Unified qualified reference book of positions of medical workers. Qualification requirements for the head of a medical organization. With changes and additions from

In practice, the question often arises: should the sole executive body and the actual head of a medical organization have a medical education and professionally understand the main activities of the clinic, or whether it is enough for him to be a capable administrator and understand non-core areas. Let's turn to the legislation and the practice of its application.

The Labor Code of the Russian Federation and the Federal Law “On the Fundamentals of Health Protection of Citizens in the Russian Federation” No. 323-FZ does not contain special qualification requirements for the position of “head of a medical organization”.

These requirements are contained in by-laws governing the qualification characteristics of positions, such as:

Nomenclature of positions of medical workers and pharmaceutical workers, approved by Order of the Ministry of Health of the Russian Federation No. 1183n dated 20.12.2012;

Unified qualification reference book of positions of managers, specialists and employees, section "Qualification characteristics of positions of workers in the field of health care", approved. Order No. 541n dated July 23, 2010

The list of positions that make up the "Positions of managers" is disclosed in 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 20.12.2012. According to this document, "Positions of managers" are included in clause 1.1 of section I "Medical workers."

So, section I "Medical workers", subsection 1.1. "Positions of managers":

chief physician (head) of a medical organization;

director of a hospital (home) nursing, hospice;

deputy head (head) of a medical organization;

the head (head) of a structural unit (department, department, laboratory, office, detachment, etc.) of a medical organization - a specialist doctor;

head (chief physician, head) of a structural unit carrying out medical activities of another organization;

chief nurse (chief midwife, chief paramedic).

In the note to the nomenclature of posts, an important disclaimer is made in relation to 3 of the 6 posts listed above, namely, in relation to:

"Chief physician (head) of a medical organization",

"Deputy head (head) of a medical organization",

"The head (chief physician, head) of a structural unit carrying out medical activities of another organization."

A note to the document says that the above 3 positions refer to the positions of medical workers in the event that their labor (official) duties include the implementation of medical activities.

There is no such reservation with regard to the remaining 3 positions, including the position of “director of a hospital (home) nursing care, hospice”.

Unified qualification reference book of positions of managers, specialists and employees, approved by Order No. 541n of 23.07.2010 in section II "Positions of managers" does not indicate the mandatory presence of medical education in relation to the position:

Head (chief physician, director, head) of federal budgetary institutions of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare,

Hospital (home) nursing and hospice directors.

An employee in the position of "chief physician (president, director, head, manager, head of a medical organization)" may or may not have a medical education, but in any case must have a certificate of a specialist in the specialty "Organization of health care and public health" and work experience in managerial positions.

Here are some excerpts from regulatory documents.

With regard to the position of "chief physician (president, director, head, manager, head of a medical organization)", the following qualification requirements are imposed:

"Higher professional education in the specialty" General Medicine "," Pediatrics "," Preventive medicine "," Dentistry ", postgraduate professional education and / or additional professional education, a certificate of a specialist in the specialty" Organization of health care and public health "or higher professional (economic, legal) education and special training in health care management, work experience in managerial positions for at least 5 years. For the president of a medical organization, work experience in medical organizations is at least 25 years.

With regard to the position of “director of a hospital (home) of nursing care, hospice,” the following qualification requirements are imposed:

"Higher professional education in the specialty" General Medicine "," Pediatrics "," Nursing ", postgraduate vocational education and / or additional professional education, a certificate of a specialist in the specialty" Health Organization and Public Health "or" Nursing Management ", work experience in medical organizations for at least 5 years or secondary vocational education (advanced level) in the specialty "Nursing", "General Medicine", "Obstetrics" and a certificate of a specialist in the specialty "Organization of Nursing", work experience in medical organizations at least 10 years".

In the Letter of the Ministry of Labor and Social Protection of the Russian Federation No. 14-0 / 10 / B-2253 dated April 4, 2016, with reference to the Labor Code of the Russian Federation, two cases are named, in the presence of which the requirements of professional standards are mandatory:

if, in accordance with the Labor Code of the Russian Federation or other federal laws, the provision of compensation and benefits or the presence of restrictions is associated with the performance of work in these positions, professions, specialties (Article 57 of the Labor Code of the Russian Federation);

if the requirements for the qualifications necessary for the employee to perform the labor function are established by the Labor Code of the Russian Federation, other federal laws, other regulatory legal acts of the Russian Federation (Article 195.3 of the Labor Code of the Russian Federation).

The legislation on the licensing of medical activities establishes the requirements for the level of education of the head of a medical organization (subparagraph c, item 4 of the Regulation on the licensing of medical activities, approved by Decree of the Government of the Russian Federation No. 291 of 04.16.2012).

So, the head of a medical organization, deputy heads of a medical organization responsible for carrying out medical activities should have:

higher medical education;

postgraduate and (or) additional professional education, provided for by the qualification requirements for specialists with higher and postgraduate medical education in the field of health care;

specialist certificate;

as well as additional professional education and a certificate of a specialist in the specialty "organization of health care and public health";

work experience in the specialty for at least 5 years.

Compliance with these requirements must be documented.

The phrase "responsible for the implementation of medical activities" draws attention and gives rise to conflicts in practice.

As can be seen from the above normative acts, there is a conflict between the Unified Qualification Handbook, the Nomenclature of Positions in the Healthcare Sector and the Regulations on the Licensing of Medical Activities. In this regard, the assessment of this conflict by the courts is of interest.

Law enforcement practice of arbitration courts.

The law enforcement practice of arbitration courts that we have discovered indicates that the supervisory authorities, as a rule, always assess the absence of a head of medical education as a violation of licensing requirements. A fine is applied to the violator in accordance with part 4 of article 14.1 of the Administrative Code of the Russian Federation.

Arbitration courts, considering the issue of the validity of the application of penalties, in most cases, confirm the correctness of the conclusions of the regulatory authorities, and less often take the side of a medical organization.

Below are examples of court decisions: in the first case, the courts considered the situation when the manager has a medical education, but does not have a certificate of a specialist in the specialty “organization of health care and public health and work experience in medical organizations; in the second case, there is no medical education.

Examples of court decisions.

The decision of the Arbitration Court of the Oryol Region dated April 22, 2016 in case No. А48-1595 / 2016.

“… Documents confirming that the head of a medical organization, deputy head of a medical organization responsible for carrying out medical activities, additional professional education and a certificate of a specialist in the specialty“ organization of health care and public health ”have not been presented, which indicates non-compliance with ... the requirements of paragraphs. clause 4 of the Decree of the Government of the Russian Federation dated 04.16.2012 No. 291 "On licensing medical activities ..." ".

Resolution of the Supreme Court of the Russian Federation dated October 27, 2014 No. 302-KG14-2669 in case No. A33-11226 / 2013.

“... at the time of the inspection by the Ministry of Health of the Krasnoyarsk Territory, in violation of the above licensing requirements, the position of the chief physician of the company was occupied by Nikolai Gennadievich Lukashevsky, appointed by order No. August 1986 to June 30, 1987 in the specialty of surgical dentistry, who has a certificate of a specialist in the specialty of orthopedic dentistry, who does not have professional training in the specialty of healthcare organization and public health. "

Resolution of the Arbitration Court of the Moscow District of August 18, 2015 in case No. A40-180007 / 2013

“… In violation of subparagraph" c "of paragraph 4 of the Regulations, the head - General Director Sokolov V.L. (order dated 05.09.2012 No. 08-k) there is no higher medical education, the deputy general director for medical work Ryabova O.I. (order dated September 16, 2012 No. 09 / K, dated September 16, 2012) there is no additional professional education and a certificate of a specialist in the specialty “healthcare organization and public health.

The Court of Cassation considers it legitimate to assign an administrative fine to the company within the sanction of part 4 of Article 14.1 of the Code of Administrative Offenses of the Russian Federation.

The company's references to obtaining a license on a legal basis and according to the requirements of the legislation at the date of its receipt do not affect the legality of bringing to administrative responsibility. The circumstances of obtaining a license are not subject to establishment within the framework of this dispute. The courts established that at the time of the inspection, the company was carrying out activities in gross violation of the conditions provided for by a special permit (license). "

Resolution of the Arbitration Court of the Far Eastern District of March 5, 2015 in case No. F03-213 / 2015.

"As a result of the audit, it was established that the director of the company, which is a medical organization, does not have a higher medical education and a certificate of a specialist in healthcare organization and public health."

Resolution of the Eleventh Arbitration Court of Appeal dated February 13, 2014 in case No. А55-24619 / 2013

“From the materials of the case, it is clear that at the time of the inspection, the management of LOTOS LLC was carried out by OA Bormotova ... specialty for less than 5 years.

From the presented ... documents it appears that Bormotova Oh.A. holds the position of director, her responsibilities include direct management of the financial and economic activities of the company for the provision of medical services to the population, with the solution of issues requiring special knowledge in the medical field.

The court of first instance reasonably rejected the company's argument about the possibility of the inconsistency of its current sole executive body with the requirements for the position.

The regulation on licensing medical activities does not provide for any exemptions from the requirements for the head of a medical organization, who in this case is a special subject, regardless of the decisions of other bodies, including his personal ones, as the sole executive body of the company.

Submitted by the company of the Deputy Director of LOTOS LLC for the medical part, the regulation on internal quality control and safety of medical activities of LOTOS LLC, order of January 21, 2013 No. 1 / 21-01-13 "On the procedure for internal quality control and safety of medical activities in LLC "LOTOS" are internal acts of the organization that do not exempt subjects of medical activity from compliance with the requirements of the legislation in the field of licensing certain types of activities. "

Resolution of the Seventh Arbitration Court of Appeal dated November 7, 2014 in case No. А03-13309 / 2014.

“The head of the medical organization - OV Gritsay. does not have higher medical education, postgraduate and (or) additional professional education, provided for by the qualification requirements for specialists with higher and postgraduate medical education in the field of health care, a specialist certificate, as well as additional professional education and a specialist certificate in the specialty "organization of health care and public health" ….

… Licensing requirements in the regulated sphere of activity are the presence of the head of a medical organization… responsible for carrying out medical activities… higher medical education…, and a certificate of a specialist in the specialty "organization of health care and public health".

A qualifying feature in the application of the said rule of law is the fact that the relevant official (head, deputy heads, head of a structural unit) is responsible for carrying out medical activities.

At the same time, from the documents presented by the Company it follows that Gritsay O.The. is not responsible for the implementation of medical activities, the Company has two managers: the director and the head of the medical service, by order of 01/09/2013 N 3-1 the job responsibilities that are within the competence of the head of the medical service and the director are distributed. At the same time, it is the official duties of the head of the medical service that include the duties related to the implementation of medical activities, which is also confirmed by the instruction of the head of the medical service approved by the Company.

The duties of the director are Gritsay O.V. includes exclusively the organization and operational management of production and economic and financial and economic activities. All persons who hold (or have previously held) the position of the head of the medical service have a higher medical education, the necessary qualifications, work experience, etc.

In this connection, the court of first instance came to a lawful conclusion about the unjustified imputation of the said violation by the Department. "

On approval of the Unified qualification reference book of positions of managers, specialists and employees, section

In accordance with clause 5.2.52 of the Regulation on the Ministry of Health and Social Development of the Russian Federation, approved by Resolution of the Government of the Russian Federation dated June 30, 2004 N 321 (Collected Legislation of the Russian Federation, 2004, N 28, Art.2898; 2005, N 2, Art. 162; 2006, N 19, Art. 2080; 2008, N 11 (1 h.), Art. 1036; N 15, Art. 1555; N 23, Art. 2713; N 42, Art. 4825; N 46 , Art.5337; N 48, Art.5618; 2009, N 2, Art. 244; N 3, Art. 378; N 6, Art. 738; N 12, Art. 1427, 1434; N 33, Art. 4083 , 4088; N 43, Art. 5064; N 45, Art. 5350; 2010, N 4, Art. 394; N 11, Art. 1225; N 25, Art. 3167; N 26, Art. 3350), p. and how:

To approve the Unified qualification reference book of the positions of managers, specialists and employees, the section according to the appendix.

The minister
T.A. Golikova

Application

By order of the Ministry

Health and Social

Development of the Russian Federation

From _______ 2010 N _____

Unified qualification reference book of positions

managers, specialists and employees

healthcare workers>

I... General Provisions

1. The section of the Unified Qualification Handbook of the Positions of Managers, Specialists and Employees (hereinafter referred to as the EKS) is intended to promote the correct selection and placement of personnel, improve their business qualifications, the division of labor between managers, specialists, as well as ensure the unity of approaches in defining the job responsibilities of these categories of workers and qualification requirements for them and consists of five sections: I -; II -; III -; IV -; V. ...

2. The qualification characteristics contained in the TSA section (hereinafter referred to as qualification characteristics) are used as regulatory documents, and also serve as the basis for the development of job descriptions containing a specific list of job duties, taking into account the peculiarities of the work of workers in medical organizations. The job titles of specialists with higher medical and pharmaceutical education are established in accordance with the Qualification Requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare, approved in accordance with the established procedure by the Ministry of Health and Social Development of Russia. For example, the job title corresponds to a medical specialty.

The names of the positions of specialist doctors and specialist pharmacists are established in accordance with the names of medical and pharmacist specialties, the nomenclature of which is approved in the prescribed manner.

The name of the position is retained for specialists with higher professional (non-medical) education, hired for this position before October 1, 1999.

In the case of a doctor. a specialist (pharmacist) has a break in his specialty for more than 5 years or changes the profile of a specialty that requires special training and qualifications, he is appointed to the position of a doctor. trainee (pharmacist, trainee) for the period of professional retraining in accordance with the established procedure in order to obtain special knowledge, skills and abilities necessary for independent work as a specialist doctor (pharmacist), and obtain a certificate in the relevant specialty.

During this period of time, he can perform the duties provided for by the qualification characteristics of a specialist doctor (specialist doctor of the state sanitary and epidemiological service institution, pharmacist), only under the guidance of a doctor. a specialist (doctor, specialist of the institution of the state sanitary and epidemiological service, pharmacist) who has a certificate of a specialist in the relevant specialty, answering on an equal basis with him for his actions.

The names of the positions of the heads of structural divisions (departments, divisions, laboratories, offices, detachments, etc.) are supplemented by the name of a medical position corresponding to the specialty in the profile of the structural division. For example, .

4. The qualification characteristics of each position contains three sections:, and.

The section establishes a list of the main functions that can be assigned to an employee holding this position, taking into account the technological homogeneity and interconnectedness of work, received professional education.

The section defines the levels of the required professional education of the employee, necessary to perform the assigned job duties, as well as the required length of service. The levels of required professional training indicated in the section are given in accordance with the Law of the Russian Federation of July 10, 1992 N 3266-1 (Collected Legislation of the Russian Federation, 1996, N 3, Art. 150) and other regulatory legal acts.

5. The official name is established on condition that the specialist is in charge of the performers subordinate to him.

6. Persons who do not have the appropriate additional professional education or work experience established by the qualification requirements, but who have sufficient practical experience and perform the job duties assigned to them with high quality and in full, on the recommendation of the certification commission of the medical organization, as an exception, may be appointed to relevant positions as well as persons with special training and the necessary work experience.

The employer shall take measures for the further professional training of the said persons.

