Thông tư liên tịch 26/2015/TTLT-BYT-BNV mã số tiêu chuẩn chức danh nghề điều dưỡng hộ sinh kỹ thuật y

JOINT CIRCULAR

CODES AND STANDARDS APPLICABLE TO TITLES OF NURSE, MIDWIFE AND MEDICAL TECHNICIAN

Pursuant to the Law on Public Employees dated November 15, 2010;

Pursuant to the Government’s Decree No. 29/2012/ND-CP dated April, 12 2012 on recruitment, employment and management of public employees; 

Pursuant to the Government’s Decree No. 204/2004/ND-CP dated December 14, 2004 on salary policies applicable to officials, public employees and the armed forces; the Government's Decree No. 17/2013/ND-CP dated December 19, 2013 on amendments to some articles of the Government's Decree No. 204/2004/ND-CP dated December 14, 2004 on salary policies applicable to officials, public employees and the armed forces;

Pursuant to the Government’s Decree No. 63/2012/ND-CP dated August 31, 2012 on functions, tasks, powers and organizational structure of the Ministry of Health;

Pursuant to the Government’s Decree No. 58/2014/ND-CP dated June 16, 2014 on functions, tasks, powers and organizational structure of the Ministry of Home Affairs;

The Minister of Health and the Minister of Home Affairs promulgate Joint Circular on codes and standards applicable to titles of nurse, midwife and medical technician.

...

...

...

GENERAL PROVISIONS

Article 1. Scope and regulated entities

1. This Joint Circular provides for codes and standards applicable to titles of nurse, midwife and medical technician and appointment and salary grading for holders of such titles.

2. This Joint Circular applies to nurses, midwives and medical technicians working in public health facilities.

Article 2. Codes and classification of titles

1. Title of nurse:

a) Grade-II nurse              Code: V.08.05.11

b) Grade-III nurse              Code: V.08.05.12

c) Grade-IV nurse              Code: V.08.05.13

...

...

...

a) Grade-II midwife              Code: V.08.06.14

b) Grade-III midwife              Code: V.08.06.15

c) Grade-IV midwife              Code: V.08.06.16

3. Title of medical technician:

a) Grade-II medical technician  Code: V.08.07.17

b) Grade-III medical technician  Code: V.08.07.18

c) Grade-IV medical technician  Code: V.08.07.19

Article 3. General standards of professional ethics

1. Being dedicated to care, protection and improvement of people’s health.

...

...

...

3. Practicing in accordance with rules, regulations, technical procedures and other regulations of law.

4. Constantly studying to improve levels and professional qualifications.

5. Respecting rights of patients, women and human rights;

6. Being honest, objective, fair, responsible, solidary, respectful, and promoting cooperation with colleagues in professional practice.

Chapter II

STANDARDS APPLICABLE TO TITLES OF NURSE, MIDWIFE AND MEDICAL TECHNICIAN

Section 1. TITLE OF NURSE

Article: Grade-II nurse - Code: V.08.05.11

1. Tasks:

...

...

...

Examine, judge, identify problems, formulate plans, care and assess results of care for patients;

Access health status of patients and provide care and monitoring indications appropriate to patients;

Carry out inspection and assessment of daily developments of patients; detect and cooperate with doctors in promptly handling abnormal developments of patients;

 Provide palliative care for end-stage patients and psychological support for their families, inspect and assess such palliative care and psychological support;

Implement basic nursing techniques, specialized techniques, and rehabilitation techniques for patients and inspect and assess implementation of such techniques;

Cooperate with doctors in giving nutrition and rehabilitation indications to patients in an appropriate manner;

Provide nutrition care for, inspect and assess such nutrition care for patients;

Document records and inspect and assess documentation of such records according to regulations;

Establish and follow procedures for caring patients.

...

...

...

Well and fully prepare drugs and emergency equipment;

Give care indications; implement first aid and emergency treatment techniques and some specialized first aid and emergency treatment techniques;

Respond to epidemics and disasters, carry out inspection and assessment of, and participate in epidemic and disaster response.

c) Dissemination of information, provision of advice and education about health:

Make plans for, and provide advice and education about health for patients;

Participate in development of contents, programs and materials, and disseminate information, provide advice and education about health;

Organize assessment of dissemination of information, provision of advice and education about health.

d) Community health care:

Disseminate information about, and educate in sanitation and hygiene to prevent diseases in health facilities and community;

...

...

...

Give in-home nursing assessment, diagnosis, care and intervention: injection, infusion, wound care, care for patients with drainage tubes and rehabilitation care.

dd) Protection and exercise of rights of patients:

Exercise rights of patients, and defend legal rights of patients according to regulations of law;

Implement and assess efficiency in measures for ensuring safety of patients.

e) Cooperation and assistance in treatment:

Decide the level of care for patients;

Cooperate with doctors in organizing transfer of patients to other departments or medical examination and treatment facilities and discharging patients from hospital;

Assist in, supervise and take professional responsibility for performance of tasks by inferior nurses;

Organize management of, manage documents, medical records, wards, patients, drugs, medical equipment and consumables.

...

...

...

 Organize training courses and give practice guidelines to students and nurses;

Organize and conduct scientific research, and develop technical innovation initiatives in care for patients; apply great innovations to care for patients;

Update, assess and apply evidence-based practice;

Develop continuous and specialized training programs and materials for nurses.

2. Qualification standards:

a) Having finished the specialty of level I or being a master of nursing;

b) Acquiring foreign language proficiency level 3 or higher according to regulations in the Circular No. 01/2014/TT-BGDDT dated January 24, 2014 of the Ministry of Education and Training or obtaining certificate of ethnic language if required;

c) Having computer skills that meet standards of basic skills in information technology according to regulations in Circular No. 03/2014/TT-BTTTT dated March 11, 2014 of the Ministry of Information and Communications;

d) Having certificate of training in standards applicable to title of grade-II nurse.

...

...

