Who is responsible for the ambulance driver? Job description of the driver of the ambulance. The Unified Qualification Handbook establishes qualification characteristics for positions such as

Most medical organizations, including the private healthcare system, provide ambulance services to their patients. Note that this type of activity is licensed and requires a license in accordance with the Licensing Regulations medical activities, approved Decree of the Government of the Russian Federation No. 291 dated April 16, 2012. The presence of an ambulance also implies the presence of a driver.

The legislation of the Russian Federation imposes special requirements for the qualification of an ambulance driver.

These requirements are contained in the following regulations:

    Single qualification guide positions of managers, specialists and employees, section "Qualification characteristics of positions of workers in the field of healthcare", approved. Order No. 541n dated July 23, 2010;

    Nomenclature of positions medical workers and pharmaceutical workers, approved. Order of the Ministry of Health of the Russian Federation No. 1183n of December 20, 2012;

    Order of the Ministry of Health of the Russian Federation No. 100 dated March 26, 1999 “On improving the organization of emergency medical care for the population Russian Federation"(Appendix No. 12);

    Order of the Ministry of Health of the Russian Federation No. 388n dated June 20, 2013 (as amended on May 5, 2016) “On approval of the procedure for providing emergency, including emergency specialized, medical care.”

    Consider the requirements of these documents in more detail.

The Unified Qualification Handbook establishes qualification characteristics for positions such as:

    A paramedic is an ambulance driver.

Qualification requirements. Average professional education in the specialty "General Medicine", additional professional education and a certificate of a specialist in the specialty "Ambulance", without presenting requirements for work experience. The right to drive a category "B" car, driving experience of at least three years.

    The nurse is the driver.

Qualification requirements.

Average (full) general education. Specialized training in first aid programs. The right to drive a category "B" car, driving experience of at least 3 years.

The nomenclature of positions of medical workers and pharmaceutical workers, approved. By order of the Ministry of Health of the Russian Federation No. 1183n dated December 20, 2012, in terms of the names of positions, it duplicates the Unified Qualification Handbook: it also contains such positions as: “paramedic-ambulance driver” and “orderly driver”.

Order of the Ministry of Health of the Russian Federation No. 100 dated March 26, 1999 in Appendix No. 12, without specifying the title of the position, establishes additional qualification requirements for the driver of the ambulance team. The order states that a class 1-2 vehicle driver is appointed to the position of an ambulance team driver, who has special training in the first aid program for victims and is trained in the rules of transportation (clause 1.2. Appendix No. 12).

Requirements for special training are not accidental.

The duties of an ambulance driver include performing functions that require special knowledge. For example, in his work, he provides, together with the paramedic (paramedics), carrying, loading and unloading patients and victims during their transportation, assists the doctor and paramedic in immobilizing the limbs of the victims and applying tourniquets and bandages, transfers and connects medical equipment. Provides assistance to medical personnel accompanied by mental patients. This follows from item 2.5. Applications No. 12 of the Order.

Special training under the first aid program for victims should be understood as training in accordance with the Regulations on the training and admission of drivers to drive vehicles, equipped with devices for supplying special light and sound signals, approved. Decree of the Government of the Russian Federation No. 876 of December 15, 2007 (clause 2 of the Regulations).

Preparation is only educational organizations who have received the appropriate license.

Based on the results of the training, a document of the established form is issued: "Certificate of driver training for driving vehicles equipped with devices for supplying special light and sound signals." The form of the document was approved by Order No. 1028 of October 15, 2010 “On Approval of the Form of a Certificate of Driver Training for Driving Vehicles Equipped with Devices for Giving Special Light and Sound Signals”.

Relatively new order providing emergency, including emergency specialized, medical care, approved. By order of the Ministry of Health of the Russian Federation No. 388n dated June 20, 2013, as amended, effective from July 1, 2016, he approved the new composition of the mobile ambulance team, excluded the following positions from the list of employees included in the team:

    "ambulance driver";

    "the orderly is the driver."

In the previous version of the Procedure (until July 1, 2016), the positions of "paramedic-ambulance driver" and "orderly-driver" formed mobile ambulance teams depending on the profile and composition:

    general/specialized: anesthesiology-resuscitation, including pediatric; pediatric; psychiatric; emergency advisory; aeromedical;

    medical / paramedical.

The current version of the Procedure for the provision of ambulance, including specialized ambulance, medical care provides for the formation of mobile ambulance teams, taking into account one position - "driver".

There are no qualification requirements for this position.

It seems that an employee in the position of "driver" as part of an ambulance team must meet the qualification requirements established by Order of the Ministry of Health of the Russian Federation No. first aid to the injured and trained in the rules of transportation.

