Veidlapa Nr. M-3 (8)
Study Course Description

Basics of Clinical Care

Main Study Course Information

Course Code
MDAK_290
Branch of Science
Clinical medicine; Obstetrics and gynaecology
ECTS
3.00
Target Audience
Midwifery
LQF
Level 6
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Nursing and Obstetric Care
Contacts

Riga, 26a Anniņmuižas boulevard, mdak@rsu.lv, +371 67061568

About Study Course

Objective

Gaining basic theoretical knowledge and practical skills in clinical care.

Preliminary Knowledge

Anatomy, medical biochemistry, philosophy and medical ethics, trans-cultural care.

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

10.00% from total grade
10 points

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

50.00% from total grade
10 points

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

FULL-TIME
Part 1
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Plan for hygienic and anti-epidemic regimen of the medical treatment institution
Description

Develop learners’ understanding of infection prevention and day-to-day hygiene rules in midwives’ professional activities and patient safety in the context of infection prevention

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Handmaking methodology. Use of personal protective equipment. Action in the event of a healthcare-related infection or detection of a multi-resistant micro-organism.
Description

Ability to limit the spread of infections during patient care by following hygiene rules and using personal protective equipment.

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Vital Signs.
Description

Develop the ability of learners to distinguish physiological status from abnormal according to norms of vital signs, vital signs and evaluation of the patient’s overall condition.

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Vital Signs.
Description

Develop the ability of learners to distinguish physiological status from abnormal according to norms of vital signs, vital signs and evaluation of the patient’s overall condition.

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Collection of laboratory material and interpretation of results.
Description

Develop the ability of learners to properly educate the patient before collecting the material to be laboratory examined, correctly collect the materials to be laboratory examined and interpret the results of the resulting analyses.

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Laboratory tests (blood, urine, stool, sputum), sample collection and provisions for transportation.
Description

Develop learners’ skills to correctly collect materials to be investigated in a laboratory.

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Types and equipment of administration of medicinal products.
Description

Types and equipment of administration of medicinal products.

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Injections (i/c, s/c, i/m, i/v) Characteristics of heparin and insulin injections.
Description

Inject into halls -i/C, I/m, s/C, I/V

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Delivery of intravenous therapy through a peripheral vein.
Description

Administer medication through the PVA using a variety of devices.

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Delivery of intravenous therapy through a peripheral vein.
Description

Administer medication through the PVA using a variety of devices.

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Basic digestive system procedures.
Description

Enteral feeding methods

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Basic digestive system procedures.
Description

Insertion and removal of the nasogastral probe. Feeding the patient through a nasogastric probe. Enema

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Basic digestive system procedures.
Description

Insertion and removal of the nasogastral probe. Feeding the patient through a nasogastric probe. Enema

  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Procedures affecting the urogenital system.
Description

Catheterisation of the bladder, urogenital stomas and types thereof

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Procedures affecting the urogenital system.
Description

Catheterisation of the intermittent bladder in a woman. Long-term bladder catheterization in a woman.

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Procedures affecting the urogenital system.
Description

Catheterisation of the intermittent bladder in a woman. Long-term bladder catheterization in a woman.

Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (OSCE)

Bibliography

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 Centrālo vēnu katetru aprūpe vispārējā aprūpē .2023.

5.

KLĪNISKAIS ALGORITMS Centrālo vēnu katetru aprūpe pediatriskajā aprūpē.2023.

6.

KLĪNISKAIS ALGORITMS Pacienta novērtēšana pediatriskajā aprūpē .2023.

7.

KLĪNISKAIS ALGORITMS Pacienta novērtēšana vispārējā aprūpē.2023.

8.

KLĪNISKAIS ALGORITMS Perifēro vēnu katetru aprūpe pediatriskajā aprūpē .2023.

9.

KLĪNISKAIS ALGORITMS Perifēro vēnu katetru ievade vispārējā aprūpē .2023.

10.

KLĪNISKAIS ALGORITMS Urīnpūšļa katetra aprūpe vispārējā aprūpē.2023.

11.

KLĪNISKAIS ALGORITMS Urīnpūšļa katetra ievade vispārējā aprūpē.2023.

12.

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.

“Science of Disinfection & Sterilization”

2.

“The ABCs of Infection Control”

3.

“Decontamination, Sterilization, and Sterile Storage”