7. In medical organizations, job titles: filled by males are named accordingly:,.

II. Leadership positions

Chief physician
(president, director, manager, manager, chief)
medical organization

Job responsibilities. Manages the activities of a medical organization. Organizes the work of the organization's team to provide and provide quality medical services to the population. Provides the organization of treatment-and-prophylactic, administrative and economic and financial activities of the organization. Analyzes the activities of the organization and, based on the assessment of its performance indicators, takes the necessary measures to improve the forms and methods of work. Approves the staffing table, financial plan, annual report and annual balance sheet of the organization. Ensures the fulfillment of obligations under the collective agreement. Improves the organizational and management structure, planning and forecasting of activities, forms and methods of work of the organization, selects personnel, their placement and use in accordance with qualifications. Organizes and ensures that employees of the organization receive additional professional education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Takes measures to ensure that employees of the organization perform their duties. Ensures and monitors the implementation of internal labor regulations, labor protection and fire safety during the operation of devices, equipment and mechanisms. Represents the organization in state, judicial, insurance and arbitration bodies, at international events, in state and public organizations on issues in the field of health, previously agreed with the higher authority in charge of this organization. Interacts with local authorities, civil defense services, disaster medicine, territorial internal affairs bodies and other operational services. Takes part in conferences, seminars, exhibitions. Ensures the implementation of preventive measures for the prevention of industrial injuries and occupational diseases.

Must know: The Constitution of the Russian Federation; laws and other regulatory legal acts of the Russian Federation in the field of healthcare, consumer protection and sanitary and epidemiological well-being of the population; theoretical foundations of social hygiene and healthcare organization; management systems and work organization in health care; population health statistics; assessment criteria and indicators characterizing the health status of the population; organization of medical and social expertise; organization of social and medical rehabilitation of patients; medical ethics; psychology of professional communication; fundamentals of labor legislation; fundamentals of management; the procedure for concluding and executing business and labor contracts; basics of insurance medicine; labor protection and fire safety rules; foundations of disaster medicine.

Qualification requirements. Higher vocational education in the specialty, postgraduate vocational education and / or additional vocational education, a certificate of a specialist in the specialty or higher vocational (economic, legal) education and special training in healthcare management, work experience in managerial positions for at least 5 years.

For the president of a medical organization. work experience in medical organizations for at least 25 years.

Manager (chief physician, director, chief)

federal budgetary institution

Federal Service for Oversight of Rights Protection

consumers and human well-being

Job responsibilities. Supervises the activities of the federal budgetary institution of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare. Organizes the work of the institution's team to ensure the activities of the supervisory bodies of the Federal Service for Supervision in the Field of Consumer Rights Protection and Human Well-being in the implementation of the tasks assigned to them, in the provision and provision of high-quality services to the population. Approves the staffing table, financial plan, annual report and annual balance sheet of the institution. Interacts with government authorities and public associations on consumer protection and ensuring the sanitary and epidemiological well-being of the population. Submits proposals to public authorities on the implementation of sanitary legislation. Analyzes the activities of the institution and, based on the assessment of its performance indicators, takes the necessary measures to improve the forms and methods of work. Ensures the fulfillment of obligations under the collective agreement. Provides employees with timely and full payment of wages. Improves the organizational and management structure, planning and forecasting of activities, forms and methods of work of the institution, selects personnel, their placement and use in accordance with qualifications. Organizes and ensures that employees of the organization receive additional professional education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Takes measures to ensure that employees of the institution perform their duties. Ensures and monitors the implementation of internal labor regulations, labor protection and fire safety during the operation of devices, equipment and mechanisms. Represents the organization in state, judicial, insurance and arbitration bodies, at international events, in state and public organizations on issues in the field of health care, consumer protection and sanitary and epidemiological well-being of the population, previously agreed with the higher authority in charge of this organization. Represents an institution in relations with government agencies, local governments, public and other organizations. Takes part in conferences, seminars, exhibitions. Ensures the implementation of preventive measures for the prevention of industrial injuries and occupational diseases.

Must know: The Constitution of the Russian Federation; laws and other regulatory legal acts of the Russian Federation in the field of health care, consumer protection and sanitary and epidemiological well-being of the population; theoretical and organizational foundations of state sanitary and epidemiological surveillance and its provision; assessment criteria and indicators characterizing the state of health of the population, factors of the human environment; principles of labor organization, economic planning and financial activities of the institution; the procedure for concluding and executing business and labor contracts; forms and methods of organizing hygienic education and upbringing of the population; the procedure for maintaining primary accounting and reporting documentation; medical ethics; psychology of professional communication; fundamentals of labor legislation; labor protection and fire safety rules; foundations of disaster medicine.

Qualification requirements. Higher vocational education in a specialty, postgraduate vocational education and / or additional vocational education, a certificate of a specialist in a specialty,

For chief physicians of federal state healthcare institutions - Centers for Hygiene and Epidemiology - higher professional education in the specialty and postgraduate professional education and / or additional professional education and a certificate of a specialist in the specialty , work experience in the specialty in managerial positions for at least 5 years.

# G0

MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION

ORDER

About the approval of # M12293 0 902232199 0 0 0 0 0 0 0 206570069 of the Unified qualification reference book of positions of managers, specialists and employees, section "Qualification characteristics of positions in health care workers" #S

In accordance with # M12293 0 901901770 0 0 0 0 0 0 0 250086033 clause 5.2.52 of the Regulation on the Ministry of Health and Social Development of the Russian Federation # S, approved by # M12291 901901770 by the Decree of the Government of the Russian Federation of June 30, 2004 N 321 # S Federation, 2004, No. 28, Article 2898; 2005, No. 2, Article 162; 2006, No. 19, Article 2080; 2008, No. 11 (1 h.), Article 1036; No. 15, Article 1555; 23, Art. 2713; N 42, Art. 4825; N 46, Art. 5337; N 48, Art. 5618; 2009, N 2, Art. 244; N 3, Art. 378; N 6, Art. 738 ; N 12, Art. 1427, 1434; N 33, Art. 4083, 4088; N 43, Art. 5064; N 45, Art. 5350; 2010, N 4, Art. 394; N 11, Art. 1225; N 25, art.3167; N 26, art.3350),

I order:

To approve the Unified Qualification Handbook of the Positions of Managers, Specialists and Employees, section "Qualification characteristics of positions of workers in the healthcare sector" according to # M12293 1 902232199 0 0 0 0 0 0 0 206570069 Appendix # S.

The minister

T. Golikova

Registered

at the Ministry of Justice

Russian Federation

registration N 18247

Application

to the order of the Ministry

health and social

development of the Russian Federation

^ Unified qualification reference book of positions of managers, specialists and employees

Section "Qualification characteristics of positions of workers in the field of health care"

^ I. General Provisions

1. The section "Qualification characteristics of positions of workers in the field of health care" of the Unified Qualification Handbook of Positions of Managers, Specialists and Employees (hereinafter - TSA) is designed to promote the correct selection and placement of personnel, improve their business qualifications, division of labor between managers, specialists, and ensure unity approaches to defining the job responsibilities of these categories of workers and the qualification requirements imposed on them and consists of five sections: # M12293 0 902232199 0 0 0 0 0 0 0 206635606I - "General Provisions" #S; # M12293 1 902232199 0 0 0 0 0 0 0 248775301II - "Positions of managers" #S; # M12293 2 902232199 0 0 0 0 0 0 0 248971911III - "Positions of specialists" #S; # M12293 3 902232199 0 0 0 0 0 0 0 294453946IV - "Positions of nursing staff" #S; # M12293 4 902232199 0 0 0 0 0 0 0 206635606V - "Positions of other personnel in medical and labor workshops at medical organizations" #S.

2. The qualification characteristics contained in the section "Qualification characteristics of positions of workers in the health sector" of the CEN (hereinafter - qualification characteristics) are used as regulatory documents, and also serve as the basis for the development of job descriptions containing a specific list of job duties, taking into account the peculiarities of workers medical organizations. The job titles of specialists with higher medical and pharmaceutical education are established in accordance with the Qualification Requirements for specialists with higher and postgraduate medical and pharmaceutical education in the field of healthcare, approved in accordance with the established procedure by the Ministry of Health and Social Development of Russia. For example, the job title "general practitioner" corresponds to the medical specialty "therapy".

The title of the position "doctor-laboratory assistant" is retained for specialists with higher professional (non-medical) education, hired for this position until October 1, 1999.

In the case when a specialist doctor (pharmacist) has a break in work in a specialty for more than 5 years or changes the profile of a specialty that requires special training and qualifications, he is appointed to the position of a trainee doctor (trainee pharmacist) for the period of professional retraining in accordance with the established procedure with the aim of obtaining special knowledge, skills and abilities necessary for independent work in the position of a specialist doctor (pharmacist), and obtaining a certificate in the relevant specialty.

During this period of time, he can perform the duties provided for by the qualification characteristics of a specialist doctor (specialist doctor of the state sanitary and epidemiological service institution, pharmacist), only under the guidance of a specialist doctor (specialist doctor of the state sanitary and epidemiological service institution, pharmacist) who has a certificate of a specialist in the relevant specialty, answering on a par with him for his actions.

3. The titles of the positions of the deputy heads of a medical organization (chief physician, director, head, chief) shall be supplemented by the name of the section of the work that he manages. For example, "deputy chief physician for medical affairs", "deputy chief physician for work with nursing personnel", etc.

4. The qualification characteristics of each position contains three sections: "Job responsibilities", "Must know" and "Qualification requirements".

In the section "Job responsibilities" there is a list of the main functions that can be assigned to an employee holding this position, taking into account the technological homogeneity and interconnectedness of work, received professional education.

The section "Should know" contains the basic requirements for an employee in relation to special knowledge, as well as knowledge of legislative and other regulatory legal acts, regulations, instructions and other documents, methods and means that the employee must be able to use in the performance of job duties.

The section "Requirements for qualifications" defines the levels of the required professional education of the employee, necessary to perform the assigned job duties, as well as the required length of service. The levels of required professional training specified in the section "Requirements for qualifications" are given in accordance with # M12291 9003751 Law of the Russian Federation "On Education" dated July 10, 1992 N 3266-1 # S (Collected Legislation of the Russian Federation, 1996, N 3, Art. .150) and other regulatory legal acts.

5. The official title "senior" is established on condition that the specialist is in charge of subordinate performers.

The employer shall take measures for the further professional training of the said persons.

7. In medical organizations, job titles: "midwife", "nurse", "nurse", "packer", replaced by males, are named accordingly: "midwife", "medical brother (nurse)", "orderly", " packer ".

^ II. Leadership positions

Chief physician (president, director, head, manager, head) of a medical organization

The title of the position "Chief Physician" can be used only if the head of a medical organization has a higher professional (medical) education.

^ Job responsibilities. Manages the activities of a medical organization. Organizes the work of the organization's team to provide and provide quality medical services to the population. Provides the organization of treatment-and-prophylactic, administrative and economic and financial activities of the organization. Analyzes the activities of the organization and, based on the assessment of its performance indicators, takes the necessary measures to improve the forms and methods of work. Approves the staffing table, financial plan, annual report and annual balance sheet of the organization. Ensures the fulfillment of obligations under the collective agreement. Provides employees with timely and full payment of wages. Improves the organizational and management structure, planning and forecasting activities, forms and methods of work of the organization, carries out the selection of personnel, their placement and use in accordance with qualifications. Organizes and ensures that employees of the organization receive additional professional education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Takes measures to ensure that employees of the organization perform their duties. Ensures and monitors the implementation of internal labor regulations, labor protection and fire safety during the operation of devices, equipment and mechanisms. Represents the organization in state, judicial, insurance and arbitration bodies, at international events, in state and public organizations on issues in the field of health, previously agreed with the higher authority in charge of this organization. Interacts with local authorities, civil defense services, disaster medicine, territorial internal affairs bodies and other operational services. Takes part in conferences, seminars, exhibitions. Ensures the implementation of preventive measures to prevent industrial injuries and occupational diseases.

^ Must know:# M12291 9004937 Constitution of the Russian Federation # S; laws and other regulatory legal acts of the Russian Federation in the field of health care, consumer protection and sanitary and epidemiological well-being of the population; theoretical foundations of social hygiene and health care organization; management systems and work organization in health care; population health statistics; assessment criteria and indicators characterizing the state of health of the population; organization of medical and social expertise; organization of social and medical rehabilitation of patients; medical ethics; psychology of professional communication; fundamentals of labor legislation; fundamentals of management; the procedure for concluding and executing business and labor contracts; basics of insurance medicine; labor protection and fire safety rules; foundations of disaster medicine.

^ Qualification requirements. Higher professional education in the specialty "General Medicine", "Pediatrics", "Preventive Medicine", "Dentistry", postgraduate professional education and / or additional professional education, a certificate of a specialist in the specialty "Organization of Health Care and Public Health" or higher professional ( economic, legal) education and special training in management in health care, work experience in managerial positions for at least 5 years.

For the president of a medical organization - at least 25 years of work experience in medical organizations.

Head (chief physician, director, head) of the federal budgetary institution of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare

^ Job responsibilities. Supervises the activities of the federal budgetary institution of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare. Organizes the work of the institution's team to ensure the activities of the supervisory bodies of the Federal Service for Supervision in the Field of Consumer Rights Protection and Human Well-being in the implementation of the tasks assigned to them, in the provision and provision of high-quality services to the population. Approves the staffing table, financial plan, annual report and annual balance sheet of the institution. Cooperates with government bodies and public associations on the protection of consumer rights and ensuring the sanitary and epidemiological well-being of the population. Submits proposals to public authorities on the implementation of sanitary legislation. Analyzes the activities of the institution and, based on the assessment of its performance indicators, takes the necessary measures to improve the forms and methods of work. Ensures the fulfillment of obligations under the collective agreement. Provides employees with timely and full payment of wages. Improves the organizational and management structure, planning and forecasting of activities, forms and methods of work of the institution, carries out the selection of personnel, their placement and use in accordance with qualifications. Organizes and ensures that employees of the organization receive additional professional education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Takes measures to ensure that employees of the institution perform their duties. Ensures and monitors the implementation of internal labor regulations, labor protection and fire safety during the operation of devices, equipment and mechanisms. Represents the organization in state, judicial, insurance and arbitration bodies, at international events, in state and public organizations on issues in the field of health care, consumer protection and sanitary and epidemiological well-being of the population, previously agreed with the higher authority in charge of this organization. Represents an institution in relations with government agencies, local governments, public and other organizations. Takes part in conferences, seminars, exhibitions. Ensures the implementation of preventive measures to prevent industrial injuries and occupational diseases.

^ Must know:# M12291 9004937 Constitution of the Russian Federation # S; laws and other regulatory legal acts of the Russian Federation in the field of health care, consumer protection and sanitary and epidemiological well-being of the population; theoretical and organizational foundations of state sanitary and epidemiological surveillance and its provision; assessment criteria and indicators characterizing the state of health of the population, factors of the human environment; principles of labor organization, economic planning and financial activities of the institution; the procedure for concluding and executing business and labor contracts; forms and methods of organizing hygienic education and upbringing of the population; the procedure for maintaining primary accounting and reporting documentation; medical ethics; psychology of professional communication; fundamentals of labor legislation; labor protection and fire safety rules; foundations of disaster medicine.

^ Qualification requirements. Higher professional education in the specialty "Preventive medicine", postgraduate professional education and / or additional professional education, a certificate of a specialist in the specialty "Social hygiene and organization of the state sanitary and epidemiological service", work experience in the specialty in managerial positions for at least 5 years.

For chief physicians of federal public health institutions - Centers of Hygiene and Epidemiology - higher professional education in the specialty "Medical and preventive work" and postgraduate professional education and / or additional professional education and a certificate of a specialist in the specialty "Social hygiene and organization of the state sanitary and epidemiological service", work experience in specialties in leadership positions for at least 5 years.