Thus, in addition to the general documents established by the Labor Code of the Russian Federation, a driver applying for the position of an ambulance driver must have with him:

    Russian national driver's license confirming the right to drive a category "B" car;

    Medical conclusion on the presence (absence) of vehicle drivers (candidates for vehicle drivers) of medical contraindications, medical indications or medical restrictions on driving vehicles in the form No. 003-V / y;

    Certificate of driver training for driving vehicles equipped with devices for supplying special light and sound signals.

Documents on medical education will be required if the medical organization still considers it necessary to accept a driver for the position of "paramedic - ambulance driver". These documents include a diploma of secondary vocational education in the specialty "General Medicine" and a valid Certificate in the specialty "Ambulance and emergency medical care".

Rights and obligations of an ambulance driver.

Order of the Ministry of Health of the Russian Federation No. 100 of March 26, 1999 (Appendix No. 12) establishes, in addition to qualification requirements, rights, duties and responsibilities of an ambulance driver.

Additionally, the duties of an ambulance driver are established in the Order of the Ministry of Health of the Russian Federation No. 388n dated June 20, 2013. This document partially duplicates the provisions of the Order of the Ministry of Health of the Russian Federation No. 100 dated March 26, 1999.

The driver of an ambulance is obliged (clause 16 of Appendix No. 2 to the Order of the Ministry of Health No. 388N dated June 20, 2013, as amended on July 1, 2016):

    obey the doctor or paramedic of the brigade and follow his orders;

    know the topography locality, in which the ambulance station (department) and the location of medical organizations are located;

    ensure the immediate departure of an ambulance to a call and movement along the shortest route;

    monitor the technical condition of the ambulance, as necessary to maintain order and cleanliness in it;

    ensure the safety of property, monitor the correct placement and fastening of on-board medical devices.

Appointment and dismissal of the driver from office.

Appointment and dismissal of an ambulance driver is carried out:

    the head of the ambulance station or the chief physician of the hospital, which includes a division of the ambulance service;

    when using cars on a contractual basis - by the head of the fleet.

By virtue of a direct indication in the legislation, it is mandatory for the driver to draw up.

The ambulance driver is responsible for:

    Timely and quality execution functional duties according to the job description;

    The safety of medical equipment, instruments and sanitary equipment located in the ambulance.


Of course, there is no universal guide to action for the driving profession. This is understandable because, for example, the duties of an ambulance driver will be fundamentally different from the duties of an “office” driver.

In this article, we will describe in detail what categories of prescriptions generally exist for the driver's profession and give brief information according to what labor responsibility they impose on the employee (although the job description is similar to the standard one described).

Job description of the driver of a company car

The official vehicle is the property of the organization (for example, the chief director), the following obligations of the driver are associated with this:

  • Timeliness and speed of delivery of the machine;
  • Keeping the car clean (including the interior) and in good condition;
  • Smooth and accurate car driving.

The duties of this position include timely refueling of vehicles and the implementation of timely maintenance.

Forwarder driver job description

This document prescribes the maintenance of vehicles in good technical condition. The obligations of the freight forwarder include receiving goods from warehouses and checking its compliance with the documentation, checking the integrity of the packaging, monitoring and controlling the loading and unloading of goods into the car, monitoring the safety of goods, filling out waybills, maintaining a report of mileage and fuel consumption, and fulfilling individual instructions of the head.

Bus driver job description

Job description the driver of the school bus, determines compliance with the bus schedule, approves the mandatory check of the technical condition of the transport before leaving, the installation of identification marks "Transportation of children", the maintenance of the bus in sanitary order and cleanliness, the provision of the bus on demand.

Job description of a truck driver

This document prescribes timely refueling of the car with fuel, each time before leaving, checking the full filling of the waybill, eliminating malfunctions that occurred during operation, compliance with the rules traffic. In case of serious breakdowns, you should read the article about the duties of a mechanic.


The guide to the action of the driver for the transportation of dangerous goods, additionally prescribes the prohibition of avoiding the route agreed with the traffic police of the Ministry of Internal Affairs of the Russian Federation, exceeding the established speed. Available individual provisions, in case of any incident or breakdown, which can be read in the document by clicking on the link below.

Typical driver job description

This document prescribes to work with various mechanisms of the car (depending on the specifics of the transport operation), refuel the vehicle with fuel, lubricants, coolant, supply vehicles for unloading, loading, etc.

Forklift driver job description

This document prescribes the uninterrupted operation of load handling mechanisms and loader attachments, monitor the safety of raw materials and products during such work, monitor timely maintenance, keep clean places used for repair and parking of loaders.

