course design nursing.pdf · available manpower. student-centered course design . divyajyoti trust...

DIVYAJYOTI TRUST Ophthalmic Nursing

1 | P a g e

COURSE DESIGN

Table of Contents

INTRODUCTION ..................................................................................... ERROR! BOOKMARK NOT DEFINED.

COURSE DESIGN TEMPLATE............................................................................................................................... 4

Eye Program ………………………………………………………………………………….

Objectives of

Training……………………………………………………………………………...

Outcomes Of The

Training………………………………………………………………………… CHAPTER 1………………………………………………………………………………………………………………..7 ORIEANATION CHAPTER 2…………………………………………………………………………………………………………………7

Admission Procedure Of patient

Chapter 3………………………………………………………………………………….8 PRE OPERATIVE PREPARATION CHAPTER 4…………………………………………………………………………………………………………………..9 OT PREPARATIONERROR! BOOKMARK NOT DEFINED.

Chapter 5……………………………………………………………………………..9-12

Information About Clincs

Cornea

Retien

Glaucoma

Sonography And Laser Clinic

Paediatric

Low Vision

Emergency

Cousnseling

Eye Bank

OT Orientation

*Wards

General

Septic

Special

Semi Special

Day Care

Paid

Pre- Operative

Chapter 6……………………………………………………………………………………13

Post Oprative complication……………………………………………………………………..

Management of emergencies

Cases……………………………………………………………….


2 | P a g e

Laboratory

Investigation……………………………………………………………………………

Information about

Injection………………………………………………………………………

Chapter 7……………………………………………………………………………………14

Management Of Genearal

Cases……………………………………………………………………

Management Of Pre oprative & Post Oprative Complication in

GA………………………………

Chapter 8…………………………………………………………………………………..15

Sterilization And Disinfection…………………………………………………………………..

Infection Control………………………………………………………………………………..


3 | P a g e

Introduction

Divyajyoti Trust is a voluntary development organisation involved in eye care

activities in rural tribal areas of Surat district of south Gujarat. Divyajyoti

Trust endeavors to reach out & assist the poorest of poor for eye care through

base hospital & outreach programmes based upon the community needs &

available manpower. Student-centered course design


4 | P a g e

Eye Programme

More and more people are taking advantage of the services provided by hospital

covering population of 2.5 million and diagnostic camps in interior rural areas.

The programme, which treats 3000 patients in OPD and operates more than 400

patients, every month, has facilities like operating microscopes, Diode & Yag

lasers, auto refractor, OCT, clinical specular microscope, A-B scan. Photo slit

lamp, Phaco-emulsification & automated perimeter. Surgeries like cataract with

intraocular lense implantation & Keratoplasty are regularly performed. About

75% patients get free treatment for which financial assistance from organization

and local community is available


5 | P a g e

Objectives of the training

The major objective of the training is to develop a cadre of trained professionals

and thereby increase people’s participation in the eye care programme. This will

naturally lead to spread of the awareness of eye health & cataract surgeries.

Ultimately, curable blindness will be controlled to a large extent


6 | P a g e

Outcomes of the training

After training candidates will be able to assist an ophthalmologist for various

kind of eye surgeries. He/she will be able to take care of pre & post-operative

patients as well as counsel them in effective manner. In nutshell, overall

ophthalmic nursing care will be taken by the candidate


7 | P a g e

Orientation:

Orientation of about course & clinics

Clinics Wards

1 Cornea 1 General 2 Retina 2 Septic

3 Glaucoma 3 Special 4 Sonography & laser Clinic 4 Semi special

5 Pediatric 5 Day care 6 Low vision 6 Paid

7 Emergency 8 Pre-operative

8 Counseling 9 Eye Bank

10 OT orientation (Instrument & procedure identification)

Admission Procedures:

Patient Consent – General & Special

Receiving the patients including Pre OP photo

Case sheet checking and other procedures (Advance payment)

Room Allotment

Bed Making

House keeping

Patient care


8 | P a g e

Pre- Operative preparation:

Morning (Day of surgery) Evening (Previous day)

