Practical Training & Electives

PRACTICAL TRAINING IN NURSING after the first year of studies

Upon completion of the first year of studies, the student is required to do 4-week practical training in nursing (20 days × 6 hours daily, in total 120 hours in the hospital clinics or wards). The training tutor should be a nurse with proper professional and general preparation.

Practical summer training goals:
1. Orientation in the organizational system of the hospital.
2. Ability to do the basic nursing procedures (blood pressure measurement, taking temperature, pulse, number of breaths, technique of making the bed and changing the bedclothes, helping in patient’s cleaning, sanitary service and feeding the patient, preparing the medicine, nursing the patient after the operation).
3. Assistance at subcutaneous and intramuscular injections, preparation of the intravenous drip.

MEDICAL PRACTICAL TRAINING after the second year of studies: Outpatient Health Service (Family doctor)

Upon completion of the second year of studies, the student is required to do 3-week practical medical training (15 days × 6 hours daily, in total 90 hours in the Outpatient Clinic (family medicine). The training tutor should be the appointed doctor of the Outpatient Clinic.

Practical summer training goals:
1. Familiarizing with the range of work of the Outpatient Clinic and with the way of keeping the documentation.
2. Taking part in the prophylactic examinations.
3. Taking part in the examination carried out by the doctor (diagnosing, commission to do diagnostic examinations, decision on the way of treatment, referring to the specialist outpatient clinics).
4. Getting to know theoretical, and as far as it is possible, practical principles of giving first aid in case of emergency.
5. Writing out on the doctor’s medical notes, medical certificates, referrals and others.
6. Participation in “house calls”.

MEDICAL PRACTICAL TRAINING after the second year of studies: First Aid

Upon completion of the second year of studies, the student is required to do 1-week practical medical training (5 days × 6 hours daily, in total 30 hours) in Emergency First Aid at an Admission Room/Outpatients’ Clinic/Emergency Ward. The training tutor should be the appointed doctor by the Head of Admission Room/Outpatients’ Clinic/Emergency Ward.

Practical summer training goals – emergency first aid:
1. Familiarizing with the organisation and the range of work of the Emergency Ward (adjusting patients to the hospital, ordering tests, keeping the documentation).
2. Familiarizing with the kit for the first aid.
3. Assisting at giving first aid.
4. Getting the ability of behaviour in the situation of life-threatening.

MEDICAL PRACTICAL TRAINING after the third year of studies: Internal Medicine Ward

Upon completion of the third year of studies, the student is required to do 4-week practical medical training (20 days × 6 hours daily, in total 120 hours) in the Internal Medicine Ward. The training tutor should be a doctor appointed by the Head of Ward.

Practical summer training goals:
1. Familiarizing with the organization of Internal Medicine Ward and its cooperation with other wards and outpatient health service.
2. Taking part in home doctor’s rounds.
3. Improving the skills of interviewing and physical examination.
4. Developing the ability to diagnose and distinguish basic disease entities.
5. Improving the skills of interpretation of the diagnostic examinations and using them in practice.
6. Cooperation in nursing and medical procedures (intravenous injections, putting sb on a drip, catheterizing) if possible.
7. Help in keeping the medical documentation.

MEDICAL PRACTICAL TRAINING after the fourth year of studies: Pediatric Ward and Intensive Care Ward

Upon completion of the fourth year of studies, the student is required to do 2-week practical medical training (10 days × 6 hours daily, in total 60 hours) in the Pediatric Ward and 2-week practical medical training (10 days × 6 hours daily, in total 60 hours) in the Intensive Care Ward. The training tutor should be a doctor appointed by the Head of Ward.

Practical summer training goals – Pediatric Ward:
1. Getting to know the Ward’s organization.
2. Taking part in the doctor’s rounds and familiarizing with the principle of keeping the documentation of the cases history and taking part in multi-specialist consultations.
3. Diagnosing and distinguishing basic disease entities.
4. Improving the physical examination of the child and interpretation of the results of additional examinations.
5. Assessment of the health state of the child and his/her psychophysical development.
6. Familiarizing with the nursing of the baby, getting to know the principles of feeding the child in a good and bad health state.
7. Carrying out, under supervision, the procedures (putting sb on drips, giving shots etc.).
8. Familiarizing with the medical documentation.

