I.

HORBACHEVSKY TERNOPIL NATIONAL Department of

MEDICAL UNIVERSITY OF MINISTRY OF HEALTH Internal Medicine
OF UKRAINE Propedeutics and
Phthisiology
Department of
pediatrics no.2
Department of general
surgery

Syllabus of course
«Nursing Practice in Internal Medicine»

Specialty 222 “Medicine”

Branch of knowledge 22 Health Care
Level of higher education Second master's degree
Degree of higher education Master of Medicine
Status of the course Normative
Year of training 2020-2021 - Third year of training / first, second semester
Language of teaching English
Amount of ECTS credits 5,0
Distribution by class type and Lectures – not applicable.
training hours Practical training - 36 hours
Self education — 114 hours
Form of final control Differential test
Information about the course Practical classes:
head / teachers Prof., DSc, PhD, MD. Andreychyn S.М.
Assoc. Prof., PhD, MD. Kavetska N.А.
Assoc. Prof., PhD, MD. Bilkevych N.А.
Assoc. Prof., PhD, MD. Chernets Т. Yu.
Assoc. Prof., PhD, MD. Vereshchahina N.Ya.
Assoc. Prof., PhD, MD. Yarema N.Z.
Assoc. Prof., PhD, MD. Hanberger І.І.
Assoc. Prof., PhD, MD. Kucher S.V.
Assistant, PhD, MD. Mudra U. О.

Prof., DSc, PhD, MD. Deykalo І.М.

Prof., DSc, PhD, MD. Zaporozhan S.Yo.
Assoc. Prof., PhD, MD.Makhnitskyy А.V.
Assoc. Prof., PhD, MD. Pavlyshyn А.V.
Assoc. Prof., PhD, MD. Kovalchuk А.О.
Assoc. Prof., PhD, MD. Fira D.B.
Assoc. Prof., PhD, MD. Kushnir R.Ya.
Assistant, PhD, MD. Hrynkiv N.І.
Assistant, PhD, MD. Bukata V. V.

Prof., DSc, PhD, MD. Boyarchuk О. R.

Prof., DSc, PhD, MD. Fedorciv О.Ye.
Assoc. Prof., PhD, MD. Shulhai О.М.
Assoc. Prof., PhD, MD.. Nykytiuk S.О.
Assoc. Prof., PhD, MD. Mudryk U.М.
Assoc. Prof., PhD, MD. Kinash М.І.
Assoc. Prof., PhD, MD. Kosovska Т.М.
 Assoc. Prof., PhD, MD. Levenets S.S.
Assoc. Prof., PhD, MD. Chornomydz І.B.
Assoc. Prof., PhD, MD. Yarema N.М.
Assoc. Prof., PhD, MD. Hariyan Т.V.
Assistant, PhD, MD. Rohalska Ya.V.
Assistant, PhD, MD. Mochulska О.М.
Assistant, MD. Datkun А.Yu.
Physical address of the Department of Internal Medicine Propedeutics and Phthisiology,
department and course 46001, Ternopil, Kupchyns’koho str., 14.
location department website https://pim.tdmu.edu.ua/home
e-mail propedev_vn@tdmu.edu.ua

Department of Children’s Diseases with Pediatric Surgery,

46023, Ternopil, acad. Sakharova str., 2.
Phone number (0352) 26-90-61
department website https://cd.tdmu.edu.ua/home
e-mail pedia_duthir@tdmu.edu.ua
Department of General Surgery, 46001, Ternopil, Spythal’na
str., 2.
Phone number (0352) 25-06-47, (0352) 52-53-50
department website https://gis.tdmu.edu.ua/home
e-mail general_surgery@tdmu.edu.ua
Class days According to the current schedule of practical classes
Consultations From 15.30 till 20.30, Departments of Internal Medicine
Propedeutics and Tuberculosis, General Surgery, Children’s
Diseases with Pediatric Surgery, Disaster and Military Medicine,
full-time, according to the schedule, individual.
Web portal Link to the location of the course in the Moodle system
https://moodle.tdmu.edu.ua/course/view.php?id=697
https://moodle.tdmu.edu.ua/course/view.php?id=411
https://moodle.tdmu.edu.ua/course/view.php?id=748

2. Description of the course

The program on discipline "Nursing practice" for students of higher medical educational
institutions of Ukraine is made for the branch of knowledge 22 «Health Care», specialty 222
«Medicine» (second (master's) level of higher education) with the qualification "Doctor".
The program is designed in accordance with the working curriculum of I. Horbachevsky
Ternopil National Medical University of the Ministry of Health of Ukraine, discussed and approved
at the meeting of the Academic Council of I. Horbachevsky Ternopil National Medical University
protocol No 4 from 27.04.2021 and entered into force by order No 186 from 27.04.2021.
Nursing practice is a clinical course aimed at mastering the basic techniques of professional
activity of a nurse on the basis of deep knowledge and understanding of the patient's body functioning
in compliance with the principles of medical ethics and deontology, acquaintance of the student with
the basic responsibilities and professional actions of a nurse in the therapeutical, surgical and pediatric
departments of the hospital. The course "Nursing Practice" involves mastering the basic manipulation
techniques of the nurse of the relevant departments of the hospital, as well as the study of hygienic,
preventive and curative measures, which are within the competence of medial medical personell and
are used to create comfortable conditions for patients in the hospital as well as prevention of
complications.
 Assimilation of the study material is based on consistent implementation of the specified scope
of actions in the work of therapeutic, surgical and pediatric departments of hospitals.
3. Purpose of the course
Nursing practice is one of important subjects in the system of higher medical education.
Nursing is an independent science and an independent profession. But all health professionals, without
exception, must have the knowledge and skills of nursing. It is clear that treatment will not be effective
without proper care of the patient, carrying out all necessary nursing manipulations, creating
comfortable living conditions for the patient, maintaining a healthy lifestyle for patients, proper
nutrition during recovery and after treatment.
Assimilation of the basic theoretical knowledge is necessary for the organization of
comfortable in-patient treatment in a hospital and maintenance of necessary care of it at all stages of
treatment.
The main task of the curriculum is to acquire the basic practical skills of a nurse of a therapeutic
hospital and the ability to determine and assess the general condition of the patient, the basic
parameters of his/her life and the rules of vital needs in monitoring and caring for patients, nursing,
disease prevention, emergency care. and the formation of students' moral, ethical and deontological
qualities in professional communication with the patient and the application of the rules of
professional ethics and deontology in practice, as well as the formation of an active position of
students themselves on a healthy lifestyle.
Competences and results of mastering the discipline, the formation of which is facilitated by
the subject Nursing practice (relationship with the normative content of training of higher education,
formulated in terms of learning outcomes in the Standard).

