For many student years strongly associated with fun and joy. True, these joys from the very beginning of studying at a higher educational institution are complicated by a hectic study schedule that does not fit into the plans of young people.
Any attempts independent life, initial steps in professional activities so exhaust the student that there is neither strength nor desire left to perform any type of resulting work. Furious pace educational activities does not make it possible to complete work such as a presentation on the subject “Nursing” on the scheduled date.
Custom presentation as a quick solution to problems
It is precisely for the sake of promoting and providing all possible assistance to young people that our company was formed, where anyone can safely order any type of work.
There is absolutely no threat to you when working with us. And we guarantee you this peace of mind. You will receive your work within the time period specified when submitting your application.
Why do millions of customers trust us?
- Complete anonymity. You can expect that your personal information and the terms of your order will not be made public.
- Supervision of the work process. At any time you have the opportunity to track your work at any stage of its implementation. Immediately after placing an order, you are assigned a personal manager who will contact you shortly about any changes in the order process.
- Additional check by specialists. As soon as the work is ready, it will be given to an independent critic, who will audit and check it again, after which he will provide his opinion on its compliance with the topic, the previously specified requirements and design standards.
- Exemplary uniqueness. You will receive a finished work that has been checked more than once by the Anti-Plagiarism program, as a result of which the uniqueness of the work will exceed 70%.
- Operational support until protection. If, after submitting the work, the supervisor remains dissatisfied and returns it for revision, our employees will do it completely FREE OF CHARGE! It will be enough just to pick up the manager’s review.
To place an order, you don’t have to personally come to our office - it’s enough to send a request for writing right here on the website or call our employees by phone.
1 slide
2 slide
IT IS A REGULATORY DOCUMENT, DEVELOPED BY CONSENSUS AND APPROVED BY A RECOGNIZED AUTHORITY, IN WHICH ESTABLISHES RULES, GENERAL PRINCIPLES OR CHARACTERISTICS FOR VARIOUS TYPES OF ACTIVITIES OR THEIR USE. RESULTS, AND WHICH IS AIMED AT ACHIEVEMENT OF AN OPTIMAL DEGREE OF ORDER IN A CERTAIN AREA. (ORDER No. 12 M ZRF DATED 01.22.01. ON THE INTRODUCTION OF THE INDUSTRY STANDARD “TERMS AND DEFINITIONS OF THE STANDARDIZATION SYSTEM IN HEALTHCARE”)
3 slide
THE RF LAW OF 06/28/91 No. 1499-1 “ON MEDICAL INSURANCE OF CITIZENS OF THE RF” DETERMINED A SYSTEM WHICH IS CALLED TO PROTECT THE INTERESTS OF CITIZENS AS CONSUMERS OF MEDICAL SERVICES; THIS IS A SYSTEM FOR ASSESSING THE QUALITY OF MEDICAL CARE AND HAS ESTABLISHED THAT THE CRITERION FOR EVALUATING THE QUALITY OF MEDICAL CARE SHOULD BE PROFESSIONAL STANDARDS.
4 slide
Federal law dated December 27, 2002 No. 184-FZ “On technical regulation”. National standards; Standardization rules, norms, recommendations in the field of standardization Classifications applied in the established order, all-Russian classifiers of technical, economic and social information; Organization standards.
5 slide
Technical Committee (TC) “Medical Technologies” No. 466 Industry and administrative-territorial standards are abolished. Compliance with the rules and regulations established by standards at any level is voluntary. Mandatory requirements can now only be established in technical regulations
6 slide
National standard This is a standard approved national authority Russian Federation on standardization. Federal agency on technical regulation and metrology (Rostekhregulirovanie)
7 slide
8 slide
October 2004 International Russian-Canadian Project (ROXI) To assist the Ministry of Health of the Russian Federation and RAMS in creating regulatory mechanisms to ensure the quality of nursing care. Develop a unified list of nursing procedures. Create standards for technologies for performing simple medical services (SMS).
Slide 9
Within the framework of the International Russian-Canadian Project (ROXI) - and on the instructions of the laboratory for standardization of the Academy. Sechenov Ministry of Health of the Russian Federation, by order of the Ministry of Health and SR of the Russian Federation No. 1475-VS 03/28/2006 The Chita region, among 11 territories of the Russian Federation, is designated as a pilot territory participating in the development, review and testing of simple medical service technology.
