Subject “Fundamentals of Life Safety” Class 7th grade.
Technological map for studying the section “Fundamentals of the first medical care».
Lesson topic: first aid and self-help.

Main content of the topic

Terms of concept

General information about the rules, principles of first aid and self-help
Stopping bleeding, applying a hemostatic tourniquet, treating the wound, applying a bandage

Planned result

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

Know the algorithm of actions when providing first aid and self-help
- comply with safety standards and rules when providing first aid and self-help;
- use acquired knowledge

Regulatory skills:
- carry out the training task using the plan and technological documentation;

- perform a learning action using conditional knowledge;
- carry out mutual verification and adjustment of the educational task.
Communication skills:
- adequately use speech means when working in a group;

Formulate understandable statements within the educational dialogue using terms;
- formulate your own opinion;
-

Recognize types of injuries and choose first aid and self-help methods;
- know what medical materials and supplies are needed in a particular case of first aid and self-help;
- select and apply;
Comply with safety standards and rules when providing first aid and self-help, sanitation and hygiene rules.

Organization of educational space

Frontal;
Group work

Technology for studying the topic

Stage 1 : Self-determination for activity

How to provide first aid if you receive a cut on your foot in an autonomous, natural environment?

In what order should assistance be provided in such a case? What will happen if you provide first aid the way the girls did?

Personal skills:

Show interest in studying the topic;
- demonstrate a desire to solve a problem that may be caused by a lack of first aid skills.

Stage 2: Educational and cognitive activity

Teach:

Use verbal means within educational dialogue;
- carry out the educational task according to plan, with mutual verification;
- complete a learning task using conventional signs on the packaging of medical materials and devices

Teacher's message

Today in class we will get acquainted with the basics of medical knowledge. "First aid and self-help." We will learn safe first aid and self-help techniques. With types of dressing material, types of injuries, bleeding, features of the use of a hemostatic tourniquet. (watch video material “Types of wounds”).

What wounds can most often be sustained at home? In what cases will you provide assistance yourself, and when will you call an ambulance?

-(watching video material about types of bleeding and ways to stop).

The use of medications when receiving a wound at home.

Demonstration of the “medical first aid kit” kit.

Independent work with the textbook: find and write down in your notebook the rules for the safe use of a first aid kit at home.

(presentation "First Aid Kit" ).
Discussion of the presentation.
- Today we will get acquainted with the rules for applying a hemostatic tourniquet
1 . Demonstration of a tourniquet.

-What can be used if there is no medical tourniquet?

Watch the video “Application of a hemostatic tourniquet”

Demonstration of applying a tourniquet

An example from one of the students.

Rules for the safe application of a tourniquet (for what time in summer and winter, if there is initially tissue on the limb, enclosing a note indicating the time of application)

Task: work in pairs - applying a hemostatic tourniquet

Personal skills :
- show interest in the process of providing first aid

Cognitive skills:
-explain the meaning of new concepts and use them in an active dictionary.
Regulatory skills:
- carry out the educational task following the instructions;

Carry out the educational task according to plan, with mutual verification.
Communication skills:

Adequately use verbal means within the framework of educational dialogue.
Subject Skills:

Perform correct first aid procedures

Stage 3 Intellectual and transformative activities

choice of method of activity: individual or collective.

self-organization to complete the task:
-activity planning;

Personal skills:

Show interest in learning basic medical knowledge

Completing the task;
-presentation of performance results.

Using the handout:

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

It is possible to complete tasks in groups using issued cards.

Discussion of completed tasks.

Regulatory skills:

Complete the educational task in accordance with the plan.
Communication skills:

Use verbal means adequately to present the result.
Subject Skills:
- identify and select types of medical materials and items for a specific injury
- determine the cooking time in a microwave oven using symbols;
- apply personal safety rules when providing first aid

Diagnostic task:
Use the crossword template on the board to guess keyword, which relates to the topic of the lesson. Questions:
1. Type of injury when using hot cookware.
2. .
3. It will keep food fresh.
4. A device that can cut anything.
5. A device that helps curl your hair.
6. From it we learn news of the world.