Visual acuity Pre OP painting & instill eye drops Dusting in ward/emergency room during morning

Intra ocular pressure

Preparation of trolley – surgery wise Lacrimal duct patency

Dilatation Blood Pressure Examination urine Sugar Examination

A-Scan- keratometry

E.C.G. 60+

OPD medicines

Fundus Exam


9 | P a g e

OT Preparation:

OT documentation

Block

Circulation

Eye OT Cleaning (a) Daily (b) Weekly (c) Monthly

Scrubbing & Gowning

Instrument cleaning & maintenance

Medical & Surgical Instrument – Introduction, Method of use & uses

RL Solution clarity checking

OT equipment maintenance, calibration & documentation

Fumigation

Biological indicator controlling

Types of cases

(a)Cataract (e) Retina, Vitreous

(b)Glaucoma (f) Cornea

(c)Orbit (e) Squint

(d)Ulcer

Tray set up

(a) Clear ward (b) Septic ward (c) Orbit ward (d) Pediatric

Assisting Doctors in room round and assisting them in slit lamp examination in Duty room.

Bandage tying and untying

Drugs Administration

Basic Pharmacology

Drug classification

Route of Administration of tray


10 | P a g e

Medical abbreviations

Drops and its types

Ointment

Tablets

Administering different kinds of Injection

Counseling

(a) Pre- Operative counseling (b) Post- Operative counseling (c) Discharge Counseling

Cataract

(a) Definition

(b) Type of cataract

(c) Pre-operative medication & preparation

Type & choice of cataract surgical techniques

a) intra capsular Cataract extraction b) Extra capsular Cataract extraction c) Intra Ocular Lens d) Small Incision Sutureless Cataract Surgery e) Phaco

Postoperative management after cataract operation Complication of cataract surgery & their management

Glaucoma

Introduction,Definition & classification of glaucoma

Type of glaucoma surgery

(a) Trabeculactomy (b) Combined Surgery (c) Trab with phaco (d) Artificial drainage shunt operation


11 | P a g e

(e) Cyclo-destructive procedure

Retina

Introduction,Definition & types of retinal surgery

(a) Retinal detachment (b) Vitrectomy (c) Membranectomy (d) Intra Vitreal Injection Cat + Retina (e) Glaucoma + Retina (f) DR

Cornea Introduction,Definition & types of corneal surgery

(a) Corneal transplant/ Karetoplasty – Full thickness & Lemenar (b) Corneal tair repair (c) Scleral tair repair (d) C3R procedure (e) Amoitic membrane grafting

Orbit

(a) Introduction to Orbit (b) Anatomy (c) Orbital Disease and its Management

Uvea :

(a) Introduction to Uvea (b) Types of Uveitis and its management

Neuro- Ophthalmology :

(a) Introduction to Neuro Ophthalmology (b) Diseases associated with Neuro Ophthalmology


12 | P a g e

Pediatric Ophthalmology

(a) Congenital Cataract (b) Surgical Treatment

Squint:

Types of Squint and its management

Oculoplasty

a) Dacryocystitis b) Ptosis c) Entropion d) Ectropion e) Tarsorrhaphy f) Lid retraction


13 | P a g e

Post Operative Complications

IOL malalignment Choroidal detachment Cataract / IOL drop Wound Leak Severe lritis Iris Prolapse Hypopyon Suture gap Hyphema Endophthalmitis Corneal Oedema Panophthalmitis Shallow AC Striate Keratitis Pupillary Block

Management of Emergencies Cases

(a) Chemical burns (e) Blunt Injury (b) Injury (f) Foreign Body (c) Perforating injury (g) Lens Induced Glaucoma (d) Penetrating injury

Tonometry and Lacrimal Passage Patency

(a) Setting up of tray (b) Theory (c) Practical

Laboratory Investigation

(a) Blood collection Method (b) Urine Test (c) Blood collection Method (d) Urine Test (e) Blood Test (f) HB, RBC, TC , DC, ESR

