1. This job description defines the job duties, rights and responsibilities of an occupational therapy instructor.

2. A person who has a secondary vocational education in the profile of the work performed or a secondary vocational (medical) education without presenting requirements for work experience is appointed to the position of an occupational therapy instructor.

3. An occupational therapy instructor must know: laws and other regulatory legal acts of the Russian Federation in force in the field of healthcare; fundamentals of physiology and pathophysiology of the organism; the basics of occupational therapy and its role in the medical rehabilitation of patients; organization of work on occupational therapy; principles of selection of rational methods of work; medical ethics; psychology of professional communication; fundamentals of labor legislation; internal labor regulations; rules on labor protection and fire safety.

4. An occupational therapy instructor is appointed and dismissed by order of the head of the organization in accordance with the current legislation of the Russian Federation.

5. An occupational therapy instructor reports directly to the head of his structural unit (department, department, laboratory), and in his absence to the head of the medical organization or his deputy.

2. Job responsibilities

Carries out work with patients on occupational therapy in accordance with doctor's prescriptions, transferring them from simple to more complex labor processes. Prepares a workplace for the patient and provides it with raw materials, materials, tools and equipment. Monitors the safe working conditions of patients and their performance of labor functions. Keeps a daily record of the consumption of raw materials and materials by patients, the use of tools and the storage of leftover raw materials, materials and finished products in accordance with established forms.

3. Rights

The occupational therapy instructor has the right to:

1. make proposals to the management to improve the organization and improve the conditions of their work;

2. request, receive and use information materials and legal documents necessary for the performance of their duties;

3. to take part in scientific and practical conferences and meetings, where issues related to his work are considered;

4. pass certification in accordance with the established procedure with the right to obtain the appropriate qualification category;

5. improve their qualifications at refresher courses at least once every 5 years.

An occupational therapy instructor enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The occupational therapy instructor is responsible for:

1. timely and high-quality implementation of the duties assigned to him;

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

3. compliance with internal regulations, fire safety and safety;

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. prompt action, 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.

For violation of labor discipline, legislative and regulatory acts, an occupational therapy instructor may be brought to disciplinary, material, administrative and criminal liability in accordance with applicable law, depending on the severity of the misconduct.

