Physiotherapy Nurse Position. Physiotherapy nurse job description (download sample text). I. General provisions

You can download the Physiotherapy Nurse Job Description for free. Physiotherapy Nurse Job Responsibilities. I approve (Surname, initials) (name of the institution, its organizational and legal form) (director; other person authorized to approve the job description) 00.00.201_g. m.p. JOB INSTRUCTIONS FOR PHYSIOTHERAPY NURSE (name of institution) 00.00.201_g. №00 I. General provisions 1.1. This job description defines the duties, rights and responsibilities of a physiotherapy nurse (hereinafter referred to as the "enterprise"). 1.2. A person with an average medical education and training in the specialty "Physiotherapy". 1.3.

403 forbidden

• Stop the procedure if the patient's condition worsens, if necessary, provide him with the first medical care and immediately inform the doctor, and make an appropriate mark in the procedure card.
• To acquaint patients arriving for treatment with the internal regulations and rules of conduct during the procedure.
• Determine the order of patients for certain types of procedures in accordance with the hours of their work or office work.
• Keep a record of the work performed and monitor the receipt by patients of the entire prescribed course of treatment.
• Maintain records approved by the Ministry of Health.
• Be constantly at the workplace during vacation procedures.
• Observe the timeliness and rules for processing hydrophilic gaskets, tubes, tips, etc.

Job Descriptions

For those committed in the process of conducting medical measures wrongdoing or omission; for errors in the process of carrying out their activities, which entailed serious consequences for the health and life of the patient; as well as for violation of labor discipline, legislative and regulatory acts, a physiotherapy nurse can be brought in accordance with applicable law, depending on the severity of the misconduct, to disciplinary, material, administrative and criminal liability. Supervisor structural unit: (signature) (surname, initials) 00.00.201_

Responsibilities of a Physiotherapy Nurse

Previous12345678910Next ⇒ The nurse is obliged to: 1. Monitor the order, cleanliness and silence in the office so that there are no conflicts, loud and unrelated conversations. 2. Monitor the condition and proper operation of equipment, appliances, hot and cold water supply, heating, lighting and ventilation.

Monitor the safety of medical equipment and household equipment, keep it in good condition. 4. Provide the office with medicinal solutions and everything necessary in a timely manner. 5. To acquaint the patient with the appointment of a doctor, register and agree with the patient on the hour of visiting the office, fix this time on the procedural chart and draw it up in such a way that there is no queue.

• The appointment and dismissal of a nurse of the physiotherapy department (office) is carried out by the chief physician of the polyclinic in the prescribed manner.
• The nurse of the physiotherapy department (office) reports to the head of this department (office), in his absence - to the responsible person for the department (office) from among the secondary medical workers approved by order of the chief physician of the polyclinic.
• The nurse of the physiotherapy department (office) in her work is guided by: - ​​the rules for the release of physiotherapy procedures and safety precautions when working with equipment, - the orders of the physiotherapist, - the internal labor regulations, - this job description.
II.

I. General part The main task of the nurse of the physiotherapy department (office) is the release of physiotherapy procedures to the Patients according to the prescriptions of the physiotherapist. The appointment and dismissal of a nurse of the physiotherapy department (office) is carried out by the chief physician of the polyclinic in the prescribed manner. Nurse of the physiotherapy department (office) Reports to the head of this department (office), in his absence - to the responsible person for the department (office) from among the Nursing staff, approved by order of the chief physician of the polyclinic.

Physiotherapy Nurse Job Description

The nurse makes sure that there is a wall-mounted first-aid kit in the office with the necessary medicines and dressing material. The nurse should show the maximum attention to the patient and the most careful attitude. All actions of the nurse must be such that the patient is imbued with her confidence and consciousness that she is doing everything necessary for his recovery.
To do this, the nurse must be neat, constantly monitor her every movement, she must not speak loudly, cause the patient discomfort while preparing for the procedure, carefully do your job. When the patient leaves the cabin, it should be put in proper order and wet and soiled sheets and pillowcases should be replaced with dry and clean ones. The nurse registers patients and records procedures according to established forms.