Ambulance driver job description

This document prescribes to follow the instructions of the paramedic. Also, his duties include maintaining the proper technical condition of the car, cleanliness in the cabin, ensuring the quick and timely departure of an ambulance, assisting in loading, unloading, escorting the victims, assisting medical workers in accompanying the mentally ill, maintaining the safety of property and fastening on-board medical devices .

Administration driver job description

This document prescribes obedience to the instructions of the head of administration, ensuring the timely delivery of the car, maintaining cleanliness in the cabin and body, carrying out the necessary maintenance and repair, turning on the alarm whenever you leave the car, ensuring a neat, correct and smooth ride.

Government of St. Petersburg
HEALTH COMMITTEE


In order to improve the work of mobile ambulance teams,

I order:

1. Approve and put into effect the "Rules for the work of field personnel on ambulances", agreed with State Inspectorate traffic safety in St. Petersburg and the Leningrad region.

2. Extend the "Rules" specified in paragraph 1 of this order to drivers and medical personnel of emergency departments at district clinics and suburban ambulance stations.

3. To the chief physician of the St. Petersburg State Health Institution "City Ambulance Station" Boykov A.A., the heads of medical institutions, which include emergency medical departments, the director of the St. Petersburg State Health Institution "Ambulance and Emergency Vehicle Depot" G.K. Director of the State Institution "Sanitary Transport" Golubikhin Yu.A. familiarize medical personnel and all drivers employed at work in an ambulance with this order against signature.

4. To the chief physician of the SSSMP Boikov A.A. to ensure by the forces of the line control service constant monitoring of compliance with the "Rules for the work of field personnel on ambulances".

6. To impose control over the execution of this order on the first deputy chairman of the Committee Zholobov V.E.

Chairman of the Committee
Shcherbuk Yu.A.

Rules for the work of all field personnel on ambulances

APPROVED
order of the Committee for
government health
Petersburg
dated 13.04.2004 N 87-p

General provisions

Taking into account the peculiarities of the work of mobile ambulance teams, where the life and health of the patient depends on the coherence of the actions of medical personnel and drivers, put forward General requirements for doctors, paramedics, nurses, midwives, orderlies of the St. Petersburg State Healthcare Institution "City Emergency Medical Station" and drivers of the St.

These rules provide for the coordination of actions and duties of all members of the field team when working on ambulances.

Responsibilities of all field personnel

1. All field personnel must:

1.1. Arrive at work in advance, be ready for the start of the work shift to immediately go to the call.

1.2. At the beginning of an urgent service task (following a call, delivering a sick or injured person to a medical institution), take a seat in a car within one minute, fasten your seat belts and turn on flashing beacons, a siren, and radio communications. Switching off the means of communication is allowed only upon the arrival of the brigade at the substation.

1.3. Be extremely careful, observe the requirements of safety regulations when in a car.

1.4. Use the ambulance only for its intended purpose. Arrivals, stops for any personal purposes, admission to the car of unauthorized persons are strictly prohibited.

1.5. While at the substation, strictly observe the "Rules of internal labor regulations at the St.

1.6. Take care of medical equipment and an ambulance, have a neat appearance, be extremely attentive to the sick and those around them.

1.7. Continue to work beyond the scheduled time, when a call is received at the end of the shift and in case of development emergencies, by order of the responsible doctor of the St. Petersburg State Healthcare Institution of Healthcare.

1.8. Stop to provide assistance when meeting with an accident (sudden illness) on the street at the time of following a call, with a sick person or returning to a substation. The brigade leader is obliged to report to the dispatcher of the direction department of the central substation about the stop along the route and coordinate his subsequent actions with him.

2. All field personnel are strictly prohibited from:

2.1. Use fixed and portable radios and televisions while driving.

2.2. Leave the territory of the substation during duty.

Upon receipt of time for a meal, all field personnel take it in one place, agreed with the dispatcher of the referral department (canteen, cafe, substation), with the means of communication turned on.

2.3. Consume in working time alcoholic beverages, narcotic potent and psychotropic drugs.

2.4. Being at the substation during duty and in free time from work with signs of alcohol or other intoxication.

2.5. Smoking in the cockpit and saloon of an ambulance.

Smoking is allowed on the territory of the substation in a designated area.

Responsibilities of field medical personnel

The workplace of medical personnel is the salon of an ambulance.

3. The medical staff of the mobile brigade of the St. Petersburg State Healthcare Institution of the State Medical Service is obliged to:

3.1. Arrive at work in advance, be ready to immediately go to the call by the beginning of the work shift.

3.2. Before the start of the work shift, check and receive against signature in the registers a medical bag, packing with narcotic drugs and personnel equipment.

