Job description of an allergist and immunologist. Pediatric allergist job description

Antipyretics for children are prescribed by a pediatrician. But there are emergency situations with fever when the child needs to be given medicine immediately. Then the parents take responsibility and use antipyretic drugs. What is allowed to be given to infants? How can you lower the temperature in older children? What medications are the safest?

(professional standard"Allergist-immunologist"

1. General provisions

1.1. An allergist-immunologist belongs to the category of specialists.
1.2. To work as an allergist-immunologist, a person is accepted:
1) having a higher education - a specialty in “General Medicine” or “Pediatrics” and residency training in the specialty “Allergology and Immunology” or internship and (or) residency training in one of the specialties: “General medical practice(family medicine)", "Pediatrics", "Therapy" and professional retraining in the specialty "Allergology and Immunology" or higher education - specialty in "General Medicine", "Pediatrics" (for persons who have been accredited specialists) and residency training majoring in Allergology and Immunology;
2) having a specialist certificate or a certificate of accreditation of a specialist in the specialty “Allergology and Immunology”;
3) has undergone mandatory preliminary (upon employment) and periodic medical examinations (examinations), as well as extraordinary medical examinations (examinations) in the manner prescribed by law Russian Federation;
4) not having restrictions on engaging in professional activities established by the legislation of the Russian Federation.
1.3. An allergist-immunologist should know:
1) legislation of the Russian Federation and other legal acts regulating the procedures for conducting medical examinations, medical examinations, and dispensary observation of patients with allergic diseases and (or) immunodeficiency conditions;
2) general issues of organizing medical care to the population;
3) issues of organizing sanitary and anti-epidemic (preventive) measures in order to prevent the occurrence and spread of infectious diseases;
4) the procedure for providing medical care, clinical recommendations (treatment protocols) on the provision of medical care to patients with allergic diseases and (or) immunodeficiency conditions;
5) standards of primary specialized health care, specialized, including high-tech, medical care for patients with allergic diseases and (or) immunodeficiency conditions;
6) patterns of functioning of a healthy human body and mechanisms for ensuring health from the perspective of the theory of functional systems; features of the regulation of functional systems of the human body during pathological processes;
7) methods for collecting life history and complaints from patients (their legal representatives) with allergic diseases and (or) immunodeficiency conditions;
8) methods of examination and examination of patients with allergic diseases and (or) immunodeficiency conditions;
9) methods of laboratory and instrumental research for assessing health status, medical indications for conducting research, rules for interpreting their results in patients with allergic diseases and (or) immunodeficiency conditions;
10) physiology of the immune system in patients under normal conditions, diseases and (or) pathological conditions;
11) anatomical and physiological features childhood and age-related evolution of allergic diseases;
12) etiology and pathogenesis, pathomorphology, clinical picture differential diagnosis, clinical features, complications and outcomes of allergic diseases and (or) immunodeficiency conditions;
13) changes in the functioning of the immune system in other (infectious, autoimmune, oncological and other) diseases;
14) occupational diseases in allergology and clinical immunology;
15) methods of clinical and paraclinical diagnosis of allergic diseases and (or) immunodeficiency conditions;
16) medical indications and medical contraindications for conducting skin tests with allergens and provocative tests with allergens in patients with allergic diseases;
17) allergic diseases and (or) immunodeficiency conditions requiring emergency medical care, referral of patients to specialist doctors;
18) diseases and (or) conditions of other organs and systems, accompanied by changes in the functioning of the immune system;
19) international statistical classification of diseases and related health problems (ICD);
20) symptoms and syndromes of complications, side effects, adverse reactions, including serious and unexpected ones, resulting from diagnostic procedures in patients with allergic diseases and (or) immunodeficiency conditions;
21) clinical recommendations (treatment protocols) on the provision of medical care to patients with allergic diseases and (or) immunodeficiency conditions;
22) methods of treating patients with allergic diseases and (or) immunodeficiency conditions;
23) mechanisms of action medicines, medical devices and medical nutrition used in allergology and clinical immunology; medical indications and medical contraindications for use; possible complications, side effects, undesirable reactions, including serious and unexpected ones;
24) methods non-drug treatment allergic diseases and (or) immunodeficiency conditions; medical indications and medical contraindications; possible complications, side effects, undesirable reactions, including serious and unexpected ones;
25) mechanism of action of allergen-specific immunotherapy; medical indications and medical contraindications for use; methods of implementation; possible complications, side effects, undesirable reactions, including serious and unexpected ones;
26) medical indications and medical contraindications for vaccination in patients with allergic diseases and (or) immunodeficiency conditions, replacement therapy patients with immunodeficiency conditions, possible complications, side effects, undesirable reactions, including serious and unexpected ones;
27) ways to prevent or eliminate complications, side effects, undesirable reactions, including serious and unexpected ones, that arose during the examination or treatment of patients with allergic diseases and (or) immunodeficiency conditions;
28) aseptic and antiseptic requirements;
29) principles and methods of providing emergency medical care to patients with allergic diseases and (or) immunodeficiency conditions in accordance with the current procedures for the provision of medical care, clinical guidelines(treatment protocols) on the provision of medical care, taking into account the standards of medical care;
30) standards of medical care for allergic diseases and (or) immunodeficiency conditions;
31) the procedure for providing medical care to the population in the field of allergology and immunology, the procedure for organizing medical rehabilitation;
32) the basics of medical rehabilitation for allergic diseases and (or) immunodeficiency conditions;
33) methods of medical rehabilitation for allergic diseases and (or) immunodeficiency conditions;
34) the mechanism of the impact of rehabilitation measures on the body in case of allergic diseases and (or) immunodeficiency conditions;
35) medical indications for referring patients with allergic diseases and (or) immunodeficiency conditions to medical specialists for the appointment and implementation of medical rehabilitation measures, including in the implementation of an individual rehabilitation and habilitation program for people with disabilities, the appointment and implementation of sanatorium-resort treatment, including including when selling individually;
36) the procedure for issuing certificates of incapacity for work, including in electronic form;
37) medical indications for referring patients with persistent impairment of body functions caused by allergic diseases and (or) immunodeficiency conditions for medical and social examination; requirements for medical documentation;
38) rules for processing medical documentation in medical organizations providing medical care on the profile "allergology and immunology", including in electronic form;
39) rules for working in information systems and the information and telecommunications network “Internet”;
40) labor protection requirements, basics of personal safety and conflict management;
41) job responsibilities of medical workers in medical organizations of allergological and immunological profiles;
42) methods for collecting complaints and medical history from patients (their legal representatives);
43) methods of physical examination of patients (examination, palpation, percussion, auscultation);
44) Clinical signs sudden cessation of blood circulation and (or) breathing;
45) rules for basic cardiopulmonary resuscitation;
46) ______________________________________.
1.4. An allergist-immunologist must be able to:
1) collect complaints and life history from patients with allergic diseases and (or) immunodeficiency conditions;
2) interpret and analyze information received from patients (their legal representatives) with allergic diseases and (or) immunodeficiency conditions;
3) assess the functional state of the immune system under normal conditions, in diseases and (or) pathological conditions;
