International Institute of Medical Education and Cooperation

SPECIALIST DEGREE PROGRAMME 31.05.01 ‘GENERAL MEDICINE’

COURSE: The hospital practice of obtaining professional skills and professional experience (WARD NURSE ASSISTANT)

Mode of study full time Faculty International Institute of Medical Education and Cooperation Department Nursing organization Year 2 Semester – 4 – The hospital practice of obtaining professional skills and professional experience (180 ac.h.) *ac. h. – academic hours Exam – 4 semester 3 ac.h

Total workload 180 ac.h (5 credits) Duration of practice 20 study days

The course (module) is devised according to FSES HE requirements approved on February,9, 2016 by Order of Ministry of Health, Russian Federation) and vocational functions of General Practitioner (primary care physician, district doctor) Professional Standard.

1. TYPE OF PRACTICE, METHOD AND FORM OF CARRYING OUT The hospital practice “Practice for obtaining professional skills and professional experience (ward nurse аssistant )” is carried out discretely, in a stationary and retreat way for 20 days of 4th semesters in the premises of the Nursing Organization Department, as well as in the rooms of medical organizations of Voronezh city, Voronezh region and other regions of the Russian Federation at the student’s residence on the basis of agreements.

2. EXPECTED EDUCATIONAL RESULTS OF THE COURSE

THE COURSE AIM AND SCOPE: to teach students main stages of the ward nurse work and apply their knowledge in hospital.

Practice Objectives: Students have to Know: - Compliance with the rules of asepsis and antiseptics at the nurse post; - an algorithm for assisting the ward nurse during various manipulations: - extracting medicinal solution from an ampoule and a bottle to the syringe, - carrying out sanitary treatment of the patient upon admission to the hospital and during his stay in the hospital, - the timing and rules for changing underwear and bedding of the patient, - prevention and treatment of pressure sores, - a technique for measuring body temperature, - methodology for daily dieresis control, biological material for laboratory research collection, - rules for anthropometry, - rules for disinfection and pre-sterilization preparation of medical instruments, materials and patient care items, - the method of antibiotics dilution , - the technique of setting cleansing, hypertonic, siphon, nutritious, medicinal, oil enemas, - performing manipulations according to the doctor prescriptions and keeping records of the performed manipulations: - determination of the pulse on the radial artery, its characteristics and the rules for recording received data; - registration of the patient’s body temperature results, - taking a smear from the throat and nose for laboratory research; - methods of parenteral drug administration (subcutaneous, intramuscular injection); - decontamination of syringes and other medical instruments in the procedure room, - pre-sterilization cleaning and sterilization at a central sterilization unit; - the first-aid medical care provision in case of medical procedures complications, calling a doctor; - complications registration in the appropriate journal; - compliance with the sanitary and anti-epidemic regime, as well as measures to prevent HIV / AIDS and viral hepatitis B and C at the nursing post; - keeping records of drug consumption; - correct maintenance of records at the post in the established form. Be able to: • perform intramuscular, subcutaneous, intracutaneous injection • extract a medicinal solution from an ampoule and a bottle, dilute antibiotics; • measure blood pressure, daily diuresis, height, body weight; count the pulse, pulse deficiency, the number of respiratory movements; • measure body temperature, carry out graphical recording in a temperature sheet; • distribute drugs; • use a pocket inhaler, spacer, nebulizer • transport the patient in a wheelchair, stretcher-wheelchair, on a stretcher; transfer the patient from the stretcher to the bed; use a functional bed; • change underwear and bedding • conduct a daily toilet (oral cavity, nose, eyes,washing, rubbing the skin with a disinfectant solution; washing the legs, hands; cutting the nails, etc.) • washing and instilling drops in the eyes, nose, ears; laying ointments, etc. • apply external medicines: ointments, iodine, powders • take smears from the throat and nose for bacteriological examination, collect sputum, urine, feces for laboratory research; • put on an inflatable rubber circle; • prevent pressure sores; • feed seriously ill patients (from a drinker, spoon) • take care for patients with urinary and fecal incontinence; • perform enemas, introduce a flatus tube; • bladder catheterization with a soft catheter; • supply medicinal cups, mustard plasters, compress; prepare and give heating pad and ice bag; • provide first aid in acute conditions and in case of complications during medical procedures (cough, sudden shortness of breath (suffocation), hemoptysis, heart pain, hypertensive crisis, fainting, vomiting, etc.); gastric lavage; to use a pocket inhaler; • provide first aid to a patient with gastrointestinal, pulmonary, nosebleeds; • temporary external bleeding arrest in various ways; • first aid in case of poisoning with disinfectants; • prepare the patient for stomach and intestines radiography; • use glucometer, peak flow meter; • carry out resuscitation measures (indirect heart massage, artificial lung ventilation); • draw up the necessary medical documentation; provide: • a technique for measuring blood pressure, temperature, daily urine output, height, body weight; counting arterial pulse on the radial artery, pulse deficiency, the number of respiratory movements; • transportation of the patient technique ; • the skill of using a functional bed; • technique for changing underwear and bed linen • the methodology for personal hygiene of the patient (daily toilet of the oral cavity, nose, eyes, skin, etc.); • bedsore prevention skills; • use of a pocket inhaler, spacer; • use of a glucometer, peak flow meter, nebulizer • washing and instilling drops in the eyes, nose, ears; laying ointments • preparation and supply of a heating pad and an ice pack • taking a smear from the throat and nose for bacteriological examination, collecting sputum, urine, feces for laboratory research;

