Nurse anesthetist profession description. Medical nurse - anesthetist, job description. Job responsibilities of an anesthetist nurse

Before the upcoming operation, the sequence of actions of the nurse-anesthetist is initially the same. In the ward or in the preoperative room, she premedicates the child to be operated on, and in the operating room prepares everything necessary for anesthesia.

First, she brings the anesthesia machine into working order, checks the oxygen pressure in the system and the presence of a spare oxygen cylinder, checks the operation of the suction, laryngoscope, compliance of endotracheal tubes and connectors, and controls the completeness of the medication set.

Then he proceeds to prepare his desktop, that is, he covers it with sterile linen and places syringes and needles on it, sterile material, balls moistened with alcohol, a set for catheterization of the great vessels and venesection, provides for a gastric tube, a urethral catheter, a working tonometer and a phonendoscope.

After reporting to the doctor about the readiness to work, the nurse-anesthetist collects in syringes all the drugs necessary to provide anesthesia, in accordance with the plan outlined by the anesthesiologist.

The child, delivered to the operating room, is laid by the anesthetist nurse on his back with the head extended, using a roller under his shoulder blades. For newborns and small children with imperfect thermoregulation, a special heated table or mattress with warm water should be used. At the same time, the nurse-anesthetist must very strictly monitor the heating temperature in order to prevent possible burns in this situation.

After placing the child, the nurse-anesthetist punctures his vein or connects the infusion system to a catheter located in the great vein. The introduction of the necessary drugs is then carried out through the tee.

With mask anesthesia, you need to choose a mask that is sized according to the child's age, so that it fits snugly to his face, and choose an appropriate size duct. An electric pump for sucking mucus from the oral cavity and preventing mucus aspiration should be constantly ready.

If endotracheal anesthesia is expected, then at the signal of the anesthesiologist, the anesthetist nurse slowly injects all the necessary medications into the patient's vein, and after the onset of relaxation gives the doctor an intubation set. By supporting the head in a posteriorly extended position, it helps the clinician to intubate and connect the endotracheal tube through the connector to the anesthesia machine.

Then she gives the doctor a sterile bandage, previously soaked in a solution of rivanol and wrung out, for tamponade of the oral cavity. This manipulation helps to seal the system and fix the endotracheal tube. In addition, narrow strips of plaster are used to fix the tube and connector, which the nurse-anesthetist must prepare in advance.

The nurse anesthetist has many responsibilities during surgery and anesthesia. She constantly monitors the operation of the anesthesia machine, periodically makes control measurements of the pulse, blood pressure, skin temperature and other physiological parameters. She performs all the appointments of the anesthesiologist and maintains an anesthesia card.

In it, she indicates the time of the onset of anesthesia and surgery and all stages of anesthesia and surgical intervention, physiological indicators obtained during control measurements, as well as the dose and time of administration of drugs.

She also informs the doctor about the rate of administration, the volume of transfused fluid and the amount of blood loss. Together with the doctor, she constantly monitors the child's condition, the color of the peripheral parts of his limbs, the depth and frequency of breathing, and the pupillary reaction.

The system of constant mutual monitoring helps to increase the safety of anesthesia and reduce the likelihood of complications. If any complication develops, the nurse immediately measures the child's blood pressure, calculates his pulse and heart rate, informs the doctor about everything and, at his command, takes the measures necessary to eliminate the complication that has arisen.

After the completion of the operation and the termination of anesthesia, the anesthetist nurse helps the doctor to sanitize the tracheobronchial tree, injects the necessary intravenous drugs, checks the level of arterial and central venous pressure, heart rate and pulse, reports the results to the doctor.

Continues until muscle tone and spontaneous breathing are fully restored. At this time, the nurse-anesthetist begins to calculate the total volume of infusion therapy, blood loss, and sums up the dose of relaxants.

After the restoration of adequate breathing, the child is transferred to the ward. The IV system is usually not shut off during this process, and the nurse anesthetist must be very careful to monitor the integrity of the system during transport of the child. The child is transported to the ward on a gurney by an anesthesiologist together with an anesthetist nurse.

In the ward, the child is placed on the bed in a lateral position to prevent the aspiration of vomit and saliva. His legs and arms are fixed with soft bandages. The child is in this position for 2 - 3 hours after the operation under the supervision of the ward duty personnel.

After the child is transferred to the ward, the anesthetist nurse completes the preparation of the anesthesia card, marking the end of the operation and anesthesia, and hands it over to the doctor. Then she turns off the anesthesia machine, processes the anesthesia equipment and instruments and dismantles her table, and when she finishes cleaning, replenishes the supply of medicines, infusion media and writes off the potent drugs, drugs and infusion media used during anesthesia and premedication.

"Burns in children", ND Kazantseva

1. General Provisions

1. This job description defines the job duties, rights and responsibilities of a nurse anesthetist.

2. A person with secondary medical education and appropriate training in the specialty "Anesthesiology and resuscitation" shall be appointed to the position of a nurse-anesthetist.