4) use methods of examination and examination of patients with allergic diseases and (or) immunodeficiency conditions, taking into account age-related anatomical and functional characteristics, in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care and standards of medical care, among which:
- conducting skin prick and prick tests with allergens;
- carrying out intradermal tests with allergens;
- conducting a provocative sublingual test;
- conducting a provocative conjunctival test;
- conducting a provocative nasal test;
- peak flowmetry;
- study of external respiration function;
5) interpret and analyze the results of examination and examination of patients with allergic diseases and (or) immunodeficiency conditions;
6) justify and plan the scope of instrumental examination of patients with allergic diseases and (or) immunodeficiency conditions in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
7) interpret and analyze the results of instrumental examination of patients with allergic diseases and (or) immunodeficiency conditions;
8) justify and plan the scope of laboratory examination of patients with allergic diseases and (or) immunodeficiency conditions in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
9) interpret and analyze the results of laboratory examinations of patients with allergic diseases and (or) immunodeficiency conditions;
10) justify the need to refer patients with allergic diseases and (or) immunodeficiency conditions to medical specialists in accordance with current clinical recommendations (treatment protocols) on the provision of medical care, procedures for the provision of medical care and taking into account the standards of medical care;
11) interpret and analyze the results of examination by medical specialists of patients with allergic diseases and (or) immunodeficiency conditions;
12) identify clinical symptoms and syndromes in patients with allergic diseases and (or) immunodeficiency conditions;
13) use medical products in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, assistance, taking into account the standards of medical care;
14) determine medical indications for providing emergency, including specialized emergency medical care to patients with allergic diseases and (or) immunodeficiency conditions;
15) identify symptoms and syndromes of complications, side effects, undesirable reactions, including serious and unexpected ones, resulting from diagnostic procedures in patients with allergic diseases and (or) immunodeficiency conditions;
16) develop a treatment plan for patients with allergic diseases and (or) immunodeficiency conditions in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care for the population in the profile of “allergology and immunology”;
17) prescribe medications, medical devices and therapeutic nutrition patients with allergic diseases and (or) immunodeficiency conditions in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
18) evaluate the effectiveness and safety of the use of medicines, medical devices and medical nutrition for patients with allergic diseases and (or) immunodeficiency conditions;
19) prescribe non-drug treatment to patients with allergic diseases and (or) immunodeficiency conditions in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
20) evaluate the effectiveness and safety of non-drug treatment for patients with allergic diseases and (or) immunodeficiency conditions;
21) determine medical indications and medical contraindications for allergen-specific immunotherapy;
22) develop an individual protocol for allergen-specific immunotherapy for patients with allergic diseases;
23) monitor the effectiveness and safety of allergen-specific immunotherapy for patients with allergic diseases;
24) determine medical indications and medical contraindications for vaccination in patients with allergic diseases and (or) immunodeficiency conditions;
25) draw up individual vaccination plans for patients with allergic diseases and (or) immunodeficiency conditions;
26) determine medical indications and medical contraindications for carrying out replacement therapy for patients with immunodeficiency conditions;
27) monitor the effectiveness and safety of replacement therapy for patients with immunodeficiency conditions;
28) perform manipulations:
- preparation of dilutions of individual allergens for allergen-specific immunotherapy;
- injections of allergens during allergen-specific immunotherapy;
- carrying out tests with drugs;
29) prevent or eliminate complications, side effects, undesirable reactions, including serious and unexpected ones, resulting from diagnostic or therapeutic procedures, the use of drugs and (or) medical devices, non-drug treatment, allergen-specific immunotherapy;
30) monitor the disease and (or) condition, adjust the treatment plan depending on the characteristics of the course;
31) provide medical care to patients when emergency conditions caused by allergic diseases and (or) immunodeficiency conditions, in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) for the provision of medical care, taking into account the standards of medical care:
- relieve acute angioedema;
- stop exacerbation of asthma;
- provide medical care for anaphylactic shock;
- provide medical care for status asthmaticus;
- stop exacerbation of urticaria;
- stop exacerbation of atopic dermatitis;
32) determine medical indications for carrying out medical rehabilitation measures for allergic diseases and (or) immunodeficiency conditions, including when implementing an individual program of rehabilitation or habilitation for people with disabilities, in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
33) develop an action plan for the rehabilitation of patients with allergic diseases and (or) immunodeficiency conditions, including when implementing an individual program of rehabilitation or habilitation for people with disabilities, in accordance with the current procedures for organizing medical rehabilitation, procedures for providing medical care, clinical recommendations (treatment protocols) on issues of medical care, taking into account the standards of medical care;
34) carry out measures for medical rehabilitation of patients with allergic diseases and (or) immunodeficiency conditions, including in the implementation of an individual program of rehabilitation or habilitation for people with disabilities, in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care , taking into account the standards of medical care;
35) determine medical indications for referring patients with allergic diseases and (or) immunodeficiency conditions to medical specialists for the appointment and implementation of measures for medical rehabilitation and sanatorium-resort treatment, including in the implementation of an individual rehabilitation program or habilitation for people with disabilities, in accordance with current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
36) evaluate the effectiveness and safety of medical rehabilitation measures for allergic diseases and (or) immunodeficiency conditions, including when implementing a program of rehabilitation or habilitation for people with disabilities;
37) determine medical indications for referring patients with persistent impairment of body functions caused by allergic diseases and (or) immunodeficiency conditions to undergo a medical and social examination;
38) determine signs of temporary disability and signs of persistent impairment of body functions caused by allergic diseases and (or) immunodeficiency conditions;
39) formulate medical opinions based on the results of a medical examination, medical examinations, including preliminary and periodic ones, in terms of the presence or absence of allergic diseases and (or) immunodeficiency conditions;
40) determine the indications for dispensary observation of patients with allergic diseases and (or) immunodeficiency conditions, the group of dispensary observation, its duration, frequency of dispensary appointments (examinations, consultations), scope of examination, preliminary, therapeutic measures in accordance with the procedure for providing medical care to patients with allergic diseases and (or) immunodeficiency conditions, clinical recommendations (treatment protocols), taking into account the patient’s health status, stage, severity and individual characteristics of the course of the disease (condition);
41) identify conditions requiring emergency medical care, including clinical signs of sudden cessation of blood circulation and breathing;
42) perform basic cardiopulmonary resuscitation measures;
43) provide emergency medical care to patients in conditions that pose a threat to the patients’ lives, including clinical death (cessation of vital functions of the human body (blood circulation and (or) respiration);
44) use medicines and medical devices when providing emergency medical care;
45) ____________________________________.
(other requirements for necessary skills)
1.5. An allergist-immunologist is guided in his activities by:
1) _____________________________________;
(name of the constituent document)
2) Regulations on _________________________________;
(name of structural unit)
3) real job description;
4) _____________________________________.
(names of local regulations governinglabor functions by position)
1.6. The allergist-immunologist reports directly to
_____________________________________.
(name of manager's position)
1.7. _________________________________.
(other general provisions)

