Employees of the emergency medical care department (EMD) of the Chkalovsk Central District Hospital (CRH) in the Nizhny Novgorod region sent an appeal to the president Vladimir Putin, to the Minister of Health Mikhail Murashko and several regional officials, including the governor. In the letter, mid-level health workers and drivers reported unbearable working conditions.
Thus, the paramedics write, all nurses and drivers are forced to take more than one position, and even taking this into account, they often have to work in an understaffed ambulance team consisting of only a paramedic and a driver.
“Our emergency medical services teams are constantly taken off shift to transport patients for examinations or hospitalization in Nizhny Novgorod, Dzerzhinsk (more than 100 km one way), Trans-Volga region, Balakhna. As a result, there is only one, sometimes understaffed, emergency medical service team left in the area, the load on which increases significantly. Naturally, in this case it is not always possible to meet the standard for getting to calls. If the second team leaves for the regional center, then there is no one in the area to provide emergency medical care for several hours.”
In addition, ambulance workers complained; employees transport all the specialists who are on duty at home almost every day several times to and from the central district hospital, which interferes with the provision of emergency assistance to the population. There is no additional payment for this, the authors of the letter noted. Also, nursing staff have to perform duties that are not part of their job: conduct pre- and post-shift medical examinations of ambulance drivers, and also work as security guards at the Central District Hospital at the barrier. Drivers are forced to repair and wash cars right on the street, since the ambulance does not have a garage.
“OSMP employees have not been issued special clothing for more than five years, or only been given one set, and shoes have never been issued. There has never been any compensation for the purchase of work uniforms by staff.”
Ambulance workers demanded to ensure that mobile teams are fully staffed, to establish an incentive bonus for medical workers and drivers for length of service, and also to decide question with bringing the salary to at least 100% of the regional average per salary. In addition, work on weekends and holidays must be paid double in accordance with the Labor Code of the Russian Federation.
“If our demands are ignored, then from February 1, 2024, we will be forced to refuse additional work, work on more than one pay rate, as well as work in understaffed teams,” said the ambulance station employees.
Since the end of 2023, the president has regularly received complaints from regional medical workers. The appeals were recorded by employees of the Arkhangelsk region and employees of the FMBA center in Seversk, MV reported. Also in mid-January, an appeal was recorded by “ambulance workers” of the Sverdlovsk region. The prosecutor’s office has already responded to the numerous claims of the latter by launching an investigation. The essence of the doctors’ claims is virtually the same – low wages with a high workload.