The desired final result is obtained by the applicant of higher medical education as a
result of mastering the training material:
FINAL OBJECTIVES OF THE DISCIPLINE:
1. Acquisition by students of the basic knowledge regarding duties of the medial medical
personnel and the basic legislative and regulatory acts regulating work of the nurse of therapeutic,
surgical, pediatric departments of a hospital;
2. Acquisition of basic practical skills of a nurse of therapeutic, surgical, pediatric
departments of the hospital
3. Acquisition of theoretical knowledge necessary for the organization of comfortable
conditions of stay of the patient in a hospital and maintenance of necessary care of it at all stages of
treatment and to improve skills of care of sick children.
4. Formation of students' moral, ethical and deontological qualities in professional
communication with a patient and application of rules of professional ethics and deontology in
practice.
5. Competences and results of mastering the discipline, the formation of which is
facilitated y the subject Nursing practice in Internal Medicine (relationship with the normative content
of training of higher education, formulated in terms of learning outcomes in the Standard).

The desired end result is obtained by the applicant of higher medical education as a result
of mastering the training material:

• acquisition and improvement of professional skills of a nurse;

• consolidation in practice of theoretical knowledge on observation and care of patients;
• deepening and systematization of knowledge and skills in patient care in accordance with the
principles of medical ethics and deontology.

4. Pre-Requisitioning and post-requisitioning of the course

Prerequisite. The study of the course "Nursing Practice" is focused on basic knowledge of
subjects acquired at previous levels of higher education, especially during the study of the following
subjects: medical biology, medical and biological physics, human anatomy, physiology, bioorganic
and biological chemistry, microbiology, virology and immunology.

Postrequisite. As a result of studying the course "Nursing Practice" students of the second
educational and scientific level of higher education can use the learning outcomes in the study of
propedeutics of internal medicine, propedeutics of pediatrics and general surgery, which integrates
the program of the Course. In turn, Nursing Practice forms the basis for studeing further clinical
disciplines - internal medicine, pediatrics, surgery, anesthesiology and intensive care, which involves
integration with these disciplines "vertically" and the formation of skills to apply knowledge of
nursing in further study and in professional activity.

5. CONTENT OF THE PROGRAM

SECTION 1

PART І. MAIN RESPONSIBILITIES AND PROFESSIONAL DUTIES OF A NURSE

IN THERAPEUTIC DEPARTMENT OF A HOSPITAL (Department of Internal Medicine
Propaedeutics and Tuberculosis)
Topic 1. Organization of work and responsibilities of the nurse in main structural units
of the therapeutic hospital. Organization of the nurse post. Documentation and rules of its
fulfillment. Thermometry, blood pressure measurement, taking pulse with data recording in
the temperature sheet. Organization of the procedural room. The rules of prescription,
accounting and storage of medicines.
Moral, ethical and legislative base of nursing in Ukraine. The ethical foundations of nursing.
Internastional ethical codes in Nursing. Code of the International Council of Nurses. Florence
Nightingale Oath. The moral and legal responsibility of the nurse to society. Guarantees and
protection of the nurse legal rights. List of MHP of Ukraine orders that regulate nurse professional
activity in therapeutic department.
Structure and functions of therapeutic department of a hospital, the main structural units of
therapeutic hospital: admissions department, therapeutic department, diagnostic departments,
clinical labs. The nurse duties in main structural units of therapeutic department. Documents list, led
by nurse in different structural units of therapeutical departments of a hospital. The basic rules of
medicines and medical equipment storage. The nurse duties in keeping administration, medical and
protective as well as sanitary and hygienic regimens in the therapeutic departments.
Nurse post work organization. Documents, filled by a nurse and rules of their fulfillment.
Registration of new-admitted patients. Thermometry, arterial pressure measurement, pulse
examination with recording of data obtained in temperature paper. Working with prescribtion list.
Organization of nurse activity in procedural room. The basic documentation of the procedural
room. The rules of storage and registration of medicines and medical equipment in the procedural
room. Ordering, registration and storage of strong-effective, narcotic and poisonous substances
according to the relevant order.
Topic 2. Methods and techniques of taking complete blood count, blood test for glucose,
biochemical and bacteriological research. Calculation of the dose of soluble antibiotic.
The method and technique of taking blood for complete blood count, blood test for glucose,
biochemical and bacteriological research. The technique of subcutaneous, intramuscular and
intravenous injections. Calculation of a dosage of soluble antibiotic.
The main requirements for disinfection and cleansing equipment before sterilization. Control
of quality of pre-sterilization treatment of equipment from blood and detergents. Sterilization of tools
for re-use.
Topic 3. Technique of performing subcutaneous, intramuscular, intravenous injections
(work in the simulation center).
The rules and technique of filling in a set for intravenous drop infusions.
Preparation of the manipulation table.
 Topic 4. Preparation of patients for examinations of gastrointestinal tract (gastroscopy,
rectoromanoscopy, colonoscopy, ultrasound and X-ray examination of the abdominal cavity).
The main types of enemas and the rules of their use.
Basic rules of preparation of patient for gastroscopy, rectoromanoscopy, colonoscopy,
ultrasonic examination of abdominal organs. Basic types of enemas and rule their application.
Preparation and performance of gastric and duodenal probing. Stomach lawage, methods of its
implementation, taking of washings for research. Preparation of probes, catheters, tips to manipulations.
Method and technique of registration an electrocardiogram. Simplest analysis it basic
elements. Acquaintance with the method of echocardiographic examination. Conducting the research
external respiration function. The work of a nurse in functional diagnostics unit.

