Hello dear. Of course I will. With pleasure. Ask.
Tell us about yourself: what do you work for and how long have you been working in this profession?
I have been working as the head of the FAP in the village of Okhli, Levashinsky district, since 1978. And to this day I have been working in this position for 38 years.
Why did you choose this profession?
I had a childhood dream of becoming a good nurse.
Are you satisfied with your choice?
I am very satisfied with my choice. I have never regretted that I chose this path.
Was it difficult to master this profession? What kind of education do you need to get for this?
It was not difficult for me to master my dream, since I really wanted to become a nurse. All you need for this is secondary education.
Do you need any special qualities and skills for a person who has decided to become a specialist in this field?
Yes, of course, mercy, sensitivity, gentleness, dexterity and great patience are needed.
What difficulties do you face in your work?
Of course, I faced a lot of difficulties: lack of medical equipment, necessary medicines; specialists, especially a pediatrician, therapist; transport seriously wounded patients to district hospital it was very difficult.
What is the most interesting thing in your profession?
The most interesting thing is to help those in need in difficult times.
Does your profession allow creative opportunities to express themselves?
Yes. But how!
Did a childhood dream come true future profession?
Yes, it came true.
How useful and important is your profession for our country?
In the health of the people, the wealth of the country is the most important thing for the country.
Bringswhetheryoursprofession good income?
Yes, it brings good income. There is not much choice in the village and there is little work. You can only live by your own work. And with my work, I am always confident in the future.
Everyone. Absolutely everyone.
What would you like to warn those who are going to get the same profession as yours?
If you study well, there are no difficulties.
How do you see your profession in the future?
The specialty of nursing is developing more and more. I hope that in the future, it will develop even better.
How was your first day at work?
The happiest.
How much did you earn at first? And now?
Seventy-two rubles, and now fifteen thousand rubles.
How many colleagues do you have?
Seven. The team is small but very friendly.
Are you proud of your profession?
6th grade student Magomedova Umakusun
The thought came to me, to start interviewing employees different professions. In order to learn more about the profession itself and how people actually live in their work. If anyone likes it, I will interview further.
INTERVIEW WITH A NURSE.
Hello. Please introduce yourself.
Hello. My name is Elena.
Elena, who and where do you work?
Ward Nurse, A.N. Bakuleva Institute
What were your fates there?
After graduation, I decided to go to work in one of the best scientific centers RAMS! At the end of my studies, I had an internship at the A.N. Bakulev Institute, I liked it and that's why I went there.
What department do you work in?
I work in the intensive care unit.
How did it happen that you became interested in this topic?
Oooh, this interest of mine woke up in me quite early, in the sixth grade of school. Initially, I wanted to become a surgeon, however, as now.
So, in the future, you want to enroll in higher education, to medical university?
Yes, it's in the plans.
Let's get back to your working days. What schedule do you work with?
I have to work 7-8 shifts a month, so I work day and night, I can adjust the schedule myself, in general, the wishes of the employees are taken into account, and I can arrange my shifts as convenient, of course, within reason.
Would you like a different schedule? For example, work only at night? Or just during the day? 5/2 or 2/2?
No, due to the fact that I travel far. I spend 2.5-3 hours on a one-way trip, so it's better for me to work around the clock.
Tell us about your main responsibilities at work?
First of all, I am obliged to fulfill the doctor's prescriptions, monitor the condition of patients (hourly monitoring, counting diuresis, body temperature), carry out personal hygiene of patients, receive patients who have arrived, and also prepare for transfer to regular departments, every three hours, analyzes of arterial and venous blood ... in case of resuscitation, act immediately, according to the doctor's instructions, keep order in the room, carefully handle narcotic and potent drugs, in general, there is enough work ... It’s not possible to relax much ...
What is the main "enemy" of the nurse?
The patient is conscious or without sedation, damn it, there are only beggars - give me a drink, give me a drink (laughs). But seriously, the main "enemy" in our department is the global shortage of middle staff.
How do doctors treat nurses?
Doctors, I want to say, we have adequate, correct and tolerant, well, of course, with rare exceptions.
What are the pros and cons of your profession in your opinion?