...

a) Having knowledge about viewpoints and guidelines of Communist Party, and policies and laws of State on protection, care and improvement of people’s health;

b) Acquiring knowledge about health and diseases of individuals, families and community, giving care diagnoses and indications, deciding the level of care and making nursing intervention in order to ensure safety of patients and community; 

c) Being expert in basic nursing techniques, first aid, emergency treatment and achieving efficiency in cases of emergency, epidemics and disasters;

d) Being capable of providing advice and education about health and effectively communicating with patients and community;

dd) Having skills in organization of training and refresher training courses, scientific research, cooperation with colleagues and development of nursing jobs;

e) Being the chairperson or secretary of or main participant in (for at least 50% of the total time) scientific research project at grassroot level or higher or specialized scientific invention/initiative/technical innovation initiative officially accepted.

g) A public employee must hold the title of grade-III nurse or equivalent title for at least 09 years, including the most recent period of at least 02 years of holding the title of grade-III nurse in order to grain promotion from the title of grade-III nurse to the title of grade-II nurse.

Article 5. Grade-III nurse - Code: V.08.05.12

1. Tasks:

...

...

...

Examine, assess, identify problems, formulate plans, care and assess results of care for patients;

Monitor, detect, issue decisions on, take charge of care for, and promptly report abnormal developments of patients to doctors;

Provide palliative care for, inspect and assess such palliative care for end-stage patients and give psychological support to their families;

Implement basic, specialized and complicated nursing techniques, and rehabilitation techniques for patients;

Assess nutrition demands, provide, inspect and assess nutrition care for patients;

Document records and participate in documentation of such records according to regulations;

Participate in establishment and development of procedures for caring patients.

b) First aid and emergency treatment:

Well and fully prepare drugs and emergency equipment;

...

...

...

Participate in epidemic and disaster response.

 c) Dissemination of information, provision of advice and education about health:

Assess demands for advice and education about health for patients;

Give guidelines for care and prevention of diseases to patients;

Participate in development of contents, programs and materials, and disseminate information, provide advice and education about health;

Assess dissemination of information, provision of advice and education about health.

d) Community health care:

Disseminate information about, and educate in sanitation and hygiene to prevent diseases in health facilities and community;

Provide primary health care and run national target programs;

...

...

...

dd) Protection and exercise of rights of patients:

Exercise rights of patients, and defend legal rights of patients according to regulations of law;

Take measures for ensuring safety of patients.

e) Cooperation and assistance in treatment:

Cooperate with doctors in deciding the level of care and caring patients;

Cooperate with doctors in making preparations and giving assistance in transferring patients to other departments or health facilities and discharging patients from hospital;

Assist in, supervise and take professional responsibility for performance of tasks by inferior nurses;

Manage documents, medical records, wards, patients, drugs, medical equipment and consumables.

g) Training, research and occupational development;

...

...

...

Conduct scientific research, and develop technical innovation initiatives in care for patients; and apply great innovations to care for patients;

Participate in development of continuous and specialized training programs and materials for nurses.

2. Qualification standards:

a) Obtaining at least bachelor's degree in nursing;

b) Acquiring foreign language proficiency level 2 or higher according to regulations in the Circular No. 01/2014/TT-BGDDT dated January 24, 2014 of the Ministry of Education and Training or obtaining certificate of ethnic language if required;

c) Having computer skills that meet standards of basic skills in information technology according to regulations in Circular No. 03/2014/TT-BTTTT dated March 11, 2014 of the Ministry of Information and Communications. 

3. Professional capacity standards:

a) Having knowledge about viewpoints and guidelines of Communist Party, and policies and laws of State on protection, care and improvement of people’s health;

b) Acquiring knowledge about health and diseases of individuals, families and community, using nursing procedures to serve as a basis for formulation of care plans and making nursing intervention in order to ensure safety of patients and community; 

...

...

...

d) Having skills in provision of advice and education about health and effectively communicating with patients and community;

dd) Having skills in provision of training and refresher training courses, scientific research, cooperation with colleagues and development of nursing jobs;

e) In case of first recruitment, a public employee who has graduated from a college of nursing must hold the title of grade-IV nurse for at least 02 years or a public employee who has graduated from an intermediate school of nursing must hold the title of grade-IV nurse for at least 03 years in order to grain promotion from the title of grade-IV nurse to the title of grade-III nurse.

Article 6. Grade-IV nurse - Code: V.08.05.13

1. Tasks:

a) Provision of care for patients at health facilities:

Examine, assess, identify problems, formulate plans, care and assess results of care for patients;

Monitor and assess daily developments of patients; detect and promptly report abnormal developments of patients;

Participate in provision of palliative care for end-stage patients and psychological support to their families;

...

...

...

Assess demands for nutrition and dietetics, and provide nutrition and care indications for patients;

Document nursing records according to regulations;

b) First aid and emergency treatment:

Well and fully prepare drugs and emergency equipment;

Implement and participate in implementation of first aid and emergency techniques;

Participate in epidemic and disaster response.

c) Dissemination of information, provision of advice and education about health:

Assess demands for advice and education about health for patients;

Give guidelines for care and prevention of diseases to patients;

...

...

...

d) Community health care:

Participate in dissemination of information, and education about sanitation and hygiene to prevent diseases in health facilities and community;

Participate in primary health care and national target programs;

Provide in-home care services, including injection, wound care, care for patients with drainage tubes and rehabilitation care, bathing assistance and change of bandages as indicated.

dd) Protection and exercise of rights of patients:

Exercise rights of patients, and participate in defense of legal rights of patients according to regulations of law;

Take measures for ensuring safety of patients.

e) Cooperation and assistance in treatment:

Participate in determination of the level of care;

...

...

...