^ Director of the hospital (home) nursing care, hospice

Job responsibilities. Supervises the activities of the hospital (home) nursing care, hospice. Provides palliative treatment of patients, adherence to sanitary and hygienic and anti-epidemic regimes of hospital (home) nursing care, hospice. Carries out the organization of medical care and social rehabilitation of patients, administrative, economic and financial activities of the organization, the rational use of labor, financial and material resources of the hospital (home) nursing, hospice. Approves the staffing table, financial plan, annual report and annual balance sheet of the hospital (home) nursing care, hospice. Analyzes the activities of the hospital (home) nursing care, hospice and, based on the assessment of performance indicators, takes the necessary measures to improve the forms and methods of work. Ensures the fulfillment of obligations under the collective agreement. Provides hospital (home) nursing and hospice employees with timely and full payment of wages. Improves the organizational and management structure, planning and forecasting of activities, forms and methods of operation of the hospital (home) nursing care, hospice, recruits, assigns and uses them in accordance with qualifications. Organizes and ensures that hospital (home) employees receive nursing care, hospice, additional professional education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Takes measures to ensure that employees perform their job duties. Ensures and monitors the implementation of internal labor regulations, labor protection and fire safety during the operation of devices, equipment and mechanisms. Represents a hospital (home) for nursing care, a hospice in government agencies, local governments, at international events, in state and public organizations on issues in the field of health, previously agreed with the higher authority in charge of this organization. Takes part in conferences, seminars, exhibitions. Ensures the implementation of preventive measures to prevent industrial injuries and occupational diseases.

^ Must know:# M12291 9004937 Constitution of the Russian Federation # S; laws and other regulatory legal acts of the Russian Federation in the field of health care, consumer protection and sanitary and epidemiological well-being of the population; theoretical foundations of social hygiene and health care organization; health care management systems; organization of work, planning, economic and financial activities of the hospital (home) nursing care, hospice; the basics of the functioning of budgetary insurance medicine and voluntary medical insurance; population health statistics; criteria and indicators characterizing the state of health of the population; the procedure for the conclusion and execution of contracts; organization of examination of working capacity in medical and preventive organizations; organization of social and medical rehabilitation of patients; theoretical and organizational foundations of the sanitary and epidemiological service; medical ethics and deontology; psychology of professional communication; fundamentals of pedagogy; foundations of disaster medicine; fundamentals of labor legislation; rules for labor protection and fire safety.

^ Qualification requirements. Higher professional education in the specialty "General Medicine", "Pediatrics", "Nursing", postgraduate vocational education and / or additional professional education, a certificate of a specialist in the specialty "Health Organization and Public Health" or "Nursing Management", work experience in medical organizations for at least 5 years or secondary vocational education (advanced level) in the specialty "Nursing", "General Medicine", "Obstetrics" and a certificate of a specialist in the specialty "Organization of Nursing", work experience in medical organizations for at least 10 years ...

^ Director (head) of a pharmaceutical organization

Job responsibilities. Manages the activities of a pharmaceutical organization. Organizes the work of the organization's team to ensure timely and high-quality provision of the population with medicines, interaction with other medical organizations. Supervises the implementation of orders and orders of the organization by employees. Analyzes the activities of the organization and, on the basis of its performance indicators, takes measures to improve the provision of medicines to the population. Approves the staffing table, financial plan, annual report and annual balance sheet of the organization. Organizes the financial and economic activities of the organization. Ensures the fulfillment of obligations under the collective agreement. Provides employees in the organization with equal pay for work of equal value. Improves the organizational and management structure, planning and forecasting activities, forms and methods of work of the organization, carries out the selection of personnel, their placement and use in accordance with qualifications. Organizes work to improve the qualifications of employees. Takes measures to ensure that employees of the organization perform their duties. Supervises compliance with the requirements of the internal labor regulations, labor protection, technical operation of devices, equipment and mechanisms. Participates in solving issues of improving the organization's activities. Represents the organization in state bodies, local self-government bodies, at international events, in state and public organizations on issues related to the development of health care previously agreed with the higher authority. Takes part in conferences, seminars, exhibitions.

^ Must know:# M12291 9004937 Constitution of the Russian Federation # S; laws and other regulatory legal acts of the Russian Federation in the field of healthcare and pharmaceuticals; criteria and indicators characterizing the state of provision of the population with medicines; theoretical and organizational foundations of pharmaceutical business; medical ethics; psychology of professional communication; fundamentals of economics, labor organization and management; office work, types and forms of documentation, the procedure for documenting the results of the work performed; methods and means of pharmaceutical information; fundamentals of labor legislation; rules for labor protection and fire safety.

^ Qualification requirements. Higher professional education in the specialty "Pharmacy" and a certificate of a specialist in the specialty "Management and Economics of Pharmacy", work experience in managerial positions for at least 5 years.

^ Head of the dairy kitchen

Job responsibilities. Supervises the activities of the dairy kitchen. Ensures compliance with sanitary rules and norms and rules for the operation of dairy kitchen equipment, compliance with the requirements of the sanitary-epidemic regime, rational use of labor, financial and material resources, timely supply of production with high-quality products in the required range. Approves the staffing table, financial plan, annual report and annual balance sheet for the dairy kitchen. Organizes and ensures that employees of the organization receive additional professional education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Ensures the implementation of preventive measures to prevent industrial injuries and occupational diseases.

^ Qualification requirements. Higher professional education in the specialty "Nursing" and a certificate of a specialist in the specialty "Nursing management" without presenting requirements for work experience or secondary vocational education (advanced level) in the specialty "Nursing", "General Medicine", "Obstetrics" and a certificate of a specialist in the specialty "Organization of Nursing" or "Dietetics", work experience in the direction of professional activity at least 3 years.

^ Deputy chief physician for the medical department of the ambulance station

Job responsibilities. Manages all types of activities of the subordinate units of the ambulance station on the basis of one-man management within the limits of the rights and powers granted by the head of the station. Participates in the organization of the rational selection of personnel, the distribution and use of emergency medical teams of all types. Together with the heads of subordinate divisions, it considers proposals of employees to improve the work of the station and submits them to the head of the station. Takes part in the organization and work of medical councils, conferences and meetings. Organizes work with applications, letters and complaints from the population. Organizes and ensures that employees receive additional professional education (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. On behalf of the head of the station, he takes part in international events on issues related to the development of health care, in conferences, seminars, exhibitions, as well as in the work of commissions and headquarters on the provision of emergency medical assistance to sick and injured people, including during emergencies. Analyzes information about hospitalization of patients and the load of hospitals, mortuaries and corpses. Carries out control over the daily delivery of corpses of the dead and perished to morgues and corpses storage. Organizes and monitors the observance of the sanitary-epidemic regime at the station. Performs functional duties of other deputies of the plant manager in their absence. Ensures the implementation of preventive measures to prevent industrial injuries and occupational diseases. Conducts clinical and expert work, including: analysis of diagnostic and tactical errors in the activities of field teams; analysis of cases of death of the patient and (or) the victim before arrival and in the presence of field teams; expert assessment of the medical documentation of field teams, the volume, quality and timeliness of the provision of emergency medical care, the correctness of diagnosis, the use of drugs, indications for hospitalization; develops measures aimed at preventing and preventing violations of legislation in the field of healthcare, rendering medical care at the pre-hospital stage.

^ Must know:# M12291 9004937 Constitution of the Russian Federation # S; laws and other regulatory legal acts of the Russian Federation in the field of health care, consumer protection and sanitary and epidemiological well-being of the population; normative legal acts governing the circulation of potent, psychotropic and narcotic drugs; internal labor regulations of the ambulance station and official documentation governing its activities; the procedure for drawing up work schedules and placement of medical personnel; theoretical foundations and organization of health care; organization of social and medical rehabilitation; theoretical and organizational foundations of the sanitary and epidemiological service; organization of health education, hygienic education of the population and promotion of a healthy lifestyle; medical ethics; psychology of professional communication; fundamentals of pedagogy; fundamentals of economics, labor organization and management; fundamentals of labor legislation; rules for labor protection and fire safety.

^ Qualification requirements. Higher professional education in the specialty "General Medicine", "Pediatrics", postgraduate education and (or) additional professional education, a certificate of a specialist in the specialty "Emergency Medical Care" or "Organization of Health Care and Public Health", work experience in the direction of professional activity at least 5 years.

^ Chief nurse (chief midwife, chief paramedic)

Job responsibilities. Provides a rational organization of work of middle and junior medical personnel, professional development, organizes the receipt of additional professional education by employees of subordinate units (advanced training, professional retraining) in accordance with the legislation of the Russian Federation. Promotes the introduction into practice of new organizational forms and resource-saving technologies for the activities of nursing staff. Carries out timely discharge, distribution and storage of dressing materials, medicines, including poisonous substances and narcotic drugs, keeps records of their consumption. Supervises: the work of middle and junior medical personnel on the admission and discharge of patients; organization of transportation of patients within the departments of a medical organization, when calling an ambulance; fulfillment by nursing staff of medical appointments, qualified patient care; observance in a medical organization of medical-protective and sanitary-epidemiological regimes, sanitary rules and norms; carrying out preventive measures to prevent industrial injuries and occupational diseases. Maintains the necessary accounting and reporting documentation.

^ Must know:# M12291 9004937 Constitution of the Russian Federation # S; laws and other regulatory legal acts of the Russian Federation in the field of healthcare; normative legal acts governing the circulation of potent, psychotropic and narcotic drugs; the procedure for drawing up work schedules and placement of middle and junior medical personnel; theoretical foundations of healthcare organization; organization of social and medical rehabilitation; theoretical and organizational foundations of the sanitary and epidemiological service; organization of health education, hygienic education of the population and promotion of a healthy lifestyle; medical ethics; psychology of professional communication; fundamentals of pedagogy; fundamentals of economics, labor organization and management; fundamentals of labor legislation; rules for labor protection and fire safety.

Footnote. The title has been changed in Kazakh, the text in Russian does not change in accordance with the order of the Minister of Health of the Republic of Kazakhstan dated 05.19.2017№ 311
Note of the RCLI!
The order of enforcement of the order, see clause 5.

In accordance with subparagraph 2) of paragraph 3 of Article 32 of the Code of the Republic of Kazakhstan dated September 18, 2009 "" and in order to streamline the regulation of qualification requirements for the positions of health care workers, I ORDER:

1. To approve the Qualification characteristics of health workers positions in accordance with the appendix to this order.

2. The Department of Science and Human Resources of the Ministry of Health of the Republic of Kazakhstan (Khamzina N.K.) ensure, in the manner prescribed by law, the state registration of this order with the Ministry of Justice of the Republic of Kazakhstan.

3. The Department of Administrative and Legal Work of the Ministry of Health of the Republic of Kazakhstan (Bismildin FB) ensure, in the manner prescribed by law, the official publication of this order in the media after its state registration.

4. Control over the execution of this order shall be entrusted to the Vice-Minister of Health of the Republic of Kazakhstan, Ye.A. Birtanov.

5. This order comes into effect upon the expiration of ten calendar days after the day of its first official publication.

Qualifications of health worker positions

Footnote. Qualification characteristics as amended by order of the Minister of Health of the Republic of Kazakhstan dated 24.08.2012 No. 588 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Qualification characteristics (hereinafter - Characteristics) of healthcare workers' positions serve as the basis for the development of regulations on structural subdivisions of healthcare organizations, job descriptions of healthcare workers, for the selection and placement of personnel, for monitoring the effectiveness of their use, for certification of healthcare workers for compliance with the position held ...

The qualification characteristics of the positions of specialists: accountant, economist, lawyer, HR specialist, translator, psychologist, physical therapy instructor and other specialists are defined in the qualification characteristics of individual positions of specialists of state institutions and state enterprises, common to all spheres of activity.

The qualification characteristics of each position consists of three sections: "Job responsibilities", "Must know", "Qualification requirements".

Section 1. Health organizations

Footnote. Section heading as amended by order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. ҚР DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Paragraph 1. Positions of managers
Subsection 1. Head of the health organization of republican, regional, district and city significance (general director, director)

Footnote. Subsection heading as amended by order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. ҚР DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).
Footnote. Subsection 1 as amended by orders of the Minister of Health of the Republic of Kazakhstan dated July 26, 2013 No. 436 No. 500 No. 311 No. ҚR DSM-43 No. ҚR DSM-29 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Supervises the production, economic and financial and economic activities of the healthcare organization, bears full responsibility for the decisions made, the safety and effective use of property, as well as the financial and economic results of its activities. Determines the policy, strategy of the organization and the mechanism for its implementation. Provides the introduction of new and improvement of existing organizational forms and methods of personnel work, aimed at further improving the efficiency and quality of diagnostic, therapeutic and preventive care, improving the quality and competitiveness of services provided, and their compliance with state standards. Provides effective interaction between structural units of the organization, directs their actions to develop and improve the provided medical services. Takes measures to provide the organization with qualified personnel, the rational use of their professional knowledge and experience, the creation of safe working conditions for life and health, and the formation of a favorable psychological atmosphere in the team. Based on the analysis of the organization's activities and the assessment of its performance indicators, it takes the necessary measures to improve the forms and methods of the organization's work. Provides, on the basis of the principles of social partnership, the development, conclusion and implementation of a collective agreement, observance of labor discipline, promotes the development of labor motivation, initiative and activity of employees. Coordinates work on the study and assessment of sanitary and epidemiological situations, determines the priority factors of adverse effects on human health. Takes effective measures to improve the sanitary and epidemiological situation. Organizes operational and laboratory-instrumental control and supervision over the conduct of hygienic and anti-epidemic measures, over the observance of sanitary rules and norms and hygienic standards. Ensures compliance with the rule of law in the activities of the organization, including in matters of financial and economic management, strengthening contractual and financial discipline, regulation of social and labor relations. Carries out the hiring and dismissal of employees. Concludes contracts, concludes transactions with individuals and legal entities. Issues instructions and orders on the issues of its competence, binding for all employees. Represents the organization in government agencies, organizations and the court. Ensures the implementation of medical ethics, the requirements of the internal labor regulations, the technical operation of devices, equipment and mechanisms, compliance with fire safety and safety, sanitary and epidemiological regime. Provides timely reporting to the organization.

Should know: The Constitution of the Republic of Kazakhstan, the Civil Code of the Republic of Kazakhstan, the Labor Code of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the laws of the Republic of Kazakhstan "On combating corruption", "", regulatory legal acts on health issues, state statistics health of the population, criteria and indicators characterizing the state of health of the population, market conditions for medical services, scientific achievements of domestic and foreign medicine, theoretical foundations of the organization of health care and management systems in health care, organization of health education, hygienic education of the population and promotion of a healthy lifestyle, environmental factors person, the basics of planning, economic and financial activities of health care organizations, the basics of the system of remuneration of workers, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire prevention oh security.