Topic 5. Collection specimens for laboratory research (sputum collection, fecal sampling
for helminth ova, occult blood, coprogram, urine collection for examination according to the
methods of Zymnytsky, Nechiporenko, Addis-Kakovsky).
Methods of sputum collection for general analysis, bacteriological examination and antibiotic
susceptibility testing. Features of sputum collection in patients with tuberculosis. Collection of bronchial
washings for research. Diagnostic value of obtained data.
Preparation of patients and necessary equipment for taking feces for helminth ova, occult blood,
coprogram.
Rules of urine collection for research according to the methods of Zymnytsky, Nechyporenko, Addis-
Kakovsky, for general analysis of urine. Their diagnostic value.

Topic 6. Тhe technique of application of the simplest physiotherapeutic procedures

(compresses, cups, mustard plasters, a hot water bottle, an ice-bag, use of medicinal leeches. Use
of pocket and stationary inhalers).
Organization of work of the physiotherapy room. Rules storage of medical tools in the physiotherapy
room. Basic types of compresses. Rule of application of warming, cold and hot compresses. Thechnique of
usage cups, mustard plasters, a hot water bottle, an ice-bag. Treatment and disinfection of tools for re-use.
Application of liches, their storage.
The use of oxygen in a therapeutic hospital. Sources of oxygen. Oxygen masks and oxygen catheters.
Methods and techniques for supplying humidified oxygen and using an oxygen cushion. Safety rules when
working with oxygen.
Rules of uage of pocket and stationary inhalers. An acquaintance with the leadthrough of physical
therapy procedures (hydrotherapeutic, light, electromagnetic): a method of their providing, supervision of
patients and rendering the first aid in case of patient’s general condition worsening during the procedures
leadthrough.

PART 2. Main responsibilities and professional duties of the nurse in surgery

department (Department of General Surgery)
TOPIC 7. Bleeding and blood loss. The concept of blood type and Rh affiliation. Blood
and blood products.
Bleeding: definition, types of bleeding, according to surveys. Methods for determining blood
loss. Methods temporary stop bleeding; finger pressing; methodology and technology blending
compress bandages, twist, and bundle. Methods final stop bleeding: mechanical, physical, biological.
Features various methods control of bleeding. The concept of blood type and Rh affiliation. Methods
for determining blood type and Rh factor. General rules for blood transfusions. Required for research
that should carried out before blood transfusion. The method of determining an individual, Rh and
biological compatibility of blood donor and recipient. Determination of the macroscopic properties of
blood. Methods of blood transfusion, to observe the patient during hemotransfuzion. Preventing
complications of blood transfusion.
TOPIC 8. Operation, preoperative and postoperative periods.
The concept of the operation. Classification. Definition and objectives preoperative period.
Preoperative preparation of the patient for urgent and planned intervention. Skin care, sanitation
 mouth, skin preparation surgical field, the preparation of the gastrointestinal tract in a patient going
for surgery. The concept of the postoperative period. Care of patients in the postoperative period,
prevention of possible complications. Dining seriously ill. Features care in case of agony patient.
TOPIC 9. Types of local anesthesia. Combined anesthesia. Resuscitation in surgical
patients.
Types of anesthesia, acquaintance with the method and technique of infiltration and
conduction anesthesia. Peridural anesthesia: familiarization with the technique and consistency of
performance. Methods of prevention and treatment of complications during various methods of local
anesthesia. Getting to know the technical means to carry inhalation anesthesia. Methods of
endotracheal anesthesia. Actions nurse to enforce different types of anesthesia and anesthesia. The
concept of simple resuscitation. The technique of artificial respiration and indirect heart massage.
TOPIC 10. Clean and festering wounds.
Types of wounds. First aid victims of the cut and scored wounds. Organization of primary
surgical treatment of wounds. Types of primary seam depending on the type and location of the
wound. The role of the nurse in the organization of surgical treatment of purulent wounds. Types of
secondary sutures. Structure and clean septic dressing, organization of sanitary regime in them.
Methods washing drainage tubes, drainage replacement patients with purulent wound overlay
ointment dressing. Antiseptic preparations for washing festering wounds. The technique of
bandaging patient with pure (operating) wound. Equipment washing the abdominal cavity drainage.
TOPIC 11. Fractures and dislocations. Closed soft tissue damage, skull, and chest.
Signs of bone fractures and first aid for fractures. The use of transportation immobilization.
The signs of dislocation, emergency patients with various
dislocations. The concept of soft tissue injury, skull, chest. Activities of first aid to victims of closed
injuries. Terms transporting victims from soft tissue injuries, skull, chest. Preventive measures for the
prevention of traumatic shock, pneumothorax, internal bleeding.
TOPIC 12. Acute purulent diseases of soft tissues and hand. Acute specific surgical
infection. Gangrene. Ulcers. Fistulas. Foreign bodies.
The concept of acute purulent diseases of soft tissues, their types and main clinical signs.
Actions nurse conservative and surgical treatment of abscesses, cellulitis, boils, carbuncles,
hidradenitis, mastitis, erysipelas, lymphadenitis, lymphangitis, and paraproctitis. Main panaritium
clinical signs and cellulitis hand, the duties of a nurse during the diagnosis and treatment of cellulitis
and brush panaritium. The concept of specific infection. Rule nurse in medical applications with
anaerobic gas gangrene, tetanus, diphtheria Siberian wounds. Ways to prevent tetanus, diphtheria,
anthrax, gas gangrene. Actions nurse during detoxification to the patient in acute surgicalinfection.
Introduction to basic clinical signs of necrosis, gangrene, ulcer, foreign body. Actions nurse in the
provision of primary care patients with foreign body. The role of the nurse assigned to provide
treatment to patients with various types of necrosis, gangrene, ulcers, fistulas, foreign body.

