Reference 086 is one of the most common medical documents. It is necessary for everyone who wants to get a job.
Why do I need help?
This document is intended to be completed by doctors included in the medical commission when applying for a particular workplace. Currently, form 086-y is a form filled out on both sides. Now it has a standard appearance for all healthcare organizations.
Due to the prevalence of this document, almost everyone knows what Help 086 looks like. The sample can be obtained at any clinic during the passage of the medical commission.
When is the right needed?
First of all, everyone who wants to get a new job needs it. The fact is that there are a large number of diseases that are a contraindication to a particular work activity. It is to confirm their absence that help 086 is needed. The form is issued to the examinee in his arms. In the future, doctors gradually fill it.
A medical examination should be carried out for every working person at least once a year. If the fulfillment of labor duties by him has some features, then sometimes more frequent confirmation of the level of health is required.
Reference 086: doctors
The passage of a medical commission for a job requires the patient to visit a sufficiently large number of doctors of different profiles. Among the specialists who will have to visit, one can note:
- surgeon
- neuropathologist;
- dermatovenerologist;
- a psychiatrist;
- narcologist;
- gynecologist (for women);
- ENT specialist;
- ophthalmologist;
- therapist.
Each of these doctors issues 086-y all the identified diseases in the form of codes for ICD-10. Ultimately, the subject will have to visit a professional pathologist, who will make the final conclusion about the suitability of a person for work in a particular position.
Neurologist
This specialist often makes a negative conclusion about the suitability of the subject for the performance of certain duties. The reason for this decision can be all sorts of neuropathies, which are quite pronounced. Another diagnosis that can become an obstacle to work is an acute violation of cerebral circulation. In this case, a lot will depend on how pronounced the consequences of this serious pathological condition are. Restrictions on work are often associated with diseases that lead to impaired coordination. Such patients are forbidden to work with various moving mechanisms, including cars.
Surgeon
This specialist is necessary when passing a medical commission. Form 086 has a separate column for this doctor. Moreover, if the work is not specific (at altitude, etc.), then usually the patient does not have any problems with this doctor. Currently, most often questions from the surgeon to the patient can arise in the presence of various kinds of limb defects. Commissions are not signed even when a person has an acute disease of a surgical profile.
Otorhinolaryngologist
This specialist very rarely notes the patient's unsuitability for a particular job. Most often this happens when the patient has a serious hearing or speech impairment. At the same time, the otorhinolaryngologist can refer the patient to a sound doctor or phoniatrist to confirm the diagnosis. A certificate of format 086-y is not signed in cases where the patient has an acute pathological process of the otorhinolaryngological profile. Oncological diseases located in the "area of responsibility" of the ENT doctor in the progression stage are also contraindications to signing a working commission.
Ophthalmologist
This doctor will check the patient's level of vision. Many professions require that the employee must clearly see well. To a greater extent, we are talking about people who apply for a driver’s position, especially if the candidate is going to drive a passenger bus or a car with a dangerous load.
However, in most cases, the ophthalmologist helps the patient to correct his vision so that he can perform his job duties. Perhaps, in this case, a person will be prescribed to wear glasses or contact lenses.
Psychiatrist
In the event that a person is not registered with a psychiatrist and possesses at least basic school knowledge, he is unlikely to have problems with the passage of this specialist. If the subject has a diagnosis of a psychiatric nature, then it can become a serious obstacle to the work of one type or another. For example, most diseases of this profile do not allow a person to perform their duties at night.
Expert in narcology
It is very easy to pass this specialist if the person is not registered with him. If earlier the patient had problems with a narcologist, then with his signature on the certificate 086 serious questions may arise. This is especially true for those professions that provide for a high degree of employee responsibility. They will not sign a commission for employment with drivers and security guards.
Gynecologist
Such a doctor must be passed to every woman who wants to get a job. In fact, this specialist is included in the commission mainly to increase the frequency of preventive gynecological examinations, because the pathology of the female genital organs, even a very serious one, is not so rare. As a result, a commission for work will be signed in all cases, except for those when an active oncological process is observed.
Dermatovenerologist
Most often, problems with this doctor arise in those people who want to get a job that involves a health book, and at the same time have any kind of infectious or sexually transmitted disease. For other professions, the diagnosis of this doctor almost never becomes a contraindication.
Therapist
This specialist is one of the most important in the entire commission. It is he who most often last (except professional pathologist) puts his opinion. The fact is that to visit a therapist, you must wait for the results of the tests. In addition, the doctor conducts the most general examination, which allows him to know exactly what kind of person has diseases of other profiles. This is necessary so that when identifying a particular problem, which other doctors do not have a record about, the therapist can accurately diagnose the pathologies of his profiles.
The main diseases-contraindications to work are grade 3 hypertension and bronchial asthma.
Help 086: what tests need to be passed?
Before you visit the therapist, you must undergo a certain examination. First of all, you need to pass general blood and urine tests. In addition, people aged will have to take a biochemical blood test. Also, after 35 years, it is already necessary to determine the level of glucose. Once a year, fluorography and electrocardiography should be taken. If a person needs a sanitary book, then he will have to take a blood test for viral hepatitis, as well as HIV infection.
How long does a commission usually take?
A medical examination at a regular state polyclinic can take about a week. This is due to the fact that very little time is allocated here for such examinations. In addition, the test results will have to wait at least a day (and for viral hepatitis and HIV - a little longer). A faster way, requiring serious investment, is to go through a medical commission in a private center. In this case, 086 help can be obtained already on the first day. However, usually employees undergo a routine examination in a regular clinic.