10 slide
Testing of a simple medical service in accordance with the order of the Health Committee of the Chita Region No. 226 dated May 16, 2006 was carried out in all health care institutions of the Chita Region.
11 slide
MEDICAL SERVICE (MS) IS AN EVENT OR SET OF MEASURES AIMED AT THE PREVENTION OF DISEASES, THEIR DIAGNOSIS, TREATMENT, HAVING AN INDEPENDENT COMPLETE VALUE AND A CERTAIN COST ACCORDING TO THE DEGREE OF COMPLEXITY: SIMPLE (PMS), COMPLEX, NATIONAL AND COMPLEX; FUNCTIONAL PURPOSE: TREATMENT AND DIAGNOSTIC, PREVENTIVE, RESTORATION AND REHABILITATION, TRANSPORT. CONDITIONS OF PERFORMANCE: OUTPATIENT, POLYCLINIC, INPATIENT, DURING TRANSPORTATION
12 slide
SIMPLE MEDICAL SERVICE (SMS) IS AN INDIVIDUAL SERVICE PERFORMED ACCORDING TO THE FORMULA “PATIENT + SPECIALIST = ONE ELEMENT OF PREVENTION, DIAGNOSIS, TREATMENT, REHABILITATION” NOMENCLATURE OF WORKS AND SERVICES IN HEALTHCARE FROM 07/12/04 .
Slide 13
MATRIX OF TECHNOLOGIES FOR IMPLEMENTATION OF PMU (13 SECTIONS) REQUIREMENTS FOR SPECIALISTS AND AUXILIARY PERSONNEL REQUIREMENTS FOR ENSURING OCCUPATIONAL SAFETY OF MEDICAL STAFF CONDITIONS FOR PERFORMANCE OF THE SERVICE FUNCTIONAL PURPOSE OF THE SERVICE DESCRIPTION MA TERIAL RESOURCES CHARACTERISTICS OF THE METHOD OF PERFORMING PMU ADDITIONAL INFORMATION ABOUT THE FEATURES OF PERFORMING PMU ACHIEVED RESULTS AND THEIR EVALUATION FORM OF INFORMED CONSENT OF THE PATIENT PERFORMANCE OF PMU PARAMETERS OF ASSESSMENT AND QUALITY CONTROL OF THIS PMU COST CHARACTERISTICS OF SERVICE GRAPHIC REPRESENTATION OF PMU FORMULAS, CALCULATIONS, ETC. DOCUMENTATION
Slide 14
SIMPLE NURSE TECHNOLOGY STANDARDS (STSTANDARDS) ANSWER THE QUESTIONS: WHAT SHOULD A NURSE DO? HOW MUCH TIME WILL IT TAKE? WHAT IS THE WORKPLACE EQUIPPED WITH? WHAT IS THE PROCEDURE? HOW TO ENSURE SAFETY?
15 slide
An example of filling out section 1 in TPMU “Intravenous administration of drugs” (A 11.12.003) No. Section Description 1.1 List of specialties (who are involved in the provision of the service) 1. A specialist with a standard diploma of higher education educational institution by specialty: 040100 General Medicine 040200 Pediatrics 040400 Dentistry 040600 Nursing 2. A specialist with a standard diploma of completion of specialized secondary medical care educational institution by specialty: 0401 General Medicine 0402 Obstetrics 0406 Nursing 1.2 Additional or special. requirements for special or support staff Have manipulation skills
16 slide
An example of filling out section 2 in TPMU “Intravenous administration of drugs” (A 11.12.003) No. Section Description 2.1 Occupational safety requirements when performing the service Before and after the procedure, perform hand hygiene. Use gloves during the procedure. Using a puncture-resistant container for needles Using protective equipment (mask, goggles, face shield) when there is a risk of blood splashing.
