Technological map of a comprehensive medical service. Technological map of the lesson "Provision of first prefabricated honey help." Technological map Consultation of an ophthalmologist

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Technological Card Classes

Discipline / MDC

PM. 04 Performance of work on one or more professions of workers and posts,

MDK 04.03. Technology for the provision of medical services.

Specialty: ____ Nursing ______

1. Subject: Technique performing intramuscular injections.
2. Lesson number. 16 (Section 4)
3. Place of classes: Cabinet of the preclinical practice "Technology for the provision of medical services"
4. Form of holding and type of classes:

Practical lesson. Combined lesson

1. Objectives:

Common goal: The student owns an intramuscular injection technique on a phantom.

Specific goals:

The student must be able to:

• select a place for in / m injection and create the most convenient position to the patient when injections
• treat the skin of the patient when injection
• dial a given dose of the drug from the vial of the bottle
• perform in / m injection
• estimate complications that have arisen in a patient during injection
• teach the patient and their family members to fulfill in / m injection
• apply deontological communication skills with a patient when carrying out an injection

The student should know:

Anatomical areas for in / m injections

• places for in / m injection
• possible complications in / m injections, measures of their prevention
• universal precautions when working with syringes, needles, blood contact with blood
• rules Treatment of syringes, needles, trays, cotton balls

Promote the formation of OK and PC

general competencies:

OK. 2 Organize your own activities, choose typical methods and methods for performing professional tasks, evaluate their implementation and quality.

professional:

PC 4. To provide medical services within their powers. Exercise the nursing process.

1. Resources:

methodical: technological map of occupation, support abstract, slide support;. Control materials, distributing material.

TSO

computer, tv;

Toolkit and equipment:. Manipulation tables. trays, syringes, cotton balls, antiseptics, gloves, exhaust containers, simulator for injection

1. Information sources:

Basic

Additional

Internet resources

http://dezsredstva.ru/ - Methodical instructions for disinfectants, regulatory documents;

http://www.consultant.ru/- regulations;

http://www.recipe.ru/ - regulations;

www.med-pravo.ru. - regulations.

www.rosmedlib.ru. - Medical Student Library

http://www.fcior.edu.ru/ - FTGior - Federal Center for Information and Educational Resources.

Catalog of training modules for disciplines.

1. Travel course:

1. Content classes

Technique performing intradermal and subcutaneous injections.

Possible complications related to the use of drugs. Nurse tactics.

1. Forms and methods for monitoring OK and PC (assessment of knowledge and skills in competence):

1. Homework (indicating extracurricular independent work)

. * Tutorials:

L1 Mukhina S.A., Tarnovskaya I.I., Theoretical foundations of the nursing case: Tutorial. - 2nd ed., Act. and add. - Moscow, Publishing Group "Gootar Media", 2010 (2011).

L2 Mukhina S. A., Tarnovskaya I. I., "Practical guide to the subject of the" Basics of Nursing Case "Moscow, Publishing Group" Gootar-Media ", 2010 (2011).

L1. p.355-361

L2. S.500-510

Extracurricular independent work- Theoretical substantiation of each stage of the manipulation algorithm, testing the execution technology.

In the medical center of the Bank of Russia, the decision of this problem contributed to the creation and use of a patient's methodological manual in the medical and diagnostic work for doctors, which is determined by the algorithm for the provision of medical care in individual diseases.

Stage 12. In the "Patient Education" section, the main tasks of the patient's learning at each stage are indicated, the necessary activities are indicated.

Stage 13. The criteria for extracting from the hospital are listed, i.e. the expected results of treatment.

Step 14. The time, place and method of assessing the correct flow of the technological process, i.e., the control points of the process are set.

Control dots are characteristic areas of the process in which systemic (associated with incorrect organization of work) is significantly most often occurring. The measurement of the process at these points allows you to most effectively monitor it. The checkpoint includes a place, time, an assessment object.

Stage 15. Quality indicators are listed.

If there is no accurate information about the characteristic system deviations of the process or its stage, set the control points is difficult. Then it is resorted to the construction of a hypothesis that suggests the most likely deviations. To denote these hypothetical deviations in medical technological processes, American researchers proposed to use the term "quality indicators".

Quality indicators - quantitative or qualitative indicators aimed at finding possible deviations, the presence of which is assumed to be an expert, but the significance of which is not proven to assess the correctness of the process.

