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Basics of Clinical Care

Study Course Description

Course Description Statuss:Approved
Course Description Version:9.00
Study Course Accepted:14.08.2023 10:08:11
Study Course Information
Course Code:MDAK_290LQF level:Level 6
Credit Points:2.00ECTS:3.00
Branch of Science:Clinical Medicine; Obstetrics and GynaecologyTarget Audience:Midwifery
Study Course Supervisor
Course Supervisor:Lilija Antoņēviča
Study Course Implementer
Structural Unit:Department of Nursing and Obstetric Care
The Head of Structural Unit:
Contacts:Riga, 26a Anniņmuižas boulevard, mdakatrsu[pnkts]lv, +371 67061568
Study Course Planning
Full-Time - Semester No.1
Lectures (count)6Lecture Length (academic hours)2Total Contact Hours of Lectures12
Classes (count)10Class Length (academic hours)2Total Contact Hours of Classes20
Total Contact Hours32
Study course description
Preliminary Knowledge:
Anatomy, medical biochemistry, philosophy and medical ethics, trans-cultural care.
Objective:
Gaining basic theoretical knowledge and practical skills in clinical care.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Preparation of patients for diagnostic and therapeutic procedures.Lectures1.00E-Studies platform
2Vital Signs.Classes1.00METC
3Collection of laboratory material and interpretation of results.Lectures1.00E-Studies platform
4Laboratory tests (blood, urine, stool, sputum), sample collection and provisions for transportation.Classes1.00METC
5Medicine administration methods and equipment. Blood component administration and equipment.Lectures2.00E-Studies platform
6Oral and Topical Medications, Parenteral Medications,Safe Medication Preparation. Administering Oral Medications, Applying Topical Medications to the Skin, Instilling Eye and Ear Medications, Using Inhalers,Administering Vaginal Instillations, Administering Rectal Suppositories. Parenteral administration of medicine. Injections (i/c, s/c, i/m, i/v) Characteristics of heparin and insulin injections.Classes2.00METC
7Delivery of intravenous therapy through a peripheral vein. Providing intravenous therapy through a central vein.Classes2.00METC
8Basic digestive system procedures.Lectures1.00E-Studies platform
9Basic procedures of the digestive system – Nasogastric tube insertion and removal. Feeding the patient through a nasogastric tube. EnemasClasses1.00METC
10Procedures concerning the genitourinary system (urinary catheterisation, genitourinary stoma and its types).Lectures1.00E-Studies platform
11Procedures affecting the urogenital system. Intermittent bladder catheterization in a woman. Long-term bladder catheterization in a woman.Classes1.00METC
12Dressings and Wound Care.Classes1.00METC
13Oxygen TherapyClasses1.00METC
Assessment
Unaided Work:
Familiarize yourself with the sources of recommended reading for each specific practical lesson. Complete and submit independent works within the specified deadlines. Independent training on simulators and dummies. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
Assessment Criteria:
At the end of the course – the objectively structured clinical exam (OSKE) (rating in a 10-point system). Evaluation criteria for the objectively structured clinical exam (OSKE): 1. The objectively structured clinical exam is allowed to be taken if a "pass" has been received in all tests and independent works, as well as there are no missed classes or they have been worked up. OSKE Part 1 – the complex theory test, which includes 100 questions in the form of a test (Respondus Monitor and Lockdown Browser) attempts allowed: 1, Time limit: 1 hour 30 min (computerized). A successful test rating is applied if the student answers correctly to at least 55% of the total number of questions. In the final evaluation, the proportion of the test result of part 1 is 30% of the total evaluation. If the test is not passed successfully, the student does not continue to take part 2 of the test. Part 2 – practical exam, which includes a practical test of the skills learned in the study course 2 base stations, in which the 1st base station is drug administration. 2. base station general skills. Upon entering the examination room, the student draws a ticket with two skills, where one of the skills is drug administration, and the other is a general skill included in the study course. When answering and practically demonstrating the skill, the student must know the purpose of the skill, indications, contraindications, prepare appropriate equipment, demonstrate the skill, assess the patient before and after the procedure. In the final exam assessment, the share of the practical exam assessment is 70% of the total assessment. In order to receive a passing grade, the student must receive a positive grade at each base station. The evaluation of the practical part is formed as follows: 1. the purpose of the skill, indications, contraindications 0 (zero) – the assessment is negative, the student did not answer or answered incorrectly the questions of the specific skill; 1 (one) – positive assessment, the student partially answered the questions of the specific skill correctly. 2 (two) – positive assessment, the student answered all the questions of the specific skill completely correctly. 2. Equipment. 0 (zero) – negative rating, the student has not prepared or incorrectly prepared the equipment for the specific base skill; 1 (one) – positive assessment, the student partially prepared the equipment for the specific basic skill. 