- •Criteriа of estimation of carrying out of cpr
- •The technique of record of the electrocardiogram
- •Carrying of cpr in children over 5 years
- •Immobilization of limb injuries
- •Active management of the labor’s afterbirth period
- •The main receptions at a bladder catheterisation (by elastic rubber catheter)
- •Stomach probing
- •Konikotomia
The main receptions at a bladder catheterisation (by elastic rubber catheter)
Task for the student: To execute on a model a bladder catheterisation, making comments step by step on a performance technique.
Information for the examinator: to estimate by a step-by-step mathodics, by grade system, performance of practical skill by the intern.
Equipment: model, urine catheter (soft silicone, metal), sterile rubber gloves, sterile vegetable oil, sterile gauze napkins, 3 % solution of boric acid, tray, disinfection solution.
Stages of practical skill |
Assessment in points |
|||
1 |
To explain to the patient an examination essence |
10 |
5 |
0 |
2 |
To prepare sterile equipment. To put on sterile gloves. |
10 |
5 |
0 |
3 |
To lay the patient on a table (position of the patient on a back with the extended legs). To rise to the right of the patient. |
10 |
5 |
0 |
4 |
In the left hand to take a sterile napkin, to wrap up it a penis and to bare a penis head by shift of an extreme flesh |
10 |
5 |
0 |
5 |
To process an external opening of an urethra of 3 % solution of boric acid |
10 |
5 |
0 |
6 |
The first and the second fingers of the left hand fix a head and move apart sponges of an external opening of an urethra. Pull a penis for the purpose of elimination of folds of an urethra |
10 |
5 |
0 |
7 |
To take by tweezers a rubber catheter slightly above a foramen |
10 |
5 |
0 |
8 |
The greased catheter to enter into the urethral canal, slowly advancing it to feeling of difficulty. Overcoming an obstacle to carry out a catheter to a bladder. |
10 |
5 |
0 |
9 |
At appearence of urine to put the external end of a catheter in a tray |
10 |
5 |
0 |
10 |
To take a catheter from an urethra upon termination of urine allocation. To process an external opening of an urethra. A catheter to place in a disinfection solution, to remove gloves, to wash up hands |
10 |
5 |
0 |
Stomach probing
Task for student: to perform stomach probing on the waxwork, commenting the technique of performance by stages.
Information for teacher: to estimate the performance of practical skill by student by step method, by points, marks.
Equipment:nasogastral probe, Janet syringe, tray, vegetable oil, gauze, water, 2% lidocaine, syringe.
№ |
Stages of practical skills |
Mark in points |
||
1.
|
Patient is explained the need of the procedure, its safety and simplicity. |
10 |
5 |
0 |
2.
|
Remove the removable teeth and dentures. |
10 |
5 |
0 |
3.
|
At increased vomiting reflex, the pharynx is anesthetized by lubrication or spraying with 1% solution of dicaine. |
10 |
5 |
0 |
4.
|
The patient is sit on chair. |
10 |
5 |
0 |
5.
|
Basin or bucket is put between the legs. |
10 |
5 |
0 |
6.
|
Oilcloth apron is worn on patient. |
10 |
5 |
0 |
7.
|
The probe is introduced to the root of the tongue, to offer the patient to swallow, quickly pushing the probe forward. |
10 |
5 |
0 |
8.
|
Promotion of the probe should be matched with the act of swallowing. |
10 |
5 |
0 |
9.
|
The probe is introduced on the depth of 40 cm. |
10 |
5 |
0 |
10.
|
The stomach is washed by Janet syringe. |
10 |
5 |
0 |