5 YEAR TRAINING PROGRAM

FIRST YEAR

 

SUBJECT: MEDICAL, SURGICAL AND COMMUNITY NURSING I

No.	Subjects	CE	S	PL	ET	TOTAL
1	Introduction to surgical and medical nursing	4	2	2	74	16
2	Nursing care for patients with MSK conditions	4	2	–	74	14
3	Nursing care for patients with dermatological conditions	4	2	–	74	10
4	Nursing care for patients with digestive system disorders	4	2	2	74	16
5	Nursing care for patients with respiratory system disorders	4	2	2	74	16
6	Nursing care for patients with kidney system disorders	4	2	2	74	16
7	Nursing care for patients with hydroelectrolytic and acid-basic imbalances	4	2	2	74	16
8	Nursing care in the perioperative	4	2	2	74	16
9	MTN	6	2	–	72	16
	TOTAL	38	18	12	664	732

 

SUBJECT: ENGLISH I

Unit	CPILI	E	TI	Total
Introduction to English	7			7
Making an appointment	7			7
Consolidation	1	1		2
What a hectic week!	6			6
Yesterday and tomorrow	6			6
Independent project			2	2
TOTAL	27	1	2	30

 

SUBJECT: IT AND HEALTH I

No.	Subjects	S	CP	CTP	TI	E	TOTAL
1	Introduction to information manipulation		3	10		1	14
2	Aspects related to the processing of information			6			6
3	Health data search and recovery	2		6	8		16
	TOTAL	2	3	22	8	1	36

 

SUBJECT: MORPHOPHYSIOLOGY I

 

No.	SUBJECT	CE	CP	S	TI	TOTAL
1	General morphophysiology	2			4	6
2	Somatic systems	6	2	4	4	16
3	Digestive system	2	–	2	4	8
4	Respiratory system	2	–	2	4	8
5	Urinary system	4	–	2	4	10
	TOTAL	16	2	10	20	48

 

SUBJECT: PHARMACOLOGY I

 

No.	Subjects	C-E	S	C-P	TI	E	TOTAL
1	Introduction, pharmaceutical forms, ways of administration and processes to which drugs are subjected to in the body	2	–	–	2	–	4
2	General notions on receptor theory and pharmacology of the autonomic nervous system	1	1	–	2	–	4
3	Adverse reactions and drug interactions	1	–	–	1	–	2
4	Chemical mediators	1	–	–	1	–	2
	1st TCC					1	1
5	Drugs used to treat pain and inflammation	1	–	–	1	–	2
6	Drugs that act on biological organisms that affect humans	2	1	–	3	–	6
7	Drugs that act on the digestive system	1	–	–	2	–	3
8	Drugs used in the treatment of respiratory diseases	1		–	2	–	3
9		–	–	1	1		2
	2nd TCC					1	1
	TOTAL	10	2	1	15	2	30

 

SUBJECT: DIAGNOSTIC MEANS I

No.	Subjects	CE	S	TI	TOTAL
						1	Introduction to diagnostic resources	6	–		6
2	General pathology	10	2		12
3	Assessment of diagnostic resources I	–	2	14	16
	TOTAL	16	4	14	34

 

SUBJECT: MEDICAL, SURGICAL AND COMMUNITY NURSING II

 

No.	UNITS	CE	S	PL	ET	TOTAL
1	Nursing care for patients with injuries and burns	4	2	6	74	20
2	Nursing care for patients with cardiovascular – peripheral vascular conditions	4	2	2	74	16
3	Nursing care for patients with hemolymphopoietic conditions	4	2	–	74	14
4	Nursing care for patients with endocrinometabolic conditions	4	2	4	74	18
5	Nursing care for patients with disorders of the nervous system	4	2	–	74	14
6	Nursing care for patients with otolaryngological and ophthalmological conditions	4	2	–	74	14
7	Nursing care for patients with psychiatric conditions	4	2	–	72	10
8	Nursing care for patients with oncology conditions	4	2	–	74	14
9	MTN	6	2	–	74	16
	TOTAL	38	18	12	664	732

SUBJECT: MORPHOPHYSIOLOGY II

No.	Subjects	CE	S	TI	T
1	Circulatory system	6	2	4	12
2	Endocrine system	4	2	4	10
3	Nervous system	12	2	4	16
	TOTAL	22	6	12	40

 

SUBJECT: PSYCHOLOGY I

 

