MIKOP0444 Nursing practice IV

Faculty of Medicine
spring 2024
Extent and Intensity
0/2.7/0. 5 credit(s). Type of Completion: zk (examination).
Teacher(s)
Mgr. Markéta Hartmanová (seminar tutor)
Mgr. Patrik Mica, DiS. (seminar tutor)
Mgr. Edita Pešáková, DiS. (seminar tutor)
Mgr. Dana Soldánová (seminar tutor)
Mgr. Jiřina Večeřová (seminar tutor)
Mgr. Branislav Moravčík (assistant)
Mgr. Hana Žemlová (assistant)
Guaranteed by
Mgr. Marta Šenkyříková, Ph.D.
Department of Health Sciences – Departments of Non-medical Branches – Faculty of Medicine
Contact Person: Mgr. Edita Pešáková, DiS.
Supplier department: Department of Health Sciences – Departments of Non-medical Branches – Faculty of Medicine
Prerequisites (in Czech)
MIKIN0332p INC in Internal Medicine II-le && MIKOC0332p INC in Surgery II - lecture && MIKOP0343 Nursing Practice III
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
The aim of the course Nursing Practice IV is to prepare students for diagnostic and therapeutic procedures in intensive care and for the provision of comprehensive, highly specialized nursing care for patients over 10 years of age who have basic vital functions or where such failure occurs.
Learning outcomes
Student after completing the course:
knows and participates in the principles of comprehensive highly specialized nursing care for patients with craniocerebral injuries, chronic persistent conditions and hemodynamic disorders;
knows the principles of comprehensive highly specialized nursing care for traumatized, polytraumatized and intoxicated patients and participates in its provision;
knows the principles of comprehensive highly specialized nursing care for patients with thermal skin damage and participates in its provision;
knows the principles of comprehensive highly specialized nursing care for patients with hematooncological diseases and participates in its provision;
knows and participates in the principles of comprehensive highly specialized nursing care for patients after drowning, electric shock and strangulation;
knows the principles of comprehensive highly specialized nursing care for patients after vascular surgery and participates in its provision;
knows and participates in the principles of comprehensive, highly specialized nursing care for potential organ donors;
is familiar with the issue of sudden critical conditions in children from 10 years of age;
knows the reasons and procedures for the introduction of central venous catheters, percutaneous endoscopic gastrostomy, surgical and dilatation tracheostomy, chest drainage, epicystostomy, lumbar puncture, bronchoscopy, intracranial sensor, Swan-Ganz catheter, pericardial puncture and patient care before, during and after participates in these procedures and patient care;
knows the procedures of medical normothermia / hypothermia and patient care before, during and after the procedure and is involved in the application of this treatment method;
knows the procedure for the introduction and verification of the gastric and duodenal tube and the care of the patient before, during and after the procedure;
knows the procedure for introducing implantable subcutaneous ports, patient care before, during and after the procedure and the principles of drug delivery to the ports, applies drugs to the ports;
knows and participates in the care of a patient with an established midline and PICC catheter;
knows the methods and possibilities of parenteral and enteral nutrition and their application and applies parenteral and enteral nutrition;
knows the laboratory values ​​of the patient's nutrition and can assess them;
is familiar with the donor and transplant program, the care of potential organ donors and the work of the transplant coordinator;
knows the patient's preparation and procedure for chest puncture or drainage and participates in these procedures and patient care;
knows the preparation of the patient and the procedure for gastric lavage in a patient with secured airways and is involved in the performance and care of the patient;
is familiar with trends in wound healing by wet and vacuum methods and applies them;
knows and applies the specifics of communication with patients who fail basic vital functions, with patients at UPV and the principles of communication within a multidisciplinary team;
knows the principles of hygiene and anti-epidemic work regime and applies them;
knows the possibilities of caring for his mental health and applies them.
Student:
accepts the content of the internship, its role and the role of the members of the multidisciplinary team;
is actively involved in all activities in intensive care; accepts and adheres to established rules and procedures;
cooperates with the team;
appreciates the professional and cognitive benefits of practice in intensive care medicine.
Syllabus
  • The subject Nursing Practice IV takes place in clinical workplaces of intensive care, specifically in anesthesiology and resuscitation departments.