The pluses in my department are that they will always help you, even the doctors help you well. We have the most convenient equipment and medicines. Something like this…
The disadvantages are the lack of nurses, if there are 4-5 patients per room, there should be at least 2 nurses, then we have one, sometimes one is torn into two rooms, as a result, she cannot even dine like a human being, let alone that he doesn’t sleep all day ... And if the night is “fun”, let someone “fibril”, very often the department lacks elementary gloves, sanitation catheters, you have to get out, sometimes it’s very cold, especially at night, which accordingly interferes work...
Would you like to go back and turn life around in a different way?
As for the profession, I like it. Yes, sometimes there come moments when you want to go back ... Very often, because of overload, solid nerves, such thoughts come. But still, this is a very prestigious place and I will have to be patient, if only for the fact that after working in this center, for a period of one year, I can safely come to any clinic to work. Because our staff is considered the most qualified.
What is your salary per month?
Since I am still a trainee and my salary is less than others, I received 23 thousand. The salary of the most accomplished sisters is 25-30, but the fact is that this salary was still there when there were enough workers, and now we work, as they say, for three, and no one plans to raise it for us. So, and where does the desire to work or, let's say, the mood to work come from?
So, the wish for an increase in salary is understandable. What other wishes do you have for A.N. Bakulev?
Well, as I said earlier, sometimes there are not enough disposable gizmos. it sometimes interferes with work when something urgently needs to be done, and for example, you don’t have gloves at hand ... Well, in general, everything is conveniently located, sanitary norms and working conditions at the level
Finally, what advice would you give to newbies?
To gain, as they say, patience, this is actually the most important thing. Immediately put the installation that this is just work and you do only what you have to. if people begin to "usurpate", and this always happens, it is very difficult for teams to accept new people, just to endure it. You leave work, and at least order everyone to the killer. At the expense of obligations, nothing can be neglected naturally. so as not to be responsible later for undesirable consequences, and also when you go to work. inquire first of all about working conditions so as not to overwork the norm, because this is not easy.
What would you like to wish and add?
How much you worked, how much you earned! No, not like how much he worked, and they deceived))) Only this gets into my head. (laughs)
Olga Vladimirovna Stikhareva
operating room nurse of the operating unit of the neurosurgical operating room General medical experience 25 years
I wanted to be a doctor since childhood. I entered the Tula medical school - there were not enough points. I went to work in the operating room as a nurse, I studied at the evening department. It was hard, but I just fell in love with my work. Now medical colleges and universities graduate newcomers every year, and few remain to work in the hospital. They will work for a short time and understand: this is not their calling. Hard. And the salary isn't very good either.
What are the difficulties of the profession, you ask? Well, are there professions without difficulties?! Of course, this is a big emotional burden. The operating sister must be collected, attentive throughout the operation, monitor the instrument, the use of napkins and the course of the operation, understand the surgeon without words. It is hard to stand in one place, in our operating room, surgical interventions last from 5-6 to 12 hours!
In addition, we are also psychologists, we are able to support the patient, set him up for success in the operation. Let's stroke your hand, look into your eyes, calm down. Many patients are interested in how long will the operation take? I usually answer that it is not time that matters, but the result.
Did I want to be a doctor? But no! I'm an operating sister, I'm the surgeon's hands, and sometimes more.
Of course, it didn't come right away. To become an operating room nurse, you need to work in the operating room for at least five years - in order to know the course of the operation, and possible deviations, and what tools may be needed. It is shown on TV how the surgeon commands - "scalpel, clamp ..." In fact, the ideal operation takes place in complete silence. The operating nurse must know and predict which instrument to put in the surgeon's hand.
Our profession is very interesting, because there are no identical operations. No two people are the same, we are all unique! Every day we have something new - both equipment, and technologies, and the operations themselves. When I first came to work, how could I imagine that brain surgeries would be performed without craniotomy, through the nasal passages?!
Do I like movies about doctors? Yes. Modern films are often discussed and laughed at - when there are huge dilators in the frame, and the operation can be said with microscopic incisions. Well, this is a movie, it has its own laws. In general, I prefer old films about military doctors. They just take it to heart.