Qualification requirements:

the head of the health care organization of republican significance (general director / director):

work experience in leadership positions in the healthcare sector for at least 5 years;

the head of the organization of republican significance (general director / director) in the field of circulation of medicines and medical devices:

higher education in the field of medicine;

a second higher education in the field of economics / finance and credit / law / business administration or a master's degree in the specialties "Public health" / "Health management" / "Management" or "Medicine" until 2011), "Business Administration", "Business Administration", "Economics", "Finance and Credit" or the availability of an academic degree / PhD;

the head of an organization of republican significance (general director / director) carrying out informatization in the field of health care:

higher education in medicine or information systems and technology / computing and software;

work experience in managerial positions for at least 5 years;

higher education in economics / finance and credit / law / business administration and a master's degree in the specialties "Public health" or "Health management", "Business administration", "Business administration", "Economics", "Finance and credit", "Information systems", "Computer equipment and software", "Engineering systems of informatization and communication";

work experience in managerial positions for at least 5 years;

the head of the healthcare organization of regional significance (city of republican significance, the capital) (director / chief physician):

higher education in the field of medicine (for an organization - by profile);

a second higher education in economics / finance and credit / law / business administration or a master's degree in the specialties "Public health", "Health management", "Management" or "Medicine" 2011), "Business Administration", "Business Administration", "Economics", "Finance and Credit";

higher education in economics / finance and credit / law / business administration and a master's degree in public health or health management;

work experience in leadership positions in the healthcare sector for at least 3 years;

the head of the health organization of district and city significance (director / chief physician):

higher education in the field of medicine (for the organization of the sanitary and epidemiological service - according to the profile);

a second higher education in the field of economics / finance and credit / law / business administration or a master's degree in the specialties "Public health", "Health management", "Management" or "Medicine" (for persons who have completed training in the scientific and pedagogical master until 2011), "Business Administration", "Business Administration", "Economics", "Finance and Credit";

higher education in economics / finance and credit / law / business administration and a master's degree in public health or health management;

work experience in leadership positions in the healthcare sector for at least 2 years;

Subsection 2. Deputy Head (General Director / Director) of a healthcare organization (for the medical part, for quality control of medical services, for strategic development)

Footnote. The heading of subsection 2 as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 11.04.2019 No. ҚР DSM-29 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).
Footnote. Subsection 2 as amended by the order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. ҚR DSM-43 No. ҚR DSM-29 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Provides management of the activities of subordinate structural units of the healthcare organization, organizes their work and effective interaction. Organizes the work of the team to provide timely and qualified medical care to the population, educational and scientific activities. Carries out organizational work on planning the treatment and diagnostic activities of the organization. Carries out systematic control over the quality of medical services provided. Provides the introduction of new and improvement of existing organizational forms and methods of personnel work, aimed at further improving the efficiency and quality of the diagnostic, therapeutic and preventive care provided, in accordance with the level of modern achievements and medical science and technology. Ensures an increase in the quality and competitiveness of medical services provided, as well as their compliance with state standards. Organizes work on the analysis of the organization's medical activities, the study and assessment of sanitary and epidemiological situations, determines the priority factors of adverse effects on human health. Provides the rational operation of medical equipment. Takes effective measures to improve medical and preventive care, sanitary and epidemiological situation. Provides operational and laboratory instrumental control and supervision over the implementation of hygienic and anti-epidemic measures, over the observance of sanitary rules and norms and hygienic standards. Plans and ensures the implementation of measures for the sanitary and hygienic education of the population. Provides a rational arrangement and organization of work of medical personnel, the development of their professional knowledge and experience. Organizes the maintenance of statistical records and reporting on the activities of the organization. Participates in the development of an effective management program, which includes specific measures to develop and improve its competitiveness; provides an assessment of the quality of management based on the results of assessment and monitoring of the process of development of activities; analyzes the socio-economic performance indicators, conducts a comparative analysis of its competitiveness; chooses a strategy and determines the development priorities of the organization, determines methods for achieving goals, justifies the choice of goals; determines the tools for achieving goals, participates in the organization of strategic planning in the organization; participates in the development of innovative and investment activities of a medical organization, an advertising strategy related to its further development; organizes activities to monitor the implementation of the organization's structural divisions of strategic goals, objectives and activities of the development plan; organizes activities for the formation of reports on the implementation of the Annual Operational Plan, Development Plan and Strategy (strategic plan) for the development of the organization with proposals for further development prospects, for subsequent submission to the head; provides management with draft management decisions on the strategic development of the organization; participates in the formation and implementation of personnel policy, in the management and development of personnel and in the regulation of labor relations. Creates working conditions, safe and favorable for life and health, forms a favorable psychological atmosphere in the team. Develops a long-term plan for improving the qualifications of medical workers. Represents an organization within its competence in state bodies, organizations and the court. Ensures compliance with labor discipline, promotes the development of labor motivation, initiative and activity of employees, medical ethics, compliance with the requirements of internal labor regulations, technical operation of devices, equipment, compliance with fire safety, safety and labor protection, sanitary and epidemiological regime.

Should know: Constitution Civil Code Labor Code of the Republic of Kazakhstan dated November 23, 2015, Code of the Republic of Kazakhstan dated September 18, 2009 "On people's health and health care system", laws of the Republic of Kazakhstan dated February 28, 2007 "", dated November 18, 2015 " On combating corruption ", dated July 11, 1997" On languages in the Republic of Kazakhstan.

Qualification requirements:

higher education in the field of medicine (for the organization of the sanitary and epidemiological service - according to the profile);

work experience in leadership positions in the healthcare sector for at least 3 years;

deputy head of the organization in the field of circulation of medicines and medical devices:

higher pharmaceutical education;

work experience in leadership positions in the healthcare sector for at least 3 years;

the deputy head of the healthcare organization carrying out informatization in the field of healthcare:

higher education in the field of information systems and technologies / computer technology and software;

a second higher education in the field of economics / finance and credit / law / business administration or a master's degree in the specialties "Public health", "Health management", "Management" or "Medicine" (for persons who have completed training in the scientific and pedagogical master until 2011), "Information Systems", "Business Information Systems", "Business Administration", "Business Administration", "Economics", "Finance and Credit" or the availability of an academic degree / PhD;

work experience in leadership positions in the healthcare sector for at least 3 years;

Subsection 3. Deputy Head (General Director / Director) of a healthcare organization for economic and administrative support

Footnote. The heading of subsection 3 as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 11.04.2019 No. ҚР DSM-29 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).
Footnote. Subsection 3 as amended by order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. ҚR DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication); as amended by order of the Minister of Health of the Republic of Kazakhstan dated 11.04.2019 No. ҚР DSM-29 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities.

Carries out the organization and improvement of the economic and administrative-economic activities of the organization, methodological guidance and coordination of the activities of all divisions of the organization for drawing up long-term plans of activities, developing plans with the necessary justifications and calculations underlying them, as well as organizational and technical measures to improve financial activities. Ensures compliance with financial discipline, control over the implementation of planned targets, organizes a comprehensive economic analysis and assessment of the results of the financial and economic activities of the organization. Organizes the development of methodological materials on the economic planning of the work of the structural divisions of the organization, a comprehensive analysis of the assessment of the results of the administrative and economic activities of the organization. Ensures strict adherence to the regime of saving material and labor resources of the organization, makes proposals aimed at increasing the efficiency of labor, economic independence of the organization. Provides the maintenance and timely submission of planning, accounting and reporting documents used in the organization, prepares proposals aimed at improving labor efficiency, financial and economic independence of the organization. Represents an organization within its competence in state bodies, organizations and the court. Develops measures for the use of on-farm reserves, certification and rationalization of workplaces. Develops a long-term plan to improve the qualifications of specialists in financial structures. Ensures the maintenance and timeliness of reporting on the financial and economic activities of the organization, compliance with labor discipline, the requirements of the internal labor regulations, fire safety, labor safety and protection, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan dated August 30, 1995, the Civil Code of the Republic of Kazakhstan dated December 27, 1994, the Labor Code of the Republic of Kazakhstan dated November 23, 2015, the Code of the Republic of Kazakhstan dated September 18, 2009 "On people's health and the health care system", laws Of the Republic of Kazakhstan dated February 28, 2007 "On accounting and financial reporting", dated November 18, 2015 "On combating corruption", dated July 11, 1997 "On languages in the Republic of Kazakhstan", Strategic plan of the Ministry of Health of the Republic of Kazakhstan for 2017-2021 years, approved by order of the Minister of Health of the Republic of Kazakhstan dated March 10, 2017 No. 61, Message of the President of the Republic of Kazakhstan dated December 14, 2012 "Strategy Kazakhstan-2050: a new political course of the established state", regulatory legal acts on the financial and economic activities of the organization, economic methods of managing an organization, organizing a planned work oty, theoretical foundations of social hygiene, management systems in health care, market conditions for medical services, wage systems and forms of material incentives, labor legislation, rules and norms of safety and labor protection, industrial sanitation and fire safety.

Qualification requirements:

higher economic or financial education and the availability of a master's degree in the specialties "Public health", "Health management";

work experience in leadership positions in the healthcare sector for at least 3 years;

higher education in economics or finance;

work experience in leadership positions in the healthcare sector for at least 5 years.

Subsection 4. Deputy Head of the Health Organization for Administrative and Economic Affairs

Footnote. Subsection 4 is excluded by order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. ҚR DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Subsection 5. Head of the structural unit of the healthcare organization (senior physician, head of the clinical (paraclinical) unit (department), head of the department, senior nurse / nursing manager, head of the laboratory of the organization of the sanitary and epidemiological service, head of the vivarium of the organization of the sanitary and epidemiological service)

Footnote. The heading of subsection 5 as amended by the order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. ҚР DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).
Footnote. Subsection 5 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication); dated 19.12.2018 No. ҚR DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Manages the structural unit of the organization. Organizes the work and effective interaction of structural units to provide timely and high-quality medical and drug assistance to the population. He is responsible for the decisions made, the safety and efficient use of property. Determines the policy, strategy of the organization and the mechanism for its implementation. Takes measures to provide the organization with qualified personnel, the rational use of their professional knowledge and experience, the creation of safe and healthy conditions for their life and work, the formation of a favorable psychological atmosphere in the team. Provides the introduction of new and improvement of existing diagnostic, therapeutic and preventive care, improving the quality and competitiveness of services provided, their compliance with state standards. Organizes work on the study and assessment of sanitary and epidemiological situations, determines the priority factors of adverse impact on human health, his environment. Takes effective measures to improve the sanitary and epidemiological situation. Organizes operational and laboratory-instrumental control over the conduct of hygienic and anti-epidemic measures, over the observance of sanitary rules, norms and hygienic standards. Provides work to improve the qualifications of medical personnel, the development of their professional knowledge. Analyzes the activities of the structural unit of the healthcare organization and, based on the assessment of its performance indicators, takes the necessary measures to improve the forms and methods of the organization's work. Ensures compliance with the requirements of internal labor regulations, compliance with medical ethics, fire safety and safety, sanitary and epidemiological regime. Provides reporting.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the Labor Code of the Republic of Kazakhstan, the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts on health issues, theoretical foundations social hygiene and organization of health care, theoretical and organizational foundations of treatment-and-prophylactic and sanitary-epidemiological services, statistics of public health, criteria and indicators of health care, market conditions for medical services, scientific achievements of domestic and foreign medicine, organization of social and medical rehabilitation of patients, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Higher medical education (for the organization of a sanitary and epidemiological service - according to the profile), and / or the presence of a master's degree / academic degree / PhD in the specialty "Public health" / "Health management" / "Medicine" (for scientific organizations), in educational professional MBA program, work experience in the specialty for at least 3 years.

Senior physician, head of a clinical (paraclinical) unit (department), head of a department for carrying out medical activities (medical practice) - availability of professional competencies: compliance with general requirements for the qualifications of a doctor (by profile) of the first (highest) qualification category in clinical specialties, specialist certificate for admission to clinical practice.

Senior nurse / nursing manager - higher medical education in the specialty "Nursing" without any requirements for work experience or technical and professional (secondary special, secondary vocational), post-secondary (applied bachelor's degree) medical education and the first (higher) qualification category ...

For heads of departments of non-core activities - higher (or postgraduate) education according to the profile.

Subsection 6. Chief Nurse
(Deputy Director for Nursing)

Footnote. Subsection 6 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication); dated 19.12.2018 No. ҚR DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Provides a rational organization of work of middle and junior medical personnel. Carries out general management of the work of the middle and junior medical personnel of the organization. Organizes and monitors the implementation of medical appointments by paramedical personnel. Provides the preparation and implementation of work schedules, compliance with the rules of the medical and protective regime, infection control, discipline. Carries out the development of functional and job duties of the middle and junior medical personnel of the organization, timely discharge, distribution and storage of dressing materials, medicines, including poisonous, psychotropic and narcotic drugs, keeps records of their consumption. Supervises the sanitary and hygienic maintenance of hospital departments, the timeliness and quality of disinfection of premises (especially infectious ones). Carries out quality control of medical records by nursing staff. Develops long-term and current plans for advanced training of middle and junior personnel, assesses the professional activities of nurses (brothers), midwives (s), submits them for certification to obtain a qualification category. Submits proposals for improving the quality of medical care for the population, improving the organization of work. Provides reporting, compliance with medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the Labor Code of the Republic of Kazakhstan, the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts on health issues, theoretical and organizational foundations of social hygiene, management systems in health care, organization of social and medical rehabilitation of patients, population health statistics, health criteria and indicators, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Higher medical education in the specialty "Nursing" or post-secondary (applied bachelor's degree) or technical and vocational education (secondary specialized, secondary vocational), the first (higher) qualification category and the presence of a master's degree in the specialty "Nursing" (enters into force from 1 January 2025), work experience in the specialty for at least 5 years.

Subsection 7. Head of clinical
(paraclinical) unit

Footnote. Subsection 7 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 500 dated June 13, 2016 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Manages the clinical (paraclinical) division of the organization (hereinafter referred to as the division). Organizes the work of the team of the division for the provision of timely and high-quality medical care, ensures interaction with other divisions of the organization. Analyzes the activities of the unit and takes, on its basis, measures to improve the activities of the unit. Provides the introduction of new and improvement of existing forms and methods of treatment of diseases. Introduces in the division new innovative technologies for the diagnosis and treatment of patients. Provides consulting assistance to doctors (as well as patients of the unit) on diagnostics and treatment. Determines the tactics of patient management with the doctor. Supervises the work of the medical, middle and junior personnel of the unit. Takes measures to provide the unit with special equipment, monitors their correct operation. Creates conditions for advanced training of medical workers of the unit, promotes the rational use and development of their professional knowledge and experience, as well as working conditions, safe and favorable for life and health, the formation of a favorable psychological atmosphere in the team. Provides maintenance and submission of accounting and reporting documentation, compliance with medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the Labor Code of the Republic of Kazakhstan, the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts on health issues, general principles and the main methods of clinical, instrumental and laboratory diagnostics, the basics of organizing medical and preventive, emergency medical care, drug provision of the population, the basics of social hygiene, management systems in health care, health statistics, health criteria and indicators, scientific achievements of domestic and foreign medicine, labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Higher medical education, first / highest qualification category in the specialty.

Subsection 8. Head of the laboratory of the organization
sanitary and epidemiological service

Footnote. Subsection 8 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Supervises the laboratory. Plans and organizes the effective work of the laboratory, ensures interaction with other departments of the organizations of the sanitary and epidemiological service. Draws up a work plan in conjunction with the state body for sanitary and epidemiological supervision. Conducts marketing research of the market for new technologies and research methods. Tests and implements new devices and equipment, methods of laboratory research and measurements. Organizes and participates in laboratory and instrumental studies of incoming samples. Organizes safe working conditions and exercises control to ensure the safe study of the investigated materials, movement, storage and transportation of pathogens of I-IV pathogenicity groups. Provides effective financial and economic activities using new economic management methods, maintaining accounting and reporting documentation, compliance with medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Qualification requirements. Higher medical education of a sanitary and epidemiological profile and work experience in the specialty for at least 3 years.