Quality indicators to the technological map of the maintenance of somatic patients suffering from depressive disorders

Indicator 1.

Indicator 2.

The calculation of the quality indicator Numerator is the number of patients whose quality indicator is executed (at a controlled period of time).

The denominator is the number of patients who are treated with depression (at a controlled period of time).

Stage 16. Typical technological disorders are indicated.

Step 17. The annex reflects the protocols of the main activities (for example, psychopharmacotherapy, risk assessments, physical rehabilitation, etc.).

Step 18. A list of references is presented (in Appendix).

Stage 20. The draft order for the introduction of a technological map in a medical institution is prepared.

After developing a technological map at the final meeting of the Working Group, the procedure of final coordination is carried out and the corresponding protocol is drawn up.

Stationary Patient Technological Card Scheme

NO NOZOLOGICAL NAME _______________________________________

Duration of hospitalization ________ days + _______ days in the rehabilitation department

The provision of medical care based on the developed technological card allows you to coordinate the actions of all participants in the process of providing medical care. The information presented in it is a recommendatory nature and is designed to help practitioners in taking the right clinical decisions. Technological card cannot serve as a replacement for professional clinical thinking.

In the medical center, all technological maps are compiled in electronic format, which greatly facilitates work with them, makes it possible to make changes and additions without any difficulties.

Medical quality management using technological maps of patient management

Based on the information and analytical knowledge base, a patient's management is created and its maintenance is organized on the developed technological map. The implementation of the medical technological process is monitored during the current and final examination, completeness, timeliness and effectiveness of medical care, and the degree of compliance with the technological discipline and the opinion of the patient are monitored. Examination is conducted by leading experts, heads of departments.

With inpatient treatment, the current examination is performed during the patient in the hospital. This is done so that treatment can be corrected in the presence of violations. After the patient is discharged, the history of the disease together with the technological map is transmitted by a specialist to carry out a final expert assessment of how the medical and diagnostic process regarding a particular patient complied with the technological process developed in this medical institution, quality indicators for this somatic nosology.

One of the differences in the modern model of quality medical care is the orientation of the needs and expectations of consumers, in particular, the concentration of interest on an objective study of the opinion of the patients themselves.

The medical center analyzes the analysis of patients about the results of treatment achieved, which is one of the most important final stages of quality control of the medical and diagnostic process. At the final stage of stay in the hospital, the patient is invited to answer the questionnaire questions.

The final stage of quality management is to make changes to the technological card based on the analysis of technological deviations - improving the process, its reengineering. Thus, the quality management process is continuous and closed.

Introduction in the medical center of technological maps of patients has improved the quality of the assistance provided: to reduce the amount of technological deviations 3 times, to achieve the desired result of treatment for individual nosologies in 70% of patients, increase patients' satisfaction with several times (it is currently 95-98% ).

A technological approach to providing medical care is universal: a technological card can be used for any nosology and in any medical and preventive institution at various stages of medical care.

The subject of the "Basics of Life Safety" class 7kl.
Technological card study of the section "Basics of First Medical Aid".
The subject of the lesson: first aid and self-help.

The main content of the topic

Terms of concept

General information on the rules, principle of first aid and self-help
Stopping bleeding, imposition of a hematic harness, wound processing, bandage imposition

Planned result

Cognitive skills:
- explain the meaning of new concepts and use them in the active dictionary;

Know the algorithm of actions in the provision of first aid and self-help
- to comply with the norms and rules of security in the provision of first aid and self-help;
- use acquired knowledge

Regulatory skills:
- execute a learning task using the plan and technological documentation;

- perform an academic action using conditional knowledge;
- Perform mutual testing and adjustment of the learning task.
Communicative skills:
- adequately use speech tools when working in a group;

Formulate understandable statements within the framework of the training dialogue, using terms;
- to formulate your own opinion;
-

Recognize views, injuries and choose ways of first aid and self-help;
- what medical materials and accessories are needed in one or another case of first aid and scammers;
- choose and apply;
Observe the norms and rules of security of activities in the provision of first aid and self-help, regulations of sanitation and hygiene.

Organization of educational space

Frontal;
Work in the group

Technology study theme

Stage 1 : Self-determination to activities

How to provide first help when receiving a cut out of the foot in autonomous, natural conditions?