For those who are now choosing their profession, thinking where to go, I will say this: do not be afraid of difficulties, they are everywhere, but if you overcome them, then you will fall in love with this profession for life.
I am grateful to my colleagues - we are all one team, one team - a surgeon, an anesthesiologist, a nurse, a nurse. The result of our work depends on the warm attitude to each other and to the patient. Here they bring the patient to the operating room, perform the operation, and a week later he goes home himself, and everything is fine with him. And this is happiness. Our happiness.
Nina Vasilievna Komarova
senior operating nurse of the operating unit, excellent health worker, honored healthcare worker of the Russian Federation
I came to the regional hospital after medical school. And I've been here for 42 years. It can be said that I am the most mature employee of our team - and we have 56 people working in the department. 28 nurses have the highest qualifications. Every day, 50-60 operations are performed in the department. We have 20 operating rooms, and we work around the clock.
When a patient is brought, for example, from an accident, the doctors next to him change, but the operating nurse does not. She works with everyone. And he knows everything!
Yes, we have a shortage of nurses and nurses. And not only in our hospital. Because it takes at least five years to "grow" a real specialist after college - a sister who can work with any doctor of a narrow specialty. We also do the work of nurses - not every doctor can connect the most sophisticated equipment for an operation, but sisters can. We have 12 laparoscopic desks in our department, every week doctors from Moscow clinics come to give master classes. It used to be a fantasy, but now it's a common practice.
How should one live in order not to end up in our department as a patient? Observe safety precautions. The swimming season is about to begin, and our department will have "divers" - mostly young boys. I dived into the reservoir, not knowing the bottom, and as a result - complete immobility. I urge everyone to follow the rules traffic. You have no idea how many people are injured in road accidents. And all why? Someone is reckless, someone is inattentive, someone has broken the rules ...
Natalya Vladimirovna Sochneva
ward nurse of the ophthalmology department
General medical experience 19 years
I graduated from the Tula Medical College, had an internship at the regional hospital, and then came here to work. The ward nurse is the closest person to the patient. We prepare patients for surgery, carry out appointments and examinations after it. There are a lot of older people in our department. They, like children, require special attention.
Some of them are lonely, and for them the hospital ward is also an island of simple human communication. For the holidays, we always dress up our department, New Year We put up a Christmas tree to make it cozy. So the recovery is faster. Of course, it happens that patients are capricious, but we, as psychologists, relieve stress.
My son and daughter are growing up, but it looks like only my daughter will follow in the footsteps of my mother - she has already healed all her dolls.
Not everyone can become a real nurse. It should be a need in the soul - to help people, to surround them with attention and care. You just have to love people. No matter what the situation is at home, at work you need to be able to switch off from problems. Because as you approach the patient, as you set him up, so he will recover.
Nadezhda Sergeevna Mogilnikova
home nurse Tula Regional Clinical Hospital, Honored Health Worker of the Russian Federation
awarded the medal Labor Valor III degree
General medical experience 42 years
I came to work in the regional hospital as a nurse. I studied at the evening department. Then she worked in the operating unit. I have always been drawn to surgery. Probably because the result of labor is immediately visible. You understand what the patient was saved from and what was adjusted in his body.
I have never been afraid of blood, open wounds, I am not afraid of anything within the walls of my own hospital - we can deal with any trouble here.
To be a nurse, you have to study all the time. And it is not only to participate in various conferences and refresher courses. The main thing is self-education. True, I believe that the Internet is not suitable for deep professional training, for getting to know something - yes, it is. I am the chairman of the state commission for the final exams at the medical college. And those who prepared only on the Internet are immediately visible at the state exams. Deep knowledge is still provided by specialized literature and practical work with mentors.
In Tula, our medical college graduates about 100 nurses every year, and only in our hospital there are vacancies for 40 (in total, about 800 paramedical workers and about 300 junior medical staff work in the regional hospital - author's note). Why? We admit honestly that the salary does not allow a young nurse to immediately have financial independence. They come to practice, they like to work, they understand that this is where you can become a real sister. But the intensity of work scares many - almost all nurses work for one and a half rates, especially during the holidays. And the same money can be earned easier and faster, for example, in Moscow.
