1. Basic physical examination of diagnostics requires students to master standardized, comprehensive and systematic physical examination operation methods.
2. Physical examination requires general state examination, head and neck examination including measurement of vital signs, superficial lymph node examination, eye examination (including pupil reflex, eye movement examination, nystagmus examination and collective reflex), pharyngeal examination, thyroid and trachea examination, etc.
3. Palpation examination includes respiratory movement, voice tremor, apical pulse palpation, heart tremor palpation, abdominal wall tension palpation, liver and spleen palpation, kidney palpation, bladder palpation, tenderness and rebound pain examination of gallbladder and appendix area, etc.
4. Percussion examination includes routine percussion of lung, percussion of lung boundary (upper and lower boundary), percussion of respiratory activity, percussion of heart boundary, percussion of active voiced sound, percussion of upper and lower boundary of liver, percussion of tympanic area of stomach bubble, etc.
5, auscultation examination standard lung auscultation, auscultation parts and characteristics of three normal breathing sounds. The position and sequence of heart auscultation, and whether you hear murmurs. How to distinguish the first heart sound from the second? Auscultation of abdominal bowel sounds, vibration sounds and vascular murmurs.
6. The examination of nervous system includes the examination of muscle strength and muscle tension. Examination of nerve reflex, meningeal irritation sign and Lasegue sign.
7. The basic operation of general surgery requires students to carry out training in strict accordance with the operating procedures, from hand washing to dressing, from one knife and one cut, one needle and one clip, one knot and one thread, to cutting, sewing and knotting, in strict accordance with the standards of three basic training.
What is needed to master the operation skills: the preparation of operators, including the principles of washing hands, dressing, wearing sterile gloves, disinfection, towel laying and sterility. Identify surgical instruments; The basic operations of surgical operation include incision, separation, exposure, hemostasis, ligation and thread cutting, debridement, suture and anastomosis. Dressing change and basic principles.
8. Basic skills of nursing operation The basic part of nursing is the foundation of clinical nursing, which is very practical.
Basic nursing skills operation requirements: bed-making technology, including spare bed, temporary empty bed, anesthesia bed and bed change for bedridden patients; Measurement and drawing of vital signs.
Ensure the cleanliness and comfort of the environment: including oral care, shampoo in bed, shower gel, morning and evening care and skin care; Sterility and isolation technology. Nasal feeding, catheterization and enema; Various injection methods; First aid technology; Oxygen infusion and sputum aspiration.
9. The basic skills of obstetrics and gynecology require mastering prenatal examination, postpartum hemorrhage treatment, fetal head attraction, midwifery and normal delivery. Neonatal asphyxia resuscitation technology, breastfeeding adaptation technology.
10, pediatric basic skills operation part requires mastering pediatric physical measurement, pediatric basic physical examination methods, pediatric medical history collection and medical record writing.