"Finance", 2009, N 7
Question: Do occupational therapy instructors employed in psychiatric or neuropsychiatric medical and preventive health care institutions belong to nursing staff in order to determine the right to early assignment of an old-age labor pension according to List No. 2?
Answer: The right to early appointment of an old-age labor pension according to List N 2 (position 2260000 in clause "c" section XXIV), approved by the Decree of the Cabinet of Ministers of the USSR of 01/26/1991 N 10, is established for middle and junior medical personnel directly serving patients in psychiatric or psycho-neurological treatment-and-prophylactic healthcare institutions.
To grant the right to early retirement under the specified item of List No. 2, documentary evidence of the following conditions is required: employment in the positions of junior or secondary medical personnel and constant performance of work on direct patient care in the relevant healthcare institutions.
The attribution of a specific position of an employee of a healthcare institution to the position of middle and junior medical personnel is within the competence of the employer and is decided on the basis of regulatory documents governing the relevant field of work.
If you have any difficulties in resolving this issue, you should contact the competent state or municipal authorities.
Articles 57 and 143 of the Labor Code of the Russian Federation provide that in order to determine the labor function, namely work by position in accordance with the staff list, professions, specialties indicating qualifications - the specific type of work assigned to the employee and remuneration of employees, the Unified Tariff-Qualification Reference Book of Works and professions of workers (ETKS) and the Unified Qualification Directory for the positions of managers, specialists and employees. Labor legislation, including the previous one, establishes the need for compliance of the names of positions, specialties or professions and the qualification requirements for them, established by the employee, with the names and requirements specified in the qualification reference books, approved in the prescribed manner, if, in accordance with legislative acts, with the performance of work for certain positions, specialties or professions, the provision of benefits or the presence of restrictions is associated.
The Unified Tariff and Qualification Directory of Works and Professions of Workers consists of tariff and qualification characteristics containing the characteristics of the main types of work by professions of workers, depending on their complexity and the corresponding tariff categories, as well as the requirements for professional knowledge and skills of workers; The Unified Qualification Directory for the positions of managers, specialists and employees consists of qualification characteristics for the positions of managers, specialists and employees, containing job responsibilities and requirements for the level of knowledge and qualifications of managers, specialists and employees.
In accordance with Art. 423 of the Labor Code of the Russian Federation, until laws and other regulatory legal acts in force on the territory of the Russian Federation are brought into line with the Labor Code of the Russian Federation, laws and other regulatory legal acts of the Russian Federation are applied insofar as they do not contradict the Code.
Decree of the Ministry of Labor of Russia of August 27, 1997 N 43 "On the harmonization of wage categories and tariff and qualification characteristics for the positions of healthcare workers of the Russian Federation" "in connection with clarifying the nature of the work performed for the positions of healthcare workers of the Russian Federation, the categories of wages of the Unified tariff scale and tariff -qualification characteristics for the positions of healthcare workers in the Russian Federation.
According to the Decree of the Ministry of Labor of Russia, an occupational therapy instructor refers to specialists with secondary vocational education, paramedical and pharmaceutical personnel of 5-6 categories. According to the duties of an occupational therapy instructor, it is envisaged to work with patients on occupational therapy in accordance with the doctor's prescriptions.
For employees of state and municipal institutions, a sectoral system of remuneration is provided, the basis of which is the principle of forming professional qualification groups. Professional qualification groups - groups of professions of workers and positions of employees, formed taking into account the field of activity on the basis of the requirements for professional training and the level of qualification that are necessary for the implementation of the relevant professional activity.
The Ministry of Health and Social Development of the Russian Federation carries out activities on the development of state policy and legal regulation in the field of labor.
For healthcare institutions, Order of the Ministry of Health and Social Development of Russia dated August 6, 2007 N 526 "On approval of professional qualification groups for positions of medical and pharmaceutical workers" establishes four professional qualification groups for positions of industry workers:
the first - "Medical and pharmaceutical personnel of the first level";
the second - "Medical and pharmaceutical personnel";
the third - "Doctors and pharmacists";
the fourth - "Heads of structural subdivisions of institutions with higher medical and pharmaceutical education, for example, a pharmacist."
The professional qualification group "Nursing medical and pharmaceutical personnel" includes the position "instructor in occupational therapy".
The nomenclature of positions of medical and pharmaceutical personnel and specialists with higher professional education in healthcare institutions, approved by Order of the Ministry of Health of Russia dated 10/15/1999 N 377 "On Approval of the Regulations on the Remuneration of Healthcare Workers" does not provide for the position of "occupational therapy instructor", but this Nomenclature does not is exhaustive.
Paragraph 2 of the Order of the Ministry of Health of Russia dated 10/15/1999 N 377 establishes: "Heads of health authorities and the pharmaceutical service of the constituent entities of the Russian Federation, heads of health care institutions of federal subordination bring the names of the positions of medical workers and structural divisions of health care institutions in accordance with the Nomenclature of positions approved by this Order, as well as the names of structural units and positions (professions) of other employees, in accordance with the current staffing standards, model staffs, the Unified Tariff and Qualification Guide (ETKS) and tariff and qualification characteristics for industry-wide positions of employees and professions of workers.
Subparagraph 3.2 of clause 3 "Determining wage categories and tariff coefficients by categories of workers" of the Regulations on the remuneration of healthcare workers, approved by Order of the Ministry of Health of Russia of October 15, 1999 N 377, provides for the position of "occupational therapy instructor", which is classified as a nurse .
According to the Pension Fund of the Russian Federation, the position of "instructor in occupational therapy" in healthcare institutions refers to the positions of paramedical personnel.
Specialists
pension fund
Russian Federation
Signed for print
14.07.2009

Occupational therapy in old age as a psychological impact

Occupational therapy (ergotherapy) is the purposeful involvement of patients in labor activity for medical and rehabilitation purposes.

Initially, occupational therapy was used in the treatment of patients in neuropsychiatric boarding schools, then it was widely used, in particular, in working with elderly and elderly people.

Occupational therapy is usually organized permanently in specially equipped medical and production workshops or in an outpatient clinic (in an occupational therapy room, workshops at clinics and dispensaries).

This type of therapy is primarily a therapeutic measure, therefore, medical workers, labor instructors, and medical specialists should always be near patients.

Occupational therapy for the elderly

Work therapy is a condition for the productive organization of an independent life of an elderly person, helping him to live with pleasure. For the elderly, it is important to feel the value of their work, to be confident in its usefulness to others.

The goal of occupational therapy in working with elderly people is to help cope with depression, nervous disorders, and restore lost body functions.

It is included in the leisure of older people in various forms of creative activity, and also offers a set of various purposeful labor activities used for medical purposes.

