Sixth Schedule., The Nurses Rules

SIERRA LEONE NURSES' BOARD QUALIFYING EXAMINATIONS. Varieties of temperature and their meaning. The pulse-variations in rate, volume, tension, rhythm. Taking of blood pressure. Types of respiration. Skin conditions-cyanosis, jaundice, rashes, etc. Abnormal stools. Abnormalties in urine and urine testing (Specific gravity, reaction, albumen, sugar, acetone, blood, bile, pus and the significance of each). Vomit-types and significance. Sputum-varieties and significance. Other discharges. Significance of posture and facies. Giving and taking of oral and written reports. Dispensary orders, repairs, indenting, diet sheets. Dressing of clean and infected wounds. Removal of stitches and clips. Suturing of minor wounds. Ward treatment of burns. Care of perineal wounds. Application of skin extensions. Strapping of ribs. Bathing, changing, feeding and management of children. Reports. Requisitioning. Surgical ward technique. Care of children. Delirious patients; paralysed patients; patients in coma. Head Nursing of . . . · I · · · t h t fits and convulsi"ons ·, tetanus·, special cases.lllJUries; spma lllJunes, rae eo omy; patients who are dying. Last Office. Hot baths; hot air and vapour baths; medicated baths; wax bath; spa treatment. Uses of radiant heat. Nasal, gastric, antrum, rectal. Aspiration of Stomach. Eye, ear, Lavage and throat; Vaginal douching. irrigations. Ointment dressing; application of blisters; cupping; leeches, mustard leaf; Scott's dressing; Unna's pastes, ice poultice. Intra-muscular injections; intra-peritoneal infusion; saline; intra-venous injections; blood transfusion. Nasal; oesophageal; gastrostomy; rectal. subcutaneous Aspiration of abscess; incision of abscess; aspiration of chest; tapping; paracentesis abdominis; artificial pneumothorax; lumbar puncture. Basal metabolic rate; fractional test meal; urea clearance; blood sugar. Routine clinical examinations, surgical and medical. Neurological examinations. Barium meal; barium enema; preparation of patient for bronchoscopy; preparation for cholecystogram. Nursing of Surgical and Medical cases supplementary to Surgeon's and Physician's Lectures. Approximate Number of Lectures-24. SENIOR PRACTICAL NURSING. At least twenty hours of demonstrations are required to illustrate the work of a senior nurse. Approximate Number of Demonstrations-20. SENIOR NUTRITION COURSE. Normal metabolism of the following- Water protein, fat, carbohydrate, mineral salts, vitamins. Roughage. Accessary food factors-alcohol, condiments, extractives. Caloric value of different types of food. Quantity and quality of food for patients in hospital. Standard hospital diets-liquid, light, convalescent and full diet. Various local a pplications. Infusions and injections. Artificial feeding. Preparation for various treatments. Preparation for and meaning of various tests. Constituents of food. Basal and total metabolism. Special diets. Dietary treatment of special diseases. Infant feeding. Test meals. Prevention. Principles on which the following are built up, with examples:- Semisolid diet for oesophageal obstruction. Low and high residue diets. Low and high protein diets. Low and high carbohydrate diets. Low and high caloric diets. Low fat diet. Ketogenic diet. Low salt diet. Purin free diet. Liver diet for anremia. High iron diet. Avitaminosis diet. Fevers of short duration. Fevers of long duration. Typhoid diet. Tuberculosis; obesity; diarrhoea and colitis, constipation; rheumatism; cardiac failure; gastritis; peptic ulcer; diet followin~ operation on stomach and intestines; diseases of liver and gal bladder; coeliac disease and sprue; nephritis, acute and chronic diabetes mellitus. Addisons's disease; Fluid and chloride loss. Diet of mother during pregnancy and lactation. Weaning of child. Diet for pre-school and school-age child. Barium meal; fractional test meal; diet preceding and during tests fo1 biliary function; elimination tests for allergy. Approximate Number of Lectures-10 to 12. LECTURES ON MEDICINE. Health and things which undermine it. Deficiency diseases. Infectious disorders. Diseases due to parasites. Skin conditions. Diseases of respiratory system. Diseases of circulatory system. Disease of blood. Diseases of alimentary system. Diseases of urinary system. Diseases of endocrine system. Diseases of muscles and joints. Diseases of nervous system. Venereal diseases. Approximate Number of Lectures --30. FEVER NURSING. Detail. Immunity. Immunisation (Sera and Vaccines). Notification of cases. Characteris- Degree of infectivity. Incubation period. Invasion period. Period c tics of infec- infectivity. Quarantine. tious diseases. Nursing of infectious diseases and prevention of cross infection. Barrier nursing. Isolation nursing in special hospitals or in ward devoted to each disease. Bed isolation with emphasis on ventilation an disinfection. Concurrent and terminal disinfection of patient. Disposal c bedding, utensils, discharges, excreta. Adequate food, rest, exercise. Changing of clothes worn on duty. Importance of bathing before mixing with the general public and espeoia:lly children. Washing of hands between nursing treatments and before handling or taking the food. Isolation of the patient. Barrier nursing principles applied. Disinfection and disposal of discharges. Destruction of unused food. Terminal disinfection of patient, room and nurse on patients recovery or death. NoTE.