No.	Subjects	C	S	CP	TOTAL
1	REGULATORY ROLE OF HUMAN PSYCHISM IN HEALTH BEHAVIOR	10	4	4	18
2	INTEGRAL VISION OF THE HEALTH-DISEASE PROCESS FROM THE PSYCHOLOGICAL LEVEL	4	4	4	12
	TOTAL	14	8	8	30

 

SUBJECT: PHARMACOLOGY II

 

No	Subjects	C-E	S	TI	E	TOTAL
1	Drugs used in the treatment of cardio-vascular diseases	2	1	4		7
2	Antianemic agents, anticoagulant agents, fibrinolytics and platelet antiaggregants	2	–	2	–	4
3	Drugs used in the treatment of endocrine system diseases	2	–	3	–	5
	1st TCC				1	1
4	Anticonvulsants and antiparkinsonians	2	–	2	–	4
5	Psychodrugs	2	1	3		6
6	Cytostatics	1		1		2
	2nd TCC				1	1
	TOTAL	11	2	15	2	30

 

SUBJECT: DIAGNOSTIC MEANS II

 

No.	Subjects	CE	S	CT	TI	TOTAL
							1	Medical genetics	4	2	–			6
2	Assessment of diagnostic resources II	–	2	–	22	24
3	Diagnostic resources workshop	–	–	4		4
	TOTAL	4	4	4	22	34

SUBJECT: ENGLISH II

Lesson	CPILI	E	TI	TOTAL
Measurement: quantity	6			6
Process: cause and effect	6			6
Consolidation	1	1		2
Measurement: Proportion, consolidation	6			6
Frequency, tendency, probability	6			6
Independent project			6	6
TOTAL	25	1	6	32

 

SUBJECT: DISSERTATION PREPARATION I

 

No.	Subjects												ASSESSMENT		TOTAL HOURS
		C	CE	CP	CT	CTP	PL	CPLI	S	ET	TI
1	Foundations of national security			28							8	2		38
2	Foundations of national defense			30							8	4		42
	Total			58							16	6		80

 

SECOND YEAR

 

SUBJECT: OBSTETRICS, GYNECOLOGY AND COMMUNITY NURSING

No.	Subjects	ENC	CE	CT	S	PL	ET	TOTAL
I	Introduction to the specialty	1	4	–	–	–	90	94
II	Nursing care for the pregnant woman	2-6	6	6	6	4	142	164
III	Nursing care for women at birth	7-9	4	–	4	2	124	134
IV	Nursing care for the newborn	10-12	4	–	4	4	120	132
V	Postpartum nursing care	13-14	2	–	4	2	104	112
VI	Nursing care for women with gynecological conditions	15-18	8	4	4	–	60	76
TOTAL		18	28	10	22	12	640	712

 

SUBJECT: MORPHOFISIOLOGY III

No.	SUBJECT	CE	CP	S	TI	TOTAL
1	Reproductive systems	6	2	4	4	16
2	Morphological development	6	–	6	4	16
	TOTAL	12	2	10	8	32

SUBJECT: ENGLISH III

Unit	CPILI	TI	E	Total
5	7			7
6	7			7
Consolidation	1			1
Independent project		14		14
Assessment			1	1
TOTAL	15	14	1	30

SUBJECT: PSYCHOLOGY II

 

No.	Subjects	C	S	CP	T I	Total
1	PSE group determinants	6		4	10	20
2	Health education techniques	2	2	2	4	10
	TOTAL	8	2	6	14	30

 

SUBJECT: PHILOSOPHY, HEALTH AND NURSING

No.	Subjects	C	TI	S	E	TOTAL
1	The conception of the world. Individual, society and health	6	4	2	2	14
2	Spiritual life the theory of knowledge	4	4	4	4	16
TOTAL		10	8	6	6	30

 

 

IT AND HEALTH II

 

                                                                                  C      S      CP      CTP       E     T

Research methodology                                              5       2         __      __      __      7

Descriptive statistics                                                 6       __         6       5          1    18

Elements of demography and

health statistics                                                          2      __           2       4        __      8

Statistical inference:                                        

Introduction to statistical inference                           6      __           2      __        __     8

Estimation of population parameters                        2      __           2      __        __     4

Hypothesis testing.                                                    2      __           4       4           1    11

Correlation and regression                                        __    __           2       2         __     4

Total hours                                                                23        2        18     15        2    60

 

 

SUBJECT: PEDIATRIC AND COMMUNITY NURSING

 

