Clinical Procedures, Rehabilitation, Radiology and Patient Care

Study Course Description

Course Description Statuss:Approved

Course Description Version:1.00

Study Course Accepted:06.02.2024 12:25:48

Study Course Information
Course Code:		MDAK_367			LQF level:		Level 6
Credit Points:		6.00			ECTS:		9.00
Branch of Science:		Clinical Medicine; Health Care			Target Audience:		Nursing Science
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 Anninmuizas bouevard, mdakrsu[pnkts]lv, +371 67061568
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		4	Lecture Length (academic hours)			2	Total Contact Hours of Lectures		8
Classes (count)		22	Class Length (academic hours)			2	Total Contact Hours of Classes		44
Total Contact Hours									52
Full-Time - Semester No.2
Lectures (count)		7	Lecture Length (academic hours)			2	Total Contact Hours of Lectures		14
Classes (count)		14	Class Length (academic hours)			2	Total Contact Hours of Classes		28
Total Contact Hours									42
Study course description
Preliminary Knowledge:
General pathology, Pathological physiology, Anatomy, Microbiology with virology and parasitology.
Objective:
Acquisition of theoretical knowledge and practical skills in clinical care, acquiring skills in performing procedures. To create an understanding of the principles of rehabilitation and radiology, their application in nursing practice.
Topic Layout (Full-Time)
No.	Topic				Type of Implementation		Number	Venue
1	Introduction to the study course. Basic requirements of hygiene and anti-epidemic regime in a healthcare facility				Classes		1.00	METC
2	Principles of hand washing and disinfection. Requirements for the use of personal protective equipment. Healthcare waste management. Care of patients infected with multidrug-resistant organisms.				Classes		1.00	METC
3	Comfort and safe environment for the patient				Lectures		1.00	METC
4	Vital signs and their determination.				Classes		1.00	METC
5	Clinical procedures that ensure fluid and nutritional intake for a patient.				Classes		1.00	METC
6	Clinical procedures, for the provision of gastrointestinal elimination procedures. Enema administration				Classes		2.00	METC
7	Preparation of patients for diagnostic and therapeutic procedures. Laboratory examinations.				Classes		1.00	E-Studies platform
8	Tracheostomy Care				Classes		1.00	METC
9	Principles of asepsis and antiseptics. Sterile gown and glove donning technique.				Classes		2.00	METC
10	Clinical procedures for the provision of urogenital elimination, procedures				Lectures		1.00	E-Studies platform
11	Clinical procedures for the provision of urogenital elimination, procedures.				Classes		2.00	METC
12	Drug administration. Parenteral drug administration. Equipment for parenteral drug administration.				Lectures		2.00	E-Studies platform
13	Methodology of drug (medication) dose calculation.				Classes		1.00	E-Studies platform
14	Administration of oral and topical medications				Classes		1.00	METC
15	Parenteral administration of drugs (medications) – intracutaneous, subcutaneous, intramuscular and intraosseous. Peculiarities of Heparin and Insulin administration.				Classes		2.00	METC
16	Intravenous administration of medications through infusion pumps (infusomat, perfusor), administer dosed medications.				Classes		2.00	METC
17	Catheter insertion and care of peripheral intravenous catheters.				Classes		1.00	METC
18	Simulation				Classes		2.00	METC
19	Administration of medication through epidural catheter, central venous catheter. Administering medication intraosseously.				Classes		1.00	METC
20	Rehabilitation stages. The most important methods for preventing or reducing disability in the early stages of rehabilitation. Methods for preventing or reducing disability at different stages of rehabilitation.				Lectures		1.00	E-Studies platform
21	Patient transfer and positioning.				Classes		1.00	METC
22	Principles of rehabilitation team work. Rehabilitation techniques in nursing patient care. International classification of functioning, disability and health. Evaluation of patient's self-care abilities.				Lectures		1.00	E-Studies platform
23	Principles of rehabilitation in surgery.				Classes		1.00	METC
24	Principles of rehabilitation in neurology, cardiology and pulmonology.				Classes		1.00	METC