Slide 17
An example of filling out section 2 of the TPMU “Growth Measurement” (A 02.03.005) 3. Conditions for fulfilling the PMU 3.1 Outpatient-polyclinic Inpatient Sanatorium-resort
18 slide
An example of filling out section 4 of the TPMU “Growth measurement” (A 02.03.005) 4. Functional purpose of the TPMU 4.1 Diagnostic
Slide 19
Example of filling out section 5 of TPMU “Measurement of growth” (A 02.03.005) 5. Material resources 5.1 Instruments, instruments, medical products Vertical height meter (tested and approved for work) Horizontal height meter for infants (tested and approved for work) 5.2 Reagents None 5.3 Immunobiological preparations and reagents None 5.4 Blood products None 5.5 Medicines None 5.6 Other consumables Single-use paper napkin Single-use diaper for infants
20 slide
Example of filling out section 6 of TPMU “Measurement of height” (A 02.03.005) 6. Characteristics of the methodology for performing PMU 1. Preparation for the procedure 1.1 Prepare the stadiometer for work in accordance with the instructions 1.2 Introduce yourself to the patient, explain the procedure, obtain consent 1.3 2. Perform the procedure 2.1 2.2 3.Complete procedure
21 slides
An example of filling out section 7 of the TPMU “Growth Measurement” (A 02.03.005) 7. Additional information about the features of the method. Features of measuring growth in children under one year of age. Features of measuring growth in patients with mental disorders Features of measuring height in patients with hearing impairments Measuring growth in a newborn in the delivery room
22 slide
An example of filling out section 8 in TPMU “Staging mustard plasters” (A14.01.003) No. Description of section 8 Achieved results and their evaluation Result Evaluation Hyperemia of the skin, burning sensation The procedure was performed correctly No hyperemia, no burning sensation The procedure was performed incorrectly, the therapeutic effect was not achieved Signs of a chemical burn (appearance of blisters on the skin) The procedure was performed incorrectly, the time for placing mustard plasters was not observed
Slide 23
Example of filling out section 9 of TPMU “Growth measurement” (A 02.03.005) 9. Form of informed consent of the patient when performing PMU and additional information for the patient and family members The patient and his relatives ( legal representatives) should be informed about the clinical significance of height measurement and how it is performed. Written consent is not required, because the method is not potentially dangerous to the health and life of the patient.
24 slide
An example of filling out section 10 in the TPMU “Manual for gastrostomy” (A14.16.001) No. Description of section 10. Parameters for assessing and quality control of the implementation of benefits for gastrostomy Availability of a record of the results of the prescription in the medical documentation Timeliness of the procedure (in accordance with the time of prescription) Absence complications Patient satisfaction with the quality of the medical service provided No deviations from the algorithm for performing the service
25 slide
An example of filling out section 11 of the TPMU “Assessing the degree of risk of developing pressure ulcers” (A 14.31.012) 11. Graphic, schematic and tabular representation of the TPMU In accordance with the industry standard “Protocol for the management of patients. Bedsores" 91500.11.0001-2002 and order of the Ministry of Health of the Russian Federation dated April 17, 2002 No. 123. Waterlow scale 12. Formulas, calculations, nomograms, forms and other documentation if necessary Absent
26 slide
PMU CODING 7-DIGIT DIGITAL CODE PMU XX – SERVICE TYPE CODE (FROM 01 TO 99) – 24 TYPE SECTIONS XX – SERVICE CLASS CODE (FROM 01 TO 99) – 31 CLASS SECTIONS XXX – SERVICE TYPE CODE (FROM 001 TO 999 ) A 01.14.001 14 – MANIPULATIONS OF NURSING CARE (TYPICAL SECTION) 01 – CLASS SECTION – SKIN, S/C FAT FIBER, SKIN APPENDIXES 001 – TYPE OF SERVICE – SKIN CARE OF A SERIOUSLY ILL PATIENT
Slide 27
Nursing specialists Trans-Baikal Territory included among the developers of the published Collection of technology standards for simple medical services, approved by the Ministry of Health and social development Russian Federation
28 slide
TPMU developed, tested and implemented in health care facilities of the Trans-Baikal Territory (Total 440): Physiotherapy - 28 Massage - 17 Exercise therapy - 12 Functional diagnostics - 12 Obstetrics - 32 Laboratory diagnostics - 28 Histology - 5 Orthopedic dentistry - 3 General medicine - 1 Nursing in pediatrics – 66
Slide 29
Continuation Nursing - 193 including: Nursing in therapy - 19 Nursing in ophthalmology - 6 Nursing in surgery - 10 Nursing in infections - 30 Nursing in phthisiology - 12 Nursing in clinics - 10 Nursing in dentistry - 20 Nursing in psychiatry -38 Nursing (transfusiology) – 9 Nursing in dermatovenereology – 12 Nursing in dietetics – 2 Nursing in geriatrics-14 Nursing in narcology - 1 Nursing in oncology – 10 Operations – 4 Anesthesiology and resuscitation – 6 Radiology – 33 A total of 440 TPMU have been developed.
