Sample of Completing the Diary
| DateTheWorkPerformed |
10.07.2016г.The student worked in the Surgical (Therapeutic) department. Preparedthepatientforcolonoscopicstudies (1), measured BP (10), made 12 IMinjections, assembled systems for IV injections (5). Detailsofthepatientpreparationtothestudy, technique of performance, technique of BP measurement, etc.
Signature of the Head medical nurse of the department:
3 year of study 20___ /20___ academic year.
Title of practical training: «Assistant to treatment nurse»
List of practical skills:
1. Organisational issues. Schedule of working hours at a department (internal medicine, surgery, admission).
2. Schedule of working hours of medical staff.
3. Organisation of work at the treatment room, the treatment nurse's documentation.
4. Sanitary schedule of a treatment room
5. Intramuscular, subdermal and intravenous administration
6. Carrying out sensitivity to antibiotics test.
7. Assembling of drip set.
8. Disinfection of used syringes, needles, drip sets, cotton balls. Preparing disinfectants.
9. Independent carrying out of various manipulations (probe gastric lavage, bladder catheterization, ECG recording, determination of sugar content by express method, a temporary stop of external bleeding using a tourniquet/constrictor or makeshift means, application of soft dressing/bandages for head, trunk, limbs injuries, application of transport splint).
10. Rules for the preparation of patients for roentgenologic/X-ray, endoscopic, ultrasound examination.
11. Carrying out of activities when blood gets to the medical staff skin, robe, eyes, mouth.
12. Blood typing.
13. The concept of terminal states. Clinical and biological death.
14. Techniques of CPR.
15. Transport of patients with different pathologies.
16. Emergency care of patients with myocardial infarction, shock of various etiologies, hypertensive crisis, acute left ventricular failure, bronchial asthma attack, various poisonings, hyperglycemic and hypoglycemic comas.
17. Approaches at suspicion on acute surgical pathology and gastrointestinal bleeding.
18. Providing first aid for various injuries, high fever, suspected infectious and mental diseases.
Description of hospital premises and facilities
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| Date Description of work performed |
| Date Description of work performed |
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Test points plan for work experience practical training
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Assistant to treatment nurse»
| № | Title of Unit (module, topic) | Test point | Maximum amount of points within a test point | |
| Assessment means | Time-line | |||
| 1 | One day of practical training | Attendance (20 days of training, coefficient -1) | During the practical training | 20 points |
| 2 | Test point № 1 | Practical skills (5-point scale, coefficient – 3 | During the practical training | 15 points |
| 3 | Test point № 2 | Proper drafting (filling) of a work experience practice diary (5-point scale, coefficient – 1) | During the practical training | 5 points |
| 4 | Test point № 3 | Night nursing (2 night shifts, coefficient – 2,5) | During the practical training | 5 points |
| 5 | Test point № 4 | Practical training at an emergency medical setting (5-point scale, coefficient – 2) | During the practical training | 10 points |
| 6 | Test point № 5 | Certificate of good conduct/ reference letter | Upon completion of practical training | 5 points |
| 7 | Bonus points | Letter of gratitude issued by a medical organisation | Upon completion of practical training | 10 points |
| Total in formative assessment | 70 | |||
| 8 | Interim assessment (pass/fail examination) | Spoken replies | During the last class | 30 |
| Total | 100 | |||
Note: the maximum number of points within a test point is determined by multiplying the points obtained by corresponding coefficient
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Point-rating summary sheet
work experience practice in
«Assistant to treatment nurse»
№ of group/subgroup _____, Last name, First name of a work experience practice supervisor ___________
| Academic record sheet in work experience practical training «Assistant to treatment nurse» for 3rd year students, speciality «General medicine» | |||||||||||||||
| № | Student’s last name, first name and middle name | № group/class | Attendance | Points earned during formative assessment | Demerit points | Bonus points | Total number of points during formative assessment | Pass/fail examination points | Total | ||||||
| Number of days of practical training | Number of points per day | Sum of pointsearned for attendance | Test point № 1 | Test point № 2 | Test point № 3 | Test point № 4 | Test point № 5 | ||||||||
| 1 | |||||||||||||||
ACTIVITY report
Activities carried out at a ___________________________________ department
| № | Types of activities | Total number |
| 1. | Night nursing at an in-patient hospital | |
| 2. | Hypodermic (s/c) injections | |
| 3. | Intramuscular injections | |
| 4. | Vein punctures | |
| 5. | I/V injections with preparation of a drip set | |
| 6. | Autohemotransfusions | |
| 7. | Blood typing | |
| 8. | Blood transfusions participation | |
| 9. | Radiologic X-ray examination participation | |
| 10. | Endoscopic examinations participation | |
| 11. | ECG recording | |
| 12. | Enemas delivered | |
