Order 230 cleaning of industrial premises. Legislative framework of the Russian Federation
MINISTRY OF HEALTH
RUSSIAN FEDERATION
On amendments and additions to the order of the Ministry of Health of Russia dated June 9, 2003 N 230
In order to improve the organization and regulation of labor of employees of health care institutions and on the basis of the Decree of the Government of the Russian Federation of April 29, 2002 N 284 "On approval of the Regulation on the Ministry of Health of the Russian Federation" (Collected Legislation of the Russian Federation, 2002, N 18, Article 1771)
I order:
1. To make changes and additions to the order of the Ministry of Health of Russia dated June 9, 2003 N 230 "On the approval of staffing standards for employees and workers of state and municipal healthcare institutions and employees of centralized accounting departments at state and municipal healthcare institutions" (Appendices NN 1-3).
2. Control over the execution of this order shall be entrusted to the First Deputy Minister of Health of the Russian Federation, AI Vyalkov.
The minister
Yu.L. Shevchenko
Appendix No. 1. Changes and additions to Appendix No. 1 "Staff standards for employees and workers of state and municipal health care institutions" to the order of the Ministry of Health of Russia dated 09.06.2003 No. 230
Appendix N 1
APPROVED BY
Russian Federation
dated December 19, 2003 N 607
1. In section 1 "Positions of employees introduced by type of institution":
1.1. Subclause 1.1.11 of clause 1.1. "Treatment and prophylactic institutions (LPI), which include outpatient departments"
"
1.2. Subclauses 1.3.3 and 1.3.4 of clause 1.3 "Outpatient polyclinic institutions; other health care institutions that do not have beds" shall be stated in the following edition:
"
1 position: In institutions assigned to I-IV groups for the remuneration of managers; In institutions assigned to Group V for the remuneration of managers, with the number of medical posts over 40; |
||
Deputy Head for Economic Affairs | 1 position in institutions assigned to II-IV groups for the remuneration of managers. |
|
Economist | At the rate of 1 position per 100 medical positions, but not less than 1 position in the institution |
1.3. Subclauses 1.4.4 and 1.4.12 of clause 1.4 "Blood transfusion stations, blood centers" shall be amended as follows:
Deputy Head for Economic Affairs | ||
Head of the economic department | 1 position in institutions assigned to the IV group for the remuneration of managers. |
|
Economist | 1 position in institutions assigned to the V group for the remuneration of managers; 2 positions in institutions assigned to II-IV groups for the remuneration of managers; 3 positions in institutions assigned to the I group for the remuneration of managers |
1.4. Subclauses 1.5.2, 1.5.3, 1.5.7 and 1.5.10 of clause 1.5 "Ambulance stations" shall be amended as follows:
Deputy Chief Physician for Economic Affairs | 1 position in institutions assigned to I-IV groups for the remuneration of managers |
|
Deputy Chief Physician for Economic Affairs | 1 position in institutions classified as I-II groups for the remuneration of managers. In institutions assigned to the III-IV groups for the remuneration of managers, the position of the head of the economic department is introduced. In the institutions assigned to the V group for the remuneration of managers, the position of the head of the economy is introduced |
|
Economist | 1 position in institutions with the number of visits per year up to 50 thousand. In institutions with more than 50 thousand visits per year - 1 position and additionally at the rate of 1 position per 100 thousand visits per year (over 50 thousand) |
|
Secretary- | 1 position in the institution |
2. In section 2 "Positions of employees and professions of workers, introduced depending on the organizational and technical conditions of the functioning of institutions":
2.1. Subclause 2.1.7 of subsection 2.1 "Positions of employees" shall be amended as follows:
Head of the technical department | 1 position in medical and prophylactic institutions assigned to III-V groups for the remuneration of managers, equipped with sophisticated medical and other equipment, apparatus and facilities; 1 position at blood transfusion stations assigned to the II-IV groups for the remuneration of managers; 1 position at ambulance stations medical care with the number of visits per year at least 50 thousand, with radiotelephone communication |
2.2. Subclauses 2.2.13 and 2.2.24 of subsection 2.2. "Workers' professions" shall be reworded as follows:
Freight lift per shift; |
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All institutions for 1-2 shifts according to the standards for the number of hotel service workers |
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Auxiliary worker | All institutions depending on the scope of work not provided for elsewhere workers' professions. In pharmacies assigned to groups I-IV by remuneration of managers |
Appendix No. 2. Changes and additions to Appendix No. 2 "Staff standards for employees of centralized accounting departments at state and municipal health care institutions" to the order of the Ministry of Health of Russia dated 09.06.2003 N 230
Appendix N 2
APPROVED BY
by order of the Ministry of Health
Russian Federation
dated December 19, 2003 N 607
CHANGES AND ADDITIONS
in Appendix No. 2 "Staff standards of employees of centralized accounting departments at state and municipal health care institutions"
to the order of the Ministry of Health of Russia dated June 9, 2003 N 230
1. Subclause 2.1 of clause 2 shall be amended as follows:
"2.1. In addition, the position of deputy chief accountant can be introduced at the expense of one of the positions of group leaders in centralized accounting offices with a total number of beds over 2100 and the number of medical posts over 420 in serviced institutions that do not have a bed fund;".
2. In clause 7:
2.1. The third paragraph of clause 7 shall be amended as follows:
"- 150 positions of doctors in serviced institutions that do not have a bed fund;".
2.2. Subclause 7.3 shall be amended as follows:
"7.3. In the serviced institutions operating in the compulsory health insurance system, at the rate of 1 position for:
- 1000 beds;
- 200 positions of doctors in institutions that do not have beds; ".
