Project A Assessment of Vital Signs
1. Project Technical Requirements
(1) Be able to proficiently complete the preparatory work prior to the assessment of vital signs and assess the patient's condition and select the appropriate measurement method.
(2) Be able to perform temperature, pulse, respiration, and blood pressure measurements in a skillful and standardized manner.
2. Assessment resources
(1) Environmental preparation: clean and comfortable environment, room temperature, appropriate light or sufficient lighting.
(2) Instrumentation: bed unit, thermometer (axillary gauge, placed in a clean container), tabletop sphygmomanometer, stethoscope, gauze, pens, recording slips, nurse's chart, container with disinfectant (to hold used thermometer)
(3) Patient preparation: standardized patient (real person).
3. Requirements for operational standardization
(1) Preparation of preoperative materials meets the requirements without omission.
(2) Be able to complete the four vital signs assessment operations within the specified time.
(3) The operation is skillful and standardized with correct steps.
(4) The mercury column rises slowly and evenly during blood pressure measurement during gas injection and falls evenly during deflation.
(5) Accurate measurement data.
4. Requirements for professionalism
(1) Neat and tidy clothing, shoes and hats, no long nails, in line with the requirements of the profession.
(2) Generous instrumentation and dignified demeanor.
(3) Able to communicate effectively with patients, with standardized and polite language and amiable attitude.
5. Examination time and examination organization
(1) Examination time: no more than 10 minutes
(2) Examination organization: the examination is in the form of on-site practical operation, and the candidates take measurements on standardized patients.
Item B Confined Intravenous Infusion
1. Item Technical Requirements
(1) Be able to skillfully complete the preparation work before the confined intravenous infusion, and assess the operating environment and patient status.
(2) Ability to correctly identify the injection site.
(3) Ability to skillfully complete a closed IV infusion.
(4) State the requirements for calculating infusion rate and time, and regulating IV drip rate.
(5) Operate skillfully, accurately, and in accordance with aseptic requirements.
2. Assessment resources
(1) Environmental preparation: clean and comfortable environment, room temperature, appropriate light or sufficient lighting.
(2) Instruments and equipment: bed unit, simulated intravenous arm (can show the success of puncture), treatment cart, treatment tray, skin disinfectant, sterile cotton swabs, curved tray, disposable infusion set, 100ml saline (glass bottle), bottle sleeve, infusion bottle sticker, pen, nurse's form, implementation sheet, tourniquet, disposable treatment towel, small cushion pillow, infusion rounds record card, infusion adhesive sticker, infusion rack, hand sanitizer, sharps box, medical waste canister, household waste canister, small plastic canister.
3. Operation standardization requirements
(1) Preparation of materials before operation meets the requirements, without omission.
(2) Trimming nails, washing hands in six steps, wearing masks, and dressing and hairstyling in accordance with professional requirements.
(3) The ability to care for the patient, patient-centeredness, effective communication, and ensuring safety during operations.
(4) The checking system is carried out carefully before, during and after the operation.
(5) The operation is skillful, light, standardized, and orderly, and the concept of asepsis is strong. Can puncture successfully, drip rate meets the requirements, input is smooth, no local swelling, leakage.
(6) Can complete the operation within the specified time.
4. Professional quality requirements
(1) Clothing, shoes and hats are neat, no long nails, in line with the professional requirements.
(2) Generous instrumentation and dignified demeanor.
(3) Ability to communicate effectively with patients, with standardized language, politeness, and amiable attitude.
5. Assessment time and examination organization
(1) Examination time: not more than 15 minutes.
(2) examination organization: the use of on-site practical form, the candidates one person a bed unit.
Item C Aseptic Technical Manipulation
1. Item Technical Requirements
(1) Be able to correctly express the environmental requirements for aseptic manipulation and prepare the supplies.
(2) Be able to perform six-step handwashing using hand sanitizer.
(3) Can correctly use sterile holding forceps to access and pass sterile items.
(4) Can correctly use a sterile bag, lay out a sterile tray, and use a sterile container.
(5) Can correctly put on and take off sterile gloves.
(6) Candidates operate accurately and skillfully, have a strong sense of asepsis, and move generously and appropriately, with little walking, reflecting the principle of labor-saving.
2. Assessment resources
(1) Environmental preparation: clean and comfortable environment, room temperature, appropriate light or sufficient lighting.
