications and application of special objective research methods and prescribes treatment. Performs medical procedures.
2.2.4. Controls the plan of examination and treatment, diet, movement and rest.
2.2.5. Provides the necessary medical care in the event of a balneological reaction and other urgent conditions.
2.2.6. Maintains medical documentation - a medical history, a card of a retired patient, a journal of admitted patients.
2.2.7. Participates in the health education of patients.
2.2.8. Masters and implements new medical techniques and takes part in scientific and practical work.
2.2.9. Participates in advanced training of middle and junior medical staff of the sanatorium.
2.2.10. Provides monthly progress report.
3. RESPONSIBILITIES
The urologist is obliged, according to due instructions:
3.1. Qualitatively and in a timely manner to perform the functions assigned to him in accordance with the requirements of the current legislation, regulations, regulations, instructions and orders of the administration.
3.2. Perform daily tasks received from the head of the LDO and tasks in accordance with the approved work plan.
3.3. Put on overalls (medical gown, cap), check the availability of sterile materials (gloves, urological instruments), the serviceability of the equipment available in the office, the availability and serviceability of the grounding of electrical installations.
3.4. Collect information about the disease and conduct an examination of patients during the first two days from the date of their admission to the sanatorium; assess the severity of the patient's condition, provide medical care; draw up an individual plan for examination, treatment and a mode of movement and rest, monitor its implementation; make a preliminary diagnosis and enter all data into the medical history.
3.5. Determine the indications for the use of special research methods (laboratory, radiological, biochemical, functional, etc.) necessary to clarify the diagnosis; properly evaluate the data.
3.6. Conduct differential diagnosis, substantiate the clinical diagnosis, scheme, plan and tactics of patient management.
3.7. Determine the blood group and perform intravenous or intra-arterial blood transfusion, reinfusion; identify possible transfusion complications and carry out the necessary therapeutic and preventive measures.
3.8. Apply, according to indications, an adequate method of anesthesia in urological practice.
3.9. Determine the indications for hospitalization of a urological patient, organize hospitalization in the Central District Hospital in accordance with the patient's condition.
3.10. During the first 3-5 days after receiving the results of additional examination methods, make a final diagnosis for the underlying disease; diagnose comorbidities.
3.11. Adjust the individual treatment plan taking into account the diagnoses of the underlying and concomitant diseases; prescribe the necessary medicines and other therapeutic measures, taking into account the age of the patient and his condition; prescribe therapeutic nutrition, taking into account the general factors and nature of the disease; apply remedial measures if necessary.
3.12. Within 5-7 days, present contraindicated and temporarily unindicated patients with the data of objective and additional examination methods to the ICC.
3.13. Once every 5 days, examine the patient and reflect the results of the observations in the medical history.
3.14. In case of deterioration of the patient's condition, examine him daily with a reflection of the dynamics of the condition in the medical history, transfer him under the supervision of the doctor on duty of the sanatorium and inform the head of the department about this.
3.15. Make daily rounds of assigned wards, get acquainted with the state of health and patient care, the implementation of the regimen and treatment and diagnostic appointments; check the sanitary condition and general order in the chambers entrusted to him.
3.16. Monitor the implementation by patients of their prescribed treatment, regimen, nutrition, physiotherapy exercises, examination plan, etc.
3.17. One to two days before the patient is discharged, conduct a final examination; fill in an epicrisis in the medical history and give the patient advice on further treatment, nutrition and regimen with an appropriate entry in the sanatorium book.
3.18. Visit the balneo-mud clinic, physiotherapy department, exercise therapy rooms, mechanotherapy, etc. to control the release of procedures and the body's reaction to these procedures of the patients supervised by him.
3.19. In the event of a general balneological reaction or other emergency condition, immediately examine the patient and provide emergency medical care, informing the head of the department and deputy. the head physician of the sanatorium for the medical unit.
3.20. For each patient, fill out and maintain a medical history, a journal of admitted patients. When a patient is discharged, fill out a card of a retired patient.
