Basics of Clinical Care

Study Course Description

Course Description Statuss:Approved

Course Description Version:11.00

Study Course Accepted:14.08.2024 12:08:30

Study Course Information
Course Code:		MDAK_290		LQF level:		Level 6
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Clinical Medicine; Obstetrics and Gynaecology		Target 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, mdakrsu[pnkts]lv, +371 67061568
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		6	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		12
Classes (count)		10	Class Length (academic hours)		2	Total Contact Hours of Classes		20
Total Contact Hours								32
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.	Topic			Type of Implementation		Number	Venue
1	Preparation of patients for diagnostic and therapeutic procedures.			Lectures		1.00	E-Studies platform
2	Vital Signs.			Classes		1.00	METC
3	Collection of laboratory material and interpretation of results.			Lectures		1.00	E-Studies platform
4	Laboratory tests (blood, urine, stool, sputum), sample collection and provisions for transportation.			Classes		1.00	METC
5	Medicine administration methods and equipment. Blood component administration and equipment.			Lectures		2.00	E-Studies platform
6	Oral 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.			Classes		2.00	METC
7	Delivery of intravenous therapy through a peripheral vein. Providing intravenous therapy through a central vein.			Classes		2.00	METC
8	Basic digestive system procedures.			Lectures		1.00	E-Studies platform
9	Basic procedures of the digestive system – Nasogastric tube insertion and removal. Feeding the patient through a nasogastric tube. Enemas			Classes		2.00	METC
10	Procedures concerning the genitourinary system (urinary catheterisation, genitourinary stoma and its types).			Lectures		1.00	E-Studies platform
11	Procedures affecting the urogenital system. Intermittent bladder catheterization in a woman. Long-term bladder catheterization in a woman.			Classes		1.00	METC
12	Oxygen Therapy			Classes		1.00	METC
Assessment
Unaided Work:
Theoretical preparation before classes, for learning the clinical skills included in the study course, using recommended materials, mandatory literature, Internet resources and e-study materials. Independent development of clinical skills in a simulated environment at MITC 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. 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. 2. 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 .3. 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. 4. 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 final grade of the course was accumulated from a weighted average, of which 10% consists of attendance and active participation in classes, 10% independent improvement of clinical skills in a simulated MITC environment; 30% of the obtained evaluations in tests, tests, independent works and 50% OSKE.
Final Examination (Full-Time):		Exam (OSCE)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		The student will know the goals, indications and contraindications of the skills included in the study course. The student will be able to describe and name the stages (steps) of the skills included in the study course in clinical care. Students learn the knowledge necessary to fulfill the basic tasks and duties of professional activity in the clinical care of patients.
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. 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 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.	Skill					Level
1	"8" Form Bandage					A - Beginner level
2	"8" Form Bandage					B1 - Basic level
3	32. Medication Delivery to the Nose (Drops/Ointment)					A - Beginner level
4	32. Medication Delivery to the Nose (Drops/Ointment)					B1 - Basic level
5	Administration of Heparin (Low-Molecular-Weight) using a Pre-filled Syringe					A - Beginner level
6	Administration of Heparin (Low-Molecular-Weight) using a Pre-filled Syringe					B1 - Basic level
7	Administration of Insulin Using a Pre-filled Syringe (Pen)					A - Beginner level
8	Administration of Insulin Using a Pre-filled Syringe (Pen)					B1 - Basic level
9	Administration of Insulin using an Insulin Syringe					A - Beginner level
10	Administration of Insulin using an Insulin Syringe					B1 - Basic level
11	Administration of Medication by i/v Route using a Syringe with a Needle					A - Beginner level