PART 3. Main responsibilities and professional duties of the nurse in pediatric

department (Department of Pediatrics No 2)
TOPIC 13. The features of ethic in the work of nurse with children and their relatives.
The features of ethic between medical staff, children, and their relatives. The mainduties of
nurse in children’shospital. Principles of professional subordination in the system pediatrician-nurse.
Ethical and deontological principles of forming medical specialist of pediatric profile. Peculiarities of
taking anamnesis in children of different ages.
TOPIC 14. A medical nurse post work organization. Medical documentation and order
of it reference (work in the simulation center).
Registration of admission of patientinto the pediatrics department. Complete the case history.
Holding of anthropometric measurements (height, weight, head and chest circumference). The studyof
external respiratory function. Thermometry, measurement of blood pressure, and pulse rate with entry
data intemperature list. Working with a list of appointments. Rules of introduction drugs true the
mouth.
 TOPIC 15. Responsibilities and actions of medical post nurse and manipulation room
nurse in the department of pediatrics (work in the simulation center).
The main duties of nurses. Documentation, rules of conduct a medical post nurse. Terms of
storing drugs on medical post. Terms of storing medical instruments on medical post. Terms of
transfer duty for the next shift. Basic documentation of manipulation room. Terms of storing drugs in
manipulation room. Terms of storing medical instruments in manipulation room. Regulation
prescribing, recording and storage of potent, narcotic and poisonous substances. Design
documentation of word nurse. Preparation table in manipulation room for use. Performing
subcutaneous injections. Performing intramuscular injections. Implementation of intravenous
injections. Calculation of doses of antibiotic. Filling system for infusion. Disinfection of tools.
TOPIC 16. Providing of diagnostic and therapeutic process in children’s hospital.
The main types of enemas. Features performances of enemas to children of all ages. Features
of gastric lavage in children of different ages. Taking stool helminth eggs, occult blood, coprogram.
Taking urine for general analysis, Nechiporenko, Zimnitsky tests. Taking swabs from the nose and
pharynx. The use of heaters, ice bag. Terms of use of handheld and stationary inhaler. Methodology
for submission of moistened oxygen and use of oxygen mask.
TOPIC 17. Duties of nurses to ensure the personal hygiene of children different ages and
feeding of infants.
Prepare trays for the hygienic bathes. Features of bathing the child the first year of life.
Hygiene of skin folds in a child. Being washed away children, especially girls being washed away.
Appliances eye wash. Technique of cleaning ears and nose. Umbilical cord balance in the newborn
child. Appliance’s instillation of drops in the nose, eyes, ears, baby. The advantages of breastfeeding
for the mother and child. Learn the rules of application the child to breast. Learn a technique of
formula feeding in infants.
TOPIC 18. Pediatric Palliative Care.
What is a palliative care for children according to the World Health Organization (WHO)?
Conditions appropriate for pediatric palliative care. Hospice eligibility criteria for children. Home
care for the child with a life-threatening illness. Peculiarities of communication with a family of child
who has a life-threatening illness. Peculiarities of communication with children of different ages with
a life-threatening illness. Goals of palliative care for the child. Peculiarities of decision-making for
the child with a life-threatening illness and his/her family memebers. Key elements and general
approaches to managing symptoms in the child with a life-threatening illness. Guidelines for pain
management in children with a life-threatening illness. Pharmacologic approach to symptoms
commonly experienced by children with life-treating illness. Nonpharmacologic approach to
symptoms commonly experienced by children with life-treating illness. Pharmacologic and
nonpharmacologic interventions of nonpain symptoms in children with life-treating illness. The role
of medical staff during approaching end of life in children with life-treating illness.

6 STRUCTURE OF THE EDUCATIONAL DISCIPLINE

The discipline program is structured in three sections:

Section І. Main responsibilities and professional duties of a nurse in therapeutic department of a

hospital.
Section ІІ. Main responsibilities and professional duties of a nurse in pediatric department of a
hospital.
Section ІІІ. Main responsibilities and professional duties of a nurse in surgical department of a
hospital.

Lectu- Training Student’s

Topics res sessions independent
work
Part 1. Main responsibilities and professional duties of a nurse in therapeutic department of a
hospital
1. Organization of work of a nurse post. Documentation and the rules
of its fulfillment. Thermometry, measurement of blood pressure,
examination of a pulse and recording obtained data in teh 0 2,0 6,0
temperature paper. Organization of the procedural room functioning.
Prescription, accounting and rules of storage of medicines.
2. Methods and techniques of taking samples for complete blood count,
blood test for sugar content, biochemical and bacteriological research. 0 2,0 7,0
Calculation of doses of soluble antibiotics.
3. The technique of subcutaneous, intramuscular, intravenous
injections (work in the Simulation Center).
0 2,0 7,0
4. Preparation of patients for gastrointestinal tract examinations
(gastroscopy, rectoromanoscopy, colonoscopy, ultrasound and X-
0 2,0 6,0
ray examinations of the abdominal cavity). The main types of
enemas and rules for their application.
5. Specimens collection for laboratpry inveestigations (sputum
collection, fecal sampling for helminth ova, occult blood,
0 2,0 6,0
coprogram, urine collection for examination according to the
methods of Zymnytsky, Nechiporenko, Addis-Kakovsky).
6. The technique of application of simplest physical therapy
(compresses, cups, mustard plasters, a hot-water bottle, an ice-bag, the 0 2,0 6,0
use of medicinal leeches. Usage of pocket and stationary inhalers).
Total (part І): 0 12 38
Part 2. Main responsibilities and professional duties of the nurse in surgery department
7. Bleeding and blood loss. The concept of blood type and Rh 0 2 -
affiliation. Blood and blood products.
8. Operation, preoperative and postoperative periods. 0 2 6
9. Types of local anesthesia. Combined anesthesia. Resuscitation 0 2 6
in surgical patients.
10. Clean and festering wounds. 0 2 6
11. Fractures and dislocations. Closed soft tissue damage, skull, 0 2 7
and chest.
12. Acute purulent diseases of soft tissues and hands. Acute 0 2 13
specific surgical infection. Gangrene. Ulcers. Fistulas. Foreign
bodies.
Total (part ІІ): 12 38
Part 3. Main responsibilities and professional duties of the nurse in pediatric department
13. The features of ethic in the work of nurse with children and 0 2 6
their relatives.
14. A medical nurse post work organization. Medical 0 2 6
documentation and order of it reference (work in the Simulation
Center).
15. Responsibilities and actions of medical post nurse and 0 2 6
manipulation room nurse in the department of pediatrics (work
in the Simulation Center).
16. Providing of diagnostic and therapeutic process in children’s 0 2 6
hospital.
17. Duties of nurses to ensure the personal hygiene of children 0 2 8
different ages and feeding of infants.
18. Pediatric Palliative Care. 0 2 6
Total (part ІІI): 12 38
TOTAL 36 114

