How to become a good nurse. Professions. Categories of nurses

A nurse (in the male version: male nurse) is a specialist with a specialized secondary medical education who helps a doctor, provides pre-hospital medical care, and performs many tasks for the needs of a medical institution.

Depending on what specialty the nurse is assigned to, she performs various auxiliary functions: collecting tests, performing injection appointments, IVs, changing linen, organizing medical nutrition, preparing surgical instruments, filling out medical documents.

The nurse carries out medical procedures, monitors the well-being of patients, distributes medications, observing their dosage prescribed by the doctor, keeps records of medical equipment, controls the timing of technical inspection of medical equipment, and submits documents for registration.

The profession of a nurse is designed to make the doctor’s work easier, freeing up his time to receive patients and perform professional duties.

The nurse makes the doctor’s work easier, freeing up his time to see patients and perform professional duties.

Specializations of nurses

There are many specializations of professions:

• chief nurse supervises the work of all nurses, fulfills requests for the purchase of medicines, dressings, and other medical supplies, and also draws up a duty and vacation schedule for nurses, monitors the material and technical equipment of the hospital. She must have a diploma of higher medical education.
• Senior nurse assists the head of the department, is responsible for order in the department, supervises the nurses and aides subordinate to her.
• Junior nurse cares for patients and follows instructions from senior colleagues.
• Guard nurse Responsible for fulfilling doctor’s prescriptions, monitoring medications and visiting relatives.
• Charge nurse monitors the condition of patients in the wards of regular and intensive care, is responsible for compliance with bed rest, diet, measures blood pressure, pulse, and respiratory rate.
• Procedural nurse works in the treatment room, gives injections, IVs, medical procedures prescribed by the doctor (nebulizer, aspirator), collects tests and transfers them to the laboratory.
• Operating room nurse helps the surgeon before, during and after surgery: prepares instruments, assists during surgery, counts instruments and dressings used during the operation.
• Surgical nurse works in the surgical department, in the dressing room, makes dressings, removes sutures, assists the surgeon with minor surgical interventions (opening a boil, placing a catheter, drainage).
• Laboratory nurse accepts biological material and performs manipulations as directed by the doctor.
• Visiting nurse monitors the condition of the newborn after his discharge from the maternity hospital, monitors compliance with the schedule of vaccinations and examinations of the baby by specialized specialists.
• Gerontological nurse works in a nursing home, in the gerontology department of a medical organization, helps older people maintain their health, and follows doctor’s recommendations.
• School nurse(or preschool children's institution) monitors the condition of children, allows them to attend classes after an illness, conducts hardening measures, preventive examinations, performs vaccinations and medical tests, prescribes quarantine when infections are detected, gives an exemption from physical education or sports competitions for health reasons.

There are also nurses in specialized departments - physiotherapy, exercise therapy, dental and other offices.

The school nurse monitors the condition of children, conducts preventive examinations, performs vaccinations and medical tests.

Places of work

Nurses work in clinics and hospitals, in schools, kindergartens, sanatoriums, rest homes, hospices, maternity hospitals, military hospitals, places of detention and many other institutions.

History of the profession

The Sisters of Mercy trace their lineage back to the 11th century, when the first women's communities began to appear in Europe, based on monasteries, in which they cared for physically suffering patients. In the 13th century, the first shelter was opened, where orphans and abandoned children were cared for. Then the sisters of mercy began to help the wounded, and a little later took responsibility for those suffering from leprosy. Officially, the birth of the first community of sisters of mercy dates back to 1641 - then the first school was created to train women in this profession.

In Rus', sisters of mercy have been officially known since 1863, when the Ministry of War issued a decree on the creation of nursing care for the wounded on a permanent basis. Since 1997, nurses in Russia have received an official code of ethical standards for communicating with patients.

Sisters of mercy of the Omsk military hospital during the First World War. 1915

Responsibilities of a nurse

The main job responsibilities of a nurse are:

• Pre-hospital medical care.
• Patient care.
• Assisting doctors, sterilizing instruments.
• Collection of biological material for research.
• Execution of medical prescriptions.
• Management of junior medical staff.
• Disposal of medical waste.
• Records management.

Requirements for a nurse

The basic requirements for a nurse are as follows:

• Higher medical or secondary medical education, valid certificate in nursing.
• PC skills.
• Efficiency and politeness.