3. Subclause 8.1.1 of clause 8 shall be amended as follows:
"8.1. 1 position - when serving less than 10 institutions with more than 300 beds (in total) and 60 positions of doctors (in total) in institutions that do not have beds;
2 positions - at least 15 institutions with more than 750 beds (in total) and 150 positions of doctors (in total) in institutions that do not have beds; ".
4. Subclause 11.1 of clause 11 shall be amended as follows:
"11.1. At the rate of 1 position for 200 beds and 50 medical posts with the number of beds in the serviced institutions over 300 (in total) and over 60 medical posts (in total) in institutions that do not have a bed fund;".
5. In the notes:
5.1. Clause 2 shall be stated as follows:
"2. In staffing tables whole or 0.25, 0.5 and 0.75 positions (units) can be entered, when calculating them, the total figures less than 0.13 are discarded, the numbers 0.13-0.37 are rounded to 0.25, the numbers 0.38- 0.62 is rounded up to 0.5, figures 0.63-0.87 are rounded up to 0.75, and over 0.87 - to one. ".
5.2. Clause 3 shall be stated as follows:
"3. Formation of functional groups and determination of the number of accounting personnel in each group is determined by the chief accountant within the limits of the number of posts relying on centralized accounting in accordance with these staffing standards."
5.3. Clause 4 shall be stated as follows:
"4. When calculating the positions of accountants-auditors, economists for financial work the number of beds and the number of positions of doctors in institutions that do not have a bed fund include the indicated indicators only for those institutions that are financed through the centralized accounting department. "
Appendix N 3. Staff standards of structural units (employees) specially authorized to solve problems in the field of civil defense, state and municipal health care institutions "to the order of the Ministry of Health of Russia dated 09.06.2003 N 23
Appendix N 3
APPROVED BY
by order of the Ministry of Health
Russian Federation
dated December 19, 2003 N 607
to read as follows:
"Established standards structural units (employees) specially authorized to solve problems in the field civil defense, state and municipal institutions health care
Number of employees in a healthcare facility | Job titles |
|
Up to 500 people | 1 position of deputy chief physician (director, head, chief) for the medical department for civil defense and mobilization work or deputy chief physician (director, head, chief) for civil defense and mobilization work |
|
500 to 2000 people | 1 position of deputy chief physician (director, head, chief) for the medical department for civil defense and mobilization work or deputy chief physician (director, head, chief) for civil defense and mobilization work; 1-2 positions of civil defense specialists |
|
2000 to 5000 people | 1 position of deputy chief physician (director, head, chief) for the medical department for civil defense and mobilization work or deputy chief physician (director, head, chief) for civil defense and mobilization work; 2-3 positions of civil defense specialists |
|
More than 5000 people | 1 position of deputy chief physician (director, head, chief) for the medical department for civil defense and mobilization work or deputy chief physician (director, head, chief) for civil defense and mobilization work; 4-5 positions of civil defense specialists |
In institutions, organizations and enterprises that are not classified in the categories of civil defense with the number of employees over 200 people, 1 position of the deputy chief physician (director, head, head) for the medical part is introduced for civil defense and mobilization work or the deputy chief physician ( director, head, chief) for civil defense and mobilization work.
Notes:
1. When determining the number of employees in structural units for civil defense and mobilization work (individual workers in other departments) in organizations with hospitals, the number of patients being treated is taken into account (according to the number of estimated beds).
2. In medical and prophylactic institutions that have departments for non-transportable patients for a special period, the position of head of department may be introduced instead of the position of a civil defense specialist. "
- in institutions with up to 100 beds;
- in institutions assigned to I - II groups for the remuneration of managers
- in maternity hospitals with antenatal clinics with less than 5 medical positions and a hospital for 100 - 180 beds; 1 position:
- in regional, regional, republican, district hospitals;
- narcological and neuropsychiatric dispensaries of republican, district, regional, regional, city (cities with a population of over 800 thousand) subordination; dermatovenerologic dispensaries of city subordination, serving at least 200 thousand people; in the absence of a neuropsychiatric dispensary, this position is established in one of the psychiatric hospitals that have a dispensary department;
- in central district and central city hospitals in rural areas and cities with a population of over 25 thousand people;
- in city hospitals with 360 beds and more;
- in children's city hospitals, the polyclinic of which serves 15 and more thousand children. When serving a smaller number of children, the specified position is introduced at the rate of 15 thousand children;
- in maternity hospitals, in antenatal clinics, in which there are 5 or more medical positions. In cases where there are fewer medical positions in the antenatal clinic, this position is introduced if there are at least 190 beds in the hospital.