2 (two) – a positive assessment, the student has completely correctly prepared the equipment for the specific basic skill. 3. Skill performance. 0 (zero) – negative rating, the student performed the skill incorrectly harming the patient.; 1 (one) – positive assessment, the student performed the skill accurately without harming the patient. 2 (two) – positive assessment, the student performed the skill completely correctly. 4. Pre-procedure patient assessment and education. 0 (zero) – the rating is negative, the student did not evaluate and educate the patient or did it incorrectly, which is necessary for the specific base skill; 1 (one) – positive assessment, the student partially correctly assessed and educated the patient on the specific basic skill; 2 (two) – positive assessment, the student has fully correctly assessed and educated the patient for the specific basic skill. 5. Patient assessment and education after the procedure. 0 (zero) – the rating is negative, the student did not evaluate and educate the patient or did it incorrectly, which is necessary for the specific base skill; 1 (one) – positive assessment, the student partially correctly assessed and educated the patient on the specific basic skill; 2 (two) – positive assessment, the student has fully correctly assessed and educated the patient for the specific basic skill. The sum of the points obtained in the 2nd part exam is divided by two and the final grade (points) is obtained. The assessment is based on a 10-point system: Excellent (10) – knowledge, skills and competence exceed the requirements of the study course, show the ability to conduct independent research and a deep understanding of problems; excellent (9) – knowledge, skills and competence fully meet the requirements of the study course, possess the ability to use the acquired knowledge independently; very good (8) – the study course learning requirements are fully met, but there is not a deep enough understanding of certain issues to use the knowledge independently in solving more complex problems; good (7) – in general, the requirements of the study course are met, but sometimes there is an inability to use the acquired knowledge independently; almost good (6) – the requirements of the study course have been met, but an insufficiently deep understanding of the problem and the inability to use the acquired knowledge can be detected; mediocre (5) – the study course has been mastered in general, but insufficient knowledge of some problems and inability to use the acquired knowledge can be found; almost mediocre (4) – the study course has been mastered in general, however, insufficient understanding of some basic concepts can be found, there are significant difficulties in the practical use of the acquired knowledge; weak (3) – knowledge is superficial and incomplete, the student is unable to use it in specific situations; very weak (2) – there is only superficial knowledge of certain problems, the major part of the study course has not been mastered; very, very weak (1) – there is no understanding of the basic issues of the study subject, there is almost no knowledge of the study course. it is considered passed if the rating is not lower than 4 (almost mediocre), i.e. at least a rating of 1 has been received for all base station units. If the exam receives a rating of 3 (weak) or less, then it is considered that the exam has not been passed. In the case of an unpassed exam, you must agree with the head of the RSU MDAK department about the time of retaking the exam. The student takes the re-examination in person, a commission is formed from RSU MDAK lecturers. If the student does not come to the exam, it is considered that the exam received a negative evaluation and the student has the opportunity to take the exam with a specially created RSU MDAK lecturer commission. The cumulative final grade of the course is calculated according to the formula: (Test and independent work grade + OSKE grade): 2= Course grade.
Final Examination (Full-Time):Exam (OSCE)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:Students will know how to prepare the patient for diagnostic and therapeutic procedures, inform and prepare the patient for the collection of material for various laboratory examinations. Students will know how to safely administer drugs and blood components. Students will know how to perform wound care, evaluate oxygenation, fluid and nutrition intake, and ensure the elimination process in clinical procedures.
Skills:Students will know how to Prepare the Patient for Diagnostic and Therapeutic Procedures, Collect Material for Laboratory Examination and Interpret the Results. Perform Safe Medication Administration. Perform Wound Care. Administering Oxygen Therapy. Urinary Elimination, Bowel Elimination and Gastric Intubation.
Competencies:Ability to Prepare the Patient for Diagnostic and Therapeutic Procedures and Participate in their Implementation. Ability to Collect and Interpret Laboratory Material. Ability to Safely Administer Medication. Ability to Perform Suturing and Wound Care by Selecting Appropriate Suture Material and Dressing. Ability to Assess and Ensure Patient Oxygenation. Ability to Assess and Ensure Patient Fluid and Nutritional Intake. Ability to Provide Clinical Procedure Elimination Processes.