	CE	S	ET	TI	E	TOTAL
SUBJECT 1. INTRODUCTION TO THE SPECIALTY	4	2	70	6		82
SUBJECT 2. NURSING CARE FOR CHILDREN WITH DIGESTIVE SYSTEM DISORDERS	4	2	70	–		76
SUBJECT 3. NURSING CARE FOR CHILDREN WITH RESPIRATORY DISORDERS	4	4	70	–		78
SUBJECT 4. NURSING CARE FOR CHILDREN WITH RENAL DISORDERS	4	2	70	–		76
SUBJECT 5. NURSING CARE FOR CHILDREN WITH CARDIOVASCULAR DISORDERS	4	2	70	–		76
SUBJECT 6. NURSING CARE FOR CHILDREN WITH SURGICAL DISORDERS	4	4	70	–		78
SUBJECT 7. NURSING CARE FOR CHILDREN WITH NERVOUS DISORDERS	4		68			72
SUBJECT 8. NURSING CARE FOR CHILDREN WITH ENDOCRINE AND METABOLIC DISORDERS	4	2	70	–		76
SUBJECT 9. NURSING CARE FOR CHILDREN WITH HEMOLYMPHOPOIETIC DISORDERS	4	2	70	–		76
ASSESSMENT					6
TOTAL	36	20	628	6	6	696

 

 

 

SUBJECT: MORPHOPHYSIOLOGY IV

No.	SUBJECT	CE	S	TI	T
1	General criteria for growth and development	2	2	4	8
2	Newborn growth and development	2	2	4	8
3	Child growth and development	2	2	4	8
4	Puberty growth and development	2	2	4	8
5	Adolescent growth and development	2	2	4	8
6	Congenital malformations	4	2	4	8
	TOTAL	14	12	24	50

 

SUBJECT: ENGLISH IV

 

Unit	CPILI	TI	E	Total
A job opportunity	7			7
On ethics	7			7
There’s been an accident	6			6
Assessment			3	3
Consolidation	1			1
Individual project		6		6
TOTAL	21	6	3	30

 

SUBJECT: MANAGEMENT IN NURSING

 

No.	Subjects	CE	S	E	TI	TOTAL
I	General aspects of management	4	2	–		6
II	Administrative process	10	4		4	18
III	National Health System	2	2		2	6
	Inter-semester exam			2		2
IV	Quality and humanization of care	2	2		2	6
	TOTAL	18	10	2	8	38

 

SUBJECT: CUBAN HISTORY WORKSHOPS

 

No.	WORKSHOPS	C	TI	TOTAL
Introduction		2	–	2
1	Nationality is the purest form of patriotism	2	2	4
2	Only those who obey their nation are constructive for their country	2	2	4
3	The fight in the present to improve the future	2	2	4
4	History will absolve me	2	2	4
5	The world only respects those who have founded and battled	4	4	8
6	Internationalism, the most beautiful flower of the Revolution	2	2	4
	TOTAL	16	14	30

 

THIRD YEAR

SUBJECT: EMERGENCY NURSING

No.	Subjects	CE	CP	S	ET	TOTAL
1	Nursing for patients with severe health conditions	16	12	8	214	250
2	Nursing for emergencies and medical-surgical emergencies of adults	10	4	6	213	233
3	Nursing for emergencies and medical-surgical emergencies of children	8	4	4	213	229
TOTAL		34	20	18	640	712

 

SUBJECT: MENTAL HEALTH NURSING

 

No.	Title	CE	ET	S	Total
1	General mental health and psychiatry	2	2		4
2	Semiology and psychiatric syndromology	4		2	6
3	Frequent psychiatric conditions	2		2	4
4	Biological and non-biological therapy	2	2		4
5	Psychiatric emergencies	2	2		4
6	Sex education. Non-organic sexual dysfunctions	2			2
7	Drug dependence	2		2	4
8	Family and dysfunction factors	2			2
9	Social rehabilitation	1			1
10	Geriatrics and community	1			1
11	Stress and coping mechanisms in building self-esteem	2			2
	Presentation of research project			2	2
	TOTAL	22	6	8	36

 

SUBJECT: IT AND HEALTH III

 

No.	Subjects	C	CTP	CP	E	Total
1	Research methodology	4	2	0	0	6
2	Inference Statistics	0	12	9	3	24
	TOTAL	4	14	9	3	30

 

SUBJECT: NURSING ETHICS AND BIOETHICS

 

No.	Subjects	C	CTP	CP	TI	S	E	Total
1	Ethics and nursing. Axiology	1	1	1	4	1		8
2	Nursing ethics and bioethics	1	1	1	4			7
3	Codes of professional ethics. Deontology		1	1	4			6
4	Professional morale		1	1	4	1		7
	Final assessment						2	2
	TOTAL	2	4	4	16	2	2	30