| N p / p | Job title | Number of posts |
| 1 | 2 | 3 |
| 1.6.1. | Manager | 1 position in each institution. In pharmacies serving up to 150 beds, the position of the manager is established instead of 1 position of the pharmacist, over 150 to 250 beds - instead of the 0.5 position of the pharmacist. In control and analytical laboratories assigned to the V group for the remuneration of managers, the position of the head is established instead of 1 position of the pharmacist, in laboratories assigned to the IV group - instead of the 0.5 position of the pharmacist |
| 1.6.2. | Chief Accountant | 1 position in institutions assigned to I - III groups for the remuneration of managers |
| 1.6.3. | Accountant | 0.5 positions in pharmacies assigned to Group V for executive salaries; in control and analytical laboratories and quality control and certification centers medicines, referred to IV - V groups for the remuneration of managers; 1 position in pharmacies assigned to III - IV groups for the remuneration of managers; in control and analytical laboratories and centers for quality control and certification of medicines assigned to the III group in terms of remuneration of managers; 2 positions in pharmacies, assigned to the II group for the remuneration of managers; control and analytical laboratories and centers for quality control and certification of medicines assigned to I - II groups for the remuneration of managers; 3 positions in pharmacies assigned to Group I for executive salaries |
| 1.6.3. | Head of the economic department | 1 position in institutions assigned to I - II groups for the remuneration of managers |
| 1.6.4. | Head of the household | 1 position in institutions assigned to III - V groups for the remuneration of managers |
2.1. Employee positions
| N p / p | Job title | Number of posts |
| 1 | 2 | 3 |
| 2.1.1. | Deputy Head of Engineering | 1 position in medical and preventive institutions assigned to I - II groups for the remuneration of managers, equipped with complex medical and other equipment, apparatus and facilities |
| 2.1.2. | Chief mechanical engineer | 1 position: - medical and prophylactic institutions with bed capacity, assigned to groups I - II for the remuneration of managers, in which the positions of heads of services are not introduced, except for the head of the repair service; - blood transfusion stations assigned to the I group in terms of remuneration of managers |
| 2.1.3. | Chief Power Engineer | 1 position: - medical and prophylactic institutions that have a bed fund, assigned to group I for the remuneration of managers in the presence of an energy sector; - blood transfusion stations assigned to the I group in terms of remuneration of managers, in the presence of an energy economy |
| 2.1.4. | Chief technologist | 1 position: - blood transfusion stations assigned to the I group in terms of remuneration of managers |
| 2.1.5. | Heads of services: plumbing, gas, elevator, air conditioning and heating, energy | Treatment-and-prophylactic institutions assigned to I - IV groups for the remuneration of managers. In this case, one position of the head of each service can be introduced: - plumbing - with an average daily water supply and an average daily amount of liquid discharged through the sewage network of at least 4 thousand cubic meters. m; - gas - if the volume of work of the gas economy is more than 500 conventional units; - lift - if there are at least 45 lifts; - air conditioning and heating - in the presence of central and autonomous air conditioners and ventilation facilities; - energy - in hospitals with energy facilities. In cases where it is inexpedient to introduce the positions of chiefs for individual services, the positions of chiefs for joint services may be introduced. |
| 2.1.6. | Head of repair service | 1 position in medical and prophylactic institutions assigned to group I for the remuneration of managers, in which the positions of chiefs of services are not introduced |
| 2.1.7. | Head of the technical department | 1 position in medical and prophylactic institutions assigned to III - IV groups for the remuneration of managers, equipped with complex medical and other equipment, apparatus and facilities: - blood transfusion stations assigned to II - IV groups according to the remuneration of managers; - ambulance stations with at least 50 thousand departures per year, with radiotelephone communication |
| 2.1.8. | Head of Procurement Department | 1 position: - in the institutions provided for in clauses 1.1 and 1.2, assigned to I - IV groups for the remuneration of managers; - in blood transfusion stations processing 15 thousand and more liters of plasma per year in the production of fractionation of plasma proteins |
| 2.1.9. | Head of the central warehouse | 1 position in the institutions that organize the central warehouse - instead of the position of warehouse manager |
| 2.1.10. | Engineer | 1 position in republican, district, regional, regional hospitals - to provide all necessary work on the introduction of office equipment, small-scale mechanization, etc. if it is impossible to perform it by the available engineering and technical personnel |
| 2.1.11. | Metrology Engineer | 1 position in medical and preventive institutions assigned to I - II groups for the remuneration of managers. If the healthcare system of the constituent entities of the Russian Federation has two or more regional, territorial, republican multidisciplinary hospitals, the position of a metrology engineer is introduced in one of them. |
| 2.1.12. | Boiler room engineers and technicians, pumping stations and other special installations, structures and industries | All institutions - according to the relevant cross-sectoral and industry regulations and labor standards |
| 2.1.13. | Service engineers and technicians: plumbing, gas, elevator, air conditioning and heating, repair, energy | All institutions comply with the relevant cross-sectoral and sectoral norms and labor standards. In cases where it is inexpedient to introduce positions of engineering and technical workers of separate services, positions of engineers and technicians for joint services may be introduced. |
| 2.1.14. | Programmer | In institutions that have computers on their balance sheet, if there is a volume of work |
| 2.1.15. | Employees of motor transport units (garages) | Institutions with more than 50 units of rolling stock (cars, tractors, road and other machines), except for electric and motor carts, etc. means, - according to the standards for workers of motor transport enterprises |
| 2.1.16. | Servants for servicing electronic computers, special sea and river vessels, meteorological stations and posts, vivariums, as well as for the production of kumis | Institutions with appropriate units and equipment - according to the standards in force in the relevant sectors of the economy |
At the same time, the names of positions of employees and professions of workers must correspond to their names provided for in the current staffing standards, tariff and qualification characteristics for general industry positions of employees and professions of workers approved by the Ministry of Labor of Russia. The names of the professions of workers not provided for by the tariff and qualification characteristics for industry-wide professions workers are established in accordance with the names contained in the Unified Tariff and Qualification Reference Book of Work and Occupations of Workers (ETKS).
In the staffing table of the institution vacancies are indicated by their base name, for example, accountant, economist, engineer.
The titles of positions occupied by specific employees are determined based on the compliance of their qualifications with the requirements provided for by the tariff and qualification characteristics for general industry positions of employees, for example, a specialist (economist, accountant, engineer) with a higher professional education and work experience as an economist for 4 years, in the staffing table of the institution, the position will be called an economist of the II category, etc.
