- •Methodical indicatings to operation of students on practical employment
- •The module 1
- •The thematic module 1
- •Practical employment №2
- •The module 1 The thematic module 1 Practical employment №2
- •I. The Actual of a subject:
- •II. A basic level of knowledge.
- •III. The Purpose of occupation:
- •III. Maintenance of a datum level of knowledge – skills.
- •V. The content of learning:
- •VI. The Rough basis of activities
- •Glue bandages.
- •Adhesive bandages
- •Applying of bandages.
- •Rules of applying of bandages:
- •Bandage "protecting cap"
- •Bandages on one and both of an eye
- •Bandage on both of an eye.
- •Bandage "Bridle"
- •Cruciate bandage on a nucha with transition to a back
- •Spica bandage on a shoulder joint
- •Spiral bandage on a thorax
- •Bandages on a mamma
- •Bandage of Desault’s
- •Bandages on an inguinal field
- •Turtle a bandage on ulnar and patellar joints
- •Bandage “a knightly glove”
- •Bandages on a dactyl (spiral, spica)
- •Triangular bandage on the upper extremity
- •Figure-of-eight bandage on an ankle joint
- •Rotary (return) bandage on foot
- •Applying of elastic rollers on an extremity
- •Applying of an intimately-hard bandage
- •VIII. The Procedure of carrying out of employment that organizational structure of employment:
- •The procedure sheet of employment
- •Tests and problems for checkout of a datum level of knowledge:
Methodical indicatings to operation of students on practical employment
The module 1
The thematic module 1
Practical employment №2
Subject: the Organization of operation in a clean dressing room. A desmurgy, a dressing material. Typical bandages. Head bandages, a neck, a thorax. Care of the patients operated on a head, a neck, a thorax.
Theoretical questions for external-auditory self-maintained studying and discussion to practical occupation №2
1. Structure and the organization of operation in dressing rooms.
2. Sanitary - hygienic requirements to the personnel of dressing rooms, a dressing material, the toolkit, preventing diffusion of an intrahospital infection contamination.
3. Definition of a desmurgy, views of a dressing material, and its basic properties.
4. Rules of applying bandages and scarfs bandages.
5. Rules of applying glue and glue-emplastic, collodion bandages.
6. Methods of a salvage of the used dressing material.
Maintenance of a datum level of knowledge - skills
The basic literature:
Butyrsky A. General surgery. – Simferopol. 2004.
Schevchenko S.I. and others. Surgery. – Kharcov. 2004
The additional literature:
Kushnir R. Lectures of General surgery. – 2005.
Lyapis M.A. Methods of examination of a surgical patients. – 2004.
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 2 from the thematic module №1 for educational activity to the student the estimate on 4 ball (traditional) to a scale which then are converted in points as follows is exposed:
-
Estimate
Balls
“5” (perfectly)
6 balls
“4” (well)
4 balls
“3” (satisfactorily)
2 balls
“2” (unsatisfactorily)
0 balls
The module 1 The thematic module 1 Practical employment №2
Subject: the Organization of operation in a clean dressing room. A desmurgy, a dressing material. Typical bandages. Head bandages, a neck, a thorax. Care of the patients operated on a head, a neck, a thorax.
I. The Actual of a subject:
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) the surface of wound remains open and greater or less time contacts to air, and also with instruments and other subjects which are used at dressings. Meanwhile, air of dressing rooms contains much more germs, than air operational, and is frequent also other premises of hospital. It is bound by that in dressing rooms a plenty of people stationaryly circulates: medical staff, patients, students, etc.
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 antibiotic-resistant flora, which characteristic for the present 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 of a dressing room, it is necessary to distinquish three interdependent moments: aseptic performance of all medical actions, the organization of sterilization and disinfection of instruments and other materials which are applied during dressings, and maintenance of a conforming duty, including a decontamination of air of dressing rooms. A desmurgy as partition of the general surgery, studies the bandages designed for the different purpose, mainly for fastening or deduction on necessary term of a dressing material on a wound or a field of damage. Knowledge of a desmurgy necessary for the doctor of any occupation for granting the first medical care by the victim.