Tasks of occupational therapy

Occupational therapy solves a wide range of tasks for the rehabilitation of the patient:

• helps to distract from painful and disturbing thoughts tormenting the patient, excitement;
• strengthens the intellectual qualities and emotional-volitional sphere of the patient;
• increases the mental tone of the patient, helps to get rid of the awareness of one's inferiority, forms an optimistic attitude to life;
• creates conditions for the restoration of the patient's relationship with society, etc.

An important task of occupational therapy used in work with psychiatric, neurological, elderly patients is the return of partially lost motor functions, as well as the restoration or formation of labor skills.

Many years of experience have proven that feasible work accelerates the process of rehabilitation after surgery, disorders of the peripheral nervous system, inflammation, and strokes.

Labor therapy eliminates joint stiffness, increases muscle strength and tone, and restores coordination of movements. The maximum effect in such situations is achieved if occupational therapy is used in combination with massage and.

Occupational Therapy Technologies for the Elderly

play therapy

The technology of play therapy is a way of recovery in several areas at the same time: in the field of socialization, self-development, education, adaptation, relaxation, recreation, etc.

Play therapy with a mandatory choice of roles helps to survive life circumstances more calmly, to find the nature of one's behavior in society that is suitable for a given difficult situation.

The means of play therapy can be board and outdoor games, competitive events. In working with the elderly, play therapy is effective, as it helps to express themselves in a certain social role, get rid of the anxieties and sorrows of everyday life.

This is a system of corrective measures based on the use of the means of various arts and the organization of creative activity. Art therapy contributes to the stabilization of the emotional sphere of patients.

In working with the elderly on the basis of this technology, classes in creative workshops of various directions are effective, depending on the person’s hobbies (embroidery, drawing, etc.)

This is a system of occupational therapy based on year-round communication of an elderly person with fresh flowers and plants at home, in a social institution, on a personal plot.

At the same time, such feasible labor operations as planting and transplanting seedlings and adult plants, caring for plants in the garden and on the garden plot, decorating flower beds, and working on subbotniks to improve the territory give a therapeutic effect.

These and other methods of occupational therapy (psychological training, etc.) contribute not only to the restoration of the physical capacity for work of an elderly person, but also facilitate his adaptation in a team, relationships with others.

Forms of occupational therapy for the elderly

Industrial therapy restores professionally important skills or prepares for the acquisition of a specialty, and also helps to solve problems of vocational guidance.

It includes in the occupational therapy program, depending on the degree of loss of working skills, the organization of the following types of patient activities:

1. auxiliary work (for cleaning within the medical department);
2. simple manual operations with elementary tools (assembly of simple products);
3. activities that include several stages of working with a complex product;
4. product manufacturing, including all processing cycles on production equipment;
5. work that requires the use of one's own creativity and special systematized knowledge (repair, adjustment of equipment, design, drawing work, activity as a graphic designer).

Labor operations should be aimed at achieving a complete restoration of labor functions on the basis of solving feasible, diverse tasks that help to simultaneously restore the psycho-emotional background of the patient.

Video: Occupational therapy and finger gymnastics

Ergotherapy at the first stage is carried out on simulators, at the second it offers the patient types of work that are closest to real activities in a plant, factory, workshop, therefore this type of therapy requires the installation of special equipment, machines (to perform the work of a turner, miller, carpenter ).

The correct organization of feasible labor for medical purposes requires that labor be paid, this usually gives a good effect.

It solves the problems of social rehabilitation, increases the vitality and mood of the patient, provides a psychotherapeutic effect.

As part of this direction, patients are offered such activities as:

• application;
• modeling;
• twisting various materials for the manufacture of products;
• production of woven and knitted products from threads;
• the development of coordinated movements and small hands in the process of making products using the origami technique, embroidery.

It is used in case of a significant loss of motor functions by the patient and includes sequentially performing tasks that increase the amplitude of unidirectional and multidirectional movements of the corresponding organ, then returning strength and restoring coordinated movements.

These types of labor therapy should be combined with such a direction as household rehabilitation (self-service training).

This is a set of measures for the development of self-service skills by elderly patients who have undergone trauma or a serious illness.

Domestic rehabilitation is mainly aimed at restoring the functions of the limbs, which will help the patient not to feel helpless. In the system of household rehabilitation, special devices and simulators are used.

Types of labor operations

The restoration of coordination abilities is aimed at performing such labor tasks as typing on a typewriter or computer keyboard, making wickerwork from various materials, and embroidering.

Exercises that restore strength to the muscles include modeling from clay and plasticine, working with simple construction tools.