3. Whole or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the total figures less than 0.13 are discarded, the numbers 0.13 - 0.37 are rounded to 0.25, figures 0.38 - 0.62 are rounded to 0.5, figures 0.63 - 0.87 are rounded to 0.75, and above 0.87 - to one. If, for several titles, 0.25, 0.5 or 0.75 positions (units) are formed, it is allowed to combine them by categories of personnel (employees, workers) according to one of the combined names with the performance of functions for all the combined positions (professions).
Appendix N 2
STAFF STANDARDS OF CENTRALIZED ACCOUNTING OFFICES AT STATE AND MUNICIPAL HEALTHCARE INSTITUTIONS1. The position of the chief accountant is established in each accounting department.
2. The positions of deputy chief accountants are established in the accounting department, which is relied upon in clauses 4-8 of these staffing standards:
From 5 to 10 positions of accountants - 1 position;
From 11 and above positions of accountants - 2 positions.
2.1. Additionally, the position of deputy chief accountant can be introduced at the expense of one of the positions of group leaders in centralized accounting offices with a total number of beds over 2100 and the number of medical positions over 420 in the serviced institutions.
2.2. Additionally, the position of deputy chief accountant can be introduced in institutions that carry out operations in tax and statistical accounting.
3. The position of the head of the accounting group is established for each functional group, which, according to clauses 4-8 of these staffing standards, is entitled to at least 6 positions of accountants, instead of one of them.
4. The positions of accountants for the accounting and calculation of food products are established at the rate of 1 position for 300 beds in medical and preventive institutions that have a bed fund, and places in children's homes.
5. Positions of accounting accountants material values are established at the rate of 1 position for:
300 beds in medical and prophylactic institutions with bed capacity, and places in children's homes;
100 medical positions in institutions without bed capacity.
6. The positions of accountants for settlements with workers and employees are established at the rate of 1 position per 200 established posts in the institutions served.
7. The positions of financial accountants are established at the rate of 1 position for:
150 positions of doctors in the institutions served.
Additionally, the positions of financial accountants are established:
7.1. 1 position in execution cash transactions through the treasury system.
7.2. 1 position for working with funds: compulsory health insurance, pension and social development.
7.3. At the rate of 1 position per 1000 beds and 200 positions of doctors in serviced institutions working in the compulsory health insurance system.
7.4. 1 position in servicing blood transfusion stations assigned to III - IV groups, and 2 positions - to I - II groups for the remuneration of managers.
7.5. At the rate of 1 position per 100 thousand visits per year in the served ambulance stations.
7.6. 0.5 positions in servicing the centers of state sanitary and epidemiological supervision, referred to III - IV groups, and 1 position - to I - II groups for the remuneration of managers.
7.7. At the rate of 1 position for 60 medical positions when servicing a forensic medical examination bureau.
7.8. 0.5 positions when servicing dairy kitchens with a throughput of 1 to 5 thousand servings per day, 1 position - over 5 to 7 thousand servings and 1.5 positions - over 7 thousand servings.
8. The positions of accountants-auditors are established:
8.1. 1 position - when serving less than 10 institutions with more than 300 beds (in total) and (or) 60 positions of doctors (in total).
2 positions - at least 15 institutions with more than 750 beds (in total) and (or) 150 positions of doctors (in total).
8.2. 1 position - when servicing ambulance stations with the number of visits over 100 thousand per year.
8.3. 1 position in the presence of centers of state sanitary and epidemiological supervision with a population of over 1 million people served.
8.4. 1 position when servicing blood transfusion stations with the amount of plasma harvested at least 10 thousand liters per year or processing at least 40 thousand liters of plasma per year.
8.5. 1 position when servicing a forensic medical examination bureau with more than 60 medical positions.
9. The position of the senior cashier is established in the accounting department serving over 1000 employees (physical eggs), instead of one position of the cashier relying on clause 10 of these staffing standards.
10. The position of the cashier is established in each accounting department. When the accounting department directly conducts cash settlements with the population in its state, additional positions of cashiers are established:
10.1. 0.5 positions in the presence of a dairy kitchen with a daily throughput of up to 2 thousand portions; 1 position - over 2 thousand servings.
10.2. 0.5 positions in the presence of a denture department with the number of positions of dentists and orthopedists of 5 or more.
10.3. 0.5 positions in the presence of a blood transfusion department with a procurement of at least 2 thousand liters of blood from regular donors.
10.4. 0.5 positions in the presence of a preventive disinfection department with a staff of 10 or more positions of medical disinfectants for carrying out paid work on preventive disinfection, disinsection and deratization.
10.5. 1 position when carrying out other paid medical services.
11. The position of an economist for financial work is established:
11.1. At the rate of 1 position for 200 beds and 50 medical positions with the number of beds in the serviced institutions over 300 (in total) and over 60 medical positions (in total).
11.2. At the rate of 1 position per 100 thousand visits per year at ambulance stations.
11.3. Based on 1 position for 60 medical positions in the forensic medical examination bureau.
11.4. 1 position in servicing the centers of state sanitary and epidemiological supervision and blood transfusion stations assigned to the III - IV groups, and 2 positions - to the I - II groups for the remuneration of managers.
12. 0.5 - 1.0 the position of a typist is established in each accounting department.
Notes. 1. Household maintenance of the centralized accounting (cleaning and repair of premises, current monitoring of equipment and apparatus, etc.) is carried out by the staff of the institution, in which the centralized accounting is organized.
The positions of employees and the professions of workers in centralized accounting offices located in separate premises, as well as those employed in technological process, are established according to the standards of the relevant workers provided for medical institutions.