 

SUBJECT: MANAGEMENT OF NURSING SERVICES

 

No.	Subjects	CE	S	E	TI	TOTAL
1	Management of nursing services	2				2
2	Management of organizational change in nursing	2	2		2	6
3	Organizational analysis of nursing services	4	2		4	10
	INTER-SEMESTER EXAM			2		2
4	Strategic planning of nursing services	2	2		2	6
5	Risk management in nursing practice	2				2
6	Care management	2	2		2	6
	TOTAL	14	8	2	10	34

 

SUBJECT: FAMILY AND SOCIAL NURSING

 

	Subjects	CE	S	CT	ET	E	TOTAL
1	Primary healthcare, a fundamental link in promotion and prevention	2	10	14	313	4	343
2	Nursing care for the individual, family and community	2	8	18	313	4	345
	TOTAL	4	18	32	626	8	688

 

SUBJECT: TEACHING-LEARNING PROCESS

No.	Subjects	CE	CT	S	T
1	Introduction to pedagogy	2	–	–	2
2	Essential components of the teaching-learning process	2	8	2	12
3	Organizational structure of the tuition. The tutor. Pedagogical work	2	6	2	10
4	Identification of the learning needs of a healthy or sick person, family, group and community, the importance of health education.	–	3	–	3
5	Human resources training for nursing in undergraduate and postgraduate studies. Continuing education	1	4		5
	TOTAL	7	21	4	32

 

SUBJECT: CONCEPTUAL BASIS OF NURSING

 

No.	Subjects	C	CT	S	E	TI	Total
1	Theoretical foundations for nursing education	2	8	2			12
	and practice
2	Models and theories	2	6			2	10
3	Nursing and its professional practice		2	2	2	2	6
TOTAL		4	16	4	2	4	30

 

 

SUBJECT: IT AND HEALTH IV

No.	Subjects	C	S	CP	CTP	E	Total
1	Introduction to qualitative health research	2	0	0	12	2	16
2	Elements of data analysis in qualitative research	0	2	6	8	0	16
	TOTAL	2	2	6	20	2	32

 

ENGLISH V

UNIT                                                     C        S    CPILI    TOTAL Unit 1. At the workplace                         0        0        8           7 Unit 2. A profession for all                     0        0        8           7 Unit 3. A job opportunity                        0        0        8           6 Unit 4. On ethics                                      0        0        8           6 Evaluation                                                                                 6 Total: ……………………………..         0        0      26         32 Note: The assessment hours are included in the unit times.

 

 

SUBJECT: EMERGENCY NURSING

 

SUBJECT: ENGLISH VI

 

Unit	CPILI	TI	E	Total
7	5			5
8	5			5
Complementary unit	4			4
Independent study		14		14
Assessment			1	1
Consolidation	1			1
TOTAL	15	14	1	30

 

SUBJECT: DISSERTATION PREPARATION II

 

No.	Subjects	HOURS OF THEORETICAL CLASSES										ASSESSMENT		TOTAL HOURS
		C	CE	CP	CT	CTP	PL	CPLI	S	ET	TI
1	The Defense Zone	2				2					1				5
2	Medical insurance of population groups in contingency situations					2									2
3	Wounded and injured in contingency situations				3	2					1				6
4	Traumatism			2		2									4
5	Weapons of mass destruction and nuclear, toxic and biological products	2				2			2						6
6	Single doctrine for hygienic-epidemiological assurance in contingency situations			2		2					2		2		8
7	Anti-epidemic advocacy in the community	3				2					1				6
8	Gait hygiene					2					1				3
	Total	7		4	3	16			2		6		2		40

 

FOURTH YEAR

 

(WORK EXPERIENCE)

DURATION 45 WEEKS

TOTAL HOURS: 1880

ROTATIONS	TOTAL HOURS	WEEKS
MEDICAL, SURGICAL AND COMMUNITY NURSING	352	8
PEDIATRIC AND COMMUNITY NURSING	352	8
OBSTETRICS, GYNECOLOGY AND COMMUNITY NURSING	352	8
PRIMARY HEALTHCARE NURSING	352	8
INTERNSHIP	440	10
SUBTOTAL	1848	42
STATE EXAMINATION	32	3
TOTAL GENERAL	1880	45

 

 

MEDICAL, SURGICAL AND COMMUNITY NURSING ROTATION

Description of techniques by equipment

1. Cardiovascular

• Cardiorespiratory arrest: resuscitation technique
• Echocardiogram (ECG) interpretation

