Passing a medical examination by teachers: at whose expense is the “banquet”? Sanitary book - which doctors you need to go through.

Law Russian Federation prescribes to employees educational institutions undergo the following types of medical examinations and examinations:

• Preliminary medical examination - during employment.
• Current medical examinations - once a year.
• Examinations by a psychiatrist - during employment and then every five years.

Preliminary medical examinations for school

A preliminary medical examination is necessary in order to get a job. The employer will definitely require the conclusion of a medical commission and a health passport. To undergo a preliminary medical examination, you need to contact a medical institution that has the appropriate license and provide a referral from the employer - from this document medical workers they will find out in what position and in what conditions the teacher or educator will work, what professional hazards he will have. The list of doctors and tests that will be included in the physical examination for the teacher depends on this.

If you come to the clinic without a referral, then doctors are likely to conduct a general medical examination, without taking into account the specifics future work teacher. The conclusion after such a medical examination may turn out to be inappropriate, and the employer will either refuse employment, or, less likely, still accept such an employee, but take the risks of being fined.

According to the results medical examination a conclusion of the medical commission and a health passport for teachers are issued. These documents must be kept by the employer. Often they bypass the hands of the worker and come from the medical institution directly to the employer. Upon dismissal, the teacher receives a health passport in his hands.

In addition, each worker educational sphere, in accordance with Article 34 of the Federal Law of March 30, 1999 No. 52-FZ “On the sanitary and epidemiological well-being of the population”, must have a medical book. Her absence will be grounds for denial of employment. The results of the medical examination are simultaneously entered into the medical book and the health passport.

Routine preventive health check-ups for the school

Teachers must undergo current medical examinations annually. This is regulated by paragraph 9 of part 1 of Art. 48 of the Federal Law of December 29, 2012 No. 273-FZ “On Education in the Russian Federation”. This applies not only to kindergartens and schools, but also to any sections, circles, institutions that organize recreation and leisure for children.

Medical examination for school staff includes:

• Examinations of doctors: dentist, dermatovenereologist, ENT doctor, infectious disease specialist.
• Laboratory and instrumental studies: a blood test for syphilis, a study for helminthiases, a smear for gonorrhea, a chest x-ray.
• Studies that help identify additional contraindications: salmonellosis, typhoid fever and paratyphoid fever, leprosy, dysentery, infectious skin diseases, tuberculosis, etc.

All data are entered in the employee's medical book. The employer must enter into an agreement with medical center, which has a license to conduct medical examinations, and provide there lists of employees who are subject to preventive examinations. The list must be compiled in the form of a standard form, which can be obtained from Rospotrebnadzor.

Who pays for teacher screenings?

The obligation to pay for medical examinations for employees, in accordance with Article 213 of the Labor Code of Russia, lies with the employer. Usually, mutual settlements occur according to one of two schemes:

• The employer independently pays for professional examinations from his current account.
• The employee pays from his own funds, and then provides the employer with checks from the medical organization and receives compensation.

Some companies, contrary to the current legislation, shift the costs onto the shoulders of employees. It all depends on the honesty of the employer.

Psychiatric examination of teachers

According to Decree of the Government of the Russian Federation of April 28, 1993 No. 377, teachers fall under the category of specialists who need to undergo a mandatory psychiatric examination. It takes place at the time of employment and thereafter every five years. This is due to the fact that, firstly, teachers work with children, and secondly, their profession involves significant mental stress.

The employer must issue an appropriate order and draw up a list of employees who are subject to a psychiatric examination. The employee may refuse the procedure, but in this case there is a reason for his removal from his duties and dismissal.

To undergo an examination, an employee needs to come to ProfMedLab and provide a passport, as well as a referral from the employer.

Who is responsible?

In accordance with the law, the employer does not have the right to allow people who have not passed a medical examination to work. Otherwise, serious penalties are provided:

• For officials and IP - 15,000–20,000 rubles.
• For LLC and others legal entities- 110,000–130,000 rubles.

For comparison: an assessment of working conditions (for compiling lists of employees subject to medical examinations) and a current medical examination cost from 550 rubles per employee.

If the employee did not pass the medical examination on time, was seriously injured, and the regulatory authorities saw a connection between these two events, the employer is already facing criminal liability.