6. THEMATIC PLANS

LIST OF TASKS FOR INDIVIDUAL STUDENT WORK (IWS):

1. Participation in the work of the student scientific circle and speeches at scientific forums.
2. Making schemes at the department on the relevant topics of the disciplines.
3. Production at the department of tables on relevant topics of sections of the discipline.
4. Production of videos on the relevant topics of the discipline at the department.
5. Selection of video and audio materials from the sections of the discipline.
6. Writing an abstract

7. Material and technical (software) support of the course

1. Training tables
2. Videos.
3. Multimedia presentations.
4. Clinical test results.
5. Computers and computer desks.
6. Computer software.
7. Training platforms for training sessions - Microsoft Teams, Google Meets (for distance
learning).

8. Training materials and resources

Basic:
Part 1. Main responsibilities and professional duties of the nurse in internal medicine
department.
1. Kondratiuk V.Ye. Practice in Patient Care at the Therapeutic Department of a Hospital:
Workbook. Clinical manual. / V.Ye. Kondratiuk, V.A. Khomaziuk. – Kyiv: AUS Medicine
Publishing, 2020. – 112 p.
2. Patient Care (Practical Course): textbook / O.M. Kovalyova, V.N. Lesovoy, R.S. Shevchenko
et al. – Kyiv: AUS Medicine Publishing, 2018. – 320 p.
3. Patricia A. Fowler. Foundations of Nursing Practice: Essential Concepts. 4 edition. - 2018.
th

- 206 p.
4. Anne Griffin Perry, Patricia A. Potter, Wendy Ostendorf, Nancy Laplante. Clinical Nursing
Skills & Techniques. Mosby, 2021 -1311 pp.
5. Propedeutics of internal diseases. - Vinnytsya : Nova knyha publ., 4 edition .P. 1 : Diagnostics
th

/ O. N. Kovalyova, T. V.Ashcheulova. - 2nd ed. - 2020. - 424 pp.

6. A Guide to Therapeutic Patient’s Management and Filling in a Training Case History: guide
/ S.M. Andreychyn, N.A. Bilkevych, N.A. Kavetska et al.] edited by prof. S.M.Andreychyn. -
Terrnopil, TNMU, 2021. – 128 p.
7. Communication Skills in Medicine : textbook / Nataliya Haliyash, Nataliia Petrenko, Nataliia
Bilkevych. - Terrnopil, TNMU, 2021. – 132 p.

Part 2. Main responsibilities and professional duties of the nurse in surgery department.
8. S.D. Khimich, M.D. Zheliba, V.P. Andryushchenko/ General Surgery. - K.:
Medicine.- 2019.-536р.
9. Bereznytsky Ya. S., Zakharash M.P., Mishalov V.G., Shidlovsky V.O/ General Surgery.-
Vinnytsia: Nova knyha.-2019.-327р.
10. Kushnir R. Ya. General surgery /Lectures.- Ternopil, Ukrmedknyha, 2005.- 308 p
11. Selected Lectures prof. V.V. Mishchenko from Odessa State Medical University. - 2009.-
336p.
12. Butyrsky A. General surgery /The manual. - Simpheropol: publishers CGMU, 2004.- 478 p.
13. L.Ya. Kovalchuk et al. Doctor (student) – patient models of communication. Ternopil, TSMU,
“Ukrmedknyha 2009, 39 p.
14. Guidelines for intensive care. Ed. AI Treschinskogo, FS Glumchera K.: High School, 2004. -
582 pp.

Part 3. Main responsibilities and professional duties of the nurse in pediatric department.
15. Principles of pediatric nursing. Techniques for medical procedures and manipulations [Text]
: study guide for students of higher medical education establishments of 3rd-4rd levels accreditation
/ O.V. Tiazhka, A.M. Antoshkina, M.M. Vasiukova et al. - K. : AUS Medicine Publishing, 2016. –
144 p.
16. Kapitan T. Propaedeutics of children’s diseases and nursing of the child : [Textbook for
students of higher medical educational institutions] ; Fourth edition, updated and translated in English
/ T. Kapitan – Vinnitsa: The State Cartographical Factory, 2010. – 808 pp.
17. Pediatric physical examination [Text] : textbook for students of higher educational institutions
/ O. V. Katilov [et al.]. — Vinnytsia : Nova Knyha, 2018. — 504 p.
18. Outline for Pediatric History & Physical Examination: student guide / Edited by H. Pavlyshyn,
N. Luchyshyn, V. Furdela et al. – Ternopil, 2017. – 89 p.
19. The Lancet. Guidance for clinicians involved in end-of-life care of children. Lancet.
2015;385:1261. Liben S, Papadatou D, Wolfe J. Paediatric palliative care: challenges and emerging
ideas. Lancet. 2008;371:852–864.
20. Parravicini E. Neonatal palliative care. Curr Opin Pediatr. 2017;29:135–140. Quill TE,
Abernethy AP. Generalist plus specialist palliative care: creating a more sustainable model. N Engl J
Med. 2013;368(13):1173–1175.
21. Rosenberg AR, Wolfe J. Approaching the third decade of paediatric palliative oncology
investigation: historical progress and future directions. Lancet. 2017;1:56–66.
22. Temel JS, Greer JA, Muzikansky A, et al. Early palliative care for patients with metastatic
non-small-cell lung cancer. N Engl J Med. 2010;363(8):733–742.
23. Wolfe J, Orellana L, Ullrich C, et al. Symptoms and distress in children with advanced
cancer: prospective patient-reported outcomes from the PediQUEST Study. J Clin Oncol.
2015;33(17):1928–1935.
24. Nelson Textbook of Pediatrics, 2-Volume Set, 21st edition. Kliegman Robert M. - St. Geme
Joseph. Elsevier Saunders 2019.
25. Family health care nursing: Theory, practice and research ; Fourth edition / J.R. Kaakinen,
V. Gedaly-Duff, D.P. Coehlo, S.M.H. Hanson - Philadelphia PA: F.A. Davis, 2010.
26. Votroubek, W. Pediatrics home care for nurses: A family-centered approach : Third edition
/ W. Votroubek, A. Tabacco - Sudbury, MA: Jones and Bartlett, 2010.
27. Svavarsdottir E.K. Family nursing in action / E.K. Svavarsdottir, Jonsdottir H. - Reykjavik,
Iceland: University of Iceland Press, 2011.