Before starting work, the nurse prepares her office for the reception of patients, checks the serviceability of the devices and their accessories, monitors the heating of paraffin, ozocerite and therapeutic mud. A nurse accepts a patient for treatment after being examined by a doctor if he has a medical and procedural card, which indicates the procedure and method of treatment. Having familiarized herself in detail with the contents of the latter, the nurse finds out the details of the procedure (localization, dosage, etc.), after which she proceeds to the exact implementation of the doctor's prescriptions indicated in the treatment and procedural card.

If the appointment is not clear, the nurse should consult a doctor. In the medical and procedural card, the nurse makes notes about the treatment performed, signing at the end of the procedure.

Physiotherapy nurse qualification requirements 3) Qualification requirements. Secondary vocational education in the specialty "General Medicine", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "Physiotherapy" without presenting requirements for work experience. Senior nurse in physiotherapy - secondary vocational education ( elevated level) in the specialty "Medicine", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "Physiotherapy" without presenting requirements for work experience.

Important

In order to avoid overheating and damage to the devices, they must be periodically turned off for cooling. Stationary devices are turned off for 1 hour no later than 2 hours of continuous operation, and portable ones - for 30 minutes. after 30-40 min. work. Safe methods of work 1. Repositioning of devices is carried out with the permission of a physiotherapist (connection of devices to power sources is carried out by a physiotechnician). 2. Every day, before starting work, the nurse personally removes dust from the surface of the device with a dry cloth. The device must be disconnected from the mains.

Attention

When using mercury-quartz lamps, the eyes of patients and attendants must be protected by canned glasses with dark-colored glasses, with side protection (leather or rubber frames). 6. At the end of the working day, all knife switches, apparatus switches, as well as all socket plugs must be turned off. 7. In the event of an accident of any device, it must be immediately disconnected, and in the event of an electrical network failure or fire, the main network switch must be immediately disconnected.

During her work, she has established herself as a skilled, knowledgeable, responsible specialist, competently and accurately performs nursing manipulations, knows the basics of providing emergency care and holding cardiopulmonary resuscitation. Assists with central venous catheterization, tracheal intubation, electrical impulse therapy and other procedures. Able to work with medical-diagnostic and control equipment PRIiT. Carefully monitors and cares for patients. Conducts sanitary and educational work among patients, their relatives, talking with them about the characteristics of diseases, taking medications, proper nutrition and mode. Constantly improves her professional level by participating in nursing conferences, classes in the department, studying special literature. He enjoys respect and well-deserved authority among patients and colleagues. Has I qualification category.

Characteristics for a medical worker - sample

Provides infectious safety of patients and medical personnel, fulfills the requirements of infection control in the physiotherapy department. Maintains medical records. Ensures proper storage, accounting for usage medicines. Carries out sanitary-educational work. Renders first aid in emergency situations.
Collects and disposes of medical waste. Carries out measures to comply with the sanitary and hygienic regime in the room, the rules of asepsis and antisepsis, the conditions for sterilizing instruments and materials, the prevention of post-injection complications, hepatitis, HIV infection.

Characteristics for a nurse sample free certification report

Attention

Microwave therapy procedures are carried out in the supine or sitting position. The affected area is exposed, all metal objects are removed. The exposure time is from 5 to 15 minutes. For children, the power and time are dosed depending on age: From 2 to 3 years - 2W - 5-6 minutes From 3 to 7 years - 4W - 5-7 minutes From 7 to 14 years - 6W - 5-10 minutes .A mixture of paraffin 25% and ozocerite 75% is used.

Ozokerite heated in a paraffin heater is poured into cuvettes.

The work of a nurse in a physiotherapy department

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But if this has come, you will have to somehow get out of the situation.
Conducts daily classes with middle and junior medical staff according to the plan for improving business skills: - Implementation of individual plans for improving business skills. Constantly conducts work on the development of a related specialty by paramedical personnel. Under the constant supervision of the Council of Sisters, she adheres to the norms of sanitary legislation in the department where she works. Attentive to patients, demanding of others, respectable, disciplined. Possesses dexterity in critical situations. Owns the technique of i / v, i / m, s / c, i / c injections. Knows and executes orders No. 288, 408, ... (indicate the orders that are used on the territory of your state), OST 42-21-2-85.
Given the professionalism in the work, the experience gained, Ivanova Irina Petrovna is recommended for confirmation of the highest qualification category in the specialty "Nursing".