(2) Instruments and equipment: operating table, treatment trays, sterile holding forceps, containers for soaking sterile holding forceps, sterile towel packs, disinfectant cotton ball cylinder, sterile dry cotton ball cylinder, sterile holding forceps and a set of holding cylinders (dry placement), 2 pairs of sterile gloves, clean curved trays 2, sterile containers (containing: 1 treatment bowl, curved trays, vascular forceps 1, 1 tweezers, 4 pieces of gauze), hand disinfectant solution, Treatment trolley, recording paper, pen.
3. Operation standardization requirements
(1) Preparation of materials before operation meets the requirements, without omission.
(2) Trimming nails, washing hands, wearing a mask, dress and hairstyle in line with the requirements of the examination.
(3) The operation process can not violate the principle of aseptic technical operation, and can follow the operation procedures to complete the operation within the specified time skillfully.
4. Professional quality requirements
(1) Clothing, shoes and hats are neat, no long nails, in line with the examination requirements.
(2) Generous instrumentation and dignified demeanor.
5. Examination time and examination organization
(1) Examination time: no more than 12 minutes
(2) Examination organization: the use of on-site practical form, the candidates one person one operating table.
Project D Cardiopulmonary resuscitation
1. Project technical requirements
(1) Be able to skillfully complete the preparatory work before cardiopulmonary resuscitation, and assess the operating environment and patient status.
(2) Be able to use the CPR model correctly and complete 2 cycles (saving exam time) of CPR.
(3) The position of cardiac compression is accurate, the force is appropriate, and the arm is straight and vertical downward force is applied during compression.
(4) When artificial respiration is performed, the volume and speed of each blow is appropriate, the blowing time lasts more than 2 seconds, and the force is even.
(5) Evaluate the condition after resuscitation.
(6) Accurate and skillful operation of skills, candidates have a strong ability to improvise.
2. Assessment resources
(1) Environment preparation: clean and comfortable environment, room temperature, appropriate light or sufficient lighting.
(2) Instruments and equipment: cardiopulmonary resuscitation simulator (does not provide a uniform model, no need to print the results of resuscitation), diagnostic beds, footstools, artificial respiratory film (can also be used with gauze), flashlight, curved disk, treatment bowl (containing gauze 2), plastic cylinder, pen, nurse's watch, resuscitation record card (single).
3. Operation standardization requirements
(1) Preparation of preoperative supplies meets the requirements without omission.
(2) Candidates are able to complete the CPR operation within the specified time.
(3) Resilience, the operation process is nervous and orderly.
4. Professional quality requirements
(1) Neat clothing, shoes and hats, no long nails, in line with professional requirements.
(2) Generous instrumentation, dignified demeanor, agile movements, calm and collected.
5. Examination time and examination organization
(1) Examination time: no more than 10 minutes
(2) Examination organization: the examination adopts the form of on-site practical operation, each person a bed unit.
Professional Category II Basic Medical Skills
Item A General Physical Examination
1. Technical Requirements for the Item
(1) Be able to skillfully complete the preparatory work prior to the general physical examination, and to select the appropriate measurement method.
(2) Be able to perform general physical examination in a skillful and standardized manner.
(3) Be able to use thermometers and sphygmomanometers correctly.
2. Assessment resources
(1) Environmental preparation: clean and comfortable environment, room temperature, appropriate light or sufficient lighting.
(2) Instruments and equipment: diagnostic bed, thermometer (axillary gauge, placed in a clean container), table-top sphygmomanometer, stethoscope, gauze, pen and book for recording, chronograph, container with disinfectant (to hold the used thermometer).
(3) Patient preparation: standardized patients.
3. Requirements for operational standardization
(1) Preparation of preoperative materials meets the requirements without omission.
(2) Can complete the general physical examination operation within the specified time.
(3) The operation is skillful and standardized, and the steps are correct.
(4) Accurate measurement data.
(5) Demonstrate a good sense of love for injuries, strong communication skills and high medical ethics during the operation.
4. Examination time and examination organization
(1) Examination time: no more than 20 minutes
(2) Examination organization: the examination adopts the form of on-site practical operation, and the candidates operate on standardized patients.
Project B aseptic operation technology (3)
1. Project technical requirements
(1) to be able to skillfully complete the preparation of aseptic technology before operation.