Easy mode actions involve winding threads of different thicknesses, working with paper and cardboard, foam rubber and other soft materials.

Work therapy is organized according to several periods.

In the process of occupational therapy, the patient is consistently offered learning tasks:

1. light labor loads aimed at restoring the motor functions of the largest number of muscles (working with paper and cardboard, auxiliary operations in the sewing field, in the production of toys), (cardboard work, winding threads, making toys);
2. tasks that restore muscle strength;
3. tasks that restore coordination of movements when working with small objects or when performing operations that require the accuracy of the hands (knitwear, embroidery).

How to dose the load?

The load in occupational therapy is determined by the general condition of the patient, the severity of his underlying disease or injury, the stage of rehabilitation, the number and complexity of existing functional disorders.

When dosing the workload, the change in the patient's postures during therapy, the types and alternation of actions, the time to complete the entire labor task and its individual operations, the weight and complexity of tools and equipment are taken into account.

Types of work performed

Forms of work that have a therapeutic effect are diverse:

• sewing;
• production of knitted and wicker products;
• pottery;
• assembly of simple devices;
• work with wood, paper and cardboard;
• book repair;
• work on industrial machines.

The ability to choose the type of occupation based on well-being, skills and knowledge, interests and preferences helps patients to feel their independence and capacity.

If the patient does not have the opportunity to be in the workshop, conditions are provided for him to do what he can to work at home.

Occupational therapy for various diseases

Ergotherapy is indicated for elderly patients with injuries or dysfunctions of the musculoskeletal system, at the same time it affects the emotional sphere of the patient and performs the functions of therapeutic physical culture.

Helps to quickly rehabilitate after infections.

Conclusion

Occupational therapy for people with disabilities is aimed at improving the general condition, blood circulation, the functioning of the nervous system, relieves tension and pain, and increases the vitality of patients.

Occupational therapy in working with people of the elderly and old age helps to effectively carry out social rehabilitation through a variety of forms and activities.

With all this, it does not require large expenses, it can be organized at home due to its availability and simplicity, it brings good results in combination with the treatment of the underlying disease and physiotherapy procedures.

Occupational therapy develops communication skills, increases self-esteem, inspires confidence in one's strength, prolongs the active phase of life, and helps an elderly person to feel like a full-fledged member of society.

Video: Occupational Therapy in the Zhabchitsky Orphanage

Occupational Therapy Instructor Job Description[name of organization, institution]

This job description has been developed and approved in accordance with the provisions of the Unified Qualification Directory for the Positions of Managers, Specialists and Employees, section "Qualification characteristics of positions of workers in the field of healthcare", approved. by order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n, and other regulatory legal acts regulating labor relations.

1. General Provisions

1.1. The occupational therapy instructor belongs to the professional qualification group "Medical and Pharmaceutical Nursing Personnel" and reports directly to [position title of immediate supervisor].

1.2. A person with a secondary vocational education in the profile of the work performed or a secondary vocational (medical) education is accepted for the position of an occupational therapy instructor, without presenting requirements for work experience.

1.3. An occupational therapy instructor is hired and dismissed from work by order of [the position of the head of the organization].

1.4. The occupational therapy instructor should know:

Laws and other regulatory legal acts of the Russian Federation in the field of healthcare;

Fundamentals of physiology and pathophysiology of the organism;

Fundamentals of occupational therapy and its role in the medical rehabilitation of patients;

Organization of work on occupational therapy;

Principles of selection of rational methods of work;

medical ethics;

Psychology of professional communication;

Basics of labor legislation;

Internal labor regulations;

Rules on labor protection and fire safety.

2. Job responsibilities

Occupational Therapy Instructor:

2.1. Carries out work with patients on occupational therapy in accordance with doctor's prescriptions, transferring them from simple to more complex labor processes.

2.2. Prepares a workplace for the patient and provides it with raw materials, materials, tools and equipment.

2.3. Monitors the safe working conditions of patients and their performance of labor functions.

2.4. Keeps a daily record of the consumption of raw materials and materials by patients, the use of tools and the storage of leftover raw materials, materials and finished products in accordance with established forms.

3. Rights

The occupational therapy instructor has the right to:

3.1. For all social guarantees provided for by law.

3.2. To pay additional expenses for medical, social and professional rehabilitation in cases of damage to health due to an accident at work and occupational disease.

3.3. Get acquainted with the draft decisions of the organization's management regarding its activities.

3.4. Submit proposals for improvement of the work related to the responsibilities provided for in this instruction for consideration by the management.

