MIKOS0121 Nursing care at Resuscitation and Intensive medicine I practice

Faculty of Medicine
autumn 2020
Extent and Intensity
0/0.7/0. 3 credit(s). Type of Completion: z (credit).
Taught in person.
Teacher(s)
Mgr. Markéta Bodzašová (seminar tutor)
PhDr. Olga Suková (seminar tutor)
Mgr. Marta Šenkyříková, Ph.D. (seminar tutor)
Mgr. Jiřina Večeřová (seminar tutor)
Silvie Doubravská (assistant)
Guaranteed by
Mgr. Marta Šenkyříková, Ph.D.
Department of Nursing and Midwifery - Departments of Non-medical Branches - Faculty of Medicine
Contact Person: Silvie Doubravská
Supplier department: Department of Nursing and Midwifery - Departments of Non-medical Branches - Faculty of Medicine
Timetable of Seminar Groups
MIKOS0121/Sk_I: Fri 2. 10. 14:00–15:40 428-stara KAM2, Thu 26. 11. 12:00–13:40 428-stara KAM2, Tue 26. 1. 9:00–10:40 419, Wed 27. 1. 12:00–13:40 N03009/209, Fri 29. 1. 10:00–11:40 N03013/213
MIKOS0121/Sk_II: Fri 2. 10. 14:00–15:40 N03009/209, Thu 26. 11. 14:00–15:40 N03013/213, Tue 26. 1. 12:00–13:40 428-stara KAM2, Wed 27. 1. 12:00–13:40 N03013/213, Fri 29. 1. 10:00–11:40 428-stara KAM2
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 subject is drawn up as a follow-up and connection to the theoretical- practical unit together with the subject of Nursing in intensive care II. Contents of this subject lies in the necessary theoretical knowledge, practical skills and activities in the field of highly specialized intensive care nursing which is applied in patient care resuscitation departments and intensive care units. It follows the knowledge and skills acquired in the subjects of anesthesiology and resuscitation and other subjects in intensive care.
Learning outcomes
After graduating from this subject a student will be able: to describe organizational, personal and material equipment of resuscitation departments and intensive care units, to tell the diference between desinfection and sterilization; to define nursing process in resuscitation and intensive care and needs of patients in intensive care; to name the basic tests and scales in intensive care; to define and describe monitoring in the intensive care; to show the chosen aproches connected with nursing care in laboratory environment (taking care of respiration tract, ensuring the cleareness of airways, taking care of secured airways); Furthermore, the student will be able: - to prepare aids for securing central venous access including assistance during the procedure, - to know the right approach for inserting nasogastric tube in patients with secured passage of airways, - to provide aids for punction or chest drainage including assistance during the procedure; - to prepare patients for bronchoscopy or tracheostomy; - to know device equipment in intensive care units and to be able to use them properly; - to know principles of manipulation with syringe pump, infusion pump, pump for enteral nutrition, ventilator, heating devices, monitor, pulse oximeter and other devices, - to know the specifics in oxygen therapy, - to prepare a sterile table for aseptic procedures; - to evaluate monitoring parameters (breathing, blood pressure, pulse, temperature, oxygen saturation in conscious and unconscious patients; Under laboratory conditions students will be able to: - - prepare a ventilator to perform artificial pulmonary ventilation; - connect the patient to the ventilator; - to suck mucus from the airways with open and closed suction systém; - to change position of endotracheal tube; - to monitor and analyze ventilation parameters; - to take blood for examination of blood gas and acid-base balance; - to evaluate patient status during the weaning the ventilator; - to know the correct procedure when disconnecting the patient from the ventilator; - to remove the endotracheal cannula, - to assess consciousness by using monitoring techniques, - to evaluate the depth of analgosedation by using assessment methodologies, - to perform comprehensive highly specialized care for a patient with a disturbed consciousness.
Syllabus
  • - Organizational, personnel and material facilities for resuscitation and intensive care units. Instrumentation for monitoring vital vital functions, diagnostic and therapeutic functions and devices for organ function support. Material equipment of intensive medicine centers. - Documentation in intensive medicine workplaces (nursing documentation, medical documentation, other documentation). - Nursing process in resuscitation and intensive medicine, patient needs in intensive care. Nursing documentation + tests and scales used in intensive care. - Definition, meaning and general objectives of monitoring. Basic Physical Examination, Examination Methods, Analysis of Patient Health Details. - Possibilities of cardiovascular monitoring (pressure, pulse, ECG, hemodynamic monitoring, blood circulation, vascular monitoring). Patient preparation and assistance in the introduction of central venous catheters. Highly specialized care before, during and after procedure. Possible complications of their solution. - Possibilities of respiratory monitoring (respiratory rate monitoring, pulse oximetry, capnometry, blood gas and acid-base balance, monitoring during artificial lung ventilation, and other monitoring options). - Possibilities of central nervous system monitoring (evaluation of quality and quantity of consciousness, depth of analgosedation). Patient preparation and assistance in introducing intracranial sensors. Highly specialized care before, during and after procedure. Possible complications of their solution. - Basic complementary examination, collection of biological material. Indication for examination, types of biological material taken. Proper procedure for collection and handling of biological material taken. Physiological values of individual examinations. - Nursing care for the respiratory tract. Problem of cessation from the ventilator. Extubation of the patient. Complex highly specialized care for patients with artificial pulmonary ventilation (care for the endotracheal and tracheostomy cannula, respiratory tooth, suction, respiratory rehabilitation, endobronchial lavage). - Intensive and specific nursing care for the respiratory system. Highly specialized nursing care for patients with severely impaired respiratory system. Care for patients with artificial pulmonary ventilation. Patient preparation and assistance in the introduction of operative and dilatation tracheostomy, chest drainage, bronchoscopy. Highly specialized care before, during and after procedure. Possible complications of their solution.