3.3. Conduct an inspection of the driver before the start of duty (if this duty is not assigned to the paramedic for receiving and transmitting substation calls) with registration of the results of the inspection in a special journal. If the driver has signs of a disease state, signs of alcohol, drug or substance abuse, the medical staff is obliged to report the incident to the dispatcher on duty, the head of the substation and the senior doctor on duty of the operational department of the central substation. In the future, act according to the instructions received from them.

3.4. Report to the dispatcher about readiness for work. When submitting an ambulance that is not equipped and not issued in accordance with the agreement with the car depot: with a faulty speedometer, door locks, heating, radio communications and other defects (including in poor sanitary condition), the team leader reports to the dispatcher and the head of the substation for a solution the question of the possibility of operating this ambulance.

3.5. Make sure that the radio communication facilities are in good condition by giving a control signal to the central substation dispatcher, inform the substation dispatcher about the radio stations' operability and make a note in a special log.

3.6. At the beginning of an urgent service task (following a call, delivering a sick or injured person to a medical institution), take a seat in a car within one minute, fasten your seat belts and turn on radio communications.

3.7. Immediately report to the dispatcher to transfer the task to another team in case of impossibility of leaving (malfunction of the car, absence of team members, driver, etc.).

3.8. When following a call, stay in the cab of the car and help the driver in finding the shortest path to the place of the call.

3.9. In the case when, despite all the measures taken, the passage is difficult due to traffic jams, the senior in the brigade is obliged to report to the senior doctor on duty about the location of the brigade and the situation on the road. The senior doctor on duty is obliged to contact the traffic police on duty for help.

3.10. In the absence of a safe passage to the place of call, the medical staff is obliged to walk to the sick or injured person.

3.11. When delivering a sick or injured person to a medical institution, regardless of the patient's condition, be in the cabin next to him.

3.12. Be extremely attentive to patients and those around them, observe the rules of medical ethics and deontology.

3.13. The decision on the issue of accompanying the patient (injured) by his relative or acquaintance is made by the senior medical worker in the brigade. The number of accompanying persons is determined depending on the time of day, other objective reasons, but it should not be more than the number of seats provided for by the design of the car.

3.14. Instruct the driver to stop at the scene of the accident to provide assistance when meeting with an accident (sudden illness) on the street at the time of performing an urgent service assignment or returning to the substation. The brigade leader is obliged to report to the dispatcher of the direction department of the central substation about the situation along the route and coordinate his subsequent actions with him.

It is strictly forbidden for field medical personnel to distract the driver from driving, to demand from him in a categorical form to increase the speed of movement and other actions that contradict the traffic rules of the Russian Federation.

Driver Responsibilities

The driver's workplace is the cabin of an ambulance.

4. A driver working on a car rented by the St. Petersburg State Healthcare Institution of the State Medical Service is obliged to:

4.1. Arrive at the place of work in a technically sound, fuel-filled car and with a satisfactory sanitary condition of the car.

4.2. Before the start of duty, make a mark with the substation dispatcher about the time of arrival, the speedometer reading.

4.3. In the process of work, obey the senior medical worker in the brigade.

4.4. In the event that an ambulance gets into a traffic accident (RTA), act in accordance with the Rules of the Road of the Russian Federation (SDA) (provide assistance to the victim, call the traffic police, traffic safety, etc.).

4.6. Strictly observe the internal labor regulations approved for substation employees, follow the instructions and orders of the substation administration and the responsible doctor on duty.

4.7. When performing an urgent service task (following a call, delivering a sick or injured person to a medical institution):

- turn on flashing beacons and a siren and act in accordance with clause 3.1 of the traffic rules of the Russian Federation;

- deliver the brigade as close as possible to the place of the call;

- if necessary, assist medical personnel in organizing the transfer of stretcher patients;

- to carry out loading and unloading of the stretcher, to control the reliability of their fastening and the normal closing of the doors before starting to move.

4.8. If it is impossible to leave the territory of the substation or continue to move while performing the task due to a malfunction of the car, the driver (for other reasons) immediately inform the substation dispatcher on duty (senior brigade) about this, inform them of the cause of the malfunction, approximate dates eliminate them on the spot, and if it is impossible to eliminate them on the spot, follow the instructions of the car depot management.

4.9. Refueling a car while on duty is to be carried out only with the permission of the dispatcher of the direction department of the central substation, mainly at night.

4.10. To be extremely attentive to medical personnel, patients and those around them, to have a neat appearance, to take care of the ambulance and the property of the St.

Drivers of ambulance vehicles are strictly prohibited from interfering with the performance of their duties by medical personnel and influencing the adoption of tactical decisions.