12	Administration of Medication by i/v Route using a Syringe with a Needle					B1 - Basic level
13	Administration of medication intravenously using infusomat pump					A - Beginner level
14	Administration of medication intravenously using infusomat pump					B1 - Basic level
15	Administration of Medication using a CVC (Perfusor)					A - Beginner level
16	Administration of Medication using a CVC (Perfusor)					B1 - Basic level
17	Administration of Medication using a CVC (Syringe)					A - Beginner level
18	Administration of Medication using a CVC (Syringe)					B1 - Basic level
19	Administration of Medication using a CVC (System)					A - Beginner level
20	Administration of Medication using a CVC (System)					B1 - Basic level
21	Administration of Medication using a PVC (System)					A - Beginner level
22	Administration of Medication using a PVC (System)					B1 - Basic level
23	Administration of Medication using a PVC (Syringe)					A - Beginner level
24	Administration of Medication using a PVC (Syringe)					B1 - Basic level
25	Administration of Medication using a PVC (Perfusor)					A - Beginner level
26	Administration of Medication using a PVC (Perfusor)					B1 - Basic level
27	Assessing Apical pulse					A - Beginner level
28	Assessing Apical pulse					B1 - Basic level
29	Assessing Blood Pressure					B1 - Basic level
30	Assessing Blood Pressure					B2 - Intermediate level
31	Assessing Peripheral Pulse					A - Beginner level
32	Assessing Peripheral Pulse					B1 - Basic level
33	Bed making and changing of bed linen					A - Beginner level
34	Bed making and changing of bed linen					B1 - Basic level
35	Blood components transfusion - Cryoprecipitate transfusion					A - Beginner level
36	Blood components transfusion - plasma					A - Beginner level
37	Blood components transfusion - Platelet mass transfusion					A - Beginner level
38	Blood products transfusions - blood transfusion					A - Beginner level
39	Blood sampling					A - Beginner level
40	Blood sampling					B1 - Basic level
41	Cleansing Enema					A - Beginner level
42	Cleansing Enema					B1 - Basic level
43	Collecting Blood Sample on Sterility for (Microbiological) Examination					A - Beginner level
44	Collecting Blood Sample on Sterility for (Microbiological) Examination					B1 - Basic level
45	Collecting blood sample with Monovette, using aspiration method					A - Beginner level
46	Collecting blood sample with Monovette, using aspiration method					B1 - Basic level
47	Collecting blood sample with Monovette, using vacuum method					A - Beginner level
48	Collecting blood sample with Monovette, using vacuum method					B1 - Basic level
49	Detecting Respiratory Rate					A - Beginner level
50	Detecting Respiratory Rate					B1 - Basic level
51	Donning Sterile Gloves					A - Beginner level
52	Donning Sterile Gloves					B1 - Basic level
53	Faeces sampling					A - Beginner level
54	Faeces sampling					B1 - Basic level
55	Female perineal care					A - Beginner level
56	Female perineal care					B1 - Basic level
57	High O2 concentration mask placement					A - Beginner level
58	High O2 concentration mask placement					B1 - Basic level
59	Indwelling catheterisation for male					A - Beginner level
60	Indwelling female catheterisation					A - Beginner level
61	Indwelling female catheterisation					B1 - Basic level
62	Indwelling female catheterisation					B2 - Intermediate level
63	Insertion and removal of the nasogastric tube					A - Beginner level
64	Insertion and removal of the nasogastric tube					B1 - Basic level
65	Insertion of Peripheral Venous Catheter					A - Beginner level
66	Insertion of Peripheral Venous Catheter					B1 - Basic level
67	Intermittent female catheterisation					A - Beginner level
68	Intermittent female catheterisation					B1 - Basic level
69	Intracutaneous injection					A - Beginner level
70	Intracutaneous injection					B1 - Basic level
71	Intramuscular injection					A - Beginner level
72	Intramuscular injection					B1 - Basic level
73	Intravenous Infusion of Medications with a Butterfly Needle					A - Beginner level
74	Intravenous Infusion of Medications with a Butterfly Needle					B1 - Basic level
75	Low O2 concentration masks					A - Beginner level
76	Low O2 concentration masks					B1 - Basic level
77	Measurement of arterial pulse					A - Beginner level
78	Measurement of arterial pulse					B1 - Basic level
79	Medication administration in the ear					A - Beginner level
80	Medication administration in the ear					B1 - Basic level
81	Medication Administration in the Eye (Drops/Ointment)					A - Beginner level