2. Whole or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the total figures less than 0.13 are discarded, the numbers 0.13 - 0.37 are rounded to 0.25, figures 0.38 - 0.62 are rounded to 0.5, figures 0.63 - 0.87 are rounded to 0.75, and above 0.87 - to one. If for several names 0.25, 0.5 or 0.75 positions (units) are formed, it is allowed to combine them by categories of personnel (employees, workers) according to one of the combined names with the performance of functions for all combined positions (professions).
3. Formation of functional groups and determination of the number of accounting and accounting personnel in each group is determined by the chief accountant within the limits of the number of positions relying on centralized accounting for these standard states.
4. When calculating the positions of accountants-auditors, economists for financial work, the number of beds and the number of positions of doctors
Notes. 1. When determining the number of employees in structural divisions for mobilization work and civil defense (individual employees in other divisions) in organizations that have hospitals, the number of patients treated (by the number of estimated beds) is taken into account.
2. In medical and prophylactic institutions that have departments for non-transportable patients for a special period, instead of the position of a civil defense specialist, the position of the head of the department may be introduced.
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Order of the Ministry of Health of the Russian Federation of June 9, 2003 N 230
"On the approval of staffing standards for employees and workers of state and municipal health care institutions and employees of centralized accounting offices at state and municipal health care institutions"
According to the letter of the Ministry of Justice of the Russian Federation of June 26, 2003 N 07/6476-YUD, this order was recognized as not requiring state registration (information was published in the AKDI newspaper "Economics and Life", August 2003, N 31)
In order to improve the organization and regulation of labor of employees of healthcare institutions and on the basis of Resolution of the Government of the Russian Federation of April 29, 2002 N 284 "On Approval of the Regulations on the Ministry of Health of the Russian Federation" (Collected Legislation of the Russian Federation, 2002, N 18, Article 1771) I order :
1. To approve the staffing standards of employees and workers of state and municipal healthcare institutions (Appendix No. 1), staffing standards of employees of centralized accounting departments at state and municipal healthcare institutions (Appendix No. 2) and staffing standards of structural divisions (employees) specially authorized to solve problems in the field of civil defense of state and municipal health care institutions (Appendix No. 3).
2. To consider as invalid the order of the Ministry of Health of Russia dated 05.22.01 N 165 "On the approval of staffing standards for employees and workers of health care institutions and employees of centralized accounting departments at health care institutions."
3. Control over the execution of this order shall be entrusted to the First Deputy Minister of Health of the Russian Federation, AI Vyalkov.
Minister Yulia Shevchenko
Appendix N 1
Staff standards for employees and workers of state and municipal health care institutions
1. Positions of employees introduced by type of institution
1.4. Blood transfusion stations, blood centers
|
NN p / p |
Job title |
Number of posts |
|
1.4.1. |
Manager (chief physician, director) | 1 position in each institution. In institutions assigned to the IV group for the remuneration of managers, the position of the head is introduced instead of the 0.5 position of the doctor |
|
1.4.2. |
Deputy Head for Economic Affairs | |
|
1.4.3. |
Deputy Chief Physician for Economic Affairs | 1 position in institutions assigned to I-III groups for the remuneration of managers |
|
1.4.4. |
Head of the economic department | 1 position in institutions assigned to the IV group for the remuneration of managers |
|
1.4.5. |
Chief Accountant | 1 position in each accounting department. In an institution that is entitled to up to 3 positions of accounting and accountants, this position is introduced instead of the position of an accountant, over 3 to 6 - instead of 0.5 positions of an accountant |
|
1.4.6. |
Deputy chief accountant, accountant, accountant-auditor, senior cashier | According to the standard standards of centralized accounting departments budgetary institutions health care, based on the indicators of this institution |
|
1.4.7. |
Cashier | |
|
1.4.8. |
Deputy Chief Physician for HR, Head of HR, HR Specialist, Senior HR Inspector, HR Inspector, Typist | According to the standards provided for, respectively, clauses 1.1.10, 1.1.11, 1.1.12, 1.1.31 |
|
1.1.10. |
Deputy Chief Physician for Human Resources | 1 position in institutions assigned to I-II groups for the remuneration of managers |
|
1.1.11. |
Head of HR department | 1 position in institutions assigned to the I-II group for the remuneration of managers; 1 position in institutions assigned to III-IV groups for the remuneration of managers - instead of one of the positions provided for in clause 1.1.12 |
|
1.1.12. |
HR Specialist, HR Inspector (Senior Inspector) | At the rate of 1 position for 150 positions, but not less than 1 position in the institution |
|
1.1.31. |
Typist | At the rate of 1 position per 8000 typewritten sheets of service documentation per year |
|
1.4.9. |
Head of the Chancellery | 1 position in institutions assigned to the I group for the remuneration of managers |
|
1.4.10. |
Clerk | 0.5 positions in institutions assigned to the IV group for the remuneration of managers. 1 position in institutions assigned to I-III groups for the remuneration of managers |
|
1.4.11. |
Secretary-typist | 1 position in each institution |
|
1.4.12. |
Economist | 1 position in institutions assigned to IV-III groups for the remuneration of managers. 2 positions in institutions classified in II-I groups in terms of remuneration of managers |
|
1.4.13. |
Financial Economist | 0.5 positions in institutions not serviced by centralized accounting and assigned to Group IV for the remuneration of managers. 1 position in institutions not served by centralized accounting and assigned to groups I-III for remuneration of managers. |
|
1.4.14. |
Engineer | 1 position in institutions assigned to I-III groups for the remuneration of managers and do not have production (laboratories) fractionation of plasma proteins |
|
1.4.15. |
