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MINISTRY OF HEALTH OF UKRAINE
Danylo Halytsky Lviv National Medical University
APPROVED
First Vice Rector of scientific and pedagogical work prof. Hzhehotskyi M.R.
«____»____________ 201__ y.
Department: Propaedeutics of Internal Medicine № 1
Head of Department: Prof. Dutka R.Y.
DIARY
of PRACTICE
" Nursing practice in conditions of
therapeutic department of a hospital "
Name and surname of student _____________________________________
Faculty: Medical Course _______ Group _________
Location of practical training ________________________________________
Lviv -201__ y. МІНІСТЕРСТВО ОХОРОНИ ЗДОРОВ'Я УКРАЇНИ Львівський національний медичний університет імені Данила Галицького ЗАТВЕРДЖУЮ Перший проректор з науково-педагогічної роботи проф. М.Р. Гжегоцький
___________________________
«____»____________ 201__ р.
Кафедри: Пропедевтики внутрішньої медицини № 1
Завідувачі кафедр: професор Р.Я. Дутка
ЩОДЕННИК
ВИРОБНИЧОЇ ПРАКТИКИ
"Сестринська практика в умовах
терапевтичного відділення стаціонару"
Прізвище, ім’я, по батькові студента_______________________________
Факультет: медичний Курс _______Група_________
База практики___________________________________________________
Львів-201__ р.
Methodical recommendations « Diary of Practice «Nursing practice in conditions of
therapeutic department of a hospital » prepared by: Associate professors Ivasivka R.S., Novosad
A.B. (Department of Propaedeutics of Internal Medicine № 1)
Edited by head of the department of Propedeutics of Internal Medicine № 1 Professor
Dutka R.Y.
Responsible for release – First Vice Rector of scientific and pedagogical work, Academician of ASHS, MD in Medicine, professor Hzhehotskyi M.R.
( position, name, signature ) Supervisor of practice from hospital
( position, name and surname )
Direct manager of practice from hospital
( position, name and surname )
Student arrived ""___________201 __ y. left ""________201 ___ y.
Signature of the responsible person _______________________ L.S.
GENERAL PROVISIONS Working nursing practice is carry out in accordance with the curriculum, passing of nursing practice provided in July, after the end of VI semester, when a student acquired adequate knowledge of the main basic disciplines: medical biology, medical and biological physics, human anatomy, physiology, organic and biological chemistry, microbiology, virology and immunology. Also after student complete study of clinical disciplines: propaedeutics of internal medicine, propedeutics of pediatrics and general Surgery with which integrates nursing practice. The volume of nursing practice is 1.5 credit (1 week). During practice students perform duties of middle medical personnel on the basis of stationary units of therapeutic departments of regional, city and district health facilities. Students work 6 hours a day for 5 days, in their free time perform independent work. In the department must be students timetable. Direct managers of students practice are nurses. Student before arriving at practice must receive instruction from Supervisor of practice from department and receive program and diary of practice; referral to practice. The student arrived in health care facility (HCF) must submit to the Supervisor from the base diary of practice, pass safety training, refine the plan of practical training. During practical training student is obliged to strictly comply internal regulations of HCF. The report about the practice student makes in accordance with the timetable of practical training and additional instructions of Supervisors from the university and from HCF. Practical training of student is rated on a four - point system and taken into account as the other subjects of the curriculum (educational plan). A student who has not fulfilled the requirements of practice and received a negative feedback about work or unsatisfactory mark (failing
grade) during the defense of final report is subject to expulsion from the University. The aim of practical training from nursing practice is to achieve the main final goals, defined in the educational and professional program of training specialist by specialties 7.110101 "Medicine" and is the basis of building content for working practice. Final goals of the nursing practice: Master the principles of professional subordination in system "Doctor - nurse", communication skills with patients of all ages and their relatives, communication skills with incurable patient and their families. Master the skills of work organization of the nurse from reception and general therapeutic department, professional skills of manipulation nurse, nurse of procedural cabinet and the cabinet of functional diagnostics of therapeutic department, nursing skills necessary for carrying out diagnostic process and performing the necessary nursing procedures. Specific goals of the nursing practice:
- determine the content of nursing practice and its role in the general therapeutic actions;
- demonstrate the skills of filling documentation which maintained a nurse in different units of therapeutic hospital;
- demonstrate the skills of thermometry conducting, measurement of blood pressure, pulse and entering the information to temperature leaf;
- demonstrate skills of taking complete blood count, blood sugar content, the biochemical and bacteriological tests;
- demonstrate skills of performance subcutaneous, intradermal, intramuscular and intravenous injections;
- demonstrate skills of compilation and fill in a system for intravenous drip of drugs, conducting intravenous drip of drugs;
- demonstrate skills of preparation a manipulation table to work;
- demonstrate skills of disinfection, cleaning presterilization of tools, implementation of quality control of presterilization cleaning of instruments from blood and detergents, conducting sterilization of instruments for repeated use;
- demonstrate the skills of preparing the patient for conducting gastroscopy, sigmoidoscopy, colonoscopy, ultrasound of the abdomen;
- demonstrate the skills of conducting the simplest physiotherapeutic procedures and care of patients during their implementation;
- demonstrate skills of ECG recording and interpretation of results;
- demonstrate skills of the basic techniques of resuscitation;
- demonstrate the skills of First aid in case of poisoning, heat and sunstroke, in case of drowning at electric trauma;
CONTENTS OF PRACTICE
The list of practical skills which should master third year student of the medical faculty at the passing of nursing practice :
- Filling the medical records, that belongs to the duty of a nurse of therapeutic department.