Practical summer training goals – Intensive Care Ward:
1. Familiarizing with the organization, equipment and the role of Intensive Care Wards in hospital treatment.
2. Familiarizing with the criteria of qualifying patients to be admitted for treatment in the Intensive Care Ward.
3. Acquiring the ability to examine unconscious patients and patients under analgosedation.
4. Getting to know the principles of monitoring and organ-replacement therapy in patients in critical condition, specially respiratory therapy.
5. Getting to know the diagnosis of shock syndromes and pre-shock condition.
6. Familiarizing with ethical problems referring to patients treated at intensive care units.

MEDICAL PRACTICAL TRAINING after the fifth year of studies: Surgery Ward and Gynecology and Obstetrics Ward

Upon completion of the fifth year of studies, the student is required to do 2-week practical medical training (10 days × 6 hours daily, in total 60 hours) in the Surgery Ward and 2-week practical medical training (10 days × 6 hours daily, in total 60 hours) in the Gynecology and Obstetrics Ward. The training tutor should be a doctor appointed by the Head of Ward.

Practical summer training goals– General Surgery Ward
1. Getting to know the organization of the Surgery Ward.
2. Taking part in the doctor’s rounds.
3. Improving the medical examination and diagnostic proceedings.
4. Mastering the rules of aseptics and antiseptics and the technique of cleaning before the operation.
5. Active participation in the ward work, assisting and carrying out the basic procedures: changing of dressing, acquiring a skill of stitching up sb and taking out the stitches, putting sb on drips.
6. Assisting at the operations in the operating theatre.

Practical summer training goals– Gynecology and Obstetrics Ward
1. Familiarizing with the work organization of the Hospital Maternity Emergency Room, Delivery and Puerperal Ward.
2. Admission of parturient to the delivery, actions connected with the cleaning of parturient.
3. Observation of the delivery course, keeping the proper documentation, taking into consideration the most important parameters which show the state of health of mother and baby.
4. Cooperation in receiving of physiological delivery under the strict control of midwife and doctor
5. Assisting at caesarean operation, estimation of placenta after the delivery and perineorrhaphy.
6. Familiarizing with the organization of work in the Gynecology Emergency Room and in the Gynecology Ward.
7. Cooperation in keeping the documentation, taking material for histopathological and cytological examinations.
8. Getting to know principles of gynecological examination and pro-phylactic of cancers of female sexual organs and breast gland.
9. Assisting at gynecological operations.

NURSING/MEDICAL PROCEDURES RECOMMENDED TO BE PERFORMED BY THE STUDENT

Subcutaneous injection
Endermic injection
Intramuscular injection
Intravenous injection
Putting sb on a drip
Taking blood samples for diagnostic examinations
Taking the bacteriological swabs
Using the glycometer
Pressure measurement
Central venous pressure measurement
Carrying out ECG examination
Assisting at US examination
Assisting at defibrillation
Assisting at inserting a stomach tube
Assisting at endoscopic examinations
Per rectum examination
Enema
Introducing a catheter to a bladder
Assisting at paracentesis of body cavities
Aspirating a secretion from a bronchial tree
Making the patient active after the procedure
Feeding and hygiene
Artificial resuscitation- assisting/conducting
Resuscitation – assisting

SURGICAL PROCEDURES

Stitching up sb and taking out the stitches
Assisting at the operation
Wound dressing

ORTHOPEDIC PROCEDURES

Putting on immobilizing splint
Applying a plaster dressing
Orthopedic supply

LARYNGOLOGICAL EXAMINATION

OBSTETRIC-GYNECOLOGICAL EXAMINATION
Colposcopy-assisting
Taking the cytologic swab
Observation of the delivery course
Estimation of heart activity of the fetus, assisting at CT examination
Assisting at delivery

PEDIATRIC EXAMINATION
Care of newborns