Manage documents, medical records, wards, patients, drugs, medical equipment and consumables.

g) Training, research and occupational development;

Give practice guidelines to students and nurses within their assigned scope;

Participate in development of, develop and apply initiatives and great innovations to care for patients;

2. Qualification standards:

a) Obtaining a Level 4 of VQF Diploma or higher in nursing;  In case of obtainment of a Level 4 of VQF Diploma in midwifery or medicine, a certificate of training in nursing according to regulations issued by the Ministry of Health is required;

b) Acquiring foreign language proficiency level 1 or higher according to regulations in the Circular No. 01/2014/TT-BGDDT dated January 24, 2014 of the Ministry of Education and Training or obtaining certificate of ethnic language if required;

c) Having computer skills that meet standards of basic skills in information technology according to regulations in Circular No. 03/2014/TT-BTTTT dated March 11, 2014 of the Ministry of Information and Communications. 

3. Professional capacity standards:

...

...

...

b) Acquiring knowledge about health and diseases of individuals, families and community, using nursing procedures to serve as a basis for formulation of care plans and making nursing interventions in order to ensure safety of patients and community; 

c) Implementing basic nursing techniques, and giving first aid and emergency treatment;

d) Having skills in provision of education about health and effectively communicating with patients and community;

Section 2. TITLE OF MIDWIFE

Article 7. Grade-II midwife - Code: V.08.06.14

1. Tasks:

a) Provision of care for mothers, newborn babies, patients and service users:

Examine and assess health status of mothers, newborn babies, patients and service users, thereby determining the order of priority of the issues to be cared;

Take charge of, make plan, organize and provide care for mothers, newborn babies, patients and service users;

...

...

...

Make plans for, implement, supervise and inspect basic techniques for nursing and rehabilitation, and essential and specialized techniques for obstetric and newborn care, family planning, and safe abortion;

Assess nutrition demands, make plans for, provide and inspect nutrition care for mothers and newborn babies;

Make plans for, organize, supervise and inspect provision of palliative care and psychological support for mothers and their families in cases of pregnancy, parturition and postpartum and in neonatal period with serious and abnormal developments; provide palliative care and psychological support for end-stage patients;

Give guidance on, supervise and inspect documentation of records according to regulations;

Make plans and propose a list of drugs and medical equipment appropriate to actual works; preserve, supervise and inspect preservation of drugs and medical equipment.

b) Sexual and reproductive health care at community:

Make plans for, and organize pregnancy examination and management in case pregnant women cannot go to medical facilities;

Preside over making plans for, examine and care, supervise and assess examination and care for pregnant women, mothers and newborn babies in the postpartum period at home;

Manage professional tasks, supervise and support care for mothers and newborn babies, and family planning at community;

...

...

...

c) First aid and emergency treatment:

Manage, provide and fully prepare drugs and emergency equipment;

Take charge of, and give obstetric first aid and emergency treatment, and initial neonatal resuscitation; report to and cooperate with doctors in charge, or refer patients to a superior hospital;

Assist other midwives or inferior midwives in promptly giving emergency treatment to mothers and newborn babies at community;

Give and participate in epidemic and disaster response if requested.

d) Dissemination of information and provision of education and advice about sexual and reproductive health care:

Take charge of making plans for, provide advice and education about, and assess demands for advice and education about health for mothers, newborn babies, patients and service users;

Preside over formulating plans for, organize dissemination of information and provision of advice and education about, and disseminate information and provide advice and education about sexual and reproductive health care (including sexual and reproductive health care for men), family planning, safe abortion and gender-based violence prevention and control at health facilities and community;

Make plans for, supervise, support and assess results of dissemination of information and provision of education and advice about sexual and reproductive health care.

...

...

...

Cooperate with doctors in deciding the level of care and caring mothers, newborn babies, patients and service users;

Make plans and preparations to hospitalize mothers, newborn babies, patients and service users or transfer them to other departments or medical examination and treatment facilities or discharge them from hospital when indicated;

Make plans for, and organize management of wards, mothers, newborn babies, patients and service users, drugs, medical equipment, consumables and medical records.

e) Protection and exercise of rights of patients:

Exercise and defend rights of mothers, newborn babies, patients and service users according to regulations of law;

Enable mothers, patients and service users to exercise their rights to participate in care and treatment;

Implement and supervise implementation of measures for ensuring safety of mothers, newborn babies, patients and service users.

g) Training, scientific research and occupational development;

Preside over and give training courses and practice guidelines to students and midwives;

...

...

...

Participate in development of continuous and specialized training programs and materials for midwives.

2. Qualification standards:

a) Having finished the specialty of level I or obtaining at least a master’s degree in midwifery;

b) Acquiring foreign language proficiency level 3 or higher according to regulations in the Circular No. 01/2014/TT-BGDDT dated January 24, 2014 of the Ministry of Education and Training or obtaining a certificate of ethnic language if required;

c) Having computer skills that meet standards of basic skills in information technology according to regulations in Circular No. 03/2014/TT-BTTTT dated March 11, 2014 of the Ministry of Information and Communications;

d) Having certificate of training in standards applicable to the title of grade-II midwife.

3. Professional capacity standards:

a) Having knowledge about viewpoints and guidelines of Communist Party, and policies and laws of State on protection, care and improvement of people’s health;

b) Being expert in basic and specialized skills in obstetrics, gynecology and neonatology;

...

...

...

d) Having knowledge about, and applying skills; managing and being capable of occupational development;

dd) Being the chairperson or secretary of or main participant in (for at least 50% of the total time) scientific research project at grassroot level or higher or specialized scientific invention/initiative/technical innovation initiative officially accepted;

e) A public employee must hold the title of grade-III midwife or equivalent title for at least 09 years, including the most recent period of at least 02 years of holding the title of grade-III midwife in order to grain promotion from the title of grade-III midwife to the title of grade-II midwife.

Article 8. Grade-III midwife - Code: V.08.06.15

1. Tasks:

a) Provision of care for mothers, newborn babies, patients and service users:

Examine and assess health status of mothers, newborn babies, patients and service users, thereby determining the order of priority of the issues to be cared;

Make plans for, organize and provide care for mothers, newborn babies, patients and service users;

Examine and assess, and inspect examination and assessment of daily developments of mothers, newborn babies, patients and service users; promptly detect, handle, predict and report handling process and abnormal developments beyond the competence of the midwife to doctors; cooperate with doctors in directing inferior midwives during the process of handling abnormal developments;

...