- (^) Prescribing and account of strong acting and narcotic drugs.
- Provision of patients with drugs in accordance of prescription sheet.
- Collecting sterile syringe from kraft package, sterilizer, from instrumental table, disposable. Taking drugs from vials and bottles.
- Performing intradermal and subcutaneous injections.
- Using insulin syringe. Performing calculations of insulin dose and input of insulin.
- Holding intramuscular injection (dissolution, calculation of dose and administration of antibiotics).
- Imposition of wiring harness and performance of venipuncture, phlebotomy, intravenous administration of drugs. Conducting blood collection from a vein for laboratory studies (bacteriological, biochemical).
- Drafting and filling systems for intravenous infusions. Intravenous drip input of drugs.
- Preparation of patient for the probing of stomach by fractional method using enteral and parenteral stimuli, to duodenal sounding (three- and five-phase). Technique of this instrumental studies.
- Preparation of the patient and participation in the X-ray study of the stomach, intestines, cholecystography, urography.
- Preparation of the patient and participation in bronchoscopy, cystoscopy, esophagogastroduodenoscopy, colonoscopy and proctosigmoidoscope.
- Conducting presterilization cleaning of instruments with quality control of presterilization processing of tools.
- Sterilization of medical instruments, dressing material and subjects of care, control of sterilization.
- Conducting sampling smears from the throat and nose, collecting of sputum for study, feces and urine sampling for different types of research.
- Providing emergency care to patients with heart pain, swoon, attack of cardiac asthma, cough, dyspnea, hemoptysis, pulmonary hemorrhage, gastrointestinal bleeding, vomiting and aspiration of vomit.
- Setting enema.
- The introduction of drugs into the ears, nose, eyes.
- (^) Registration of electrocardiogram.
- Imposition of compresses, mustard plasters and cans.
- Application of technology of oxygen supply from an oxygen pillow, through a nasal catheter.
- Using different types of inhalers.
- Feeding of critically ill.
- Conducting indirect heart massage and artificial pulmonary ventilation.
Criteria for evaluation of practical skills:
- performance of practical skills without errors - 5 points ,
- performance of practical skills with some failings, corrected by a student - 4 points ,
- performance of practical skills with failings, corrected by teacher - 3 points ,
- failed practical skills - 0 points.
EVALUATION OF STUDENT WORK IN PRACTICE
№ Name of ability, practical skills
Date Marking about enrollment in points
Signature
and parenteral stimuli, to duodenal sounding (three- and five-phase). Technique of this instrumental studies.
- (^) Be able to prepare patient and
participation in the X-ray study of the stomach, intestines, cholecystography, urography.
- (^) Be able to prepare patient and
participation in bronchoscopy, cystoscopy, esophagogastroduodenoscopy, colonoscopy and proctosigmoidoscope.
- (^) Be able to conduct
presterilization cleaning of instruments with quality control of presterilization processing of tools.
- (^) Be able to do sterilization of
medical instruments, dressing material and subjects of care, control of sterilization.
- (^) Be able to conduct sampling
smears from the throat and nose, collecting of sputum for study, feces and urine sampling for different types of research.
- (^) Be able to provide emergency
care to patients with heart pain, swoon, attack of cardiac asthma, cough, dyspnea, hemoptysis, pulmonary hemorrhage, gastrointestinal bleeding, vomiting and aspiration of vomit.
- (^) Be able to provide enema.
- (^) Be able to put of drugs into the ears, nose, eyes.
- (^) Be able to record electrocardiogram.
- (^) Be able to put compresses, mustard plasters and cans.
- (^) Be able to use oxygen supply from an oxygen pillow, through a nasal catheter.
- (^) Be able to use different types of inhalers.
