Student workplace at the station

The station should simulate workspace and include equipment and supplies.

List of furniture and equipment:

1. A couch (or functional bed) with a raised headboard, positioned in such a way as to allow a student to approach the patient from all sides.

2. A manikin lying on a couch providing simulations of various vital functions.

3. Telephone set (in a conspicuous place, imitation)

4. A trolley on wheels or table with placed equipment and medicines.

5. Patient monitor.

6. Wall clock with second hand.

List of medical equipment:

1. Breathing bag face mask

2. Oxygen source

3. Oxygen face mask with reservoir

4. Breathing bag with reservoir

5. Pulse Oximeter

6. Medical aspirator

7. Set of catheters for sanitation

8. Oropharyngeal airway

9. Phonendoscope

10.  Tonometer

11.  Electrocardiograph

12.  Manual defibrillator and electrode gel (preferably on a trolley with wheels)

13.  Quality control device for chest compressions

14.  Flashlight - pen

15.  Venous tourniquet

16.  Still drinking water bottle (imitation)

17.  Plastic disposable cup

18.  Infrared thermometer (imitation)

19.  Express - blood glucose analyzer

20.  Continuous infusion stand

21.  Compressor aerosol inhaler (nebulizer)

22.  Class B waste bag

23.  Class A waste bag

Expendable materials:

1. Disposable spatula in packaging

2. Examination Gloves

3. Disposable face mask

4. Alcohol wipes

5. Syringes

6. Peripheral venous catheter

7. Intravenous infusion system

8. Bandage

9. Lubricant (lubricant)

10. Sodium chloride solution 0.9% 500 ml

11. Dextrose solution 5% 200 ml

12. Dextrose solution 10% 400 ml

13. Epinephrine solution 0.1% 1 mg / ml

14. Amiodarone solution 50 mg / ml

15. Acetylsalicylic acid tablets 100 mg

16. Clopidogrel 75 mg tablets or 90 mg ticagrelor tablets

17. Isosorbide dinitrate spray

18. Salbutamol, solution for inhalation 2.5 mg - 10 nebul

19. Ipratropium bromide, solution for inhalation 500 mcg

20. 40% dextrose solution

21. Magnesium sulfate solution 250 mg / ml

22. Atropine sulfate solution 1 mg / ml

23. Dexamethasone solution 4 mg / ml, or prednisolone solution 30 mg / ml, or methylprednisolone solution 30 mg / ml

24. Hydrocortisone (lyophilisate) 100 mg

25. Tranexamic acid (Tranexam) 50 mg / ml

26. Urapidil solution 5 mg / ml

27. Furosemide solution 20 mg / 2ml

28. Heparin solution 5000 IU / ml

29. Morphine hydrochloride solution 1%

30. Omeprazole lyophilisate 40 mg

Simulation equipment characteristics:

Full-height mannequin of a person over the age of 8 years with the ability to simulate the following indicators:

1) imitation of breathing sounds and noises;

2) visualization of = chest excursion;

3) imitation of pulsation of the central and peripheral arteries;

4) displaying a given electrocardiogram on medical equipment;

5) speech accompaniment;

6) blinking eyes and changing the lumen of the pupils;

7) imitation of cyanosis;

8) imitation of the auscultatory picture of the heart, heart sounds / murmurs;

9) imitation of sweating;

10) imitation of changes in capillary filling and temperature of the skin;

11) imitation of indicators of saturation, heart rate through a real pulse oximeter;

12) imitation of indicators of blood pressure and body temperature through a simulation patient monitor.

13) A patient monitor that reproduces the parameters set in the script (if measured).

ALGORITHM OF ACTIONS IN ENGLISH

Introductory actions:

1. Assessment of situation

- look around with head turns

2. Assessment of consciousness

3. Providing other helpers (call for help)

4. Provision of emergency medical kit

5. Wear gloves

A-B (AIRWAYS, BREATHING)

6. Visually inspect the open mouth

7. Aspirate contents of the oral cavity using suction (if necessary)

8. Provide pulse oximetry

9. Provide oxygen therapy

ü maximum flow

ü medium flow

ü minimum flow

10. Perform comparative lung auscultation with phonendoscope

11. Perform comparative chest percussion

12. Assess respiratory rate (RR) during 10 sec

13. Assess the position of the trachea

14. Assess neck vein filling

C (CIRCULATION)

15. Palpate pulse on radial artery

16. Palpate pulse on carotid artery

17. Measure blood pressure using a cuff and a phonendoscope

18. Conduct auscultation of heart with a phonendoscope

19. Connect electrocardiograph and / or monitor

ü apply electrodes correctly

ü interpret ECG

20. Squeeze finger to assess capillary filling

21. Provide venous access and blood sampling for analysis

22. Assess the condition of the skin by palpating hands and / or forehead and / or cheeks and / or ankles of patient

D-E (DISABILITY, EXPOSURE)

23. Check reaction of pupils to light

24. Provide glucometry

25. Assess muscle tone (with flexion and extension every arm and every leg)

26. Palpate pulse on femoral arteries with two sides

27. Examine back

28. Conduct a rectal examination for the presence of internal bleeding (if necessary)

29. Examine shins and popliteal areas on the presence of varicose veins

30. Palpate foot and lower legs for detecting edema

31. Perform superficial palpation of the abdomen from the four sides of navel