1. Arrhythmia

• Lymphatic disorders of the limbs
• Respiratory
• Chronic respiratory distress syndrome
• Respiratory allergies

1. Digestive

• Intestinal parasitism
• Digestive bleeding

1. Endocrine and Hematopoietic

• Lymph and tumoral syndrome
• Hyper and hypothyroidism

1. Renal

• Cleansing methods
• Nephrotic syndrome
• Nervous
• Craniocerebral trauma
• Cerebellar syndrome
• Geriatrics
• Immobilization syndrome in elderly patients

1. Oncology

• Surgical medical treatment in head, neck, breast, lung and skin oncological conditions

Skills:

1. To administer the medication by different routes and observe the patient’s response to the drugs used for the treatment and their adverse reactions.
2. To carry out nursing actions for the patient in different health situations.
3. To prepare the conditions and participate in the visits.
4. Patient care in cardiac arrest and connected to ventilation equipment and cardiac monitors.
5. Nursing care of patients before, during and after clinical investigations.
6. Pre, trans and postoperative nursing care in surgery.
7. Care of patients with thoracic couplings (central aspiration or over-holt).
8. To perform nasogastric intubations for different purposes (feeding, gastric lavage, aspiration of secretions).
9. To mobilize the patient in bed to avoid pressure ulcers. Respiratory, circulatory, digestive or other complications.
10. Comprehensive care for patients with chronic and surgical conditions.
11. To perform delivery and reception of rooms and patients.
12. To educate and instruct patients with acute and chronic medical or surgical conditions.
13. To observe the patient to detect symptoms and signs of diseases and complications, as well as psychological or pathological conditions.
14. To make notes and keep records on the nursing, diabetology, hydromineral balance, and vital signs control sheets.
15. To apply the scientific principles of asepsis, antisepsis and other sciences that support nursing actions.
16. Procedures in the preparation of surgical equipment, instruments and materials.
17. To use mechanical ventilation equipment, (Mark 7 and 8), cardiac monitors, aspirators, drainage instruments, oxygen therapy equipment and others.
18. To carry out nursing actions in the event of disasters or collective emergencies.
19. To identify and interpret the problems or difficulties of the patient, occasions for temporary or permanent disability, taking the appropriate measures and rehabilitation actions according to their level.
20. To take samples for gasometrical studies and interpret the results.
21. To prepare the patient physically and psychologically for investigations or invasive radiological actions, endoscopies and special tests.
22. To carry out the control and measurement of the PBVC of the patient.
23. To plan and execute nursing care for patients assigned through PAA.
24. To disappoint patients and weaken the nursing care plan.
25. To create reports and work programs.
26. To monitor and control the reporting of diets and participate in the feeding of patients with nutritional problems.
27. To participate in scheduled meetings.
28. To guide new staff.
29. To help with the transfers of the medical shifts on duty.
30. To help with the discharges of patients.

Nursing care issues:

• Care for patients with cardiorespiratory conditions
• Care for patients with cerebrovascular conditions
• Care for patients with febrile syndrome
• Care for patients with pain syndromes
• Care for patients with respiratory distress
• Care for patients with cyanosis or pallor
• Care for patients with cyanosis or pallor
• Care for patients with nausea, vomiting and diarrhea
• Care for patients with endocrine and metabolic disorders
• Care for patients connected to mechanical ventilation equipment
• Care for patients attached to thoracic drainage equipment and over-holts
• Care for patients with oliguria, anuria and renal failure
• Care for patients with ophthalmic and otorhinolaryngology conditions
• Care for patients with thermal and musculoskeletal trauma.

OBSTETRICS, GYNECOLOGY AND COMMUNITY NURSING ROTATION

Contents

1. Normal and pathological pregnancy
2. Normal delivery

• Normal and pathological postpartum period. Breastfeeding

1. Complicated pregnancy with other conditions
2. Major gynecological syndromes
3. Pelvic inflammatory disease

• Fertility disorders
• Genital prolapse

1. Gynecological cancer

Skills:

