Job description medical worker according to pre-trip medical examinations drivers [name of organization, enterprise]
This job description has been developed and approved in accordance with the provisions of the “Instruction on conducting pre-trip medical examinations of drivers of vehicles”, approved by Order of the USSR Ministry of Health of September 29, 1989 N 555, Methodological recommendations "Medical support security traffic. Organization and procedure for pre-trip medical examinations of drivers Vehicle", approved by the Ministry of Health of the Russian Federation and the Ministry of Transport of the Russian Federation on January 29, 2002 and other regulatory legal acts regulating labor relations.
1. General Provisions
1.1. Pre-trip medical examinations of vehicle drivers are carried out by a medical worker of the organization in order to identify persons who, for medical reasons, cannot be allowed to drive a car both from the point of view of ensuring road safety and protecting the health of the driver and passengers.
1.2. The medical worker for pre-trip medical examinations is directly subordinate to [name of the manager's position].
1.3. Pre-trip medical examinations are carried out only by a medical professional who has the appropriate certificate.
1.4. A medical worker for pre-trip medical examinations is hired and dismissed from work by order of [position of the head of the organization].
1.5. A medical worker for pre-trip medical examinations must know:
Resolutions, instructions, orders and other guiding, methodological and regulations for conducting pre-trip medical examinations of drivers;
Procedure and rules for handling instruments intended for measurement blood pressure, pulse, body temperature, determining the reaction to the presence of alcohol in exhaled air;
Methods for conducting pre-trip inspections of drivers;
Internal labor regulations of the organization;
Fundamentals of labor organization;
Rules on labor protection, industrial sanitation and fire safety.
1.6. Professionally important qualities: [list qualities].
2. Job responsibilities of the employee
The medical worker for pre-trip medical examinations is assigned the following job responsibilities:
2.1. Monitoring the health status of drivers.
2.2. Conducting pre-trip medical examinations before the start of a work shift, including:
Taking anamnesis;
Determination of blood pressure and pulse;
Determination of the presence of alcohol and other psychotropic substances in exhaled air or biological substrates using one of the officially recognized methods;
If indicated - any other permitted medical research necessary to resolve the issue of permission to work.
2.3. Recording the results of the pre-trip medical examination in the journal.
2.4. Making a decision on allowing drivers to work.
2.5. Upon admission to the flight, the medical worker puts a stamp on the waybills “passed the pre-trip medical examination” and a signature.
2.6. If necessary, provide first aid.
2.7. Registration in the prescribed manner of referral to medical institutions drivers.
2.8. Based on the results of the pre-trip medical examination, maintaining police records of drivers suspended from work, for which outpatient card forms are used (Form 25). Entering the examination results into the card (history, objective examination data, reason for dismissal).
2.9. Analysis of the reasons for the removal of drivers from work.
2.10. Taking part in the investigation of road accidents in order to identify causes depending on the health status of the driver who committed the road accident.
2.11. Conducting an analysis of the effectiveness of pre-trip medical examinations of drivers.
2.12. Once a year, compiling a list of persons registered at the dispensary, as well as during the initial identification of patients, indicating the diagnosis and brief recommendations for permission to work.
2.13. Informing the head of the organization about the results of the inspection.
3. Employee rights
A medical worker for pre-trip medical examinations has the right to:
3.1. For all social guarantees provided for by law.
3.2. Require the head of the organization to provide assistance in the performance of his professional duties and the exercise of rights.
3.3. For advanced training in organizing pre-trip medical examinations.
3.4. Make proposals to the manager on issues related to execution job responsibilities provided for in this job description.
3.5. Request personally or on behalf of your immediate supervisor documents, materials, tools, etc., necessary to perform your job duties.
3.6. Other rights provided for by labor legislation.
4. Responsibility of the employee
The medical worker for pre-trip medical examinations is responsible for:
4.1. Disciplinary, and in cases provided for by law, other liability for the quality of the pre-trip medical examination and the issuance of a conclusion on the admission of drivers to drive a vehicle.
Supervisor structural unit[initials, surname]
[signature]
[day month Year]
Agreed:
Head of Legal Department [initials, surname]
[signature]
[day month Year]
I have read the instructions: [initials, surname]
[signature]
[day month Year]
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Updated: 12/12/2019 14:47
"I affirm"
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Job description
nurses conducting pre-trip medical examinations
vehicle drivers
1. General Provisions
1.1. A person with secondary medical education, who has undergone special training and has an appropriate certificate, is appointed to the position of nurse to conduct pre-trip medical examinations of vehicle drivers.
1.2. Reports to the manager medical office and........................................, and when combining the positions of head of the medical office and nurses – .......................... .
1.3. In practical work, he is guided by the Methodological Recommendations “Organization and procedure for conducting pre-trip medical examinations of drivers of motor vehicles,” approved by the Ministry of Health of the Russian Federation and the Ministry of Transport of the Russian Federation on January 29, 2002.
