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Ministry of public health of ukraine Bukovina state medical university




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General Surgery Department



Ministry of public health of ukraine

Bukovina state medical university


Department of general surgery


guidelines




Methodical guidelines for the 3rd year students


Chernivtsi

2007-2008

Methodological Instruction to Lesson No 1 for 3rd – year students of the medical faculty

THEME:

  1. Introduction in surgery. Hygiene in a surgical hospital. Work of the average personnel in conditions of surgical department.

  2. The organization of work in a clean dressing room. A desmurgy, a dressing material. Typical gause bandages. Bandages on the head, neck and thorax. Patient's care, has an operation on a head, a neck and thorax.

  3. Patient's care, has an operation on organs of abdominal cavity, a perineum, extremities. Bandages on a stomach, a perineum, extremities.

AIM: To familiarize with hygiene of a surgical hospital, duties of the average medical personnel. To familiarize with a history of development of a desmurgy, concepts about a bandage and a dressing. To learn the basic kinds of a dressing material. To seize a technique of applying of different kinds of bandages on their purpose and localization and a kind of damages. To familiarize with features of зatient's care, has an operation on a head, a neck, on abdominal cavity, a perineum and extremities.

^ PROFESSIONAL MOTIVATION:

Nursing activity consists of a complex of actions which provide all-round service of the patient, creation of appropriate hygienic conditions. Patient's care is the integral amounting part of treatment. For granting a medical care by the patient with traumas, in the postoperative period the highly skilled nurse should know features of different damages, a desmurgy, plaster engineering, devices and adaptations for treatment of injured patients. To be able to impose a various kind of a bandage.

BASIC LEVEL:

STUDENTS’ INDEPENDENT STUDY PROGRAM
  1. ^

    Objectives for Students’ Independent Studies


You should prepare for the practical class using the existing textbooks and lectures. Special attention should be paid to the following:

Theme 1. Introduction in surgery. Hygiene in a surgical hospital. Work of the average personnel in conditions of surgical department.

  1. To know features of hygiene in a surgical hospital;

  2. To know rules of behaviour in surgical clinic and bases medical deontology;

  3. To know the basic ways of diffusion hospital infection and principles of its prophylaxis.

Theme 2. The organization of work in a clean dressing room. A desmurgy, a dressing material. Typical gause bandages. Bandages on the head, neck and thorax. Patient's care, has an operation on a head, a neck and thorax.

  1. To know substantive provisions of work in clean dressing-room;

  2. To know the basic kinds of a dressing material, its property;

  3. To know engineering of applying typical gause bandages, and bandages on the head, neck and thorax;

Theme 3. Patient's care, has an operation on organs of abdominal cavity, a perineum, extremities. Bandages on a stomach, a perineum, extremities.

  1. To know features of patient's care, has operation on organs of abdominal cavity, the basic bandages on abdomen, a perineum and extremities;

  2. To know features of patient's care with fractures;

  3. To know the basic kinds of plaster bandages, assays on quality of a plaster powder. Rules of plaster engineering.
^

I.Tests and Assignments for Self – assessment


Multiple Choices.

Choose the correct answer/statement:

  1. The patient with varicose illness of the lower extremities had bleeding from varicose node. What kind of a bandage you used?

    1. Immovable bandage;

    2. Protective bandage;

    3. Hemostatic bandage

    4. Occlusive bandage;

    5. Plaster bandage.

  2. During game in volleyball the sportsman has twisted of foot. It is diagnosed sprain of ligaments of ankle joint. What kind of a bandage with the purpose of a first aid you impose?

    1. Remedial bandage;

    2. Immovable bandage;

    3. Compressing bandage;

    4. Occlusive bandage;

    5. Hemostatic bandage.

  3. The victim, 36 years old, has received penetrating wound in area of the right half of thorax. Which it is necessary to bandage?

    1. Remedial bandage;

    2. Immovable bandage;

    3. Compressing bandage;

    4. Occlusive bandage;

    5. Hemostatic bandage.

  4. What the basic ways of infection are possible at surgical manipulations?

    1. Contact.

    2. Air-droping.

    3. Carriers of bacilli.

    4. Implantational.

    5. Hematogenic.

  5. What diseases are transmitted through footwear?

    1. Pediculosis.

    2. Erypsipelas.

    3. Epidermophytosis.

    4. Anthracis.

    5. Virus of hepatitis.



Real-life situations to be solved:

  1. In the surgical unit is two sections – aseptic and purulent, legibly divided. What premises are to be in each section?

  2. Before disclosing of the sterilized drum nurse carefully has examined it. Last is hermetically closed, its tagging-out is carried out, is sealed up. Having opened a drum, nurse has noted, that probes of Mykulich whitened, the inscription is legiblly visible on it: “Sterile”, nevertheless linen wet, in the indicator of melting (in ampule) a powder of Acidum benzoicum is there. Of what it is necessary to think?
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