What order to assist in a similar case? What happens if you have the first help in the way Girls did it?

Personal skills:

Show interest in learning the topic;
- Show the desire to solve the problem, which may cause the absence of first aid skills.

Stage 2: Educational and educational activities

Teach:

Use speech funds in the framework of the training dialogue;
- to perform a learning task according to plan, with mutual test;
- Educational tasks using conditional signs on packaging of medical materials and instruments

Teacher's message

Today in the lesson we will meet the basics of medical knowledge. "First aid and self-help." We will get acquainted with the safe techniques for first aid and self-help. With types of dressing material, types of injuries, bleeding, features of the use of a hemostatic harness. (View Material Material "Types of RAS").

What kind of wounds most often can be obtained at home? When will you provide assistance yourself, and when will you call an ambulance care?

- (View video material about the types of bleeding and stopping methods).

Use of medication tools when obtaining wounds at home.

Demonstration set "Medical aid kit".

Independent work with a textbook: Find and write down in the notebook Rules for the safe use of a medical aid kit at home.

(presentation "First aid kit" ).
Discussion presentation.
- Today we will get acquainted with the rules for the imposition of a hemostatic harness
1 . Demonstration of harness.

-What can be used in the absence of a medical harness?

Folder of the video "Outping of a hemo-standing harness"

Demonstration of the imposition of Zhgutan

An example of one of the students.

Rules of safe imposition of a harness (for what time in the summer and winter, in the presence of original fabrics to the limb, attachment of the note with the imposition time)

Task: Raabota in a pair-imposition of a crawling harness

Personal skills :
- show interest in the first medical care process

Cognitive skills:
- to attack the meaning of new concepts and use them in the active dictionary.
Regulatory skills:
- execute a learning task acting on the instructions;

Perform a learning task according to plan, with a mutual test.
Communicative skills:

Adequately use speech funds in the framework of the training dialogue.
Subsection:

Perform the right actions to provide first aid

3 stages Intellectual converter activity

selection of a method of activity: individual or collective.

self-organizing to fulfill the task:
- activities;

Personal skills:

Show interest in learning the foundations of medical knowledge

Task execution;
- Holding performance results.

Taking advantage of handouts:

Instructions for first aid in various situations "cut," burn "," bruise "," open fracture with venous bleeding ".

Perfect tasks for groups on issued cards.

Discussion of completed tasks.

Regulatory skills:

Perform a learning task in accordance with the plan.
Communicative skills:

To adequately use speech tools to represent the result.
Subsection:
- Define and choose the types of medical materials and items at a certain injury.
- to determine the cooking time in the microwave oven using the conditional designations;
- apply personal safety rules when providing first aid

Diagnostic task:
Using crossword template on the board, guess the keyword that refers to the lesson. Questions:
1. Type of injury when using hot dishes.
2. .
3. It will save the products with fresh.
4. A device that can cut everything.
5. A device that helps curl hair.
6. From it we learn the news of the world.

1. LamP BUT
2. SamovR
3. coldAND Flax
4. Com.B. AYN.
5. P.ABOUT Yka

6. TVR You guess the word denoting form of injury "Burn"

4 stages Reflective activities (student)

3. I learned how to stop bleeding right because it is ... ..
4. To stop bleeding you need ...
5. To ensure the safety of the wound is necessary ...

1) self-esteem:

I coped with the task myself on "excellent"
- I coped with the task well, but I helped me ...
- I could not cope with the task as I wanted. I need to learn more ...
2) self-assessment of own activities
Are you satisfied with your work at the lesson?
If you are very pleased, then lift the two hands.
If satisfied, then lift the two hands and fold them together into a handshake.
If not very satisfied, then lift one hand.

5 stage Reflective activity (teacher)

Form an idea of \u200b\u200bO. species, principle and priority of first aid

Enter
- algorithm for preparing for the safe provision of first aid to another person

- rules for stopping bleeding;

Rules for the imposition of a hemostatic harness
- Wound processing rules

Armband overlay rules.
Teach use acquired knowledge and skills in practical activity
Key skills
Cognitive skills:
- use acquired knowledge when providing first aid.
Regulatory skills:
- perform an academic action using conventional signs ;
Communicative skills:
- coming to agreed opinion in joint activities.

Relate the result with the goal.
- Estimate the result of your activities.