Additional:
Part 1. Main responsibilities and professional duties of the nurse in internal medicine
department.
1. Taylor Carol, Pamela Lynn, Jennifer Bartlett. Fundamentals of nursing: the art and science of
person-centered nursing care. - Philadelphia : Wolters Kluwer. - 2019.- 1863 p.
2. Sherry Makely Professionalism in Health Care 5th Edition. - Pearson, 2017 – 238p.
3. Caroline Bunker Rosdahl, Mary T. Kowalski. Textbook of Basic Nursing, 11th Edition-
Publisher: LWW, 2016. – 2024 pp.
4. Lippincott Nursing Procedures 8th Edition. - 2018.
5. Sheryl L. Fairchild, Frank M. Pierson. Pierson and Fairchild’s principles & techniques of
patient care. 6 edition. - 2018. - 374 p.
th

6. Audrey Berman, Shirlee Snyder. Skills in Clinical Nursing (8th Edition) 2016. - 912 p.
7. The pocket guide to Communication Skills in Clinical Practice / edited by Walter F. Baile. -
The University of Texas MD Anderson Cancer Center, Medical Graphics & Photography 2014. – 45
p.
Part 2. Main responsibilities and professional duties of the nurse in surgery department.
8. Medical ambulance. For Ed. FS Glumchera, VF K. Moskalenko: "Medicine" - 2006. – 632 p.
9. Surgery: Text-book for English medium medical students / S.I. Shevchenko, O.A. Tonkoglas,
I.M. Lodyana, R.S. Shevchenko. – Kharkiv: KSMU, 2001. – 344p.
10. Pierson, Frank M.. Principles & techniques of patient care [Text] / F. M. Pierson, S. L.
Fairchild. - 3. ed. - Philadelphia, Pennsylvania : Saunders, 2002. 374 p.: ill.
Part 3. Main responsibilities and professional duties of the nurse in pediatric department.
11. EFCNI, Oude-Reimer M, Frauenfelder O et al., European Standards of Care for Newborn
Health: Inserting and managing feeding tubes. 2018.
12. EFCNI, Gross D, Oude-Reimer M et al., European Standards of Care for Newborn Health:
Mouth care. 2018.
13. EFCNI, Camba F, Oude-Reimer M et al., European Standards of Care for Newborn Health:
Nappy change. 2018.
14. EFCNI, Silva E, Jørgensen E et al., European Standards of Care for Newborn Health:
Positioning support and comfort. 2018.
15. EFCNI, Frauenfelder O, Oude-Reimer M et al., European Standards of Care for Newborn
Health: Promotion of breastfeeding. 2018.
16. EFCNI, López Maestro M, Camba F et al., European Standards of Care for Newborn Health:
Protecting sleep. 2018.
17. EFCNI, Silva E, Oude-Reimer M et al., European Standards of Care for Newborn Health: Skin
care. 2018.
18. EFCNI, Oude-Reimer M, Frauenfelder O et al., European Standards of Care for Newborn
Health: Support during painful procedures and pain assessment. 2018.
19. EFCNI, Hankes Drielsma I, Oude-Reimer M et al., European Standards of Care for Newborn
Health: Supporting the infant during hygiene procedures. 2018.
20. EFCNI, Binter J, Oude-Reimer M et al., European Standards of Care for Newborn Health:
Taking blood samples. 2018.
21. EFCNI, van Leeuwen M, Frauenfelder O et al., European Standards of Care for Newborn
Health: Temperature management in newborn infants. 2018.
22. EFCNI, Kalbér A, Kühn T et al., European Standards of Care for Newborn Health: Weighing.
2018.
23. American Academy of Pediatrics. Palliative care for children. Pediatrics. 2000;106:351–
357. Berde CB, Sethna NF. Analgesics for the treatment of pain in children. N Engl J Med .
2002;347:1094–1103.
24. Contro NA, Larson J, Scofield S, et al. Hospital staff and family: perspectives regarding
quality of pediatric palliative care. Pediatrics. 2004;114:1248–1252.
25. Durall A, Zurakowski D, Wolfe J. Barriers to conducting advance care discussions for children
with life-threatening conditions. Pediatrics. 2012;129(4):e975–e982.
26. Feudtner C, Kang TI, Hexem KR, et al. Pediatric palliative care patients: a prospective
multicenter cohort study. Pediatrics. 2011;127(6):1094–1101.
27. Field MJ, Behrman RE. When children die: improving palliative and end-of-life care for
children and their families. National Academies Press: Washington, DC; 2003.
28. Kavalieratos D, Corbelli J, Zhang D, et al. Association between palliative care and patient and
caregiver outcomes: a systematic review and meta-analysis. JAMA. 2016;316(20):2104–2114.
29. Kreicbergs U, Valdimarsdóttir U, Onelöv E, et al. Talking about death with children who have
severe malignant disease. N Engl J Med. 2004;351:1175–1186.
Web resources
1. https://www.tdmu.edu.ua/
2. Ehttps://library.tdmu.edu.ua/
3. http://www.meddean.luc.edu/lumen/meded/medicine/pulmonar/pd/contents.htm
4. Osmosis: https://www.youtube.com/c/osmosis
5. https://www.youtube.com/user/MEDCRAMvideos
6. https://open.umn.edu/opentextbooks/textbooks/367
7. https://onlinelibrary.wiley.com/doi/book/10.1002/9781118525975
8. https://www.researchgate.net/publication/259721969_Human_rights_in_patient_care_A_the
oretical_and_practical_framework
9. https://www.lecturio.com/medical/
10. 8. https://pubmed.ncbi.nlm.nih.gov/