Clinical Skills:
No.SkillLevel
1"8" Form BandageA - Beginner level
2"8" Form BandageB1 - Basic level
332. Medication Delivery to the Nose (Drops/Ointment)A - Beginner level
432. Medication Delivery to the Nose (Drops/Ointment)B1 - Basic level
5Administration of Heparin (Low-Molecular-Weight) using a Pre-filled SyringeA - Beginner level
6Administration of Heparin (Low-Molecular-Weight) using a Pre-filled SyringeB1 - Basic level
7Administration of Insulin Using a Pre-filled Syringe (Pen)A - Beginner level
8Administration of Insulin Using a Pre-filled Syringe (Pen)B1 - Basic level
9Administration of Insulin using an Insulin SyringeA - Beginner level
10Administration of Insulin using an Insulin SyringeB1 - Basic level
11Administration of Medication by i/v Route using a Syringe with a NeedleA - Beginner level
12Administration of Medication by i/v Route using a Syringe with a NeedleB1 - Basic level
13Administration of medication intravenously using infusomat pumpA - Beginner level
14Administration of medication intravenously using infusomat pumpB1 - Basic level
15Administration of Medication using a CVC (Perfusor)A - Beginner level
16Administration of Medication using a CVC (Perfusor)B1 - Basic level
17Administration of Medication using a CVC (Syringe)A - Beginner level
18Administration of Medication using a CVC (Syringe)B1 - Basic level
19Administration of Medication using a CVC (System)A - Beginner level
20Administration of Medication using a CVC (System)B1 - Basic level
21Administration of Medication using a PVC (System)A - Beginner level
22Administration of Medication using a PVC (System)B1 - Basic level
23Administration of Medication using a PVC (Syringe)A - Beginner level
24Administration of Medication using a PVC (Syringe)B1 - Basic level
25Administration of Medication using a PVC (Perfusor)A - Beginner level
26Administration of Medication using a PVC (Perfusor)B1 - Basic level
27Assessing Apical pulseA - Beginner level
28Assessing Apical pulseB1 - Basic level
29Assessing Blood PressureB1 - Basic level
30Assessing Blood PressureB2 - Intermediate level
31Assessing Peripheral PulseA - Beginner level
32Assessing Peripheral PulseB1 - Basic level
33Bed making and changing of bed linenA - Beginner level
34Bed making and changing of bed linenB1 - Basic level
35Blood components transfusion - Cryoprecipitate transfusionA - Beginner level
36Blood components transfusion - plasmaA - Beginner level
37Blood components transfusion - Platelet mass transfusionA - Beginner level
38Blood products transfusions - blood transfusionA - Beginner level
39Blood samplingA - Beginner level
40Blood samplingB1 - Basic level
41Cleansing EnemaA - Beginner level
42Cleansing EnemaB1 - Basic level
43Collecting Blood Sample on Sterility for (Microbiological) ExaminationA - Beginner level
44Collecting Blood Sample on Sterility for (Microbiological) ExaminationB1 - Basic level
45Collecting blood sample with Monovette, using aspiration methodA - Beginner level
46Collecting blood sample with Monovette, using aspiration methodB1 - Basic level
47Collecting blood sample with Monovette, using vacuum methodA - Beginner level
48Collecting blood sample with Monovette, using vacuum methodB1 - Basic level
49Detecting Respiratory RateA - Beginner level
50Detecting Respiratory RateB1 - Basic level
51Donning Sterile GlovesA - Beginner level
52Donning Sterile GlovesB1 - Basic level
53Faeces samplingA - Beginner level
54Faeces samplingB1 - Basic level
55Female perineal careA - Beginner level
56Female perineal careB1 - Basic level
57High O2 concentration mask placementA - Beginner level
58High O2 concentration mask placementB1 - Basic level
59Indwelling catheterisation for maleA - Beginner level
60Indwelling female catheterisationA - Beginner level
61Indwelling female catheterisationB1 - Basic level
62Indwelling female catheterisationB2 - Intermediate level
63Insertion and removal of the nasogastric tubeA - Beginner level
64Insertion and removal of the nasogastric tubeB1 - Basic level
65Insertion of Peripheral Venous CatheterA - Beginner level
66Insertion of Peripheral Venous CatheterB1 - Basic level
67Intermittent female catheterisationA - Beginner level
68Intermittent female catheterisationB1 - Basic level
