1- Course title
Nursing care for dialysis
2- Course definition
The purpose of this course is to secure the professional needs of nurses upon entering the dialysis and peritoneal dialysis departments and has also been codified for nurses occupied at the dialysis departments in order to increase their level of knowledge and professional skills.
3- Course necessity, effects of executing the short term course on health:
In order to secure the professional and educational requirements of nurse graduates to work in the dialysis department and to promote their professional skills ultimately leading to a better quality of caring for dialysis patients.
The following goals will be accomplished upon completing this course:
a) Preparation of nurses in order to work in dialysis departments in regards to knowledge and skills related to caring for dialysis patients
b) Introduction of nurses to the fundamentals and appropriate methods of caring for dialysis patients
c) Promoting the level of knowledge and information of nurses in dialysis departments
d) Improvements in offering better nursing services in dialysis departments in order to prevent impositions and to promote the level of patient health.
4- Course capacity (admissions count):
24 individuals
5- Training period
116 theoretical training hours
330 practical training hours
Facilities, conditions and necessities needed for initiating the short-term course:
• Clinical departments
Selected centers for hemodialysis and peritoneal dialysis from Mashhad University of Medical Sciences educational hospitals.
• Practical training
Educational Environment
Nursing and Midwifery college conference hall and educational hospital Mashhad University of Medical Sciences were chosen for theoretical classes.
Technical equipment, computers and other specific equipment
Data projector, computer
Training policies (attendance and other principles)
Regular attendance is essential during the course period
If the number of absences exceed four sessions for theoretical classes and 4 days of clinical novitiate classes the participant will be removed.
Registration fee
Total of 800 thousand tomans for each individual which includes: theoretical class fees: 3 million tomans with a capacity of 20 individuals; and practical classes fees: 3 million tomans plus each 5 companion with the hospital commissions which is 1 million tomans for 20 individuals; and the commission for the location of holding practical classes which is 1.5 million tomans for 20 individuals; and finally the 60 thousand toman fee of reception for each individual.
Context of training program
A) In the field of knowledge, attitude and expertise
Knowledge:
1. Renal anatomy and physiology
2. Acute and chronic renal failures
3. Hemodialysis indication
4. Consultation renal replacing treatment methods
5. Hemodialysis mechanism
6. Various types of filters, benefits and disadvantages
7. Water preparation methods in dialysis and dialysis solutions
8. Sodium modeling
9. Sufficiency of blood dialysis
10. Ways of accessing vessels
11. Nursing cares for a patient with dialysis
12. Anti-coagulation
13. Nutrition in dialysis patients
14. Lean weight
15. Acute complications during dialysis
16. Chronic complications (skeletal, cardiovascular, anemia and …)
17. Dialysis in special patients
18. Dialysis in emergencies
19. Hypertension in hemodialysis patients.
20. Sexual disorders in hemodialysis patients
21. Virus infections in the dialysis department
22. Training dialysis patients in the fields of self-care
23. Dialysis in children
24. Exercise for dialysis patients
25. Priming
26. Peritoneal dialysis
Attitude:
1. Establishing an appropriate and effective communication with the dialysis patient and their companions
2. Boosting motivation and self-esteem in caring for dialysis patients
Expertise:
1. Priming of device
2. Access to vessels (fistula, graft) or preparing counter IV for hemodialysis
3. Attaching the patient to the hemodialysis machine
4. Adjusting the device according to the patients conditions (pump rounds, added weight and time of dialysis)
5. Appropriate behavior towards adjusting device alarms
6. Use of heparin or washing for the patient
7. Pre-dialysis cares (controlling blood pressure and examining the general state of the patient and …)
8. Care during dialysis and controlling dialysis complications (reducing blood pressure, nausea, cramp and …)
9. Post-dialysis care (detachment from device, caring of needle points)
10. Caring for patients in need of peritoneal dialysis.
B) Complete description of skill implementation:
The apprentice must be completely familiarized with the hemodialysis device and must have fundamental and academic access to the patients vessel and attach them to the device. The apprentice must treat the device with care and adjust it accordingly, they must perform standard cares for the patient under hemodialysis and must control the problems that may occur during dialysis of the patient and must also be able to perform peritoneal dialysis for the patient in need.
A) Models and methods of training-learning
Lectures
Group discussions
Practical works on clinical patient
Learners
Characteristics and conditions of learners in order to enter the course and method of admission:
Learners conditions:
1. Undergraduate nurse with no previous work experiences in dialysis departments nor with any necessary skills related to this field
2. Senior nurse without working background in dialysis departments
Skills and expertise which learners will achieve upon completing the course and professional activities they are allowed to perform after receiving these skills:
