- •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:
V. The content of learning:
The dressing room, as a rule, is disposed in one room, concerning the small dimensions. The area of a dressing room on 1 table should make 22 м2, and a dressing room on 2 tables - 30 м2. Meanwhile, in one room, except for dressings presterilization purification and disinfection of instruments are carried out, here wash hand before and after dressings doctors, nurses and students. In the same room erect reboilers for a decontamination of instruments cases for conservation of different materials, tools cases, different necessary for operation furniture and equipment. This all in the certain standard blocks up a premise and impedes support of cleanliness and the order.
Routinely dressing-room range on one corridor with chambers, but it is more convenient to equip them in the terminating compartment of the corridor which has been fenced off by a glass septum. Thus the tambour in which it is possible to put trolleys cases for some subjects of equipment is framed, in a wall niche or in a separate case to maintain agents for sweeping a dressing room.
And walls of a dressing room paint a ceiling oil colour, but it is better, if walls revet with a tile. The floor should be coated by a tile. Ventilation should be forced-air and exhaust with a double exchange for 1 hour. All clarifiers should be a subject to the wet sweeping. In a dressing room there should be two conchas which dispose far away from a sterile table and mark inscriptions on a wall - “For washing hand”, “For instruments”. Dressing rooms divide on clean and purulent that has essential value (importance) for prophylaxis of a hospital infection contamination.
Clean dressing room designed for performance of dressings of the clean postoperative wounds which have been sewn up tightly, sometimes with injection of a drainage for reflux раневого contents, punctures of joints, an abdominal vacuity, a thoracal vacuity, tumours, the soft tissues and bones - punctures at which purulent contents are not expected. In many surgical units clean dressing rooms are used for small operative measures, for example a primary surgical treatment of small casual wounds excision of atheromas, ingrown fingernail and others. In units where there is no separate endoscopic room, in a pure{clean} dressing room carry out a bronchoscopy, a gastroscopy, cystoscopy and a catheterization of ureters.
Desmurgy - (from Grecian desmos) - an outset, a band, tape a bandage. Is self-maintained partition of the general surgery. Its main content is art (science) of applying of bandages with the purpose of the correct treatment of damages and a lot of diseases. The bandage in wide comprehension of this word, means the whole complex of agents which are used for protection of wounds or the pathological centers, from environmental influence. In narrow, the word "bandage" material (bandage, an adhesive plaster and so forth) which impose on a wound for bracing a dressing material appears means. At last, term "binding" means process of applying or replacement of a medical bandage with its subsequent bracing.
Now applications of soft bandages dress remain one of the most spread agents of fastening of a dressing material, despite of spread use of an adhesive plaster, glue, polymeric plastic, synthetics and so forth. It is necessary to remember, that correctly imposed bandages promote convalescence.