2. Labor functions

2.1. Providing medical care to the population in the field of allergology and immunology:
2.1.1. Conducting examinations of patients in order to identify allergic diseases and (or) immunodeficiency conditions and establish a diagnosis.
2.1.2. Prescribing treatment for patients with allergic diseases and (or) immunodeficiency conditions, monitoring its effectiveness and safety.
2.1.3. Conducting and monitoring the effectiveness of medical rehabilitation for allergic diseases and (or) immunodeficiency conditions, including the implementation of individual rehabilitation and habilitation programs for people with disabilities.
2.1.4. Carrying out medical examinations and medical examinations, medical examinations, dispensary observation for patients with allergic diseases and (or) immunodeficiency conditions.
2.1.5. Conducting analysis of medical and statistical information, maintaining medical records, organizing the activities of medical personnel at their disposal.
2.1.6. Providing emergency medical care to patients.
2.2. _____________________________.
(other functions)

3. Job responsibilities

3.1. An allergist-immunologist performs the following duties:
3.1.1. Within the framework of the labor function specified in paragraphs. 2.1.1 of this job description:
1) collects complaints and life history from patients (their legal representatives) with allergic diseases and (or) immunodeficiency conditions;
2) examines patients with allergic diseases and (or) immunodeficiency conditions;
3) formulates a preliminary diagnosis and draws up a plan for laboratory and instrumental examinations of patients with allergic diseases and (or) immunodeficiency conditions;
4) refers patients with allergic diseases and (or) immunodeficiency conditions for instrumental examination in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
5) refers patients with allergic diseases and (or) immunodeficiency conditions for laboratory examination in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
6) refers patients with allergic diseases and (or) immunodeficiency conditions for consultation with medical specialists in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
7) establishes a diagnosis taking into account the current ICD;
8) carries out work to ensure the safety of diagnostic procedures.
3.1.2. Within the framework of the labor function specified in paragraphs. 2.1.2 of this job description:
1) develops a treatment plan for patients with allergic diseases and (or) immunodeficiency conditions, taking into account the diagnosis, age and clinical picture in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) for the provision of medical care, taking into account the standards of medical care;
2) prescribes medications, medical devices and medical nutrition to patients with allergic diseases and (or) immunodeficiency conditions in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
4) assesses the effectiveness and safety of the use of medicines, medical devices and medical nutrition for patients with allergic diseases and (or) immunodeficiency conditions;
5) prescribes non-drug treatment: physiotherapeutic methods, reflexology, physical therapy and other methods of therapy - to patients with allergic diseases and (or) immunodeficiency conditions in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, with taking into account standards of medical care;
6) prescribes allergen-specific immunotherapy to patients with allergic diseases;
7) evaluates the effectiveness and safety of allergen-specific immunotherapy for patients with allergic diseases;
8) carries out vaccination prophylaxis for patients with allergic diseases and (or) immunodeficiency conditions;
9) assesses the effectiveness and safety of non-drug treatment for patients with allergic diseases and (or) immunodeficiency conditions;
10) carries out the prevention or treatment of complications, side effects, undesirable reactions, including serious and unexpected ones, resulting from diagnostic or therapeutic procedures, the use of drugs and (or) medical devices, non-drug treatment, allergen-specific immunotherapy;
11) prescribes and selects therapeutic nutrition for patients with allergic diseases in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
12) provides medical care in emergency conditions, including emergency situations, to patients with allergic diseases and (or) immunodeficiency conditions (anaphylactic shock, acute angioedema, status asthmaticus, exacerbation of asthma, acute urticaria, exacerbation of atopic dermatitis).
3.1.3. Within the framework of the labor function specified in paragraphs. 2.1.3 of this job description:
1) draws up a plan of medical rehabilitation measures for allergic diseases and (or) immunodeficiency conditions in accordance with the current procedure for organizing medical rehabilitation, procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
2) implements measures for medical rehabilitation of patients with allergic diseases and (or) immunodeficiency conditions, including when implementing an individual program of rehabilitation and habilitation for people with disabilities;
3) refers patients with allergic diseases and (or) immunodeficiency conditions to medical specialists for the appointment and implementation of medical rehabilitation measures, sanatorium and resort treatment, including the implementation of an individual rehabilitation program or habilitation for people with disabilities, in accordance with the current procedure for organizing medical rehabilitation , procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care;
4) assesses the effectiveness and safety of medical rehabilitation measures for allergic diseases and (or) immunodeficiency conditions in accordance with the current procedures for the provision of medical care, clinical recommendations (treatment protocols) on the provision of medical care, taking into account the standards of medical care.
3.1.4. Within the framework of the labor function specified in paragraphs. 2.1.4 of this job description:
1) performs work to conduct certain types of examinations, medical examinations, including preliminary and periodic;
2) conducts an examination of temporary disability of patients with allergic diseases and (or) immunodeficiency conditions, works as part of the medical commission of a medical organization that carries out the examination of temporary disability;
3) prepares the necessary medical documentation for patients with allergic diseases and (or) immunodeficiency conditions for the implementation of medical and social examination in federal government institutions medical and social examination;
4) refers patients with persistent impairment of body functions caused by allergic diseases and (or) immunodeficiency conditions to undergo a medical and social examination.
3.1.5. Within the framework of the labor function specified in paragraphs. 2.1.5 of this job description:
1) draws up a work plan and report on his work;
2) maintains medical documentation, including in electronic form;
3) carries out anti-epidemic measures in the event of a outbreak of infection;
4) controls the performance of official duties by the medical personnel at their disposal;
5) carries out work to ensure internal control of the quality and safety of medical activities;
6) uses medical information systems and the information and telecommunications network Internet;
7) uses personal data of patients and information constituting medical confidentiality in his work.
3.1.6. Within the framework of the labor function specified in paragraphs. 2.1.6 of this job description:
1) assesses the condition of patients requiring emergency medical care;
2) recognizes conditions that pose a threat to the life of patients, including a state of clinical death (cessation of vital functions of the human body (blood circulation and (or) breathing)), requiring emergency medical care;
3) provides emergency medical care to patients in conditions that pose a threat to the patients’ lives, including clinical death (cessation of the vital functions of the human body (blood circulation and (or) respiration));
4) uses medicines and medical devices when providing emergency medical care.
3.1.7. As part of the performance of their labor functions:
1) receives additional professional education (advanced training programs and professional retraining programs);
2) develops professional skills through mentoring;
3) undergoes an internship;
4) uses modern remote educational technologies(educational portal and webinars);
5) undergoes training in simulation centers;
6) takes part in conventions, congresses, conferences, symposiums;
7) complies with the legislation of the Russian Federation in the field of health protection, regulations, documents defining the activities of medical organizations and medical workers, programs of state guarantees of free provision of medical care to citizens;
8) observes medical confidentiality, the doctor’s oath, the principles of medical ethics and deontology when working with patients, their legal representatives and colleagues.
3.1.8. ______________________________.
(other duties)
3.3. ________________________________.
(other job descriptions)

4. Rights

4.1. An allergist-immunologist of an organization has the right:
4.1.1. Participate in discussions of draft decisions of the organization’s management, in meetings on their preparation and implementation.
4.1.2. Sign and endorse documents within your competence.
4.1.3. Request clarifications and clarifications from your immediate supervisor regarding these instructions and assigned tasks.
4.1.4. Request, on behalf of the immediate supervisor, and receive from other employees of the organization the necessary information and documents necessary to carry out the assignment.
4.1.5. Familiarize yourself with draft management decisions relating to the function he performs, with documents defining his rights and responsibilities for his position, and criteria for assessing the quality of performance of his labor functions.
4.1.6. Demand cessation (suspension) of work (in case of violations, non-compliance with established requirements, etc.), compliance with established norms, rules, instructions; give instructions to correct deficiencies and eliminate violations.
4.1.7. Submit proposals for the organization of work within the framework of their labor functions for consideration by their immediate supervisor.
4.1.8. Participate in discussions of issues related to the duties performed.
4.2. _____________________________.
(other rights)

5. Responsibility

5.1. An allergist-immunologist is held accountable for:
- for improper performance or failure to fulfill their official duties provided for by this job description - in the manner established by the current labor legislation of the Russian Federation, accounting legislation;
- offenses and crimes committed in the course of their activities - in the manner established by the current administrative, criminal and civil legislation of the Russian Federation;
- causing damage to the organization - in the manner established by the current labor legislation of the Russian Federation.
5.2. _______________________________.
(other liability provisions)

6. Final provisions

6.1. This instruction has been developed on the basis of Professionalstandard "Allergist-immunologist", approved by the Order of the Ministry of LaborRussia dated March 14, 2018 N 138n

______________________________________________.
(details of local regulations of the organization)
6.2. The employee is familiarized with this instruction whenhiring (before signing an employment contract).
The fact that the employee has read these instructions is confirmed
____________________________________________
(by signature on the familiarization sheet, which is an integral part of
___________________________________________.
these instructions (in the instructions log);
in a copy of the instructions kept by the employer; in another way)
6.3. _________________________________________________________________.

