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Bogomolets National Medical University Surgery Department of the Dental Faculty

Workbook of practical training

for 3d year students:

(3 hours)

“Introduction to surgery. Nursing as an integral part of treatment. Antisepsis and asepsis. ”

Compiled by: docent Trophimenko S.P.

APPROVED

at methodological meeting of the department

_________2011. Protocol № ________

Head of Surgery Department of the Dental Faculty,

Professor Tutchenko M.I.

Kiev – 2011

1. Relevance of the topic:

Knowledge of the subject of surgery, history of its development is necessary for the doctor of any profession, especially for the surgeon. Ethics and deontology are set of rules of conduction and ethics of medical workers in all health care facilities to help health professionals communicate with each other and patients. For training and work of medical students in surgical clinics they must be anticipated and be familiar with its structure. Providing of medical and diagnostic measures preventing nosocomial infections and especially traumatic infection is an excellent feature of the care of surgical patients, especially in the admission department. Proper organization of the reception office enables to provide high quality care to patients and prevent the development of complications in the organs and systems of patients. Surgical Service of the Hospital is subject to high standards of asepsis and antisepsis. Asepsis is aimed at preventing ingress of microorganisms into the wound cavity, blood vessels, and body in general. Today, asepsis and antisepsis is a unit and represent a powerful method for preventing of surgical infections. This application provides numerous ways to influence the microflora and how it’s possible to a wound. Asepsis covers the activities, physical and chemical factors and means; antisepsis - mechanical, chemical, physical, biological. Together with anesthesia, asepsis and antisepsis are the foundation of surgery.

2. Study objectives:

The student must:

- Know the definition of "surgery» (α = II); - Basic stages of surgery (α = II); - Know the definition and basic principles of ethics (α = II); - Know the structure of surgical clinics (α = II); - Scheme of admission department and the order of work (α = II). - Know the concept of ethics and rules of use (α = II); - Know the concept of "Nursing" and its types (α = II); - Know the basics of personal hygiene of patient's body (α = II); - Know the tricks of change of underwear and bed linen of the patient (α = II); - Basic ways of spreading nosocomial infection (α = II)

- Basic drugs used in the sanitary treatment of the patient at pediculosis (α = II); - Know the types and principles of nutrition of patients (α = II); - Know prophylaxis of inflammation of the airways for seriously ill patients in the postoperative period (α = II); - Know the concept of asepsis and antisepsis (α = II); - Know the kinds of antiseptsis, the basic antiseptic agents (α = II); - Know how to use the rules of antisepsis (α = II); - Know the rules of operating in compliance with the rules of asepsis (α = II); - Know the rules of sterilization (autoclave), sterilization of bandages, linen, sutures, surgical instruments (α = II); - Know the rules of sterilization of the hands of the surgeon before the operation, control sterilization of bandages, surgical instruments (α = II); - Know the rules of sterilization of the operating margin (α = II)

The student must be able to:

- Communicate with the patient (α = III); - Sanitize and disinfect the patient’s objects (α = III); - Transport the patient to the admission department in surgery. (α = III); - Transport the patient from the surgical department to the operating room. (α = III); - Identify the patient’s condition and sanitization volume according to it (α = III); - Conduct anthropometric studies of the patient (α = III); - Do hygienic preparation of patients for urgent and routine surgery (α = III); - Take the patient in the surgical department, serving as nurses, complete the appropriate documentation (α = III); - Put in box material for sterilization (α = III); - Apply the methods of sterilization control (α = III); - Hold hands to finish the operation by method of Spasokukotskiy -Kochergin with solution C-4 (α = III); - Wear a sterile gown, mask and surgical gloves in right way (α = III)