The Ministry of Health has developed a draft of updated functional responsibilities of medical workers in kindergartens and schools. The updates concern functions for disease prevention, rules for medical examinations and monitoring the proper nutrition of children, the Deputy Minister of Health announced on December 20 Evgenia Kotova at a meeting of the Presidium of the Council of Legislators at the Federal Assembly, reports an MV correspondent.
In working order, these new job descriptions for school medical staff have already been agreed upon with Rospotrebnadzor and the Ministry of Education. As part of the document, it is also planned to update the filling of packs with more modern medical products, Kotova added. It was previously reported that it is planned to bring medical support to children in educational institutions to a single standard.
According to the updates, in small schools, medical examinations will be carried out by teams of specialized specialists at the rate of one team per 50 thousand school-age children. This is also due to the shortage of school doctors and nurses. According to the Ministry of Health, schools are provided with doctors by approximately 70%, and nurses with a part-time ratio of 1.3 – by 85%.
To resolve the personnel issue, universities have specially introduced the position of nursing specialist (bachelor). “We graduate approximately 1.2 thousand such specialists per year. We recommend that regions, as part of targeted recruitment, ensure an increase in the training of such specialists in order to staff educational organizations with medical workers,” Kotova explained.
Data on the actual equipment of school institutions with medical offices was presented at the event by the Deputy Minister of Education Tatiana Vasilyeva. According to her, the department checked the availability of medical offices in 30 thousand out of 39,440 Russian schools. Almost 17 thousand schools noted that they have medical offices. Of these, 8 thousand schools have medical licenses, the rest resolve the issue of access to medical care with the help of the nearest clinic. Another 13 thousand schools do not have medical licenses.
“It’s a lot. We will resolve this issue together with the Ministry of Health,” Vasilyeva said. According to the department’s general assessment, the number of medical rooms in schools needs to be increased. At the same time, as the Vice Speaker of the State Duma noted Irina Yarovaya, for more than 9 thousand schools there is no information at all on how they resolve the issue of providing medical care. As Kotova explained, if we are talking about rural small schools, there is usually a first aid station or a medical outpatient clinic nearby. She provides children with medical care under a contract.
In October, Deputy Prime Minister Tatiana Golikova instructed the Ministry of Health and Rospotrebnadzor to work on a parliamentary initiative to establish a unified approach to the organization of school medicine. Irina Yarovaya then stated that the activities of school doctors should be standardized at the federal level by analogy with the Soviet experience. Then the employee was given a wide range of responsibilities: conducting an in-depth medical examination, maintaining an individual student record, monitoring the sanitary and hygienic condition of the school cafeteria, and participating in the development of the class schedule. Moreover, all school doctors were on the staff of medical organizations. Earlier, the Ministry of Health stated that they saw no obstacles to the implementation of Yarovaya’s proposal.