2. OUTCOME COMPETENCIES OF THE COURSE The internship is aimed at the formation of the following General Cultural Competencies (GCC), General Professional Competencies (GPC) and Рrofessional competencies (PC) competencies in students:

Content of Lerning outcomes Compe competence № tency Know to be able to to provide Valuati (or part Code on thereof) Tools * 1. GCC-4 ability to act  • principles of  • - to act correctly  • Ability to 20 in non- action in unusual in an unusual act in the event standard situations; situation, of an unusual situations,  • types of  • - bear social and situation; bear social responsibility for ethical responsibility  • Skills of and ethical their professional for decisions made responsibility responsibility actions;  • -to carry out nurse for their for made  • -technologies manipulations actions, both decisions for performing  • provide social and nursing intramuscular, ethical; manipulations subcutaneous,  • preparation  • compliance intracutaneous and supply of a with the rules of injection hot-water asepsis and  • extract medicinal bottle and ice antiseptics at the solution from an pack post; ampoule and a bottle,  • use of a  • - methods of dilute antibiotics; pocket inhaler, parenteral  • use a pocket spacer; administration of inhaler, spacer, • methodology drugs nebulizer of (subcutaneous,  • transport patients transportation intramuscular in a wheelchair, of the patient; injection); stretcher-wheelchair,  • - compliance on a stretcher; transfer with the sanitary the patient from the and anti- stretcher to the bed; epidemic regime, use a functional bed; as well as  • carry out measures to resuscitation prevent HIV / measures (indirect AIDS and viral heart massage, hepatitis B and C artificial lung at the post; ventilation);  • temporary arrest of external bleeding in various ways;  • first aid in case of poisoning with disinfectants;  • provide first aid in acute conditions and in case of medical procedure complications (cough, sudden shortness of breath (suffocation), hemoptysis, heart ache, hypertensive crisis, fainting, vomiting, etc.); gastric lavage; the ability to use a pocket inhaler;  • provide first aid to a patient with gastrointestinal, pulmonary, nosebleeds; 2. GPC-4 ability and  • ways to • Implement ethical • • Skill in the 20 willingness to implement the and deontological implementatio implement principles of principles in their n of ethical ethical and ethics and professional and deontological deontology in activities; deontological principles in professional • measure blood principles in professional activities pressure, daily working with activities  • algorithm for diuresis, height, body patients and assisting the ward weight; count the their relatives nurse during pulse, pulse • • preparation various deficiency, the and supply of manipulations number of respiratory a hot-water • performing movements; bottle and ice manipulations • measure body pack according to the temperature, carry out • • use of a doctor graphical recording in pocket inhaler, prescriptions, a temperature sheet; spacer; keeping records • distribution of • methodology of the performed drugs; of manipulations • take smears from the transportation throat and nose for of the patient; bacteriological examination, collect sputum, urine, feces for laboratory research; • change underwear and bedding • conducting a daily toilet (oral cavity, nose, eyes; washing, washing, rubbing the skin with a disinfectant solution; washing the legs, hands; cutting nails, etc.) 3. GPC-8 readiness for • set in a syringe  • use drugs and  • knowledge 10 medical use of of a medicinal other substances to of how to use drugs and solution from an treat patients as drugs to use other ampoule and a directed by a doctor them to treat substances bottle, within their authority patients and their • • - the method  • intramuscular,  • use of a combinations of antibiotics subcutaneous, pocket inhaler, dilution, intracutaneous spacer; • • - performing injection  • washing manipulations  • extract medicinal and instilling according to the solution from an drops in the doctor ampoule and a bottle, eyes, nose, prescriptions and dilute antibiotics; ears; laying keeping records  • drug distribution; ointments of the performed  • use a pocket manipulations: inhaler, spacer, • • - the nebulizer algorithm for  • washing and assisting the instilling drops in the ward nurse eyes, nose, ears; during various laying ointments, etc. manipulations:  • apply external • • - methods of medicines: parenteral ointments, iodine, drugs powders administration (subcutaneous, intramuscular injection);  • - keeping records of drug consumption; 4. GPC- readiness to  • compliance  • Organize patient  • Ways and 20 10 organize with the rules of care, provide primary methods of patients care asepsis and pre-medical health providing and the antiseptics at the care health care to provision of post;  • measure blood patients primary pre-  • - the pressure, daily  • a technique medical health algorithm for diuresis, height, body for measuring care assisting the ward weight; count the blood pressure, nurse during pulse, pulse temperature, various deficiency, the daily urine manipulations: number of respiratory output, height,  • - the rules for movements; body weight; changing the  • measure body counting patient’s temperature, carry out arterial pulse underwear and graphical recording in on the radial bedding, a temperature sheet; artery, pulse  • - prevention,  • distribute drugs; deficiency, the treatment and  • use a pocket number of treatment of inhaler, spacer, respiratory pressure sores, nebulizer movements;  • - a technique  • transport the  • for measuring patient in a methodology body wheelchair, stretcher- of temperature, wheelchair, on a transportation  • - the stretcher; transfer the of the patient; methodology for patient from the  • the skill of collecting daily stretcher to the bed; using a diuresis, use a functional bed; functional bed; biological  • change underwear  • technique material for and bedding for changing laboratory  • conducting a daily underwear and research, toilet (oral cavity, bed linen  • - rules for nose, eyes; washing,  • the anthropometry, washing, rubbing the methodology  • - the skin with a for personal technique of disinfectant solution; hygiene of the setting cleansing, washing the legs, patient (daily hypertonic, hands; cutting the toilet of the siphon, nutritious, nails, etc.) oral cavity, medicinal, oil  • washing and nose, eyes, enemas, instilling drops in the skin, etc.);  • - performing eyes, nose, ears;  • bedsore manipulations as laying ointments, etc. prevention prescribed by the  • put on an skills; doctor and inflatable rubber  • washing keeping records circle; and instilling of the performed  • prevent pressure drops in the manipulations: sores; eyes, nose,  • -  • feed seriously ill ears; laying determination of patients (from a ointments the pulse on the sippy-cup, spoon)  • preparation radial artery, its  • care for patients and supply of a characteristics with urinary and fecal heating pad and the rules for incontinence; and an ice pack recording  • supply cans,  • taking received data; mustard plasters, a smear from  • - registration compress; prepare the throat and of the results of and serve a heating nose for measuring the pad and ice bag; bacteriological patient’s body  • provide first aid in examination, temperature, acute conditions and collecting  • - taking a in case of sputum, urine, smear from the complications during feces for throat and nose medical procedures laboratory for laboratory (cough, sudden research; research; shortness of breath  • - the (suffocation), provision of hemoptysis, heart first-aid medical pain, hypertensive care in cases of crisis, fainting, complications vomiting, etc.); during medical gastric lavage; the procedures and a ability to use a pocket doctor’s call; inhaler;  • provide first aid to a patient with gastrointestinal, pulmonary, nosebleeds;  • carry out resuscitation measures (indirect heart massage, artificial lung ventilation);  • temporary external bleeding arrest in various ways;  • first aid in case of poisoning with disinfectants;  • take smears from the throat and nose for bacteriological examination, collect sputum, urine, feces for laboratory research;  • draw up the necessary medical documentation;  • prepare the patient for radiography of the stomach and intestines; • conduct a study with a glucometer, peak flow meter; 5. GPC- willingness to  • algorithm for  • • intramuscular,  • a technique 20 11 use medical assisting the ward subcutaneous, for measuring devices nurse during intradermal injection blood pressure, prescribed by various  • • measure blood temperature, the medical manipulations: pressure, daily daily urine care  • - extract diuresis, height, body output, height, medicinal weight; count the body weight; solution from an pulse, pulse counting ampoule and