Regulations on the training of Rostekhnadzor specialists. Regulations on the organization of training and testing the knowledge of workers' organizations supervised by the federal service for environmental, technological and nuclear supervision. III. Safety briefing, training,

Order of the Federal Service for Ecological, Technological and nuclear supervision
dated January 29, 2007 N 37

On the procedure for training and certification of employees of organizations supervised by the Federal Service for Ecological, Technological and Nuclear Supervision

In pursuance of federal laws "On Industrial Safety of Hazardous production facilities"of July 21, 1997 N 116-FZ (Collection of Legislation Russian Federation, 1997, N 30, art. 3588), "On the protection environment"of January 10, 2002 N 7-FZ (Collection of Legislation of the Russian Federation, 2002, N 2, art. 133), "On the Electric Power Industry" of March 26, 2003 N 35-FZ (Collection of Legislation of the Russian Federation, 2003, N 13, art. 1177), "On the safety of hydraulic structures" dated July 21, 1997 N 117-FZ (Sobraniye zakonodatelstva Rossiyskoy Federatsii, 1997, N 30, art. 3589), "On the use atomic energy"November 21, 1995 N 170-FZ (Sobraniye zakonodatelstva Rossiyskoy Federatsii, 11/27/1995, N 48, art. 4552), resolutions of the Government of the Russian Federation "On the delimitation of powers federal bodies executive power in the field of ensuring the biological and chemical safety of the Russian Federation" of May 16, 2005 N 303 (Sobraniye zakonodatelstva Rossiyskoy Federatsii, 2005, N 21, art. for the right to conduct work in the field of the use of atomic energy" of March 3, 1997 N 240 (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 1997, N 10, Art. 1180) I order:

At the same time, there were 443 references to nursing and over 500 references to physicians. Individual fields that usually fall under the headings of allied health were only marginally better. Physiotherapists were mentioned in 21 articles, occupational therapists in 8, dental hygienists in 7, and medical specialists. The paucity of such references reflects the public's lack of awareness of what Allied Physicians do and the fact that the term means little or nothing to the public at large.

Even within the health community, there is significant confusion as to which fields are categorized as allied health. Many of the people who provide medical services from the outside or train their practitioners have long been unhappy with this term. However, this dissatisfaction has not led to either a replacement or a generally accepted definition. The only consensus is an aversion to the predecessor from a paramedical point of view. Appendix C provides an example of a list of positions and related areas of health that may be included in the broadest definitions of Allied health.

1. Approve:

Regulations on the organization of work on the training and certification of specialists from organizations supervised by the Federal Service for Environmental, Technological and Nuclear Supervision;

Regulations on the organization of training and knowledge testing of workers' organizations supervised by the Federal Service for Ecological, Technological and Nuclear Supervision.

This definition does not use boundaries that exclude groups of health care providers, nor does it describe common features tasks or entities that define the areas to be included. Rather, the commission chose to focus thematically on "alliances to be built" and "a collaborative approach to delivering health services" within a team—an approach that matters when the overall purpose of the definition is to bring together a disparate group of practitioners.

A large set of health professions and personnel whose functions include assisting, facilitating or supplementing the work of physicians and other professionals in the health system and who prefer to be identified as allied medical personnel.

2. Send in the prescribed manner the Regulation on the organization of work on the training and certification of specialists of organizations supervised by the Federal Service for Environmental, Technological and Nuclear Supervision and the Regulation on the organization of training and testing the knowledge of workers' organizations supervised by the Federal Service for Environmental, Technological and Nuclear Supervision for registration to the Ministry of Justice of the Russian Federation.

II. Vocational training for workers in basic professions

Definitions of allied health vary due to its changing nature and the differences in perspectives of those who attempt to define it, and because certain medically related but traditionally parallel or independent pursuits favor identities regardless of allied health: nursing, podiatry, pharmacy, clinical psychology etc. other professions may or may not consider themselves allied health depending on their various circumstances. for example, nutritionists, speech pathologists, audiologists, public health professionals, licensed practical nurses, medical research assistants, etc.