...

...

Assess nutrition demands, make plans for, provide and inspect nutrition care for mothers and newborn babies;

Organize, supervise and provide palliative care and psychological support for mothers and their families in cases of pregnancy, parturition and postpartum and in neonatal period with serious and abnormal developments; provide palliative care and psychological support for end-stage patients;

Give guidance, supervise, inspect and document records according to regulations;

Preserve and supervise preservation of drugs and medical equipment as assigned. 

b) Sexual and reproductive health care at community:

Organize pregnancy examination and management in case pregnant women cannot go to medical facilities;

Make plans, organize examination and care, examine and care mothers and newborn babies in the postpartum period at home;

Supervise and support care for mothers and newborn babies, and family planning at community;

Participate in primary health care and national target programs;

...

...

...

Manage, supervise and fully prepare drugs and emergency equipment;

Administer and give obstetric first aid and emergency treatment, and initial neonatal resuscitation; promptly report to and cooperate with doctors in charge, or refer patients to a superior hospital;

Participate in epidemic and disaster response if requested.

d) Dissemination of information and provision of education and advice about sexual and reproductive health care:

Organize and conduct assessment of demands for advice and education about health for mothers, newborn babies, patients and service users;

Organize dissemination of information and provision of advice and education about, and disseminate information and provide advice and education about sexual and reproductive health care (including sexual and reproductive health care for men), family planning, safe abortion and gender-based violence prevention and control at health facilities and community;

Participate in assessment of results of dissemination of information and provision of education and advice about sexual and reproductive health care.

dd) Cooperation and assistance in treatment:

Cooperate with doctors in deciding the level of care and caring mothers, newborn babies, patients and service users;

...

...

...

Organize management of wards, mothers, newborn babies, patients and service users, drugs, medical equipment, consumables and medical records.

e) Protection and exercise of rights of patients:

Exercise and defend rights of mothers, newborn babies, patients and service users according to regulations of law;

Enable mothers, patients and service users to exercise their rights to participate in care and treatment;

Implement measures for ensuring safety of mothers, newborn babies, patients and service users.

g) Training, scientific research and occupational development;

Organize training courses and give practice guidelines to students and midwives;

Develop scientific research activities, technical innovations and initiatives in care for mothers, newborn babies, patients and customers; and apply great innovations and important initiatives to care for mothers, newborn babies, patients and service users;

Participate in development of continuous and specialized training programs and materials for midwives.

...

...

...

a) Obtaining at least a bachelor's degree in midwifery;

b) Acquiring foreign language proficiency level 2 or higher according to regulations in the Circular No. 01/2014/TT-BGDDT dated January 24, 2014 of the Ministry of Education and Training or obtaining certificate of ethnic language if required;

c) Having computer skills that meet standards of basic skills in information technology according to regulations in Circular No. 03/2014/TT-BTTTT dated March 11, 2014 of the Ministry of Information and Communications. 

3. Standards of professional capacity;

a) Having knowledge about viewpoints and guidelines of Communist Party, and policies and laws of State on protection, care and improvement of people’s health;

b) Being expert in basic and specialized skills in obstetrics, gynecology and neonatology;

c) Being knowledgeable about, and applying primary health care principles to sexual and reproductive health care;

d) Being capable of communication, presentation and flexible behavior, possessing teamwork skills and having capacity for working independently;

dd) In case of first recruitment, a public employee who has graduated from a college of midwifery must hold the title of grade-IV midwife for at least 02 years or a public employee who has graduated from an intermediate school of midwifery must hold the title of grade-IV nurse for at least 03 years in order to grain promotion from the title of grade-IV midwifery to the title of grade-III midwifery.

...

...

...

1. Tasks:

a) Provision of care for mothers, newborn babies, patients and service users:

Examine and assess health status of mothers, newborn babies, patients and service users, thereby determining the order of priority of the issues to be cared;

Make plans for and provide care for mothers, newborn babies, patients and service users;

Monitor and assess daily developments of mothers, newborn babies, patients and service users; detect, initially handle, predict and promptly report abnormal developments to doctors and midwives in charge; obey orders of doctors and cooperate with other midwives in handling abnormal developments;

Implement basic techniques for nursing and rehabilitation, and essential techniques for obstetric and newborn care; assist doctors and other midwives in implementing specialized techniques for obstetric and newborn care according to orders of doctors and as assigned by midwives in charge;

Assess nutrition demands, and provide nutrition care for mothers and newborn babies;

Provide palliative care and psychological support for end-stage patients;

Document records according to regulations;

...

...

...

b) Sexual and reproductive health care at community:

Make plans for pregnancy examination and management in case pregnant women cannot go to medical facilities;

Make plans for examination and care for mothers and newborn babies in the postpartum period at home;

Supervise and support care for mothers and newborn babies at community;

Participate in primary health care and national target programs;

c) First aid and emergency treatment:

Well and fully prepare drugs and emergency equipment;

Administer and give obstetric first aid and emergency treatment, and initial neonatal resuscitation; promptly report to and cooperate with doctors in charge, or refer patients to a superior hospital;

Participate in epidemic and disaster response if requested.

...

...

...

Conduct assessment of demands for advice and education about health for mothers, newborn babies, patients and service users;

Disseminate information and provide advice and education about sexual and reproductive health care (including sexual and reproductive health care for men), newborn care, family planning, safe abortion and gender-based violence prevention and control at health facilities and community;

Participate in formulation of plans for dissemination of information and provision of education and advice about sexual and reproductive health care.

dd) Cooperation and assistance in treatment:

Make preparations to hospitalize mothers, newborn babies, patients and service users or transfer them to other departments or medical examination and treatment facilities or discharge them from hospital when indicated by doctors;

Manage wards, mothers, newborn babies, patients and service users, drugs, medical equipment, consumables and medical records.

e) Protection and exercise of rights of patients:

Exercise rights of mothers, newborn babies, patients and service users according to regulations of law;

Enable mothers, patients and service users to exercise their rights to participate in care and treatment;

...