1. To administer the medication by different routes and observe the patient’s response to the drugs used for the treatment and their adverse reactions.
2. To analyze and solve nursing problems that may arise.
3. To prepare the conditions and participate actively in the visits.
4. Proper use and management of HC.
5. To control the reception and transfer of patients.
6. To perform delivery and reception of rooms and patients.
7. To observe the patient to detect symptoms and signs of clinical complications, as well as psychological or pathological conditions.
8. To perform accurate infirmary observation, according to the patient’s situation.
9. To plan and execute nursing care for patients assigned through PAA.
10. To carry out the recording and interpretation of vital signs.
11. To perform a physical examination of the pregnant woman.
    • Fundal height measurement
    • Diagnosis of fetal situation, position and presentation
    • Measurement and interpretation of uterine dynamics
12. Comprehensive care for patients with obstetric pathologies and medical conditions associated with pregnancy.
13. Patient care for different diagnostic tests in gynecology and obstetrics.
14. Application and control of cardioultrasonography in emergency departments.
15. Collaborate in normal deliveries.
16. To act in medical and surgical emergencies: intrauterine anoxia, cardiorespiratory arrest, shock, hemorrhage, placenta previa, prolapse of cord and others.
17. To comply with and enforce asepsis and antisepsis measures, as well as hygienic and sanitary standards.
18. To perform physical examinations of post-natal women (mucus membranes, breast, uterus, perineum, extremities).
19. Comprehensive care for normal and pathological post-natal women.
20. To guide the post-natal woman on the importance of breastfeeding, post-natal exercises, childcare consultation, vaccination (scheme), sex education and family planning.
21. To interpret signs that can lead to complications and act accordingly.
22. Pre- and postoperative care for gynecological patients.
23. Comprehensive care for patients with disorders of the genital tract (cervicitis, uterine fibroma, genital prolapse, pelvic inflammation, and others).
24. Care for patients with gynecologic cancer.
25. To participate in the development and control of nursing care plans in response to patient needs and medical guidelines.
26. To create reports and work programs.
27. To monitor and control the reporting of diets and participate in the feeding of patients.
28. To participate in scheduled meetings.
29. To attend on-call delivery services.
30. To plan and prepare educational activities for the population, taking into account educational techniques.
31. To assess the results of examinations during prenatal care.
32. To apply the scientific principles of asepsis, antisepsis, nursing and other sciences that support nursing actions.

Health issues and nursing care:

• Care for patients with normal and pathological pregnancies
• Care for patients in labor
• Patient care during breastfeeding
• Care for patients with complicated pregnancies
• Care for patients with major gynecological symptoms
• Care for patients with pelvic inflammatory diseases
• Care for patients with fertility disorders
• Care for patients with genital prolapse
• Care for patients with gynecologic cancer
• Pre-, trans- and postoperative nursing care in gynecology

 

PEDIATRIC AND COMMUNITY NURSING ROTATION

Skills:

1. To fulfil the therapy prescribed to the patient and observe adverse reactions.
2. To carry out a complete observation in HC of all patients under his/her care.
3. To inform the other staff of his/her assistance, administrative, disciplinary and educational work: nurse assistants, main ward nurse, main service nurse and doctor.
4. To take care of patients without delay, even in circumstances that do not require emergency treatment, assigned to him/her or not, organizing the guidelines and compliance according to the patient’s condition in a logical and welcoming manner to avoid sensitivity in the patient and his/her family.
5. To prioritize serious patient care.
6. To control the reception and transfer of patients.
7. To comply with the instructions and write down the observations of all aspects considered essential by the nurse, sign them and hand over to the main ward nurse for review and approval. The student’s signature must be legible.
8. Visit patients in your care as often as necessary and before leaving the ward.
9. On each occasion, you will carefully observe the health condition of the patients under your care, especially if there are any developments or emergencies, interpret the results, inform about them immediately and record them in the HC as well as the patient’s condition.
10. The graduate student is required to join the physician or surgeon on duty during his/her visit of the ward, or room visits of the aforementioned or the head of service, reporting new cases to them as well as any changes to known cases.
11. Take the patient to any specialized department for testing within or outside the hospital, as required.
12. Monitor the work of nursing students from lower years and guide them if they carry out any incorrect techniques, if this situation occurs, also inform the main ward nurse to amend the mistake or non-compliance.
13. Be aware of significant accidents of patients, reporting immediately to the main ward nurse or service nurse, otherwise to the doctor on duty, to immediately examine the patient and determine steps to be followed based on the findings.
14. Develop nursing actions for different health problems, urgent or not.
15. Care for patients in arrest, using ventilation equipment, monitors with chest aspirations, mechanical breathing machines, or oxygen therapy.
16. Care for patients in arrest, during and after the investigation.
17. Apply scientific principles of nursing through the application of the NCP.
18. To participate in scheduled meetings.
19. Perform and participate in student science projects.
20. Strictly maintain the standards of socialist medical ethics. Both individually and in relationships with leaders, students, and administrative and service workers.
21. Use the uniform properly during work.
22. Promote the basic rules of education and human relations.
23. Participate in the political, scientific and administrative activities programmed in the institutions in which the rotation is carried out.
24. To create reports and work programs.
25. To monitor and control the reporting of diets, statistics and patient status.
26. To help with the transfers of medical shifts on duty.
27. Provide nursing care to the newborn.
28. Perform newborn assessment.
29. To provide medical care to the normal and pathological newborn in the neonatology department or postpartum wards.
30. Prepare and handle materials, instruments and equipment: incubators, monitors, artificial breathing machines, etc.
31. Administer and monitor oral and parenteral feeding.
32. Apply physiotherapy.
33. Monitor transfusion administrations.
34. Prepare the newborn in the neonatology departments, follow-up and interpret them.
35. Assessment of the newborn in the neonatology department.
36. Differentiate seizures, tremors, and tremulous movements.
37. Apply phototherapy, oxygen with positive pressure chamber.
38. To provide protection, hygiene, comfort and rest to the newborn, nursing baby, child, etc.
39. Provide skilled nursing care to patients with cardiovascular, renal, digestive, hemolymphopoietic, endometabolic, nervous or osteomio-articular disorders, burns and other pediatric emergencies both medical and surgical.