Responsibility of field personnel of the ambulance brigade

5. These Rules are mandatory for all field personnel of the ambulance team (doctor, paramedic, nurse, midwife, orderly, driver).

6. In case of non-fulfillment or violation of these Rules, the field staff of the ambulance team shall bear disciplinary and financial responsibility.


AGREED
Deputy Chief
MOP GUVD for St. Petersburg and Leningrad Region
Head of Department
Traffic police in St. Petersburg and Leningrad region Major General of militia
Bugrov S.I.



Official
electronic text
IPS "Code"

Most medical organizations, including the private healthcare system, provide ambulance services to their patients. Note that this type of activity is licensed and requires a license in accordance with the Regulation on Licensing Medical Activities, approved. Decree of the Government of the Russian Federation No. 291 dated April 16, 2012. The presence of an ambulance also implies the presence of a driver.

The legislation of the Russian Federation imposes special requirements for the qualification of an ambulance driver.

These requirements are contained in the following regulations:

  • Unified qualification directory of positions of managers, specialists and employees, section "Qualification characteristics of positions of workers in the field of healthcare", approved. Order No. 541n dated July 23, 2010;
  • The nomenclature of positions of medical workers and pharmaceutical workers, approved. Order of the Ministry of Health of the Russian Federation No. 1183n of December 20, 2012;
  • Order of the Ministry of Health of the Russian Federation No. 100 dated March 26, 1999 “On Improving the Organization of Emergency Medical Care for the Population of the Russian Federation” (Appendix No. 12);
  • Order of the Ministry of Health of the Russian Federation No. 388n dated June 20, 2013 (as amended on May 5, 2016) “On approval of the procedure for providing emergency, including emergency specialized, medical care.”

WHICH STATE AUTHORITY SHOULD BE NOTIFIED ABOUT THE EMPLOYMENT OF A FOREIGNER?

Consider the requirements of these documents in more detail.

The Unified Qualification Handbook establishes qualification characteristics for such positions as:

  • A paramedic is an ambulance driver.

Qualification requirements. Secondary vocational education in the specialty "Medicine", additional professional education and a certificate of a specialist in the specialty "Ambulance", without presenting requirements for work experience. The right to drive a category "B" car, driving experience of at least three years.

  • The nurse is the driver.

Qualification requirements. Secondary (complete) general education. Specialized training in first aid programs. The right to drive a category "B" car, driving experience of at least 3 years.

The nomenclature of positions of medical workers and pharmaceutical workers, approved. By order of the Ministry of Health of the Russian Federation No. 1183n dated December 20, 2012, in terms of the names of positions, it duplicates the Unified Qualification Handbook: it also contains such positions as: “paramedic-ambulance driver” and “orderly driver”.

Order of the Ministry of Health of the Russian Federation No. 100 dated March 26, 1999 in Appendix No. 12, without specifying the title of the position, establishes additional qualification requirements for the driver of the ambulance team. The order states that a class 1-2 vehicle driver is appointed to the position of an ambulance team driver, who has special training in the first aid program for victims and is trained in the rules of transportation (clause 1.2. Appendix No. 12).

Requirements for special training are not accidental.

The duties of an ambulance driver include performing functions that require special knowledge. For example, in his work, he provides, together with the paramedic (paramedics), carrying, loading and unloading patients and victims during their transportation, assists the doctor and paramedic in immobilizing the limbs of the victims and applying tourniquets and bandages, transfers and connects medical equipment. Provides assistance to medical personnel accompanied by mental patients. This follows from item 2.5. Applications No. 12 of the Order.

Special training under the first aid program for victims should be understood as training in accordance with the Regulations on the training and admission of drivers to drive vehicles equipped with devices for supplying special light and sound signals, approved. Decree of the Government of the Russian Federation No. 876 of December 15, 2007 (clause 2 of the Regulations).

Training is carried out only by educational organizations that have received the appropriate license.

Based on the results of the training, a document of the established form is issued: "Certificate of driver training for driving vehicles equipped with devices for supplying special light and sound signals." The form of the document was approved by Order No. 1028 of October 15, 2010 “On Approval of the Form of a Certificate of Driver Training for Driving Vehicles Equipped with Devices for Giving Special Light and Sound Signals”.

Relatively new Procedure for the provision of ambulance, including specialized ambulance, medical care, approved. By order of the Ministry of Health of the Russian Federation No. 388n dated June 20, 2013, as amended, effective from July 1, 2016, he approved the new composition of the mobile ambulance team, excluded the following positions from the list of employees included in the team:

  • "ambulance driver";
  • "the orderly is the driver."