3.5. Receive from structural divisions and specialists information and documents necessary for the performance of his duties.

3.6. Require the management of the organization to assist in the performance of their duties and rights.

3.7. Improve your professional qualifications.

3.8. [Other rights under labor law].

4. Responsibility

The Occupational Therapy Instructor is responsible for:

4.1. For non-fulfillment or improper fulfillment of their official duties provided for by this job description - within the limits determined by the current labor legislation of the Russian Federation.

4.2. For causing material damage to the employer - within the limits determined by the current labor and civil legislation of the Russian Federation.

4.3. For offenses committed in the course of carrying out their activities - within the limits determined by the current administrative, criminal, civil legislation of the Russian Federation.

The job description was developed in accordance with [name, number and date of the document].

Head of Human Resources

[initials, last name]

[signature]

[day month Year]

Agreed:

[job title]

[initials, last name]

[signature]

[day month Year]

Familiarized with the instructions:

[initials, last name]

[signature]

[day month Year]

I. General provisions

1. The occupational therapy instructor reports directly to _______.
2. The occupational therapy instructor follows the instructions of _______.
3. The occupational therapy instructor replaces _______.
4. The occupational therapy instructor is replaced by _______.
5. The occupational therapy instructor should know:

• current legislation on health protection and regulations governing the activities of healthcare institutions;
• organization of occupational therapy, principles and methods of its implementation in various diseases and the importance for the rehabilitation of patients;
• fundamentals of law in medicine;
• rights, duties and responsibilities of an occupational therapy instructor;
• basics of normal and pathological anatomy and physiology;
• labor protection rules for various methods of occupational therapy;
• rules for the provision of first and emergency medical care;
• rules for issuing medical records.

1. Qualification requirements:

• Occupational therapy instructor of the highest qualification category: higher education (technical) in the direction of preparation "Medicine" in any medical specialty. Job specialization. Professional development (advanced courses, etc.). The presence of a certificate of assignment (confirmation) of the highest qualification category in this specialty. More than 10 years of professional experience.
• Occupational therapy instructor of the 1st qualification category: higher education (technical) in the direction of preparation "Medicine" in any specialty of the medical profile. Job specialization. Professional development (advanced courses, etc.). The presence of a certificate of assignment (confirmation) of a qualification category in this specialty. Work experience in the specialty for more than 7 years.
• Occupational Therapy Instructor II qualification category: higher education (technical) in the direction of training "Medicine" in any medical specialty. Job specialization. Professional development (advanced courses, etc.). The presence of a certificate of assignment (confirmation) of the II qualification category in this specialty. Work experience in the specialty for more than 5 years.
• Occupational Therapy Instructor: higher education (junior specialist) in the field of medicine in any medical specialty. Job specialization. No requirement for work experience.

II. Job Responsibilities

Occupational Therapy Instructor:

1. It is guided by the current legislation of Ukraine on health protection and regulatory legal acts that determine the activities of healthcare and social security institutions, the organization of medical care, including rehabilitation care for patients.
2. He applies modern methods of occupational therapy in accordance with the prescriptions of doctors, works under their supervision.
3. Prepares premises and workplaces.
4. Provides the process of occupational therapy with raw materials, materials, tools, necessary equipment.
5. Determines with the doctor for each patient the methods and ways of labor, the transition from simple to more complex labor processes.
6. Supervises the fulfillment by patients of prescriptions for occupational therapy.
7. Provides labor protection.
8. He knows the methods of resuscitation, is able to provide assistance in case of traumatic injury, bleeding, collapse, poisoning, drowning, mechanical asphyxia, anaphylactic shock, burns, frostbite, allergic conditions.
9. Adheres to the principles of medical deontology.
10. Maintains medical records.
11. Constantly improves his professional level.

III. Rights

The occupational therapy instructor has the right to:

1. Get acquainted with the draft decisions of the management of the enterprise regarding its activities.
2. Participate in the discussion of issues related to the performance of his duties.
3. Make suggestions for improving the work related to the provisions of this instruction.
4. Within the limits of his competence, inform his immediate supervisor about all those identified in the course of his activities, and make proposals for their elimination.
5. Require the management of the enterprise to assist in the performance of their duties.

IV. A responsibility

The Occupational Therapy Instructor is responsible for:

1. For improper performance or non-performance of their official duties, as well as for non-use or directly to their rights provided for by this Job Description - to the extent determined by the current legislation of Ukraine.
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.
3. For causing material damage - within the limits determined by the current labor legislation on labor of Ukraine.