Technician | 1 position in institutions assigned to IV-V groups for the remuneration of managers and not having production (laboratories) for fractionation of plasma proteins. |
|
1.4.16. |
Occupational Safety Engineer | 1 position in institutions, with the number of employees (individuals) over 100 and additionally - according to intersectoral standards for the number of employees of the labor protection service in organizations. |
|
1.4.18. |
Commodity specialist | 1 position in institutions that process at least 10 thousand liters of plasma per year in plasma fractionation production, and an additional 1 position - when processing at least 20 thousand liters of plasma per year. |
2. Positions of employees and professions of workers, introduced depending on the organizational and technical conditions of the functioning of institutions
2.1. Employee positions
|
Job title |
Number of units |
Number of posts |
|
| Car driver | For a car of any type, for an ambulance - per shift | ||
| Moto driver Vehicle | On a motorcycle, scooter, motocart or other motor vehicle belonging to category "A", used for the carriage of goods | ||
| Snowmobile driver | The time for the period of which the driver of the snowmobile is provided is determined by the health authorities according to the subordination of the institution | ||
| Electric and car driver | On electric and car trolleys used for the transportation of goods | ||
| Carter | On a work horse | ||
| Cloakroom attendant | At the rate of 1 in 150 rooms, but not less than 1 per shift. In the states of district hospitals with less than 25 beds, outpatient clinics with less than 10 doctor positions (including those that are part of district hospitals), children's homes and dairy kitchens, a cloakroom attendant is not introduced ... | ||
| Stoker | If there are stoves for the heating season | ||
| Mason | At the rate of 1 for: - 30 thousand square meters of the total area of brick buildings or 33,700 square meters of the total area of large-block and large-panel buildings, operated for up to 10 years; - 20 thousand square meters. or 22500 sq.m. respectively, in these buildings, which have been in operation for over 10 years. | ||
| Castellans | To an independent medical and prophylactic institution that does not have a bed fund, with the number of medical posts 25-75; to an outpatient-polyclinic unit with a number of medical posts from 25 to 75, which is part of a medical facility and located in a separate room. | ||
| To an independent medical and prophylactic institution that does not have a bed fund, with the number of medical posts over 75; to an ambulance station with over 10 thousand visits per year; to a blood transfusion station, assigned to the V-IV groups for the remuneration of managers. | |||
| To the blood transfusion station, assigned to the II-III groups according to the remuneration of managers. | |||
| To the blood transfusion station, assigned to the I group in terms of remuneration of managers. | |||
| Storekeeper | In institutions with 75-120 beds, and in central district hospitals- for 50-95 beds; at blood transfusion stations with the amount of blood collected up to 3 thousand liters per year; at ambulance stations - with the number of visits per year from 20 to 40 thousand; at the forensic medical examination bureau with the number of medical positions from 20 to 40. | ||
| In institutions for 125-200 beds (places), and in central regional hospitals - for 100-150 beds. In institutions over 200 (in central regional hospitals - over 150) additional beds at the rate of 1 position for 250 beds. with the amount of harvested blood 3 and more thousand liters per year. At ambulance stations with the number of visits per year 40 thousand or more. | |||
| Roofer | At the rate of 1 on: - 10,300 m2 of steel roof - 9,200 m2 of rolled roof (soft) - 11,800 square meters of slate roofing - 16,500 square meters of asbestos-cement roofing - 12400 sq.m. tiled roof |
||
| Lifter | Freight lift per shift | ||
| Painter and plasterer | In total, based on 1 for: - 20,000 square meters of total area in stone buildings that have been in use for up to 10 years; - 13,500 sq.m. in these buildings, which have been in operation for over 10 years; - 16,000 sqm total area in wooden buildings - 1400 sqm total area in other buildings |
||
| Computer operator | |||
| Copier and Duplicator Operator | In institutions assigned to I-II groups for the remuneration of managers, if there is a volume of work | ||
| Microfilm and copy machine operator | Depending on the amount of work according to technically sound standards, and in their absence - according to the standards developed by the institution by the experimental statistical method | ||
| Hairdresser | At the rate of 1 in 200 beds | ||
| Binder of documents | By model standards time for bookbinding | ||
| Stove operator, greenhouse worker or gardener, territory cleaner and other workers engaged in sanitary maintenance of territories | All institutions - according to the standards of service for furnace work, according to the standard standards of service for workers engaged in sanitary maintenance of households. | ||
| Construction carpenter and joiner | In total, based on 1 for: - 18,000 square meters of total area in stone buildings that have been in operation for up to 10 years; - 11,000 sq.m. in these buildings, which have been in operation for over 10 years; - 8000 sq.m. total area in wooden buildings; - 10,000 square meters of total area in other buildings |
||
| Floor polisher | According to the standard standards of time for floor polishing work | ||
| Auxiliary worker | All institutions in the presence of a volume of work not provided for in other professions of workers. In pharmacies assigned to groups I-IV by remuneration of managers. |
||
| Acceptor of gold of dental institutions (divisions) | - up to 15 kg.; - over 15 kg. |
||
| Worker comprehensive service buildings | It is introduced instead of the professions of workers (stoker, bricklayer, roofer, painter, plasterer, floor polisher, carpenter, joiner, installer of internal sanitary systems and equipment, glass cleaner, electrician), when the workers of the specified professions for certain names | ||
| Workers of motor transport departments (garages) | An institution with up to 50 units of rolling stock (cars, tractors, road and other machines), except for electric and car trolleys, etc. vehicles - according to the standards for road workers | ||
| Laundry workers (washing and repairing overalls, washing machine operator, ironer, etc.) | Professions of laundry workers are introduced according to the standards of labor costs of laundry workers, depending on the amount of work. | ||