Literature
    required literature
  • 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
  • KNECHTOVÁ, Zdeňka and Olga SUKOVÁ. Ošetřovatelské postupy v intenzivní péči: kardiovaskulární aparát (Nursing procedures in intensive care : the cardiovascular apparatus). 1. vyd. Brno: Masarykova univerzita, 2017. ISBN 978-80-210-8789-7. info
    recommended literature
  • DOSTÁL, Pavel. Základy umělé plicní ventilace. 4. rozšířené vydání. Praha: Maxdorf, 2018. 437 stran. ISBN 9788073455620. info
  • KLIMEŠOVÁ, Lenka and Jiří KLIMEŠ. Umělá plicní ventilace. Vyd. 1. Brno: Národní centrum ošetřovatelství a nelékařských zdravotnických oborů, 2011. 110 s. ISBN 9788070135389. info
  • HANDL, Zdeněk. Monitorování pacientů v anesteziologii, resuscitaci a intenzivní péči - vybrané kapitoly. 3. vyd. Brno: Národní centrum ošetřovatelství a nelékařských zdravotnických oborů, 2003. 139 s. ISBN 8070133783. info
  • Kardiologie : pro sestry intenzívní péče a studenty medicíny. Edited by Jiří Kolář. 3. vyd. Praha: Akcenta, 2003. 411 s. ISBN 8086232069. info
  • ŠEVČÍK, Pavel, Vladimír ČERNÝ and Jiří VÍTOVEC. Intenzivní medicína (Intenzive Care Medicine). I.vydání. Praha: Galén, 2000. 393 pp. ISBN 80-7262-042-8. info
  • TRACHTOVÁ, Eva. Potřeby nemocného v ošetřovatelském procesu. 2. vyd. Brno: IDVPZ, 2001. 185 s. ISBN 8070133244. info
  • Ošetřovatelské postupy v péči o kriticky nemocné děti. Edited by Jiřina Tučková. 1. vyd. Brno: IVPZ, 1997. 100 s. ISBN 8070132531. info
  • ZADÁK, Zdeněk and Eduard HAVEL. Intenzivní medicína na principech vnitřního lékařství. 1. vyd. Praha: Grada, 2007. 335 s. ISBN 9788024720999. info
  • ZEMANOVÁ, Jitka. Základy anesteziologie. 1. vyd. Brno: IDVPZ, 2003. 149 s. ISBN 8070133740. info
  • KAPOUNOVÁ, Gabriela. Ošetřovatelství v intenzivní péči. Vyd. 1. Praha: Grada, 2007. 350 s. ISBN 9788024718309. info
    not specified
  • ZADÁK, Zdeněk. Výživa v intenzivní péči. 2. rozš. a aktualiz. vyd. Praha: Grada, 2009. 542 s. ISBN 9788024728445. info
  • BALL, Christopher M. and Robert S. PHILLIPS. Akutní medicína do kapsy : na základě medicíny založené na důkazech. Translated by Radim Vyhnánek. 1. vyd. Praha: Grada, 2004. ix, 196. ISBN 8024709287. info
  • Pocket ICU. Edited by Gyorgy Frendl - Richard D. Urman. Second edition. Philadelphia: Wolters Kluwer, 2017. Různé st. ISBN 9781496358172. info
  • URDEN, Linda Diann, Kathleen M. STACY and Mary E. LOUGH. Critical care nursing : diagnosis and management. 8th edition. Maryland Heights: Elsevier, 2018. xvii, 1087. ISBN 9780323447522. info
  • BURNS, Suzanne M. AACN essentials of critical care nursing. Third edition. New York: McGraw Hill Education, 2014. xxii, 601. ISBN 9780071822794. info
  • BAIRD, Marianne Saunorus and Susan BETHEL. Manual of critical care nursing : nursing interterventions and collaborative management. 6th ed. St. Louis: Elsevier, 2010. xv, 990. ISBN 9780323063760. 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
  • AACN essentials of critical care nursing. Edited by Marianne Chulay - Suzanne M. Burns. 2nd ed. New York: McGraw-Hill, Medical, 2010. xx, 569. ISBN 9780071664424. info
  • SOLE, Mary Lou, Deborah G. KLEIN and Marthe J. MOSELEY. Introduction to critical care nursing. 7th edition. St. Louis, Missouri: Elsevier, 2017. xx, 664. ISBN 9780323377034. info
Teaching methods
Tuition is realised in a form of exercise in lab settings. On site visit in department of intensive care.
Assessment methods
a credit (attendance at seminars), seminar work
Language of instruction
Czech
Further comments (probably available only in Czech)
Study Materials
Information on the extent and intensity of the course: 10.
Listed among pre-requisites of other courses
The course is also listed under the following terms Autumn 2014, Autumn 2015, Autumn 2016, Autumn 2017, autumn 2018, autumn 2019.
  • Enrolment Statistics (recent)
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