25	Principles of rehabilitation in pediatrics.				Classes		1.00	METC
26	Fundamentals of ultrasonography, examination options, indications, contraindications, image interpretation.				Lectures		1.00	METC
27	History of radiology, basics of X-ray diagnostics, properties of X-rays, principles of X-ray image formation. Physics of radiology, biological effect of ionizing radiation, protection, dosimetry				Lectures		1.00	E-Studies platform
28	Basics of magnetic resonance, examination options, indications, contraindications, image interpretation				Lectures		1.00	E-Studies platform
29	Computed tomography basics, examination options, indications, contraindications, image interpretation				Lectures		1.00	METC
30	Basics of Radiotherapy and Nuclear Medicine				Lectures		1.00	E-Studies platform
31	Discussion-oriented analysis of clinical cases (X-ray, CT, MR). Abdominal cavity and chest organ pathologies				Classes		1.00	clinical base
32	Ultrasonography (USG) device functions, equipment, types of probes. Working with the USG machine				Classes		1.00	clinical base
33	Discussion-oriented analysis of clinical cases (X-ray, CT, MR). Central nervous system and musculoskeletal system pathologies				Classes		1.00	clinical base
34	Simulation				Classes		2.00	METC
35	Simulation				Classes		2.00	METC
36	Simulācija				Classes		2.00	METC
37	Simulation				Classes		1.00	METC
Assessment
Unaided Work:
Theoretical acquisition of given clinical skill’s process using materials available on e-studies. Substantive improvement of student’s clinical skills in METC simulated environment. 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:
Systematic testing of theoretical knowledge during classes. Mandatory 100% class attendance. The exam takes place using caumulative assessment, in which knowledge, skills and competence are evaluated based on the results presented in the tests. The final grade of the exam was accumulated from the weighted average. Students who did not attend 100% of the classes do not receive an exam grade.
Final Examination (Full-Time):		Exam
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		The student will know the aims, indications and contraindications of the skills included in the study course. The student will know the stages of skills included in the study course.
Skills:		Student is able to successfully demonstrate skills on the mannikin.
Competencies:		The ability to provide a comfortable and safe environment for the patient as far as possible. Ability to administer medication. Ability to provide fluid and nutritional intake to the patient. Ability to provide clinical procedures for elimination processes. Ability to prepare the patient for diagnostic and therapeutic procedures. Ability to provide patient mobilization.
Clinical Skills:
No.	Skill						Level
1	32. Medication Delivery to the Nose (Drops/Ointment)						A - Beginner level
2	32. Medication Delivery to the Nose (Drops/Ointment)						B1 - Basic level
3	Administration of Heparin (Low-Molecular-Weight) using a Pre-filled Syringe						A - Beginner level
4	Administration of Heparin (Low-Molecular-Weight) using a Pre-filled Syringe						B1 - Basic level
5	Administration of Insulin Using a Pre-filled Syringe (Pen)						A - Beginner level
6	Administration of Insulin Using a Pre-filled Syringe (Pen)						B1 - Basic level
7	Administration of Insulin using an Insulin Syringe						A - Beginner level
8	Administration of Insulin using an Insulin Syringe						B1 - Basic level
9	Administration of Medication by i/v Route using a Syringe with a Needle						A - Beginner level
10	Administration of Medication by i/v Route using a Syringe with a Needle						B1 - Basic level
11	Administration of medication intravenously using infusomat pump						A - Beginner level
12	Administration of medication intravenously using infusomat pump						B1 - Basic level
13	Administration of Medication using a CVC (Perfusor)						A - Beginner level
14	Administration of Medication using a CVC (Perfusor)						B1 - Basic level
15	Administration of Medication using a CVC (Syringe)						A - Beginner level
16	Administration of Medication using a CVC (Syringe)						B1 - Basic level
17	Administration of Medication using a CVC (System)						A - Beginner level
18	Administration of Medication using a CVC (System)						B1 - Basic level