Timely medical examinations save money, time and nerve cells for the employer The best way prevention of administrative and criminal liability. In the ProfMedLab clinic, medical examinations can be arranged quickly and conveniently. Contact us for details:

• For private individuals - the phone number of the registry:

Everyone who works at a school is familiar with the procedure for mandatory professional examination of teachers. Our advice will help those who work at the school to pass a medical examination as quickly and efficiently as possible.

How can the screening process be made easier for teachers?

For the convenience of modern professional examinations of teachers, special medical complexes have been created today, as well as a medical center, which greatly facilitates this procedure. In this case, a special medical commission is created, headed by an experienced professional pathologist. The commission includes all the specialists necessary for carrying out this procedure. The commission arrives at the educational institution and begins a professional examination - this procedure is called field examinations.

Our medical examination center offers an opportunity for employees of educational institutions to see all the necessary doctors in a short time and receive quality service.

Which doctors should be visited for a professional examination?

The list of doctors usually includes the following:

• Therapist;
• Psychiatrist;
• Neurologist;
• Dermatovenereologist;
• Gynecologist;
• Ophthalmologist.

It will also be necessary to take a x-ray and pass some tests.
The result of a professional examination should be an entry in the medical examination report, as well as an entry in the teacher's medical book. Some medical institutions provide additional document a citizen's health passport, which includes the results of a medical examination, as well as the results of all his tests.

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How to persuade teachers to pass a professional examination in good faith?

For many school principals and leaders educational institutions this question becomes relevant before each professional examination.

Teacher teams, as a rule, consist of women, so school administrations, before each prophylactic examination, have to listen to women's "groans" and sighs, as well as dissatisfied remarks and reproaches in their direction.

Practice shows that our fellow citizens do not like to go for medical examinations. But it is only thanks to such medical examinations that it is possible to identify the disease on the early stage and cure her!

And if we also take into account the fact that the profession of a teacher is one of the difficult professions associated with great emotional stress, then how can we do without a professional medical examination!

Therefore, school principals need to stock up on great patience, using all their restraint and life experience in order to persuade his colleagues to conscientiously treat the procedures for medical examinations.

However, today there are ways, thanks to the use of which, a medical examination can be completed with much less nervous experiences.

In any case, it is more convenient and more pleasant to undergo a professional examination in this way. We are waiting for you in our medical center!

From our article you will learn how a medical examination is carried out for workers in trade, catering, teachers and education workers; employees of kindergarten and school, other educational institutions, preschool educational institutions, social workers. In the material you will also find personnel documents necessary in the event of a medical examination of different categories of workers.

From the article you will learn:

• What categories of employees need to undergo a medical examination;
• Medical examination of teachers: which doctors must be passed without fail;
• Medical examination for trade and catering workers: what are the features;
• What documents should be issued during the medical examination.

Medical examination is a necessary procedure for employees, regardless of their position or working profession. Admission to work of those employees for whom the procedure is mandatory, the fact of passing a medical examination will serve.

Differences for different categories of workers in the mandatory medical examination may consist in frequency and list of doctors. The result of a medical examination is entry into medical / sanitary book marks on the suitability of a person and the correspondence of the state of health to the profession or position. In medical books, such a mark is stamp or seal of a medical institution along with an indication dates medical examination, the signature of the responsible officer for the quality of the examination and the issuance of a conclusion.

Features and rules for conducting medical examinations for different types of professions are presented below.

Physical examination of teachers

The medical examination of employees of educational institutions, including professional institutions, should be carried out in accordance with the mandatory list of those doctors who need to pass, as well as passing tests:

• examination by a dermatovenereologist;
• otorhinolaryngologist check;
• examination by a therapist;
• x-ray examination of the lungs;
• analysis for the detection of helminths;
• a blood test for syphilis and a number of sexually transmitted diseases.

This list includes medical examination of teachers, kindergarten teachers and other children's organizations during a periodic (according to plan) inspection, which should be carried out once a year. When applying for a job, a medical examination of employees of children's (preschool) educational institutions (DOE) and teachers requires a mandatory examination by the following specialists:

• dermatovenereologist;
• dentist;
• otorhinolaryngologist;
• therapist.

Question from practice

Which teachers are required to undergo a medical examination?

