Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 27/28.P.1.00

Description Period: 2027./28 academic year pavasara semestris

Study Course Accepted: -

Study Course Description

Specialised Clinical Skills

Main Study Course Information

Course Code
MDAK_383
Branch of Science
Health sciences
ECTS
3.00
Target Audience
Nursing Science
LQF
Level 6
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Inta Višņevska
Structure Unit Manager
Kristaps Circenis
Structural Unit
Department of Nursing and Obstetric Care
Contacts

Riga, Anninmuizas Boulevard 26a, mdak@rsu.lv, +371 67061568

About Study Course

Objective

Develop theoretical knowledge, specialised practical skills and clinical thinking in ensuring safe, high quality and patient-oriented care using specialised clinical technologies and critical thinking.

Preliminary Knowledge

General pathology, pathological physiology, Anatomy, Microbiology with virology and parasitology.

Learning Outcomes

Knowledge

1.Students will know the objectives, indications and contraindications of the procedures included in the study course. Student will know the progress of the procedures included in the study course.

Skills

1.Student is able to successfully demonstrate the execution of the procedures included in the study course on the dummy. Student is able to analyse the clinical situation.

Competences

1.The student shall be able to make a clinically sound decision on the necessity of the particular procedure and shall be able to implement it successfully by verifying the effectiveness of the procedure carried out.

Assessment

Individual work

Title
% from total grade
Grade
1.

Test
15.00% from total grade
Test

Test topic - drug dose estimates
2.

Test
15.00% from total grade
Test

Test topic - Central venous lines
3.

Test
15.00% from total grade
Test

Test topic - transfusion of blood components
4.

Attendance
5.00% from total grade
Test

Lecture and class attendance is mandatory

Examination

Title
% from total grade
Grade
1.

Exam
50.00% from total grade
10 points

Exam at end of study course

Study Course Theme Plan

FULL-TIME
Part 1

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Primary, secondary and chronic wound care
Description

  • primary/secondary wound concept
  • principles for wound evaluation
  • principles aseptic and antiseptic principles
  • for wound purification
  • bleeding control
  • types of dressings

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Wound closure
Description

  • suture types
  • wound closure with sutures
  • wound closure with biological glue
  • removal of clamps

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Calculation of drug doses
Description
  • patient parameters
  • High risk drug estimates
  • double Check principle
  • drug dose Calculation in Clinical cases

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Types of central venous approaches
Description
  • short-term CV approach
  • long-term CV approaches (tunneled catheter, PORT catheter, PICC)

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Changing the central venous dressing
Description
  • assessment of a central venous access input site
  • care of a central venous access input site and dressing technique
  • evacuation of a central venous approach
  • selection of suitable dressing materials

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Changing the central venous dressing
Description
  • assessment of a central venous access input site
  • care of a central venous access input site and dressing technique
  • evacuation of a central venous approach
  • selection of suitable dressing materials

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Administration of medicines through different types of CVK
Description
  • bolus method
  • infusion method

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Administration of medicines with delivery device
Description
  • administration of medicinal products via perfusor
  • administration of medicinal products via infusion pump
  • administration of medicinal products via elastomer infusion pump
  • patient controlled analgesia

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Administration of medicines intraossal, epidural
Description
  • basic
  • principles of
  • care care complications
  • for use of
  • Intraossal, epidural approach Indication

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Transfusion of blood components
Description
  • blood component types
  • Transport/storage requirements
  • blood component input

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Tracheostoma care - introductory lecture
Description
  • tracheostomy
  • tracheostomy cannula types
  • antiseptic, aseptic requirements

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Tracheostoma care - suction of secretions, dressing, replacement of fixing tape
Description
  • suction of secretions
  • care of the skin around the tracheostoma, dressing
  • change of tracheostoma fixing tape

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Clogged tracheostoma
Description

Simulation

  1. Lecture

Modality
Location
Contact hours
On site
Study room
2

Topics

Parenteral feeding
Description
  • parenteral feeding types
  • parenteral feeding indications, contraindication
  • parenteral feeding component
  • parenteral feeding complications
  • parenteral feeding discontinuation principles

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
2

Topics

Preparation and administration of a parenteral feeding mixture
Total ECTS (Creditpoints):
3.00
Contact hours:
30 Academic Hours
Final Examination:
Exam (OSCE)

Bibliography

Required Reading

1.

Gardovska J., redakcijā. (2013). „Ķirurģija”. Rīga. (akceptējams izdevums)

2.

Latvijas Māsu asociācija. (2020). Aprūpes diagnozes: definīcijas un klasifikācija 2018–2020 (11. izdev.). Rīga: Latvijas Māsu asociācija.

3.

Klīniskās procedūras un pacientu drošība / Dzintra Puriņa, Ināra Upmale. (2018). Rīga: Rīgas Stradiņa universitātes Sarkanā Krusta medicīnas koledža.

4.

Ignatavicius, D. D., Rebar, C. R., & Heimgartner, N. M. (2023). Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (11th ed.). Elsevier.

5.

Pironi, L., Arends, J., Baxter, J., Bozzetti, F., Cuerda, C., Forbes, A., Gabe, S., et. al. (2020). ESPEN guideline on home parenteral nutrition. Clinical Nutrition, 39(6), 1645–1666.

6.

Centrālo vēnu katetru aprūpe vispārējā aprūpē. Klīniskais algoritms.

7.

Centrālo vēnu katetru aprūpe pediatriskajā aprūpē. Klīniskais algoritms.

8.

Gorski, L. A., Hadaway, L., Hagle, M. E., Broadhurst, D., Clare, S., Kleidon, T., Meyer, B. M., Nickel, B., Rowley, S., Sharpe, E., & Alexander, M. (2021). Infusion therapy standards of practice (8th ed.). Journal of Infusion Nursing, 44(1S Suppl 1), S1–S224

9.

Dornhofer, P., McMahon, K., & Kellar, J. Z. (2025). Intraosseous vascular access. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

10.

Valsts asinsdonoru centrs (VADC). Asins komponentu transfūzijas un imūnhematoloģiskās izmeklēšanas tehnoloģijas un prasības — metodiskie norādījumi.

Additional Reading

1.

Epidural Analgesia Nursing Management (2023). Clinical guideline for safe care of patients with epidurals. Royal Children’s Hospital Clinical Guidelines.

2.

Astasio‑Picado, Á., Cobos‑Moreno, P., Gómez‑Martín, B., Zabala‑Baños, M. C., & Aranda‑Martín, C. (2022). Clinical management of intraosseous access in adults in critical situations. Healthcare, 10(2), 367.

3.

Bedside Guide Routine Tracheostomy Care

4.

Brūču aprūpe vispārējā aprūpē. Klīniskais algoritms.