3. A nurse-anesthetist must know the basics of health care legislation and the main regulatory documents that determine the activities of health authorities and institutions; the basics of organizing medical and preventive care in hospitals and outpatient clinics, ambulance and emergency medical care, disaster medicine services, sanitary and epidemiological services, drug provision of the population and health care facilities; fundamentals of social hygiene, organization and economics of health care, medical ethics and deontology; legal aspects of medical practice; 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; the basics of health education; internal labor regulations; rules and norms of labor protection, safety, industrial sanitation and fire protection; theoretical foundations and methods of anesthesia.

4. A nurse-anesthetist is appointed and dismissed by order of the head of a healthcare institution in accordance with the current legislation of the Russian Federation.

5. The nurse-anesthetist is directly subordinate to the head of her structural unit (the head of the department, the operating unit), and in his absence, to the head of the institution or his deputy.

2. Job responsibilities

Carries out medical and diagnostic measures prescribed by a doctor. Takes part in surgical operations. Prepares anesthetic and respiratory and control and diagnostic equipment for work, monitors its serviceability, correct operation, and safety. Prepares his workplace. Monitors the patient's condition during anesthesia, intensive care and resuscitation. Monitors the safety and dosage of drugs during pre-anesthetic preparation, anesthesia, post-anesthetic period, and keeps records of their use. Participates in the general and pre-anesthetic preparation of patients for surgery, monitors patients in the early postoperative period, takes part in the prevention of complications during and after operations. Organizes and conducts nursing care for postoperative patients. Ensures the infectious safety of patients and medical personnel, compliance with the rules of the sanitary-epidemic regime, the requirements of asepsis and antiseptics. Handles anesthesia and respiratory and control and diagnostic equipment after operation. Timely and efficiently draws up medical and other service documentation. Complies with the moral and legal norms of professional communication. Provides first-aid medical care in case of emergency. Skillfully and in a timely manner fulfills orders, orders and instructions of the institution's management, as well as regulatory legal acts for their professional activities. Complies with the 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 health care institution, its employees, patients and visitors. He systematically improves his qualifications.

3. Rights

The nurse anesthetist has the right to:

1. to make proposals to the management of the institution to improve the diagnostic and treatment process, incl. on the organization and conditions of their work;

2. control the work of junior medical personnel (if any), give them orders within the framework of their official duties and demand their strict implementation, make proposals to the management of the institution for their encouragement or imposition of penalties;

3. to request, receive and use information materials and regulatory documents necessary for the performance of their official duties;

4. take part in scientific and practical conferences and meetings, which consider issues related to its work;

5. to undergo certification in accordance with the established procedure with the right to receive the appropriate qualification category;

6. improve their qualifications at advanced training courses at least once every 5 years.

The nurse anesthetist enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The nurse anesthetist is responsible for:

1.implementation of the duties assigned to it;

2. organization of their work, timely and qualified execution of orders, orders and instructions of the management, regulatory legal acts on their activities;

3. observance of internal regulations, fire safety and safety measures;

4. timely and high-quality registration of medical and other service documentation provided for by the current regulatory and legal documents;

5. provision of statistical and other information on their activities in accordance with the established procedure;

6. Prompt adoption of measures, including timely notification of management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the health care institution, its employees, patients and visitors.

For violation of labor discipline, legislative and regulatory legal acts, a nurse-anesthetist may be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the offense.

1. This job description defines the job duties, rights and responsibilities of a nurse anesthetist.

2. A person with a secondary vocational education in the specialty "General Medicine", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "Anesthesiology and Reanimatology" is appointed to the position of a nurse-anesthetist without presenting requirements for work experience.

Senior nurse-anesthetist - secondary vocational education (advanced level) in the specialty "General Medicine", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "Anesthesiology and resuscitation" without any requirements for work experience.

3. A nurse-anesthetist must know: laws and other regulatory legal acts of the Russian Federation in force in the field of healthcare; theoretical foundations of nursing; modern methods of general, local and regional anesthesia; fundamentals of clinical and pharmacological substantiation of the agents used for anesthesia and intensive care; methods of preoperative examination, preparation for surgery (anesthesia, premedication); age anatomical and physiological features; theoretical foundations of resuscitation; modern methods of intensive therapy and resuscitation for various diseases and critical conditions; types, forms and methods of rehabilitation; the system of infection control, infection safety of patients and medical personnel of a medical organization; rules of asepsis and antisepsis; rules for the collection, storage and disposal of waste from health care facilities; a system of interaction between a medical organization and institutions of a sanitary and epidemiological profile; foundations of disaster medicine; rules for maintaining accounting and reporting documentation of a structural unit, the main types of medical documentation; medical ethics; psychology of professional communication; fundamentals of labor legislation; internal labor regulations; rules for labor protection and fire safety.

4. A nurse-anesthetist is appointed and dismissed by order of the head of a medical organization in accordance with the current legislation of the Russian Federation.