In the previous version of the Procedure (until July 1, 2016), the positions of "paramedic-ambulance driver" and "orderly-driver" formed mobile ambulance teams depending on the profile and composition:

  • general/specialized: anesthesiology-resuscitation, including pediatric; pediatric; psychiatric; emergency advisory; aeromedical;
  • medical / paramedical.

The current version of the Procedure for the provision of ambulance, including specialized ambulance, medical care provides for the formation of mobile ambulance teams, taking into account one position - "driver".

There are no qualification requirements for this position.

It seems that an employee in the position of "driver" as part of an ambulance team must meet the qualification requirements established by Order of the Ministry of Health of the Russian Federation No. first aid to the injured and trained in the rules of transportation.

Thus, in addition to the general documents established by the Labor Code of the Russian Federation, a driver applying for the position of an ambulance driver must have with him:

  • Russian national driver's license confirming the right to drive a category "B" car;
  • Medical conclusion on the presence (absence) of vehicle drivers (candidates for vehicle drivers) of medical contraindications, medical indications or medical restrictions on driving vehicles in the form No. 003-V / y;
  • Certificate of driver training for driving vehicles equipped with devices for supplying special light and sound signals.

PATENT FOR WORK FOR FOREIGN CITIZENS, PRICE

Documents on medical education will be required if the medical organization still considers it necessary to accept a driver for the position of "paramedic - ambulance driver". These documents include a diploma of secondary vocational education in the specialty "General Medicine" and a valid Certificate in the specialty "Ambulance and emergency medical care".

Rights and obligations of an ambulance driver.

Order of the Ministry of Health of the Russian Federation No. 100 dated March 26, 1999 (Appendix No. 12) establishes, in addition to qualification requirements, the rights, duties and responsibilities of an ambulance driver.

Additionally, the duties of an ambulance driver are established in the Order of the Ministry of Health of the Russian Federation No. 388n dated June 20, 2013. This document partially duplicates the provisions of the Order of the Ministry of Health of the Russian Federation No. 100 dated March 26, 1999.


The driver of an ambulance is obliged (clause 16 of Appendix No. 2 to the Order of the Ministry of Health No. 388n of June 20, 2013, as amended on July 1, 2016):

  • obey the doctor or paramedic of the brigade and follow his orders;
  • know the topography of the settlement in which the ambulance station (department) is located and the location of medical organizations;
  • ensure the immediate departure of an ambulance to a call and movement along the shortest route;
  • monitor the technical condition of the ambulance, as necessary to maintain order and cleanliness in it;
  • maintain special alarm devices in a functional state, carry out minor repairs of equipment (locks, handles, belts, straps, stretchers, etc.);
  • ensure the safety of property, monitor the correct placement and fastening of on-board medical devices.

ILLEGAL REFUSAL OF EMPLOYMENT. HOW TO PROTECT YOUR RIGHTS AND LEGAL INTERESTS

Appointment and dismissal of the driver from office.

Appointment and dismissal of an ambulance driver is carried out:

  • the head of the ambulance station or the chief physician of the hospital, which includes a division of the ambulance service;
  • when using cars on a contractual basis - by the head of the fleet.

By virtue of a direct indication in the legislation, a job description is required for the driver.

The ambulance driver is responsible for:

  • Timely and high-quality performance of functional duties in accordance with the job description;
  • The safety of medical equipment, instruments and sanitary equipment located in the ambulance.