| Workers of boiler houses, pumping stations and other special installations, structures and industries | All institutions - in accordance with the relevant intersectoral norms and labor standards | ||
| Plumber | Depending on the amount of work according to technically sound standards, and in their absence - according to the standards developed by the institution by the experimental statistical method | ||
| Glass cleaner | According to the standard norms of time for glass cleaning work | ||
| Carpenter | Depending on the amount of work according to technically sound standards, and in their absence - according to the standards developed by the institution by the experimental statistical method | ||
| Watchman (watchman) | Depending on the scope of work on cross-sectoral and sectoral norms and standards | ||
| Local telephone operator | Per switch per shift | ||
| Cleaner of production and service premises | At the rate of 1 on: - 250 sqm wooden floors; - 350 sqm ceramic tiled floors; - 425 sqm linoleum floors; - 550 sqm of passages and tunnels connecting the building |
||
| Seamstress | At the rate of 1 to 300 beds (places) | ||
| Communications Electromechanic | Institutions with automatic telephone exchanges - according to the standards of communications workers | ||
| Electrician for the repair and maintenance of electrical equipment | Depending on the amount of work according to technically sound standards, and in their absence - according to the standards developed by the institution by the experimental statistical method |
Notes:
1. The name of the position of the head of the institution is established in accordance with the profile of the institution headed, for example: hospital, polyclinic - chief physician; hospital - chief; sanatorium, center - chief physician, director; pharmacy - manager, etc.
In the staffing table of the institution, the position of the head is taken into account in the general agency staff.
Director's position, replaced by specialists who do not have medical education, is established in sanatorium-and-spa establishments assigned to I-IV groups for the remuneration of managers. In this case, the position of the director as deputy head of the institution is not introduced.
2. The head of the institution, based on production necessity, has the right to strengthen individual structural divisions or introduce positions (workers' professions) not provided for by these staffing standards, at the expense of the positions of other structural divisions within established by the institution wage fund.
The introduction of additional positions in excess of the current staffing standards is allowed only if there is job description on the functional responsibilities of the employee, additionally introduced to the staff of the institution, and the economic justification for the feasibility of introducing the specified position.
In this case, the names of positions of employees and professions of workers must correspond to their names provided for in the current staff standards, tariff and qualification characteristics for general industry positions of employees and professions of workers, approved by the Ministry of Labor of Russia. The names of workers 'professions that are not provided for by the Tariff and qualification characteristics for general industry professions of workers are established in accordance with the names contained in the Unified Tariff and Qualification Reference of Work and Workers' Professions (ETKS).
In the staffing table of the institution, vacancies are indicated by their base name, for example, accountant, economist, engineer.
The titles of positions occupied by specific employees are determined based on the compliance of their qualifications with the requirements provided for by the tariff and qualification characteristics for industry-wide positions of employees, for example, a specialist (economist, accountant, engineer) with a higher professional education and work experience as an economist for 4 years, the staffing table of the institution, the position will be called an economist of the II category, etc.
3. Whole or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the total figures less than 0.13 are discarded, the figures 0.13-0.37 are rounded to 0.25, figures 0.38-0.62 are rounded to 0.5, figures 0.63-0.87 are rounded to 0.75, and above 0.87 - to one. If, for several titles, 0.25, 0.5 or 0.75 positions (units) are formed, it is allowed to combine them by categories of personnel (employees, workers) according to one of the combined names with the performance of functions for all combined positions (professions).
Appendix N 2
Staff standards for employees of centralized accounting departments at state and municipal health care institutions
(approved by order of the Ministry of Health of the Russian Federation of June 9, 2003 N 230)
1. The position of the chief accountant is established in each accounting department.
2. The positions of deputy chief accountants are established in the accounting department, which is supposed to be in accordance with paragraphs. 4-8 of these staffing standards:
- from 5 to 10 positions of accountants - 1 position;
- from 11 and above positions of accountants - 2 positions.
2.1. Additionally, the position of the deputy chief accountant can be introduced at the expense of one of the positions of group leaders in centralized accounting offices with a total number of beds over 2100 and the number of medical positions over 420 in the serviced institutions;
2.2. Additionally, the position of deputy chief accountant can be introduced in institutions that carry out operations in tax and statistical accounting.
3. The position of the head of the accounting group is established for each functional group, which according to pp. 4-8 of these staffing standards relies on at least 6 positions of accountants, instead of one of them.
4. The positions of accountants for the accounting and calculation of food products are established at the rate of 1 position for 300 beds in medical and prophylactic institutions that have a bed fund, and places in children's homes.
5. Positions of accountants for accounting of material assets are established at the rate of 1 position for:
- 300 beds in medical institutions with bed capacity, and places in children's homes;
- 100 medical positions in institutions that do not have a bed fund.
6. The positions of accountants for settlements with workers and employees are established at the rate of 1 position per 200 full-time positions in the institutions served.