3.21. To carry out duty in the sanatorium according to the schedule approved by the head physician of the sanatorium.
3.22. Instruct staff on patient care and maintenance of wards in proper sanitary condition.
3.23. Monitor the fulfillment by nurses of his appointments to patients, filling out sanatorium-resort books and other medical documentation.
3.24. Supervise the implementation of the sanitary and epidemiological regime by junior medical personnel in the department.
3.25. Participate in the health education of patients through lectures, talks and radio talks.
3.26. Master and implement new medical techniques and take part in scientific and practical work.
3.27. To take part in the advanced training of the middle and junior medical staff of the department by conducting classes according to the approved thematic plan.
3.28. Submit a monthly report on the work done (number of procedures dispensed, number of patients served, etc., etc.) and a report on the movement of material assets that are in his account.
The job description of a urologist is signed by an employee.
The job description of a urologist must be approved and agreed upon.
The urologist directly reports to the head of the department, and in his absence to the head of the medical organization or his deputy. 2. Responsibilities Provides qualified medical care in his specialty, using modern methods of prevention, diagnosis, treatment and rehabilitation, permitted for use in medical practice. Determines the tactics of managing the patient in accordance with established rules and standards. Develops a plan for examining the patient, specifies the volume and rational methods of examining the patient in order to obtain complete and reliable diagnostic information in the shortest possible time. Based on clinical observations and examinations, anamnesis, data from clinical, laboratory and instrumental studies, establishes (or confirms) the diagnosis.
Job Descriptions
Qualified and timely executes orders, orders and instructions of the management of the institution, as well as legal acts on his professional activities. Complies with the rules of internal regulations, fire safety and safety, sanitary and epidemiological regime. Promptly takes measures, including timely informing management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of a medical organization, its employees, patients and visitors.
Systematically improves his skills. 3.
403 forbidden
Important
Participate in the health education of patients through lectures, talks and radio talks. 3.26. Master and implement new medical techniques and take part in scientific and practical work. 3.27. To take part in the advanced training of the middle and junior medical staff of the department by conducting classes according to the approved thematic plan.
3.28. Submit a monthly report on the work done (number of procedures dispensed, number of patients served, etc., etc.) and a report on the movement of material assets that are in his account. The job description of a urologist is signed by an employee. The job description of a urologist must be approved and agreed upon.
Job description of a urologist
Determine the blood group and perform intravenous or intra-arterial blood transfusion, reinfusion; identify possible transfusion complications and carry out the necessary therapeutic and preventive measures. 3.8. Apply, according to indications, an adequate method of anesthesia in urological practice. 3.9. Determine the indications for hospitalization of a urological patient, organize hospitalization in the Central District Hospital in accordance with the patient's condition.
3.10. During the first 3-5 days after receiving the results of additional examination methods, make a final diagnosis for the underlying disease; diagnose comorbidities. 3.11.
For improper performance or non-performance of his duties, erroneous actions or inaction, failure to make decisions within the scope of his competence, as well as for non-use or directly to his rights provided for by this job description, internal labor regulations - within the limits determined by the current legislation of Ukraine and criminal legislation of Ukraine. 4.2. For offenses committed in the course of carrying out their activities - within the limits determined by the current administrative, criminal and civil legislation of Ukraine. 4.3. For causing material damage - within the limits determined by the current labor legislation on labor of Ukraine.
4.4. . 5. A urologist must know: 5.1.
I approve
Job description of a urologist
Attention
The current legislation on health care and regulatory documents regulating the activities of government bodies and health care institutions. 5.2. Organization of urological care for adults and children, as well as emergency and emergency medical care. 5.3. Fundamentals of law in medicine. 5.4. Rights, duties and responsibilities of a urologist.
5.5. Indicators of the work of medical and preventive institutions. 5.6. Organization of dispensary observation, the work of a medical advisory and medical and social expert commission. 5.7. Topographic, normal and pathological anatomy and physiology.
5.8. Constants of homeostasis, water-electrolyte metabolism, interconnection of functional systems. 5.9. General functional and special research methods in urology. 5.10. Modern classification of urological diseases.
5.11.