Feature - Representation

Enjoys a certain authority in the team. I believe that nurse Dudko E.N. according to her professional and personal qualities, she deserves the highest qualification category. Head of Department D.A. Vanyukov CERTIFICATION SHEET middle medical worker

1. Information about the certified
2. Introduction by the administration (review)
3. The decision of the attestation commission

1. Information about the certified person

• Surname, name, patronymic: Ekaterina Nikolaevna Dudko.
• Year of birth: 1949.
• Name of the institution and position held: military sanatorium SibVO "Yeltsovka", ward nurse.
• Education: secondary medical.

  She graduated in 1970 from a two-year nursing course of the Union of Red Cross and Red Crescent Societies of the USSR at the Zaeltsovsky District Committee of the Red Cross Society of the RSFSR in Novosibirsk.

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The office is equipped with an isolated box - an electric kitchen, for preparing for medical procedures. There is a sink with two compartments, a table, a cabinet for storing hydrophilic pads and drugs for electrophoresis, a boiler for boiling hydrophilic pads. UHF therapy cabinet. It has 4 booths with wooden couches. Devices: "UHF-30", "Undaterm", "UHF-66", tube quartz. Microwave therapy room. 2 cabins.

Devices: "Ranet", "LUCH-3".Heat treatment room.Consists of two adjacent rooms. In one there are 4 couches for patients, in the other, a paraffin heater, a table for preparing ozokerite - paraffin applications. The cabinet is equipped with supply and exhaust ventilation. Scope of work My working day starts at 8.30 am and ends at 4 pm.

Before starting work, I prepare the office for receiving patients.

Unified qualification directory of positions of managers, specialists and other employees (CEN), 2017 Section "Qualification characteristics of positions of workers in the field of healthcare" The section is approved by Order of the Ministry of Health and Social Development of the Russian Federation dated July 23, 2010 N 541n Anesthetist nurse Table of contents Massage nurse Job responsibilities. Performs preventive, therapeutic, rehabilitation measures prescribed by a doctor in the physiotherapy department. Performs physiotherapy procedures.

Prepares physiotherapy equipment for work, monitors its safety and serviceability, correct operation, timely repair and write-off. Prepares patients for physiotherapeutic procedures, monitors the patient's condition during the procedure.

Important

The electrodes are fixed with cloth, rubber bandages or sandbags. Before galvanization or drug electrophoresis, I check the absence of cracks and scratches on the skin areas to be treated. If necessary, cover them with non-conductive material. Before the procedure, the area of ​​the skin to be treated is wiped with a cotton swab moistened with boiled water.

This treatment improves the electrical conductivity of the skin. The wires from the electrodes are positioned so that they do not touch the patient's body. When carrying out the procedure for children, I will definitely monitor the condition of the child. Treatment is carried out on low-power devices, the exposure time is reduced.

It is impossible to influence the growth zones of the bones, the region of the heart. The electrodes are always fixed with bandages.

Characteristics for a physiotherapy nurse

The characteristic was not changed. Attestation report of a ward nurse in Novosibirsk, 2008. To the head of the sanatorium from an employee of the Republic of Armenia Dudko E.N. statement. I ask you to allow me to pass certification in the certification commission of the medical service of the Siberian Military District for the assignment of the highest qualification category in the specialty "nursing in therapy." Date and signature. To the Chairman of the Attestation Commission of the Medical Service of the Siberian Military District I petition on the merits of this application. Head of the sanatorium, lieutenant colonel of the medical service N.V. Shevchenko Service record Nurse Ekaterina Nikolaevna Dudko has been working in the military sanatorium of the Siberian Military District "Yeltsovka" since 1996. Over the past time, she has established herself with positive side. She has extensive experience, has good practical knowledge in her specialty, which allows her to successfully cope with the work.
Irritation may occur during drug electrophoresis skin under the electrode. Explain to the patient that medicinal substance it is contraindicated for him, I stop the procedure, I inform the doctor. For children, the current is dosed depending on age. up to a year 0.01-0.03 mA / cm1-7 years 0.03-0.05 mA / cm7-10 years 0.05-10 years 0.08 mA / cm The procedure time for adults is from 10 to 40 minutes, depending on the technique. For children under the age of 8 minutes. After the procedure, the hydrophilic pads are rinsed under running water and boiled separately for poles and drugs, dried. UHF therapy. electric field of ultrahigh frequency. When working with high-frequency equipment, you need to be extremely careful. Check the grounding, the integrity of the capacitor plates, the position of the wires (they should not come into contact with each other and the patient's body).