5. The nurse-anesthetist is directly subordinate to the head of her structural unit (the head of the department, the operating unit), and in his absence, to the head of the medical organization or his deputy.

2. Job responsibilities

Participates in surgical operations. Participates in the general and pre-anesthetic preparation of patients for surgery, monitors patients in the early postoperative period, participates in the prevention of complications during and after operations. Carries out preparation of anesthesia and respiratory and control and diagnostic equipment and a workplace for work, control of serviceability, correct operation of the equipment. Monitors the patient's condition during anesthesia, intensive care and resuscitation, as well as the safety, use, dosage of drugs during pre-anesthetic preparation, anesthesia, post-anesthetic period. Organizes and conducts nursing care for postoperative patients. Provides infectious safety of patients and medical personnel, infection control, aseptic and antiseptic requirements. Handles anesthesia and respiratory and control and diagnostic equipment after operation. Maintains medical records. Provides first aid in case of emergency. Collects and disposes of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the room, the conditions for sterilization of instruments and materials, the prevention of post-injection complications, hepatitis, HIV infection.

3. Rights

The nurse anesthetist has the right to:

1. make proposals to the management to improve the organization and improve the conditions of their work;
2. control, within their competence, the work of junior medical personnel (if any), give them orders and demand their strict implementation, make proposals to the management on their encouragement or imposition of penalties;
3. request, receive and use information materials and regulatory documents necessary for the performance of their duties;
4. take part in scientific and practical conferences and meetings at which issues related to its work are considered;
5. undergo certification in accordance with the established procedure with the right to receive the appropriate qualification category;
6. improve their qualifications at advanced training courses at least once every 5 years.

The nurse anesthetist enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The nurse anesthetist is responsible for:

1. implementation of the duties assigned to her;
2. timely and qualified execution of orders, orders and instructions of the management, regulatory legal acts on their activities;
3. compliance with internal regulations, fire safety and safety measures;
4. timely and high-quality registration of medical and other service documentation provided for by the current regulatory and legal documents;
5. provision of statistical and other information on their activities in accordance with the established procedure;
6. prompt adoption of measures, including timely notification of 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.

For violation of labor discipline, legislative and regulatory legal acts, a nurse-anesthetist may be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the offense.

- Tell us about yourself and your profession.

I work in an emergency hospital as a nurse anesthetist. I have been working in this hospital after graduating from college for about thirty years. During the operation, I participate in the administration of anesthesia.

- Why did you choose this profession?

I chose this profession because I always wanted to be needed, to help people. I can easily find a common language with people, explain to them the need and timeliness of treatment. And they understand me.

- What attracts you to your profession?

My profession is serious and responsible. It requires certain knowledge and skills. In general, a nurse is a physician's assistant, and an anesthetist nurse is especially. My profession will be needed at all times.

- What is the most difficult thing in your profession?

At the beginning of my career, it was very difficult for me to get used to working in front of everyone. When the operation begins, the first steps are mine, I have to put on an IV to start anesthesia.

- Are you satisfied that you once chose this profession?

Yes, I love my job and have never regretted my choice. We have a good and friendly team, it is easy and comfortable for me to work. I can't imagine myself in any other profession.

- What would you like to warn those who are going to get the same profession as yours?

I want to warn you that you need to develop the habit of working in good faith and accurately. In our work it is impossible not to finish something or do it somehow. The life of a person depends on it.

- Was it difficult to master your profession? What kind of education do you need to get for this?

Of course, everyone has difficulties. After graduating from medical school, I underwent special training as a nurse anesthetist. And then she gained experience and knowledge from her senior mentors.

- Do you need any special qualities for a person who has decided to become a specialist in this area?

Some supernatural qualities are not needed, but knowledge alone is not enough. It is necessary to be able to gather and concentrate in emergency and difficult situations, because I work in an emergency hospital.

- Does your profession bring a good income?

My profession does not bring a good income. But I would not trade it for any other because I like what I do. I help doctors who save lives every day.

- What would you like to change to make your profession better?

I would like the equipment to be updated more often. And, of course, a higher salary. (Laughs) And also, so that young people are not afraid to go to medicine because of low salaries and heavy workload.

- Do people of your profession meet often, or is it rare?

It is my specialty that is quite rare, but in medicine there are many other branches where young people can find use, gain experience and knowledge, work to their liking, if they have a desire.

- What can you advise the younger generation in connection with your profession?

I would like to advise you to lead a healthy lifestyle, be actively involved in sports, eat right, spend less time at the computer, and, of course, no bad habits.

- Are there times when your profession helps you outside of work?

Yes, there were any number of such cases in my life, when I had to provide first aid for domestic injuries, accidents, and various situations. But, of course, it will be better if everyone is healthy.

- Do you want your children to follow in your footsteps?

Yes, I want my children to follow in my footsteps, this is a very important and necessary profession, I want my children to be kind and responsive to all people. This is sorely lacking in the modern world.

Interviewed by Elizaveta Potapova, 7th grade student

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