1. LAMP A
2. SAMOVAR
3. COLDAND FLASH
4. COMB AIN
5. PLABOUT YKA

6. TVR Did you guess the word denoting the type of injury “BURN”

Stage 4 Reflective activity (student)

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

1) Self-esteem:

I completed the task on my own with excellent marks.
- I coped with the task well, but they helped me...
“I couldn’t complete the task the way I wanted.” I still need to learn...
2) Self-assessment of one’s own activities
Are you satisfied with your work in class?
If you are very happy, then raise your two hands.
If you are satisfied, raise your two hands and clasp them together in a handshake.
If you're not very happy, raise one hand.

Stage 5 Reflective activity (teacher)

Form an idea about types, principles and sequence of first aid

Enter
- algorithm for preparing to safely provide first aid to another person

- rules for stopping bleeding;

Rules for applying a hemostatic tourniquet
– rules for treating wounds

Rules for applying a bandage.
Teach to use acquired knowledge and skills in practical activities
Key skills
Cognitive skills:
- use acquired knowledge when providing first aid.
Regulatory skills:
- carry out educational activities using conventional signs ;
Communication skills:
- come to a consensus in joint activities.

Correlate the result obtained with the goal.
- Evaluate the results of your activities.

On approval of technological maps for medical services in ophthalmology

1. In order to equalize the cost of paid medical services of the same name provided by state medical organizations in the Ryazan region, I order:
2. 1. Approve technological maps:
3. - consultation with an ophthalmologist,
4. - appointment with an ophthalmologist (repeated),
5. - study of color perception using polychromatic tables,
6. - probing of the lacrimal ducts (and lavage),
7. - measurement of the strabismus angle,
8. - exophthalmometry,
9. - skiascopy,
10. - localization of ruptures of retinal foreign bodies,
11. - selection of spectacle correction,
12. - para- and retrobulbar injections of emoxypine,
13. - para- and retrobulbar injections of dexazone,
14. - examination of the fundus with a three-mirror Goldmann lens,
15. - perimetry on the Förster perimeter (one color),
16. - computer perimetry,
17. - panretinal laser coagulation,
18. - preventive, peripheral, delimiting laser coagulation of the retina,
19. - iridotomy,
20. - discission of secondary cataract,
21. in accordance with the appendix to this order.
22. 2. The chief doctors of state medical organizations of the Ryazan region provide paid medical services for consultations with specialist doctors in accordance with the approved technological maps.
23. 3. Entrust control over the implementation of this order to Deputy Minister O.V. Mitin.
24. I. o. minister
25. V.I.GRACHEV

Application
to the Order of December 26, 2014 № 2124
Technological map

Technological map consultation with an ophthalmologist

1. 1 Collection of complaints and medical history Ophthalmologist 30 min. Slit lamp 5 min. Alcohol wipe 5 pcs. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”2 Visual examination and palpation of the eyes. Ophthalmoscopy Ophthalmoscope 5 min. Non-sterile surgical cotton wool 3 g.3 Examination of the anterior segment of the eye using the method of lateral illumination and the media of the eye in transmitted light Nurse 30 min. Binocular ophthalmoscope 5 min. Sterile medical gauze wipes 3 pcs.4 Visometry. Biomicroscopy of the anterior segment of the eye using a slit lamp Automatic sign projector 5 min. Sterile cotton-gauze wipes 1 pc.5 Examination of the fundus of the eye with a direct and indirect ophthalmoscope Mydriacyl 0.5%% 0.3 ml6 Examination of the fundus with a binocular ophthalmoscope Cyclomel 1%% 0.5 ml7 Tonometry of the eye Inocaine 0.4%% 0.5 ml8 Determination of refraction using a set of trial lenses Levomycetin 0.25%% 0.5 ml9 Prescription of treatment and recommendations for the patient Sulfacyl sodium 20%% 0.5 mlCollar head dye for tonometry 0.1 ml