Key skills to acquire:

These are general and specific nursing techniques that you should apply to any patient in your care: you should perform measurements of vital signs and interpret them, as well as manage specialized equipment in therapy or special care wards, with high scientific capacity and asepsis and antisepsis schemes. Apply the inviolable nursing principles to the patient or patients under your care in any department.

Students must also apply the knowledge acquired in pedagogy and administration, carrying out activities inherent to these subjects.

During rotation, the student will be taught, in the form of problematic cases, the following conferences of one hour duration.

 

• Actions to be taken in the event of acute heart failure
• Actions to be taken in the event of acute bronchial asthma attack
• Actions to be taken in the event of a child in coma
• Actions to be taken in the event of acute seizure
• Actions to be taken in the event of acute abdominal pain syndrome
• Actions to be taken in the event of acute gastroenteric syndrome
• Actions to be taken in the event of cardiorespiratory arrest
• Actions to be taken in the event of a child in shock

 

The health problems to be solved are:

 

1. Care of healthy children

• Growth and development. Alterations
• Immunizations, nutrition and dietetics

2. Care for the newborn at the time of delivery or his/her disorders

• Assessment of the sick newborn and care
• Newborn nutrition (breastfeeding)

3. Acute and chronic diarrheal diseases
4. Nutrition alterations
5. Hepatitis
6. Intestinal parasitism
7. Hydromineral and acid-base disorders
8. Acute respiratory failure
9. Acute respiratory infection
10. Acute urogenital infection
11. Oligoanuric syndrome
12. Acute heart failure syndrome
13. Congenital heart disease
14. Rheumatic heart disease
15. Acute abdomen in the child
16. Acute seizure syndrome
17. Shock
18. Central nervous system infections
19. Anemic syndrome
20. Purpuric and hemorrhagic syndrome
21. Hepato-spleno-ademic syndrome
22. Endocrine and metabolic disorders

 

The topics for the final exam are:

 

• Outpatient care. Health promotion and prevention
• Growth and development
• Nutrition and food
• Malnutrition and avitaminosis
• Normal newborn
• High-risk newborn
• Newborn diseases
• Infectious or contagious diseases
• Upper respiratory diseases
• Lower respiratory diseases
• Allergic respiratory diseases
• Acute digestive diseases
• Chronic digestive diseases
• Hydromineral and acid-base imbalance
• Diseases of the cardiovascular system
• Kidney diseases
• Diseases of the nervous system
• Diseases of the hematopoietic and lymphatic systems
• Diseases of the endocrine and metabolic systems
• Frequent surgical diseases in pediatrics

 

ROTATION: PRIMARY HEALTHCARE NURSING

 

SUBJECTS

1. The individual and the family

General Objectives:

• Execute administrative actions to mobilize all the resources of the system in order to offer comprehensive nursing care to the individual and the family.
• Provide nursing care to meet the needs and/or problems of the individual and the family, through the implementation of the scientific method of nursing.
• Provide comprehensive nursing care to women, children, adolescents, adults, elderly people and families through health promotion actions.
• To carry out nursing actions for population groups, nurses, outpatients and physical and psychosocial rehabilitation of those who require it.
• Observe and identify the decisions of the normal in children, adolescents, adults and the elderly in the different stages of somatic and psychological development.
• Carry out systematic health promotion activities, through health education activities for individuals and family members in accordance with the health programs and work plans of the primary care.