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Job responsibilities of an allergist-immunologist.

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JOB DESCRIPTION

ALLERGIST-IMMUNOLOGIST

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I. General provisions

1.1. This job description defines the job responsibilities, rights and responsibilities of an allergist-immunologist _____________________ (hereinafter referred to as the “enterprise”).

1.2. A person with a higher medical education and training in the specialty “Allergology and Immunology” is appointed to the position of an allergist-immunologist.

1.3. Appointment to the position of an allergist-immunologist and dismissal from it are made in the manner established by the current labor legislation by order of the head of a health care institution.

1.4. The allergist-immunologist reports directly to _____________________

(head of department,

Deputy Chief Physician)

1.5. An allergist-immunologist should know:

Laws of the Russian Federation and other legal acts regulating the activities of healthcare institutions;

Current normative and methodological documents regulating the activities of medical institutions;

Methods and rules for providing medicinal and emergency medical care;

Contents of allergology and immunology as a separate clinical discipline;

Organization, structure, tasks, staffing and equipment of the neurological service;

The procedure for conducting an examination of temporary disability, as well as medical and social examination;

All legal and regulatory documents in your specialty;

Methods for prevention, diagnosis, treatment and rehabilitation of the patient;

Planning the activities and all reporting of the neurological service;

Methodology and procedure for monitoring your service;

Rules and regulations of labor protection, industrial sanitation, safety and fire protection;

Fundamentals of labor legislation of the Russian Federation

Internal labor regulations.

1.6. During the absence of an allergist-immunologist (business trip, vacation, illness, etc.), his duties are performed in the prescribed manner by an appointed person who bears full responsibility for their proper performance.

I I. Job responsibilities

Allergist-immunologist:

2.1. In his specialty, he provides qualified medical care, using modern methods diagnosis, prevention, treatment and subsequent rehabilitation of the patient

2.2. In accordance with established rules and standards, he selects tactics for managing the patient, develops a plan for his examination, and also specifies the scope and methods of examining the patient in order to obtain a reliable and complete diagnosis of the disease in the shortest possible time.

2.4. Based on the collected data, he performs an analysis, as well as prescribes and conducts necessary treatment and procedures

2.5. Conducts daily examination of the patient in the hospital.

2.6. Changes treatment plan as needed

2.7. Consults doctors of health care facilities in his specialty

2.8. Supervises lower-level medical personnel

2.9. Monitors the correctness of diagnostic and medical procedures, as well as the operation of equipment and apparatus, instruments, medicines, reagents

2.10. Monitors compliance with safety and labor protection rules by lower-ranking medical personnel.

2.11. Timely and competently executes orders, instructions and instructions from the management of the institution

2.12. Complies with internal regulations.

2.13. Complies with labor protection, industrial sanitation and safety regulations

2.14. Timely and competently executes orders, instructions and instructions from the management of the institution

2.15. Complies with internal regulations.

2.16. Complies with labor protection, industrial sanitation and safety regulations.

I I I . Rights

An allergist-immunologist has the right to:

3.1. Make proposals to the management of the enterprise on the optimization and improvement of medical and social care, including on issues of their work activities.

3.2. Demand that the management of the institution provide assistance in the performance of their official duties and rights.

3.3. Receive information from company specialists necessary to effectively fulfill your job responsibilities.

3.4. Pass certification in the prescribed manner with the right to receive the appropriate qualification category.

3.5. Take part in meetings, scientific and practical conferences and sections on issues related to your professional activities.

3.6. Enjoy labor rights in accordance with the Labor Code of the Russian Federation

I I I . Responsibility

An allergist-immunologist is responsible for:

4.1. For the proper and timely performance of the duties assigned to him, provided for by this job description

4.2. For organizing your work and qualified execution of orders, instructions and instructions from the management of the enterprise.

4.3. For ensuring that employees subordinate to him comply with their duties.

4.4. For failure to comply with internal rules and safety regulations.

For offenses or inaction committed during the treatment process; for errors in the process of carrying out their activities that entailed serious consequences for the health and life of the patient; as well as for violation of labor discipline, legislative and regulatory acts, an allergist-immunologist may be subject to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.

Allergic reactions to household, physical, volatile, and natural irritants occur in children and adults in different parts of the world. If the immune system malfunctions or a combination of negative factors increases the risk of a negative response with the manifestation characteristic symptoms. Patients with hypersensitivity of the body are helped by an allergist-immunologist.

Who is this and what does a specialist doctor treat? What tests does the doctor prescribe to clarify the type and form of the allergic disease? What measures are effective for the prevention of respiratory, food, contact, and drug allergies? The answers are in the article.

Who is an allergist-immunologist?

The specialist deals with diseases associated with disruption of the immune system. A doctor must obtain a higher medical education.

An allergy is a reaction to a specific irritant. Important point: substances that are safe for most people cause negative symptoms of varying intensity and duration in patients with increased sensitization of the body.

The immune system reacts incorrectly to contact with foreign proteins and considers ordinary substances (,) “aggressors.” The immune reaction mechanism is triggered, inflammatory mediators are released, signs appear on the skin, eyes, nose, digestive tract, bronchi, and malfunctions of organs and systems occur. Only taking antihistamines suppresses the negative reaction and eliminates inflammation. To prevent relapses, it is important to follow the rules of prevention and reduce sensitization of the body.

