Clinical Procedures, Rehabilitation, Radiology and Patient Care
Study Course Implementer
Riga, 26a Anninmuizas bouevard, mdak@rsu.lv, +371 67061568
About Study Course
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.
Preliminary Knowledge
General pathology, Pathological physiology, Anatomy, Microbiology with virology and parasitology.
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 rehabilitation and clinical care. As a result of studying the course, students are familiar with and able to distinguish different radiological examination methods, orient themselves in their application and examination indications, know the basic concepts of the physical principles of various methods and the biological effect of ionizing radiation. Students acquire the knowledge necessary to fulfill the basic tasks and duties of professional activities in patient rehabilitation, radiology and clinical care.
Skills
1.The student is able to successfully demonstrate the performance of the skills included in the study course on a mannequin. Assess the patient's condition and practically perform clinical procedures; Perform skills to ensure patient hygiene and comfort. Perform patient positioning and transfer. Will be able to prepare and administer (administer) drugs enterally and parenterally. Will be able to administer medication through the patient's skin and mucous membrane. Administer insulin and anticoagulants. Make intracutaneous, subcutaneous, intramuscular injections. Administer intravenous injections. Insert a peripheral intravenous catheter. Administer intravenous infusions (maintenance, discontinuation). Administer medications intravenously through infusion pumps (infusomat, perfusor), administer dosed medications. Administer medications through a central venous catheter. Will understand the administration of blood components. Will know how to perform airway suction/rehabilitation. Perform tracheostomy care. Ensure patient's nutritional intake. Able to insert a nasogastric tube (NGS) and feed the patient through the NGS using various feeding methods. Will be able to perform clinical procedures for the provision of urogenital elimination procedures. Will know how to perform clinical procedures gastrointestinal elimination procedures. Will know how to prepare the patient for various types of diagnostic radiology procedures. You will learn the basic principles of rehabilitation - in pediatrics, surgery, neurology, cardiology and pulmonology.
Competences
1.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 and rehabilitation.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
10.00% from total grade
|
Test
|
|
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 (RSU Liepāja branch). 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 |
-
|
10 points
|
|
Systematic testing of theoretical knowledge during lessons, all tests, tests, and independent assignments must be successfully completed. Mandatory 100% class attendance. Independent improvement of clinical skills in a simulated environment at MITC (RSU Liepāja branch). Three thematic colloquiums of the clinical skills test must be successfully completed. The exam takes place using accumulative assessment, in which knowledge, skills and competence are evaluated based on the results presented in tests, tests, independent works and thematic colloquiums in both semesters. The final grade of the exam was accumulated from a weighted average, of which 10% consists of attending classes and active participation in them, 10% independent improvement of clinical skills in a simulated environment at MITC (RSU Liepāja branch); 30% of the evaluations obtained in tests, tests, independent works and 50% of the evaluation obtained in the three thematic colloquiums. |
||
Study Course Theme Plan
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Online
|
2
|
Topics
|
Introduction to the study course. Basic hygiene and anti-epidemic requirements in the healthcare establishment. Management of healthcare waste.
Description
Basic hygiene and anti-epidemic requirements in the healthcare establishment. Management of healthcare waste |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
The importance and methodologies of hand processing. Personal protective equipment. Care of patients infected with multi-resistant organisms.
Description
Principles for washing and disinfecting hands. Surgical hand disinfection. Requirements for the use of personal protective equipment. Care of patients infected with multi-resistant organisms. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Safe Patient Handling,
Description
Transfer, and Positioning. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Positioning and moving the patient.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Patient hygiene procedures.
Description
Procedures for ensuring patient hygiene. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Patient bedding and changing linen
Description
Bedding and changing linen. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Clinical procedures for providing gastrointestinal elimination procedures.
Description
Intestinal stoma. Enema. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Patient feeding. Introduction, care and removal of the nasogastric probe.
Description
Introduction, care and removal of the nasogastric probe. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Patient feeding via Nasogastric probe (NGZ), percutaneous endoscopic gastrostoma
Description
Patient feeding via NGZ, percutaneous endoscopic gastrostoma |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Vital Signs
Description
Vital signs and their detection |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
1. Colloquia.
Description
Skill test. Principles for washing and disinfecting hands. Surgical hand disinfection. Requirements for the use of personal protective equipment. Procedures for ensuring patient hygiene and bedding. Clinical procedures for providing gastrointestinal elimination procedures. Patient feeding. Introduction, care and removal of the nasogastric probe. Percutaneous endoscopic gastrostoma. Vital signs and their detection |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
1. Colloquia.
Description
Skill test. Principles for washing and disinfecting hands. Surgical hand disinfection. Requirements for the use of personal protective equipment. Procedures for ensuring patient hygiene and bedding. Clinical procedures for providing gastrointestinal elimination procedures. Patient feeding. Introduction, care and removal of the nasogastric probe. Percutaneous endoscopic gastrostoma. Vital signs and their detection |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Specimen Collection
Description
Patient preparation and education, sample collection, sample marking, transport to the laboratory. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Medications Administration.
Description
Lecture. Administration of parenteral medicinal products. Equipment for parenteral drug delivery. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Medications Administration.
Description
Lecture. Administration of parenteral medicinal products. Equipment for parenteral drug delivery. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Administration of oral and topical medicinal products. Injections.