Head K.B. Pulikovsky

Registration N 9133

Position
on the organization of training and testing the knowledge of working organizations supervised by the Federal Service for Ecological, Technological and Nuclear Supervision

I. General provisions

1. The Regulations on the organization of training and knowledge testing of workers' organizations supervised by the Federal Environmental, Industrial and Nuclear Supervision Service (hereinafter referred to as the Regulations) are developed taking into account the social significance of ensuring the state of protection of the vital interests of the individual and society from internal threats related to ensuring industrial, environmental , energy security, safety of hydraulic structures and safety in the use of atomic energy (hereinafter referred to as safety).

He tried to withdraw from 5 million medical work nicknames of those who fell within the competence of the federal health authority. His criteria excluded healthcare workers, who were treated separately under legislation other than authorized health care authorization; have shared experience that could be applicable to other industries; and performed functions that required little or no formal training in the subject of health care.

Thus, in addition to physicians, nurses, dentists, optometrists, orthopedists, pharmacists, veterinarians, and other independent medical practitioners, the report's authors excluded. Despite ongoing debate about definition and boundaries, some groups of practitioners have come together and unequivocally refer to themselves as allied medical staff. Federal programs who supported allied health education provided an incentive to bring together groups such as occupational therapists, clinical laboratory technologists, and dental hygienists.

6. The head of the organization (employer) is responsible for the organization of timely and high-quality training and testing of knowledge in the whole organization, and in the division of the organization - the head of the division.

II. Vocational training for workers in basic professions

Training of workers in basic professions includes:

This union is by no means complete; there are many academic programs that are outside allied medical schools, numerous medical institutions that do not operationally recognize allied health as a useful group of occupational categories, and strong allied professional associations that operate independently in the political arena. However, the reasons why different groups come together under an umbrella rubric are health related.

This committee decided not to participate in the search for a definition. The benefits of a more precise definition of "communal health" are less clear than those of continued evolution. The changing nature of healthcare is causing some practitioners and practitioners to become obsolete while opening up opportunities for new groups to form. It is more important that pragmatism continue to prevail, and for old and new groups to reap the benefits they may have from belonging to the health of allies, than to have an accurate description general characteristics, which define the group.

Training of newly hired workers;

Retraining (retraining) of workers;

Training of workers in the second (related) professions;

Raising the qualifications of workers.

The training of newly accepted workers of the main professions is carried out in organizations (institutions) that implement programs vocational training, additional vocational education, initial vocational education, in accordance with the license for the right to conduct educational activities.

Lacking a satisfactory definition of allied health, many groups attempted to impose order with various classification schemes. They are classified according to their departmental affiliation into categories such as dental, dietary, emergency, diagnostic, and therapeutic. One study noted some features that crossed different kinds works. He recommended classification according to patients, laboratories, administrations and community groups.

The survey of professional associations reached three "clusters" according to official functions: primary health care workers; health promotion, rehabilitation and administrative staff; and experienced workers. It is clear that there is no "correct" taxonomy: in different schemes classification Special attention is given to various aspects of related medical work and personnel. Different accents can be used for different purposes. Instead of relying on a single definition or schema throughout the study, the committee chose to emphasize following characteristics related areas of health.

Vocational training programs for workers in the main professions are developed by organizations (institutions) that implement these programs in accordance with the qualification requirements for each category of a particular profession and the established training period. Vocational training programs provide theoretical and industrial training.

Level of autonomy Some related fields of health have a history of practice without direct supervision; others fight for independence. Individuals in many areas can only work as employees in controlled settings. Practitioners who can recruit their patients can benefit from financial rewards for public interest and willingness to pay for their services. However, independent stand-alone practice is not possible unless health care payers are willing to reimburse health service allies for their services and unless practitioners are exempt from the regulation that requires on-site medical supervision.