Reception of patients of different ages led by adult and pediatric allergist-immunologist. In addition to standard knowledge about the causes, symptoms, nature of the course, methods of treatment and prevention of allergic diseases, a pediatric allergist has knowledge in the field of pediatrics. The doctor suggests rules for caring for the baby’s skin, adjusts the diet of the baby and artificial child, and explains the main mistakes that parents of children with allergies make.

Tasks of an allergist-immunologist:

conduct a conversation with the patient, examine an adult or child, find out the clinical picture of the suspected allergic disease;
prescribe tests, tests, skin tests to clarify the diagnosis;
identify the type of allergen;
clarify the form of the disease;
develop an optimal treatment regimen;
monitor the progress of treatment, advise the patient on all emerging issues;
after eliminating signs of allergy, recommend preventive measures;
adjust the diet taking into account the identified allergens;
select analogues of inappropriate medications when an acute reaction to certain medications is confirmed;
explain the rules for caring for your home, tell you the dangers of violating the rules for keeping pets;
give adults and parents whose children suffer from allergic diseases a memo listing the symptoms of the following forms of allergy: angioedema, generalized urticaria, fatal;
Explain the procedure to follow if signs of severe forms of allergies appear. Patients should know which reactions will require emergency treatment;
Conduct routine examinations of registered patients for timely detection of body sensitization, conduct educational work in their area.

What diseases does the specialist treat?

The therapist refers the adult or child to a specialist for treatment of the following pathologies:

allergic conjunctivitis;
angioedema;
medicinal, ;
hay fever;

When to see a doctor

Many people come late to see an allergist-immunologist because they do not know the symptoms of hay fever, urticaria, etc. Advanced stages are difficult to treat, with chronic form exacerbation pathologies develop every few weeks.

It is important to know the main signs of allergies for timely diagnosis diseases. Doctors recommend paying attention to the symptoms of common allergic diseases.

Bronchial asthma:

wheezing, noisy breathing;
frequent shortness of breath;
attacks of suffocation, more often at night;
dry, mucus from respiratory tract doesn't go away.

Hay fever, allergic rhinitis:

itching, burning in the nasal passages;
frequent sneezing;
swelling, congestion of the nasal passages;
accumulation of mucus in the nasopharynx;
thin, clear nasal discharge;
wheezing in the lungs;
shortness of breath, difficulty breathing;
nonproductive cough.

Allergic conjunctivitis:

hyperemia, itching of the eyelids and conjunctiva;
sensation of a foreign body in the eyes;
swelling in the eyelid area;
dry eye sclera;
in severe forms of the disease - decreased vision.
often accompanied by signs and.

Hives:

blisters: large, small or medium, the color of the formations is from light, with a red border to purple;
swelling of tissues;
less often when papules appear on the skin;
severe forms of the disease - generalized urticaria, or giant urticaria.

Drug and food allergies, dermatitis with pronounced skin manifestations:

rashes on various parts of the body: papules, small blisters with liquid, red spots different sizes, blisters;
the skin turns red, dries out, itches, peels, in the acute stage, weeping develops, burst formations become covered with crusts;
abdominal pain, diarrhea, bloating, nausea, heartburn, vomiting.

Quincke's edema:

— dangerous form allergic reaction, signs are life threatening;
the face, eyelids, tongue, lips swell greatly;
swelling in the area of the palate and larynx provokes difficulty breathing, and in the absence of help leads to suffocation;
a “barking cough” develops, the voice is hoarse, shortness of breath is bothersome;
the epidermis around the mouth turns pale;
cold sweat appears;
diarrhea develops, vomiting often occurs;
pressure decreases.

On a note! With seasonal allergies, negative signs appear at a certain period: during the flowering of milkweed, alder, poplar, ragweed, and birch. In the year-round form of allergic diseases, irritants are constantly near the patient, negative symptoms appear at any time.

Diagnosis of allergic diseases

To identify the irritating substance and clarify the diagnosis, the doctor carries out:

examination of the patient, conversation, study of anamnesis;
: prick test, application method, provocations;
study of external respiration function for diagnostics dangerous disease - ;
pulse oximetry;
spirography with bronchodilator response;
bronchoscopy;
specific allergy testing;
X-ray of the lungs and CT;
spirometry with a certain physical load.

What tests does the doctor prescribe?

To clarify the diagnosis, not only various types of diagnostics are needed, but also the study of biomaterial:

What and how to treat? Find out effective treatment options for adults and children.

The rules for using Avamis drops for the treatment of allergic rhinitis are described on the page.

Basic methods and directions of treatment

After diagnosis, the doctor develops a set of measures to relieve an acute reaction and prevent relapses. An important point is the reduction of sensitization of the body.

(classic, fast-acting and the latest generations with a prolonged effect);
moderate use during development;
give up bad habits, be less nervous, give moderate physical exercise to improve the condition of blood vessels and the heart.

An allergist-immunologist is a doctor whose appointments are increasingly being visited by people of all ages. Many negative household, industrial, environmental factors increases the risk of genetic predisposition to allergies. Often negative reactions develop with decreased immunity, frequent stress, and poor nutrition. If allergies are suspected in adults and children, the help of a qualified specialist who deals with problems of the immune system restores health and improves the quality of life.

Find out more about what a pediatric allergist treats and in what cases it is necessary to take your child to a specialist after watching the following video:

An allergist-immunologist is a medical specialist who identifies and treats various types allergies associated with a disorder of the human immune system. The doctor is also developing preventive measures aimed at preventing the development of allergic pathologies.