Injection

(a) Types of Injection (b) Sites, Procedures & Complications (c) Subcutaneous (d) Intradermal


14 | P a g e

Vital Sings

(a) Temperature (b) Pulse (c) Respiration (d) Blood Pressure

Management of General Cases

(a) Fever (b) Diarrhea (c) Diabetes (d) Hypertension (e) Asthma (f) Cardiac

ECG Recording

Administration of O2

Management of preoperative and postoperative Complication in GA

Patient

(a) Investigation (b) Instruction (c) NBM (d) post – operative Observation

Management of Corneal Ulcer Cases

(a) Types of Ulcer Cases (b) Investigation


15 | P a g e

Sterilization & Disinfection

(a) Plazma & Gama sterilization (b) Autoclaving (c) Gas Sterilization

Management of Ocular Emergencies

Management of General Emergencies

Ocular Pharmacology

Maintenance of Asepsis

Specific Discharge Instruction to all cases

Responsibility of night duty nurses

Orientation in Refractive Errors

ICU Management

Bio medical waste management

BLS

Infection control

Definition

Transmission of infection

Infection prevention & control

Universal precautions

Standard precautions - o Use of Personal Protect Devices o Hand Hygiene o Spillage management o Niddle stick injury

General Anatomy & Physiology

Transmission based precautions, airborne, droplet & contact strick isolations.

Soft skills

Exposure to eye camp activity


16 | P a g e

Organizational Behavior

(a) Communication (b) Leadership (c) Motivation (d) Teamwork (e) Time Management (f) Problem Solving (g) Decision making (h) Organization culture and values.

Theory & Practical Training:

There will be one or two periods of theory daily. Thereafter, demonstration and

observation will be arranged. On completion of aforesaid both stages, trainees

will have to do practical.

Language: Mainly - Gujarati (Hindi and English depending upon the

trainees)

Posting: Postings will be done as per syllabus.

Fees: Ophthalmic nursing training for 1 year – Rs. 2400/-

Accommodation & Food, breakfast, Tea charges will be Rs. 6000/-

per year.

Qualification: Minimum qualification required is 12th pass from all

background (Science preferable).


17 | P a g e

Accommodation: Three – five trainees will be accommodated in

one room ordinarily. In case of large size room the number of trainees

may be more than three.

Food:Rice, Dal, Chapati and Vegetables.

Morning Tea with breakfast, Afternoon – Only Tea, Extra Tea will be at

extra cost.

Library:

Textbooks are available as reference books in the library. Course material &

Video cassettes are available.

Whatever extra facility is availed by the trainee, extra charges will be

levied.

S.T. Buses are available at an interval of every hour from Surat & Kim for coming to Mandvi.

Leave: One weekly off will be given at our convenience. On sundays, it is compulsory to attend eye camps. During training period, trainees will not be allowed to visit their homes.

In case of problems / difficulties, trainees are advised to contact training

in-charge


18 | P a g e

BIO DATA

To be submitted by the trainee to join training course at Divyajyoti Trust, Mandvi

Full Name : ……………………………………………………………………...

Postal Address : …………………………………………………………………

Pin Code : …………………. Phone (With STD Code) : ………………...

Date of Birth : ……………………..

Educational Qualifications :

Examination Passed Year of passing Board /

University

Percentage

of marks

Remarks

Previous work experience in ophthalmology / paramedical worker :

Name of hospital or NGO Nature of work done Period (Dates)

From To

Reason why applicant wants training in ophthalmological work / paramedical

work ?

Please read carefully general information about Divyajyoti Trust and facilities

available for trainees before sending this form.

Name of organisation:

Full postal address:

Phone No : Fax No :

Email Address :

Signature of candidate Signature & seal of the ponsoring

Organisation Place:

Date :


19 | P a g e

Syllabus Helpful reminders:

o The syllabus is a form of learning contract. o The syllabus is a resource that can pique students’ interest o Including more rather than less reduces anxiety and can be a learning tool.

End the syllabus on a positive upbeat note.

course design nursing.pdf · available manpower. student-centered course design . divyajyoti trust...

Documents