Answer prepared in collaboration with the editors

Answered by Alexander Zavgorodny,
Associate Professor, Candidate of Yu. in Economics, Associate Professor, Department of Labor Law, Faculty of Law, St. Petersburg State University

Teaching staff educational organizations, including organizations higher education are required to undergo periodic free medical examinations, which are carried out at the expense of the founder. The legislator in this case proceeds from the interests of students. Therefore, it does not matter at what level of educational organization the pedagogical worker works. A medical examination upon employment, and subsequently, a periodic one is mandatory for him.

This obligation is enshrined in part 1 of article 48 of the Law of December 29, 2012 No. 273-FZ ...

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Medical examination of employees of educational institutions

For employees of preschool educational institutions when applying for new job additionally carried out:

• analysis for the detection of typhoid fever;
• pathogens of intestinal infections;
• scraping for enterobiasis.

These rules must be followed if physical examination of teachers, employees of the educational sphere, employees of children's organizations, including various sports and development sections, children's leisure organizations.

Upon admission to work, medical examinations for educators also require a record of vaccination against diphtheria, which is performed every 10 years, as well as against measles. Data on vaccinations must be appropriately entered (stamp, date, signature, name of the medical institution that carried out the vaccination with an indication of the vaccine series) on the page of the medical book. In case of loss of documentary evidence of vaccinations, an educational worker can provide a document issued by a medical center that conducted an analysis for immunity to infections.

Medical examination of school staff and preschool institutions scheduled once a year).

Assessment of working conditions is carried out in accordance with the standards specified in .

Harmful factors that do not require special assessment are indicated in the letter .

The plan and scope of medical examinations and preventive measures are approved by the Compulsory Medical Insurance Fund. The categories of workers subject to mandatory medical examination have been determined.

Actions of the employer during the medical examination of employees

The first thing to do is to conclude an agreement with a medical institution licensed to conduct medical examinations. The basis for conducting medical examinations is an order that must be created in the personnel department. The order indicates the sequence of passing the examination in a medical institution. Further, in the personnel department, in joint cooperation with the labor protection department, a list of employees who must undergo a periodic medical examination is formed. Based on the list, referral forms are filled out for each employee separately.

Requirements for filling out a medical book

A properly executed medical book (MK) includes:

• data on the organization of Rospotrebnadzor that issued the MK and the signature of the person responsible for issuing;
• date of receipt by the owner;
• information about the owner (full name, year of birth, address, signature and indication of the position held);
• information about the employer;
• information about changing jobs, structural units, and so on;
• data on past illnesses and vaccinations;
• a doctor's record of the opportunity to hold a position (put on the basis of a medical examination passed);
• recording the results of laboratory clinical tests;
• record of evaluation by a dermatovenereologist;
• certification and hygienic training;
• data on the briefing on compliance with sanitary standards.

Medical examination of kindergarten employees, teachers, employees Catering, social sphere must be displayed in the employee's medical book.

You will also find the following resources helpful.

Medical examination for trade workers (catering workers) Employees entering the trade sector food products who are employed in the field of food nutrition must undergo the prescribed medical examination for trade workers in full.

• dermatovenerological examination;
• health assessment by a therapist;
• donating blood for syphilis and sexually transmitted diseases;
• scraping for enterobiasis;
• analysis for the presence of helminthiasis;
• fluorography;
• serological analysis for the presence of typhoid fever;
• analysis for intestinal infections.

List of required doctors for medical examination

IMPORTANT! The link of the 3rd list, specified in Appendix 1 to Order No. 302n, establishes the obligation of the employee to undergo an examination by a therapist, psychiatrist and narcologist. The legitimacy of this provision was confirmed by the decision Supreme Court RF "On the refusal to recognize ..." dated 12/18/2012 No. AKPI12-1363.

In contrast to the initial medical examination, which the employee undergoes before entering into contract of employment with the employer, when passing a periodic medical examination, a certificate drawn up in the form No. 086 / y or No. 001-GS / y is not required to be received. Based on the results of a periodic examination of an employee in a medical organization, a conclusion is drawn up containing the following information:

Medical examination rules for teachers changes 2018

At 2 months, the baby is examined by a pediatrician (no changes have occurred in this).
Now at this age in the clinic they will still do general analysis blood and urine are innovations of 2018.
At 3 months, there is no longer a mandatory consultation with a neurologist (but a pediatrician and an orthopedic traumatologist remained).

• Periodic medical examination in accordance with Order N 302n
• Omutninskiye VESTI

• Medical examination of teachers in 2018

• Lawyers Answers (2)
  • Clarification of the client
• Looking for an answer?