Any medical organization works with information constituting a medical secret. Information constituting a medical secret is protected by law. Therefore, regardless of the legal form, a medical organization and medical workers are required to comply with certain regulatory requirements related to the processing of information constituting a medical secret. PROTECTION OF INFORMATION CONSTITUTING A MEDICAL SECRET IS REGULATED BY THE PROVISIONS OF THE FOLLOWING BASIC REGULATIONS: federal law No. 323-FZ of November 21, 2011 “On the fundamentals of protecting the health of citizens in the Russian Federation” (hereinafter - Federal Law No. 323-FZ of November 21, 2011); Federal Law No. 152-FZ of July 27, 2006 "On Personal Data" (hereinafter - Federal Law No. 152-FZ of July 27, 2006); Other laws and regulations are also involved in the regulation process. Compliance with medical secrecy is one of the basic principles of protecting the health of citizens (clause 9, article 4 of the Federal Law No. 323-FZ of November 21, 2011). In accordance with sub. 7 h.5 art. 19 of Federal Law No. 323-FZ dated November 21, 2011, the patient's right is to protect information constituting medical confidentiality, and one of the duties of a medical worker is to maintain medical confidentiality (subparagraph 2, part 2, article 73 of Federal Law No. 323-FZ dated November 21, 2011). The doctor's oath also provides for the preservation of medical secrecy (Article 71 of Federal Law No. 323-FZ of November 21, 2011). Similar obligations to preserve information constituting a medical secret arise for a medical organization. According to subparagraph 4 of part 1 of Art. 79 of Federal Law No. 323-FZ of November 21, 2011, medical organizations are required to observe medical secrecy, including the confidentiality of personal data used in medical information systems. Compliance with medical confidentiality, both by a doctor and a medical organization, should be regulated in the local regulations of a medical organization (subparagraph 2, part 1, article 18.1 of Federal Law No. 152-FZ of July 27, 2006). The list of local regulations, their structure and content is determined by medical organizations independently. In addition to local acts in a medical organization, forms of documents (receipts) on non-disclosure of medical secrets by medical workers can be additionally developed. Important! From patients in this case, it is necessary to obtain consent to the processing of information constituting a medical secret. Such consent is made in writing in any form, taking into account the requirements current legislation RF, for example, in the form of consent to the processing of personal data. CONDITIONS FOR DISCLOSURE OF MEDICAL SECRET. Disclosure of medical confidentiality in accordance with Federal Law No. 323-FZ of November 21, 2011 is allowed only with the written consent of the citizen (his legal representative). DISCLOSURE OF MEDICAL SECRET WITH THE WRITTEN CONSENT OF THE CITIZEN IS ALLOWED: - for the purpose of medical examination and treatment of the patient; - for the purpose of scientific research; - for the purpose of publication in scientific journals; - for the purpose of using in the educational process; - for other purposes. The concept of “other purposes” is not disclosed in Federal Law No. 323-FZ of November 21, 2011. CASES OF DISCLOSURE OF MEDICAL SECRET IN THE ABSENCE OF CONSENT. Federal Law No. 323-FZ of November 21, 2011 establishes a whole list of cases where medical confidentiality can be provided without the consent of a citizen. FOR VIOLATION OF MEDICAL SECRET BY THE LEGISLATION OF THE RUSSIAN FEDERATION IS ESTABLISHED: - administrative liability; - criminal responsibility. Important! Administrative responsibility is provided for by Art. 13.14. Code of Administrative Offenses of the Russian Federation "Disclosure of information with limited access". Liability comes in the form of a fine. For citizens, a fine is provided in the amount of 500 (five hundred) to 1,000 (one thousand) rubles. For officials- from 4,000 (four thousand) to 5,000 (five thousand) rubles. In more detail, in the material prepared by the lawyer of the company "RosCo - Consulting and Audit" Kirill Bogoyavlensky. Read: https://website/press/vrachebnaya_tayna/ All the most interesting about taxes, law and accounting from the leading consulting company in Russia "RosCo". Stay in touch latest news, watch and read us where it suits you: YouTube channel - https://www.youtube.com/c/RosCoConsultingaudit/ Facebook - https://www.facebook.com/roscoaudit/ Twitter - https://twitter .com/RosCo_audit Instagram - https://www.instagram.com/rosco.