1. The family as the fundamental cell of society.

Objectives:

• To identify the historical background of the family and its role in society, as well as its structure, through the familiogram and its link with the family life cycle, through the application of the family NCP.
• To identify the different roles of the family and the main external sources of tension and stress that affect it and their link with the different family crises, in order to develop a comfortable lifestyle using participation channels, methods and techniques in the analysis and solution of health problems through the implementation of the family NCP.

 

2. The different models and approaches to families.

Objectives:

• Carry out the NCP using the different approaches that allow for the comprehensive study of the family, the identification of problems, and the plan of actions to solve them.

 

3. Infection and infectious disease

Objectives:

• Interpret the different manifestations of infection. Stages of the infectious process. The main elements of the transmission chain to solve family situations through the NCP.

 

4. Epidemiology of some airborne diseases.

• Acute breathing. ARI
• Tuberculosis
• Meningo-encephalitis
• Whooping cough
• Legra

Objectives:

• To understand the concepts of tuberculosis, ARI, meningitis, whooping cough and legra for nursing in PHC.
• To reaffirm the knowledge of the different elements of the chain of transmission of airborne diseases and the application of control measures in the NCP, in the individual, family and community.

 

5. Epidemiology of some diseases transmittable via the digestive route.

• DA
• Viral hepatitis (A and E)
• Cholera
• Typhoid fever
• Parasitism: Pinworms, amoeba, giardia

Objectives:

• To understand the concepts of ADD typhoid fever, viral hepatitis and parasitism for nursing in primary healthcare.
• To reaffirm the knowledge of the different elements of the chain of transmission of diseases via the digestive route, proposal and application of control measures in the NCP, in the individual, family and community.

 

6. Epidemiology of some diseases transmitted by contact:

• Syphilis, gonorrhea
• Rabies
• Scabies
• Leptospirosis
• Pediculosis
• AIDS

Objectives:

• To understand the concepts of syphilis, gonorrhea, leptospirosis, pediculosis, scabies, AIDS and leprosy for nursing in PHC.
• To reaffirm the knowledge of the different elements of the chain of transmission of diseases via contact, proposal and application of control measures in the EAP and the community.

 

7. Epidemiology of vector-borne diseases

• Malaria
• Dengue fever

Objectives:

• To reaffirm the knowledge of the various elements of the transmission chain, such as proposed vector-borne disease control measures applicable to the EAP, family and community.

 

8. Control measures for transmissible diseases

Objectives:

• Interpret immediate measures in the face of an outbreak of infection, as well as measures to interrupt the route of transmission and the measures mandated to protect the susceptible host.
• Identify permanent control measures and anti-epidemic control measures applicable to different groups of diseases in the family or community in PHC.

 

9. National Immunization Program

Objectives:

• Integrate the concept of immunity and its classification. Apply it to the official vaccination scheme of the individual, family and community.
• Explain the control carried out in PHC with the vaccination (vaccination records) as well as its registration at the different levels of PHC.

10. Somatic and psychological growth and development in different stages of life.
    • Use of charts and tables of Cuban weight and height. Weaning.

Objectives:

• Interpret the somatic and psychological growth and development in different stages of life with the NCP.
• Interpret the percentile values according to the ranking of the Cuban weight charts.

 

11. National Maternal and Child Program. Gynecological care for cervical and uterine cancer and breast cancer. Sex education.

Objectives:

• To associate obstetric and gynecological work with the community. Becoming aware of the biological and social factors that influence the development of pregnancy.

 

12. Prenatal nursing care

Objectives:

• To identify the fundamental characteristics of the postpartum period and the newborn, as an essential element of the maternal and child program and its relationship with the individual, family and community.

 

13. Nursing care of the post-natal woman and newborn (postnatal)

Objectives:

• Apply nursing care to the post-natal woman and newborn in PHC, problem-solving using the computerized system.
• Apply nursing care to the post-natal woman and newborn in PHC by creating problematic situations that achieve the goals of family nursing care.

 

14. Care of healthy adults

Objectives:

• Identify the health picture of the population (according to the epidemiological chart) through prevention, promotion, treatment and rehabilitation actions, as well as the reduction of morbidity and mortality in the 15-year-old and older groups. Integrate preventive aspects with curative aspects, biological aspects with social aspects and personal aspects with environmental aspects. Connect the participation of mass organizations in solving individual, family and community health problems in PHC.

 

15. Nursing care for older adults (elderly)

Objectives:

To define health problems of the elderly, as well as their limitations, risk factors, and measures to promote, prevent, and preserve their health, in this group in PHC, linking the NCP to the family.