Russian Federation and other regulatory legal acts regulating the activities of healthcare institutions; – current regulatory and methodological documents regulating the activities of medical institutions; - methods and rules for the provision of medicinal and emergency medical care; — the content of urology as a separate clinical discipline; - organization, structure, tasks, staffing and equipment of the urological service; - all legal and regulatory documents in their specialty; – methods for prevention, diagnosis, treatment and rehabilitation of the patient; - planning activities and all reporting of the urological service; - the methodology and procedure for monitoring their service; — rules and norms of labor protection, industrial sanitation, safety and fire protection; — fundamentals of the labor legislation of the Russian Federation — internal labor regulations; 1.6.
Job description of a urologist at a polyclinic
Injuries of the genitourinary organs: - trauma of the kidneys (open, closed, combined); - trauma of the ureters, their strictures; - trauma of the bladder; - trauma and stricture of the urethra; - trauma of the genital organs (penis, scrotum and its organs). 4.7. Acute and chronic nonspecific inflammatory diseases of the genitourinary organs: 4.7.1. Inflammatory diseases of the kidneys and retroperitoneal space: - acute pyelonephritis (serous, purulent); - chronic pyelonephritis (active, latent phase, remission phase); - paranephritis; - retroperitoneal fibrosis; - inflammatory diseases of the bladder and urethra (cystitis, urethritis); 4.7 .2. Inflammatory diseases of the genital organs in men: - diseases of the penis: - balanoposthitis; - cavernitis; - phimosis, paraphimosis; - fibroplastic induration; - priapism; - diseases of the scrotum; - epididymitis; - orchitis. 4.7.3.
Job description of a hospital urologist
In the event of a general balneological reaction or other emergency condition, immediately examine the patient and provide emergency medical care, informing the head of the department and deputy. the head physician of the sanatorium for the medical unit. 3.20. For each patient, fill out and maintain a medical history, a journal of admitted patients. When a patient is discharged, fill out a card of a retired patient. 3.21. To carry out duty in the sanatorium according to the schedule approved by the head physician of the sanatorium. 3.22. Instruct staff on patient care and maintenance of wards in proper sanitary condition. 3.23. Monitor the fulfillment by nurses of his appointments to patients, filling out sanatorium-resort books and other medical documentation. 3.24. Supervise the implementation of the sanitary and epidemiological regime by junior medical personnel in the department. 3.25.
Posadov's instruction of the urologist
Carry out activities to improve the skills of the medical staff of the clinic for the early detection of urological pathology.2.12. To control and manage the work of the nursing staff of the urological office.2.13. Systematically improve their professional qualifications and the level of medical knowledge of urological nurses.2.14. Organize and conduct among the population the promotion of sanitary and hygienic knowledge on the prevention of urogenital diseases.2.15. Keep medical records of outpatients, write prescriptions.2.16. Ensure proper medical records are kept by the nurse in the office.
3.
_______________________________
I. General provisions
1. A person with a higher medical education in the specialty "General Medicine" is accepted for the position of a urologist, who has the legal right to engage in medical activities, possesses theoretical knowledge and practical skills in the profile of the department in accordance with the requirements of the qualification characteristic, with work experience in the specialty not less than 3 years.
2. Appointment to the position of a doctor - urologist and dismissal from it is carried out by order of the head of the organization.