The responsibilities of the nurse include collecting biological material for research, as well as carrying out medical prescriptions.

How to become a nurse

To become a nurse you need:

1. Graduate from a university (faculty of higher nursing education) or a medical school/college with a degree in nursing.
2. Along with your diploma, receive a certificate for the right to independent activity.
3. To be eligible to work as a specialized nurse, you must complete advanced training courses.

Nurse salary

The range of income is wide: a nurse earns from 15,000 to 80,000 rubles per month. The profession is most in demand and paid in large cities and in the Far North (a vacancy for a nurse with a salary of 80,000 rubles per month was found in the Yamalo-Nenets District). Nurse work at home is paid by agreement.

The average salary of a nurse is about 27,000 rubles per month.

Where to get training

In addition to higher education, there are a number of short-term training on the market, usually lasting from a week to a year.

The Medical University of Innovation and Development invites you to take distance courses in retraining or advanced training in the direction of "" to receive a diploma or state certificate. Training lasts from 16 to 2700 hours, depending on the program and your level of training.

The Interregional Academy of Additional Professional Education (MADPO) trains in the “” specialization and issues diplomas and certificates.

Nursing is a specialty whose importance cannot be overestimated. Essentially, no doctor will be able to cope with his duties if he does not have such an assistant. Taking this into account, we can safely say that a nurse is indispensable in any clinic or hospital.

However, how much do we know about the duties that this employee performs? What kind of difficulties do they sometimes have to face? And what prospects await a girl who has chosen the path of a nurse?

General information about the profession

The nurse is first and foremost the doctor's right hand. Her main task is to follow the instructions of the doctor to whom she is assigned. This could be collecting tests, installing an IV, providing bed linen to the patient, and so on. That is, by and large, the role of the nurse is auxiliary.

But despite this, she is an important member of the staff of any medical institution. After all, the nurse takes on the lion's share of the work, thereby relieving the doctors. And they, in turn, will be able to devote more time to more important tasks: diagnosing diseases, prescribing a course of treatment, therapy, and so on.

How to become a nurse?

The duties of a nurse require appropriate education. You can get it at a medical college or school. The training takes from 3 to 4 years, depending on the chosen institution.

During this time, students will learn all the skills necessary to work in this specialty. In particular, they will study Latin (which is indispensable when writing recipes), methods of first aid, the basics of therapy, rules for using medicinal drugs, and so on.

Statutory classification of nurses

When discussing this profession, one cannot ignore the fact that there is a classification of nurses. And, despite the fact that the education required is the same, the range of responsibilities is different for everyone.

So, what types of nurses are there?

• Chief nurse is the only position that requires a higher education. Its main task is control. It is this employee who makes adjustments to the work of middle and junior medical staff.
• Senior nurse is a position assigned to each head of the department. The main function is to maintain order in the territory entrusted to it by managing its own subordinates.
• A guard nurse is a specialist who makes sure that patients strictly follow all the doctor’s instructions: take medications, follow bed rest or diet.
• Procedural nurse. She is the one responsible for the injections and IVs prescribed by the doctor. In addition, she collects samples and takes them to the laboratory.
• The operating room nurse is the surgeon's right hand. She prepares the operating room before the operation, checks that everything is in place, and brings all the necessary instruments. In the future, she follows all the instructions that the surgeon gives her: give a scalpel, a clamp or, say, a tampon.
• A community nurse is a specialist assigned to a specific doctor. Most often, this position involves paperwork: filling out cards, working with documents, keeping records, and so on.
• The junior nurse is the lowest level of the hierarchy. Her responsibilities include caring for the sick and following orders from senior colleagues.

Required qualities

So, the duties of a nurse cannot be called too complex, especially when compared with the work of doctors. However, you should not underestimate them, because the health of another person is at stake.

Therefore, the future specialist must have the following personal qualities:

• good memory in order to remember many terms and names of medications;
• responsibility, because, as mentioned earlier, any mistake can cost a person his life;
• speed of reaction in order to make the right decision at a critical moment;
• compassion, because without it she will not be able to provide the sick with the care they need;
• strong nerves and psyche, since in medicine you will have to deal with many things, including unpleasant ones.

What will you have to do at work?

Each medical institution has its own instructions (job description) for nurses. This document contains a complete list of all responsibilities of this employee, and upon taking up the position, he is required to familiarize himself with it. It is simply not possible to describe all possible requirements listed in this document, as they may vary depending on institutional policies.