vial, deficiency, the arterial pulse  • - a technique number of respiratory on the radial for measuring movements; artery, pulse body  • • measure body deficiency, the temperature, temperature, carry out number of  • - the graphical recording in respiratory methodology for the temperature sheet; movements; collecting daily  • • use a pocket  • • methods diuresis, inhaler, spacer, of biological nebulizer transportation material for  • change underwear of the patient; laboratory and bedding  • • the skill research,  • • conducting a of using a  • - rules for daily toilet (oral functional bed; anthropometry, cavity, nose, eyes;  • • technique  • - the rules for washing, washing, for changing the disinfection rubbing the skin with underwear and and pre- a disinfectant bed linen sterilization solution; washing the  • • methods preparation of legs, hands; cutting of conducting medical nails, etc.) personal instruments,  • • take smears hygiene of the materials and from the throat and patient (daily patient care nose for toilet of the products, bacteriological oral cavity,  • - the examination, collect nose, eyes, technique of sputum, urine, feces skin, etc.); setting cleansing, for laboratory  • • bedsore hypertonic, research; prevention siphon, nutritious,  • • put on an skills; medicinal, oil inflatable rubber  • • use of a enemas, circle; pocket inhaler,  • - taking a  • • prevent spacer; smear from the bedsores;  • • use of a throat and nose  • • feed seriously ill glucometer, for laboratory patients (from a peak flow research; drinker, spoon) meter,  • - methods of  • • care for patients nebulizer parenteral with urinary and fecal  • • washing administration of incontinence; and instilling drugs  • • put enemas, drops in the (subcutaneous, introduce a vent pipe; eyes, nose, intramuscular  • • bladder ears; laying injection); catheterization with a ointments  • - instructions soft catheter;  • • for carrying out:  • • supply preparation and  • - medicinal cups, supply of a decontamination mustard plasters, heating pad of syringes and compress; serve a and an ice pack other medical hot-water bottle and  • • taking a instruments in the an ice bag; smear from the treatment room, throat and nose  • - pre- for sterilization bacteriological cleaning and examination, sterilization at a collecting central sputum, urine, sterilization feces for point; laboratory  • - timely and research; correct record keeping at the post in the established form.  • - compliance with the sanitary and anti- epidemic regime, as well as measures to prevent HIV / AIDS and viral hepatitis B and C at the post; 6. PC willingness to  • compliance  • Provide the  • First aid 10 provide with the rules of necessary assistance skills in medical care asepsis and in acute sudden emergency for sudden antiseptics at the conditions of patients, conditions that acute diseases, post; with exacerbation of do not threaten conditions,  • - the chronic pathology, the patient's exacerbation algorithm for which is not life of chronic assisting the ward accompanied by a  • use of a diseases that nurse during threat to the life of the pocket inhaler, are not various patient and does not spacer; accompanied manipulations: require emergency • preparation by a threat to  • - extract medical care; and supply of a the patient’s medicinal  • use a pocket hot-water life and do not solution from an inhaler, spacer, bottle and ice require ampoule and vial, nebulizer bag emergency  • - methods of  • provide first aid in medical care parenteral drugs acute conditions and administration in case of (subcutaneous, complications during intramuscular medical procedures injection); (cough, sudden  • - the shortness of breath provision of (suffocation), first-aid medical hemoptysis, heart care in cases of pain, hypertensive complications crisis, fainting, during medical vomiting, etc.); procedures and a gastric lavage; the doctor’s call; ability to use a pocket inhaler;  • carry out resuscitation measures (indirect heart massage, artificial lung ventilation);  • draw up the necessary medical documentation;  • provide first aid to a patient with gastrointestinal, pulmonary, nosebleeds;  • temporary external bleeding arrest in various ways;  • first aid in case of poisoning with disinfectants; * minimum number of successfully performed actions (manipulations, procedures, etc.) confirming the acquisition of skill / possession

Head of The Nursing organization department m.s.c. Kruchkova A.V.