| 
   Date, time  | 
  
   Performed work  | 
  
   Notes  | 
 
Report about community health work
| 
   Date  | 
  
   Name of lecture, discussion, newsletter  | 
  
   Number of presented patients  | 
  
   Signature  | 
 
Student ___________ Name
signature
Head nurse ___________ Name
signatur
Report about educational scientific work
| 
  
   Theme of abstract  | 
  
   Theoretical and practicalconference  | 
  
   Signature of the student  | 
 ||
| 
   Date  | 
  
   Place of performing  | 
  
   Number of participants  | 
 ||
Head nurse ___________ Name
signatur
REPORTABOUTPRACTICALTRAINING
Student’s name _______________________________________________________________
________ year of aducation____group_____________________________________ faculty
| 
   №  | 
  
   Manipulationsand procedures  | 
  
   Minimum  | 
  
   Performed  | 
 
| 
   1  | 
  
   2  | 
  
   3  | 
  
   4  | 
 
| 
   1. Work at the admission department  | 
 |||
| 
   1  | 
  
   Sanitization of patients  | 
  
   5  | 
  |
| 
   2  | 
  
   Anthropometric measurements (height, body weight)  | 
  
   10  | 
  |
| 
   3  | 
  
   Transportation of patients (by trolley, by stretcher)  | 
  
   3  | 
  |
| 
   4  | 
  
   Filling of medical documentation: facing page of case history, statistical card, and journal of registration of patients.  | 
  
   5  | 
  |
| 
   2. Work at the therapeutic department  | 
 |||
| 
   5  | 
  
   Change of linen  | 
  
   3  | 
  |
| 
   6  | 
  
   Change of underwear  | 
  
   3  | 
  |
| 
   7  | 
  
   Toilet of body skin  | 
  
   5  | 
  |
| 
   8  | 
  
   Toilet of face  | 
  
   2  | 
  |
| 
   9  | 
  
   Toilet oral cavity  | 
  
   2  | 
  |
| 
   10  | 
  
   Eyes washing  | 
  
   2  | 
  |
| 
   11  | 
  
   Instillation of eye drops  | 
  
   2  | 
  |
| 
   12  | 
  
   Insertion of eye ointment  | 
  
   2  | 
  |
| 
   13  | 
  
   Toilet of nasal meatus  | 
  
   2  | 
  |
| 
   14  | 
  
   Instillation of nasal drops  | 
  
   2  | 
  |
| 
   15  | 
  
   Toilet auricle skin  | 
  
   2  | 
  |
| 
   16  | 
  
   Instillation ear drops  | 
  
   2  | 
  |
| 
   17  | 
  
   Combing of patients  | 
  
   3  | 
  |
| 
   18  | 
  
   Feeding of patients  | 
  
   5  | 
  |
| 
   19  | 
  
   Measurement of body temperature  | 
  
   35  | 
  |
| 
   20  | 
  
   Measurement of breathing rate  | 
  
   35  | 
  |
| 
   21  | 
  
   Measurement of heart rate  | 
  
   35  | 
  |
| 
   22  | 
  
   Measurement of blood pressure  | 
  
   20  | 
  |
| 
   23  | 
  
   Placing of bedpan  | 
  
   3  | 
  |
| 
   24  | 
  
   Applying a compress  | 
  
   2  | 
  |
| 
   25  | 
  
   Giving an enema  | 
  
   3  | 
  |
| 
   26  | 
  
   Presterilization cleaning of used instruments  | 
  
   5  | 
  |
| 
   27  | 
  
   Performed subcutaneous injections  | 
  
   5  | 
  |
| 
   28  | 
  
   Performed intramuscular injections  | 
  
   20  | 
  |
| 
   29  | 
  
   Performed intravenous injections  | 
  
   10  | 
  |
| 
   30  | 
  
   Performed intracutaneous injections  | 
  
   5  | 
  |
| 
   31  | 
  
   Taking part in resuscitation (artificial ventilation and external cardiac massage)  | 
  
   1  | 
  |
| 
   32  | 
  
   Taking part in gastric lavage  | 
  
   1  | 
  |
| 
   33  | 
  
   Blood grouping  | 
  
   5  | 
  |
| 
   34  | 
  
   Venous blood sampling for analysis  | 
  
   5  | 
  |
| 
   35  | 
  
   Urine sampling for analysis  | 
  
   5  | 
  |
| 
   36  | 
  
   Faeces sampling for analysis  | 
  
   5  | 
  |
| 
   37  | 
  
   Sputum sampling for analysis  | 
  
   5  | 
  |
| 
   38  | 
  
   Preparing the patients for X-ray examination of abdominal cavity organs  | 
  
   4  | 
  |
| 
   39  | 
  
   Taking part in gastric content sampling  | 
  
   1  | 
  |
| 
   40  | 
  
   Taking part in duodenal intubation  | 
  
   1  | 
  |
| 
   41  | 
  
   Taking part in performing of full blood count  | 
  
   2  | 
  |
| 
   42  | 
  
   Taking part in performing of urine analysis  | 
  
   2  | 
  |
| 
   43  | 
  
   Discussions and newsletters  | 
  
   1  | 
  |
| 
   44  | 
  
   Night duties (number/hours)  | 
  
   1/12  | 
  |
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