   Executor		Equipment used

2. TECHNOLOGICAL MAP
3. Appointment with an ophthalmologist (repeated)
4. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 Collection of complaints and anamnesis for eye pathology Ophthalmologist 30 min. Slit lamp 5 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”2 Visual examination and palpation of the eyes. Ophthalmoscopy Nurse of the ophthalmological department 15 min. Ophthalmoscope 5 min. Non-sterile surgical cotton wool 3 g.3 Study of the anterior segment of the eye using the method of lateral illumination and the media of the eye in transmitted light Binocular ophthalmoscope 5 min. Sterile cotton-gauze wipes 1 pc.4 Visometry. Biomicroscopy of the anterior segment of the eye using a slit lamp Automatic sign projector 5 min. Midriacil 0.5%% 0.3 ml 2. Standards of medical care for eye diseases (if available)Sulfacyl sodium 20%% 0.5 ml5 Tonometry of the eye Levomycetin solution 0.25%% 1 ml6 Determination of refraction using a set of trial lenses Collar head dye for tonometry 0.1 ml7 Prescription of treatment and recommendations for the patient Inocaine 0.4%% 0.6 ml

   Executor		Equipment used		Used medications, dressings, low-value equipment and tools

5. TECHNOLOGICAL MAP
6. Study of color perception using polychromatic tables
7. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 Collection of complaints and medical history Ophthalmologist 20 min. Polychromatic tables 15 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”2 Explaining the research methodology to the patient Nurse 10 min.3 Study of color perception using polychromatic tables4 Evaluation and registration of the study result 2. Standards of medical care for eye diseases (if any)

   Executor		Equipment used		Used medications, dressings, low-value equipment and tools

8. TECHNOLOGICAL MAP
9. Probing the lacrimal ducts (and lavage)
10. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 Inspection of lacrimal openings visually and using a slit lamp by an ophthalmologist 20 min. Slit lamp 5 min. Levomycetin solution 0.25%% 0.3 ml 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”2 Probing the lacrimal ducts (and lavage) Nurse 10 min. Non-sterile surgical cotton wool 6 g.Alcohol wipe 1 pc.Inocaine 0.4%% 0.2 ml 2. Standards of medical care for eye diseases (if any)Sodium chloride solution 0.9%% 10 mlDisposable syringe 5 ml. 1 pieceDisposable cannula for rinsing 1 pc.Examination gloves 1 pc.Surgical gloves 1 pc.

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

11. TECHNOLOGICAL MAP
12. Measuring the strabismus angle
13. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 Measuring the strabismus angle Ophthalmologist 10 min. Non-sterile surgical cotton wool 3 g. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”Alcohol wipe 2 pcs.2. Standards of medical care for eye diseases (if any)

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

14. TECHNOLOGICAL MAP
15. Exophthalmometry
16. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 History taking Ophthalmologist 10 min. Exophthalmometer 10 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”2 Visual examination of the eye3 Exophthalmometry4 Conclusion2. Standards of medical care for eye diseases (if any)

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

17. TECHNOLOGICAL MAP
18. Skiascopy
19. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 History taking Ophthalmologist 10 min. Slit lamp 10 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”2 Visometry. Biomicroscopy of the anterior segment of the eye using a slit lamp Nurse 10 min. Automatic sign projector 5 min.3 Determination of refraction using a set of trial lenses4 Skiascopy5 Formulation of conclusion 2. Standards of medical care for eye diseases (if any)

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

20. TECHNOLOGICAL MAP
21. Localization of ruptures of retinal foreign bodies
22. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 History taking Ophthalmologist 30 min. Slit lamp 5 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”2 Examination of the anterior segment of the eye using a slit lamp Nurse 30 min. Binocular ophthalmoscope 5 min. Non-sterile surgical cotton wool 3 g.3 Examination of the fundus with a binocular ophthalmoscope Midriacil 0.5%% -15 ml 0.5 ml4 Examination of the fundus with a Goldmann lens or a non-contact lens Cyclomed 1%% - 5 ml 0.5 ml 2. Standards of medical care for eye diseases (if any)5 Localization of ruptures of retinal foreign bodies6 Issuing a report to the patient Solcoseryl, gel 0.6 g.Korneregel 0.6 gr.