Subsection 9. Head of the organization's vivarium
sanitary and epidemiological service

Footnote. Subsection 9 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Provides guidance on keeping and breeding laboratory animals. Develops current and future thematic plans for the work of the vivarium and monitors their implementation. Organizes the recruitment of the necessary livestock and species of animals, safety, proper maintenance, feeding and caring for them. Plans and organizes the effective work of the vivarium, ensures interaction with other divisions of the organizations of the sanitary and epidemiological service. Analyzes the work of the vivarium and takes the necessary measures to improve its work. Takes part in laboratory and diagnostic research. Organizes the study of diseases, pathologies of animals kept in the vivarium. Provides effective financial and economic activities using new economic management methods. Conducts marketing research of the market for new technologies and research methods. Tests and implements new devices and equipment into practice. Organizes work to ensure epizootic well-being in the colonies of laboratory animals. Ensures compliance with the bioethical rules for keeping animals and the anti-epidemic mode of manipulation to prevent the transfer of infection from the laboratory. Analyzes the validity of the volume of use of experimental animals with the aim of possible reduction of experiments on the model of laboratory animals. Organizes safe working conditions for laboratory staff working with laboratory animals. Solves the issues of professional development of vivarium employees, their certification. Provides maintenance of accounting and reporting documentation, compliance with medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the health of the people and the health care system", the Labor Code of the Republic of Kazakhstan, the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts on health care, sanitary epidemiological welfare of the population, sanitary and epidemiological maintenance and operation of livestock and fur farming facilities, animal biology and rules for their maintenance, fundamentals of animal husbandry, veterinary medicine, ecology, genetics and systematization of kept groups of animals, scientific achievements of domestic and foreign medicine in the field of sanitary and epidemiological welfare of the population, criteria and indicators of health care, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Higher (medical, veterinary, biological) education and work experience in the specialty for at least 3 years.

Paragraph 2. Positions of specialists with higher and post-secondary education

Footnote. The heading of paragraph 2 as amended by the order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. ҚR DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Subsection 10. Community Physician / General Practitioner

Footnote. Subsection 10 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out prevention, diagnosis, treatment, rehabilitation of patients. Provides qualified, ambulance and other types of medical care. Determines the tactics of patient management. Develops a plan for the examination of the patient. On the basis of clinical observations and examination, collection of anamnesis, data of clinical laboratory and instrumental studies, he establishes (confirms) the diagnosis. Informs the patient about the possibility of choosing methods and methods of treatment, as well as the means and medical devices used, if such a choice is provided for by the results of the examination. Analyzes the performance indicators. Interacts with other specialists and services on the issues of treatment, rehabilitation, insurance. Together with health centers, he takes part in promoting a healthy lifestyle, rational nutrition. Carries out consulting activities on feeding, hardening, preparing children for preschool institutions, school, family planning, contraception, immunoprophylaxis. Carries out work to identify early and latent forms of diseases and risk factors. Organizes a complex of diagnostic, treatment, health and rehabilitation activities. Diagnostics of pregnancy, monitoring of the course of pregnancy, detection and treatment of extragenital pathology in pregnant women, psycho-preventive preparation for childbirth. Reveals contraindications to pregnancy and childbirth, directs to termination of pregnancy. Conducts the rehabilitation of women in the postpartum period and after termination of pregnancy. Determines the state of disability of patients, directs them to medical and social expertise. Determines the indications for transfer to lighter working conditions, sanatorium treatment. Analyzes the health status of the assigned contingent, maintains accounting and reporting medical documentation. Introduces into practice modern methods of treatment and prevention of diseases. Organizes and supervises the work of the secondary and junior medical personnel subordinate to him. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the health of the people and the health care system", the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts on health issues, the basis for the examination of temporary disability and medical social expertise, the basics of international and domestic classification of diseases; fundamentals of health insurance, statistics of public health, criteria and indicators of health care, labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety.

Subsection 11. Physician-resident (profile specialist)

Footnote. Subsection 11 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Provides qualified, ambulance and other types of medical care. Determines the tactics of patient management, the plan of his examination. On the basis of clinical observations and examination, collection of anamnesis, data of clinical laboratory and instrumental studies, he establishes (confirms) the diagnosis. Appoints and monitors treatment, organizes or independently carries out the necessary diagnostic, therapeutic, rehabilitation and preventive procedures and measures. Informs the patient about the choice of methods and methods of treatment, as well as the means and medical products used. In the hospital, he examines the patient every day. Makes changes to the treatment plan depending on the patient's condition and determines the need for additional examination methods. Controls the correctness of diagnostic and medical procedures, the operation of instruments, equipment. She plans her work and analyzes her performance indicators. Provides advisory assistance to doctors of other departments within the framework of his specialty. Collaborates with other specialists and services in the field of treatment, rehabilitation. Introduces into practice modern methods of treatment and prevention of diseases. Organizes and supervises the work of the secondary and junior medical personnel subordinate to him. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime. Organizes and conducts health education of the population and promotes a healthy lifestyle.

Qualification requirements. Higher medical education, certificate of a specialist in the relevant specialty.

Subsection 12. Doctor (or specialist) of the sanitary and epidemiological service

Footnote. Subsection 12 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 500 dated June 13, 2016 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Qualification requirements. Higher medical education of a sanitary and epidemiological profile.

Subdivision 13. Physician (or specialist) of public
health care (valeologist, epidemiologist, statistician, methodologist)

Footnote. Subsection 13 as amended by orders of the Minister of Health of the Republic of Kazakhstan dated July 26, 2013 No. 436 (shall be enforced upon expiry of ten calendar days after the day of its official publication); dated 13.06.2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Calculates and evaluates demographic indicators of population health. Analyzes the volumes, types and forms of providing medical care to the population. Plans for the development of various types of medical care. Assesses the causes and risk factors for the occurrence and spread of infectious and non-infectious diseases among the population. Develops and carries out preventive and anti-epidemic measures, current and retrospective epidemiological analysis of morbidity. Determines the social and preventive orientation for the preservation and strengthening of the health of the population (society). Evaluates the state of health and physical development of children and adolescents in connection with the influence of factors of the educational environment. Identifies the main factors affecting the state of health of the population, determines priority areas for disease prevention, organizes preventive measures among the population. Develops and conducts recreational activities, promotes healthy lifestyles, rational nutrition. Evaluates the final results of the health care organization. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care, methods of statistical and methodological analysis in health care , principles of professional activity in the chosen specialty (organizational, advisory, preventive), theoretical foundations of social hygiene, management systems in health care, population health statistics, criteria and indicators for assessing the state of health of the population, methods of statistical analysis and sociological research methods, market conditions for medical services, structure and basic principles of health care, labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements:

Higher medical education (in the specialty "General Medicine", "Pediatrics", "General Medicine", "Oriental Medicine", "Dentistry", "Biomedical Affairs", "Nursing" and retraining in the specialty "Public Health") or higher medical education (specializing in "Public Health", "Medical and Preventive Business").

Subsection 14. Healthcare Manager
(for the quality of medical services, for strategy and marketing
medical services, on the organization and methodology of delivery
medical services)

Footnote. Subsection 14 as amended by orders of the Minister of Health of the Republic of Kazakhstan dated July 26, 2013 No. 436 (shall be enforced upon expiry of ten calendar days after the day of its official publication); dated 13.06.2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out organizational activities within a certain direction (area):

on the quality of medical services: participates in the formation of a general concept for the development of quality management in the organization, prepares drafts of administrative and regulatory documents of a medical organization (including documents of the quality management system - rules and procedures), interaction with certification, standardization, licensing and consulting firms on issues related to improving the quality of medical services. Takes part in the development of forms of primary medical and other (rules, instructions, regulations) documentation required to improve the processes of providing medical services. Participates in the organization of measures for the safety of patients from poor-quality treatment. Monitors and controls the rational consumption of medical services and the appointment of drug therapy, carries out expertise and organizes expert activities in the healthcare organization for the quality of medical services. Participates in the development of a motivation system for medical personnel, determines indicators of the quality of medical services, assesses the level of contribution of medical personnel to improving quality. Carries out questioning of patients for satisfaction, management of patient complaints (collection of complaints and suggestions, processing, analysis and decision-making in accordance with the regulations, informing the patients who have applied). Implementation and management of an incident registration system (registration of potential errors, errors that have occurred, and other incidents, analysis). Collection and systematization of information on activities in the form of indicators in the clinical and management areas, aggregation and analysis of information (indicators and incident reports), provision of reports and draft management decisions on the processes and effectiveness of the quality management system to the management. Consulting and methodological work with personnel on the processes of the quality management system. Drawing up a plan and program for internal audits of departments, participation in internal audits of departments of a medical organization, communicating audit results to stakeholders (reports on audits). Preparing an organization for national and / or international accreditation.

on strategy and marketing of medical services: analyzes the external and internal environment of a medical organization. Participates in the development of a program for the effective management of an organization, which includes specific measures to develop and improve its competitiveness; provides monitoring of indicators characterizing an increase in financial stability and rational allocation of resources; provides an assessment of the quality of management based on the results of assessment and monitoring of the development process of the organization's activities. Analyzes the resources of a medical organization. Analyzes and systematizes the technical-economic and socio-economic indicators of the work of a medical organization, conducts a comparative analysis of its competitiveness. Chooses a strategy and determines the development priorities of a medical organization, determines methods for achieving goals, justifies the choice of goals; determines the tools for achieving goals, participates in the organization of strategic planning in the organization as a whole and, in particular, in separate structural divisions. Participates in the development of innovative and investment activities of a medical organization, an advertising strategy associated with its further development. Analyzes the demand for medical services produced, forecast and motivates demand for medical services provided through the study and assessment of needs. Provides the management with draft management decisions on the strategic development of the organization and marketing of medical services.

on the organization and methodology for the provision of medical services: Assists in organizing the work of the team of the structural (clinical, paraclinical) subdivision of the healthcare organization to provide timely and high-quality medical care, provides interaction with other divisions of the organization, makes proposals for the rational management of labor and material and technical resources. Provides effective management of the healthcare organization through resource conservation and efficiency, provides control over the regulation of the flow of patients in the organization. Provides the maintenance and presentation of accounting and reporting documentation, collection and systematization of information on the productive / medical activities of the structural (clinical, paraclinical) unit of the healthcare organization. Carries out the development and monitoring of the implementation of various plans, programs or rules for the organization of work, to improve treatment and diagnostic processes and procedures, to introduce new and improve existing medical and management technologies. Monitors the implementation of the established procedure for conducting primary accounting, the reliability of the reporting data received, compliance with medical ethics, internal labor regulations, labor safety and health, fire safety and sanitary and epidemiological rules and regulations in the organization's divisions. Conducts a regular analysis of the activities of the division and, on its basis, makes a proposal to the higher management to improve the activities of the division. Organizes control over the correct application of instructions and methodological guidelines. Monitors the organization's compliance with the accounting methodology, established deadlines for the development and provision of operational and statistical reporting on the activities of the unit. Organizes briefing meetings, conducts technical and methodological training for employees of the organization, participates in conducting classes.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the health of the people and the health care system", the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care, theoretical foundations, principles and methods of social hygiene, healthcare management systems, healthcare criteria and indicators, ethical and deontological issues of healthcare, the basics of strategic development and policy in the healthcare sector, corporate governance, marketing of medical services, the basics of managing the processes of providing medical services, the basics of personnel management and self-government, the basics of economics health care and financial management, informatization and statistics in health care, labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements:

Higher medical education (bachelor) in the specialty "Public health", "Nursing" (or higher medical education in the specialty "General Medicine", "Pediatrics", "General Medicine", "Preventive Medicine", "Oriental Medicine", "Biomedical business", "Dentistry" and retraining in the specialty "Health management").

Subsection 15. Medical expert

Footnote. Subsection 15 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Conducts an examination of the volume and quality of medical care provided to the population. Controls the implementation of the volume of medical services provided to the population in accordance with healthcare standards. Conducts a retrospective analysis of treatment and diagnostic measures for their compliance with standards, develops programs for managing the quality of medical care in healthcare organizations. Interacts with medical and social expert commissions. Introduces innovative technologies in serving the population. Studies the degree of quality of medical services provided to the population, based on the results of the analysis, solves the problems (complaints) of patients on the spot. Provides timely and high-quality medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Qualification requirements. Higher medical education, first / highest qualification category in the relevant specialty.

Subsection 16. Physician - forensic medical expert
(general expert, forensic biological,
chemical-toxicological, forensic-histological,
forensic, molecular genetic research)

Footnote. Subsection 16 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 500 dated 13.06.2016 (shall be enforced upon expiry of ten calendar days after the day of its first official publication); dated 11.04.2019 No. ҚR DSM-29 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out a qualified forensic medical examination (hereinafter - examination) of all provided objects of expert research according to the profile of the expert division, using modern research methods.

The forensic medical expert of general expert research conducts forensic medical examinations; corpse; cadaveric material; living persons to establish the harm caused to health and determines the percentage of disability; for sexual crimes; on materials of criminal, administrative and civil cases; in cases of professional activity of medical workers; medical documentation and other types of expert activities according to the profile of the expert subdivision.

A person performing laboratory expert activities also performs laboratory tests, measurements during expert examinations, chemical, physical, photographic research methods; monitors the good condition of laboratory equipment (checks and adjusts it in accordance with the instructions and technical documentation). Provides advisory assistance to employees of internal affairs bodies, prosecutors and courts. Solves issues of a biomedical nature that arise in forensic practice by conducting forensic medical examinations on the principles of legality, independence, objectivity and completeness of research within the limits of special competence. Gives a scientifically grounded, reasoned and objective written opinion on the questions put before him related to the research. She plans her work and analyzes her performance indicators. Ensures the correct operation of instruments, apparatus and equipment, the rational use of reagents. Supervises the work of middle and junior medical personnel. Applies new research methods in practice. He does not disclose information that became known to him in connection with the production of a forensic medical examination. Provides first aid in case of emergency. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: the Constitution of the Republic of Kazakhstan, the fundamentals of the Civil Code of the Republic of Kazakhstan, the Criminal Code of the Republic of Kazakhstan, the Criminal Procedure Code of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On People's Health and the Healthcare System", the Code of the Republic of Kazakhstan "On Administrative Offenses", the laws of the Republic of Kazakhstan " On forensic examination "," On combating corruption "," On languages in the Republic of Kazakhstan ", regulatory legal acts in the field of health care and forensic medical examination, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Higher medical education, advanced training in the specialty "Forensic medical examination", for an expert doctor of general expert research, a certificate of a specialist in the specialty "Forensic medical examination" or "Pathological anatomy (cytopathology) (adult, pediatric)".

Subsection 17. Specialist - forensic medical expert
(forensic biological, chemical toxicological,
forensic histological, medico-forensic,
molecular genetic research)

Footnote. Subsection 17 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Conducts forensic medical examinations of material evidence, including examination of cadaveric material, laboratory expert activities in accordance with the profile of the expert subdivision. Performs laboratory tests, measurements during examinations, photographic and physical research methods. Monitors the good condition of laboratory equipment (checks and adjusts it according to instructions and technical documentation), prepares reagents and chemical utensils for research, provides advisory assistance to employees of internal affairs bodies, prosecutors and courts. Solves questions of a biomedical nature that arise in forensic practice by conducting examinations on the principles of legality, independence, objectivity and completeness of research within the limits of special competence. Gives a scientifically grounded, reasoned and objective written opinion on the questions put before him related to the research. Applies recommended and new research methods in practice. Constantly improves the level of his qualifications and theoretical knowledge. He does not disclose information that became known to him in connection with the production of a forensic medical examination. Provides timely and high-quality medical documentation. Supervises the work of middle and junior medical personnel. Provides first aid in case of emergency. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: the Constitution of the Republic of Kazakhstan, the fundamentals of the Civil Code of the Republic of Kazakhstan, the Criminal Code of the Republic of Kazakhstan, the Criminal Procedure Code of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On People's Health and the Health Care System", the Labor Code of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On Administrative Offenses" , laws of the Republic of Kazakhstan "On forensic examination", "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care and forensic medical examination, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Higher education (medical, pharmaceutical, biomedical, chemical, biological, physical and mathematical, physicochemical, natural and technical, pedagogical (chemistry and biology) and advanced training in the relevant specialty.