| 13. | Bladder catheterisation | |
| 14. | Zimnitskiy function test | |
| 15. | Pharyngeal swab/ smear | |
| 16. | Work in the capacity of a surgical nurse | |
| 17. | Sterilisation of dressing material | |
| 18. | Plaster application | |
| 19. | Application of transportation splint | |
| 20. | Dressings | |
| 21. | Transportation of serious patients | |
| 22. | AP measuring | |
| 23. | Emergency care in case of hypertensic crisis | |
| 24. | External hemorrhage arrest | |
| 25. | Emergency care in case of anaphylactic shock | |
| 26. | Closed-chest massage | |
| 27. | CPR | |
| 28. | Other activities | |
| 29. | ||
| 30. | ||
| 31. | ||
| 32. |
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Practice supervisor
Head nurse
Student Студент
Preventive health work/Educative activities
| № | Title of talk, sanitary bulletin | Place | Number of attendees |
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Reference letter for
Student of ____ group/class Last name, first name, middle name _______________________________________________________________
Mark: Hospital chief executive
Practice supervisor
Head nurse
Diary completion sample for a 3rd year student
| Date Description of work performed |
12.07.2012. During the day ( I ) have been working in the treatment room of therapeutics department. Was helping a nurse prepare 5 drip sets for intravenous infusion, helped (15 I.Vs) and delivered independently 5 I.V. injections. Delivered 5 subcutaneous, 12 intramuscular injections. Made ECG recording of a critically ill patients (1). Carried out blood taking from 10 patients (vein) for biochemical tests. Delivered intra/m and intravenous injections to:
1. A patient with chronic cholecystitis attack:
Sol. Drotaverini hydrochloridi 2%-2,0 intra/muscular;
2. A patient with hypertensive crisis:
Sol. Pentamini 5%-1,0 i/m, single dose;
3. A patient with chronic bronchitis attack:
Sol. Euphilini 2,4%-10,0 i/v.
Signature, Head nurse
4 year of study 20____/ 20_____ academic year
Title of practical training: Clinical practice (Auxiliary doctor/Medical assistant)
Description of hospital premises and facilities
Therapy cycle
List of practical skills for internal diseases
A student should know how to:
1. Examine a patient: questioning, examination, palpation, percussion, auscultation of organs and systems. To determine the severity of the patient's condition.
2. Formulate the diagnosis according to accepted classifications of diseases (primary disease, complications, comorbidities), substantiate it, make a plan for further tests and treatment.
3. Assess the values of complete blood cell count and findings of biochemical blood test; know the measurement standards and diagnostic value of lapses during various diseases: the content of total protein and its fractions, activity of AST and ALT, content of urea and creatinine, index activity of inflammatory process (CRP, fibrinogen, etc.) and streptococcal infection (AS(L)O, AST), lipid spectrum, pigment and purine metabolism.
4. Assess the main indixes of thromboelastogram and coagulogram, electrolyte and acid-base metabolism.
5. Assess and know the practical significance of common urine test, Zimnitskiy test, Nechiporenko test, Rehberg test, clinical and bacteriological analysis of sputum.
6. To perform simple laboratory tests: ESR, L, Нb, clotting time, blood glucose, common urine test, urine test for albumine, sugar, acetone bodies, benzidine test, pleural and ascitic fluid test, Zimnitskiy’s test, blood typing and RH factor.
7. Record an ECG, perform Holter ECG monitoring, bicycle ergometry, to carry out the function tests: hyperventilation, orthostatic, medication. To investigate the function of external respiration. To interpret the results.
8. Use the data of laboratory, instrumental, ultrasound, x-ray examination for making a diagnosis.
9. Know the difference between the norm and pathology on x-rays pictures of lungs, heart, abdominal organs, biliary tract and kidneys, spine, other bones and joints.
10. Choose rehabilitation measures in case of myocardial infarction (heart attack).
11. Diagnose and render first and professional medical aid in case of emergencies such as: sudden cardiac arrest, status anginosus, paroxysmal tachycardia, Morgagni-Adams-Stokes syndrome, hypertensive crises, acute cardiovascular failure, left ventricular failure (cardiac asthma and pulmonary edema), pneumothorax, pulmonary embolism, bronchial asthma attack and asthmatic status, liver and renal colic, diabetic, hepatic and uremic coma, anaphylactic shock and other allergic reactions, household and occupational poisoning.
12. Draw up a plan of patient’s examination during:
- chest pains (thoracalgia);
- arterial hypertension syndrome;
- cardiomegaly and heart murmur;
- heart rhythm disorder;
- heart failure;
- edema syndrome;
- articular syndrome;
- prolonged shortness of breath;
- pains in the abdomen;
- protracted dyspepsia and frequent constipation;
- altered urinary sediment;
- generalised enlargement of lymph nodes;
- prolonged fever.
14. Suspect and organise competent advice during the course of:
- infectious diseases, including especially dangerous infections:
- tuberculosis;
- mental and neurological diseases;
- ENT-diseases;
- surgical and gynecological disorders;
- tumours.
15. Have a chat with patients and their relatives, to lecture on preventive health topic.
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