1. Materials for the preparatory phase of training.
1. Definition of surgery 2. Main stages of development surgery 3. Modern surgical school in Ukraine 4. Definition of deontology 5. Organization of surgical care in Ukraine 6. The structure of surgical clinics 7. Purpose of sanitary treatment of patients. 8. What are the solutions used for patients with pediculosis? 9. What is sanitary treatment of patients with pediculosis? 10. Drugs used for disinfection of instruments and surfaces in the admission department. 11. Subdivisions of admission department.
2. Methodical materials for the main phase of training.
Tests:
1. Define asepsis.
A. complex of measures aimed at preventing the penetration of infection into the wound, operating system field; B. complex of measures aimed at the destruction of microorganisms in the wound, the surrounding tissues and cavities; C. measures of prevention and elimination of microorganisms considering the sensitivity of microflora. D. series of measures aimed at preventing complications E. series of measures aimed at preventing infectious diseases.
2. What effect show antibiotics in most cases on the development and reproduction of microbial cells?
A. bacteriostatic; B. bacteriosyd; C. bacteriostatic and bacteriosyd; D. stimulating; E. causing resistance.
3. How do we do sterilization of bandage material? A. soaking in an antiseptic solution; B. with formalin steam; C. steam pressure; D. irradiation; E. hot air.
4. How do we do sterilization of catgut? A. method of Gubarev; B. boiling 20 mins; C. hot air; D. irradiation; E. formalin steam.
5. How do we do sterilization of surgical gloves? A. formalin steam; B. steam pressure 1.5 atm. - 45 min.; C. steam pressure 1.5 bar - 20 min; D. method of Gubarev; E. method of Kocher.
6. What is the modern way of sterilization of bandage material? A. steam under pressure 2 atm - 20 min; B. boiling 20 min.; C. hot air; D. irradiation; E. formalin steam.
7. Bandage of same species is placed in one box. What is a type of box bookmarking? A. special; B. universal; C. by species; D. focused; E. simple.
8. Basic preventive measures of airborne infection.
A. soaking clothes in an antiseptic solution, sterilization; B. wet cleaning, kvarzing, putting masks, ventilation; C. wet cleaning, steam sterilization under pressure; D. irradiation, wet cleaning; E. sterilization of the air.
9. Define antiseptics. A. range of activities, aimed at preventing the penetration of infection into the wound, operating system field; B. complex of activities, aimed at the destruction of microorganisms in the wound, the surrounding tissues and cavities; C. means of prevention and elimination of microorganisms considering the sensitivity of microflora.
10. How do we do sterilization of metal instruments? A. formalin steam; B. steam pressure 1.5 atm. - 45 min.; C. steam pressure 1.5 bar - 20 min; D. drying closet 60 minutes.
11. When is carried out pre-sterilization of underwear? A. after the surgery; B. prior to the surgery; C. never; D. immediately before sterilization.
12. The laboratory conducted research on diagnosing tetanus. What method of sterilization must destroy pathogens of isolated culture tetanus? A. autoclaving; B. boiling; C. tyndalization; D. dry heat; E. pasteurization
Patterns of responses: I) A, 2) C 3) C 4) A, 5) B; 6) A, 7) C 8) B, 9) B; 10) D, 11) D, 12) A
3. Methodological materials for control of the final stage.
Cases: 1. Bandage of same species is placed in one box. Sterilization was performed under appropriate pressure and temperature. After 2 days, it was decided to use the material for the operation. What to consider when working with box? Answer: control or perform sterilization, or close box windows, or check the term of sterilization.
2. Processing operating system by method of Filonchykov-Hrossyh is impossible as a result of hypersensitivity to iodine. What are your suggestions? Answer: processing operating system by 70% alcohol three times.
3. Preparation of bandage at the start of working day is done on the bandage table and the location of antiseptics. What are the most necessary antiseptics that should be prepared for planned dressing? Answer: iodine or yopiron, hydrogen peroxide 3.2%, hlorheksedyn 0.02%, alcohol 70%, furatsilin 1:5000; brilliant greens 1%.
4. Sterilization is performed under appropriate pressure and temperature. In one day it was decided to use the material for the operation. What to consider when working with box?
5. Processing operating system by method of Filonchykov-Hrossyh is impossible as a result of hypersensitivity to iodine. What are your suggestions?
6. Nurse makes all the necessary preparations at surgical department for a new day. Which antiseptics are most needed to work in the bandage room, which of them she should get from a senior nurse of the surgical department?
7. Emergency surgery was performed to old patient due to acute surgical pathology. After four days the patient began to complain on moderate pain in the coccyx area. Patient is overweight, adynamical, constantly lying on the back, with lack of moving in the bed. Examination of coccyx area showed local skin hyperemia without clear boundaries. What is a possible complication after surgery that we should think about? What prevention activities should be carried out?
8. The male, 52 year old, arrived to the admission department by emergency with clinical signs of internal bleeding. What type of sanitization and method of transportation shall be required to be applied?
9. Patient of young age entered the surgical department with a diagnosis: acute appendicitis. One and a half hours ago the patient ate. Defication was a day ago. The patient needs an urgent operation. How to prepare the patient's gastrointestinal tract for surgery?
10. The patient was operated at the age of 70 due to the right-sided inguinal hernia. 20 hours passed since the operation was finished. The patient can not urinate by himself. How to help to the patient?
11. The female patient had planned surgery due to disease of the uterus under general anesthesia. Anesthesiologist took the decision to transfer the patient after operation to intensive care unit for the full withdrawal of the patient from anesthesia. During the observation of patient medical personnel of resuscitation noticed after 40 minutes soaking bandages with blood. What do nursing intensive care unit needs to apply?