  • List of services that the student performs during the provision of comprehensive, highly specialized nursing care at anesthesiology and resuscitation workplaces:
  • highly specialized nursing care for patients with craniotraumat;
  • highly specialized nursing care for patients with hemodynamic disorders;
  • highly specialized nursing care for a patient with intoxication highly specialized nursing care for patients with trauma, polytrauma;
  • urgent resuscitation of an adult patient (possibly on a model);
  • urgent resuscitation of the child (possibly on a model);
  • ensuring patency of the patient's airways without aids;
  • ensuring the patency of the patient's airways using a laryngeal mask (possibly on a model);
  • assistance in ensuring the patency of the patient's airways through the endotracheal cannula ensuring patency of the patient's airways through the endotracheal cannula (on the model);
  • ventilating the patient using a self-expanding face mask breathing bag on the model;
  • ventilation of the patient using a self-expanding breathing bag with a face mask;
  • preparation of a sterile table for aseptic procedures;
  • catheterization of the male bladder (possibly on a model);
  • airway aspiration with a closed exhaust system;
  • airway suction with open suction system;
  • endotracheal cannula repositioning;
  • patient extubation assistance;
  • gastric lavage in a patient with secured airways;
  • introduction and verification of a gastric tube in an unconscious patient;
  • preparing the patient for chest puncture or drainage;
  • chest puncture or drainage assistance, patient care during and after the procedure;
  • preparing the patient for a tracheostomy;
  • tracheostomy assistance, patient care during and after the procedure;
  • preparation of aids and assistance in securing central venous access;
  • removal of the central venous catheter;
  • bronchoscopy assistance and patient preparation before the procedure, patient care during and after the procedure;
  • lumbar puncture assistance and preparation of the patient before the procedure, care of the patient during the procedure and after the procedure;
  • assistance with intracranial sensor insertion and patient preparation before the procedure, patient care during and after the procedure;
  • introduction of a gastric tube into a patient with secured airways and verification of its position in a safe manner, preparation of the patient before the procedure, care during the procedure and after the procedure;
  • initiation and management of therapeutic normothermia / hypothermia, preparation of the patient before the procedure, care during the procedure and after the procedure;
  • performing an artery puncture, preparing the patient before the procedure, caring for the patient during the procedure and after the procedure;
  • radial artery cannulation and fixation, preparation of the patient before the procedure, care of the patient during the procedure and after the procedure;
  • enteral nutrition applications;
  • parenteral nutrition applications;
  • assessment of patient nutrition based on laboratory values;
  • Highly specialized nursing care for potential organ donors.
Literature
    required literature
  • KNECHTOVÁ, Zdeňka and Olga SUKOVÁ. Ošetřovatelské postupy v intenzivní péči: kardiovaskulární aparát (Nursing procedures in intensive care : the cardiovascular apparatus). 1st ed. Brno: Masarykova univerzita, 2017. ISBN 978-80-210-8789-7. info
  • SUKOVÁ, Olga and Zdeňka KNECHTOVÁ. Ošetřovatelské postupy v intenzivní péči: respirační systém (Nursing procedures in intensive care: The respiratory system). 1. vydání. Brno: Masarykova univerzita, 2018, 87 pp. ISBN 978-80-210-9094-1. info
  • SUKOVÁ, Olga and Zdeňka KNECHTOVÁ. Ošetřovatelské postupy v intenzivní péči. Vylučovací systém (Nursing procedures in intensive care. The urinary system). 1st ed. Brno: Masarykova univerzita, 2019. ISBN 978-80-210-9502-1. info
  • SUKOVÁ, Olga and Zdeňka KNECHTOVÁ. Vybrané kapitoly z intenzivní ošetřovatelské péče. 1., elektronické vyd. Brno: Masarykova univerzita, 2022. MEFANET info
  • SOLDÁNOVÁ, Dana, Jiřina VEČEŘOVÁ and Andrea POKORNÁ. Logbook ošetřovatelské praxe pro studijní program Intenzivní péče (Nursing Practice Logbook for the Intensive Care Program). 1., elektronické vyd. Brno: Masarykova univerzita, 2022, 91 pp. ISBN 978-80-280-0005-9. MEFANET info
    recommended literature
  • KAPOUNOVÁ, Gabriela. Ošetřovatelství v intenzivní péči. 2., aktualizované a doplně. Praha: Grada, 2020, 388 stran. ISBN 9788027101306. info
  • Vybrané kapitoly z intenzivní péče. Edited by Petr Bartůněk - Dana Jurásková - Jana Heczková - Daniel Nalos. 1. vydání. Praha: Grada Publishing, 2016, xxxix, 712. ISBN 9788024743431. info
Teaching methods
clinical practice
Assessment methods
Requirements for fulfilling the course:
100% participation in clinical practice
fulfillment of prescribed performances
practical exam at the anesthesiology and resuscitation department.
Language of instruction
Czech
Further comments (probably available only in Czech)
The course is taught annually.
The course is taught: in blocks.
Information on the extent and intensity of the course: 40.
The course is also listed under the following terms Spring 2016, Spring 2017, Spring 2018, spring 2019, spring 2020, spring 2021, spring 2022, spring 2023, spring 2025.
  • Enrolment Statistics (recent)
  • Permalink: https://is.muni.cz/course/med/spring2024/MIKOP0444