Immobilization of limb injuries

N

EvaluationCriteria

Completeanswer

Incompleteanswer

Noanswer

1

Visually assess the degree of damage 

10

5

0

2

Applying anesthesia to make bus

10

5

0

3

Carry out immobilization for at least two adjacent joints adjacent to the damaged segment of the limb

20

10

0

4

Fixing the damaged limb is functionally advantageous position

10

5

0

5

Imposed on the injured limb cotton pads

10

5

0

6

Upon application of tourniquet when bandaging bus shall be such as to leave a tourniquet visible and accessible for additional tightening and relaxation

20

10

0

7

During the cold season after limb immobilization should be further insulate

10

5

0

8

Evacuation in the hospital

10

5

0

TOTAL MARKS

100

50

0

1

Wash hands, dry with disposable towel and put on disposable gloves.

10

5

0

2

Provide palpation of parturient woman’s abdomen for the exclusion of the 2 –nd fetus presence in the uterus. During the 1^st minute after fetus birth introduce 10 IU of oxytocin I/m to the upper 3^rd of hip.

10

5

0

3

Put the clamp on cord near the perineum. During a holding the clamp with cord in one hand, locate another hand directly over the pubis for stabilization of uterus.

10

5

0

4

During the uterine contraction at the afterbirth period, gently, perform the traction of umbilicus cord, doing of contra pressure of uterus by another hand.

10

5

0

5

Immediately after placenta delivery, make the massage of uterus after anterior abdominal wall. Check the presence of abundant bleeding from vagina After of afterbirth delivery take it’s by both hands. If fetal membranes don’t separated by itself, it is necessary, gently, screw its and d slightly move its up-down for separation from the uterine wall. Make tractions, slowly, for complete placenta and fetal membranes delivery.

10

5

0

6

Examine the placenta, for that, put its on flat surface by mother side upwards and check of lobules presence. Check the presence of all membranes, for that take in one hand the umbilicus cord, placenta and fetal membranes hang down. Another hand You should put inside the fetal membranes, moving it’s by fingers, check the integrity of membranes.

10

5

0

7

It is necessary to put attention on the ruptured vessels presence between membranes, going from the placenta edge ( ruptured vessels tell us about the additional lobe presence , which is in uterine cavity).

10

5

0

8

Check, please, the volume of blood lost, put a blood at the measure‘s vessel Perform of external sexual organs examination, in cases of ruptures, restore its integrity.

10

5

0

9

Assess the general condition of parturient, checking of pulse rate, BP.

10

5

0

10

Put off gloves, thought its in container for utilization. Wash hands and dry with disposable towel.

10

5

0