Vіі. The method of conducting of employment is that organizational structure of employment

Distributing of marks, which students can get:

At mastering of theme № 6 from the thematic module № 1 for educational activity to the student the estimation for 4th proposed by a ball (traditional) scale, which is after converted in marks as follows:

Estimation	Marks
“5”(fine)	6 marks
“4” (well)	4 marks
“3” (satisfactory)	2 marks
“2” (negative)	0 marks

Technological card of employment

№	Basic stages of employment, their functions and maintenance	Level of adoption	Methods of control and teaching	Materials of methodical providing	Distributing of time (mines.)
1. 2. 3.	The preparatory stage Organizational measures Raising of educational purposes and their motivation Control of initial level of knowledge, skills, abilities 1 Determinations of asepsis. 2. Sources and ways of transmission of surgical infection. 3. Structure of sterilization 4. Organization of work in sterilization one	ІІ ІІ ІІ ІІ	The individual questioning Tests ІІ level	П.1 "Actuality of theme" П.2 "Educational purposes" Table: sources of infection and way of its transmission	1-3 5 15
4.	Basic stage 1. Preparation to sterilization of bandaging material. 2. Preparation to sterilization of surgical tool. 3. Methods of control of quality of the before sterilization cleaning of surgical instruments.	ІІІ ІІІ ІІІ ІІІ	Professional training in the decision of the untypical clinical tasks Practical training	Bandaging material, surgical linen, surgical tool, drum of Shimelbusha Employment is conducted in sterilization	15 10 20 10
5. 6. 7.	Final stage a 6 Control and correction of level of professional abilities and skills of Work out the totals of employment Domestic task (basic and additional literature on a theme)	ІІІ	The individual control of skills is Tests of ІІІ	Tests of ІІІ Tasks of ІІІ “Short methodical pointing” to robot on practical employment	12

Practical employment № 6

Theme: Organization of work in sterilization one. Preparation and sterilization of cutting, optical, general surgical instruments. Sterilization of stitch material.

1. What time takes the instruments in an autoclave at pressure of 2 atm and temperature 132^oC sterilized during?

а) 20 min

b) 35 min

c) 45 min;

d) a 1 hour;

e) a 1 hour and 30 min.

2. How is sterilized synthetic material?

а) boiling;

b) ferry under constraint;

c) wet in an alcohol;

d) wet in the Lugol solution;

e) by a dry heat.

3. Sowing for the control after efficiency of sterilization of stitch material needs to be conducted 1 times on:

а) 3 days;

b) 5 days;

c) 10 days;

d) 15 days;

e) 20 days.

4. For saving of sterile silk a bank of alcohol must be changed through each:

а) 3 days;

b) 5 days;

c) 10 days;

d) 15 days;

e) 20 days.

5. Which from the methods of sterilization of surgical tool is most reliable and rapid in the conditions of surgical separation?

а) in an autoclave under constraint;

b) in an autoclave there is a ferry;

c) in a dry-heat closet;

d) by a bactericidal lamp;

e) gamut by the irradiation.

6. Which one from the methods of control after sterility of content of drums most reliable?

а) the Mikulich method;

b) temperature of melting of sulphur;

c) temperature of melting of sulphur and antipyrine;

d) bacteriological;

e) temperature of melting of sulphur and benzone acid.

7. By the pairs of formalin sterilize:

а) cutting instruments;

b) rubber gloves;

c) instruments with the optical systems;

d) dressing material ;

e) operating linen.

8. What is saved in the Lugol solution after sterilization?

а) silk;

b) catgut;

c) kapron;

d) lavsan ;

e) vikril.

9. At what minimum temperature spore bacteria perish at?

а) 60 ^oC;

b) 80 ^oC;

c) 100 ^oC;

d) 120 ^oC;

e) 140 ^oC.

10. At what temperature instruments are sterilized in a dry-heat closet?

а) 180 ^oC;

b) 150 ^oC;

c) 100 ^oC;

d) 120 ^oC;

e) 140 ^oC.

11. How is silk saved after sterilization on Kocher?

а) in 96% alcohol;

b) in solution of sulema 1:1000;

c) in the Lugol solution;

d) in a dry sterile jar ;

e) in pervomur.

12. By which method stitch material is sterilized by in factory terms?

а) autoclave

b) by boiling

c) gamut by the irradiation;

d) in a dry-heat close;

e) wet in an alcohol

13. Disinfection of the used surgical tool can be conducted by the following methods:

а) immersion in a 10% solution of chloramin in 60 min.

b) immersion in a 10% solution of chloric lime in 60 min.

c) immersion in a 1% solution of chloramin in 60 min.

d) immersion in a 6% solution hydrogen peroxide in 1 hour.

e) immersion in the distilled water at the temperature 100 ^oC on 30 min.

