Hamlin Fistula International Ex-patient, nurse aids in training.

 

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Nurse-Aide Training

The curriculum for the training that is given to nurse-aides is as follows:

Section I
General instructions for care of hospital equipment

  • Care of general equipment
  • Daily care of patient unit
  • Care of equipment in utility room
  • Care of linens, removal of stains
  • Care of instruments and appliances
  • Care of Cheatle forceps and pot
  • Care of sterile containers
  • Care of syringes and needles
  • Care of glassware
  • Care of electrical appliances
  • Care of rubber goods
    • Rubber bags
    • Rubber tubing
    • Rubber gloves
    • Rubber sheets

Section II
Bed making

  • Closed bed
  • Open bed
  • Occupied bed
  • Anaesthetic bed
  • Amputation bed
  • Cardiac bed
  • Baby crib

Section III
General care of the patient

  • Admission of patient
  • Morning, afternoon and evening care
  • Bath
    • Bed bath
    • Tub bath
    • Baby bath
  • Prevention and/or care of pressure sores
  • Back care
  • Oral hygiene
  • Use and care of bedpans
  • Care of hair
    • Daily care
    • Washing of hair
    • Treatment for lice
  • Perineal care
  • Discharge of patient from hospital
  • Terminal cleaning of unit

Section IV
Moving and lifting of patients

  • General rules for lifting
  • Lifting helpless patient up in bed
  • Assisting patient in bed
  • Moving patient to side of bed
  • Turning patient onto side
  • Transferring patient from bed to trolley
  • Transferring patient from bed to chair
  • Assisting patient to walk
  • Walking with crutches
  • Assisting the post-operative patient out of bed

Section V
Feeding the patient

  • Assisting the patient at meal times
  • Feeding the helpless patient

Section VI
Comfort appliances and their uses

  • Pillows
  • Air rings
  • Bed Cradles
  • Fracture board (Firm bed)
  • Sandbags
  • Foot rest
  • Back rest

Section VII
Observations

  • Signs
  • Symptoms
  • Behaviour

Section VIII
Vital signs

  • Temperature
  • Pulse
  • Respiration
  • Blood pressure

Section IX
Collection of specimens

  • Urine
  • Sputum
  • Stool
  • Blood

Section X
Bowel Care

  • Cleaning enema (normal)
  • High rectal washout
  • Passing flatus tube (Rectal tube)

Section XI
Administration of medicine

  • Oral medication
  • Suppositories
  • Intra-dermal injection
  • Subcutaneous injection
  • Intra-muscular injection
  • Intra-venous injection

Section XII
Application of hot and cold compress

Section XIII
Wound care and irrigation of urethral catheters.

  • Applying bandages
  • Wound dressing
  • Removal of stitches

Section XIV
Insertion of urethral catheter

  • Female catheterization
  • Inserting a Foley catheter
  • Bladder irrigation

Section XV
General Operative care

  • Pre-operative preparation of patient
  • Shaving
  • Post-operative care

Section XVI
Assisting with examination by doctor

  • Gynaecological examination (including vaginal)
  • General physical examination
  • Rectal examination

Section XVII
Death and dying

  • Care of dying patient
  • Care of relatives
  • Care of body

Section XVIII
Personal hygiene and environmental hygiene

  • Bathing of body
  • Hand washing
  • Clean hair and clothes
  • Clean and tidy living space

Section XIX
Behavioural Change

  • In communication
  • Ethical behaviour
  • Powers of observation

NB. Sections 1-17 are covered in class and with demonstration and revision for two months.

Hospital Practice includes working in shifts and perineal swabbing rotation over a two month period.

Operating theatre technique
Some trainees are selected to work in the operating theatre. They have an additional three months specialist training.

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