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

23. TECHNOLOGICAL MAP
24. Selection of spectacle correction
25. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 Visometry Ophthalmologist 20 min. Automatic sign projector 5 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”2 Selection of spectacle correction2. Standards of medical care for eye diseases (if any)

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

26. TECHNOLOGICAL MAP
27. Para- and retrobulbar injections of emoxypine
28. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 Injection by ophthalmologist 5 min. Emoxypine solution 1%% 1 ml N 10 1 amp. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”Nurse 3 min.Non-sterile surgical cotton wool 50 gr. 3 gr.Alcohol wipe 2 pcs.Ethyl alcohol 70%% 1 gr.Insulin syringe 1 ml 1 pc. 2. Standards of medical care for eye diseases (if any)

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

29. TECHNOLOGICAL MAP
30. Para- and retrobulbar injections of dexazone
31. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 Injection by ophthalmologist 5 min. Dexamethasone 4 mg/ml 1 amp. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”Nurse 3 min. Non-sterile surgical cotton wool 3 g.Alcohol wipe 2 pcs.Ethyl alcohol 70%% 1 gr. 2. Standards of medical care for eye diseases (if any)Insulin syringe 1 ml 1 pc.

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

32. TECHNOLOGICAL MAP
33. Examination of the fundus with a three-mirror Goldmap lens
34. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 Examination of the periphery of the fundus with a three-mirror Goldmann lens Ophthalmologist 10 min. Three-mirror Goldmann lens Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”Korneregel 10 gr. Ch. gel 0.4 gr.Levomycetin 0.25%% 10 ml 0.5 mlBoric acid 2%% 10 ml 0.5 mlMidriacil 1%% 0.5 mlInocaine 0.4%% 0.5 ml 2. Standards of medical care for eye diseases (if available)Purified sterile iodine 50 mlChlorhexidine bigluconate, 0.05%% 50 ml

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

35. TECHNOLOGICAL MAP
36. Perimetry on Förster perimeter (one color)
37. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 History taking Ophthalmologist 30 min. Förster perimeter 10 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”2 Visometry Nurse 30 min. Automatic sign projector 5 min. Sterile wipes 2 pcs.3 Explaining the research technique to the patient Non-sterile gauze bandage 70 cm4 Conducting the study5. Evaluation of the study result and issuance of a conclusion 2. Standards of medical care for eye diseases (if any)

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

38. TECHNOLOGICAL MAP
39. Computer perimetry
40. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 Collection of complaints and anamnesis Ophthalmologist 10 min. Automatic sign projector 10 min. Alcohol wipe 2 pcs. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”2 Visual examination of the eyes Ophthalmology nurse 40 min. Automatic perimeter 30 min. Alcohol wipe 2 pcs.3 Corrected vision test using a set of trial lenses4 Explaining the research methodology to the patient 2. Standards of medical care for eye diseases (if any)5. Conducting research6. Evaluation of the research result and issuance of a conclusion

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

41. TECHNOLOGICAL MAP
42. Panretinal laser coagulation
43. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)2 Checking visual acuity IOP3 Monitoring the level of blood glycemia Nurse working on laser systems 40 min. Automatic sign projector 5 min. Asparkam, tab. 4 pcs.4 Instillation of mydriatic to dilate the pupil on the patient’s operated eyeSlit lamp 5 min. Gauze bandage 50 cm5 Carrying out local anesthesia Glucometer 2 min. Non-sterile surgical cotton wool 5 g. 2. Standards of medical care for eye diseases (if any)6 Installing a contact lens on the patient’s eye Vidisik gel 2 g.7 Carrying out laser coagulation Distilled sterile water 50 ml 50 g.8 Rinsing the conjunctival cavity with antiseptic eye drops Gemaza 1.0 1 amp.Diacarb, 0.25 mg 1 pc.Inocaine 0.4%% 04 mlDexamethasone 4 mg/ml 1 amp.Glucose test plate 1 pc.Korneregel 1 gr.10 Prescription of treatment and recommendations for the patient Indocollir 0.5 mlMidriacil 1%% 0.5 mlProtective mask 2 pcs.Dicynone, 2 ml 1 1 amp.Alcohol wipe 5 pcs.Ethyl alcohol 70%% 2 gr.Cyclomed 1%% 0.5 mlInsulin syringe 1 ml 1 pc.Histochrome 0.02%% 1 amp.Disposable syringe 5 ml 1 pc.Dorzopt 2%% 0.3 mlBoric acid solution 2%% 0.5 ml