JOB INSTRUCTIONS FOR THE NURSE OF THE PHYSIOTHERAPY DEPARTMENT (OFFICE)

I. General provisions

1. The main task of the nurse of the physiotherapy department (office) is the release of physiotherapy procedures to patients according to the prescriptions of the physiotherapist.
2. The appointment and dismissal of a nurse of the physiotherapy department (office) is carried out by the chief physician of the polyclinic in the prescribed manner.
3. The nurse of the physiotherapy department (office) reports to the head of this department (office), in his absence - to the responsible person for the department (office) from among the paramedical workers, approved by order of the chief physician of the polyclinic.
4. The nurse of the physiotherapy department (office) in her work is guided by:
   - rules for the release of physiotherapy procedures and safety precautions when working with equipment,
   - by order of a physiotherapist,
   - internal labor regulations,
   - this job description.
5. _________________________________________________________________.

II. Job Responsibilities

1. Follow all the orders of the physiotherapist, and in his absence - the physiotherapy appointments of the attending physicians.
2. Prepare in a timely manner your workplace, equipment and everything necessary for the beginning of the reception of patients.
3. Strictly observe the order, cleanliness in the physiotherapy department (office).
4. To accept a patient after examination by a physiotherapist and in the presence of a procedural card, note the implementation of procedures, inform the patient of the time of arrival for treatment.
5. Follow:
   - the condition of the patient during the procedure, inquiring about his well-being;
   - operation of the device, readings of measuring instruments, signal clocks.
6. Stop the procedure if the patient's condition worsens, if necessary, provide him with first aid and immediately inform the doctor, and make an appropriate mark in the procedure card.
7. To acquaint patients arriving for treatment with the internal regulations and rules of conduct during the procedure.
8. Determine the order of patients for certain types of procedures in accordance with the hours of their work or office work.
9. Keep a record of the work performed and monitor the receipt by patients of the entire prescribed course of treatment.
10. Maintain records approved by the Ministry of Health.
11. Be constantly at the workplace during vacation procedures.
12. Observe the timeliness and rules for processing hydrophilic pads, tubes, tips and other medical equipment.
13. Monitor the heating of paraffin, ozocerite, therapeutic mud.
14. Maintain medical equipment.
15. Turn off all equipment at the end of the working day; lighting and heating devices, the general switch of the office, check whether the taps of washbasins and hydrotherapy installations are closed, follow the safety rules.
16. Systematically improve your professional qualifications.
17. Follow the principles of deontology.
18. _________________________________________________________________.
19. _________________________________________________________________.

III. The rights

1. access to medical records and other documents necessary to obtain additional information when performing physiotherapy appointments;
2. supervise the work of the equipment repair technician;
3. give instructions and supervise the work of junior staff;
4. improve their skills at the workplace and in other specialized medical and preventive institutions, at advanced training courses in the prescribed manner;
5. make demands on the administration to create necessary conditions in the workplace, ensuring the quality performance of their official duties;
6. take part in meetings (meetings) when discussing the work of the physiotherapy room;
7. obtain the necessary information to carry out their functional duties from a physiotherapist, a responsible person for the department (office) from among the middle staff;
8. require visitors to comply with internal regulations;
9. master a funny specialty;
10. give instructions and supervise the work of the junior staff of the physiotherapy department (office).
11. _________________________________________________________________.
12. _________________________________________________________________.

IV. Responsibility

1. fuzzy and untimely implementation of all points of this job description.
2. Types of personal liability are determined in accordance with applicable law.
3. _________________________________________________________________.
4. _________________________________________________________________.

Before starting work, the nurse prepares her office for receiving patients, checks the serviceability of the devices and their accessories, monitors the heating and therapeutic mud.

A nurse accepts a patient for treatment after being examined by a doctor if he has a medical and procedural card, which indicates the procedure and method of treatment.

Having familiarized herself in detail with the contents of the latter, the nurse finds out the details of the procedure (localization, dosage, etc.), after which she proceeds to the exact implementation of the doctor's prescriptions indicated in the treatment and procedural card. If the appointment is not clear, the nurse should consult a doctor.