...

...

g) Training, scientific research and occupational development;

Give practice guidelines to students and midwives;

Participate in scientific research activities; apply great innovations and important initiatives to care for mothers, newborn babies, patients and service users;

2. Qualification standards:

a) Obtaining a Level 4 of VQF Diploma or higher in midwifery;

b) Acquiring foreign language proficiency level 1 or higher according to regulations in the Circular No. 01/2014/TT-BGDDT dated January 24, 2014 of the Ministry of Education and Training or obtaining certificate of ethnic language if required;

c) Having computer skills that meet standards of basic skills in information technology according to regulations in Circular No. 03/2014/TT-BTTTT dated March 11, 2014 of the Ministry of Information and Communications. 

3. Professional capacity standards:

a) Having knowledge about viewpoints and guidelines of Communist Party, and policies and laws of State on protection, care and improvement of people’s health;

...

...

...

c) Being knowledgeable about, and applying primary health care principles to sexual and reproductive health care;

d) Being capable of communication and flexible behavior, possessing teamwork skills and having capacity for working independently;

Section 3. TITLE OF MEDICAL TECHNICIAN

Article 10. Grade-II medical technician - Code: V.08.07.17

1. Tasks:

a) Implementation of medical techniques:

Preside over, organize reception of, provide guidance for, make preparations and assist patients before, during and after implementation of medical techniques;

Take charge of organizing reception of, and providing guidance for individuals and organizations on submission/transfer of samples, and collect, receive, preserve and transport samples to food safety testing agencies and environmental and occupational health agencies

Make, inspect and supervise preparation of equipment, tools, drugs and chemicals meeting requirements of medical techniques;

...

...

...

Take charge of, organize and carry out inspection, supervision and assessment of infection control and safety in medical operations;

Monitor and make statistics of medical operations according to regulations within the assigned scope.

b) Management of medical operations:

Organize and perform medical operations within the assigned tasks.

Make plans for management of, periodically tally and report management of use of medical equipment, chemicals, biological products, and drugs in their department or unit in the health sector;

Use and provide guidelines for use of modern technical equipment in the health sector; preserve medical equipment under their management; detect, report and rectify minor technical errors;

Supervise, inspect and assume responsibility for medical operations performed by inferior medical technicians within the assisted scope.

c) Cooperation in diagnosis and treatment:

Promptly notify doctors of indices and images related to patients; propose some other techniques for diagnosis and treatment in necessary cases;

...

...

...

d) Protection of rights and interests of patients and sample senders:

Ensure punctuality, accuracy, objectivity and truthfulness;

Ensure that testing results are accurate;

Exercise rights of patients and sample senders according to regulations of law;

Take charge of, organize implementation of, and implement technical measures for ensuring safety of patients.

dd) Provision of advice and education about health:

Develop contents and programs and provide advice and education about health for patients and community within the assigned scope;

Participate in epidemic and disaster response if requested.

e) Training and scientific research: 

...

...

...

Conduct scientific research, and develop technical innovations and initiatives;

Organize application of technical innovations and initiatives, and evidence-based medicine to medicine practice.

2. Qualification standards:

a) Obtaining a master’s degree in medical technique;

b) Acquiring foreign language proficiency level 3 or higher according to regulations in the Circular No. 01/2014/TT-BGDDT dated January 24, 2014 of the Ministry of Education and Training or obtaining a certificate of ethnic language if required;

c) Having computer skills that meet standards of basic skills in information technology according to regulations in Circular No. 03/2014/TT-BTTTT dated March 11, 2014 of the Ministry of Information and Communications;

d) Having certificate of training in standards applicable to the title of grade-II medical technician.

3. Professional capacity standards:

a) Being aware of viewpoints and guidelines of Communist Party, and policies and laws of State on protection, care and improvement of people’s health;

...

...

...

c) Being capable of using, providing guidelines for use of, and preserving equipment serving medical operations;

d) Being capable of analyzing, inspecting and supervising technical procedures; proposing methods of ensuring quality of medical techniques;

dd) Being capable of giving guidance on transfer of new techniques in the field of medicine;

e) Being the chairperson or secretary of or main participant in (for at least 50% of the total time) scientific research project at grassroot level or higher or specialized scientific invention/initiative/technical innovation initiative officially accepted;

g) A public employee must hold the title of grade-III medical technician or equivalent title for at least 09 years, including the most recent period of at least 02 years of holding the title of grade-III medical technician in order to grain promotion from the title of grade-III medical technician to the title of grade-II medical technician.

Article 11. Grade-III medical technician - Code: V.08.07.18

1. Tasks:

a) Implementation of medical techniques:

Organize reception of, provide guidance for, make preparations and assist patients before, during and after implementation of medical techniques;

...

...

...

Prepare, inspect and supervise preparation of equipment, tools, drugs and chemicals meeting requirements of medical techniques;

Implement technical procedures for medical operations; cooperate in implementation of complicated techniques when assigned;

Organize and carry out inspection, supervision, assessment of infection control and safety in medical operations;

Monitor and make statistics of medical operations according to regulations.

b) Management of medical operations:

Make plans for management of, periodically tally and report use of medical equipment, chemicals, biological products, and drugs within their assigned scope according to regulations;

Use, provide guidelines for use of, and preserve medical equipment under their management; detect, report and rectify minor technical errors;

Participate in inspection and assessment of medical operations when assigned.  Supervise, inspect and assume responsibility for medical operations performed by inferior medical technicians within the assisted scope.

c) Cooperation in diagnosis and treatment:

...

...

...