9. EVALUATION CRITERIA FOR STUDENT'S KNOWLEDGE

EVALUATION CRITERIA OF STUDENTS KNOWLEDGE AND 'ATTITUDES FOR
A PRACTICAL CLASS
Assessment of current progress is carried out on a twelve-point scale.
An assessment for a practical class is considered positive if it is 4 or more points. It takes
into account all types of work, provided by methodical (instruction for studying the topic of
practical training.
Points Assessment criteria
Is estimated if the student does not disclose the contents of the educational material did not
1
perform the practical work.
Is estimated if the student poorly oriented in the educational material, manifested by offering him
2
additional questions, reveals ignorance of the content of practical work.
Is estimated in cases when the knowledge and skills of the student do not meet the requirements of
"satisfactory assessment": when the student fragmentarily reveals the content of the educational
3
material, allows gross mistakes in the definition of concepts and in using terminology, performed a
practical work partially.
Is estimated if the student is oriented in the main material, but can not independently and
4 consistently formulate the answer, prompting the teacher to offer him the guiding questions,
fragmentarily performed the practical work.
Is estimated if the student fragmentarily reveals the contents of the educational material, shows the
5
initial imagination of the subject of study, incompletely fulfilled the practical tasks.
Is estimated to the student on the basis of his/here knowledge of the whole content of the lesson
and at a satisfactory level of his/here understanding. The student is able to solve modified
6 (simplified) problems being guided with leading questions; solves problems and performs practical
skills, experiencing difficulties in simple cases; is not able to state systematically the answer on his
own, but answers correctly on direct questions, incompletely fulfilled practical work.
Is estimated if the student reveals the main content of the educational material; admits minor
violations in the sequence of material presentation, with the use of scientific concepts and terms,
7
falsely formulates conclusions, is oriented in the methodology of practical work, but performs it
not in full.
Is estimated if the student reveals the main content of the educational material; gives
8 incomplete definitions of concepts; admits inaccuracies in the use of scientific terms, falsely
formulates the conclusions, performed practical work with minor mistakes.
Is estimated if the student reveals the main content of the training material; answers questions
correctly and uccessively but not in full volume, although the student answers additional questions
9
without errors; solves all problems and performs practical tasks, experiencing difficulties only in
the most difficult issues.
Is estimated in the case when the student knows the content of the lesson and lecture material in
10
full, can illustrate the answer with examples, gives comprehensively clear and unambiguous
 answers without any leading questions; spreads the material without errors and inaccuracies; freely
solves problems and performs practical tasks of varying complexity.
Is estimated if the student shows deep, strong and systematic knowledge in the volume of the
curriculum, he answers questions unequivocally, reasonably formulates the conclusions, using the
11 materials submitted to the student's independent work, competently and consistently, with
knowledge of the methodology, fulfilled practical work; in full volume, in full and without
errorsperforms practical tasks.
Is estimated if the student independently, competently and consistently, with exhaustive
completeness, using the data of additional literature, answered questions; clearly and correctly
12
defines and reveals the content of scientific terms and concepts, independently and correctly
performed practical work.

CRITERIA FOR ASSESSING THE IMPLEMENTATION OF THE PRACTICAL

TASK
Scoring Criteria for evaluation
0 Is estimated if the student reveals a complete lack of knowledge of the content of the
work.
1-3 Is estimated if the student partly reveals knowledge of the content of the work.
4-6 Is estimated if the student poorly guided in the method of performance, performed it in
incomplete scope, admitting gross mistakes during practical work.
7-9 Is estimated if the student independently, with knowledge of the method, performed a
practical work, but made inaccuracies in the sequence of work.
11-12 Is estimated if the student independently, competently and consistently, with knowledge
of the methodology, performed practical work, correctly applying scientific terms and
concepts.

Control of the final level of educational material assimilation during practical class consists of 2
parts: 12 test questions (1 point each) and 3 real-life situations (4 points each). For each part the
student can score 12 points. Total score - 24 points, which are translated on the presented below
scale:

The number of correct answers when Rated 12-

compiling the test part point
scale
13-14 4
15 5
16 6
17-18 7
19 8
20 9
21, 22 10
23 11
24 12

To set a general assessment, the sume of results for theoretical training, practical tasks and
tests is calculated from which the arithmetic mean is derived.

EVALUATION OF PRACTICAL SKILLS LISTED IN THE MATRICUL

Practikal skill in Matricul considered to be passed when the student with full knowledge of
the methodology, independently, in a clear sequence of work, performed the practical skill and
competently formulated conclusions. During the practical work, the teacher can guide the student
who makes inaccuracies and minor errors in the performance of the work.
Practikal skill in Matricul considered to be not passed in the case when the student,
despite the fact that he/she is guided by the factual material, shows ignorance of the
methodology, inability to perform practical skills, makes gross errors in the sequence of work
and in formulation of conclusions.

EVALUATION CRITERIA FOR CURRENT SUCCESS

Assessment of current progress is carried out by calculating the average score of current
progress upon completion of the study of discipline. In this case, the rounding of the
EVALUATION is carried out according to the scheme: in the range from 0 to 0.24 rounds up to a
smaller unit; in the range from 0.25 to 0.74 rounds up to 0.5; in the range from 0,75 to 0,99 rounds
up to a larger unit.