82	Medication Administration in the Eye (Drops/Ointment)					B1 - Basic level
83	Microlax Enema					A - Beginner level
84	Microlax Enema					B1 - Basic level
85	Oxygen supply providing by nasal prongs					A - Beginner level
86	Oxygen supply providing by nasal prongs					B1 - Basic level
87	Patient bed bathing					A - Beginner level
88	Patient bed bathing					B1 - Basic level
89	Patient feeding through nasogastric tube using bolus method					A - Beginner level
90	Patient feeding through nasogastric tube using bolus method					B1 - Basic level
91	Patient Feeding using the NG Tube Continuous Method					A - Beginner level
92	Patient Feeding using the NG Tube Continuous Method					B1 - Basic level
93	Primary treatment of wounds					A - Beginner level
94	Primary treatment of wounds					B1 - Basic level
95	Pulse oximetry					C1 - High level
96	Putting in eye drops technique					A - Beginner level
97	Putting in eye drops technique					B1 - Basic level
98	Putting in eye ointment technique					A - Beginner level
99	Putting in eye ointment technique					B1 - Basic level
100	Sputum sampling					A - Beginner level
101	Sputum sampling					B1 - Basic level
102	Subcutaneous injection					A - Beginner level
103	Subcutaneous injection					B1 - Basic level
104	Surgical Hand Disinfection					A - Beginner level
105	Surgical Hand Disinfection					B1 - Basic level
106	Taking a Rectal Temperature, using a Digital Thermometer					A - Beginner level
107	Taking a Rectal Temperature, using a Digital Thermometer					B1 - Basic level
108	Taking an Axillar Temperature, using a Digital Thermometer					A - Beginner level
109	Taking an Axillar Temperature, using a Digital Thermometer					B1 - Basic level
110	Taking an Axillar Temperature, using a Glass Thermometer					A - Beginner level
111	Taking an Axillar Temperature, using a Glass Thermometer					B1 - Basic level
112	Taking an Oral Temperature, using a Digital Thermometer					A - Beginner level
113	Taking an Oral Temperature, using a Digital Thermometer					B1 - Basic level
114	The patient's oral hygiene					A - Beginner level
115	The patient's oral hygiene					B1 - Basic level
116	Urine Sampling for Clinical Examination					A - Beginner level
117	Urine Sampling for Clinical Examination					B1 - Basic level
118	Usage of blood glucose meter					A - Beginner level
119	Withdrawing Medication from a Vial into a Syringe					A - Beginner level
120	Withdrawing Medication from a Vial into a Syringe					B1 - Basic level
121	Withdrawing Medication from an Ampoule into a Syringe					A - Beginner level
122	Withdrawing Medication from an Ampoule into a Syringe					B1 - Basic level
Bibliography
No.	Reference
Required Reading
1	Ministru kabineta noteikumi Nr. 104. Rīgā 2016. gada 16. februārī (prot. Nr.8 21.§) “Noteikumi par higiēniskā un pretepidēmiskā režīma pamatprasībām ārstniecības iestādē”
2	Klīniskās procedūras un pacientu drošība / Dzintra Puriņa, Ināra Upmale. Rīga : Rīgas Stradiņa universitātes Sarkanā Krusta medicīnas koledža, 2018
3	Perry, 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).
4	KLĪNISKAIS ALGORITMS Brūču aprūpe pediatriskajā aprūpē .2023.
5	KLĪNISKAIS ALGORITMS Brūču aprūpe vispārējā aprūpē .2023.
6	KLĪNISKAIS ALGORITMS Centrālo vēnu katetru aprūpe vispārējā aprūpē .2023.
7	KLĪNISKAIS ALGORITMS Centrālo vēnu katetru aprūpe pediatriskajā aprūpē.2023.
8	KLĪNISKAIS ALGORITMS Pacienta novērtēšana pediatriskajā aprūpē .2023.
9	KLĪNISKAIS ALGORITMS Pacienta novērtēšana vispārējā aprūpē.2023.
10	KLĪNISKAIS ALGORITMS Perifēro vēnu katetru aprūpe pediatriskajā aprūpē .2023.
11	KLĪNISKAIS ALGORITMS Perifēro vēnu katetru ievade vispārējā aprūpē .2023.
12	KLĪNISKAIS ALGORITMS Urīnpūšļa katetra aprūpe vispārējā aprūpē.2023.
13	KLĪNISKAIS ALGORITMS Urīnpūšļa katetra ievade vispārējā aprūpē.2023.
14	Metodiskais materiāls KLĪNISKĀS PROCEDŪRAS Nataļja Tormane, Aija Lielnora. 2022.
Additional Reading
1	Anthropometric Measurement. Kyle Casadei; John Kiel. September 26, 2022.
2	MĀSAS DARBĪBA ĶIRURĢISKU PACIENTU APRŪPĒ.2021.
Other Information Sources
1	http://www.medivators.com/Library/sterilization.htm “Science of Disinfection & Sterilization”
2	http://www.iceinstitute.com/onlaine/OR233.html “The ABCs of Infection Control”
3	http://www.brooks.af.mil/DIS/icguidelines/chap6.htm “Decontamination, Sterilization, and Sterile Storage”
4	http://www.cdc.gov/ncidod/hip/Sterile/sterile.htm
5	http://www.infectioncontroltoday.com/articles/061cleaning.h…
6	http://www.cdc.gov/ncidod/hip/guide/handwash.htm