Participate in consultation when assigned.

d) Protection of rights and interests of patients:

Ensure punctuality, accuracy, objectivity and truthfulness;

Ensure that testing results are accurate;

Exercise rights of patients and sample senders according to regulations of law;

Organize implementation of, and implement measures for ensuring safety of patients;

dd) Provision of advice and education about health:

Provide advice and education about health for patients and community within the assigned scope;

Participate in epidemic and disaster response if requested.

...

...

...

Participate in provision of training and refresher training courses for students and medical technicians when assigned;

Participate in scientific research, and development of technical innovations and initiatives;

Apply technical innovations and initiatives, and evidence-based medicine to medicine practice.

2. Qualification standards

a) Obtaining at least a bachelor's degree in medicine technique in conformity with job position (laboratory medicine, preventive laboratory medicine, medical imaging technology, dechnology, physical therapy/occupational therapy); in case of graduation from a university with major of biochemistry, pharmacy or another medical major, a certificate of training in medicine technique according to regulations is required;

b) Acquiring foreign language proficiency level 2 or higher according to regulations in the Circular No. 01/2014/TT-BGDDT dated January 24, 2014 of the Ministry of Education and Training or obtaining certificate of ethnic language if required;

c) Having computer skills that meet standards of basic skills in information technology according to regulations in Circular No. 03/2014/TT-BTTTT dated March 11, 2014 of the Ministry of Information and Communications. 

3. Professional capacity standards:

a) Having knowledge about viewpoints and guidelines of Communist Party, and policies and laws of State on protection, care and improvement of people’s health;

...

...

...

c) Being capable of extensively using and preserving equipment serving medical operations;

d) Being capable of analyzing, inspecting and supervising technical procedures; proposing methods of ensuring quality of medical techniques within the assigned scope. 

dd) In case of first recruitment, a public employee who has graduated from a college of medicine technique must hold the title of grade-IV medical technician for at least 02 years or a public employee who has graduated from an intermediate school of medicine technique must hold the title of grade-IV medical technician for at least 03 years in order to grain promotion from the title of grade-IV medical technician to the title of grade-III medical technician.

Article 12. Grade-IV medical technician - Code: V.08.07.19

1. Tasks:

a) Implementation of medical techniques:

Receive, make preparations and assist patients before, during and after implementation of medical techniques;

Receive and provide guidance for individuals and organizations on submission/transfer of samples, collect, receive, preserve, and transport samples to food safety testing agencies and environmental and occupational health agencies;

Prepare equipment, tools, drugs and chemicals meeting requirements of each technique;

...

...

...

Control infection and ensure safety in medical operations;

Take records, monitor and make statistics of medical operations according to regulations.

b) Management of medical operations:

Estimate, receive, periodically tally and report use of medical equipment, chemicals, biological products, and drugs according to regulations;

Use and preserve medical equipment under their management; detect, report and rectify minor technical errors;

Participate in inspection and assessment of medical operations when assigned.

c) Cooperation in diagnosis and treatment:

Promptly notify doctors of indices and images related to patients;

Assist and cooperate with other medical technicians in implementing medical techniques assigned.

...

...

...

Ensure punctuality, accuracy, objectivity and truthfulness;

Ensure that testing results are accurate;

Exercise rights of patients and sample senders according to regulations of law;

Take measures for ensuring safety of patients.

dd) Provision of advice and education about health:

Participate in provision of advice and education about health for patients and community within the assigned scope;

Participate in epidemic and disaster response if requested.

e) Training and scientific research: 

Participate in provision of practice guidelines for students and medical technicians when assigned;

...

...

...

Participate in application of technical innovations and initiatives, and evidence-based medicine to medicine practice.

2. Qualification standards:

a) Obtaining a Level 4 of VQF Diploma or higher in medicine technique in conformity with job position (laboratory medicine, preventive laboratory medicine, medical imaging technology, dechnology, physical therapy/occupational therapy); in case of graduation in major of biochemistry, pharmacy or another medical major, a certificate of training in medicine technique according to regulations is required;

b) Acquiring foreign language proficiency level 1 or higher according to regulations in the Circular No. 01/2014/TT-BGDDT dated January 24, 2014 of the Ministry of Education and Training or obtaining certificate of ethnic language if required;

c) Having computer skills that meet standards of basic skills in information technology according to regulations in Circular No. 03/2014/TT-BTTTT dated March 11, 2014 of the Ministry of Information and Communications. 

3. Professional capacity standards:

a) Having knowledge about viewpoints and guidelines of Communist Party, and policies and laws of State on protection, care and improvement of people’s health;

b) Being expert in basic technical procedures in their fields;

c) Being capable of using and preserving equipment serving medical operations;

...

...

...

Chapter III

GUIDELINES FOR APPOINTMENT AND SALARY GRADING AS PER TITLES

Article 13. Principles of appointment and salary grading as per titles for public employees

1. The appointment to titles for public employees specified in this Joint Circular shall be based on job positions and assigned duties of such public employees and under regulations in Article 14 of this Joint Circular, and the public employees appointed to the titles meet all standards applicable to such titles according to regulations in this Joint Circular.

2. When a public employee is designated a professional title, it must not be combined with a pay raise or promotion of public employee rank

Article 14. Cases of appointment to titles

1. Public employees who have been appointed to grades of nurses according to Decision No. 41/2005/QD-BNV dated April 22, 2005 of the Minister of Home Affairs are now appointed to titles of nurses according to this Joint Circular as follows:

a) A public employee currently holding the grade of registered nurse (code 16a.199) shall be appointed to the title of grade-II nurse (code: V.08.05.11).

b) A public employee currently holding the grade of nurse (code 16b.120) shall be appointed to the title of grade-III nurse (code: V.08.05.12).

...

...

...

2. Public employees who have been appointed to grades of midwives according to Circular No. 06/2011/TT-BNV dated March 01, 2011 of the Minister of Home Affairs are now appointed to titles of midwives according to this Joint Circular as follows:

a) A public employee currently holding the grade of registered midwife (code 16.294) shall be appointed to the title of grade-II midwife (code: V.08.06.14).

b) A public employee currently holding the grade of midwife (code 16.295) shall be appointed to the title of grade-III midwife (code: V.08.06.15).

c) A public employee currently holding the grade of college midwife (code 16.296) or the grade of intermediate midwife (code 16.297) shall be appointed to the title of grade-IV midwife (code: V.08.06.16).