7. The positions of financial accountants are established at the rate of 1 position for:
- 750 beds;
-150 positions of doctors in the institutions served. Additionally, the positions of financial accountants are established:
7.1. 1 position in the execution of cash transactions through the treasury system;
7.2. 1 position for working with funds: compulsory health insurance, pension and social development;
7.3. at the rate of 1 position per 1000 beds and 200 positions of doctors in serviced institutions working in the compulsory health insurance system;
7.4. 1 position when servicing blood transfusion stations assigned to III - IV groups and 2 positions - to I-II groups for the remuneration of managers;
7.5. at the rate of 1 position per 100 thousand visits per year in the served ambulance stations;
7.6. 0.5 positions in servicing the centers of state sanitary and epidemiological supervision, assigned to III - IV groups and 1 position to I - II groups for the remuneration of managers;
7.7. at the rate of 1 position for 60 medical positions when servicing a forensic medical examination bureau;
7.8. 0.5 positions when servicing dairy kitchens with a throughput of 1 to 5 thousand servings per day, 1 position - over 5 to 7 thousand servings and 1.5 positions - over 7 thousand servings.
8. The positions of accountants-auditors are established:
8.1. 1 position - when serving less than 10 institutions with more than 300 beds (in total) and (or) 60 positions of doctors (in total);
2 positions - at least 15 institutions with more than 750 beds (in total) and (or) 150 positions of doctors (in total);
8.2. 1 position - when servicing ambulance stations with the number of visits over 100 thousand per year;
8.3. 1 position in the presence of centers of state sanitary and epidemiological supervision with a population of over 1 million people served;
8.4. 1 position when servicing blood transfusion stations with the amount of plasma harvested at least 10 thousand liters per year or processing at least 40 thousand liters of plasma per year;
8.5. 1 position when servicing a forensic medical examination bureau with more than 60 medical positions.
9. The position of the senior cashier is established in the accounting department serving more than 1000 employees (individuals) instead of one position of the cashier relying on clause 10 of these staffing standards.
10. The position of the cashier is established in each accounting department. When the accounting department directly conducts cash settlements with the population in its state, additional positions of cashiers are established:
10.1. 0.5 positions in the presence of a dairy kitchen with a daily throughput of up to 2 thousand portions; 1 position - over 2 thousand servings;
10.2. 0.5 positions in the presence of a denture department with the number of positions of dentists and orthopedists of 5 or more;
10.3. 0.5 positions in the presence of a blood transfusion department with a procurement of at least 2 thousand liters of blood from paid donors;
10.4. 0.5 positions in the presence of a preventive disinfection department with a staff of 10 or more positions of medical disinfectants for carrying out paid work on preventive disinfection, disinsection and deratization;
10.5. 1 position when carrying out other paid medical services.
11. The position of an economist for financial work is established:
11.1. at the rate of 1 position for 200 beds and 50 medical positions with the number of beds in the serviced institutions over 300 (in total) and over 60 medical positions (in total);
11.2. at the rate of 1 position per 100 thousand visits per year at ambulance stations;
11.3. at the rate of 1 position for 60 medical positions in the forensic medical examination bureau;
11.4. 1 position in servicing the centers of state sanitary and epidemiological supervision and blood transfusion stations assigned to the III-IV groups and 2 positions - to the I-II groups for the remuneration of managers.
12. 0.5-1.0 the position of a typist is established in each accounting department.
Notes:
1. Maintenance of the centralized accounting (cleaning and repair of premises, ongoing monitoring of equipment and apparatus, etc.) is carried out by the staff of the institution, in which the centralized accounting is organized.
The positions of employees and professions of workers in centralized accounting offices located in separate premises, as well as those employed in the technological process, are established according to the standards of the relevant employees provided for medical and preventive institutions.
2. Whole or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the total figures less than 0.13 are discarded, the numbers 0.13-0.37 are rounded to 0.25, figures 0.38-0.62 are rounded to 0.5, figures 0.63-0.87 are rounded to 0.75, and above 0.87 - to one. If, for several titles, 0.25, 0.5 or 0.75 positions (units) are formed, it is allowed to combine them by categories of personnel (employees, workers) according to one of the combined names with the performance of functions for all combined positions (professions).
3. Formation of functional groups and determination of the number of accounting personnel in each group is determined by the chief accountant within the limits of the number of posts relying on centralized accounting for these standard states.
4. When calculating the positions of accountants-auditors, economists for financial work, the number of beds and the number of positions of outpatient doctors include the indicated indicators only for those institutions that are financed through the centralized accounting department.
Appendix N 3
Staff standards of structural units (employees) specially authorized to solve problems in the field of civil defense, state and municipal healthcare institutions (approved by order of the Ministry of Health of June 9, 2003 N 230)
|
Number of employees in a healthcare facility |
Job titles |
|
| Up to 500 people | 1 position of deputy chief physician (director, head, chief) for the medical part (for mobilization work and civil defense) | |
| 500 to 2000 people | 1 position of deputy chief physician (director, head, chief) for the medical part (for mobilization work and civil defense); 1-2 positions of civil defense specialists | |
| 2000 to 5000 people | 1 position of deputy chief physician (director, head, head) for the medical part (for mobilization work and civil defense); 2-3 positions of civil defense specialists | |
| More than 5000 people | 1 position of deputy chief physician (director, head, chief) for the medical part (for mobilization work and civil defense); 4-5 positions of civil defense specialists |
In institutions, organizations and enterprises that are not classified in the categories of civil defense, with the number of employees over 200 people, 1 position of deputy chief physician (director, head, chief) for the medical part (for mobilization work and civil defense) is introduced.
Notes:
1. When determining the number of employees in structural divisions for mobilization work and civil defense (individual employees in other divisions) in organizations with hospitals, the number of patients being treated (according to the number of estimated beds) is taken into account.
2. In medical and prophylactic institutions that have departments for non-transportable patients for a special period, the position of the head of the department may be introduced instead of the position of a civil defense specialist.
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