Preclinical training in basic nursing interventions (5 cr)

Objective

You can monitor and assess patients' conditions systematically.
You can implement nursing interventions.
You know the principles of rehabilitative nursing by applying ergonomics and kinaesthetics.
You know how to ensure the continuity of care with high-quality reporting and recording.
You master CPR and the use of advisory defibrillators.
You can act in situations requiring first aid.
You know how to encounter and treat dying patients and support their loved ones.
You identify the signs of impending death and know how to care for patients after dead.

Content

How to use the ABCDE protocol to assess patients' wellbeing?
How to use the NEWS criteria for the early identification of disorders in basic vital functions?
How to identify patient care needs and respond to them with nursing interventions?
How to observe the principles of rehabilitative nursing?
How do you take care of work ergonomics?
How do you use kinaesthetics?
How to report according to the ISBAR protocol?
How to record patient information according to the national recording model?
How to resuscitate and use defibrillators?
How to act in first aid situations?
How to meet dying patients and their loved ones?
How to nurse dying patients and care for them after death?

Course material

Required material at Hoitotaitojen perusosaaminen e-learning course on Learn.

Learning support material (optional):
Rautava-Nurmi H.,Westergård A., Henttonen T., Ojala M. & Vuorinen, S. 2019 or later. Hoitotyön taidot ja toiminnot. SanomaPro: Helsinki
Veli-Jukka Anttila, Mari Kanerva, Maria Kuronen. 2018. Hoitoon liittyvien infektioiden torjunta. THL.


Ergonomics knowledge:
Learn-based material and exercises to support ergonomics practice

Documentation
Learn-based material

Study forms and methods

Training in Hoitotaitojen perusosaamisen harjoittelu: in-school training. The topics and content material for the practice days can be found in the Learn module of the Hoitotaitojen perusosaaminen -course. In-school practice is part of the EU nurse's statutory compulsory clinical training. Every hour of training is compulsory.


An accelerated learning pathway:
Students who have completed a previous professional qualification in health care and are working can complete the practical part of the course through the recognition and validation of competences. A single day of demonstration is allocated for this purpose at the beginning of the course during the orientation week. Instructions and a link for registration will be provided during the orientation week and/or in an electronic message sent by Xamk to new students.


Ergonomics skills (0,5 credits):
A valid Ergonomics Card for Patient Transfers 3op entitles the student to accept the ergonomics component

Documentation
Students who have completed a previous professional qualification in health care and are working can complete the practical part of the documentation through the recognition and validation of competences (exam).

RDI and work-related cooperation

The basic nursing skills exercises use examples from working life in patient case studies and simulation exercises.

Possible expert lectures or working life visits.

Clinical Practicum 1 (work-based training) is 6 credits. This is a separate implementation.

Timing of exams and assignments

Assessment of Hoitotaitojen perusosaaminen exercises: assessment of skills in injections, blood sampling and cannulation during practice sessions. In addition, assessment of overall competence of about 1.5h per student at the end of the course.

Documentation exercise related to Hoitotaitojen perusosaaminen exercises. Assesment of competence at the end of the course related to assesment of overall competence of about 1.5h per student at the end of the course.

Ergonomics: Assessment of competence 1h/student

International cooperation

Not included.

Student workload

Total workload 5 x 27h = 135 h. Campus days (1 - 2) about every two weeks. The school offers the opportunity to practice nursing activities independently.

Nursing skills (guided + independent):
Compulsory guided practice at school 7 x 7 - 8 hrs/student.
Optional refresher training under the supervision of a teacher approx. 8h.
Competency assessment approx. 1,5h/student.
Independent practice at the school.

Documentation:
Compulsory guided practice at school related to nursing skills
Competency assessment related to assesment of nursing skills

Ergonomics:
Compulsory guided practice at school 8h/student
In-school revision 4h
Competency assessment 1h/student
Independent practice in the classroom independently

Course part description

Contents of the exercises

Ergonomics skills:
* Application of case exercises, e.g:
* Functional capacity assessment and activation
* Supporting rehabilitation
* Assessment of rehabilitation and assessment of physical activity
* Patient transfer aids and their safe use
* Initial positioning
* Safety in the operating environment
* Risk assessment
* Working postures; walking posture, weight transfer
* Performance-based oral reporting
* Kinesthetics

Aseptic procedures (theory part in the second course)
- Basics of asepsis
- Hand hygiene, personal hygiene, cleaning, waste management
- Precautions in patient care
- Identifying the risk of infection
- Sterile gloves and table


Basic nursing care and prevention of pressure ulcers
- Basic care assistance methods and aids
- Assisting with personal hygiene, pressure ulcer prevention.

Basics of wound care

Assessment and support of respiration
- Monitoring and examination of breathing, assessment of airway openness
- Respiratory failure, dyspnoea, risk of aspiration
- Observation of clinical signs
- Oxygenation equipment and mask ventilation
- Aspiration of mucus from airways and tracheostoma

Urinary tract catheterisation and bowel function promotion
- Monitoring urination, maintaining urinary tract function (catheterisation and urine opening)
- Monitoring and promoting bowel function (listening to bowel sounds, emptying bowels, treating bowel obstruction)

Care of the dying patient
- Recognising signs of impending death
- Caring for the dying patient, putting the deceased to bed and meeting relatives

Monitoring and calculating fluid balance, administering basic fluid therapy
- Fluid therapy, selection of basal fluids
- Preparation of infusion
- Cannulation
- Assessment of fluid therapy
- Fluid balance

Nutritional assistance
- Enteral nutrition and tube feeding
- Monitoring and assessing nutritional status, ensuring nutritional intake

Assessment of level of consciousness (GCS)

Examination and assessment of circulation and cardiac function, basic resuscitation
- Palpation of heart rate and temperature limits
- Measurement of blood pressure
- Monitoring
- ECG
- Basic resuscitation and defibrillation
- First aid

Medical treatment
- S.c. and i.m. injections (theoretical part of medical therapy studies)

Taking blood samples
- Capillary sampling
- Venous blood sampling

Other assessment of the patient's condition
- Systematic assessment of the patient's condition according to the ABCDE protocol, assessment of the patient's condition according to the News criteria and reporting according to the Isbar model

Documentation
• Recording patient information according to the national recording model

Further information

Ergonomiaosaaminen: Satu Sällilä, satu.sallila@xamk.fi
Hoitotyö: Marjo Piispa, marjo.piispa@xamk.fi
Dokumentointi: Satu Untolahti, satu.untolahti@xamk.fi

Evaluation scale

Approved/Failed

Assessment methods and criteria

Basic caring skills: participation in compulsory caring skills exercises at school. At the end of the course, assessment of competence: pass/fail.

Absences from compulsory exercises will be a barrier to participation in the assessment of competence and to the completion of the course.

Documentation: participation in compulsory documentation exercises at school related to caring skills exercises at school.. At the end of the course, assessment of competence: pass/fail.

Ergonomics: At the end of the ergonomics exercises, assessment of competence: pass/fail.