19	Administration of Medication using a PVC (System)						A - Beginner level
20	Administration of Medication using a PVC (System)						B1 - Basic level
21	Administration of Medication using a PVC (Syringe)						A - Beginner level
22	Administration of Medication using a PVC (Syringe)						B1 - Basic level
23	Administration of Medication using a PVC (Perfusor)						A - Beginner level
24	Administration of Medication using a PVC (Perfusor)						B1 - Basic level
25	Analysis of arterial blood gases						A - Beginner level
26	Assessing Apical pulse						A - Beginner level
27	Assessing Apical pulse						B1 - Basic level
28	Assessing Blood Pressure						A - Beginner level
29	Assessing Blood Pressure						B1 - Basic level
30	Assessing Peripheral Pulse						A - Beginner level
31	Assessing Peripheral Pulse						B1 - Basic level
32	Blood sampling						A - Beginner level
33	Blood sampling						B1 - Basic level
34	Blood test collection with butterfly needle using vacuutainer or monovette test tubes						B1 - Basic level
35	Central venous catheter using and flushing						B1 - Basic level
36	Change of urine drainage bag						B1 - Basic level
37	Cleansing Enema						A - Beginner level
38	Cleansing Enema						B1 - Basic level
39	Collecting Blood Sample on Sterility for (Microbiological) Examination						A - Beginner level
40	Collecting Blood Sample on Sterility for (Microbiological) Examination						B1 - Basic level
41	Collecting blood sample with Monovette, using aspiration method						A - Beginner level
42	Collecting blood sample with Monovette, using aspiration method						B1 - Basic level
43	Collecting blood sample with Monovette, using vacuum method						A - Beginner level
44	Collecting blood sample with Monovette, using vacuum method						B1 - Basic level
45	Colostomy irrigation						A - Beginner level
46	Colostomy irrigation						B1 - Basic level
47	Detecting Respiratory Rate						A - Beginner level
48	Detecting Respiratory Rate						B1 - Basic level
49	Donning and doffing of disposable gloves						A - Beginner level
50	Donning and doffing of disposable gloves						B1 - Basic level
51	Donning of surgical attire						A - Beginner level
52	Donning of surgical attire						B1 - Basic level
53	Donning Sterile Gloves						A - Beginner level
54	Donning Sterile Gloves						B1 - Basic level
55	Emptying of urine drainage bag						B1 - Basic level
56	Evaluation of phlebitis at the peripheral venous access site using the VIP score (Visual Infusion Phlebitis) tool						B1 - Basic level
57	Evaluation of the urogenital system before urinary catheterization						A - Beginner level
58	Faeces sampling						A - Beginner level
59	Faeces sampling						B1 - Basic level
60	Female perineal care						A - Beginner level
61	Female perineal care						B1 - Basic level
62	Flushing, medication and closure of a port catheter						B1 - Basic level
63	Hygienic Hand Disinfection						A - Beginner level
64	Hygienic Hand Disinfection						B1 - Basic level
65	Hygienic Hand Washing						A - Beginner level
66	Hygienic Hand Washing						B1 - Basic level
67	Indwelling catheterisation for male						A - Beginner level
68	Indwelling catheterisation for male						B1 - Basic level
69	Indwelling female catheterisation						A - Beginner level
70	Indwelling female catheterisation						B1 - Basic level
71	Insertion and removal of the nasogastric tube						A - Beginner level
72	Insertion and removal of the nasogastric tube						B1 - Basic level
73	Insertion of a nasogastric tube for gastric decompression						B1 - Basic level
74	Insertion of Peripheral Venous Catheter						A - Beginner level
75	Insertion of Peripheral Venous Catheter						B1 - Basic level
76	Intermittent female catheterisation						A - Beginner level
77	Intermittent female catheterisation						B1 - Basic level
78	Intermittent male catheterisation						A - Beginner level
79	Intermittent male catheterisation						B1 - Basic level
80	Intracutaneous injection						A - Beginner level
81	Intracutaneous injection						B1 - Basic level
82	Intramuscular injection						A - Beginner level
83	Intramuscular injection						B1 - Basic level
84	Intraosseous access						A - Beginner level
85	Intraosseous access						B1 - Basic level
86	Intravenous Infusion of Medications with a Butterfly Needle						A - Beginner level