3. The urologist works according to the schedule drawn up by the Head of the Department. Changing the work schedule is allowed only with the consent of the Head of the Department
4. The urologist should know:
II. General knowledge
The urologist should know:
Fundamentals of health care legislation and policy documents that determine the activities of health authorities and institutions;
General issues of organizing surgical and urological care for adults and children, organizing the work of ambulance and emergency care for adults and children;
Organization, equipment and equipment of the urological room of the polyclinic, tools and equipment for the operating room for urological operations, equipment for the dialysis unit;
Topographic anatomy of the anterior abdominal wall and abdominal cavity, retroperitoneal space, pelvis, age anatomy in the main age groups;
The main issues of normal and pathological physiology in urological pathology in the main age groups, the relationship of the functional systems of the body and the levels of their regulation;
Causes of pathological processes in the body, mechanisms of their development and clinical manifestation;
Fundamentals of water-electrolyte metabolism, acid-base balance, possible types of their disorders and principles of treatment in different age groups; pathophysiology of traumatism and blood loss, prevention and therapy of shock and blood loss; pathophysiology of wound and purulent processes;
Physiology and pathophysiology of urination and urination, the composition of normal urine and its possible changes;
Physiology and pathophysiology of the blood coagulation system,
Indications and contraindications for transfusion of blood and its components;
General and functional examination methods in urology, issues of asepsis and antisepsis;
Principles, techniques and methods of anesthesia; issues of intensive care and resuscitation;
Clinical symptoms of major urological diseases in different age groups, their prevention, diagnosis and treatment;
Fundamentals of sexology; clinical andrology;
Clinical symptoms of borderline conditions in urology and diseases that have a secondary effect on the function of the genitourinary organs;
Indications and contraindications for special research methods (X-ray contrast, X-ray, radiological, ultrasound, etc.);
Principles of preparing patients for surgery and principles of postoperative management;
Principles of drug therapy for urological diseases: modern drugs, their mechanism of action, dosage, contraindications for use, complications and their prevention;
Develop a scheme for postoperative management of the patient and the prevention of postoperative complications, prescribe the necessary drug therapy;
Complete all necessary medical documentation;
Carry out medical examination and evaluate its effectiveness;
Carry out health education.
IV. Special knowledge, skills
1. A urologist must know the prevention, diagnosis, clinic, treatment and be able to diagnose and provide the necessary assistance in the following diseases and conditions:
Traumatic shock;
bacterial shock;
Acute blood loss;
Wounds and wound infection;
Acute cardiac and respiratory failure;
Acute renal failure;
Acute toxicosis, including prolonged crush syndrome.
2. A urologist should be able to establish a diagnosis and provide the necessary treatment for the following diseases:
2.1. Anomalies of the kidneys, urinary tract and male genital organs.
2.2. Anomalies of the kidneys and upper urinary tract:
Position anomalies (dystopia unilateral, bilateral, cross);
Impotence.
2.20. Foreign bodies of the bladder and urethra.
2.21. Dropsy and cysts of the membranes of the testicle, its appendages and spermatic cord.
V. Manipulations and techniques
Palpation of the urethra, cavernous bodies, organs of the scrotum, anterior and posterior walls of the vagina, bladder, ureter, seminal vesicles and kidneys;
Performing qualitative and quantitative studies of urine sediment, determining the presence of protein in it, its relative density;
Bladder catheterization;
Bougienage of the urethra;
Bladder puncture (capillary);
ureteroscopy;
Cystoscopy, chromocystos copy;
Cystometry, sphincterometry, uroflowmetry;
Catheterization of the ureter;
Endovesical manipulations: biopsy of a section of the bladder wall, stone crushing. electrocoagulation of papilloma;
Evaluation of the survey urogram;
Excretory or infusion urography: evaluation of its results;
Retrograde and antegrade urethropyelography;
Performing (and evaluating the results) renal arterio - and venography (survey aortography, selective renal arterio - or venography, pharmacoangnography);
Evaluation of the results of radioisotope renography. static and dynamic nephroscintigraphy; ultrasound examinations of the kidneys, bladder, prostate gland (ultrasonography);
Trocar cystostomy;
Enicystostomy;
cystolithotomy;
Circular excision of the foreskin, dissection of paraphimosis;
Operations according to Vinkalman and Bergman for dropsy of the testicular membranes;
Nephrectomy in case of rupture of the kidney or suturing of its ruptures;
Suturing of the rupture of the wall of the bladder;
VII. A responsibility
1. The urologist is responsible for:
2. For improper performance or non-performance of their duties under this job description, the urologist shall be liable within the limits. Defined by the current labor, civil, criminal legislation of the Russian Federation.
The job description was developed in pursuance of order No. ______ on the basis of ___________________________________________________________________________.
I am familiar with the job description (a), I received one copy in my hands and I undertake to keep it at the workplace.