- This brief series of lectures on ff."ver is not intended for the training of fever nurses, but only for making the General nurse aware of the ,methods required if she has fever cases in her care. Approximate Number of Lectures-5. DISEASES OF CHILDREN. Detail. History from parents, onset of symptoms; length of illness; previous illness. Diet Examination of child. Attention to ears, throat and urine specimen. Note taken of posture, movements of the head, hands, legs, eyes. Facial expression. Personal hygiene of the Fever Nursing infectious diseases in private house. Examination and history taking. Asphyxia neonatorum. Obstetric injuries, cephalhaematoma, intra- Diseases of cranial haemorrhage, paralysis. newly born. Tetanus. Icterus neonatorum. Special points in nursing and feeding premature infants. Breast and artificial feeding. Weaning and training in good habits. Diseases of malnutrition. Care of premature infant Diet of healthv infant.and deficiency diseases. Underfeeding; overfeeding; constipation; diarrhoea (dietetic and Digestive infective). Congenital pyloric stenosis, medical and operative treatment. disorders. Intussusception. Marasmus. Coeliac disease. Diagnosis. Effects on health. Means of removal from infants. Worms. Approximate Number of Lectures-6. PHARMACY AND MATERIA MEDICA FOR NURSES. Detail. Weights and measures (Apothecaries and Metric); Lotions (dilutions; concentrations, etc.); Percentage solutions; fractional doses. Pharmacy and D.D.O. regulations. Idiosyncrasy; tolerance; cumulative action; alkaloids. Preparations-Galenicals-Extracts, Liquors, Tinctures, etc., Proprietary Preparations. Routes of administration of drugs. Antiseptics; Disinfectants; Sterilisation. Drugs acting on the Alimentary tract and Anthelmintics. Drugs acting on the Blood and Circulatory system. Drugs acting on the Respiratory system. Drugs acting on the Urinary system. S.L.-VoL. VII-18 Measurement care and administration of drugs. External applications. Medicine for Internal use. Poisons. Drugs acting on the Nervous system, central, peripheral and autonomic; Anaesthetics. Drugs acting on the Uterus. Drugs improving metabolism in various wayscalcium, iron, iodine, etc., substitution therapy. Glandular products. Specific drugs for: diseases. Sera; Vaccines; Immunity tests. Protein shock therapy. The Sulphonamides; penicillin, etc. Poisons and Antidotes. Approximate Number of Lectures-8. MICROBIOLOGY. Nature of bacteria. Means of destroying and halting growth of bacteria. Classification. Identification of bacteria. Immunity natural and acquired. Effects and specific bacteria. Practical work. Appropriate Number of Lecture-Demonstrations-6. OPHTHALMIC NURSING. Injuries to eye. Inflammatory conditions of the eye. Other common diseases. Operations on the eye. Approximate Number of Lectures-6. REHABILITATION OF VARIOUS CONDITIONS. Radiation. Electricity. Massage. Approximate Number of Lectures-2. LECTURES ON SURGERY. Wounds and bacteria. Inflammation and sepsis. Specific infections. Tumours. The operation. Anaesthetics. Ligatures, etc. Bone surgery and Fractures. Plastic surgery. Burns and accident surgery. Regional surgery. Head, Neck, Breast. Chest. Abdomen and pelvis. Urinary tract. Radiation treatment. Approximate Number of Lectures-30. .. Nurses LECTURES ON GYNAECOLOGY. Introduction. Abnormal conditions of female reproductive system. Infections of the reproductive tract. New growths of the reproductive system. Traumatic conditions of the cervix and vagina. Conditions associated with pregnancy. Nursing. Approximate Number of Lectures-8. THEATRE LECTURES. Theatre and its furniture. Equipment. Position of patient during operation. Dressing of patient, surgeon and assistants. Some common operations. Approximate Number of Lectures-6. [Cap. 152 HOSPITAL STERILISATION AND THE CARE OF INSTRUMENTS: SYRINGES AND NEEDLES. Approximate Number of Lecture-Demonstrations-8. DISEASES OF EAR, NOSE AND THROAT. Diseases of ear and operations. Diseases of the nose and treatment. Nasal operations. Diseases of the throat and treatment. Approximate Number of Lectures-3. HISTORY OF NURSING LECTURES. Two lectures on growth of principles of Nursing.