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

44. TECHNOLOGICAL MAP
45. Preventive, peripheral, restrictive
46. laser coagulation of the retina
47. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 Anamnesis collection Ophthalmologist working on laser machines 40 min. Ophthalmic laser 30 min. Solcoseryl gel 0.6 g. 1. Order of the Ministry of Health of the Russian Federation dated November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”2 Checking visual acuity and IOP Nurse working on laser systems 40 min. Automatic sign projector 5 min. Asparkam, tab. 4 pcs.3 Instillation of mydriatic to dilate the pupil on the patient’s operated eye Slit lamp 5 min. Gauze bandage 50 cm4 Conducting local anesthesia N/sterile surgical cotton wool 5 g. 2. Standards of medical care for eye diseases (if any)5 Installing a contact lens on the patient’s eye Vidisik gel 2 g.6 Carrying out laser coagulation Distilled sterile water 50 ml 50 g.7 Rinsing the conjunctival cavity with antiseptic eye drops Gemaz 1.0 drops 1 amp.Diacarb, 0.25 mg 1 1 pc.Inocaine 0.4%% 0.4 mlDexamethasone 4 mg/ml 1 amp.8 Instillation of anti-inflammatory drops Inocaine 0.4%% 0.5 mlKorneregel 1 gr.Indocollir 0.5 ml9. Prescription of treatment and recommendations to the patientMidriacil 1%% 0.5 mlOftan-decamethasone eye drops, 0.1%% 0.2 mlProtective mask 2 pcs.Sterile surgical gloves 2 pairDicynone, 2 ml 1 1 amp.Levomycetin solution 0.25%% 5 ml 0.5 mlAlcohol wipe 5 pcs.Ethyl alcohol 0.5 2 gr.Cyclomed 1%% 0.5 mlChlorhexidine bigluconate solution 0.05%% 50 mlInsulin syringe 1 ml 1 pc.Histochrome 0.02%% 1 amp.Disposable syringe 5 ml 1 pc.Diprospan, 1 ml injection suspension 1 amp.Dorzopt 2%% 0.3 mlBoric acid solution 2%% 0.5 mlSterile medical gauze wipes 5 pcs.

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

48. TECHNOLOGICAL MAP
49. Iridotomy
50. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 Anamnesis collection An ophthalmologist working on laser machines 100 min. YAG device - laser ophthalmic surgical 80 min. Inocaine 0.4%% 0.5 ml 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexal apparatus and orbit”2 Checking visual acuity and IOP Nurse working on laser systems 80 min. Slit lamp 10 min. Disposable syringe 5 ml 1 pc.3 Instillation of mydriatic to dilate the pupil Automatic sign projector 10 min. Diacarb, 0.25 mg 1 pc.4 Carrying out local anesthesia Asparkam 1 pc. 2. Standards of medical care for eye diseases (if any)5 Installing a contact lens on the patient’s eye Surgical non-sterile cotton wool 2 g.6 Installing a contact lens on the patient’s eye Chlorhexidine Bigluconate solution 0.05%% 50 ml8 Rinsing the conjunctival cavity with antiseptic eye drops Azopt 1%% 0.3 mlSolcoseryl gel 0.5 mlLevomecitin 0.25%% 0.5 mlBoric acid 20%% 0.5 mlPurified sterile water 50 ml9 Instillation of anti-inflammatory dropsChlorhexidine bigluconate solution 0.05%% 50 mlCornegonelle 0.6 gr.Midriacil 1%% 0.3 mlDiclof 0.3 mlMask 3-layer 2 pairsSterile surgical gloves 2 pair