Patients are now different, not the same as they were before - they know well what they are ill with, how their disease is treated, they have high requirements to the provision of medical services and conditions of stay in the hospital.
This is all right, but behind all this, respect leaves our communication. We have become less respectful of each other and more intolerant. It is unacceptable when you can hear: “You won’t work here tomorrow!”
The busiest departments in our hospital are the departments of the Regional Vascular Center for patients with acute cerebrovascular accident and the Department of Emergency Cardiology. They always work with overload. Why? Probably, we don’t take care of our health very well, we don’t always go through medical examinations on time, we don’t monitor blood pressure, cholesterol and blood sugar levels, etc. Of course, many have read and know everything about healthy lifestyle life. But following these recommendations is also work. And not everyone wants to do it. Health is not enough, it must be protected. Because doctors can not always return the patient to the original quality of life.
It is not entirely true when they say that a nurse is service staff. Not! She is a doctor's assistant and a member of the treatment team. For me, the word “nurse” is very capacious, it contains care, sympathy, compassion, the ability to perceive the patient as a close dear person, the ability to restrain oneself and not get annoyed. Only in our profession there is a very warm and sincere appeal - sister, sister.
I may be an idealist, but I think I have the best profession!
On the eve of the International women's day we talked with the chief nurse of the Saratov city hospital No. 6 named after academician V.N. Koshelev Zoya Kuryshova about everything related to the work of beautiful ladies. And also: the attitude of patients, the modern realities of medicine in the style of “Knew where they were going!”, salaries and the prospects for effective cooperation between doctors and patients. Zoya Pavlovna devoted about 30 years to her work, was awarded the badge "Excellent Health Worker" and cannot imagine life without a hospital, her colleagues and wards.
- Zoya Pavlovna, let's start with you. How did you get into medicine?
- In the city where I was born and raised, there is a branch of the medical school. My mother's friend worked there as a teacher, and I, imperceptibly for myself, also became interested. I came and listened to lectures. She loved to visit her older friend, who studied there, to look at all this beauty: syringes, ampoules, first aid kits. A white coat, medical caps - everything caused a sacred awe. Therefore, the decision to become a nurse became a matter of course. Although there were no doctors in my family and there are still none. And for all these years I have only established myself in the fact that I have chosen the right profession.
What do you need to do to become a head nurse?
- First you need to work and love your job. I graduated from a medical school in 1988 and came to the 6th city hospital for distribution. I ended up in the emergency department - this is an outpost of a medical facility. Adaptation is different for everyone, which primarily depends on the team. I was lucky: our older sister was Zhiganova Olga Nikolaevna, a very serious woman, demanding. The setting was such that all household chores remain outside the gates, you come to work to work, and not to drink tea, you can’t relax. This approach has since become a habit. Then there were the departments of planned surgery, traumatology, the post of the head nurse of the operating unit, the Laser Surgery Center. I also worked in a manipulation room, in a dressing room, and was a ward nurse. People think that a nurse is the one who gives the injection, in fact, there are different areas in our work, fortunately, I was able to learn the nuances of almost each of them.
- Do you have a higher nursing education?
– Yes, I graduated with honors from the Institute of Nursing Education at the SSMU already in adulthood. I believe that higher education is necessary for every nurse. To simply work in the department, it is enough, of course, to have secondary specialized education, advanced training courses, but still higher education is not an empty phrase. Training gives a lot of knowledge in the field of management and personnel management. The world is changing and now there are many questions in the field of medical psychology, ethics and deontology.
- What do you have in mind?
- Let's start simple. Before cell phones was not, but now everyone: young and old have gadgets. The nurse should not be at the workplace with the phone in her arms, there should be no unnecessary conversations, SMS correspondence that are not relevant. But the hospital is not military organization, and there is no direct ban on phones. The employee himself must be aware that the discussion of personal matters in front of patients is unacceptable. How to achieve this?
