Basics of Clinical Care
Study Course Implementer
Riga, 26a Anniņmuižas boulevard, mdak@rsu.lv, +371 67061568
About Study Course
Objective
Preliminary Knowledge
Learning Outcomes
Knowledge
1.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
1.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.
Competences
1.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.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual 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.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
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.
|
||
Study Course Theme Plan
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Preparation of patients for diagnostic and therapeutic procedures.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Vital Signs.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Collection of laboratory material and interpretation of results.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Laboratory tests (blood, urine, stool, sputum), sample collection and provisions for transportation.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Medicine administration methods and equipment. Blood component administration and equipment.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Medicine administration methods and equipment. Blood component administration and equipment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
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.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
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.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Delivery of intravenous therapy through a peripheral vein. Providing intravenous therapy through a central vein.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Delivery of intravenous therapy through a peripheral vein. Providing intravenous therapy through a central vein.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Basic digestive system procedures.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Basic procedures of the digestive system – Nasogastric tube insertion and removal. Feeding the patient through a nasogastric tube. Enemas
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Basic procedures of the digestive system – Nasogastric tube insertion and removal. Feeding the patient through a nasogastric tube. Enemas
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Procedures concerning the genitourinary system (urinary catheterisation, genitourinary stoma and its types).
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Procedures affecting the urogenital system. Intermittent bladder catheterization in a woman. Long-term bladder catheterization in a woman.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Oxygen Therapy
|
Bibliography
Required Reading
Ministru kabineta noteikumi Nr. 104. Rīgā 2016. gada 16. februārī (prot. Nr.8 21.§) “Noteikumi par higiēniskā un pretepidēmiskā režīma pamatprasībām ārstniecības iestādē”
Klīniskās procedūras un pacientu drošība / Dzintra Puriņa, Ināra Upmale. Rīga : Rīgas Stradiņa universitātes Sarkanā Krusta medicīnas koledža, 2018
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).