Description
Administration of oral and topical medicinal products. Parenteral administration of medicinal products (medicines) – intracutaneous, intramuscular and intravenous. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Administration of medicinal products subcutaneously. Specificities of heparin and insulin administration.
Description
Specificities of heparin and insulin administration. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Administration of peripheral intravenous catheter.
Description
Administration and care of the peripheral intravenous catheter. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Providing intravenous therapy through the peripheral vein.
Description
Providing intravenous therapy through the peripheral vein |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Mobilization of the Patient.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Mobilization of the Patient.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Simulation.Recognition of phlebitis.
Description
Integration of simulation as a method for Nursing students, following good practice standards and international guidelines, thus improving the quality of healthcare and creating a safe environment. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
2. Colloquia.
Description
Skill test. Administration of oral and topical medicinal products. Parenteral administration of medicinal products (medicines) – intracutans, subcutaneous, intramuscular and intravenous. Administration of heparin and insulin. Laboratory examinations. Administration of peripheral intravenous catheter. Providing intravenous therapy through the peripheral vein. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
2. Colloquia.
Description
Skill test. Administration of oral and topical medicinal products. Parenteral administration of medicinal products (medicines) – intracutans, subcutaneous, intramuscular and intravenous. Administration of heparin and insulin. Laboratory examinations. Administration of peripheral intravenous catheter. Providing intravenous therapy through the peripheral vein. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Transfusion of blood components.
Description
Lecture. Types of blood components, their application. Transfusion of blood components. Transfusion and monitoring thereof. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Transfusion of blood components.
Description
Lecture. Types of blood components, their application. Transfusion of blood components. Transfusion and monitoring thereof. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
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
Description
Lecture on radiology history, basics of X-ray diagnostics, X-ray properties, principles of X-ray image formation. Radiology physics, biological effect of ionising radiation, protection, dosimetry |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Fundamentals of ultrasonography, examination options, indications, contraindications, image interpretation.
Description
Lecture on the basics of ultrasound. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Computed tomography basics, examination options, indications, contraindications, image interpretation.
Description
Lecture on the basics of CT. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Basics of magnetic resonance, examination options, indications, contraindications, image interpretation.
Description
Lecture on MRI basics. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Basics of Radiotherapy and Nuclear Medicine.
Description
Lecture on the basics of radiotherapy and nuclear medicine. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Ultrasonography (USG) device functions, equipment, types of probes. Working with the USG machine.
Description
Working with the USG apparatus. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Discussion-oriented analysis of clinical cases (X-ray, CT, MR). Abdominal cavity and chest organ pathologies.
Description
Discussion-oriented clinical case analysis |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Discussion-oriented analysis of clinical cases (X-ray, CT, MR). Central nervous system and musculoskeletal system pathologies.
Description
Discussion-oriented clinical case analysis |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
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.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Rehabilitation stages. The most important methods to prevent or reduce disability in early rehabilitation. Methods to prevent or reduce disability during the various stages of rehabilitation.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Principles of Rehabilitation in Neurology, Cardiology and Pulmonology.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Principles of Rehabilitation in Surgery.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Principles of Rehabilitation in Pediatrics.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Provision of intravenous therapy through the central vein.
Description
Provision of intravenous therapy through the central vein. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Administering intravenous medications by infusion pumps.PVC, CVC.
Description
Administration of medicinal products (medicines) intravenously via infusion pumps (infuzomat, perfusor). UCITS CEC. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Providing urogenital elimination procedures for clinical procedure intermittent catheterization of women and men
Description
Providing urogenital elimination procedures for clinical procedure intermittent catheterization of women and men |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Providing urogenital elimination procedures for clinical procedure intermittent catheterization of women and men
Description
Providing urogenital elimination procedures for clinical procedure intermittent catheterization of women and men |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Clinical procedures for Ensuring the Oxygenation Process for the Patient.Care of the Patient with a Tracheostomy.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Simulation. Obstructed Tracheotomy.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
3. Colloquium.
Description
Skill test. Provision of intravenous therapy through the central vein. Administration of medicinal products (medicines) intravenously via infusion pumps (infuzomat, perfusor). UCITS CEC. Clinical procedures for providing urogenital elimination procedures. Clinical procedures for providing the oxygenation process to the patient. Care of a tracheostomy patient. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
2
|
Topics
|
3. Colloquium.
Description
Skill test. Provision of intravenous therapy through the central vein. Administration of medicinal products (medicines) intravenously via infusion pumps (infuzomat, perfusor). UCITS CEC. Clinical procedures for providing urogenital elimination procedures. Clinical procedures for providing the oxygenation process to the patient. Care of a tracheostomy patient. |
Bibliography
Required Reading
Ministru kabineta noteikumi Nr. 104. Noteikumi par higiēniskā un pretepidēmiskā režīma pamatprasībām ārstniecības iestādē. 2016. gada 16. februārī.
Mācību materiāli e-studijās.
Additional Reading
Clinical Nursing Skills and Techniques, 10th Edition Authors : Anne G. Perry & Patricia A. Potter & Wendy R. Ostendorf & Nancy Laplante .Date of Publication: 07/2021Suitable for English stream
Slimnieka ārstēšana, aprūpe un rehabilitācija mājas apstākļos. Hroniskas slimības. Krakovjaks P. u.c. 2018.