How to ensure that professional burnout does not occur in people, their attitude towards patients does not change? The work is nervous, and it happens that after three years a person begins to hate everything around. What to do? These are topical questions for many physicians. And I see the future in the creation of psychological help rooms for them. A clinical psychologist is always available to our patients, but there is no such thing for the hospital staff yet. Although the load is extreme. Many have a work schedule, as in a joke: “If you work for a rate, then you have nothing, but if you have two, that is, there is no time.” People want to earn more money exhausted mentally and physically. Someone has to support them. You won’t earn all the money, and medicine is not the area where you can become an oligarch. But because of this, you should not hate the whole world. We ourselves chose this profession. I believe that you need to work out at least a year in this area and draw clear conclusions - is it yours or not. If not, then quit and never return to medicine. And those who linger and feel that their life is here, they need help. The turning point comes somewhere in 5 years, when you can really get tired and disappointed in people. This is where a psychologist is needed. Who will help us if not us?
- And who helped you?
– I guess I’m my own psychologist (laughs, – Note Aut.). I manage to shift the angle of view and not dwell on the bad. Take the same wages. Many are indignant - there is a lot of work, but there is nothing to live on. Wait, but was it five years ago less work? No, just the same. Was the salary higher? No, it was 3 times less. So why did they work with pleasure then, but now we don’t want to? Prices have not increased 5 times, now many have the opportunity to take out a mortgage, buy a car, a fur coat, go on vacation abroad. Let it be on credit, but there is an opportunity to pay it back. Yes, we can't waste money left and right. But medicine is not a business, and not all people can be businessmen. Physicians have an average wage around the country, so don't trample yourself into the mud - we are not the most impoverished segment of the population.
“Then why is there so much discontent?” Features of psychology?
- I think that now everyone is watching the Internet, TV, society is hyper-informed. But instead of looking at the work of an ordinary person, seeing his achievements, we see yachts, palaces, entertainment. And it seems that here they are - they do nothing and everyone has it, and here we lay our lives on the altar, but we have a gulkin nose. But there is no need to look into someone else's pocket, condemn someone else's success, wait for money from heaven.
"Knew where they were going!"
- Do you support the frequent expression addressed to doctors “You knew where you were going” and the hint that all difficulties must be endured in silence?
- Responsibility should not be removed from patients: people go into medicine not to be rude or humiliated. Previously, the health worker was a respected person, now it is the attendants. But we cannot be considered service staff, I think the word "medical support" is more suitable here. When we hear about “attendants” on rounds, it hurts. Helping and serving are two different things. Patients have greatly changed their outlook and attitude towards doctors, too. The opinion that they are grabbers and do not work without a bribe does not inspire joy.
- Maybe the doctors themselves compromised themselves?
- The world as a whole has changed, the mentality, the level of requests. Some patients believe that “if I give money, they will cure me right away.” Others think - but I will not give anything, they must treat me like that. But if other people did not give money, then there would be no such discrepancies at all. The issue of wages is controlled by the state, that is, the relevant legislation. Why provoke and then complain? Therefore, I say that everyone needs a psychologist: both doctors and patients. To avoid internal conflicts. Now this role is taken over by the hospital administration. We have to maneuver so as not to offend anyone.
What are the patients complaining about?
- The last case - a patient comes and says: “I am not being treated and the doctor is not suitable. Some one system is being dripped, and the doctor has been only 3 times.” I clarify: that is, there is no daily medical round, and no one comes to you? No, he says he does. First in the morning, then in the evening. But you understand that this is not enough for her? A person wants an individual approach, but he forgot that there are 60 people in the department and the doctor does not have time to sit at the bedside of each patient. She remembers only those moments when he explained something to her for a long time. The rest of the time I feel abandoned and forgotten. Therefore, my task is to explain what a doctor does during the day, what a nurse does, what their duties are, and to calm the person. People may simply not know the organization of work in the hospital, represent it somehow in their own way.
- By the way, you can also hear from patients: “Nurses do nothing, they only drink tea!”