However, here are a few examples:

1. First of all, the nurse monitors the condition of the patients. He takes tests, inquires about their well-being and takes them to treatment procedures.
2. Any nurse follows the instructions of doctors, especially if they relate to working with patients.
3. This employee is also responsible for a number of procedures related to the treatment of the patient. So, nurses administer intravenous drips, give injections, conduct physical therapy, and give dosages of medications.
4. In addition, nurses often work with hospital documentation. For example, they fill out patient cards, keep records of hospital equipment, submit documents for discharge, and so on.

Advantages and disadvantages of the profession

If we talk about the advantages, then first of all we need to note the high demand in the labor market. Almost every specialist can count on a free place in their city.

However, there are also disadvantages. In particular, low wages and lack of career growth. Even with all your desire, you simply won’t be able to rise above the position of head nurse.

The nurse must have an understanding of human anatomy and physiology, be able to provide emergency first aid, and perform the necessary medical procedures.

Nurse(nurse) - a specialist in the field of nursing, a professional assistant to the attending physician. Male version of the profession - nurse. The profession is suitable for those who are interested in biology (see choosing a profession based on interest in school subjects).

Features of the profession

A doctor or paramedic examines the patient and prescribes treatment, someone must carry out these appointments: give injections, put in IVs, bandage a wound, give medicine, check the temperature, etc. All this is done by a nurse (or nurse) - a specialist from among the paramedical personnel. Often, a nurse communicates with patients even more than a doctor. And the success of treatment depends on her skills.

The exact set of responsibilities of a nurse depends on the place of work. For example, in a clinic, a nurse can help a doctor see patients. This district nurse. She monitors the delivery of patient outpatient records from the registry (they keep medical histories); receives test results and conclusions in the laboratory and X-ray room; makes sure that the doctor always has sterile instruments and necessary medications at hand.

They work in anti-tuberculosis, dermatovenerological, psychoneurological dispensaries, as well as in antenatal and children's clinics visiting nurses. Patronage (from the French patronage - patronage, guardianship) means that medical procedures are carried out at home. Visiting nurses go to patients’ homes and give them injections, bandages, measure blood pressure, etc.

Nursein the physiotherapy room carries out medical procedures using special devices: UHF, ultrasound, electrophoresis, etc.

Procedural nurse gives injections (including intravenous), takes blood from a vein, puts in IVs. All these are very difficult procedures - they require high qualifications and impeccable skills. Especially if a procedural nurse works in a hospital where there may be seriously ill patients.

Charge nurse- distributes medicines, puts compresses, cups, enemas, gives injections. She also measures temperature, pressure and reports to the attending physician about the well-being of each patient. And if necessary, the nurse provides emergency care (for example, in case of fainting or bleeding).

The health of each patient depends on the work of the ward nurse. Especially if this is a seriously ill patient. In good hospitals, ward nurses (with the help of junior nurses and caregivers) care for weak patients: they feed, wash, change linen, and make sure there are no bedsores.

The ward nurse has no right against negligence or forgetfulness. Unfortunately, the work of a ward nurse involves night shifts. This is bad for your health.

Operating room nurse assists the surgeon and is responsible for ensuring that the operating room is always ready for work. This is perhaps the most responsible nursing position. And the most favorite among those who have worked at least a little in operations. The nurse prepares all the necessary instruments, dressings and suture materials for the future operation, ensures their sterility, and checks the serviceability of the equipment. And during the operation he assists the doctor, provides instruments and materials. The success of the operation depends on the coordination of the actions of the doctor and the nurse. This work requires not only good knowledge and skills, but also reaction speed and a strong nervous system. And also good health: like a surgeon, a nurse has to stand on her feet throughout the operation. If the patient needs dressings after surgery, they are also done by the operating nurse.

For sterilization, instruments are taken to sterilization department. The nurse working there operates special equipment: steam, ultraviolet chambers, autoclaves, etc.

Head nurse supervises the work of all nurses in a department of a hospital or clinic. She draws up duty schedules, monitors the sanitary condition of the premises, is responsible for economic and medical supplies, for the maintenance and safety of medical instruments and devices. In addition to their actual medical duties, nurses have to keep records, and the head nurse also monitors this. She also supervises the work of junior medical personnel (orderlies, nurses, nurses, etc.). To do this efficiently, the head nurse must know the specifics of the department's work down to the smallest detail.