8. Vocational training programs are coordinated with the Federal Service for Ecological, Technological and Nuclear Supervision or its territorial bodies. The list of the main professions of workers, whose training programs must be coordinated with the Federal Service for Environmental, Technological and Nuclear Supervision, is approved by the Federal Service for Environmental, Technological and Nuclear Supervision.

Dependence on technology. In a healthcare system that often adopts new machines or methods, people who only work with one machine may lose their jobs as new technologies are developed and put into use. Those workers who are heavily involved in one or more technologies are less vulnerable to obsolescence. Those involved with technological innovations that are widely used should be in high demand for their services.

Personnel replacement. Occupations on the part of the allies differ according to whether they are well marked and whether their "turf" is protected. If workers in two trades or two levels of the same trade can perform the same functions, workers who are paid more or are more specialized may be relocated. If more highly skilled workers are willing to work for the same wage as people with less education, the lower level can be moved. For employers, the ability to substitute one type or level of staff for another can be useful when the supply of one type of worker is limited.

9. Individual theoretical training of newly accepted workers of the main professions is not allowed. Theoretical and industrial training is carried out in a training group.

10. Industrial training is carried out on the educational and material base (training laboratories, workshops, sites, workshops, simulators, training grounds, etc.), the equipment of which ensures the high-quality development of the practical skills of trainees. Industrial training is carried out under the guidance of a teacher, a master of industrial training or a highly skilled worker.

Flexibility in employment location Those who can work in the most different conditions are less vulnerable in the labor market who respond to changed funding incentives by changing care locations or by limiting the amount of assistance provided in some settings.

Degree of regulation If a field is highly regulated, employers are forced to hire someone other than workers from that field to perform the function. These workers are protected from being replaced by other personnel. The supply of workers is likely to decrease if requirements to enter the field are raised.

11. At the end of the training, a final exam is held to test the theoretical knowledge and practical skills of students. According to the results of the exam, on the basis of the protocol of the qualification commission, the trainee is assigned a qualification (profession), a rank and a certificate is issued. Persons who have completed training and successfully passed exams in the prescribed manner on the conduct of specific work at the facility, in addition to the certificate, are issued an appropriate certificate for admission to these works. The qualification commission is formed by the order of the head of the organization conducting the training. Representatives of the territorial body of the Federal Service for Ecological, Technological and Nuclear Supervision are included in the composition of the qualification commission upon agreement. Persons who conducted the training are not included in the qualification commission.

Inclusion in accreditation of accreditation or certification standards Accreditation or certification may require medical institution to hire practitioners in certain areas. If so, the demand for these workers will respond to changes in the number of these facilities.

Throughout this study, the main task for the committee was both to capture the diversity of allied health professions and to develop specific, yet contained recommendations for those who must make policy decisions that affect the role of medical allies in the health system. To this end, the committee decided to focus on 10 related health areas. He used the following criteria in selecting the fields: each field must be large and well known; collectively, they should cover the spectrum of autonomy; and collectively they should include practitioners who work in various health care settings.

Specialists with higher and secondary specialized education working in working specialties, for theoretical course training is counted as a theoretical course confirmed by a diploma in the relevant specialty within the framework of the training program for newly hired workers, and for a practical course - an internship at the workplace.

II. Vocational training for workers in basic professions

However, wherever it proved appropriate for this report, the committee also chose to use information about other health-related professions that were made available to it. The areas the committee chose to focus on are clinical laboratory technology, oral health, dietary services, emergency medical services, medical services, occupational therapy, physical therapy, radiological technology, respiratory therapy, and speech pathology and audiology.

12. Retraining (retraining) of workers in the main professions is organized with the aim of mastering new professions by the released workers who cannot be used in their existing professions, as well as by persons who have expressed a desire to change their profession.

13. Training of workers in the second (related) professions is organized in order to obtain new profession with initial or more high level qualifications.

The final chapter of this report looks at the role of nursing assistants in long-term care. Nursing assistants are often not included in the categories of Allied medical personnel. However, they are highlighted here because they play an important role in the provision of patient care in many long-term care facilities, making their relationship with allied medical staff very important.