69Intracutaneous injectionA - Beginner level
70Intracutaneous injectionB1 - Basic level
71Intramuscular injectionA - Beginner level
72Intramuscular injectionB1 - Basic level
73Intravenous Infusion of Medications with a Butterfly NeedleA - Beginner level
74Intravenous Infusion of Medications with a Butterfly NeedleB1 - Basic level
75Low O2 concentration masksA - Beginner level
76Low O2 concentration masksB1 - Basic level
77Measurement of arterial pulseA - Beginner level
78Measurement of arterial pulseB1 - Basic level
79Medication administration in the earA - Beginner level
80Medication administration in the earB1 - Basic level
81Medication Administration in the Eye (Drops/Ointment)A - Beginner level
82Medication Administration in the Eye (Drops/Ointment)B1 - Basic level
83Microlax EnemaA - Beginner level
84Microlax EnemaB1 - Basic level
85Oxygen supply providing by nasal prongsA - Beginner level
86Oxygen supply providing by nasal prongsB1 - Basic level
87Patient bed bathingA - Beginner level
88Patient bed bathingB1 - Basic level
89Patient feeding through nasogastric tube using bolus methodA - Beginner level
90Patient feeding through nasogastric tube using bolus methodB1 - Basic level
91Patient Feeding using the NG Tube Continuous MethodA - Beginner level
92Patient Feeding using the NG Tube Continuous MethodB1 - Basic level
93Primary treatment of woundsA - Beginner level
94Primary treatment of woundsB1 - Basic level
95Putting in eye drops techniqueA - Beginner level
96Putting in eye drops techniqueB1 - Basic level
97Putting in eye ointment techniqueA - Beginner level
98Putting in eye ointment techniqueB1 - Basic level
99Sputum samplingA - Beginner level
100Sputum samplingB1 - Basic level
101Subcutaneous injectionA - Beginner level
102Subcutaneous injectionB1 - Basic level
103Surgical Hand DisinfectionA - Beginner level
104Surgical Hand DisinfectionB1 - Basic level
105Taking a Rectal Temperature, using a Digital ThermometerA - Beginner level
106Taking a Rectal Temperature, using a Digital ThermometerB1 - Basic level
107Taking an Axillar Temperature, using a Digital ThermometerA - Beginner level
108Taking an Axillar Temperature, using a Digital ThermometerB1 - Basic level
109Taking an Axillar Temperature, using a Glass ThermometerA - Beginner level
110Taking an Axillar Temperature, using a Glass ThermometerB1 - Basic level
111Taking an Oral Temperature, using a Digital ThermometerA - Beginner level
112Taking an Oral Temperature, using a Digital ThermometerB1 - Basic level
113The patient's oral hygieneA - Beginner level
114The patient's oral hygieneB1 - Basic level
115Urine Sampling for Clinical ExaminationA - Beginner level
116Urine Sampling for Clinical ExaminationB1 - Basic level
117Usage of blood glucose meterA - Beginner level
118Withdrawing Medication from a Vial into a SyringeA - Beginner level
119Withdrawing Medication from a Vial into a SyringeB1 - Basic level
120Withdrawing Medication from an Ampoule into a SyringeA - Beginner level
121Withdrawing Medication from an Ampoule into a SyringeB1 - Basic level
Bibliography
No.Reference
Required Reading
1Ministru kabineta noteikumi Nr. 104. Rīgā 2016. gada 16. februārī (prot. Nr.8 21.§) “Noteikumi par higiēniskā un pretepidēmiskā režīma pamatprasībām ārstniecības iestādē”
2Klīniskās procedūras un pacientu drošība / Dzintra Puriņa, Ināra Upmale. Rīga : Rīgas Stradiņa universitātes Sarkanā Krusta medicīnas koledža, 2018
3Perry, Anne Griffin, Clinical Nursing Skills & Techniques / Anne Griffin Perry, Patricia A. Potter, Wendy R. Ostendorf. 8th edition. London : Mosby, 2013. 1 tiešsaistes resurss (xviii, 1198 lp.) (PDF).
Additional Reading
1Anthropometric Measurement. Kyle Casadei; John Kiel. September 26, 2022.
Other Information Sources
1http://www.medivators.com/Library/sterilization.htm “Science of Disinfection & Sterilization”
2http://www.iceinstitute.com/onlaine/OR233.html “The ABCs of Infection Control”
3http://www.brooks.af.mil/DIS/icguidelines/chap6.htm “Decontamination, Sterilization, and Sterile Storage”
4http://www.cdc.gov/ncidod/hip/Sterile/sterile.htm
5http://www.infectioncontroltoday.com/articles/061cleaning.h…
6http://www.cdc.gov/ncidod/hip/guide/handwash.htm