Methodical indicating to operation of students on practical employment

The module 1

The thematic module 1

Practical employment №3

Subject: Care of the patients operated on organs of an abdominal vacuity, a perineum, extremities. Bandages on an abdomen, a perineum, extremities. Care of patients with fractures. Gypseous technique.

Theoretical questions for extraouditory о self-maintained studying and discussion to practical occupation №3

1. Care of patients in a postoperative period which have tolerated an intervention on extremities..

2. Features and care of patients operated on an abdomen, a perineum.

3. Feeding habit of postoperative patients..

4. Features of care of postoperative wounds and wounds with presence of drainages..

5. Rules of care of patients with fractures.

6. Views of bandages which harden.

7. Typical bandages on an abdomen, a perineum, an extremity

8. Rules gypsies technique

Maintenance of a datum level of knowledge-skills

The basic literature:

1. Butyrsky A. General surgery. – Simferopol. 2004.

2. Schevchenko S.I. and others. Surgery. – Kharcov. 2004

The additional literature:

1. Kushnir R. Lectures of General surgery. – 2005.

2. Lyapis M.A. Methods of examination of a surgical patients. – 2004.

3. Methodological recommendations on surgical patients care. – Vinnitsa medical national university. 2006.

Allocation of points which the student can gain:

At a digestion of a subject 3 from thematic to the module №1 for educational activity to the student the estimation for 4 mark (traditional) a scale which then are converted in points as follows is exposed:

Estimation	Balls
“5” (perfectly)	6 balls
“4” (well)	4 balls
“3” (well)	2 balls
“2” (unsatisfactorily)	0 balls

The module 1 The thematic module 1 Practical employment №3

Subject: Care of the patients operated on organs of an abdominal vacuity, a perineum, extremities. Bandages on an abdominal, a perineum, extremities. Care of patients. Care of patients with fractures. Gypsies technique.

I. An urgency of a subject:

Surgical operation and narcosis result in to the certain changes in an organism of the person which have blanket character and are the answer to an operational trauma. The correct injection of the patient in a postoperative period, the organization of its stay in unit, performance of the necessary manipulations and procedures on a leaving have extremely great value for prophylaxis of possible complications and the favorable result of treatment. The favourable result of treatment of the patient in a postoperative period to a great extent depends not only on adequacy of the executed operation, but also from knowledge and professional skills of the medial and minor medical personnel. Hence, mastering by practical skills and professional skills on care of patients that have tolerated an operative measure, is important for all workers of surgical unit.

In operation of units surgical a lateral view dressing rooms have very much great value. Here repeatedly there are almost all patients who are on treatment in units surgical a lateral view because, except for dressings, also manifold manipulations (punctures, blockages, the thoracocentesis, laparocentesis, etc.) here are carried out. At any dressing taking out before the imposed bandage, survey of a wound and medical manipulations in her, applying of a new bandage) раневая the surface remains open and greater or less time contacts to air, and also with instruments and other subjects that are used at dressings.

As air of dressing rooms contains much more germs, than air operational, and quite often and more than other premises of hospital. It is bound by that in dressing rooms a plenty of people stationary circulates: medical staff, patients, students and so forth.

Especially many germs contain in air of purulent dressing rooms, and also in dressing-room ENTs of units. The microflora of air of these dressing rooms contains preferentially antibiotics resistens flora, which characteristic for the yielded medical institution and responds typical originators of a hospital infection contamination. At a dressing of purulent wounds the asepsis is especially necessary, because the superinfection (a secondary infection contamination) can be couched together on an infection contamination which already is, and the attenuated organism can not cope with a new pathogenic microflora.

Unmaking a question on an asepsis by operation in a dressing room, it is necessary to ooze three interdependent moments: aseptic performance of all medical actions, the organization of sterilization and disinfection of instruments and other materials that are applied during dressings, and maintenance of a conforming duty, including a decontamination of air of dressing rooms.