An allergist-immunologist deals with the treatment and prevention of allergic reactions

It is a known fact that various diseases appear as a result of a decrease in the body’s protective functions. This number also includes diseases such as allergies. Therefore, the doctor carries out therapy in two directions - treats allergies and strengthens the body’s immune functions.

Specialization arose relatively recently. The appearance is associated with the annual increase in patients who suffer from allergic reactions. According to statistics, every fifth person suffers from allergies, and children's bodies are especially prone to this. Therefore, the demand for the profession of allergist-immunologist is growing.

What is the competence of an allergist-immunologist?

The doctor identifies the causes of disorders of the body’s immune functions and, as a consequence, the manifestation of allergic reactions. The primary competence of the doctor is to identify allergens that affect the patient’s immune system, after which appropriate treatment is prescribed.

The efforts of an allergist-immunologist are aimed at preventing exacerbations of seasonal allergies

Important areas of the specialist’s work are:

Diagnosis, preventive measures from bronchial asthma, dermatitis, rhinitis different types, conjunctivitis, etc.
Prescribing, as well as carrying out medical procedures aimed at eliminating seasonal and year-round allergies.
Diagnosis, therapeutic correction of immunity.
Carrying out restorative procedures aimed at protecting the human immune system.

Today, children's immunity is greatly weakened due to poor ecology. As a result, the allergist-immunologist often treats and strengthens immune system children and adults.

Diseases within the competence of an allergist-immunologist

The specialist’s scope of activity includes the identification and treatment of the following diseases:

children's atopic dermatitis caused by food allergies;
children's, adult contact and seborrheic dermatitis caused by skin contact with any reagent;
respiratory allergies caused by air allergens;
hay fever - an allergy provoked by plant allergens;
continuous allergic rhinitis(continuous runny nose with itching and redness);
children's and adult seasonal allergic rhinitis (runny nose caused by pollen);

The doctor is competent to treat allergic rhinitis

skin inflammations, including purulent acne;
allergic conjunctivitis;
childhood urticaria;
intolerance to certain food groups (food allergy);
drug intolerance;
herpes;
Quincke's edema;
chronic tonsillitis and others purulent diseases pharynx;
chronic lung disease caused by a decrease in immune structure;
bronchial asthma - a severe disease of the respiratory tract of a chronic form;
relapses of diseases on an ongoing basis.

You should contact an allergist-immunologist if you have food intolerances.

A pediatric allergist-immunologist often treats lichen, urticaria, warts, and atopic dermatitis caused by allergenic foods. Thus, an allergist-immunologist identifies allergic reactions in the eyes, bronchi, nasopharynx, skin, nose and treats them.

In what cases is it necessary to contact a specialist?

Consultation with an allergist-immunologist is necessary if the following symptoms are observed in a patient:

intermittent or persistent nasal congestion;
continuous or seasonal nasal discharge;
redness, irritation, rash and inflammation on the skin;

Consultation with an allergist-immunologist is necessary for chronic difficulty breathing

frequent irritation of the mucous membranes of the eyes and nose;
frequent sneezing and watery eyes;
breathing heard at a distance;
breathing through the mouth due to nasal congestion;
lingering dry cough;
frequent colds and ARVI (more than three times a year);
the occurrence of herpes more than five times a year;
persistent bruises under the eyes;
lack of air, shortness of breath, suffocation caused by bronchial asthma;
frequent fever and dizziness of unknown nature.

The appearance of ARVI more than 3 times a year is a reason to visit an allergist-immunologist

If symptoms of a seasonal nature do not go away within a week, and if they are chronic for more than four weeks, then a consultation with an allergist-immunologist is necessary.

What tests and diagnostic methods does the doctor use?

To identify certain substances responsible for the development of diseases, it is necessary to collect the following tests:

Scraping the affected skin.
Sputum analysis.
Blood test for antibodies.
Blood test for biochemistry.
Complete blood count (blood is taken from a vein).

To diagnose diseases, the doctor prescribes an immunological blood test

Immunological diagnosis (determine the presence of antibodies in the blood).
Immunogram (blood is taken from a finger, after which the content of leukocytes and lymphocytes in it is determined).
Stool analysis (determines resistance antibacterial drugs to the sensitivity of bacteria).
Test for HIV and STDs.
Allergen test (a possible allergen in a liquid state is placed on the skin, then the swelling and redness of the affected area are observed).

A children's allergen test is carried out using the latest type of analysis. The allergist-immunologist uses the following diagnostic methods:

X-ray (it gives an assessment, determines whether there is damage to internal organs).

One of the most effective methods identifying allergens are allergy tests

An appointment with an allergist-immunologist begins with a detailed questioning of the patient, consisting of the following list of questions:

What worries the patient?
When did the first symptoms appear?
Have you had similar symptoms before?

During the consultation, the allergist-immunologist studies the patient’s medical history in detail.

Under what conditions do symptoms worsen?
Have there been any independent attempts at treatment?
Does the reaction occur after eating certain foods?
Is there a hereditary predisposition to allergies?

After collecting anamnesis, an examination of the mucous membranes and skin is carried out. To make a diagnosis and prescribe further treatment, the allergist-immunologist gives a referral for certain tests. If the cause of the disease is not identified, an X-ray examination of the affected area is performed.

To prevent allergic reactions, you should take vitamin complexes in the off-season

Review your daily routine.
The doctor definitely advises you to switch to proper nutrition. Avoid fried, spicy, salty foods.
At acute forms Allergy sufferers need to follow a certain diet. Avoid citrus fruits, red fruits and berries, which can provoke increased dermatological reactions.
Take vitamins A, B, C to restore immunodeficiency every spring and autumn.
Take dietary supplements to strengthen the immune system.
Add mandatory sports training to your daily routine. For example, swimming, running, daily walking.