In the medical and procedural card, the nurse makes notes about the treatment performed, signing at the end of the procedure.

It should be remembered that the same nurse and on the same apparatus should do the procedure for the patient. The patient should be laid or planted in a position convenient for him.

To fix the electrodes on the face and neck, individual bandages should be used, and the same bandage should not be used on different parts of the body. It is advisable to have individual bags in which the sheet (diaper) and pads are stored.

Before turning on the device, the nurse should carefully check it and make sure that the preparation for the procedure is done correctly.

The nurse should not exceed the dose indicated by the doctor. If the patient does not tolerate the dose indicated in the treatment card, smaller doses should be used.

During the procedure, the nurse monitors monitors the patient's condition, inquires about his well-being, monitors the operation of the apparatus, the readings of measuring instruments, hourglasses or alarm clocks.

If the patient feels unwell, has a headache, dizziness, palpitations, nausea, or a sharp increase in pain, stop the procedure and call a doctor. If during the procedure malfunctions are found in the operation of the device, it should be immediately turned off, it can be used again only after the defect has been eliminated.

Having discovered a burn (for example, during galvanization), the nurse is obliged to provide the patient with first aid and find out the cause of the burn. She must inform the doctor about what happened and make an appropriate note in the medical and procedural card.

The nurse makes sure that there is a wall-mounted first-aid kit with the necessary medicines and dressings in the office.

The nurse should show the maximum attention and the most careful attitude to the patient. All actions of the nurse must be such that the patient is imbued with her confidence and consciousness that she is doing everything necessary for his recovery. To do this, the nurse must be neat, constantly monitor her every movement, she must not speak loudly, cause discomfort in the patient during preparation for the procedure, and carefully do her job.

When the patient leaves the cabin, it should be put in proper order and wet and soiled sheets and pillowcases should be replaced with dry and clean ones.

The nurse registers patients and registration of procedures according to established forms .

The duties of the nurse also include monitoring the storage of equipment and taking care of timely discharge. medicinal solutions from a pharmacy.

At the end of the working day, the nurse must turn off all devices and the general cabinet switch.

APPROVE:

[Job title]

_______________________________

_______________________________

[Name of company]

_______________________________

_______________________/[FULL NAME.]/

"______" _______________ 20___

JOB DESCRIPTION

Senior Physiotherapy Nurse

1. General Provisions

1.1. This job description defines and regulates the powers, functional and job responsibilities, rights and responsibilities of the head physiotherapy nurse [Name of the organization in the genitive case] (hereinafter referred to as the Medical Organization).

1.2. The senior physiotherapy nurse is appointed to the position and dismissed from the position in accordance with the procedure established by the current labor legislation by order of the head medical organization.

1.3. The senior nurse in physiotherapy belongs to the category of specialists and is subordinate to [name of the position of subordinates in the dative case].

1.4. The senior physiotherapy nurse reports directly to the [name of the position of the immediate supervisor in the dative case] of the Medical Organization.

1.5. A person with a secondary vocational education (advanced level) in the specialty "General Medicine", "Obstetrics", "Nursing" and a certificate of a specialist in the specialty "Physiotherapy" is appointed to the position of a senior nurse in physiotherapy without presenting requirements for work experience.

1.6. The Senior Physiotherapy Nurse is responsible for:

• effective performance of the work entrusted to her;
• compliance with the requirements of performance, labor and technological discipline;
• the safety of documents (information) in its custody (become known to it) containing (constituting) a commercial secret of the Medical Organization.

1.7. The Senior Physiotherapy Nurse should know:

• laws and other regulatory legal acts Russian Federation in the health sector;
• theoretical foundations of nursing;
• rules on labor protection when working with medical instruments and equipment;
• main reasons, clinical manifestations, diagnostic methods, complications, principles of treatment and prevention of diseases and injuries;
• types, forms and methods of rehabilitation;
• organization and rules for carrying out measures for the rehabilitation of patients;
• indications and contraindications for the use of the main groups of drugs;
• the nature of the interaction, complications of the use of drugs;
• rules for the collection, storage and disposal of waste from medical institutions;
• fundamentals of valeology and sanology;
• methods and means of hygienic education;
• bases of clinical examination;
• social significance of diseases;
• infection control system, infection safety of patients and medical personnel of a medical organization;
• basics of disaster medicine;
• rules for maintaining accounting and reporting documentation of a structural unit, the main types of medical documentation;
• medical ethics;
• psychology of professional communication;
• fundamentals of labor legislation;
• internal labor regulations;
• rules on labor protection and fire safety.