The transfer of grades for current progress from the 12-point scale to the 120-point scale is
carried out as follows:
Rated Score for assessing current
12-point scale progress
4 66
4,5 69
5 72
5,5 75
6 78
6,5 81
7 84
7,5 87
8 90
8,5 93
9 96
9,5 99
10 102
10,5 105
11 108
11,5 111
12 114

EVALUATION CRITERIA OF STUDENTS

INDEPENDENT WORK (ISW)

Score Evaluation criteria

6 Can be added for getting prize-winning places in intercollegiate and international
students’ scientific conferences with a subsequent publishing of a scientific report.
5 Can be added for getting prize-winning places in University studens’ scientific
conferences with a subsequent publishing of a scientific report.
Can be added for taking part (without getting any prize-winning places) in
4 intercollegiate and international students’ scientific conferences with a subsequent
publishing of a scientific report.
3 Can be added for taking part (without getting any prize-winning places) in students’
scientific conferences with a subsequent publishing of a scientific report .
 2 Can be added for production of laminative charts, schemes and searched video- and
audiomatherials
1 Can be added for writing in a project.

Note: if a student participates in two or more types of independent work, he/she is credited with scores
for only one type of work of the choice.
Approved at the meeting of the Propaedeutics of Internal Medicine and Tuberculosis Department,
Minutes №7, dated June 1, 2021.

The maximum number of points a student can score for the current academic activity in
studying the discipline with the addition of points for individual student work (ISW) is 120 points
(114 for current success and 6 for independent work).

SUCCESS EVALUATION
AT THE END OF STUDYING THE DISCIPLINE

As the final control of the discipline is a grade credit, the number of points for the study of
the discipline is defined as the sum of current educational success score and the score obtained on
final test control. The final test control is carried out after completing the training course in the
Department of Independent Students Testing at the time determined by the University Academic
Ofice.
The grade in the discipline for grade credit includes the score for current educational success
(60% of the grade) and the score for the final test control (40 % of the grade) and is translated in a
200-point scale.
When taking the final test control in Department of Independent Students Testing 48 test tasks
are given to every student, the translation of the results of the acquired knowledge assimilation is
carried out according to the following scale:
The number of correct answers in written test tasks in the The score of points
ISTD awarded to the student
1-24 Not passed
25; 26 51
27 52
28 53
29 54
30 55
31 56
32 57
33 58
34 59
35 60
36 61
37 62
38 63
39 64
40 65
41 66
42 68
43 70
44 72
45 74
46 76
 47 78
48 80

Students who study in one specialty, are ranked by the program "ACS" on the ECTS scale,
taking into account the number of points scored in the discipline, as follows:

Criteria for determining the ECTS grade

ECTS assessment Statistical indicator
«А» The best 10% of students
«В» The next 25% of students
«С» The next 30% of students
«D» The next 25% of students
«Е» The last 10% of students

Ranking with the assignment of grades "A", "B", "C", "D", "E" is carried out for students of
this course, who study in one specialty, and have successfully completed the study of the discipline.
The FX grade is given to students who scored the minimum number of points for the current
academic activity, but who did not pass the final control (for the first time passed the final control on
"unsatisfactory"). This category of students has the right to reschedule the final control according to
the approved schedule during the winter holidays (before the spring semester) or summer holidays
(until July 1 of the current year) within two weeks after the end of the semester. Reassembly of the
final control is allowed no more than twice.
Grade F is given to students who have attended all classes in the discipline, but did not score
the minimum number of points for the current educational activities and are not admitted to the final
control.
A student who has not scored the minimum number of points of current success in the
discipline during the semester cannot be admitted to the final semester control. This category of
students is entitled to additional study of the discipline during the holidays and must pass it before the
beginning of the next semester.

9. Сourse policies
Academic integrity policy:
Academic integrity policy is based on principles of academic integrity (https://www.tdmu.edu.ua/wp-
content/uploads/2020/04/TNMU-polozhennia_pro_academich_dobroches.pdf). It is determined by
the system of requirements that the teacher imposes on the applicant studying the educational
component: compliance with safety rules in the classroom; prevention of academic plagiarism,
falsification, fabrication, write-off, prohibition of the use of additional sources of information in the
assessment of knowledge (including electronic means), using Internet resources and other sources of
information, the applicant must indicate the source used in the task.

Visit policy:
The applicants for higher education are obliged to comply with internal regulations of the
university https://www.tdmu.edu.ua/wp-content/uploads/2019/12/Pravyla-vnutrishnogo-
rozporyadku.pdf and attend practical classes according to the schedule
https://asu.tdmu.edu.ua/time-table/student, adhere to ethical standards of conduct.
Attendance of practical class is a mandatory component of assessment. Studying process should
take place online with teacher’s agreement for objective reasons (for example: illness, business trip,
internship, quarantine, etc.). There is a day for consultations, individual lessons (according to the
schedule).
Retake policy:
 The work is carried out within the time limits set by the teacher if the applicant for higher
education was absent from the classes according to the Regulations on the organization of the
educational process in TNMU https://www.tdmu.edu.ua/wp-content/uploads/2020/12/Pro-
organizatsiyu-osvitnogo-protsesu.pdf. All tasks provided by the program must be completed within
the timeframe set by the teacher.

Appeal policy:
The applicants for higher education should appeal the assessment of the discipline obtained
during control. Appeal is carried out according to «Regulations of the organization, conduct of current
and final control and the procedure of its appeal»
https://drive.google.com/file/d/1vKSocYwDYCGG-dcB5v6xCQhW9x_QcfTT/view .

Conflict policy:
Communication between the participants of the educational process (teachers, applicants) is
based on partnerships, mutual support, mutual assistance, individual tolerance and respect focusing
on obtaining true scientific knowledge. Conflict resolution is carried out in accordance with
Regulations on conflict resolution at the university
https://drive.google.com/file/d/1QhOFYLmicU5HLDpSkLN4V_dkT0ujFfDw/view