Forensic medical examination: features of the conduct in court

It's no secret that a civil process on the quality of medical care is impossible without the participation of a specialist with professional knowledge in the field of medicine. In this regard, as participants civil procedure, and the court needs to get a professional assessment of the quality of medical care. The conclusion of such a specialist on the quality of medical care, in turn, will become one of the evidence in the case. The procedural legislation distinguishes between such participants in civil proceedings as a specialist and an expert. - specialist. A specialist is a person who has special knowledge. The specialist is involved in the case in the manner prescribed by law. He assists in the detection, fixing and seizure of objects and documents, the application technical means in the study of the case materials, to pose questions to the expert, as well as to explain to the parties and the court issues that are within his professional competence. The specialist gives advice to the court orally or writing, based on professional knowledge, without conducting special studies, appointed on the basis of a court ruling. Consultation of a specialist in writing, announced at the court session and attached to the case. Oral consultations and explanations of a specialist are recorded in the minutes of the court session (Article 188 of the Civil Procedure Code of the Russian Federation). The professional experience of a specialist/specialists in various fields of medicine should not be lower than the professional experience of medical workers whose actions are being challenged in court (in terms of education, work experience, category, academic degree, number of studies, operations, etc.). - expert. An expert is a person who has special knowledge and is appointed in the manner prescribed by law to carry out a forensic examination. Expert takes position an expert in the State Bureau of Forensic Medical Examination, and conducts research in the manner of his official duties. The law establishes the qualification requirements for an expert. An expert can be a citizen of the Russian Federation who has a higher professional education, who has been trained and certified in the relevant specialty, taking into account qualification requirements (clause 8 of the Order of the Ministry of Health and Social Development of the Russian Federation of May 12, 2010 No. expert institutions of the Russian Federation). Essential to the case is the principle of expert independence. A legal expert cannot be in any way dependent on the body or person who appointed forensic examination, parties and other persons interested in the outcome of the case (Article 7 of the Federal Law of May 31, 2001 No. 73-FZ “On State Forensic Activities in the Russian Federation”). At the same time, both an expert and a specialist cannot participate in the consideration of the case if he was or is in official or other dependence on any of the persons participating in the case, their representatives (Part 1 of Article 18 of the Civil Procedure Code of the Russian Federation). Important! As shows law enforcement practice, the participation of a specialist in the field of medicine on the side of the plaintiff is simply necessary. Without such a specialist, it is practically impossible to correctly formulate the basis of the claim and the tactics of participation in the trial, correctly raise questions both to the defendant (medical organization) and to the expert of the state bureau of forensic medical examination if such an examination is appointed in the case. REFERENCE: COMPREHENSIVE EXAMINATION / COMMISSION EXPERTISE. A comprehensive examination is appointed by the court if the establishment of the circumstances of the case requires simultaneous research using different areas of knowledge or using different scientific directions within the same field of knowledge. A comprehensive examination is entrusted to several experts (Article 82 of the Civil Procedure Code of the Russian Federation). A commission examination is appointed by the court to establish the circumstances by two or more experts in one field of knowledge. Experts confer among themselves and, having come to a common conclusion, formulate it and sign a conclusion (Article 83 of the Civil Procedure Code of the Russian Federation)..... See the material prepared by Kirill Bogoyavlensky, a lawyer at RosCo - Consulting and Audit. All the most interesting about taxes, law and accounting from the leading consulting company in Russia "RosCo". Stay up to date with the latest news, watch and read us where it suits you: YouTube channel - https://www.youtube.com/c/RosCoConsultingaudit/ Facebook - https://www.facebook.com/roscoaudit/ YandexZen - https://zen.yandex.ru/id/5b84df3fa459c800a93104a0 Twitter - https://twitter.com/RosCo_audit Instagram - https://www.instagram.com/rosco.

We bring to your attention a typical example of the job description of the orderly-driver, sample 2019/2020. should include the following sections: general position, duties of the orderly-driver, rights of the orderly-driver, responsibility of the orderly-driver.

Job description of the orderly-driver belongs to the section Qualification characteristics of positions of workers in the field of healthcare".

The following items should be included in the driver's job description:

Responsibilities of a Nurse Driver

1) Job Responsibilities. Performs, together with the paramedic, carrying, loading and unloading patients and victims during their transportation, assists the doctor and paramedic in performing diagnostic and therapeutic procedures, transfers medical equipment. Provides assistance to medical personnel accompanied by patients. Drives an ambulance classified in one of the categories "B" or "C". Refuels the vehicle with fuel, lubricants and coolant. Prepares travel documents. Checks the technical condition and acceptance of the car before leaving the line. Delivery of the car and putting it in the allotted place upon returning from work. Eliminates minor operational malfunctions of the rolling stock that have arisen during work on the line and do not require disassembly of the mechanisms. Carries out sanitary and hygienic treatment of the car interior after each patient (injured). Reports vehicle problems.

The driver must know

2) The medical officer in the performance of his duties must know: rules for the operation of used medical instruments and equipment; safety rules when working with medical instruments and equipment; psychology of professional communication; basics of disaster medicine; sanitary and hygienic maintenance of the medical salon; rules of sanitation and occupational health; appointment detergents and rules for handling them; Traffic Laws; basics of traffic safety; regulations technical operation cars (related to drivers); the main indicators of the operation of vehicles, ways and means of increasing labor productivity; signs, causes and dangerous consequences of malfunctions that occur during the operation of the car, ways to detect and eliminate them; order of conduct Maintenance cars and trailers; rules for storing cars in garages and open parking lots; rules for the operation of batteries and car tires; influence weather conditions on the safety of driving a car; ways to prevent traffic accidents; first aid in case of accidents; filling rules primary documents accounting for the operation of the car; rules for running new cars and after major repairs; the procedure for emergency evacuation of passengers in case of traffic accidents; basics labor law; internal labor regulations; rules on labor protection and fire safety.

Driver Qualification Requirements

3) Qualification requirements. Secondary (complete) general education. Specialized training in first aid programs. The right to drive a category "B" car, work experience as a car driver for at least 3 years.

Job description of the orderly-driver - sample 2019/2020. Job duties of the orderly-driver, rights of the orderly-driver, responsibility of the orderly-driver.




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