Such impatience is also understandable. When something is urgently needed, the patient runs to the nurses, looks for them in the rest room, sees that they are drinking tea, and automatically thinks that every time something important happens, they are busy with the wrong thing. Or you are in a hurry somewhere, come to a stop, and there the drivers stand smoking by the buses and do not go anywhere. And you need! And now 10 minutes have passed, and it seems to you - an hour! And they have an interval between trips of 12 minutes. But even those two minutes feel like an eternity. Although in fact everything is in working order. Responsibilities are also distributed between nurses: someone drinks tea, someone works. If the situation is urgent, then there is no time for tea at all. I understand that patients want their sisters to be by the bed all day, but, unfortunately, health workers are not robots, and they also sometimes need to eat, drink, and go to the toilet. They are on duty in the hospital for days.
- You, as the head nurse, do not have direct contact with patients?
No, but I remember that time very well. Communication with patients energizes the work. When you see that patients are recovering and happy, this is happiness. Recently, my grandmother, a former patient, called me to wish me a happy new year. 20 years have passed! And she remembers me and thanks! Is this not happiness? Most of the time spent with patients, of course, nurses and nurses. Senior nurses monitor their work and order in the department. If there is any conflict, they resolve it on the spot. I, as the head nurse, are called upon to monitor the entire system as a whole so that it works like clockwork, and there are as few people dissatisfied with each other - both patients and doctors.
- Nursing teams, by and large, are female. Are women harder to work with than men?
- It is more difficult, because everything needs to be done with an eye on yourself. You are an example, and any oversight will be immediately noticed. Starting with how you look, where and with whom you rest, what car you came in, what earrings you put on. It is undesirable to stand out. A nurse, first of all, should look modest and aesthetically pleasing, observe the rules of decency. If I walk in feathers and rhinestones, I doubt that this will cause respect.
What if there are other nurses? Can patients complain about this?
- This is in principle unacceptable, the medical staff has a strictly defined uniform and requirements for appearance. No cleavage, short robes, bright makeup, long nails. We come here to work, not to flaunt like on the podium. I understand that the image of a nurse is a little sexualized, it has gone from time immemorial, when nurses were the only women in men's teams. White is the color of purity and purity, it adorns a woman, and if someone likes her, that's fine. But this image should not be misinterpreted.
How do you feel about personal relationships at work?
- All personal relationships at work should be behind her gates. There are marriages between doctors, but this is a personal matter for everyone. In order to get married, one short robe is not enough, you need to be smart interesting person, a good and diligent worker. Entire medical dynasties then grow from such families.
What do you think is the ideal nurse?
- In fact, everything is spelled out in job description. As for personal qualities... A person should be positively disposed towards his work, be able to find mutual understanding with patients and doctors, and be a good performer. You can not be malicious, or vice versa too soft. When you see that someone is trying to impose their incompetent opinion on you, you need to be able to refuse these requests. You should not be too imbued with the pain of others and take this burden home. Sympathize - yes, but do not cry with everyone. You need to be able to abstract. It gets difficult. Especially when there are people next to you who cherish the hope of recovery, and you know that the end is near and there is nothing to help. Therefore, psychology is so important for each of us - to be able to adapt to people, circumstances, not burn out, to select the right tone for communication. People are different, you can just stroke someone on the arm and it will make him feel better, and someone to say sharply: stop the tantrum! And at the same time not to be affected.
– What advice can you give to patients: what complaints and suggestions should be addressed to the head nurse?
– Patients can apply with any complaints. The most important thing is to decide on its essence and the final addressee, who needs to be held accountable. When it comes to legal issues - one thing, the quality of food - another. Washing the floors is the third. If the picture of the disease is not clear - the fourth. Not every person immediately understands how a medical institution functions, who is responsible for what. Suppose the doctor says: the results of the study are such and such, the treatment is prescribed adequately. The patient to the nurse - what was prescribed to me? She names drugs. He is on google. He reads the descriptions, as a result, does not understand why he was prescribed this, panics, believes that the nurse and the doctor are bad. And the only problem is that he was not explained about comorbid diseases, a complex of treatment. And the only thing to do if trust is lost is to contact the head of the department, who will sort everything out. It is important to find a common language with everyone so that the stay of patients in the hospital is comfortable, the treatment is effective, and the work of the staff is equally pleasant for both parties.
Interviewed by Victoria Fedorova, Saratov
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