• Annual medical examination for teachers

• In Yalchik district, teachers were forced to undergo medical examinations at their own expense

Scheduled medical examinations of children: age, tests and specialists

AT 1 month the child should be examined by a pediatrician, neurologist, pediatric surgeon, ophthalmologist earlier. Now an examination by a pediatric dentist has been added to this list. The list of studies remained unchanged, it includes ultrasound of the abdominal cavity, kidneys, heart, hip joints and neurosonography.

On January 1, 2018, a new order “On preventive medical examinations of minors” No. 514n dated August 10, 2017 came into force. It replaced the order of 2012, in which, for each age of the child, a list of doctors and additional studies was prescribed that should be done free of charge to the child. Today we compare the tables with these data from two orders and pay attention to the differences between them and innovations.

Teachers must undergo a medical examination annually

Therefore, on the basis of the above arguments, the Saratov Regional Court, by appellate ruling dated May 30, 2013 No. 33-3130, ordered the administration to allocate funding for medical examinations only for 2011-2012. The arguments given by the administration have been used to determine expenditures in the local budget since 2013.

Employees of educational organizations of all types and kinds, as well as children's organizations that are not leading educational activities (sports sections, creative, leisure children's organizations, etc.), are required to undergo annual mandatory medical examinations.

Which doctors pass before school

In addition to the general medical examination, you will also have to study the schedule of vaccinations given to the child. Usually, doctors in kindergartens carefully adhere to it, and children are vaccinated against rubella and measles, mumps, tetanus and diphtheria in a friendly formation, and they also receive "buttons" - Mantoux tests every year.

Good day, my beloved readers. Looking back, we can say with confidence that from the moment of birth, our children are not left without the close attention of doctors. And it is right. Medical commissions "year-old" and upon admission to Kindergarten, intermediate medical examinations are a "green light" for communication in a children's society.

Sanitary book

Today, a medical book is one of the main documents that you must have in order to be able to work in many companies. This is especially true for candidates for vacancies related to serving people, working with food, trade, serving children in relevant educational institutions and providing medical services. Therefore, if you wish to apply for similar work, you should know which doctors you need to go through for a medical book.

At the same time, the forms of sanitary books of the corresponding sample are not available for free sale, they can only be purchased at the Central Geological and Epidemiological Service or SES after undergoing hygienic training. When issuing a book, a photo of the owner is pasted, in addition, an identity document will be needed.
In the organization for issuing a sanitary book, a candidate is given a list of doctors for a medical book, from whom he needs to pass tests, including passing doctors.

Clinical examination of children What changes since 2018? Order number

The next full examination of specialists will be carried out not at 7 years old, but at 6 years old, then after 4 years at 10 years old. At the same time, at the age of 10, only a pediatrician, a neurologist, a pediatric dentist, a pediatric endocrinologist, an orthopedic traumatologist and an ophthalmologist will examine the child.

Order of the Ministry of Health N514n dated August 10, 2017 On the procedure for conducting preventive medical examinations of minors. This order was approved new order medical examination of children and comes into force on January 1, 2018. Accordingly, order N1346n “On the procedure for minors to undergo medical examinations. ” will be declared invalid.

Medical examination of teachers and other categories of workers: subtleties and nuances of registration

Medical examination for trade workers (before hiring and according to the plan), as well as the execution of a medical book, is paid from the employer's funds. If, after passing the medical examination, the employee has not concluded labor contract with the employer, the latter has no right to recover damages.

Differences for different categories of workers in the mandatory medical examination may consist in frequency and list of doctors. The result of a medical examination is the entry into the medical / sanitary book of a mark on the suitability of a person and the conformity of the state of health to the profession or position. In medical books, such a mark is stamp or seal of a medical institution along with an indication dates medical examination, the signature of the responsible officer for the quality of the examination and the issuance of a conclusion.

Mandatory medical examinations for employees of an educational institution

The activities of the Employer - an educational institution (EI) are financed by its founder, who for the state educational institution of Moscow - the subject of the Russian Federation, the city of Moscow, represented by its authorized body - the Department of Education of the City of Moscow.

Taking into account the above reasoning, other services can also be understood as the services of medical organizations for conducting mandatory preliminary and subsequent medical examinations of employees of an educational institution on the basis of agreements concluded with such organizations in relation to their employees.