Subsection 18. Laboratory Specialist

Footnote. Subsection 18 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated 06/13/2016 npa: V1600013839 # 23 00 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Performs laboratory analyzes, tests, measurements in research and development. Monitors the good condition of laboratory equipment (checks and adjusts it), prepares reagents, culture media and chemical glassware for research. Takes part in the collection and processing of materials, carries out the necessary preparatory and auxiliary operations, conducts observations, takes readings of devices, processes, systematizes and draws up the results of analyzes, measurements in accordance with the methodological documents, and keeps records of them. Provides first aid in case of emergency. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the health of the people and the health care system", the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care, the basics of sanitary and microbiological research and internal diseases, microbiological diagnostics of major infectious diseases, methods and techniques of general clinical, biochemical, hematological and cytological laboratory tests, instrumentation and rules for its operation, labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Higher (medical, biomedical, medico-prophylactic, biological, chemical, chemical-biological, pharmaceutical, physical and mathematical) education, advanced training in the relevant specialty.

Subsection 19. Specialist of the sanitary and epidemiological service
(biologist, zoologist / epizootologist, entomologist)

Footnote. Subsection 19 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Qualification requirements. Higher biological education.

Subsection 20. Public health professional
(epidemiologist, statistician, methodologist, valeologist)

Footnote. Subsection 20 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 500 dated June 13, 2016 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Calculates and evaluates demographic indicators of population health. Analyzes the volumes, types and forms of providing medical care to the population. Plans for the development of medical care. Assesses the causes and risk factors for the occurrence and spread of infectious and non-infectious diseases among the population. Develops and implements methodological materials in the field of healthcare. Develops and carries out preventive and anti-epidemic measures, current and retrospective epidemiological analysis of morbidity. Performs work on the preparation of various types of statistical reporting. Compiles information and analytical reports based on statistical data. Evaluates the final results of the activities of healthcare organizations. Conducts visual agitation and promotion of a healthy lifestyle, rational nutrition. Develops and conducts recreational activities. Conducts statistical analysis and sociological research methods. Provides registration of medical documentation. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Qualification requirements. Higher education and retraining (advanced training) in the specialty "Public health".

Subsection 21. Social Work Specialist in Healthcare

Footnote. Subsection 21 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 500 dated June 13, 2016 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Conducts a general diagnosis of the social situation and individual needs for social services; defines the package of social services. Informs the population about the types of special social services. Provides assistance in the development of the ability to independently solve their problems, involves patients in the process of social recovery. Keeps accounting and reporting documentation for the social service. Provides first aid medical assistance. Coordinates work on the organization of assistance to children with disabilities, lonely, elderly, disabled, chronic patients, including care, placement in boarding houses, prosthetics, obtaining vehicles, technical means of rehabilitation, organization of psychotherapeutic work with patients, as well as with family members. Takes part in organizing work on the formation of a healthy lifestyle. Organizes work on interaction, coordination and cooperation with public organizations, government agencies and organizations, develops the volunteer movement. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the code of the Republic of Kazakhstan "On marriage (matrimony) and the family", the laws of the Republic of Kazakhstan "On social and medical-pedagogical correctional support for children with disabilities", "On the rights of the child in the Republic of Kazakhstan", "On social protection of disabled people in the Republic of Kazakhstan", "On special social services", "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care, provision of social services , labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Higher (medical, social, sociological, pedagogical) education and retraining (advanced training) in the specialty "Social work".

Subsection 21-1. Sister / brother medical extended practice

Footnote. Paragraph 2 was supplemented with subsection 21-1 in accordance with the order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. ҚР DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities.

Carries out nursing examination, makes a nursing diagnosis, draws up a nursing intervention plan for the patient, monitors the implementation of nursing activities by nurses at the level of technical and vocational education, evaluates the effectiveness of the prescribed nursing intervention plan in general practice, therapy, surgery, obstetrics and gynecology, psychiatry, geriatrics, rehabilitation , palliative care and other specialized areas of health care at primary health care and inpatient levels. Carries out individual reception of patients with the most common non-infectious diseases and acute respiratory viral infections within his competence. Organizes, monitors performance, and oversees patient / family education in general care and disease management. Carries out patronage of pregnant women, women after childbirth, children under one year old, dispensary patients and the elderly. Organizes health promotion and disease prevention activities, monitors the implementation of preventive measures by nurses at the level of technical and vocational education, evaluates the effectiveness and efficiency of measures. Provides accounting and storage of medicines, blood products and blood substitutes. Organizes the proper implementation of medical appointments by nurses. Provides the maintenance of accounting and reporting nursing documentation in a medical and preventive institution. Provides citizens with first aid, including in extreme conditions, first aid and palliative care. Provides control over the organization of a safe hospital environment and infection control. Observes medical ethics, internal labor regulations for fire safety, labor safety and protection, sanitary and epidemiological regime. Contributes to the development of evidence-based nursing guidelines and protocols. Takes part in organizing the interprofessional work of nurses, doctors and other health workers. Participates in the development of organizational policies and quality improvement activities in nursing. Oversees the organization of nursing records in an e-health environment.

Should know: the Constitution of the Republic of Kazakhstan dated August 30, 1995, the Code on Combating Corruption ", dated July 11, 1997" On languages in the Republic of Kazakhstan ", regulatory legal acts in the field of health care, basic principles of organizing health care, labor legislation, rules and regulations of protection labor, safety, industrial sanitation and fire safety.

Qualification requirements:

Higher medical education in the specialty "Nursing", post-secondary education in the specialty "Nursing" (applied bachelor's degree), without presentation of requirements for work experience

Paragraph 3. Positions of specialists with an average qualification level
Subsection 22. Senior nurse (s) / brother
(senior paramedic, senior obstetrician)

Footnote. Subsection 22 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Organizes the work of middle and junior medical personnel and monitors the performance of their duties. Organizes the provision of the department with medicines, medical products and medical equipment; safety of property and medical equipment of the department, timely repair of medical devices and medical equipment, catering for patients in the department, controls, records and stores potent, poisonous, narcotic, psychotropic medicines and precursors, compliance with labor protection and safety regulations, asepsis and antiseptics by personnel departments, timely and accurate fulfillment of doctor's appointments by nursing staff, sanitization of incoming patients, compliance with anti-epidemic measures, sanitary and hygienic condition of premises. Provides therapeutic and prophylactic, sanitary and prophylactic, first-aid medical care, including for pregnant women and newborns, assists a doctor during surgical procedures, takes physiological childbirth, and provides first aid in case of emergency. Organizes medical examination and patronage of pregnant women and women in childbirth. Conducts laboratory research, sanitary and educational work among the population, including hygienic training and education, promotion of a healthy lifestyle. Carries out current sanitary supervision, organizes and conducts anti-epidemic measures. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) medical education in the profile and work experience in the specialty for at least 3 years, a certificate of a specialist in the specialty or post-secondary (applied bachelor's degree in the specialty "Nursing") or higher medical (specializing in "Nursing" , "General Medicine", "Pediatrics", bachelor's degree in "General Medicine") education without requirements for work experience and a certificate of a specialist with an average qualification level.

Subsection 23. Paramedic

Footnote. Subsection 23 as amended by orders of the Minister of Health of the Republic of Kazakhstan dated July 26, 2013 No. 436 (shall be enforced upon expiry of ten calendar days after the day of its official publication); dated 13.06.2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Provides medical and preventive, sanitary and preventive, emergency medical care in case of acute diseases and accidents. Keeps a personal record of the population of the site, plans its activities at the site. Prepares patients for examination and consultations with specialist doctors. She conducts outpatient reception and serves patients at home. Carries out diagnostics, treatment, disease prevention. Provides first aid, assists the doctor with surgical procedures, takes physiological childbirth. Carries out current sanitary supervision, organizes and conducts anti-epidemic measures. Conducts sanitary and educational work among the population, including hygienic training and education, promotion of a healthy lifestyle. Conducts sampling and chemical macro- and microscopic examinations of biological material of blood, gastric contents, cerebrospinal fluid, exudative fluids, examination of discharge, helminth-ovoscopic examination, using methods of research of hemorrhagic syndrome, bacteriological and serological research techniques. Monitors the good condition of laboratory equipment. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Qualification requirements:

Technical and vocational (secondary specialized, secondary vocational) medical education in the specialty "General Medicine" (or "Obstetrics" and advanced training in the specialty "General Medicine", as well as in the specialty "Laboratory Diagnostics", "Medical Assistant", " Hygiene, sanitation and epidemiology "," Sanitary paramedic "," Dentistry "," Dentist "," Nursing ", for persons who started this position before February 11, 2003, retraining in the specialty" general medicine "), specialist certificate in the specialty "General Medicine" or higher medical education in the specialty "General Medicine", "Pediatrics", bachelor's degree in "General Medicine" and a certificate of a specialist with an average qualification level.

Subsection 24. Laboratory assistant

Footnote. Subsection 24 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Conducts laboratory research under the guidance of a doctor and independently prepares laboratory equipment, reagents, chemical glassware, culture media, coloring and disinfecting solutions for their conduct. Accepts and registers biological material received for research, checks the compliance of its packaging and delivery time with the necessary requirements. Checks the suitability of the material received for research, the correctness of the accompanying documentation. Prepares standard and working solutions for the calibration of devices, culture media, reagents, paints and disinfectants. Sterilizes laboratory instruments and dishes. Transfers the research results to the doctor. Performs various computational and graphic works related to ongoing research. Provides first aid in case of emergency. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the health of the people and the health care system", the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care, microbiological diagnostics of major infectious diseases, the basics sanitary and microbiological research, methods of general clinical, biochemical, hematological and cytological laboratory research, techniques for conducting laboratory research using laboratory equipment, rules for the operation of laboratory equipment, instrumentation, labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety ...

Footnote. Subsection 25 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out sanitary and anti-epidemic (preventive) measures. Takes part in the collection and processing of materials. Conducts sanitary and educational work among the population, including hygienic training and education, promotion of a healthy lifestyle. Conducts sanitary and epidemiological examination of objects and epidemiological foci with sampling for laboratory research: food, goods, products, building materials, consumer goods, toxic, radioactive and biological substances, drinking water, waste water, soils and their laboratory and instrumental studies ... Performs laboratory research, tests, measurements accompanying the state sanitary and epidemiological supervision. Provides registration, accounting and statistical processing of data on infectious and non-infectious diseases. Monitors the good condition of laboratory equipment. Prepares equipment for laboratory research, instrumental measurements. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) medical education of a sanitary and epidemiological profile.

District nurse (brother) medical (s) / sister (brother) medical (s) general practice.

Footnote. Subsection 26 as amended by order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. ҚR DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Under the supervision of an extended practice nurse or a doctor, he conducts outpatient appointments and provides nursing care, assesses the patient's need for nursing care (nursing diagnosis), draws up a plan of examination, treatment, patient care, assesses the dynamics of the condition, the effectiveness of treatment, and registers the dynamics data in the medical history , conducts daily patient visits, monitors patients, and provides data to the advanced nurse and / or physician. Assists a general practitioner and a nurse of extended practice in organizing medical examination and patronage of patients, takes care of patients in a medical and prophylactic organization and at home (patronage) within the limits of his competence. Provides citizens with first aid, including in extreme conditions, first aid and palliative care. Carries out the collection of materials for laboratory research, control over the expenditure of drugs in the department, provides accounting, storage, use of drugs. Ensures the fulfillment of medical appointments. Assists the doctor in the implementation of diagnostic and therapeutic procedures. Carries out patient care, administration of drugs into the body, prepares patients for diagnostic examinations, removes electrocardiography. Performs the simplest physiotherapy procedures. Assists a general practitioner and a nurse of extended practice in the prevention of diseases and a healthy lifestyle, conducts sanitary and educational work among patients and their relatives. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations for fire safety, occupational safety and health, sanitary and epidemiological regime. ";

Should know: The Constitution of the Republic of Kazakhstan dated August 30, 1995, the Code of the Republic of Kazakhstan dated September 18, 2009 "On people's health and the health care system", the laws of the Republic of Kazakhstan dated November 18, 2015 "On combating corruption", dated July 11, 1997 "On languages in the Republic of Kazakhstan ", normative legal acts in the field of health care, basic principles of health care organization, labor legislation, rules and norms of occupational safety and health, industrial sanitation and fire safety.

Qualification requirements:

Technical and vocational (secondary specialized, secondary vocational) medical education in the specialty "Nursing" (or "General Medicine", "Obstetrics", a certificate of a specialist in the specialty "Nursing" or "General Medicine", as well as in the specialty "Laboratory diagnostics "," Medical assistant-laboratory assistant "," Hygiene, sanitation and epidemiology "," Medical assistant "," Dentistry "," Dentist "for persons who started this position before February 11, 2003, retraining in the specialty" Nursing " ), post-secondary education in the specialty "Nursing" (applied bachelor's degree) or higher medical education in the specialty "General Medicine", "Pediatrics", bachelor's degree in "General Medicine", "Nursing" and a certificate of a specialist with an average qualification level.

Subsection 27. Sister (brother) medical (s) (specialized)

Footnote. Subsection 27 as amended by order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. ҚR DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Under the supervision of an extended practice nurse or doctor, he provides nursing care, assesses the patient's need for nursing care, assesses the dynamics of the condition, treatment effectiveness, monitors the patient's condition and provides data to the extended practice nurse and / or doctor. Provides first aid, including in extreme conditions, specialized first aid, palliative care, takes materials for laboratory research, sterilizes medical instruments, dressings and patient care items. Ensures the correct implementation of medical appointments. Assists the doctor in the implementation of diagnostic and therapeutic procedures. Carries out the whole range of measures for caring for patients of various ages and pathologies, the introduction of drugs into the body, prepares patients for diagnostic studies, surgical interventions, removes an electrocardiogram. Performs physiotherapy procedures. Draws up requirements for the receipt of medicines and medical products, controls their use, storage. Keeps accounting and reporting medical documentation. Provides special care in the postoperative period. Performs dressings and wound care. Assists a doctor and a nurse of extended practice in the prevention of diseases and a healthy lifestyle, promotes a healthy lifestyle and hygienic education of the population. Observes medical ethics, the approved work schedule, internal labor regulations, fire safety, labor safety and health, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan dated August 30, 1995, the Code of the Republic of Kazakhstan dated September 18, 2009 "On people's health and the health care system", the laws of the Republic of Kazakhstan dated November 18, 2015 "On combating corruption", dated July 11, 1997 "On languages in the Republic of Kazakhstan ", regulatory legal acts in the field of health care, basic principles of health care organization, labor legislation, rules and regulations of safety and labor protection, safety engineering, industrial sanitation and fire safety.

Qualification requirements:

Technical and vocational (secondary specialized, secondary vocational) medical education in the specialty "Nursing" (or "General Medicine", "Obstetrics", a certificate of a specialist in the relevant specialty, as well as in the specialty "Laboratory diagnostics", "Paramedic-laboratory assistant" , "Hygiene, Sanitation and Epidemiology", "Sanitary Paramedic", "Dentistry", "Dentist", who took up this position before February 11, 2003, retraining in the specialty "Nursing"), post-secondary education in the specialty "Nursing" (applied bachelor's degree) or higher medical education in the specialty "General Medicine", "Pediatrics", bachelor degree in "General Medicine", "Nursing" and a certificate of a specialist with an average qualification.

