What does a clinical laboratory doctor do? Job description of a doctor for clinical laboratory diagnostics (download sample text)

Who is a KLD doctor

A medical laboratory technician is a medical doctor who deals with clinical laboratory diagnostics(KLD), acting as a laboratory assistant in a biochemical, clinical, microbiological, immunological, virological, histological and other laboratory in a medical institution of various types.

Competence of a laboratory doctor

Today, medicine cannot do without laboratory tests, without which it is impossible to make a correct diagnosis for a patient and prescribe an effective treatment. A laboratory doctor conducts a laboratory analysis of biological products and liquids of human vital products.

The laboratory assistant also conducts laboratory tests to determine the physical and chemical characteristics and the composition of materials and maintains laboratory equipment, monitoring its preparation, serviceability and performing adjustment work.

The laboratory assistant participates in experiments, prepares, conducts observations, takes instrument readings and fills in work logs. The laboratory doctor provides employees with the necessary equipment, reagents and materials. Processes, draws up, systematizes the results of analyzes, measurements, tests and keeps records in accordance with the methodological documents.

The junior medical staff (nurses and laboratory assistants) is subordinate to the laboratory assistant. He teaches them how to work with reagents and instruments and how to follow the safety rules at work. workplace.

The profession of a laboratory doctor by type

The training of a doctor of KLD is carried out in the specialty:

  • Clinical laboratory diagnostics (in medical universities).
  • Laboratory genetics at the biological faculties of universities and universities.

Pros and cons of the profession of a doctor KLD

Pros. The work of a laboratory assistant is not associated with intense physical labor, calm and measured. Hours of work are part-time. You can always find a job in this specialty (there are vacancies in medical institutions).

  • an unpleasant moment associated with analyzes of human excretory organs (feces, urine);
  • work with radioactive sources (fluorography, X-ray), where it is necessary to observe the safety rules;
  • there is a risk of contracting hepatitis, tuberculosis, AIDS;
  • low wages.

With a higher education and participation in research and experiments, a laboratory doctor can reach the heights of a doctor of science and an academician.

When working in tuberculosis dispensaries and similar types of medical institutions, a laboratory doctor receives a salary supplement of 15%.

Where does a laboratory assistant work?

Place of work of the laboratory assistant:

  • Hospitals from regional to republican.
  • Polyclinics, laboratories of medical universities and schools.
  • Centers for standardization and metrology.
  • Blood transfusion stations.
  • Sanitary and epidemiological service.

What Qualities Should a Medical Technician Possess?

The QLD physician must be:

  • Observant and with a good memory.
  • Know how to concentrate.
  • Have good fine motor skills and coordination.
  • Be well organized and tidy.
  • Be attentive and responsible.
  • Be disciplined and meticulous.
  • Know and strictly apply safety precautions.

JOB INSTRUCTIONS Head of the Department of Clinical Diagnostic Laboratory

I. General provisions
1. A person who has a higher medical education, a document on conferring the title of a specialist doctor and the first or highest qualification category is appointed to the position of the head of the department of the clinical diagnostic laboratory.
2. Appointment to the position of the head of the department of the clinical diagnostic laboratory and dismissal from it is carried out by order of the chief physician of the polyclinic.
3. The head of the department must know:
3.1. Laws Russian Federation and other regulatory legal acts on health issues.
3.2. Methods of providing medicinal and emergency medical care to the population.
3.3. Theoretical knowledge in the chosen specialty, in organizational, diagnostic, advisory, medical, preventive work.
3.4. Modern methods of laboratory diagnostics.
3.5. Fundamentals of quality control of medical care.
3.6. Ways of interaction with other medical specialists, various services, institutions, including insurance companies, associations of doctors, etc.
3.7. Fundamentals of the functioning of budgetary insurance medicine and the provision of primary health care to the population.
3.8. Legislation on labor and labor protection of the Russian Federation.
3.9. Internal labor regulations.
3.10. Rules and norms of labor protection, safety measures, industrial sanitation and fire protection.
3.11. Normative documents on the organization of work with harmful and dangerous production factors.
3.12. The head of the department of the clinical diagnostic laboratory is directly subordinate to the deputy chief physician for the medical part.
4. During the absence of the head of the department (business trip, vacation, illness, etc.), his duties are performed by a person appointed by order of the head of the institution.