14. Disinfection of the used surgical tool can be conducted by the following methods:

а) immersion in a 2,4% solution of pervomur in 15 min.

b) immersion in the distilled water at the temperature 100 ^oC in 30 min.

c) immersion in 96% ethyl alcohol in 30 min.

d) immersion in a 10% solution of chloramin in 60 min.

e) immersion in a 0,2% solution of dezaktin in 1 hour.

15. Laparoscopy and Cystoscopy are needed to sterilize:

а) by boiling;

b) autoclave;

c) immersion in 96% ethyl alcohol on 30 min;

d) in a dry-heat close;

e) immersion in pervomur.

System teaching tasks for verification of eventual level of knowledge.

1. In a chamber, bandaging to the patient after the operation concerning a gas gangrene is executed. What actions must be executed with used instruments during the given bandaging?

2. The senior operating sister of operating block conducted a benzidin test on quality of before sterilization treatment of tool. Thus she got the dark blue-green colouring on one of control instruments. What the given result testifies to? What must be done at that rate?

3. The senior operating sister of operating block conducted an ortotuloidin test on quality of before sterilization treatment of tool. Thus she got the bright green color on one of control instruments. What the given result testifies to? What must be done at that rate?

4. A medical sister conducts a control amidopirin test on quality of before sterilization treatment of tool. She inflicted 3 drops on one of instruments (inflicted drops on cutting part of scissors), that were in the given party and passed treatment and got no colouring. What it is possible to do a conclusion? Is it possible to consider finished peredsterilizatsionnuyu treatment of the given party of instruments?

5. A medical sister conducted a test on quality of before sterilization treatment of surgical tool. She inflicted on the working surface of clamp 3 drops of a 1% solution of muriatic benzidin. The change of color in the place of causing of reagent did not arise up. What it is possible to do a conclusion? What, possibly, an error was assumed by a medical sister?

6. A medical sister conducted a test on quality of before sterilization treatment of surgical tool. She inflicted on 2 instruments on 2 drops of a 1% alcoholic solution of fenolftalein and got the rose coloring. What the result of test testifies to that it is necessary to do with the given party of tool, that passed the before sterilization cleaning?

7. From an operating-room a junior nurse brought surgical instruments to sterilization, that are strongly muddy by a blood drying up. The given instrument must be prepared to sterilization. How possible to clean the given tool from contamination and conduct before sterilization treatment?

8. A surgical instrument was used during operative interference at a patient with the peritonitis poured out. A medical sister after the operation began to prepare the given tool to sterilization and began to wash him under running water with a brush. What error is assumed by a medical sister? How must she act with the given surgical tool?

9. A medical sister must prepare 1 l washing complex solution for the before sterilization cleaning of instruments. How will she do it?

10. The operating trained nurse conducted the before sterilization cleaning of surgical tool. She washing an instrument in running water during a 1 minute, dipped him in washing solution at the temperature 50^oС on 15-17 minutes washed every instrument in washing solution by means the brush during a 1 minute, washing instruments in running water during 5-10 minutes, washing them in the distilled water, dried out in a dry heat closet. What still needs to be done to the conclusion of tool on trays for his sterilization in a dry heat closet?

11. The operating trained nurse conducted the before sterilization cleaning of surgical tool. She washing an instrument in running water during a 1 minute, dipped him in washing solution at the temperature 50^oС on 15-17 minutes washed every instrument in washing solution by means the brush during a 1 minute, washing instruments in running water during 5-10 minutes, dried out in a dry heat closet. Is it right she conducted the before sterilization cleaning?

12. The operating trained nurse conducted the before sterilization cleaning of surgical tool. She washing an instrument in running water during a 1 minute, dipped him in washing solution at the temperature 50^oС on 15-17 minutes washing instruments in running water during 5-10 minutes, washing them in the distilled water, dried out in a dry heat closet. Is it right she conducted the before sterilization cleaning?

13. The operating trained nurse conducted before sterilization cleaning of surgical tool. She dipped him in washing a mean at the temperature of 50^oS on 15-17 minutes, washed every instrument in washing solution by a brush during a 1 minute, washing instruments in running water during 5-10 minutes, washing them in the distilled water, dried out in a dry heat closet. What error was assumed by a medical sister?

14. The medical operating trained nurse conducted the before sterilization cleaning of surgical tool. She washing an instrument in running water during a 1 minute, washed every instrument in washing solution by a brush during a 1 minute, washing instruments in running water during 5-10 minutes, washing them in the distilled water, dried out in a dry heat closet. What error was assumed by a medical sister?

15. The medical operating trained nurse conducted the before sterilization cleaning of surgical tool. She washing an instrument in running water during a 1 minute, dipped him in washing solution at the temperature of 50^oC on 15-17 minutes, washed every instrument in washing solution by a brush during a 1 minute, washing them in the distilled water, dried out in a dry heat closet. What error was assumed by a medical sister?