The arbitrators pointed out that the cost of services for the mandatory medical examination of employees must be justified and calculated in accordance with the established requirements. Since a medical examination is necessary for teachers, we will clarify the nuances of its implementation.

Annual medical examination is required

In addition, all categories of employees of educational institutions must have a medical book (Article 34 of the Federal Law of March 30, 1999 No. 52-FZ "On the sanitary and epidemiological well-being of the population"). Her absence is the basis for refusing to hire an educational institution until the violation is eliminated.

Employees of educational organizations of all types and kinds, as well as children's organizations that do not conduct educational activities (sports clubs, creative, leisure children's organizations, etc.), are required to undergo annual mandatory medical examinations.

This is determined by paragraph 18 of Appendix No. 2 to the order of the Ministry of Health and Social Development of Russia dated April 12, 2011 No. 302n.

The scope of medical examinations is as follows:

• examination by a dermatovenereologist, otorhinolaryngologist, dentist, infectious disease specialist;
• laboratory and functional studies of a person (chest x-ray, blood test for syphilis, smears for gonorrhea upon admission to work, examination for helminthiasis upon admission to work and in the future - at least once a year or according to epidemiological indications);
• identification of additional medical contraindications, namely diseases and bacteria carriers (typhoid, paratyphoid, salmonellosis, dysentery, helminthiases, syphilis in the contagious period, leprosy, contagious skin diseases: scabies, trichophytosis, microsporia, scab, actinomycosis with ulcerations or fistulas on exposed parts of the body , infectious and destructive forms of pulmonary tuberculosis, extrapulmonary tuberculosis with the presence of fistulas, bacteriuria, tuberculous lupus of the face and hands, as well as all forms of gonorrhea - only for employees of medical and preschool institutions directly related to the care of children, for the period of antibiotic treatment and receiving negative results of the first control, ozena).

Employer's obligations

To undergo a medical examination, the employer enters into an agreement with medical organization having the appropriate license, and transfers to it a list of persons subject to mandatory medical examination. Then the medical institution makes calendar plan passing medical examinations and coordinate it with the school administration. At the same time, medical examinations for teachers and other school employees are free of charge.

It should be noted that from January 1, 2012, budgetary institutions spend funds on the basis of a plan of financial and economic activities municipal institution approved by the head of the institution.

In contrast to the budget estimate, the plan of financial and economic activity reflects operations not only with subsidies for the implementation of the municipal task planned from the municipal budget, but also with funds from income-generating activities. Budget institutions independently plan the direction of financial resources, regardless of the sources of income, including for medical examinations.

Difficult cases from practice

Funding problems

Thus, in comparison with the Law of the Russian Federation dated July 10, 1992 No. 3266-1 “On Education”, which has become invalid, the new Law does not contain provisions that medical examinations are carried out at the expense of the founder. And often the administrations of municipalities declare that the federal law dated October 6, 2003 No. 131-FZ “On general principles organizations of local self-government in the Russian Federation" does not impose on them the obligation to organize medical examinations.

Therefore, on the basis of the above arguments, the Saratov Regional Court, by appellate ruling dated May 30, 2013 No. 33-3130, ordered the administration to allocate funding for medical examinations only for 2011-2012. The arguments given by the administration have been used to determine expenditures in the local budget since 2013.

Some regions have come up with the following way to reduce the cost of medical examinations. The main part of the volume of examinations and examinations is carried out at the expense of the program of state guarantees for the provision of free medical care. At the same time, the employer pays only for the work of medical institutions that is not included in this program.

There was a case when a dismissed employee demanded in court to compensate her for the costs of a medical examination.

However, the employer said that he did not send her for a medical examination. In violation of the requirements of Article 56 of the Code of Civil Procedure of the Russian Federation, the employee did not provide evidence that the employer ordered her to undergo a medical examination. On this basis, her claim was denied (appellate ruling of the Tyumen Regional Court dated September 12, 2012 No. 33-4106/2012).

Suspension from work is the responsibility of the employer

The Rostov Regional Court, in appeal ruling dated July 12, 2012 No. 33-8003, decided that the actions of the employer are legal and justified, since the suspension of an employee from work if he fails to undergo a mandatory medical examination is an obligation in accordance with Articles 76, 212 of the Labor Code of the Russian Federation employer.

Due to the fact that the employee did not undergo a medical examination through her own fault, the employer lawfully did not charge her wages during such suspension.