(2) Ability to properly perform surgical hand washing.
(3) Ability to correctly put on and take off sterile gloves.
(4) Can correctly put on and take off sterile surgical gowns.
(5) Candidates are accurate and skillful in their operations, with a strong sense of asepsis and standardized practices.
2. Assessment resources
(1) Environmental preparation: clean and comfortable environment, room temperature, appropriate light or sufficient lighting.
(2) Instruments and equipment: surgical hand washing conditions, surgical hand disinfectant; 1 pair of sterile gloves; 1 sterile surgical gown.
3. Operation standardization requirements
(1) Preparation of preoperative supplies meets the requirements without omission.
(2) Trimming nails, washing hands, wearing a mask, dress in accordance with the requirements of the examination.
(3) The operation process can not violate the principle of aseptic technique operation, and can follow the operation procedure to complete the operation skillfully within the specified time.
(4) The instrumentation is generous and the demeanor is dignified.
4. Examination time and examination organization
(1) Examination time: not more than 20 minutes.
Surgical scrubs 10 minutes
Donning and doffing of sterile gloves, 5 minutes
Donning and doffing of sterile surgical gowns 5 minutes
(2) Examination organization: the use of on-site practical form.
Item C Cardiopulmonary resuscitation
1. Technical requirements of the program
(1) To be able to skillfully complete the preparatory work before cardiopulmonary resuscitation and assess the state of the patient.
(2) Be able to use the CPR model correctly and complete 5 cycles of CPR.
(3) The position of cardiac compression is accurate, the force is appropriate, and the arm is straight and vertical downward force is applied during compression.
(4) When artificial respiration is performed, the volume and speed of each blow is appropriate, the blowing time lasts more than 2 seconds, and the force is even.
(5) Accurate and skillful operation of skills, candidates have strong ability to improvise.
2. Assessment resources
(1) Environment preparation: clean and comfortable environment, room temperature, appropriate light or sufficient lighting.
(2) Instruments and equipment: cardiopulmonary resuscitation simulators, diagnostic beds, compression boards, footstools, artificial respiratory membrane (can also be used gauze), gauze (for the removal of foreign bodies in the mouth), resuscitation record card (single).
3. Operation specification requirements
(1) Preparation of preoperative supplies meets the requirements without omission.
(2) Candidates are able to complete the CPR operation within the specified time.
(3) Resilience, the operation process is nervous and orderly.
(4) Candidates have a generous instrument, behave in a dignified manner, and are calm and collected.
4. Assessment time and examination organization
(1) Examination time: no more than 20 minutes
(2) Examination organization: the examination adopts the form of on-site practical operation.
Item D debridement
1. Technical requirements of the program
(1) Be able to skillfully complete the pre-assessment preparation work.
(2) Proficiency in the steps and precautions of debridement.
(3) Candidates should be skillful, accurate, and agile in the performance of their skills.
2. Assessment resources
(1) Environment preparation: clean and comfortable environment, room temperature, suitable light or sufficient lighting.
(2) Instruments and equipment: trauma model, treatment tray, gauze, curved disk, suture needle, suture, needle holder, wire cutter, tweezers, rubber gloves, cotton balls, saline, hydrogen peroxide solution, iodine vapors, soapy water, sterile gauze, adhesive tape.
3. Operation standardization requirements
(1) Preparation of preoperative supplies meets the requirements without omission.
(2) Candidates are able to complete the debridement operation within the specified time.
(3) Resilience, the operation process is nervous and orderly.
(4) Candidates are generous in their appearance, dignified in their demeanor, and calm in their demeanor.
4. Assessment time and examination organization
(1) Examination time: no more than 20 minutes
(2) Examination organization: the examination adopts the form of on-site practical operation.
Professional Category III Common Rehabilitation Techniques
Project A: Human Morphology Measurement and Plyometrics
1. Technical Requirements for the Project
(1) To be able to complete the preparatory work before human morphology measurement and plyometrics training.
(2) To be able to skillfully complete the measurement of height, weight and limb length and circumference, and to calculate the body mass index (BMI).
(3) Skilled in assisting and instructing patients with a muscle strength of 1 to 5 in limb plyometrics.
(4) Be able to perform skills with proficiency, accuracy, and agility; demonstrate love of injury.