Subsection 28. X-ray laboratory assistant

Footnote. Subsection 28 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 500 dated June 13, 2016 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Conducts X-ray examinations under the guidance of a doctor and independently prepares X-ray equipment, reagents, X-ray films for their conduct. Prepares patients for contrast examination methods. Carries out the correctness of the accompanying documentation. Carries out as styling (conventional, complex) during X-ray examinations. Produces, develops, washes, fixes, marks, dries X-ray. Provides first aid in case of emergency. Keeps accounting and reporting medical documentation. Complies with medical ethics, internal labor regulations, radiation safety, fire safety and safety, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care, the biological effect of X-rays and dosimetry methods , principles of protection of medical staff and patients; photolaboratory process, X-ray technology, principles of operation of X-ray machines; principles, features, rules and methods of X-ray studies of all organs and systems, features of X-ray studies in pediatrics, dentistry; principles of operation of new digital X-ray devices, principles of computed tomography and magnetic-nuclear resonance, angiography; principles of fluorography and electro-roentgenography, labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) medical education in the specialty "Nursing" (or "General Medicine", "Obstetrics", "Dentistry" and advanced training in the specialty "Nursing" in the cycle "X-ray laboratory assistant") or higher medical education in the specialty "General Medicine", "Pediatrics", "Dentistry", bachelor degree in "General Medicine", and advanced training in the cycle "X-ray laboratory assistant".

Subsection 29. Obstetrician (s)

Footnote. Subsection 29 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Conducts outpatient appointments, fills out and prepares medical documentation. Conducts examination, establishes the timing of pregnancy, identifies pregnant women, differentiates them by risk group. Provides first aid medical care to pregnant women and gynecological patients; emergency obstetric and gynecological care, emergency first aid for newborns. Conducts medical examination and home patronage of pregnant women and women in childbirth, preventive examination of women and sanitary and educational work to protect the health of women and children. Takes birth, carries out the treatment of the newborn. Monitors the health and development of children in the first year of life. Assists in minor obstetric and gynecological operations. Carries out work on the protection of the reproductive health of women, the prevention of breastfeeding. Assesses the severity of the condition in the pathological course of childbirth and the postpartum period. Prescribes and conducts treatment, performs medical manipulations. Provides emergency medical care for acute illnesses and accidents. Conducts a study of urine protein analysis, determination of blood group, Rh factor, hemoglobin, erythrocyte sedimentation rate, preventive and sanitary and educational work to promote a healthy lifestyle, and gives advice on family planning. Provides dispensary observation of women with intrauterine contraceptives. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On the health of the people and the health care system", the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care, the course of childbirth and their variants, maintenance pregnancy with complications, rules of asepsis and antiseptics, sanitary and anti-epidemic regime of obstetric institutions, basic principles of maternal and child health, methods of dispensary observation of pregnant women and gynecological patients, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety ...

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) medical education in the specialty "Obstetrics" or in the specialty "General Medicine" and advanced training in the specialty "Obstetrics", a certificate of a specialist in the specialty "Obstetrics" or higher medical education in the specialty " General Medicine, Pediatrics, Bachelor's Degree in General Medicine and a certificate of a specialist with an average qualification level.

Subdivision 30. Diet Sister

Footnote. Subsection 30 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 500 dated June 13, 2016 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Provides the organization of rational therapeutic nutrition in health care organizations, compiles daily menus, a card index of dishes, menu-layouts, monitors compliance with instructions for preparing therapeutic nutrition, the procedure for discharging food for patients, and receiving food parcels. Systematically monitors the chemical composition and calorie content of the diet, directs the dishes for laboratory research, and is responsible for the quality of the food prepared. Ensures compliance with sanitary standards in the catering unit. Keeps accounting and reporting documentation. Organizes the work of subordinate middle and junior medical personnel. Monitors the regularity of medical examinations by employees, organizes a technical minimum among the technical and service personnel of the catering unit. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Qualification requirements. Higher (nursing) medical education or technical and vocational (secondary specialized, secondary vocational) medical education in the specialties "Nursing", "General Medicine", "Obstetrics", "Hygiene and Epidemiology", advanced training in the relevant specialty.

Subsection 31. Instructor-disinfector

Footnote. Subsection 31 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out and carries out work on carrying out disinfection measures, determines their volume, methods and means of disinfection, disinsection and deratization of individual objects. Supervises the disinfection team and takes part in the final and preventive disinfection. Supervises the preparation, use of disinfection solutions, the use of equipment, inventory, the quality of the disinfection performed, the observance of personal and public safety rules by disinfectants. Monitors compliance with the methods when performing disinfection, deratization and disinfestation work. Draws up documentation for the implementation of disinfection work. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) medical education of a sanitary and epidemiological profile, advanced training in the relevant profile.

Subdivision 32. Optician and optician

Footnote. Subsection 32 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out a study of the functions of vision of patients using modern ophthalmic diagnostic equipment: checks visual acuity, perimetry, refractometry, ophthalmometry, biomicroscopy, tonometry. Examines binocular vision, determines the type and degree of ametropia, the presence of astigmatism. Diagnoses the main signs of diseases of the organ of vision. Selects means of vision correction. Gives individual recommendations for their care. Provides emergency medical care for acute diseases and damage to the organ of vision (including the removal of foreign bodies from the surface of the conjunctiva of the eye). Identifies among the applicants in need of complex vision correction and treatment by an ophthalmologist, directs them to him. Participates in the determination of applications for spectacle optics products. Keeps accounting and reporting documentation. Takes part in hygienic education and promotion of a healthy lifestyle among the population. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Requirements for qualifications: Technical and vocational (secondary specialized, secondary vocational) medical education in the specialty "Medical optics".

Subsection 33. Dentist (dentist)

Footnote. Subsection 33 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out diagnostics and treatment of diseases and lesions of teeth, oral cavity and maxillofacial area in accordance with the profile of the position. Carries out work on the prevention of diseases and lesions of the teeth, rehabilitation of the oral cavity in children and adults. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) medical education in the specialty "Dentistry" (qualifications "dentist" and "dentist"), a certificate of a specialist in the specialty "Dentistry" or higher medical education in the specialty "Dentistry".

Subdivision 34. Dental assistant
(dental assistant)

Footnote. Subsection 34 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 500 dated June 13, 2016 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Provides consultative and diagnostic assistance to the population for dental diseases, registration of the patient's dental status, emergency first aid for acute diseases in the maxillofacial area, compliance with the sanitary-hygienic and sanitary-epidemiological regime in dental institutions. Determines the hygienic state of the oral cavity of patients and teaches them methods of brushing teeth, gives individual recommendations on the choice of hygiene products for children and adults, on the care of orthodontic and orthopedic structures. Keeps accounting and reporting medical documentation. Provides assistance to a dentist in the treatment of diseases and lesions of the teeth, oral organs and maxillofacial area. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care, principles of prophylactic medical examination of the population, indexes of registration of intensity caries and periodontal diseases, hygienic state of the oral cavity, methods and means of individual and professional oral hygiene, methods of dental education of the population, modern methods of diagnosis, treatment of diseases and lesions of teeth, oral cavity organs and maxillofacial region, methods of sterilization of instrumentation, fundamentals of organization dental care, types and methods of dental prosthetics and features of working with dental materials, labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) medical education in the specialty "Dentistry (qualifications" assistant dentist "," dental hygienist "," dentist ")", a certificate of a specialist in the specialty or higher medical education in the specialty "Dentistry".

Subsection 35. Dental hygienist

Footnote. Subsection 35 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 500 dated June 13, 2016 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out diagnostics of dental caries, periodontal diseases, non-carious lesions, diseases of the mucous membrane and registration of the patient's dental status. Determines the hygienic state of the oral cavity and teaches the patient how to brush teeth, gives individual recommendations on the choice of hygiene products for children and adults, on the care of orthodontic and orthopedic structures. Carries out preventive procedures (covering teeth with fluoride varnish and fluoride gel, rinsing and applying remineralizing solutions, sealing teeth fissures, removing supra- and subgingival dental plaque, periodontal applications) and hygienic measures aimed at maintaining the dental health of the population and developing skills for rational oral care ... Draws up and implements a program for individual prevention of dental diseases. Conducts the prevention of the main dental diseases of children of organized children's groups, dental education among the population of different age groups, medical personnel, educators of preschool institutions, teachers, parents, questioning the population on the prevention of dental diseases. Keeps accounting and reporting medical documentation. Provides assistance to a dentist in the diagnosis and treatment of diseases and lesions of the teeth, oral cavity and maxillofacial area. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: the Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the laws of the Republic of Kazakhstan "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care, principles of medical examination of the population, indexes of registration of intensity caries and periodontal diseases, the hygienic state of the oral cavity, methods and means of individual and professional oral hygiene, methods of dental education of the population, modern methods of diagnosis, treatment of diseases and lesions of the teeth, oral cavity, maxillofacial region, methods of sterilization of instruments, the basics of organizing dental assistance, types and methods of dental prosthetics and especially when working with prosthetic material, labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) medical education in the specialty "Dentistry (qualifications" assistant dentist "" dental hygienist "," dentist ")", a certificate of a specialist in the specialty or higher medical education in the specialty "Dentistry".

Subsection 36. Dental technician
(laboratory assistant of the denture department, office)

Footnote. Subsection 36 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Manufactures dentures, artificial crowns, including cermets, simple designs of pin teeth, bridges, clasp and removable lamellar prostheses, orthodontic and maxillofacial constructions. Makes prints and makes working models from various materials. Performs soldering, alloying, firing, bleaching, finishing, polishing of parts, prostheses and apparatus. Systematically replenishes the department (office) with medical instruments, medicines and materials, ensures the safety of property and medical equipment in the department and timely repair of equipment, the correct accounting and storage of potent, poisonous, narcotic and psychotropic drugs. Ensures compliance with the rules for asepsis and antiseptics, timely and accurate fulfillment of the tasks of a dentist, performance of work on dental prosthetics. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) medical education in the specialty "Orthopedic Dentistry" and "Dentistry" with the qualification "dentist" and advanced training in the specialty "Orthopedic Dentistry" or higher medical education in the specialty "Dentistry" and advanced training in the cycle "Dental Technician".

Subdivision 37. Instructor for physiotherapy exercises

Footnote. Subsection 37 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 500 dated June 13, 2016 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Prepares a room, gymnastic objects and equipment for physical therapy classes. Controls the well-being of patients before and after classes. Conducts classes with patients in the pool and on mechanotherapy devices. As prescribed by the doctor, he conducts certain types of therapeutic massage. Together with a physician in physiotherapy exercises, he develops therapeutic gymnastics schemes and complexes of physical exercises. Carries out individual and group lessons in medical and hygienic gymnastics, conducts functional tests with physical activity, assessment of physical development, physical performance of a person, respiratory function, cardiovascular system, neuromuscular apparatus during exercise therapy. Ensures compliance with sanitary and hygienic requirements for the organization of the work of halls for group and individual exercise therapy. Provides first aid in case of emergency. Keeps accounting and reporting medical documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the laws of the Republic of Kazakhstan "On physical culture and sports", "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health , physical education and sports, the basics of anatomy, physiology and pathophysiology of the body, age physiology, methods of conducting physical therapy classes for patients with various diseases, indications and contraindications for conducting physical therapy classes, the basics of therapeutic massage, types and types of massage, possible complications when carrying out physiotherapy exercises, measures for their prevention and elimination, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) (medical, physical education) education, advanced training in the relevant specialty.

Section 4. Other employees
Subsection 38. Medical Registrar

Footnote. Subsection 38 as amended by orders of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication); dated 19.05.2017 No. 311 (shall be enforced upon expiry of ten calendar days after the day of its first official publication); dated 19.12.2018 No. ҚR DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Keeps the registration of patients who have applied for medical help to a medical organization. Provides storage and delivery of medical records to a doctor's office in a polyclinic or to a hospital department. Submits a monthly report to the organization's medical statistics. Observes medical ethics, internal labor regulations, labor protection, fire safety and safety, sanitary and epidemiological regime.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) medical education or general secondary education and individual training for at least 3 months or short-term training on the basis of an educational organization without presenting requirements for work experience.

Subsection 39. Younger nurse (s) nurse (brother)

Footnote. Subsection 39 as amended by order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. ҚR DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Performs his duties under the guidance of a nurse. Provides basic care for patients in a medical and prophylactic organization and at home, including ensuring personal hygiene, changing underwear and bed linen, feeding a patient with disabilities, monitoring and assessing the patient's condition. Assists a general nurse in the implementation of nursing care activities. Provides transportation, escort and movement of patients. Carries out sterilization of instruments, dressings and patient care items, carries out disinfection measures. Carries out anthropometric measurements and records patient data. Keeps accounting and reporting medical documentation. Ensures the maintenance of cleanliness of patients, premises. Monitors the correct use and storage of patient care items. Observes medical ethics, internal labor regulations, fire safety, labor safety and protection, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan dated August 30, 1995, the Code of the Republic of Kazakhstan dated September 18, 2009 "On people's health and the health care system", the laws of the Republic of Kazakhstan dated November 18, 2015 "On combating corruption", dated July 11, 1997 "On languages in the Republic of Kazakhstan ", normative legal acts in the field of health care, labor legislation, rules and norms of safety and labor protection, industrial sanitation and fire safety.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) (medical) education in the specialty "Nursing" or general secondary education and short-term training for at least 10 months or basic secondary education and short-term training for at least 1 year and 10 months in the specialty "Nursing "on the basis of an educational organization without any requirements for work experience.

Subsection 40. Social worker in the field of health care

Footnote. Subsection 40 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan No. 500 dated June 13, 2016 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out its activities under the guidance of a specialist in social work in the field of health. Carries out patient care in a medical and prophylactic organization and at home, monitors the patient's condition. Keeps accounting and reporting documentation for the social service. Promotes medical and psychological treatment of patients, helps the patient to adapt to new conditions of stay, if he is admitted to the hospital, or to a new condition, if complications develop, the symptoms of the disease increase. Resolves issues of social support for the patient (processing requests, legal documents, participation or assistance in obtaining a referral for a medical and social examination, to a nursing home and disabled people); organizes, at the request of the sick, the administration of religious needs; organizes, at the request of relatives, funeral ritual ceremonies. Keeps accounting and reporting documentation. Complies with medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the Labor Code of the Republic of Kazakhstan, the laws of the Republic of Kazakhstan "On social protection of disabled people in the Republic of Kazakhstan", "On social and medical-pedagogical correctional support for children with disabilities "," On combating corruption "," On languages in the Republic of Kazakhstan ", normative legal acts in the field of social protection, basic principles for organizing social services for lonely disabled citizens and children with disabilities, psychological and physiological characteristics of older people, health care system , organization of public services, methods of providing emergency first aid, labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) (social, medical, psychological, pedagogical) education, professional development.

Subsection 41. Nurse (ka)

Footnote. Paragraph 4 was supplemented with subsection 41 in accordance with the order of the Minister of Health of the Republic of Kazakhstan dated December 19, 2018 No. ҚR DSM-43 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Cleans the premises in accordance with sanitary standards. Carries out patient care: change of linen and clothes, delivery, cleaning of the vessel. Cleans bedside tables (tables) in bedridden patients after each meal. Receives linen, household equipment and detergents from the hostess sister, and carries out the washing of pharmacy dishes. Observes medical ethics, internal labor regulations, fire safety, labor safety and protection, sanitary and epidemiological regime.

Should know: the rules of sanitation and hygiene, the purpose of detergents and the rules for handling them, the basics of labor legislation, the rules and norms of labor safety and protection, industrial sanitation and fire safety.

Qualification requirements. Primary or secondary general education, individual training for at least 3 months without any requirements for work experience.