II. Job Responsibilities Head of the Department of Clinical Diagnostic Laboratory

Head of the Department of Clinical Diagnostic Laboratory:
1. Organizes and ensures the timely conduct of clinical laboratory studies and the direct implementation of a number of studies. It carries out its activities on the basis of standards of medical care, clinical protocols, national recommendations, other regulatory documents that determine the technology of laboratory research and the organization of laboratory control.
2. Carries out constant control:
– execution by the staff of the department of methods of sampling, conducting research of the biomaterial;
- maintaining medical records;
In the control process, it uses unified rules, procedures, algorithms, methodological techniques, methods of generalization and statistical analysis.
3. Organizes and conducts internal laboratory quality control.
4. Introduces advanced forms and methods of laboratory diagnostics of diseases into the practice of the department.
5. Monthly draws up and submits to the administration for approval the work schedule of the department staff; makes a vacation schedule.
6. Provides advisory assistance to attending physicians on clinical and laboratory studies.
7. Develops and implements measures to prevent the impact on the quality of the results of laboratory tests of negative factors of the pre-analytical and post-analytical stages of the study.
8. Works with the doctors of the department to improve their skills by analyzing complex cases of laboratory diagnostics.
9. Timely brings to the attention of laboratory assistants of the department's laboratory the relevant orders and orders of the administration.
10. Organizes the participation of the clinical diagnostic laboratory in the Federal Quality Control of Laboratory Research.
11. Complies with and requires the staff of the department to comply labor discipline and internal labor regulations.
12. Provides reports on the work of the department within the established time limits.
13. Requires laboratory assistants of the department to fulfill production volumes.
14. Complies with the principles of medical ethics and deontology.
15. Improves his skills.
16. Competently fulfills the instructions of the deputies of the chief physician, the chief physician.
17. Ensures the participation of doctors and nurses in the work of medical and nursing clinics.
18. Determines the department's need for equipment, reagents, consumables.
19. Carries out control over the compliance of the staff with the sanitary and epidemiological regime in the department.
20. Controls the operation of laboratory equipment, the timeliness and quality of equipment repair.
21. Contributes to the metrological verification of equipment.
22. Provides conditions for labor protection and safety of employees, monitors compliance with safety regulations.
III. Rights
The head of the department of the clinical diagnostic laboratory has the right to:
1. Supervise the work of laboratory laboratory assistants subordinate to him, nurses, medical, middle and junior medical personnel.
2. Make proposals for improving medical and social assistance.
3. To take part in meetings, scientific and practical conferences on the issues of medical and preventive care.
4. Use medical institutions to improve their skills.

IV. A responsibility

The head of the department of the clinical diagnostic laboratory is responsible for:

1. For improper performance or non-performance of their official duties provided for by this job description, within the limits of the current labor legislation of the Russian Federation.
2. For illegal actions or omissions that caused damage to the health or death of the patient, other offenses committed in the course of carrying out their activities - within the limits of the current administrative, criminal and civil legislation of the Russian Federation.
3. For timely and high-quality performance in the separation of approved production volumes.
4. For the sanitary condition of the clinical diagnostic laboratory and the fulfillment by the personnel of the requirements of the sanitary and epidemiological regime when working with blood and other biological fluids.
5. For the organization and state of civil defense in the department, for the training of personnel on civil defense and emergency situations, for the readiness of the personnel of the department to provide the necessary amount of medical care to employees, patients and the population in various emergency situations in peacetime and wartime. The head of the department organizes the implementation of the entire range of civil defense activities, conducts special training to study the training program for doctors and paramedical personnel in civil defense.

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JOB INSTRUCTIONS FOR THE LABORATORY PHYSICIAN OF THE CLINICAL DIAGNOSTIC LABORATORY

I. General provisions

    The main tasks of the laboratory doctor of the clinical diagnostic laboratory are: constant monitoring of the quality of studies carried out by nursing staff, teaching nursing staff research techniques, preparing special standards and reagents, performing research that requires medical competence.

    The appointment and dismissal of a laboratory assistant is carried out by the chief physician in accordance with the established procedure.

    The laboratory assistant reports to the head of the laboratory.

    In his work, the laboratory assistant is guided by:
    - a list of mandatory minimum laboratory tests,
    - this job description,
    - guidelines for improving the quality control of the work of the clinical diagnostic laboratory.

    _________________________________________________________________.

II. Job Responsibilities

    To conduct qualifiedly the following types of research and manipulations: microscopy of blood smears, exudates and transudates, sputum; cytological examination of all types of material; reading the results of biochemical types of research; preparation of special standards and reagents.

    Learn new or proven techniques.

    Prepare monthly progress reports to the head of the laboratory.

    Advise doctors on laboratory diagnostics.

    Control the quality of research conducted by nursing staff.

    Prepare research forms and sign research results.

    Carry out systematic activities to improve the skills of nursing staff.

    Improve your theoretical level and professional qualifications, apply in practice all modern research methods.