30 slide
List of standard job descriptions developed by the Regional Council of Sisters and professional committees of the Association (Total - 26): Standard job description of a nurse in the outpatient department of a regional dermatovenerological dispensary. Typical job description for a nurse in the specialty "Anesthesiology and Reanimatology" Typical job description for a medical technologist, medical laboratory technician, medical assistant, laboratory assistant (hereinafter referred to as a histologist) in the specialty "Histology" Typical job description for a nurse in a mud bath. STANDARD INSTRUCTIONS for the practical activities of the chief medical officer hospital nurses. Typical job description for a physical therapy instructor. Typical job description for a nurse in the diagnostic and treatment department of a dermatovenerological dispensary. Standard job description for a pediatric nurse preschool
31 slides
List of standard job descriptions developed by the Regional Council of Sisters and professional committees of the Association (Continued): Standard job description for a nurse in a pediatric area Standard job description for a nurse in the mycology department of a regional dermatovenerological dispensary. Typical job description for a nurse in a narcological hospital. Typical job description for a nurse in the outpatient clinic service of a psychoneurological dispensary. Typical job description for a district nurse in a phthisiatric dispensary department Typical job description for the practical activities of a ward nurse in a hospital Typical job description for a dressing nurse Typical job description for a nurse in a psychiatric hospital
32 slide
List of standard job descriptions developed by the Regional Council of Sisters and professional committees of the Association: (Continued) Standard job description for a nurse in physical therapy Standard job description for a nurse in exercise therapy Standard job description for massage Standard job description for a nurse in a children’s department of a phthisiological hospital Standard job description for a senior medical officer hospital nurses Typical job description for a nurse dental office Typical job description for a medical assistant laboratory assistant in an enzyme immunoassay laboratory. Typical job description for a medical assistant laboratory assistant in a clinical diagnostic laboratory. Typical job description for a paramedic at an educational institution Job Description functional diagnostic nurse
Slide 34
Scroll professional standards, developed by the Regional Council of Sisters and professional committees of the Association (Continued): Medical and preventive care for children Nursing in phthisiology Functional diagnostics protection of children and adolescents. S/d in pediatrics Nurse for the care of newborns Nursing for infections Nursing in dentistry Nursing in dietetics. Physiotherapy Nursing Physical Therapy Massage
GBOU "Samara Medical and Social College"
Presentation:
"Stages of the nursing process"
Completed:
teacher
Karaganova L.P.
Nursing process is a systematic approach to providing professional medical care aimed at restoring the patient’s health based on his needs.
The term " nursing process" - English; means to care for, serve, care for a patient.
Purpose of the nursing process
The goal of the nursing process is to maintain and restore the patient's independence in meeting the basic needs of his body.
The goal of the nursing process is achieved by solving the following tasks :
Creation of a patient information database; identifying the patient's health care needs; designation of priorities in medical care; developing a plan of care and providing care according to the patient's needs; determining the effectiveness of the patient care process and achieving the goal of care for that patient.
Stages of the nursing process
In accordance with the tasks to be solved, the nursing process is divided into five stages:
The first stage is a nursing examination.
Nursing examination is carried out using two methods:
subjective. Subjective examination method.
This is data that helps the nurse gain an idea of the patient's personality.
objective. Objective method.
The second stage is nursing diagnosis.
Goals of the second stage of the nursing process: analysis of surveys conducted; determine what health problem the patient and his family are facing; determine the direction of nursing care.
The third stage is planning nursing intervention.
Goals of the third stage of the nursing process: Based on the patient’s needs, highlight priority tasks; develop a strategy for achieving your goals; set a deadline for achieving these goals.
The fourth stage is nursing intervention.
The purpose of the fourth stage of the nursing process:
do everything necessary to carry out the intended plan of care for the patient identically common goal nursing process.
The fifth stage is determining the degree of achievement of the goal and evaluating the result.
The purpose of the fifth stage of the nursing process: determine the extent to which the goals have been achieved.
At this stage the nurse: determines goal achievement; compares with the expected result; formulates conclusions; makes appropriate notes in documents (nursing medical records) about the effectiveness of the care plan.