In addition, the discussion of assistants in the final chapter focuses on some groups that are discussed in less detail in the remainder of the report than the committee might have preferred. These low-level practitioners, often referred to as technicians or assistants, are often on-the-job training or short-term education. professional programs or 1-year certification programs. Analysis of the current and future supply of medical allies is heavily data-driven educational institutions that are inaccessible to lower level personnel.

14. The training procedure provided for in the training of newly accepted workers in the main professions applies to retraining (retraining), as well as the training of workers in the second (related) professions. Development and approval curricula for retraining (retraining), as well as training of workers in the second (related) professions, are carried out by the organizations specified in this Regulation, in accordance with the training programs for newly hired workers. The terms for mastering retraining (retraining) programs, as well as training workers for second (related) professions, can be reduced, but not more than half the training period for newly hired workers.

15. Raising the qualifications of workers is aimed at improving their professional knowledge, abilities, skills, and increasing skills in existing professions. Professional development is carried out in educational institutions in accordance with the license for the right to conduct educational activities.

16. Vocational training of workers is carried out by specialists (teachers, masters of industrial training), for whom work in an organization providing vocational training of workers is the main one. Teachers and masters of industrial training must have knowledge of the basics of pedagogy, have the appropriate education and practical work experience, be certified in accordance with the Regulations on the organization of work on the training and certification of specialists from organizations supervised by the Federal Service for Environmental, Technological and Nuclear Supervision in accordance with their specialization (subject taught).

17. In organizations providing professional training for workers, a quality system is developed and documented, corresponding to the field of activity, the nature and volume of work performed and a set of measures that ensure the functioning of the quality system. In order to inform consumers of services in the field of vocational training of workers about organizations that provide high quality services, these organizations are accredited.

III. Safety briefing, training, admission to independent work, knowledge check

18. Before being allowed to work independently at the facility, workers undergo safety briefing and on-the-job training.

19. By the nature and timing of the safety briefings are divided into:

Introductory;

Primary;

Repeated;

Unscheduled.

The development of programs for safety briefings, the registration of their results is carried out in the manner established in the organization supervised by the Federal Service for Environmental, Technological and Nuclear Supervision.

20. Induction training on safety are carried out with all newly hired workers, regardless of their length of service in this profession, temporary workers, business travelers, students and students who have arrived for training or industrial practice. The introductory briefing is carried out by the employee who is entrusted with these duties by order of the organization. Relevant specialists may be involved in conducting individual sections of the introductory briefing. Introductory safety briefing is carried out in a specially equipped room using modern technical means teaching and visual aids.

21. Initial safety briefing at the workplace is carried out with workers before the start of their production activities. Workers who are not associated with the maintenance, testing, adjustment and repair of equipment, the use of tools, the storage and use of raw materials and materials, do not undergo safety training at the workplace. Initial briefing at the workplace is carried out with each individual with a practical demonstration of safe working methods. Primary safety briefing is possible with a group of people serving the same type of equipment and within a common workplace.

22. After the initial safety briefing at the workplace, all workers undergo an internship at a specific workplace under the guidance of experienced workers appointed by order of the organization. The same order determines the duration of the internship (at least 2 shifts).

23. Repeated briefing on safety at the workplace is carried out at least once every six months.

24. Unscheduled safety briefing is carried out by:

When changing the technological process, replacing or upgrading equipment that affects safety;

In case of violation of safety requirements;

When there is a break in work for more than 30 calendar days;

By order of officials of the territorial bodies of the Federal Service for Ecological, Technological and Nuclear Supervision in the performance of their official duties.

25. Initial safety briefing at the workplace, as well as repeated and unscheduled safety briefings are conducted by the immediate supervisor of the work. The safety briefing at the workplace ends with a test of knowledge by oral questioning or with the help of technical teaching aids, as well as a test of the acquired skills in safe ways of working. Knowledge is checked by the employee who conducted the briefing. Persons who have shown unsatisfactory knowledge pass it again within the time limits established by the employee who conducted the briefing.