1.8. The senior nurse for physiotherapy in her work is guided by:

• local acts and organizational and administrative documents of the Medical Organization;
• internal labor regulations;
• rules of labor protection and safety, ensuring industrial sanitation and fire protection;
• instructions, orders, decisions and instructions of the immediate supervisor;
• this job description.

1.9. During the temporary absence of the chief physiotherapy nurse, her duties are assigned to [deputy position].

2. Job responsibilities

The Senior Physiotherapy Nurse performs the following labor functions:

2.1. Performs preventive, therapeutic, rehabilitation measures prescribed by a doctor in the physiotherapy department.

2.2. Performs physiotherapy procedures.

2.3. Prepares physiotherapy equipment for work, monitors its safety and serviceability, correct operation, timely repair and write-off.

2.4. Prepares patients for physiotherapeutic procedures, monitors the patient's condition during the procedure.

2.5. Provides infectious safety of patients and medical personnel, fulfills the requirements of infection control in the physiotherapy department.

2.6. Maintains medical records.

2.7. Provides proper storage, accounting for the use of medicines.

2.8. Carries out sanitary-educational work.

2.9. Provides first aid in emergencies.

2.10. Collects and disposes of medical waste.

2.11. Carries out measures to comply with the sanitary and hygienic regime in the room, the rules of asepsis and antisepsis, the conditions for sterilizing instruments and materials, the prevention of post-injection complications, hepatitis, HIV infection.

In case of official necessity, a senior physiotherapy nurse may be involved in the performance of her official duties overtime, in the manner prescribed by the provisions of federal labor law.

3. Rights

The senior physiotherapy nurse has the right to:

3.1. Give subordinate employees and services instructions, tasks on a range of issues included in functional duties.

3.2. Control the execution of production tasks, the timely execution of individual orders and tasks by subordinate services.

3.3. Request and receive the necessary materials and documents related to the activities of the chief physiotherapy nurse, subordinate services and divisions.

3.4. Interact with other enterprises, organizations and institutions on production and other issues related to the competence of the chief physiotherapy nurse.

3.5. Sign and endorse documents within their competence.

3.6. Submit for consideration by the head of the Medical Organization submissions on the appointment, transfer and dismissal of employees of subordinate units; proposals for their promotion or for the imposition of penalties on them.

3.7. Enjoy other rights established by the Labor Code of the Russian Federation and other legislative acts of the Russian Federation.

4. Responsibility and performance evaluation

4.1. The senior physiotherapy nurse bears administrative, disciplinary and material (and in some cases, provided for by the legislation of the Russian Federation, also criminal) responsibility for:

4.1.1. Non-fulfillment or improper fulfillment of official instructions of the immediate supervisor.

4.1.2. Failure to perform or improper performance of their labor functions and assigned tasks.

4.1.3. Unlawful use of the granted official powers, as well as their use for personal purposes.

4.1.4. Inaccurate information about the status of the work entrusted to him.

4.1.5. Failure to take measures to suppress the identified violations of safety regulations, fire and other rules that pose a threat to the activities of the enterprise and its employees.

4.1.6. Failure to enforce labor discipline.

4.2. The evaluation of the work of the senior nurse in physiotherapy is carried out:

4.2.1. The immediate supervisor - regularly, in the course of the daily implementation by the employee of his labor functions.

4.2.2. Attestation Commission of the enterprise - periodically, but at least once every two years based on the documented results of the work for the evaluation period.

4.3. The main criterion for evaluating the work of a senior physiotherapy nurse is the quality, completeness and timeliness of his performance of the tasks provided for in this instruction.

5. Working conditions

5.1. The work schedule of the chief physiotherapy nurse is determined in accordance with the internal labor regulations established in the Medical Organization.

6. Right to sign

6.1. To ensure her activities, the senior nurse in physiotherapy is granted the right to sign organizational and administrative documents on issues referred to her competence by this job description.

Familiarized with the instruction ___________ / ____________ / "____" _______ 20__