    Supervise the implementation of safety instructions by personnel.

    Comply with internal regulations and principles of deontology.

    _________________________________________________________________.

    _________________________________________________________________.

III. Rights

The laboratory doctor has the right:

    check the correctness and timeliness of all assigned studies;

    to test and implement, with the permission of the head of the laboratory, new research methods;

    demand from middle personnel timely and high-quality performance of their work;

    present the requirements of the administration to create the necessary conditions at the workplace, ensuring high-quality and timely completion of research.

    _________________________________________________________________.

    _________________________________________________________________.

IV. A responsibility

The laboratory assistant with higher education is responsible for:

    failure to comply with the requirements stipulated by the current legal acts, this job description;

    poor-quality, untimely conduct of studies prescribed by attending physicians.

    _________________________________________________________________.

    _________________________________________________________________.

1. General Provisions

1. This job description defines the job duties, rights and responsibilities of a doctor in clinical laboratory diagnostics.
2. A person with a higher medical education who has completed postgraduate training or specialization in the specialty "Clinical Laboratory Diagnostics" is appointed to the position of a doctor of clinical laboratory diagnostics.
3. The doctor of clinical laboratory diagnostics must know the basics of the legislation of the Russian Federation on health care; legal documents regulating the activities of healthcare institutions; the basics of organizing medical and preventive care in hospitals and outpatient clinics, emergency and emergency medical care, disaster medicine services, sanitary and epidemiological services, drug supply to the population and health care facilities; theoretical basis, principles and methods of clinical examination; organizational and economic foundations for the activities of health care institutions and medical workers in the context of budgetary insurance medicine; fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology; legal aspects of medical activity; general principles and basic methods of clinical, instrumental and laboratory diagnostics of the functional state of organs and systems of the human body; etiology, pathogenesis, clinical symptoms, course features, principles of complex treatment of major diseases; rules for the provision of emergency medical care in a life-threatening condition of the patient; bases of examination of temporary incapacity for work and medico-social examination; fundamentals of health education; internal labor regulations; rules and norms of labor protection, safety measures, industrial sanitation and fire protection.
In his specialty, a doctor of clinical laboratory diagnostics should know the general issues of organizing laboratory services in the country; modern methods of laboratory diagnostics; content and sections of clinical laboratory diagnostics as an independent clinical discipline; tasks, organization, structure, staffing and equipment of the clinical laboratory diagnostics service; current legal and instructive and methodological documents in the specialty; rules for issuing medical documentation; principles of activity planning and reporting of laboratory services; methods and procedures for monitoring its activities.
4. The doctor of clinical laboratory diagnostics is appointed to the position and dismissed from the position by the order of the chief physician of the health facility in accordance with the current legislation of the Russian Federation.
5. The doctor of clinical laboratory diagnostics is directly subordinate to the head of the clinical diagnostic laboratory, and in his absence, the head of the medical institution or his deputy.

2. Job responsibilities

Conducts laboratory research in accordance with the duties assigned to him. Ensures the use of analytically and diagnostically reliable methods. Participates in the development and implementation of new research methods and equipment. Advises doctors of other specialties on laboratory diagnostics. Makes recommendations for the staff of the medical departments of health care facilities on the rules for taking and delivering biological material to the clinical diagnostic laboratory. Participates in the interpretation of laboratory test results. Carries out activities to conduct internal and external quality control of research. He analyzes his work and the work of specialists subordinate to him with a secondary medical education. Prepares monthly reports on his work, participates in the preparation of the annual report of the laboratory. Conducts classes in his specialty for specialists with secondary medical education in order to improve their skills. Supervises the implementation by middle and junior medical personnel of the safety rules and the sanitary and epidemic regime. Supervises the work of secondary and junior medical personnel subordinate to him (if any). Controls the correctness of laboratory research, operation of tools, apparatus and equipment, rational use of reagents, compliance with safety and labor protection rules. Plans its work and analyzes the performance of its activities. Ensures timely and high-quality execution of medical and other documentation in accordance with established rules. Carries out sanitary-educational work. Complies with the rules and principles of medical ethics and deontology. Qualified and timely executes orders, instructions and instructions of the management of the institution, as well as regulatory legal acts on its activities. Complies with the rules of internal regulations, fire safety and safety, sanitary and epidemiological regime. Promptly takes measures, including timely informing management, to eliminate violations of safety, fire and sanitary regulations that pose a threat to the activities of the healthcare institution, its employees, patients and visitors. Systematically improves his skills.