- (^) Be able to feed critically ill.
- (^) Be able to conduct indirect heart massage and artificial pulmonary ventilation.
Total point for practical
skills Final control of PRACTICE
Prior to final control of practice, allowed students who received for practical skills from a certain type of practice, not less than 72 points, presented a report for the practice and positive characteristics of general manager of the basis of practice.
Final control, according to the requirements practice program, students make up at the last day of practice. The Commission consists from Head of Practice from University and, if possible, Head of Practice from bases of practice.
The list of questions for total control
- The ethical basics of nursing.
- The main orders of the Ministry of Health of Ukraine, which regulate the activities of a nurse of therapeutic department.
- Duties of a nurse of main departments of therapeutic hospital.
- The list of documents, which maintained a nurse in different parts of therapeutic department.
- Types of health care institutions, their structure and function.
- Reception department of the hospital, functions.
- Admission, registration and sanitary processing of patient.
- Sanitary-epidemiological regime of health care institutions.
- The concept of infectious safety.
- External application of drugs, rubbing of ointments, instillation of drops in the nose, ears, eyes.
- Inhalation.
- Enteral input of drugs, through the mouth, under the tongue, rectal.
- Parenteral way of drug administration, advantages and disadvantages, tools.
- Intradermal injection: appointment, anatomical areas technique.
- Mantoux test and test for sensitivity to medications. Evaluation of results.
- Features of input oil solutions, possible complications and their prevention.
- Features of input oil solutions, possible complications and their prevention.
- Intramuscular injection: appointment, anatomical areas technique.
- Dissolution, the calculation of dose and input of antibiotics.
- Venipuncture: purpose, tools, technology implementation.
- Intravenous drug administration.
- Collecting of blood from a vein for laboratory research.
- (^) Bloodletting: indications, contraindications, technique, possible complications.
- Intravenous drip drugs (structure and compilation systems for infusion therapy).
- Possible complications of injections, causes, assisting.
- Probing stomach: patient preparation, equipment, fractional probing technology through enteral and parenteral stimuli.
- Duodenal probing: preparation of patient, equipment, appliances three- and five-phase probing.
- Taking smears from the throat and nose, goal, directing to the laboratory.
- Laboratory examination of sputum. Preparation of patient, equipment, directing material in the laboratory.
- Laboratory examination of urine. Preparation of patient, equipment, directing material in the laboratory.
- Laboratory examination of feces. Preparation of patient, equipment, directing material in the laboratory.
- Preparation of patients and nurses involved in the X-ray examination of the digestive canal, irrigoskopiya, cholecystography, urography.
- Preparation of patients and nurses involved in the endoscopic and ultrasound.
- Regulations for the treatment with dead man.
- Bioethical norms when dealing with incurable patients and their loved ones.
- (^) Psychological support of relative’s of incurable patient during the period of mourning.
- Hospice. Organization, tasks and content of work. The structure, staffing.
- Collecting of blood from a vein for laboratory studies (bacteriological, biochemical).
- Technology of taking smears from the throat and nose.
- Collection of sputum for laboratory studies (general, bacteriological).
- Taking vomit and stomach flushing water for laboratory research.
- Taking stool for laboratory research, scatological, bacteriological, occult blood helminth eggs.
- Preparation of the patient and probing technology stomach by fractional method using enteral and parenteral stimuli.
- Preparation of the patient and the technique of duodenal sounding (three- and five-phase).
- Collecting urine for general analysis, research on sugar, amylase.
- Determination of daily urine output, water balance.
- Collecting urine by Zimnitskiy, Nechyporenko.
- Collecting urine for bacteriological research.
- Prescribing referral to the laboratory for all kinds of research.
- Preparation of the patient and nurses involved in the X-ray examination of the stomach, intestines, cholecystography, urography.
- Conducting tests on sensitivity to contrast material.
- Preparation of the patient and nurses involved in bronchoscopy, cystoscopy, esophagogastroduodenoscopy, colonoscopy and proctosigmoidoscope.
- Pleural puncture (plevrotsentez): patient preparation, equipment, care, maintenance and monitoring of the patient during and after the procedure.
- (^) Lumbar puncture: patient preparation, equipment, care, maintenance and monitoring of the patient during and after the procedure.
- Abdominal puncture: preparation of patient, instruments, care, maintenance and monitoring of the patient during and after manipulation.
COMMENT AND EVALUATION OF STUDENT WORK IN PRACTICE
From health care facility
From University
ASSESSMENT FOR PRACTICE
Total points for: Total score Traditional mark
Date Signature of Practical teacher skills
Final control
Supervisor of practice from department
(signature) (name and surname)