Facilities in the field of medicines circulation,
medical products and medical equipment
Paragraph 5. Positions of managers
Subsection 41. The head (manager) of the object in the sphere of circulation

medical technology

Footnote. Subsection 41 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Organizes production, economic, financial and economic activities of the facility. Ensures compliance with state standards in the field of drug circulation. It independently solves the problems of the object in the field of organizing drug supply for the population and healthcare organizations. Based on the analysis of the activity of the object of pharmaceutical activity, production indicators, it takes measures to improve the drug supply to the population and medical organizations. Provides effective financial and economic activities of the facility using modern economic approaches. Responsible for the quality of medicines. Takes measures to provide the facility with qualified personnel, rational use and development of their professional knowledge and experience, create safe and favorable working conditions for life and health. Ensures compliance with the rule of law in the activities of the facility and the implementation of its economic and economic relations. Provides accounting and reporting. Concludes contracts, concludes transactions with individuals and legal entities. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan, the Labor Code of the Republic of Kazakhstan, the Civil Code of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the laws of the Republic of Kazakhstan "On permits and notifications", "On combating corruption", "On languages in the Republic Kazakhstan ", regulatory legal acts in the field of health care and pharmaceuticals, circulation of medicines, medical devices and medical equipment, criteria and indicators characterizing the state of providing the population with medicines, scientific achievements and international experience in the development of medicines, state standards in the field of circulation of medicines. means, fundamentals of personnel and financial management, features of managerial work, fundamentals of economics, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Higher pharmaceutical education and work experience in the specialty of at least 5 years or higher medical or economic education, master's degree in Management, Public Health, Health Management and at least 5 years of experience in managerial positions.

Subsection 42. Deputy head of the facility in the field
circulation of medicines, medical products
appointments and medical technology

Footnote. Subsection 42 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out the activities of the facility under the general guidance of the first head. Organizes the work of the warehouse, creates conditions for the storage and safety of material resources and finished products. Analyzes the activities of the object of pharmaceutical activity. Carries out measures to improve drug supply to the population. Responsible for the quality of medicines, materials, equipment and medical technology. Takes measures for the timely conclusion of economic and financial contracts with suppliers and consumers. Organizes work to improve working conditions and safety, rationalize structures and staffs, strengthen labor discipline. Monitors the condition of the premises and takes measures for their timely repair. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime. Keeps accounting and reporting documentation.

Should know: The Constitution of the Republic of Kazakhstan, the Civil Code of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the Labor Code of the Republic of Kazakhstan, the laws of the Republic of Kazakhstan "On permits and notifications", "On combating corruption", "On languages in the Republic Kazakhstan ", regulatory legal acts in the field of health care and pharmaceuticals, as well as those regulating the activities of pharmaceutical activities, state standards in the field of drug circulation, scientific achievements and international experience in the development of medicines, fundamentals of financial and personnel management, fundamentals of economics, labor legislation, rules and norms of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Higher pharmaceutical education, work experience of at least 3 years in the specialty.

Subsection 43. Head of the department of the object in the sphere of circulation
medicines, medical devices and
medical technology

Footnote. Subsection 43 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Provides qualified management of the structural unit of the facility in accordance with its tasks, functions and current legislation. Controls the execution of orders and orders by subordinates that determine the order of the object's activities. Conducts an analysis of the provision of the population with medicines and medical products, on the basis of which it draws up specifications. Develops and implements measures aimed at improving the activities of the facility for the provision of medical care, medical drugs and medical products to the population. Studies the situation on the domestic and international market for medicines and medical products. Solves the problems arising in the activities of the structural unit in the field of drug supply to the population and health care institutions. Responsible for the quality of the unit's work. Keeps accounting and reporting documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the laws of the Republic of Kazakhstan "On permits and notifications", "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care, pharmaceuticals, criteria and indicators characterizing the state of providing the population with medicines, medical products, the procedure for the functioning of the pharmaceutical activity object, criteria for assessing the activity of the structural unit of the pharmaceutical activity object, the basics of logistics, marketing and merchandising, first aid rules, labor legislation, rules and occupational health and safety standards, industrial sanitation and fire safety.

Qualification requirements. Higher (pharmaceutical, medical, chemical-technological, chemical) education and work experience of at least 3 years in the specialty.

Paragraph 6. Positions of specialists with the highest qualification level
Subsection 44. Pharmacist (pharmacist)

Footnote. Subsection 44 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out reception of prescriptions, requirements of medical and preventive organizations, dispensing of medicines and medical products in accordance with their physicochemical properties and established storage rules. Manufactures medicinal products, conducts quality control of incoming and manufactured medicinal products in the pharmacy, applying all types of intra-pharmacy control and pharmaceutical analysis, conducts chemical and toxicological examinations. Informs doctors and the population about the availability and use of medicines and medical devices, conducts sanitary and educational work on their use among the population. Participates in the registration of applications for the receipt, acceptance and distribution of medicines and medical products. Keeps accounting and reporting documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the laws of the Republic of Kazakhstan "On permits and notifications", "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care, pharmacy, pharmaceutical business, the organization and economy of the pharmacy service, the technology of manufacturing medicines in the pharmacy, the rules for their storage and dispensing, the range of medicines and medical products, the rules for the provision of first-aid medical aid, methods of chemical and physicochemical analyzes, marketing of medicinal means and medical products, labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Higher pharmaceutical education.

Subsection 45. Technological engineer for the production of medicinal
means, medical products and medical equipment

Footnote. Subsection 45 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out the development of technological regulations and technical conditions for the production of drugs. Controls the release of products according to specifications, serviced equipment used in the production process. Provides the development of technology in the process of developing and putting new drugs into production, in carrying out technological processes in serial production. Draws up production instructions for the development and implementation of measures for the disposal of industrial waste, neutralization and purification of industrial effluents, emissions into the atmosphere. Determines technical and economic standards and rates of consumption of raw materials and materials. Provides control over compliance with sanitary and hygienic rules and regulations, storage conditions, raw materials, semi-finished products, auxiliary materials and manufactured products. Ensures the quality of the work performed. Keeps accounting and reporting documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Qualification requirements. Higher (pharmaceutical, engineering, technological) education.

Paragraph 7. Positions of specialists with an intermediate qualification level
Subsection 46. Pharmacist

Footnote. Subsection 46 as amended by order of the Minister of Health and Social Development of the Republic of Kazakhstan dated June 13, 2016 No. 500 (shall be enforced upon expiry of ten calendar days after the day of its first official publication).

Job responsibilities. Carries out reception of prescriptions and requirements of medical and preventive institutions, dispensing of medicines, medical products, sanitary and hygiene items. Manufactures medicines according to individual prescriptions in a pharmacy, carries out their intra-pharmacy quality control. Prepares reagents, titrated solutions, works with measuring instruments and equipment in laboratories. Conducts express analysis of dosage forms, macro- and microscopic, commodity analysis of medicinal plant materials. Provides first aid to patients and victims in extreme situations. Provides storage and control of the shelf life of medicinal herbs and medical products. Participates in the acceptance, placement and packaging of goods using the necessary equipment. Conducts sanitary, educational and informational work on the use of medical devices. Keeps accounting and reporting documentation. Observes medical ethics, internal labor regulations, fire safety and safety, sanitary and epidemiological regime.

Should know: The Constitution of the Republic of Kazakhstan, the Code of the Republic of Kazakhstan "On people's health and the health care system", the laws of the Republic of Kazakhstan "On permits and notifications", "On combating corruption", "On languages in the Republic of Kazakhstan", regulatory legal acts in the field of health care, pharmacy, the fundamentals of pharmaceutical business, the structure of the drug supply management system, the modern nomenclature of medicines, herbs and medical products, the basic principles of the procurement and storage of medicinal plants, labor legislation, rules and regulations of labor protection, safety, industrial sanitation and fire safety.

Qualification requirements. Technical and vocational (secondary specialized, secondary vocational) (pharmaceutical) education.

Order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n
"On the approval of the Unified qualification reference book of positions of managers, specialists and employees, section" Qualification characteristics of positions of workers in the health sector "

With changes and additions from:

Registration N 18247

The qualification characteristics of health care workers' positions have been determined.

We are talking about the chief physician, head of the dairy kitchen, the head nurse, specialist doctor, genetics, infectious disease specialist, gynecologist, psychiatrist, therapist, forensic expert, embryologist, etc.

With the help of characteristics, you can choose the right staff, improve their business skills.

The qualification characteristic of each position contains 3 sections: "Job responsibilities", "Must know" and "Qualification requirements".

The first defines the functions to be performed by the employee. Technological homogeneity and interconnectedness of work, vocational education are taken into account.

The second contains the basic requirements for specialized knowledge. We are also talking about the provisions, instructions, methods and means that the employee must be able to apply in the performance of job duties.

In the third, the levels of vocational education necessary to fulfill the assigned duties and the required length of service are established.

Persons who do not have the required additional vocational education or work experience, but have sufficient practical experience and perform the assigned duties with high quality and in full, on the recommendation of the certification commission, can be appointed to the appropriate positions.

Order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541н "On approval of the Unified qualification reference book of positions of managers, specialists and employees, section" Qualification characteristics of positions of workers in the health sector "

Unified qualified reference book of positions of medical workers. Qualification requirements for the head of a medical organization. With changes and additions from

Law enforcement practice of arbitration courts.

Examples of court decisions.

The decision of the Arbitration Court of the Oryol Region dated April 22, 2016 in case No. А48-1595 / 2016.

Resolution of the Supreme Court of the Russian Federation dated October 27, 2014 No. 302-KG14-2669 in case No. A33-11226 / 2013.

Resolution of the Arbitration Court of the Moscow District of August 18, 2015 in case No. A40-180007 / 2013

Resolution of the Arbitration Court of the Far Eastern District of March 5, 2015 in case No. F03-213 / 2015.

Resolution of the Eleventh Arbitration Court of Appeal dated February 13, 2014 in case No. А55-24619 / 2013

Resolution of the Seventh Arbitration Court of Appeal dated November 7, 2014 in case No. А03-13309 / 2014.

Qualifications of health worker positions

Section 1. Health organizations

Paragraph 1. Positions of managers Subsection 1. Head of the health organization of republican, regional, district and city significance (general director, director)

Subsection 2. Deputy Head (General Director / Director) of a healthcare organization (for the medical part, for quality control of medical services, for strategic development)

Subsection 3. Deputy Head (General Director / Director) of a healthcare organization for economic and administrative support

Subsection 4. Deputy Head of the Health Organization for Administrative and Economic Affairs

Subsection 6. Chief Nurse (Deputy Director for Nursing)

Subsection 7. Head of clinical (paraclinical) unit

Subsection 8. Head of the laboratory of the organization sanitary and epidemiological service

Subsection 9. Head of the organization's vivarium sanitary and epidemiological service

Paragraph 2. Positions of specialists with higher and post-secondary education

Subsection 10. Community Physician / General Practitioner

Subsection 11. Physician-resident (profile specialist)

Subsection 12. Doctor (or specialist) of the sanitary and epidemiological service

Subdivision 13. Physician (or specialist) of public health care (valeologist, epidemiologist, statistician, methodologist)

Subsection 14. Healthcare Manager (for the quality of medical services, for strategy and marketing medical services, on the organization and methodology of delivery medical services)

Subsection 15. Medical expert

Subsection 16. Physician - forensic medical expert (general expert, forensic biological, chemical-toxicological, forensic-histological, forensic, molecular genetic research)

Subsection 17. Specialist - forensic medical expert (forensic biological, chemical toxicological, forensic histological, medico-forensic, molecular genetic research)

Subsection 18. Laboratory Specialist

Subsection 19. Specialist of the sanitary and epidemiological service (biologist, zoologist / epizootologist, entomologist)

Subsection 20. Public health professional (epidemiologist, statistician, methodologist, valeologist)

Subsection 21. Social Work Specialist in Healthcare

Subsection 21-1. Sister / brother medical extended practice

Paragraph 3. Positions of specialists with an average qualification level Subsection 22. Senior nurse (s) / brother (senior paramedic, senior obstetrician)

Subsection 23. Paramedic

Subsection 24. Laboratory assistant

District nurse (brother) medical (s) / sister (brother) medical (s) general practice.

Subsection 27. Sister (brother) medical (s) (specialized)

Subsection 28. X-ray laboratory assistant

Subsection 29. Obstetrician (s)

Subdivision 30. Diet Sister

Subsection 31. Instructor-disinfector

Subdivision 32. Optician and optician

Subsection 33. Dentist (dentist)

Subdivision 34. Dental assistant (dental assistant)

Subsection 35. Dental hygienist

Subsection 36. Dental technician (laboratory assistant of the denture department, office)

Subdivision 37. Instructor for physiotherapy exercises

Section 4. Other employees Subsection 38. Medical Registrar

Subsection 39. Younger nurse (s) nurse (brother)

Subsection 40. Social worker in the field of health care

Subsection 41. Nurse (ka)

Facilities in the field of medicines circulation, medical products and medical equipment Paragraph 5. Positions of managers Subsection 41. The head (manager) of the object in the sphere of circulation medical technology

Subsection 42. Deputy head of the facility in the field circulation of medicines, medical products appointments and medical technology

Subsection 43. Head of the department of the object in the sphere of circulation medicines, medical devices and medical technology

Paragraph 6. Positions of specialists with the highest qualification level Subsection 44. Pharmacist (pharmacist)

Subsection 45. Technological engineer for the production of medicinal means, medical products and medical equipment

Paragraph 7. Positions of specialists with an intermediate qualification level Subsection 46. Pharmacist

With changes and additions from:

Paragraph 1. Positions of managers
Subsection 1. Head of the health organization of republican, regional, district and city significance (general director, director)

Subsection 6. Chief Nurse
(Deputy Director for Nursing)

Subsection 7. Head of clinical
(paraclinical) unit

Subsection 8. Head of the laboratory of the organization
sanitary and epidemiological service

Subsection 9. Head of the organization's vivarium
sanitary and epidemiological service

Subdivision 13. Physician (or specialist) of public
health care (valeologist, epidemiologist, statistician, methodologist)

Subsection 14. Healthcare Manager
(for the quality of medical services, for strategy and marketing
medical services, on the organization and methodology of delivery
medical services)

Subsection 16. Physician - forensic medical expert
(general expert, forensic biological,
chemical-toxicological, forensic-histological,
forensic, molecular genetic research)

Subsection 17. Specialist - forensic medical expert
(forensic biological, chemical toxicological,
forensic histological, medico-forensic,
molecular genetic research)

Subsection 19. Specialist of the sanitary and epidemiological service
(biologist, zoologist / epizootologist, entomologist)

Subsection 20. Public health professional
(epidemiologist, statistician, methodologist, valeologist)

Paragraph 3. Positions of specialists with an average qualification level
Subsection 22. Senior nurse (s) / brother
(senior paramedic, senior obstetrician)

Subdivision 34. Dental assistant
(dental assistant)

Subsection 36. Dental technician
(laboratory assistant of the denture department, office)

Section 4. Other employees
Subsection 38. Medical Registrar

Facilities in the field of medicines circulation,
medical products and medical equipment
Paragraph 5. Positions of managers
Subsection 41. The head (manager) of the object in the sphere of circulation

medical technology

Subsection 42. Deputy head of the facility in the field
circulation of medicines, medical products
appointments and medical technology

Subsection 43. Head of the department of the object in the sphere of circulation
medicines, medical devices and
medical technology

Paragraph 6. Positions of specialists with the highest qualification level
Subsection 44. Pharmacist (pharmacist)

Subsection 45. Technological engineer for the production of medicinal
means, medical products and medical equipment

Paragraph 7. Positions of specialists with an intermediate qualification level
Subsection 46. Pharmacist