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

51. TECHNOLOGICAL MAP
52. Discision of secondary cataract
53. NN pp Contents of the technological process List of regulatory documentsname time for 1 procedure (min.) name operating time (min.) name quantity per 1 procedure (grams, pieces - indicate) terms of use of instruments (normative)1 Anamnesis collection Ophthalmologist working on laser machines 60 min. YAG device - laser ophthalmic surgical ALOFmx 40 min. Inocaine 04%% 0.5 ml 1. Order of the Ministry of Health of the Russian Federation of November 12, 2012 N 902n “On approval of the procedure for providing medical care to the adult population for diseases of the eye, its adnexa and orbit”2 Checking visual acuity and IOP Nurse working on laser systems 60 min. Slit lamp 10 min. Disposable syringe 5 ml 1 pc.3 Examination of the patient at the slit lamp Automatic sign projector 10 min. Diacarb, 0.25 mg 1 pc.4 Instillation of mydriatic to dilate the pupil Asparkam 1 pc. 2. Standards of medical care for eye diseases (if any)5 Carrying out local anesthesia Surgical non-sterile cotton wool 2 g.6 Installing a contact lens on the patient’s eye Chlorhexidine bigluconate solution 0.05%% 50 ml7 Creating a discision hole using a laser perforator Tobrex 0.3%% (tobramycin) 0.5 ml8 Rinsing the conjunctival cavity with antiseptic eye drops Azopt 1%% 0.3 mlSolcoseryl gel 0.5 mlLevomecitin 0.25%% 0.5 mlBoric acid 20%% 0.5 mlPurified sterile water 50 ml9 Instillation of anti-inflammatory dropsChlorhexidine bigluconate solution 0.05%% 50 lm10 Checking visual acuity, IOP and re-examination of the patient11 Issuing a conclusion to the patient and preparing medical documentation Dexamethasone 0.1%% 0.5Cornegonelle 0.6 gr.Midriacil 1%% 0.3 mlDiclofinac 0.3 mlMask 3-layer 2 pairsSterile surgical gloves 2 pair

    Executor		Equipment used		Used medications, dressings, low-value equipment and tools

At the Medical Center of the Bank of Russia, the solution to this problem was facilitated by the creation and use of technological map patient management - methodological manual for doctors, where an algorithm for providing medical care for certain diseases is defined.

Stage 12. The section “Patient Education” lists the main objectives of patient education at each stage and indicates the necessary activities.

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

Stage 14. The time, place and method of assessing the correctness of the technological process are indicated, i.e. process control points are established.

Control points are characteristic areas of the process in which systemic (related to improper organization of work) deviations of the process from the design most often occur. Measuring the process at these points allows it to be monitored most effectively. The control point includes place, time, object of assessment.

Step 15. Quality indicators are listed.

If accurate information about the characteristic system deviations of a process or its stage is not available, it is difficult to establish control points. Then, to evaluate the process, they resort to constructing a hypothesis that assumes the most likely deviations. To refer to these hypothetical deviations in medical technological processes, American researchers proposed using the term “quality indicators.”

Quality indicators are quantitative or qualitative indicators aimed at searching for possible deviations, the presence of which is assumed by the expert, but the significance of which for assessing the correctness of the process has not been proven.

Quality indicators for the flow chart for the management of somatic patients suffering from depressive disorders

Indicator 1

Indicator 2

Calculation of the quality indicator Numerator - the number of patients for whom the quality indicator is met (in a controlled period of time).

The denominator is the number of patients being treated for depression (during the controlled period of time).

Step 16. Typical technological violations are indicated.

Stage 17. The application reflects the protocols of the main activities (for example, psychopharmacotherapy, risk assessment, physical rehabilitation, etc.).

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

Stage 20. A draft order is being prepared for the implementation of the technological map in a medical institution.

After the development of the technological map, at the final meeting of the working group, a final approval procedure is carried out and a corresponding protocol is drawn up.

Scheme of the technological chart of an inpatient patient

Name of nosological form_______________________________________________

Duration of hospitalization________ days +_______ days in the rehabilitation department

Providing medical care based on the developed technological map allows you to coordinate the actions of all participants in the process of providing medical care. The information presented in it is advisory in nature and is intended to help practitioners make the right clinical decisions. The flow chart is not a substitute for professional clinical judgment.

At the Medical Center, all technological maps are compiled in electronic format, which greatly facilitates working with them and allows you to make changes and additions without unnecessary difficulties.

