Curriculum was proved by meeting of the Department of Propaedeutic Pediatrics and Medical Genetics on the 29th of August, 2014 (protocol No 1) TAKING CARE OF PATIENTS (PRACTICE) Medical Faculty, 2nd Year of Study / 3rd Semester 2014 – 2015 Practice Curriculum (duration of semester: 01.09.14 - 25.01.15, duration of classes: 1-5: 4 hr, 6: 6 hr, number of practice hours : 26) № Тopic Tuesday Wednesday Friday 1. 2. 3. 4. Module 3. General Considerations in the Care of Sick Children Content Module 1. Ethical principles in pediatric practice. Ethical principles in pediatric practice. Rules of 14.10: 15.10: 17.10: professional conversation with children and their ІІІ, ІV classes ІІІ, IV classes ІІ, III classes parents. Nurse’s responsibilities in the pediatric 12, 13 10, 11 6, 7 hospital. Coordination of total children care, 03.12: 05.12: carried out by nurses, according to age. Handling ІІІ, IV classes ІІ, III classes deceased child. 8, 9 4, 5 Physiological and psychological peculiarities of 21.10: 22.10: 24.10: the children of different age period. Periods of ІІІ, ІV classes ІІІ, IV classes ІІ, III classes childhood. Main principles of pediatric clinical 12, 13 10, 11 6, 7 interview according to child’s age. Procedure of 10.12: 12.12: taking а history. ІІІ, IV classes ІІ, III classes 8, 9 4, 5 Content Module 2. Structure and functions of pediatric hospital. Principles of sanitation. Structure and functions of pediatric hospital. 28.10: 29.10: 31.10: Principles of sanitation. Structure and functions ІІІ, ІV classes ІІІ, IV classes ІІ, III classes of pediatric hospital. Structure and functions of 12, 13 10, 11 6, 7 admission department of the pediatric hospital. 17.12: 19.12: Admitting procedure of patients to the hospital. ІІІ, IV classes ІІ, III classes Transporting patients from the admission 8, 9 4, 5 department to the clinic department. Medical documentation of the admission department, medical in-patients card. Anthropometric measurements of the children of different age period. Assessing vital signs (respiratory rate, pulse rate, blood pressure) in pediatric practice. Structure of clinic department of the pediatric hospital. Protective aseptic technique. Types of protective asepsis. Specific protective aseptic techniques. Content Module 3. Basic principles of children care in the hospital. Basic principles of children care in the hospital. 04.11: 05.11: 07.11: Bathing and skin care: kinds of baths, skin care for ІІІ, ІV classes ІІІ, IV classes ІІ, III classes the newborn, infant bathing. Decubitus ulcers: 12, 13 10, 11 6, 7 prevention and treatment. Perineal and genital care 24.12: 26.12: for female and male patients. Oral hygiene of sick ІІІ, IV classes ІІ, III classes children. Hair, eyes, nose, ears care of sick 8, 9 4, 5 children. General and special care for the terminally ill, dying children of different ages in pediatric practice. Changing an unoccupied and occupied bed. Types of enemas. Administering an enema. Obtaining urine, stool specimens for laboratory analysis. Principles of aerosol therapy in children. Oxygen therapy in pediatric practice. Methods of oxygen administration. TAKING CARE OF PATIENTS (PRACTICE) Medical Faculty, 2nd Year of Study / 3rd Semester 2014 – 2015 Practice Curriculum (continuation) Тopic Tuesday Wednesday № 5. 6. 7. Content Module 4. Basic principles of feeding of children in the hospital. Basic principles of feeding of children in the 11.11: 12.11: hospital. Helping patients obtain nourishment. ІІІ, ІV classes ІІІ, IV classes Dietary variables according to age. 12, 13 10, 11 31.12: ІІІ, IV classes 8, 9 Content Module 5. Resuscitation in pediatric practice. Resuscitation in pediatric practice. Artificial 18.11: 19.11: respiration: oral resuscitation, mouth-to-nose or ІІІ, ІV classes ІІІ, IV classes mouth-to-mouth-and-nose methods, hand- 12, 13 10, 11 compressible breathing bags. Cardiopulmonary 14.01: resuscitation. External cardiac compression. The ІІІ, IV classes first aid and the basic resuscitation measures for 8, 9 terminally ill, dying children. Administering medications to control the pain associated with terminal illness in pediatric practice Final module control 18.11: 19.11: ІІІ, ІV classes ІІІ, IV classes 12, 13 10, 11 14.01: ІІІ, IV classes 8, 9 Friday 14.11: ІІ, III classes 6, 7 09.01: ІІ, III classes 4, 5 21.11: ІІ, III classes 6, 7 16.01: ІІ, III classes 4, 5 21.11: ІІ, III classes 6, 7 16.01: ІІ, III classes 4, 5 Curriculum of Self-works № Тopic Hours Control 1. Practical skills training 15 During classes 2. Filling in the medical documentation 2 Final control 3. Independent study of students: 2 During classes 2 During classes 3. Clinical interview according to child’s age. History taking. Acquaintance with the rules of the handling deceased child. Work in the admission department of pediatric hospital: performing of antropometric measurements, thermometry, hygienic procedures, filling in the medical documentation Preparation to final module control 2 Final control Total 23 module module Head of the Department of Propaedeutic Paediatrics and Medical Genetics Professor, MD ___________________________ O.Z. Hnateyko THE LIST OF PRACTICAL SKILLS FOR THE FINAL MODULE CONTROL 3 Module 3. General Considerations in the Care of Sick Children 1. To prepare an appropriate disinfectant solution and to sanitize bedside and sills in the ward. 2. To prepare an appropriate disinfectant solution and to clean manipulation room. 3. To prepare the disinfectant solution and to treat medical articles multiple use (thermometers, bedpan). 4. To interview sick child and his (her) parents, to fill in a title page of in-patient’s card and determine chief complaints. 5. To measure body temperature of a sick child and to note data in the observation card of patient. 6. To inspect a sick child for the presence of scabies and pediculosis. 7. To measure the height, weight, head and chest circumferences of the patient. 8. To prepare a tub for hygienic bath for a sick child, to treat it after use. 9. To demonstrate the technique of transporting of a sick child on a stretcher and shifting him (her) to the bed. 10. To assess child's pulse over the radial artery, on the lower limbs. 11. To measure blood pressure of a child. 12. To assess respiration of a child. 13. To note data of pulse rate, blood pressure, body temperature in the observation card of patient 14. To change of bed linen and body wear for sick child in severe condition. 15. To demonstrate the technique of swaddling of the infant. 16. To demonstrate the technique of bathing, perineal care for a sick child. 17. To demonstrate the technique otic, nasal, ophthalmic installations. 18. To prepare necessary equipment for cleansing enema and demonstrate the technique of enema in children of different ages. 19. To prepare containers for the taking of urine for Zimnitskyi test and to give appropriate instructions to the sick child. 20. To demonstrate methods of oxygen therapy in paediatric practice. 21. To demonstrate the technique of mouth, nose, eyes and ears care for the child under 1 yr. 22. To prepare the necessary articles and to demonstrate how to prevent the formation of bedsores. 23. To demonstrate the technique of feeding of the sick child in severe condition. 24. To prepare appropriate equipment and to demonstrate the ability to prepare formula for feeding of infant. 25. To prepare appropriate equipment and to demonstrate the technique of bottle-feeding of the infant. 26. To demonstrate the technique of resuscitation in paediatric practice. 27. To demonstrate the technique of resuscitation of terminally ill child 28. To demonstrate rules of handling deceased child 29. To provide psychological support to the terminally ill, dying children and their parents