The doctor of clinical laboratory diagnostics has the right:
1. independently conduct laboratory tests and interpret their results;
2. to make proposals to the management of the institution on improving the diagnostic and treatment process, improving the work of administrative, economic and paraclinical services, issues of organization and conditions of their work;
3. control the work of subordinate employees (if any), give them orders within their official duties and demand their precise execution, make proposals to the management of the institution on their encouragement or imposition of penalties;
4. request, receive and use information materials and legal documents necessary for the performance of their duties;
5. to take part in scientific-practical conferences and meetings, which discuss issues related to his work;
6. pass certification in accordance with the established procedure with the right to obtain the appropriate qualification category;
7. to improve their qualifications at refresher courses at least once every 5 years.
The doctor of clinical laboratory diagnostics enjoys all the rights set forth in Labor Code RF.

4. Responsibility

The doctor of clinical laboratory diagnostics is responsible for:
1. timely and high-quality implementation of the duties assigned to him;
2. organization of their work, timely and qualified execution of orders, instructions and instructions of the management, regulatory legal acts on 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. enforcement performance discipline and performance of their official duties by employees subordinate to him (if any);
7. prompt action, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors.
For violation of labor discipline, legislative and regulatory acts, a doctor of clinical laboratory diagnostics can be brought to disciplinary, material, administrative and criminal liability in accordance with the current legislation, depending on the severity of the misconduct.

JOB INSTRUCTIONS Laboratory assistant of the clinical diagnostic laboratory

1. General Provisions:
1.1. A specialist with a secondary medical education, or other specialists admitted to work as a laboratory assistant, according to current regulatory documents, who have undergone retraining according to an approved program and received a laboratory assistant certificate, is appointed to the position of a laboratory assistant in a clinical diagnostic laboratory.
1.2. The laboratory assistant is appointed and dismissed in accordance with the current legislation of the Russian Federation.
1.3. The laboratory assistant reports to the head, as well as
1.4. The laboratory assistant of the clinical diagnostic laboratory in his work is guided by the regulation on the dermatovenerologic dispensary, which includes the clinical diagnostic laboratory, the regulation on the clinical diagnostic laboratory, this job description, functional duties, the Charter of the institution, the internal labor regulations, the contract for the team form of labor organization, legislative, regulatory acts, official documents in the field of health care, orders, instructions and orders of higher officials and other normative documents on laboratory diagnostics.

11. Duties of a laboratory assistant of a clinical diagnostic laboratory

2.1. Performs laboratory research in the section determined by the head of the laboratory in accordance with the qualification requirements and established load standards.
2.2. Prepares reagents, chemical glassware, equipment, disinfectant solutions for work.
2.3. Registers the biological material entering the laboratory for research, processes it and prepares it for research.
2.4. Takes blood from a finger.
2.5. When working with devices, he observes the rules of operation, in accordance with the regulatory and technical documentation.
2.6. Conducts disinfection, PSO and sterilization of laboratory instruments in accordance with current instructions.
2.7. Maintains the necessary documentation (registration, entries in journals, forms of analysis results, etc.)
2.8. Improves professional qualifications in the prescribed manner, participates in classes for employees with secondary medical education.
2.9. Complies with safety regulations and industrial sanitation, in accordance with legal requirements.
2.10. Deliver sheep erythrocytes and other reagents from manufacturing enterprises.
2.11. Conservation of erythrocytes.
2.12. Carry out general cleaning at least 1 (one) time per month.
111. Rights
3.1. Receive the information necessary for the accurate performance of their professional duties.
3.2. Make proposals for improving the work of the laboratory assistant and the organization of nursing in the dispensary.
3.3. Require from the main nurse dispensary providing the workplace with equipment, equipping with tools, care items, etc., necessary for the high-quality performance of their functional duties.
3.4. Improve their qualifications in the prescribed manner, undergo certification (re-certification) in order to assign qualification categories.
3.5. Participate in the work of professional medical associations.

Responsibility of the laboratory assistant of the clinical diagnostic laboratory

The laboratory assistant of the clinical diagnostic laboratory is responsible for:
4.1. For the correct and timely performance of functional duties.
4.2. For observance of labor discipline, safety precautions, as well as medical and protective regime.
4.3. For high-quality maintenance of medical records, timely preparation and delivery of reporting documents.
4.4. For the timely information of the heads of the institution about emergencies.
4.5. For compliance with the proper sanitary and anti-epidemic regime in the department.
4.6. For failure to comply with the requirements of the job description and their functional duties, except for the liability provided for by the Criminal Code of the Russian Federation (for violation of safety regulations).

Agreed


(signature)
"___" __________ 20__
Familiarized with the instruction: ___________________
(signature)
"___" __________ 20__

Familiarized with the instruction: ___________________
(signature)
"___" __________ 20__

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