26. In the organizations specified in these Regulations, they develop and approve in the manner established in these organizations, manufacturing instructions and/or instructions for specific professions. These instructions are located at the workplace and are issued against signature to workers, for whom knowledge of these instructions is mandatory. Before being allowed to work independently, after a safety briefing, workers are tested for knowledge of the instructions.

Knowledge testing is carried out in the commission of the organization or division of the organization, the composition of the commission is determined by the order of the organization. Knowledge testing procedures, registration of knowledge testing results are carried out in the manner established by the organization. A worker who has successfully passed the knowledge test is issued a certificate for the right to work independently.

Workers are periodically tested for knowledge of production instructions and / or instructions for specific professions at least once every 12 months.

Before testing knowledge, classes, lectures, seminars, consultations are organized.

Extraordinary examination of knowledge is carried out:

When moving to another organization;

In case of changes in production instructions and / or instructions for specific professions;

By order of officials of the territorial bodies of the Federal Service for Ecological, Technological and Nuclear Supervision in the performance of their official duties in cases of revealing insufficient knowledge of the instructions.

In case of a break in work in the specialty for more than 12 months, after testing their knowledge, before being admitted to independent work, they undergo an internship to restore practical skills.

27. Admission to independent work is issued by order of the organization.

Order of the Federal Service for Ecological, Technological and Nuclear Supervision

On the procedure for training and certification of employees of organizations supervised by the Federal Service for Ecological, Technological and Nuclear Supervision

In pursuance of federal laws "On Industrial Safety of Hazardous Production Facilities" dated July 21, 1997 N 116-FZ (Sobranie Zakonodatelstva Rossiyskoy Federatsii, 1997, N 30, art. 3588), "On Environmental Protection" dated January 10, 2002 No. 7-FZ (Sobranie Zakonodatelstva Rossiyskoy Federatsii, 2002, No. 2, Art. 133), "On the Electric Power Industry" dated March 26, 2003 No. 35-FZ (Collected Legislation of the Russian Federation, 2003, No. 13, Art. 1177), "On the Safety of Hydraulic Structures" dated July 21, 1997 N 117-FZ (Collected Legislation of the Russian Federation, 1997, N 30, item 3589), "On the Use of Atomic Energy" dated November 21, 1995 N 170-FZ (Collection legislation of the Russian Federation, 27.11.1995, N 48, art. 4552), Decrees of the Government of the Russian Federation "On the delimitation of powers of federal executive bodies in the field of ensuring biological and chemical safety of the Russian Federation" dated May 16, 2005 N 303 (Collected Legislation of the Russian Federation, 2005, N 21, Art. 2023), "On approval of the list of positions of employees of nuclear facilities who must obtain permits from the Federal Supervision Authority of Russia for Nuclear and Radiation Safety for the right to conduct work in the field of the use of atomic energy" dated March 3, 1997 N 240 (Collected Legislation of the Russian Federation, 1997, N 10, item 1180) I order:

1. Approve:

Regulations on the organization of work on the training and certification of specialists from organizations supervised by the Federal Service for Environmental, Technological and Nuclear Supervision;

Regulations on the organization of training and knowledge testing of workers' organizations supervised by the Federal Service for Ecological, Technological and Nuclear Supervision.

II. Vocational training for workers in basic professions

Head K.B. Pulikovsky

Registration N 9133

POSITION
ON THE ORGANIZATION OF TRAINING AND KNOWLEDGE TESTING FOR WORKING ORGANIZATIONS SUBSUPERVISED BY THE FEDERAL SERVICE FOR ENVIRONMENTAL, TECHNOLOGICAL AND NUCLEAR SUPERVISION

I. General provisions

2. This Regulation sets out the requirements that are taken into account when organizing and conducting training and testing knowledge on the safety of workers in the main professions of organizations (regardless of the organizational and legal forms and forms of ownership of these organizations) that carry out construction, operation, expansion, reconstruction, technical re-equipment, conservation and liquidation of a hazardous production facility; electric power facility; facility that operates electrical, thermal installations and networks, hydraulic structures, a facility for the use of atomic energy (hereinafter referred to as the facility), manufacturing, installation, adjustment, maintenance and repair of technical devices (machinery and equipment) used at facilities, transportation of hazardous substances.

