4. Practice content: Work organization of procedural nurse

Introduce with functional duties of a procedural nurse. Organization of a workplace. Emplacement of a table. Orientation to arrangement of medical documents, medical equipment, materials. Correct exploitation of electrical appliances (table lamp, fridge, drying cabinet, signaling). Correcting acts to improve work organization. Filling medical documents. Independent filling of medical registers, treatment lists, sampling of doctor prescriptions. Clarify & find out problem moments, if it’s necessary discuss with Head nurse or treating doctor features of medicine doses. Control of registration & consumption of medicines.

Keeping of sanitary-epidemic regime at procedure room

Acquaintance with current instructions & norms of procedure room exploitation. Rules of save technique must be checked by practice editor. Appearance of a nurse. Hygienic requirements of work place & appearance. Dress code. Hand processing: levels of hand processing (social, hygienic, surgical). Wash a procedure room using disinfectant. Process furniture, present at a procedure room (couch, medical table, medical cabinet etc.). Keeping requirements of aseptics & antiseptics. Waste elimination after carrying out of a procedure. Disinfection of air & equipment of a procedure room by quartz lamp. Control of rules for keeping sanitary-epidemic regime by medical personal, coming to a procedure room. Performance of dress code requirements (cotton) for personal, working at a procedure room. Realization of personal hygiene requirements.

Work with medicines for parenetal injection

Rules of work with medicines, used parenterally. Getting medicines for infections from Head nurse. Registration & storage of medicines at a procedure room (medical cabinet for medicines, fridge, safe). Reporting documents: rules writing off medicines. Forming a medicine chest, its control & renewing. Control of medicine expiration date.

Intravenous injection of a medicine

One-off syringe of different volume must be used for intravenous injection. Aseptic rules must be kept strictly as at a procedure room, so at room of seriously ill patient during the procedure. Invite a patient to procedure room, psychological preparing of a patient, his (her) comfortable position. Choose a place for injection. Put a tourniquet on a shoulder or pre-brachium. Carry out puncture of a vein, control position of a needle into the vein. Take the tourniquet off. Inject medicine. Control patient health, visual control of injection place. Finish the injection. Eject the needle from a vein. Stop bleeding from a vein. Observe the patient for 5 minutes. Prevention of technical mistakes, disturbance of aseptic rules. Elimination of materials, which were used during injection. Take on the patient to his (her) ward.

Intravenous infusion of a medicine

Collect equipment (dropper) for intravenous dropping infusion. Use a pharmacy vial & vial, produced at pharmacy factory. Recognize difference between vial structure & connect it to dropper. Fill tubes of a dropper with medicine. Check passability, possibility to regulate speed of stream, to stop an infusion. Connect a needle for vein puncture. Check passability of a needle (release a little solution). Fix a dropper on a stand, transfer it to a patient room. Help patient to take a comfortable position. Puncture a vein, control the position of a needle into the vein. Start infusion, control of solution flow. Fix a needle & dropper tube (to a patient arm). Permanent control for a procedure, position of a needle into a vein, check patient condition constantly. Finish infusion, perform doctor prescription (for example, injection of additional medicine by bolus). Eject a needle from a vein. Put a cotton ball, moistened with alcohol, on a puncture place, press it for 10 minutes. Control of patient status after infusion for 30-40 minutes. Utilization of used equipment.