3. Public employees who have been appointed to grades of medical technicians according to Circular No. 09/2009/TT-BNV dated October 15, 2009 of the Minister of Home Affairs are now appointed to titles of medical technicians according to this Joint Circular as follows:

a) A public employee currently holding the grade of registered medical technician (code 16.284) shall be appointed to the title of grade-II medical technician (code: V.08.07.17).

b) A public employee currently holding the grade of medical technician (code 16.285) shall be appointed to the title of grade-III medical technician (code: V.08.07.18).

c) A public employee currently holding the grade of college medical technician (code 16.286) or the grade of intermediate medical technician (code 16.287) shall be appointed to the title of grade-IV medical technician (code: V.08.07.19).

Article 15. Methods for grading salary

...

...

...

a) A salary factor from 4,40 to 6,78 (for public employees of Group A2.1) may be applied to the title of grade-II nurse, the title of grade-II midwife or the title of grade-II medical technician;

b) A salary factor from 2,34 to 4,98 (for public employees of Group A1) may be applied to the title of grade-III nurse, the title of grade-III midwife or the title of grade-III medical technician;

c) A salary factor from 1,86 to 4,06 (for public employees of Group B) may be applied to the title of grade-IV nurse, the title of grade-IV midwife or the title of grade-IV medical technician;

2. After probation period and title appointment, the salary shall be graded as follows:

After a public employee finishes the prescribed probation and is appointed to the title by a competent authority managing public employees, his/her salary shall be graded according to the appointed title as follows:

a) A nurse who has a doctor's degree is entitled to the step-3 salary with a salary factor of 3,00 of the title of grade-III nurse (code V.08.05.12); a midwife who has a doctor's degree is entitled to the step-3 salary with a salary factor of 3,00 of the title of grade-III midwife (code V.08.06.15); a medical technician who has a doctor's degree is entitled to the step-3 salary with a salary factor of 3,00 of the title of grade-III medical technician (code V.08.07.18)

b) A nurse who has a master's degree is entitled to the step-2 salary with a salary factor of 2,67 of the title of grade-III nurse (code V.08.05.12); a midwife who has a master's degree is entitled to the step-2 salary with a salary factor of 2,67 of the title of grade-III midwife (code V.08.06.15); a medical technician who has a master's degree is entitled to the step-2 salary with a salary factor of 2,67 of the title of grade-III medical technician (code V.08.07.18)

c) A nurse who has a level 5 of VQF Advanced Diploma is entitled to the step-2 salary with a salary factor of 2,06 of the title of grade-IV nurse (code V.08.05.13); a midwife who has a level 5 of VQF Advanced Diploma is entitled to the step-2 salary with a salary factor of 2,06 of the title of grade-IV midwife (code V.08.06.16); a medical technician who has a level 5 of VQF Advanced Diploma is entitled to the step-2 salary with a salary factor of 2,06 of the title of grade-IV medical technician (code V.08.07.19).

3. Salaries of the titles specified in Clause 1 of this Article with regard to public employees whose salaries are graded according to regulations in Decision No. 41/2005/QD-BNV dated April 22, 2005 of the Minister of Home Affairs; the Circular No. 06/2011/TT-BNV dated March 01, 2011 of the Ministry of Home Affairs; the Circular No. 09/2009/TT-BNV dated October 15, 2009 of the Ministry of Home Affairs; the Government's Decree No. 204/2004/ND-CP dated December 14, 2004; and the Government's Decree No. 2013/ND-CP dated December 19, 2013 shall be graded as follows:

...

...

...

Ex: Mr. Nguyen Van C was appointed to the grade of intermediate medical technician (code 16.287) and entitled to the step-12 salary and an extra-seniority allowance of 6% from October 01, 2014. If he is now appointed as a grade-IV medical technician (code V.08.07.19) by the competent authority, he is entitled to the step-12 salary, a salary factor of 4,06 and an extra-seniority allowance of 6% from the date on which the decision on appointment is signed. The period of consideration of increase in pay rate begins from October 01, 2014.

b) In case a public employee who has a level 5 of VQF Advanced Diploma when being recruited has had his/her salary graded A0 as prescribed in the Decree No. 204/2004/ND-CP and is now appointed to the title of grade-IV nurse (code V.08.05.13), the title of grade-IV midwife (code V.08.06.16), or the title of grade-IV medical technician (code V.08.07.19), his/her salary is now graded according to the working period over which compulsory social insurance premiums are based by salary scale and payroll defined by the State (excluding probation period).

To be specific: If it is determined from the step-2 salary of a nurse, midwife or medical technician, after a period of 02 years (24 full months), the public employee will receive a raise of 01 salary step (intermittent periods may be accrued if social insurance benefits are not claimed during the intervals). In case the public employee fails to complete the assigned tasks or is disciplined during task performance, the time for pay raise shall be extended.

After the salary is transferred and graded into the title of grade-IV nurse, the title of grade-IV midwife, or the title of grade-IV medical technician mentioned above, if the salary factor graded for the title plus the extra seniority allowance (if any) is lower than the current salary factor of the old grade, a differential factor shall be applied to match the factor applied to the old grade (including the extra seniority allowance, if any). The public employee shall be entitled to this differential factor during the time his/her salary is graded for the title of grade-IV nurse, the title of grade-IV midwife, or the title of grade-IV medical technician.  After that, if this public employee has his/her grade of title promoted, he/she shall receive the addition of this reserved difference coefficient to his current salary factor (including the extra seniority allowance, if any) for salary grading to the appointed title upon promotion of title and stop receiving the reserved difference coefficient from the date of receipt of the salary of the new title.