Junior nurse takes care of the sick: changes linen, feeds, helps move bedridden patients inside the hospital. Her duties are similar to those of a nurse, and her medical education is limited to short-term courses.

This is not a complete list of options for working as a nurse. Each has its own specificity. What they have in common is that, although a nurse is considered a physician's assistant, the main goal of a nurse's work is to help sick people. Such work brings moral satisfaction, especially if it is work in a hospital. But it is also very hard work, even if you love it very much. There is no time for smoke breaks and thoughtfulness in the middle of the working day. The most difficult departments are those in which operations are performed and where emergency patients are admitted. These are surgery, traumatology, otolaryngology.

Career

There are several career options for a nurse. You can, while remaining in the same position, improve your qualifications and receive a corresponding salary increase. Another option is administrative: you can become the head nurse of a department or even a hospital. The third option is to continue your education and become a doctor.

But why "sister"?

The fact is that the first nurses appeared under the auspices of the church. And the word “sister” meant not a blood relationship, but a spiritual one.

In the 11th century, communities of women and girls appeared in the Netherlands, Germany and other countries to care for the sick. In the 13th century, Countess Elizabeth of Thuringia, later canonized, built a hospital at her own expense, and also organized an orphanage for foundlings and orphans, and she herself worked in it. The Elizabethan Catholic community was founded in her honor. In peacetime, nun sisters cared only for sick women, and in wartime, they also cared for wounded soldiers. They also cared for those suffering from leprosy.

In 1617 in France, priest Vincent Paul organized the first community of sisters of mercy. He first proposed this name - “sister of mercy”, “elder sister”. The community consisted of widows and virgins who were not nuns and did not take any permanent vows. The community was led by Louise de Marillac, who organized a special school to train sisters of mercy and nurses.

Similar communities began to be created in France, the Netherlands, Poland and other countries. By the middle of the 19th century, there were already about 16 thousand sisters of mercy in Western Europe.

In Russia, the profession of a nurse appeared in 1863. Then the Minister of War issued an order to introduce, by agreement with the Holy Cross community, permanent nursing care for patients in military hospitals.

Workplace

Nurses work in hospitals, clinics, maternity hospitals, private clinics, children's institutions, military units and hospitals, sanatoriums and rest homes.

Important qualities

The former name of this profession is “sister of mercy.” Mercy and sympathy for the pain of others is one of the most important qualities of a nurse. This is necessarily accompanied by attentiveness, accuracy and responsibility. Good coordination of movements is also important (this is especially important for operating rooms, procedural, and ward nurses), good memory, and the desire for professional growth. Good health and stamina. Allergies to certain drugs can be an obstacle to work. For example, an operating room nurse cannot assist in an operation if fumes from disinfectants cause her to cough. But the nursing profession has such a wide field of activity that you can simply move to another job.

Knowledge and skills

The nurse must have an understanding of human anatomy and physiology, be able to provide emergency first aid, perform the necessary medical procedures, ensure infection safety, and maintain records.

Where to study to become a Nurse

To work as a nurse you need a secondary medical education. It can be obtained from medical school or college. Many specializations require additional training. For example, in order to treat people in a physiotherapy office, you need to undergo special training in working with all the equipment.

Suitable educational specialties:"Doctor"
Key items: Chemistry, Biology, Russian language, Anatomy, Physiology

Tuition cost (average in Russia): 200,000 rubles

Job description:

*Tuition fees are indicated for 6 years of full-time study.

Nurse(nurse) - a specialist in the field of nursing, a professional assistant to the attending physician.
The male version of the profession is nurse.

Features of the profession

A doctor or paramedic examines the patient and prescribes treatment, someone must carry out these appointments: give injections, put on IVs, bandage a wound, give medicine, check the temperature, etc.
All this is done by a nurse (or nurse) - a specialist from among the nursing staff.
Often, a nurse communicates with patients even more than a doctor. And the success of treatment depends on her skills.

The exact set of responsibilities of a nurse depends on the place of work.
For example, in a clinic, a nurse can help a doctor see patients. This district nurse. She monitors the delivery of patient outpatient records from the registry (they keep medical histories); receives test results and conclusions in the laboratory and X-ray room; makes sure that the doctor always has sterile instruments and necessary medications at hand.

