Basic nursing interventions (5 cr)

Objective

You create and maintain professional care relationships.
You can monitor and assess the 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 can identify the signs of impending death and know how to care for patients after dead.

Content

How to create and maintain professional care relationships?
How to use the ABCDE protocol to assess patients' wellbeing?
How to use the NEWS criteria for the early identification of disorders of 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?
What are the theoretical foundations of basic resuscitation and how to use advisory defibrillators?
What do you do in first aid situations?
How to encounter dying patients and their loved ones?
How to nurse dying patients and to care for the deceased?

Course material

Hoitotaitojen perusosaaminen
Material: the material required is available on the e-learning platform 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 skills:
Learn-based material and exercises to support the ergonomics exercises.
Tamminen-Peter L. & Wicksträm G. 2018. Potilassiirrot - taitava avustaja aktivoi ja auttaa
Hantikainen V. (toim.) 2018. Kinestetiikka – Toimintamalli voimavarojen ylläpitämiseen liikkeen avulla

Documentation
Learn-based material.

Study forms and methods

Multiform study course (5 sp)

In this course of study, you will participate in teaching according to the rules of procedure. Your studies will be rhythmized according to the schedule of lessons and practice lessons, as well as independently-taught learning tasks.

The content of the course is the basis for the Hoitotaitojen perusosaamisen harjoitukset (5 sp) and should be completed at the same time or before. The theoretical workshops and timed learning tasks are synchronised with the Hoitotaitojen perusosaamisen harjoitukset -course exercises. Successful completion of the learning tasks and the Exam exam are required for the completion of the course.

A learning pathway to accelerate your studies:
Students with a previous professional qualification in health and working life can complete the theoretical part of the course by taking an exam at the beginning of their studies.

Ergonomics competence:
A valid Ergonomics Card for Patient Transfers 3op entitles the student to accept the ergonomics component.

Documentation
Students with a previous professional qualification in healthcare and working life can complete the theory of documentation by taking an exam at the beginning of their studies.

RDI and work-related cooperation

The theoretical workshops on basic nursing skills will be based on examples from working life. The exercises in Hoitotaitojen perusosaaminen, which are strongly linked to the course, 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 as a separate implementation.

Timing of exams and assignments

To complete the course, students must pass the learning tasks and the online exam in Exam mode. Exam rooms are available on Xamk campuses and at partner institutions.

Ergonomics competence: learning tasks passed.

Documentation: learning tasks successfully completed

International cooperation

Not included.

Student workload

5 x 27h = 135 h

Course part description

The basic caregiving skills include the materials and learning activities on the Learn platform. The material is studied independently through lessons and competences are demonstrated by examination at the end of the course. The assessment will be 1-5/pass.

Ergonomics theory is studied independently and guided by Learn materials and learning tasks.

Theoretical content:
Ergonomics skills:
* Application of case studies, e.g:
* Functional capacity assessment and activation
* Supporting rehabilitation
* Assessment of rehabilitation and assessment of rehabilitation skills * Supporting rehabilitation and assessment of rehabilitation skills * Supporting rehabilitation and assessment of rehabilitation
* 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

Documentation
Documentation includes the materials and learning tasks of the Learn platform. The material is studied independently through an optional workshop.

Basic care and pressure ulcer prevention
- Primary care assistive techniques 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 catheterisation and bowel stimulation
- Monitoring urination, maintaining urinary tract function (catheterisation and urinary diversion)
- Monitoring and promoting bowel function (bowel sounds, bowel emptying, 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 assessment of nutritional status, securing 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

Taking blood samples
- Capillary sampling
- Venous blood samples

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

Further information

Ergonomiaosaaminen: Satu Sällilä, satu.sallila@xamk.fi
Hoitotyö: Anna-Maija Uusoksa anna-maija.uusoksa@xamk.fi
Dokumentointi: Satu Untolahti, satu.untolahti@xamk.fi

Evaluation scale

1-5

Assessment methods and criteria

Successful completion of the learning tasks and practice exams.
Exam-exam: passed 50% correct, grade 1-5/fail.