3. If for certain categories of workers in the main professions, regulatory legal acts additional requirements for training and control of safety knowledge are established, then the requirements provided for by these regulatory legal acts also apply.

4. Checking the knowledge of workers of the main professions in the field of safety is carried out in the scope of qualification requirements, as well as in the scope of the requirements of production instructions and / or instructions for this profession.

5. (Excluded.Change No. 1)

II. Vocational training for workers in basic professions

7. Training of workers in basic professions includes:

Training of newly hired workers;

Retraining (retraining) of workers;

Training of workers in the second (related) professions;

Raising the qualifications of workers.

The training of newly accepted workers of the main professions is carried out in organizations (institutions) that implement programs of vocational training, additional vocational education, initial vocational education, in accordance with a license for the right to conduct educational activities.

9. Individual theoretical training of newly accepted workers of the main professions is not allowed. Theoretical and industrial training is carried out in a training group.

Specialists with higher and secondary specialized education working in blue-collar specialties are credited with a theoretical course confirmed by a diploma in the relevant specialty within the framework of the training program for newly hired workers, and for a practical course - internship at the workplace.

13. Training of workers in second (related) professions is organized in order to obtain a new profession with an initial or higher level of qualification.

14. The training procedure provided for in the training of newly accepted workers in the main professions applies to retraining (retraining), as well as the training of workers in the second (related) professions. The development and approval of training programs for retraining (retraining), as well as training of workers in the second (related) professions, is carried out by the organizations specified in paragraph 7 of this Regulation, in accordance with the training programs for newly hired workers. The terms for mastering retraining (retraining) programs, as well as training workers for second (related) professions, can be reduced, but not more than half the training period for newly hired workers.

15. Raising the qualifications of workers is aimed at improving their professional knowledge, abilities, skills, and increasing skills in existing professions. Advanced training is carried out in educational institutions in accordance with a license for the right to conduct educational activities.

III. Safety briefing, internship, admission to independent work, knowledge test

18. Before being allowed to work independently at the facility, workers undergo safety briefing and on-the-job training.

19. By the nature and timing of the safety briefings are divided into:

Introductory;

Primary;

Repeated;

Unscheduled.

20. Introductory safety briefing is carried out with all newly hired workers, regardless of their work experience in this profession, temporary workers, business travelers, students and students who have arrived for training or industrial practice. The introductory briefing is carried out by the employee who is entrusted with these duties by order of the organization. Relevant specialists may be involved in conducting individual sections of the introductory briefing. Introductory safety briefing is carried out in a specially equipped room using modern technical training aids and visual aids.

23. Repeated briefing on safety at the workplace is carried out at least once every six months.

24. Unscheduled safety briefing is carried out by:

When changing the technological process, replacing or upgrading equipment that affects safety;

In case of violation of safety requirements;

When there is a break in work for more than 30 calendar days;

By order of officials of the territorial bodies of the Federal Service for Ecological, Technological and Nuclear Supervision in the performance of their official duties.

26. In the organizations specified in paragraph 2 of these Regulations, production instructions and / or instructions for specific professions are developed and approved in the manner established in these organizations. These instructions are located at the workplace and are issued against signature to workers, for whom knowledge of these instructions is mandatory. Before being allowed to work independently, after a safety briefing, workers are tested for knowledge of the instructions.

Workers are periodically tested for knowledge of production instructions and / or instructions for specific professions at least once every 12 months.

Before testing knowledge, classes, lectures, seminars, consultations are organized.

Extraordinary examination of knowledge is carried out:

When moving to another organization;

In case of changes in production instructions and / or instructions for specific professions;

In case of a break in work in the specialty for more than 12 months, after testing their knowledge, before being admitted to independent work, they undergo an internship to restore practical skills.

27. Admission to independent work is issued by order of the organization.