They work in anti-tuberculosis, dermatovenerological, psychoneurological dispensaries, as well as in antenatal and children's clinics visiting nurses.
Patronage (from the French patronage - patronage, guardianship) means that medical procedures are carried out at home. Visiting nurses go to patients’ homes and give them injections, bandages, measure blood pressure, etc.

Nursein the physiotherapy room carries out medical procedures using special devices: UHF, ultrasound, electrophoresis, etc.

Procedural nurse gives injections (including intravenous), takes blood from a vein, puts in IVs. All these are very difficult procedures - they require high qualifications and impeccable skills.
Especially if a procedural nurse works in a hospital where there may be seriously ill patients.

Charge nurse- distributes medicines, puts compresses, cups, enemas, gives injections. She also measures temperature, pressure and reports to the attending physician about the well-being of each patient. And if necessary, the nurse provides emergency care (for example, in case of fainting or bleeding).
The health of each patient depends on the work of the ward nurse. Especially if this is a seriously ill patient. In good hospitals, ward nurses (with the help of junior nurses and caregivers) care for weak patients: they feed, wash, change linen, and make sure there are no bedsores.
The ward nurse has no right against negligence or forgetfulness.
Unfortunately, the work of a ward nurse involves night shifts. This is bad for your health.

Operating room nurse assists the surgeon and is responsible for ensuring that the operating room is always ready for work.
This is perhaps the most responsible nursing position. And the most favorite among those who have worked at least a little in operations.
The nurse prepares all the necessary instruments, dressings and suture materials for the future operation, ensures their sterility, and checks the serviceability of the equipment. And during the operation he assists the doctor, provides instruments and materials. The success of the operation depends on the coordination of the actions of the doctor and the nurse.
This work requires not only good knowledge and skills, but also reaction speed and a strong nervous system. And also good health: like a surgeon, a nurse has to stand on her feet throughout the operation.
If the patient needs dressings after surgery, they are also done by the operating nurse.

For sterilization, instruments are taken to sterilization department. The nurse working there operates special equipment: steam, ultraviolet chambers, autoclaves, etc.

Head nurse supervises the work of all nurses in a department of a hospital or clinic. She draws up duty schedules, monitors the sanitary condition of the premises, is responsible for economic and medical supplies, for the maintenance and safety of medical instruments and devices. In addition to their actual medical duties, nurses have to keep records, and the head nurse also monitors this.
She also supervises the work of junior medical personnel (orderlies, nurses, nurses, etc.).
To do this efficiently, the head nurse must know the specifics of the department's work down to the smallest detail.

Junior nurse takes care of the sick: changes linen, feeds, helps move bedridden patients inside the hospital. Her duties are similar to those of a nurse, and her medical education is limited to short-term courses.

This is not a complete list of options for working as a nurse. Each has its own specificity.
What they have in common is that, although a nurse is considered a physician's assistant, the main goal of a nurse's work is to help sick people.
Such work brings moral satisfaction, especially if it is work in a hospital. But it is also very hard work, even if you love it very much. There is no time for smoke breaks and thoughtfulness in the middle of the working day.
The most difficult departments are those in which operations are performed and where emergency patients are admitted. These are surgery, traumatology, otolaryngology.

Career

There are several career options for a nurse.
You can, while remaining in the same position, improve your qualifications and receive a corresponding salary increase.
Another option is administrative: you can become the head nurse of a department or even a hospital.
The third option is to continue your education and become a doctor.

But why "sister"?

The fact is that the first nurses appeared under the auspices of the church. And the word “sister” meant not a blood relationship, but a spiritual one.

In the 11th century, communities of women and girls appeared in the Netherlands, Germany and other countries to care for the sick. In the 13th century, Countess Elizabeth of Thuringia, later canonized, built a hospital at her own expense, and also organized an orphanage for foundlings and orphans, and she herself worked in it. The Elizabethan Catholic community was founded in her honor. In peacetime, nun sisters cared only for sick women, and in wartime, they also cared for wounded soldiers. They also cared for those suffering from leprosy.

In 1617 in France, priest Vincent Paul organized the first community of sisters of mercy. He first proposed this name - “sister of mercy”, “elder sister”. The community consisted of widows and virgins who were not nuns and did not take any permanent vows.
The community was led by Louise de Marillac, who organized a special school to train sisters of mercy and nurses.