2. Assessment resources
(1) Environmental preparation: clean and comfortable environment, room temperature, appropriate light or sufficient lighting.
(2) Instruments and equipment: treatment bed, leather ruler, steel tape measure, slide board, suspension device, sandbag set, dumbbell set.
(3) Patient preparation: standardized patients.
3. Requirements for the operation specification
(1) Obey the arrangement of the invigilator and maintain the order of the examination room.
(2) Be able to strictly abide by the principles of each operation and standardize the operation.
(3) Be able to complete all operations within the specified time.
(4) Be able to use measuring tools correctly.
(5) Return supplies to their original place and arrange them neatly after measurement and training.
4. Occupational Requirements
(1) Clothing, shoes and hats are neat and clean, no long nails, and meet occupational requirements.
(2) Generous instrumentation and dignified demeanor.
(3) Ability to communicate effectively with patients, with standardized language, politeness, and amiable attitude.
5. Examination time and examination organization
(1) Examination time: not more than 30 minutes
Human morphology measurement 20 minutes
Muscle training 10 minutes
(2) Examination organization: the examination adopts the form of on-site practical operation.
Project B: Muscle strength evaluation and passive joint mobility training
1. Technical requirements of the project
(1) To be able to complete the preparatory work before muscle strength evaluation and joint mobility training.
(2) The trainee should be able to complete the evaluation of the muscle strength of the main muscles of the limbs and to name the active muscles.
(3) Can skillfully perform passive activities of paralyzed limbs in patients with delayed hemiplegia.
(4) Can perform skillful, accurate, and agile maneuvers; demonstrates love of injury.
2. Assessment resources
(1) Environmental preparation: clean and comfortable environment, room temperature, appropriate light or sufficient lighting.
(2) Instruments and equipment: treatment bed, grip strength meter, tensiometer.
(3) Patient preparation: standardized patients.
3. Requirements of operation standardization
(1) Obey the arrangement of the invigilator and maintain the order of the examination room.
(2) Be able to strictly abide by the principles of each operation and standardize the operation.
(3) Be able to complete all operations within the specified time.
(4) Be able to use measuring tools correctly.
(5) Return supplies to their original place and arrange them neatly after measurement and training.
4. Professionalism Requirements
(1) Neat and tidy clothing, footwear and hats, no long fingernails, in line with examination requirements.
(2) Candidates' instrumentation is generous and their demeanor is dignified.
(3) Candidates are able to communicate effectively with patients, with standardized language, politeness, and amiability.
5. Examination time and examination organization
(1) Examination time: not more than 30 minutes
Muscle strength evaluation 20 minutes
Joint mobility training 10 minutes
(2) Examination organization: the examination adopts the form of on-site practical operation.
Project C: Evaluation of joint mobility and placement of good limbs in hemiplegic patients
1. Technical requirements of the project
(1) To be able to complete the evaluation of joint mobility and the preparation of hemiplegic patients before placement of good limbs.
(2) The trainee should be able to perform joint mobility measurements of the large joints of the extremities.
(3) They are able to correctly position the limbs of hemiplegic patients.
(4) Ability to perform skillful, accurate, and agile maneuvers; demonstrates love of injury.
2. Assessment resources
(1) Environmental preparation: clean and comfortable environment, room temperature, appropriate light or sufficient lighting.
(2) Instruments and equipment: therapeutic bed, universal protractor, long large square pillow, square small soft pillow, sandbags.
(3) patient preparation: standardized patients.
3. Requirements for the operation specification
(1) Obey the arrangement of the invigilator and keep the order of the examination room.
(2) Be able to strictly abide by the principles of each operation and standardize the operation.
(3) Be able to complete all operations within the specified time.
(4) Be able to use measuring tools correctly.
(5) Return supplies to their original place and arrange them neatly after measurement and training.
4. Professionalism Requirements
(1) Clothing, footwear and hats are neat and tidy and meet the requirements of the examination.
(2) Candidates have a generous instrument and behave in a dignified manner.
(3) Candidates are able to communicate effectively with patients, with standardized language, politeness, and amiable attitude.
5. Examination time and examination organization
(1) Examination time: not more than 30 minutes
Joint mobility assessment 20 minutes
Hemiplegic patients with good limb position placement 10 minutes
(2) Examination organization: the examination adopts the form of on-site practical operation.