87	Intravenous Infusion of Medications with a Butterfly Needle						B1 - Basic level
88	Maintenance of the Central Venous Catheter						A - Beginner level
89	Maintenance of the Central Venous Catheter						B1 - Basic level
90	Male perineal care						A - Beginner level
91	Male perineal care						B1 - Basic level
92	Medication administration in the ear						A - Beginner level
93	Medication administration in the ear						B1 - Basic level
94	Medication Administration in the Eye (Drops/Ointment)						A - Beginner level
95	Medication Administration in the Eye (Drops/Ointment)						B1 - Basic level
96	Microlax Enema						A - Beginner level
97	Microlax Enema						B1 - Basic level
98	Ostomy care and changing the stoma pouch						A - Beginner level
99	Ostomy care and changing the stoma pouch						B1 - Basic level
100	Patient feeding through nasogastric tube using bolus method						A - Beginner level
101	Patient feeding through nasogastric tube using bolus method						B1 - Basic level
102	Patient Feeding using the NG Tube Continuous Method						A - Beginner level
103	Patient Feeding using the NG Tube Continuous Method						B1 - Basic level
104	Patient positioning						B1 - Basic level
105	Privacy, dignity and respect during procedures						A - Beginner level
106	Putting in eye drops technique						A - Beginner level
107	Putting in eye drops technique						B1 - Basic level
108	Putting in eye ointment technique						A - Beginner level
109	Putting in eye ointment technique						B1 - Basic level
110	Removal of an indwelling urinary catheter from the urethra of a woman and a man						B1 - Basic level
111	Removal of personal protective equipment in case of health-related infections						A - Beginner level
112	Removal of personal protective equipment in case of health-related infections						B1 - Basic level
113	Sputum sampling						A - Beginner level
114	Sputum sampling						B1 - Basic level
115	Subcutaneous injection						A - Beginner level
116	Subcutaneous injection						B1 - Basic level
117	Supra-Pubic Catheter Removal						B1 - Basic level
118	Surgical Hand Disinfection						A - Beginner level
119	Surgical Hand Disinfection						B1 - Basic level
120	Taking a Rectal Temperature, using a Digital Thermometer						A - Beginner level
121	Taking a Rectal Temperature, using a Digital Thermometer						B1 - Basic level
122	Taking an Axillar Temperature, using a Digital Thermometer						A - Beginner level
123	Taking an Axillar Temperature, using a Digital Thermometer						B1 - Basic level
124	Taking an Axillar Temperature, using a Glass Thermometer						A - Beginner level
125	Taking an Axillar Temperature, using a Glass Thermometer						B1 - Basic level
126	Taking an Oral Temperature, using a Digital Thermometer						A - Beginner level
127	Taking an Oral Temperature, using a Digital Thermometer						B1 - Basic level
128	The use of personal protective equipment in case of health-related infections						A - Beginner level
129	The use of personal protective equipment in case of health-related infections						B1 - Basic level
130	Tracheostomy Care – Changing Dressing						A - Beginner level
131	Tracheostomy Care – Changing Dressing						B1 - Basic level
132	Tracheostomy Care – Tracheal Suctioning						A - Beginner level
133	Tracheostomy Care – Tracheal Suctioning						B1 - Basic level
134	Understanding asepsis or sterility in sterile field setting process						B1 - Basic level
135	Urine Sampling for Clinical Examination						A - Beginner level
136	Urine Sampling for Clinical Examination						B1 - Basic level
137	Usage of blood glucose meter						B2 - Intermediate level
138	Withdrawing Medication from a Vial into a Syringe						A - Beginner level
139	Withdrawing Medication from a Vial into a Syringe						B1 - Basic level
140	Withdrawing Medication from an Ampoule into a Syringe						A - Beginner level
141	Withdrawing Medication from an Ampoule into a Syringe						B1 - Basic level
Bibliography
No.	Reference
Required Reading
1	Dzintra Puriņa, Ināra Upmale. Klīniskās procedūras un pacientu drošība.
2	Mosby’s pocket guide to nursing skills & procedures
3	Ministru kabineta noteikumi Nr. 104. Noteikumi par higiēniskā un pretepidēmiskā režīma pamatprasībām ārstniecības iestādē
4	Mācību materiāli e-studijās.
Additional Reading
1	Nursing skills for clinical practice