Similar communities began to be created in France, the Netherlands, Poland and other countries. By the middle of the 19th century, there were already about 16 thousand sisters of mercy in Western Europe.

In Russia, the profession of a nurse appeared in 1863. Then the Minister of War issued an order to introduce, by agreement with the Holy Cross community, permanent nursing care for patients in military hospitals.

Workplace

Nurses work in hospitals, clinics, maternity hospitals, private clinics, children's institutions, military units and hospitals, sanatoriums and rest homes.

Important qualities

The former name of this profession is “sister of mercy.” Mercy and sympathy for the pain of others is one of the most important qualities of a nurse. This is necessarily accompanied by attentiveness, accuracy and responsibility.
Good coordination of movements is also important (this is especially important for operating rooms, procedural, and ward nurses), good memory, and the desire for professional growth. Good health and stamina.
Allergies to certain drugs can be an obstacle to work. For example, an operating room nurse cannot assist in an operation if the s disinfectants make her cough. But the nursing profession has such a wide field of activity that you can simply move to another job.
Knowledge and skills
The nurse must have an understanding of human anatomy and physiology, be able to provide emergency first aid, perform the necessary medical procedures, ensure infection safety, and maintain records.

Where do they teach

To work as a nurse you need a secondary medical education.
It can be obtained from medical school or college.
Many specializations require additional training. For example, in order to treat people in a physiotherapy office, you need to undergo special training in working with all the equipment.

Reference

In the past she was called a sister of mercy. In the days of terrible epidemics and wars, sometimes with one word they could relieve the pain of those suffering, console them and give hope for recovery. Under the nurse's gentle voice, even the most painful injection is not noticeable. And the bitter mixture doesn’t seem so disgusting. The first representative of this profession was the Englishwoman Florence Nightingale, who, during the Crimean Company, organized a kind of “ambulance” squad, which included nuns, sisters of mercy, 38 people in total. Today, May 12, her birthday, nurses from all countries celebrate their professional holiday - International Nurses Day. This profession is incredibly relevant and in demand. The geography of their possible work is extensive: these include small district hospitals, clinics, dispensaries, and large medical centers; these are sanatoriums, all kinds of recreation centers, medical institutions; These are educational institutions, large public and private organizations, and enterprises.

Demand for the profession

Quite in demand

Representatives of the profession are quite in demand on the labor market. Despite the fact that universities produce a large number of specialists in this field, many companies and many enterprises require qualified Nurses (Nurses).

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Description of activity

A nurse is the right hand of a doctor or paramedic. She does not have the right to independently conduct examinations, diagnose the patient, and prescribe treatment. This category of health workers is engaged in performing treatments and procedures prescribed by doctors.

Wage

Moscow average:average for St. Petersburg:

Uniqueness of the profession

Quite common

The majority of respondents believe that the profession Nurse (Nurses) cannot be called rare, in our country it is quite common. For several years now, there has been a demand in the labor market for representatives of the profession Nurse (Nurses), despite the fact that many specialists graduate every year.

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What education is needed

Secondary vocational education (college, technical school)

To work in a profession Nurse (Nurses), it is not necessary to have a higher professional education in the relevant specialty. For this profession, it is enough to have a diploma of secondary vocational education obtained from a college or technical school, or, for example, it is enough to complete special courses.

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Job responsibilities

The range of responsibilities of a nurse is large and largely depends on the area where she works. A procedural nurse sterilizes medical instruments, takes blood for tests, performs injections and administers medications. A nurse in a primary care physician's office does most of the paperwork, maintaining patient records, and assisting the physician in examining patients. The operating room nurse performs preoperative preparation of patients and the premises for the operation; she assists the doctor during the operation and plays the role of an anesthetist. Caring for patients, monitoring health conditions, taking medications and treatment and preventive procedures, massage - a list of duties of the guard nurse.

Type of labor

Mainly mental work

Profession Nurse (Nurses)- This is a profession predominantly of mental work, which is largely associated with the reception and processing of information. In progress Nurse (Nurses) the results of his intellectual reflections are important. But, at the same time, physical labor is not excluded.

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Features of career growth

The opportunity for career growth exists. Especially if you have additional higher education and/or work experience. We are talking about the position of chief nurse, and in some cases, a doctor.