Hardening will help strengthen children's immunity

Children's immunity is normalized with the help of hardening. Therefore, gradually accustom the child to dousing with cold water.

If children get sick often colds This means that children's immunity is reduced. In this case, an allergist-immunologist will help prevent the risk of complications.

Information about what diagnostic and treatment methods the allergist-immunologist uses is provided in the video:

Preface

0.1. The document comes into force from the moment of approval.

0.4. Periodic verification of this document is carried out at intervals not exceeding 3 years.

1. General provisions of the job description of an allergist

1.1. The position “Allergist of the II qualification category” belongs to the “Professionals” category.

1.2. Qualification requirements: complete higher education (specialist, master’s degree) in the field of training “Medicine”, specialty “General Medicine”. Completing an internship in the specialty “Therapy” with subsequent specialization in “Allergology”. Advanced training (advanced courses, internships, pre-certification cycles, etc.). Availability of a medical specialist certificate and a certificate of assignment (confirmation) of qualification category II in this specialty. Work experience in the specialty for more than 5 years.

1.3. Knows and applies in practice:
— current legislation on health protection and regulations regulating the activities of governing bodies and healthcare institutions, organizations of allergy care;
— fundamentals of law in medicine;
— rights, duties and responsibilities of an allergist;
— fundamentals of clinical immunology and allergology;
— allergens, their properties, methods of distribution and standardization;
- prevention, clinical presentation, diagnosis, differential diagnosis of allergic diseases and pseudo-allergic reactions;
— modern classification of allergic diseases;
— specific immunotherapy and principles of nonspecific therapy;
— research methods in allergology;
— issues of disability;
— the work of medical advisory and medical and social expert commissions;
— organization of medical examination;
— rules for processing medical documentation;
— modern diagnostic and treatment methods used in related industries;
— modern literature in the specialty and methods of its generalization.

1.4. An allergist of the II qualification category is appointed to the position and dismissed from the position by order of the organization (enterprise/institution).

1.5. An allergist of the II qualification category reports directly to the Chief Physician.

1.6. An allergist of the II qualification category supervises the work of a nurse.

1.7. During his absence, an allergist of the II qualification category is replaced by a person appointed in accordance with the established procedure, who acquires the appropriate rights and is responsible for the proper performance of the duties assigned to him.

2. Characteristics of work, tasks and job responsibilities of an allergist

2.1. It is guided by the current legislation of Ukraine on health protection and regulations that determine the activities of governing bodies and healthcare institutions, the organization of allergy care to the population.

2.2. Collects allergy history, determines the scope of general and special examinations, allergy tests; applies modern methods of prevention, diagnosis, treatment, rehabilitation and medical examination of allergy patients.

2.3. Provides emergency and emergency medical care; advises patients on referrals from doctors of other specialties, including at home.

2.4. Applies therapeutic and dietary nutrition.

2.5. Monitors adverse reactions/effects of medications.

2.6. Carries out examinations of work capacity, takes part in the work of medical advisory and medical and social expert commissions.

2.7. Adheres to the principles of medical deontology.

2.8. Supervises the work of nursing staff.

2.9. Plans work and analyzes its results.

2.10. Maintains medical documentation.

2.11. Takes an active part in disseminating medical knowledge among the population.

2.12. Constantly improves his professional level.

2.13. Knows, understands and applies current regulations relating to his activities.

2.14. Knows and complies with the requirements of regulations on labor protection and environment, complies with the standards, methods and techniques of safe work performance.

3. Rights of an allergist

3.1. An allergist of the II qualification category has the right to take actions to prevent and eliminate cases of any violations or inconsistencies.

3.2. An allergist of the II qualification category has the right to receive all social guarantees provided for by law.

3.3. An allergist of the II qualification category has the right to demand assistance in the performance of his official duties and the exercise of his rights.

3.4. An allergist of the II qualification category has the right to demand the creation of organizational and technical conditions necessary for the performance of official duties and the provision necessary equipment and inventory.

3.5. An allergist of the II qualification category has the right to get acquainted with draft documents relating to his activities.

3.6. An allergist of the II qualification category has the right to request and receive documents, materials and information necessary to fulfill his official duties and management orders.

3.7. An allergist of qualification category II has the right to improve his professional qualifications.

3.8. An allergist of the II qualification category has the right to report all violations and inconsistencies identified in the course of his activities and make proposals for their elimination.

3.9. An allergist of the II qualification category has the right to familiarize himself with documents defining the rights and responsibilities of the position held, and criteria for assessing the quality of performance of official duties.

4. Responsibility of the Allergist

4.1. An allergist of the II qualification category is responsible for failure to fulfill or untimely fulfillment of the duties assigned by this job description and (or) failure to use the granted rights.

4.2. An allergist of the II qualification category is responsible for non-compliance with the rules of internal labor regulations, labor protection, safety precautions, industrial sanitation and fire protection.

4.3. An allergist of the II qualification category is responsible for disclosing information about an organization (enterprise/institution) that is a trade secret.

4.4. An allergist of the II qualification category is responsible for non-fulfillment or improper fulfillment of the requirements of internal regulatory documents of the organization (enterprise/institution) and legal orders of management.

4.5. An allergist of the II qualification category is responsible for offenses committed in the course of his activities, within the limits established by the current administrative, criminal and civil legislation.

4.6. An allergist of the II qualification category is responsible for causing material damage to an organization (enterprise/institution) within the limits established by the current administrative, criminal and civil legislation.

4.7. An allergist of the II qualification category is responsible for the unlawful use of the granted official powers, as well as their use for personal purposes.

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