Quality management of medical care using technological charts for patient management

Based on the information and analytical knowledge base, a patient management project is created and its management is organized according to the developed technological map. The implementation of the medical technological process is monitored during the current and final examination, the completeness, timeliness and effectiveness of medical care are monitored, as well as the degree of compliance with technological discipline and the patient’s opinion. The examination is carried out by leading specialists and heads of departments.

In inpatient treatment, ongoing assessments are performed while the patient is in the hospital. This is done so that treatment can be adjusted if there are violations. After the patient is discharged, the medical history along with the flow chart is transferred to a specialist to conduct a final expert assessment of how well the diagnostic and treatment process for a particular patient corresponded to that developed in this medical institution technological process, quality indicators for this somatic nosology.

One of the differences of the modern model of quality of medical care is its focus on the needs and expectations of consumers, in particular the focus on an objective study of the opinions of patients themselves.

The Medical Center analyzes patients' opinions on the achieved treatment results, which is one of the most important final stages of quality control of the diagnostic and treatment process. At the final stage of the hospital stay, the patient is asked to answer questions in a questionnaire.

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

The introduction of technological charts for patient management at the Medical Center made it possible to improve the quality of care provided: reduce the number of technological deviations by 3 times, achieve the desired treatment result for certain nosologies in 70% of patients, increase patient satisfaction several times (currently it is 95-98% ).

The technological approach to the provision of medical care is universal: the technological map can be used for any nosology and in any medical institution at various stages of medical care.

Discipline/MDK

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1. Subject:

Download:

Preview:

Technological map of the lesson

Discipline/MDK

PM. 04 Performing work in one or more occupations of workers and positions of employees,

MDK 04.03. Technology of medical services.

Specialty:____Nursing______

1. Subject: Technique for performing intramuscular injections.
2. Lesson no. 16 (Section 4)
3. Location of the lesson: preclinical practice room “Technologies for the provision of medical services”
4. Form and type of lesson:

Practical lesson. Combined lesson

1. Lesson objectives:

General goal: The student masters the technique of intramuscular injection on a phantom.

Specific goals:

The student must be able to:

• select the site for IM injection and create the most comfortable position for the patient during injection
• treat the patient's skin during injection
• draw a given dose of the drug from the ampoule of the bottle
• perform an intramuscular injection
• assess complications that the patient experienced during the injection
• train the patient and their family members to perform IM injections
• apply deontological communication skills with the patient when performing an injection

The student must know:

Anatomical areas for IM injections

• places for IM injections
• possible complications of intramuscular injections, measures to prevent them
• universal precautions when working with syringes, needles, contact with blood
• rules for handling syringes, needles, trays, cotton balls

Promote the formation of OK and PC

general competencies:

OK. 2 Organize your own activities, choose standard methods and ways of performing professional tasks, evaluate their implementation and quality.

professional:

PC 4. Provide medical services within the limits of their powers. Carry out the nursing process.

1. Resources:

methodological: technological map of the lesson, supporting notes, slide accompaniment; control materials, handouts.

TSO

computer, TV;

Tools and equipment:. Manipulation tables. trays, syringes, cotton balls, antiseptics, gloves, containers for waste material, injection simulator

1. Sources of information:

Main

Additional

Internet resources

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

http://www.consultant.ru/- regulatory documents;

http://www.recipe.ru/ - regulatory documents;

www.med-pravo.ru – regulatory documents.

www.rosmedlib.ru – medical student library

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

Catalog of training modules by discipline.

1. Progress of the lesson:

1. Contents of the lesson

Technique for performing intradermal and subcutaneous injections.

Possible complications associated with the use of drugs. Nurse tactics.

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

1. Homework (indicating extracurricular independent work)

. *Educational literature:

L1 Mukhina S.A., Tarnovskaya I.I., Theoretical foundations of nursing: Textbook. – 2nd ed., rev. and additional – Moscow, Geotar-Media Publishing Group, 2010 (2011).

L2 Mukhina S. A., Tarnovskaya I. I., “Practical guide to the subject “Fundamentals of Nursing” Moscow, Geotar-Media Publishing Group, 2010 (2011).

L1. p.355-361

L2. p.500-510

Extracurricular independent work- Theoretical justification of each stage of the manipulation algorithm, development of execution technology.