Subjects

The subject is framed as practical. The course emphasizes the teaching of nursing procedures and interventions in laboratory conditions and in clinical practice with a focus on managing complex nursing practices. Practical exercises enable students to gain basic manual skills and assurance of safe and quality implementation of nursing procedures and interventions in patients.

Last update: Tomová Šárka, PhDr., MPH, Ph.D. et Ph.D. (29.08.2017)

Mastering the knowledge and skills necessary for safe practice during the process of satisfaction of individual patient´s needs;

Acquiring manual skills for implementation of individual nursing procedures;

Being aware of the consequences of unprofessional interventions in providing individual care.

Last update: Tomová Šárka, PhDr., MPH, Ph.D. et Ph.D. (29.08.2017)

THE COURSE IS CONCLUDED WITH THE CREDIT AND THE EXAM.

REQUIREMENTS FOR GRANTING OF THE CREDIT:

No absence in seminars in practical training classrooms;

No absence during nursing clinical practice (absence because of a sickness is acceptable).

THE EXAM:

The exam is oral and includes all the topics taught.

The conditions for passing clinical nursing practice:

The condition to be able to fulfil clinical practice is to accomplish all required exercises and interventions in the lab and medical certificates to carry out practical training in a health care facility and immunization against transmissible diseases according to valid law.

REQUIREMENTS FOR SUCCESSFUL COMPLETION IN WINTER SEMESTR 2020/21

Academical year 2020/21 does not include clinical nursing practice.

The course will be completed with verification of students' knowledge by credit and final test using LS Moodle.

Oral examination is omitted for epidemiological reasons.

Last update: Tomová Šárka, PhDr., MPH, Ph.D. et Ph.D. (07.10.2020)

BASIC STUDY LITERATURE:

JIRKOVSKÝ, D. et al. Nursing procedures and interventions: textbook for bachelor’s and master’s degree programmes [DVD-ROM]. 1st English ed. Prague: Motol University Hospital, 2014. System requirements: Adobe Acrobat Reader. ISBN 978-80-87347-16-4.

Last update: Tomová Šárka, PhDr., MPH, Ph.D. et Ph.D. (29.08.2017)

THE EXAM:

Is oral and covers all the topics taught. The student responds to one randomly chosen question from the topics discussed during the first and second year.

Exam Topic:

The definition of health, basic concepts, education towards health, forms and significance of prevention.

The reactions to illness and its experiencing.

The principles of communication with a patient, the terms evaluation and devaluation.

Verbal and nonverbal communication.

Management in general and specifics for medical facilities.

Positioning of the patient, the importance of positioning and security of medical positioning, the use of aids to present bed sores (decubitus ulcer).

Food serving principles, diet system and its importance, the process of probe insertion – reasons.

Bedsores – their stages, cause and prevention.

Bedsore nursing care, modern trends in the treatment of wounds.

General principles of disinfection and sterilization and its types. The terms asepsis, MRSA, nosocomial infections.

The secure collection the biological material for examination, principles of collection.

Types of medicaments, principles of administration and ordering, opiate management.

Patient pre-operative nursing care, and care during an operation. Bandage application on legs and its importance.

Patient post-operative nursing care, possible complications.

The principles of chemotherapy, accompanying symptoms, special care of chemotherapy patients.

Problematic pain, principles of administering analgesics and opiates, evaluation of pain.

Voluntaries in the hospital.

Home care. Palliative and hospice care.

Rights and obligations of patients - their presentation and application.

Care of the elderly and chronically ill, explaining the significance and issues of polymorbidity.

The basics of nursing in psychiatry, individualization of care in general and in relation to mental disease.

Patient needs and their typology. Surveying and needs support.

Types of wounds and their characteristics. The principles of bandaging, types of bandage material. Surgical instruments.

Types of drainage and caring for drains.

The nursing process and its importance. Nursing documentation.

Application of intramuscular injections, potential complications. Application of intravenous injections, potential complications.

Application of intradermal and subcutaneous injections, potential complications. Insulin treatment.

The procedure related to ensuring patient hygiene with respect to the extent of patient self-sufficiency. Special mouth hygiene.

The principles of measuring physiological functions (TK, TT, P, D).

The control of consciousness, principles of care for the patient with consciousness disorders.

Principles and importance of patient conditioning; exercises in bed, helping the patient to become self-sufficient. ADL – evaluation of daily activity in the areas of hygiene, feeding, and locomotion.

Making a dry and comfortable bed. Immobilization syndrome.

Principles of infusion preparation, potential complications.

Principles of transfusion preparation and administration, transfusion components, control system (cross-match test, bedside test, biological test), potential post transfusion complications.

Monitoring bowel and bladder emptying, incontinence and its causes, the care of patients with incontinence.

Last update: Jirkovský Daniel, PhDr. RNDr., Ph.D., MBA (04.10.2020)

CONTENT:

SEMINARS:

Intravenous Therapy: i.v. injection, i.v. accesses for intermittent and continuous infusion and care for them, infusion rate and infusion regulation, administration of total parenteral nutrition, blood transfusion administration, postoperative autotransfusion, administration of chemotherapy;

Support of oxygenation: Oxygen delivery in all ways to children and adults, maintenance of free and open airway, airway management and care of the airway, artificial ventilation and care of these patients.

Closed chest drainage care;

Nasogastric tube insertion, including nasal intubation control, irrigation of NG tube, removing of NG tube. Enteral nutrition: insertion of feeding tube, administration of medication into a tube;

Changes in colon emptying: removal of stool impaction, colostomy care, colostomy irrigation;

Changes in urinary excretion: male and female catheterization, urostomy, continuous urinary catheter irrigation, suprapubic catheter;

Basic sterile techniques of wet wound therapy. Wound care: dry sterile dressing change, wet sterile dressing change, transparent dressing change;

Preparing the patient for surgery: preoperative evaluation, preoperative education, physical preparation.

Post-operative care: immediate post-operative care at recovery room; vital functions during the recovery phase, surgical wound care, drainage systems - monitoring and measuring, removal of stitches and clamps.

Last update: Tomová Šárka, PhDr., MPH, Ph.D. et Ph.D. (29.08.2017)