2. Job responsibilities
2.1. The main objective of pre-trip medical examinations is to identify signs of various diseases, signs of alcohol use, illegal drugs medicines, residual effects alcohol intoxication (hangover syndrome), fatigue. If these signs are detected, drivers are not allowed to drive vehicles.
2.2. Receive drivers of vehicles for a pre-trip medical examination individually, with a waybill.
2.3. Begin the inspection by interviewing the driver, finding out his subjective well-being, the presence or absence of complaints about his health. When the driver expresses any complaints, the medical worker is obliged to identify and confirm (or refute) their objectivity during the examination.
2.4. The grounds for removing drivers of motor vehicles from work are the following deviations in health status:
- presence of symptoms of acute illness or exacerbation chronic disease(increase in body temperature over 370 C, complaints about bad feeling, general weakness, headache And toothache, acute diseases eyes, pain in the ear, chest or abdominal cavity and so on.).
- an increase or decrease in heart rate and changes in blood pressure above or below levels characteristic of the driver being examined.
- being under the influence of alcoholic beverages or other drugs (narcotic and psychotropic drugs or toxicants) that violate functional state. In this case, the medical professional conducting the pre-trip medical examination is obliged to monitor the driver’s sobriety.
2.5. The results of the pre-trip medical examination in mandatory enter in a standard journal.
2.6. In the absence of complaints and objective grounds for removal from work (clause 2.4.), the driver is allowed to work with a mark on the waybill (stamp) indicating the date, exact time of the medical examination, surname, initials and signature of the medical worker who carried out the examination. examination.
2.7. If, during a pre-trip medical examination, signs of the driver’s use of alcohol, drugs and other drugs are detected, psychoactive substances monitor the driver's sobriety. When determining sobriety control to determine the state of health, the examined driver must be subjected to a clinical examination and must be laboratory diagnostics biological media driver (exhaled air and urine). Blood sampling is strictly prohibited. When conducting a sobriety control, it is mandatory to draw up a sobriety control protocol in the established form in two copies, clearly and specifically filling out each paragraph of the document. One copy of the protocol remains with the health worker, the second is given to the head of the organization.
2.8. Each case of sobriety control must be registered in a special numbered, laced journal, sealed with the organization’s seal. The log records the surname, first name, patronymic, age, place of work and position, reason for referral for examination, who sent it, date and time of sobriety control, conclusion, measures taken, surname and initials of the medical worker.
2.9. If there are pronounced signs of intoxication, as well as the person being examined refuses to undergo an examination, hardware or test examination, the administration of the organization draws up a report on the employee’s appearance at the workplace in a drunken state.
2.10. Drivers suspended from work for health reasons should be sent to work time to a doctor at the clinic at his place of residence or to the clinic serving him under medical insurance, during non-working hours - recommend that he come to the clinic the next day to resolve the issue of recognizing the driver suspended from work as temporarily disabled and issuing him sick leave according to established order. At the same time, issue the driver a certificate signed by him, in any form, indicating the hour of release from work and brief information about the nature of the disease or injury.
2.11. Permission to work for persons suffering from hypertension or obvious hypotension, carry out strictly individually according to the doctor’s recommendations. These recommendations are recorded in the health record. The card is filled out by a medical professional for drivers with chronic diseases.
2.12. Once a year, as well as during the initial identification of patients, compile lists of persons registered at the dispensary, indicating the diagnosis and brief recommendations for permission to work.
2.13. Monthly sum up the results of pre-trip medical examinations with an analysis of the reasons for the removal of drivers from work, and bring the results to the attention of the head of the organization.
2.14. Ensure accounting and storage of medications in a special medicine cabinet.
2.15. Ensure strict adherence to all rules of asepsis and antisepsis in the office during procedures. Sterilize instruments and materials in accordance with current instructions.
2.16. Ensure sanitary and hygienic maintenance of the medical office.
2.17. Maintain the necessary office records in the prescribed form, timely submit requests for instruments, equipment, medicines and dressings.
2.18. Systematically improve your professional qualifications by participating in conferences for secondary medical personnel V medical institutions upon request through the head of the organization.
3. Rights
3.1. In the absence of a doctor, provide emergency first aid medical care patients in the medical office.
3.2. Improve professional qualifications at special courses in the prescribed manner.
3.3. Require company employees to comply with the rules of asepsis and antisepsis when working in the medical room.
3.4. Obtain the information necessary to perform your job duties.
3.5. Make proposals to the company management aimed at improving the performance of pre-trip medical examinations of vehicle drivers.
4. Responsibility
4.1. The medical worker bears disciplinary, and in cases provided for by law, other responsibility for the quality of the pre-trip medical examination and the issuance of a conclusion on the permission of drivers to drive a vehicle.
4.2. Bears responsibility for failure to fulfill, unclear or untimely fulfillment of duties provided for in these Instructions and the internal labor regulations of the company.
__________________________________________
(immediate supervisor)
The following have been familiarized with the job description:
(date, signature, surname):
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