Ex: Ms Tran Thi H graduated from college with speciality of nursing, is recruited to work as a college nurse at the Hospital X, has paid compulsory social insurance premiums from January 01, 2008 to the present, is holding the grade of college nurse (code 16a.200), is entitled to the step-3 salary with a salary factor of 2,72 from January 01, 2015, adequately performs the assigned tasks during the course of work and is not disciplined.  Now Ms H meets all standards and is appointed by the competent authority to the title of grade-IV nurse (code V.08.05.13), her salary shall be graded as follows:

Ms H's working time is from 01/01/2008, excluding her probation of 06 months, if it is calculated from the step-2 salary of the title of grade-IV nurse with a raise of 01 step for every 02 years, then until 01/07/2014, Ms H shall be entitled to the step-5 salary with a salary factor of 2,66 of the title of grade-IV nurse from the date on which the above decision is signed; the time to consider pay raise for the next time is calculated from 01/07/2014 while Ms H receives the differential factor 0,06 (2,72 - 2,66).

By 01/07/2016 (full 02 years), if Ms Tran Thi H meets all standards and conditions, she shall be eligible for a pay raise to step 6 with a salary factor 2,86 of the title of grade-IV nurse and shall continue receiving the differential factor 0,06 (the total salary factor is 2,92).

4. A nurse, midwife or medical technician may gain promotion after he/she is appointed to the title of nurse, midwife or medical technician by the competent authority according to regulations in this Joint Circular and his/her salary is graded under guidelines in Clause 1 Section II of the Circular No. 02/2007/TT-BNV dated May, 25 2007 of the Ministry of Home Affairs.

Chapter IV

...

...

...

Article 16. Effect

1. This Joint Circular comes into effect from November 20, 2015.

2. This Joint Circular replaces Decision No. 41/2005/QD-BNV dated April 22, 2005 of the Minister of Home Affairs; Circular No. 12/2011/TT-BYT dated March 15, 2011 of the Ministry of Health and Circular No. 23/2009/TT-BYT dated December 1, 2009 of the Ministry of Health;

3. Regulations on codes of grades of midwives specified in the Circular No. 06/2011/TT-BNV dated March 01, 2011 of the Ministry of Home Affairs and regulations on list of grades of medical technicians specified in the Circular No. 09/2009/TT-BNV dated October 15, 2009 of the Ministry of Home Affairs shall be annulled.

Article 17. Application clauses

1. When a public employee who was appointed as a nurse according to the Decision No. 41/2005/QD-BNV dated April 22, 2005 of the Minister of Home Affairs; a midwife according to the Circular No. 06/2011/TT-BNV dated March 01, 2011 of the Ministry of Home Affairs; or a medical technician according to the Circular No. 09/2009/TT-BNV dated October 15, 2009 of the Ministry of Home Affairs is now appointed to the title of nurse, midwife or medical technician specified in this Joint Circular, the managing or employing authority shall enable him/her to fulfill the standards applied to the appointed title.

2. Since January 1, 2021, a public employee recruited to the title of grade-IV nurse shall obtain a level 5 of VQF Advanced Diploma in nursing; a public employee recruited to the title of grade-IV midwife shall obtain a level 5 of VQF Advanced Diploma in midwifery; a public employee recruited to the title of grade-IV medical technician shall obtain a level 5 of VQF Advanced Diploma in medicine technique. Any public employee who has a Level 4 of VQF Diploma, and was recruited and appointed to the title of grade-IV nurse, the title of grade-IV midwife, or the title of grade-IV medical technician before January 01, 2021 shall undergo college-level standardization training no later than January 01, 2025. If the public employee is appointed to participate in a course in order to obtain a level 5 of VQF Advanced Diploma but fails to complete the course or fails to achieve satisfactory results, the managing or employing authority shall report to the agency or unit that manages the public employee for reassignment or dismissal.

Article 18. Organization of implementation

1. This Joint Circular is a ground for recruitment, employment and management of public employees who are nurses, midwives and medical technicians in public health facilities.

...

...

...

3. A head of a public health facility directly managing and employing public employees shall:

a) review working positions at their facility, formulate plans for appointment to titles of nurse, midwife and medical technician under their management and submit it to a competent authority for consideration and decision or issue a decision within their jurisdiction;

b) decide the appointment of titles for nurses, midwives and medical technicians under their management to respective titles of nurse, midwife and medical technician under their jurisdiction or decentralization or authorization after the plan for appointment to titles is approved by the competent authority.

c) make plans and enable public employees currently holding grade-IV titles to participate in college-level standardization training according to regulations in Clause 2 Article 18 of this Joint Circular.

5. Ministries, ministerial agencies, Governmental agencies and People’s Committees of provinces and central-affiliated cities shall:

a) direct units under their management to prepare plans for appointment to titles and grading of salaries of public employees who are nurses, midwives and medical technicians in public health facilities;

b) consider approving the plans for appointment to titles and grading of salaries of public employees in public health facilities under their management from the title of nurse, midwife and medical technician to other titles of nurse, midwife and medical technician specified in this Joint Circular; handle enquiries about appointment to titles and salary grading within their jurisdiction;

c) decide appointment to titles and grading of salaries of nurses, midwives and medical technicians in public health facilities under their management.

d) submit reports on appointment to job titles and grading of salaries of nurses, midwives and medical technicians in public health facilities under their management to the Ministry of Health and the Ministry of Home Affairs.

...

...

...

1. Ministers, heads of ministerial agencies, heads of governmental agencies and Chairpersons of People’s Committees of provinces and central-affiliated cities shall be responsible for the implementation of this Joint Circular.

2. Difficulties that arise during the implementation of this Joint Circular should be reported to the Ministry of Health which will conduct consolidation, take charge of, and cooperate with the Ministry of Home Affairs in consideration and settlement./.

PP. MINISTER OF HOME AFFAIRS
DEPUTY MINISTER




Tran Anh Tuan

PP. MINISTER OF HEALTH
DEPUTY MINISTER




Nguyen Viet Tien