1. Promotion of knowledge and information about caring for burnt patients
2. Performing fundamental, practical and standard cares for burnt patients
3. Skills in appropriately accessing vessels for hemodialysis.
4. Skills in working with dialysis devices for adjusting them, methods of facing device alarms.
5. Use of pre-, during and post- dialysis cares and damage control for the patients.
Course supervisor
Specifications and characteristics of the course supervisor (the documents must be attached according to Act 2 of the execution instructions and legal notes 1 and 2 of the mentioned act in relation to the specifications of the course supervisor):
Name: Abbas Last Name: Heydari Last Academic Degree: Ph.D. in nursing
Graduation year: 1383
Academic degree: assistant professor associate professor professor
- Method of evaluating learners:
Post tests and clinical evaluation
Minimum passing grade for theoretical exam: 12/20
Minimum passing grade for practical exam: 14/20
References
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Schedule of theoretical classes for the course of nurse cares in dialysis department
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Hour
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Date
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Fourth hour
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Third hour
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Second hour
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First hour
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Introduction to CKD: Ms. Taftiyan
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Renal anatomy and physiology: Maryam Bagheri
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Referrals
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Day one
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Methods of preventing acute and chronic renal failures: Ms. Sezavar Manesh
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Acute and chronic renal failures, planning and care: Dr Heydari and Ms. Hassan Zadeh
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Day two
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Definition of dialysis and its types: Ms. Taftiyan
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Day three
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Phenomena involved in hemodialysis: Ms. Taftiyan
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Different treatment methods: Dr. Sharifi Poor
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Day four
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Methods of disinfecting devices: Ms. Taftiyan
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Indication of acute and chronic dialysis: Ms. Honarvar
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Day five
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Priming: Ms. Sezavar Manesh
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Day six
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Anti-coagulation: Mr. Zanganeh
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Different filters: Mr. Zanganeh
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Day seven
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Various solutions: Mr. Tabibi
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Day eight
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Short term effects of hemodialysis and nursing care: Ms. Honarvar
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Day nine
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Long term effects of hemodialysis and methods of coping: Ms. Sezavar Manesh
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Day ten
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Mental issues of dialysis patients: Mr. Tabibi
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Water treatment methods: Mr. Tabibi
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Day eleven
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Nutrition of the dialysis patient: Ms. Honarvar
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Day twelve
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Lean weight of evaluation methods: Ms. Honarvar
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Accident during dialysis: Ms. Sezavar Manesh
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Dialysis at home: Ms. Taftiyan
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Day thirteen
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Dialysis of diabetic patients: Ms. Taftiyan
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Dialysis of adolescents, and during pregnancy: Ms. Taftiyan
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Day fourteen
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Dialysis in treating poisoning: Mr. Zanganeh
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Hypertension and hypotension in dialysis patients: Mr. Zanganeh
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Day fifteen
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Re-returning: Ms. Sezavar Manesh
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Anemia and its treatment: Ms. Sezavar Manesh
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Day sixteen
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Dialysis in special patients: Ms. Taftiyan
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Pharmacotherapy in dialysis: Ms. Honarvar
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Day seventeen
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Essential experiments and their evaluation: Mr. Tabibi
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Vaccination: Mr. Tabibi
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Day eighteen
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Sexual disorders in dialysis patients: Dr. Sharifi Poor
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Measuring dialysis sufficiency: Mr. Zanganeh
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Day nineteen
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Peritoneal dialysis (types, methods, characteristics and indications): Ms. Honarvar
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Day twenty
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Peritoneal dialysis (contd)
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Day twenty one
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Child dialysis: Dr. Esmaili
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Day twenty two
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Priming: Dr. Kazem Zadeh
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Day twenty three
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Infection control in dialysis departments: Mr. Tabibi
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Widespread inflectional diseases in the division and dialysis patients: Mr. Tabibi
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Day twenty four
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Appropriate principles of caring for hemodialysis patients based on the nursing process: Dr. Heydari and Ms. Bagheri
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Nursing management of the dialysis department: Dr. Heydari and Ms. Bagheri
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Day twenty five
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Kidney transplant (alive/ corpse): Ms. Hassan Zadeh
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Sodium modeling: Mr. Zanganeh
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Recirculation: Mr. Zanganeh
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Day twenty six
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Final Exam: instructors group
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Day twenty seven
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Details: the theoretical program is conducted in 27 days, 4 hours a day, total of 108 hours. The practical program is performed simultaneously at the dialysis department for a period of 50 days, 6 hours a day for a total of 300 hours.
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date
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week
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Dialysis department of Emam Reza Hospital, Mashhad – 10 days of the first 5 weeks under the supervision of the instructor at the peritoneal dialysis department of Ghaem Hospital, Mashhad
Intsructor: Mr. Zanganeh
7 am to 7 pm – every other night – whole week
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Dialysis department of Emam Reza Hospital, Mashhad – 10 days of the last 6 weeks under the supervision of the instructor at the peritoneal dialysis department of Ghaem Hospital, Mashhad
Instructor: Mr. Zanganeh
7 am to 7 pm – every other night – whole week
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Dialysis department of Montaseriyeh Hospital, Mashhad – 10 days of the first 5 weeks under the supervision of the instructor at the peritoneal dialysis department of Montaseriyeh Hospital
Instructor: Ms. Taftiyan and Ms. Rahmani Arghandi
7 am to 1 pm – Saturday to Wednesday
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Dialysis department of Shariati Hospital, Mashhad – 10 days of the last 6 weeks under the supervision of the instructor at the peritoneal dialysis department of Montaseriyeh Hospital
Intsructor: Ms. Sezavarmanesh and Ms. Rahmani Arghandi
7 am to 1 pm –Saturday to Wednesday
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Location: Departments of dialysis and peritoneal dialysis from selected educational hospitals.
Time: Saturday to Wednesday (5 days a week)
Details: each group must attend 11 weeks of 5 days, with 6 hours a day from 7 am to 1 pm (total of 330 novitiate hours). Every group must attend a 10 day period under the supervision of the hemodialysis and peritoneal dialysis department instructor and at the peritoneal departments of the mentioned hospitals under the supervision of the novitiate instructor.
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