Block Book Clinical Exposure S6

Clinical ExposureClinical ExposureBlock Book

Faculty of MedicinePelita Harapan University

Karawaci – Tangerang2008/2009

Authors:Shirley Ivonne Moningkey, dr., M.Kes

OVERVIEW

First aid is a very crucial part of medical practice since it will deal with the most urgent cases in the field. Even from their very first time in medical school, students are not exceptional from being asked to perform first aid. Therefore it is very important for medical students to cover up first aid from the very beginning.

The first aid course will be studied within a week and comprises of lectures and clinical skill laboratories. The course is intended to give the students basic first aid knowledge and skills that will be needed and better equip the students as part of health care provider.

FIRST AID 2

This block will be delivered in parallel system where the students are divided into two classes, and each class will be taught simultaneously. Because of the time limitation, the clinical skill laboratory will be done right after the lectures and demonstration. In the clinical skill laboratory, the students will be divided into small groups which will be directed by a tutor.

This block is implemented under the following main region, i.e. respiratory emergency, bleeding and shock, musculoskeletal injury, head and spinal in jury, and other emergency cases.

Lippo Karawaci, June 13th 2008

Coordinators of First Aid,

Norberta Dessy N., dr

Christine T.U. Banjarnahor, dr

Herfina Yohanna N, dr.

List of Content

I. Course info

II. Competencies

1. Component of competency

2. Learning outcomes

III. Teaching and Learning method

IV. Week objective

1. Lecture

Topic

FIRST AID 3

Name of lecture

Objective

2. Clinical skill

Level of competency

Name of instructor

V. References

VI. Assessment

VII. Timetable

VIII. Approval

CHAPTER ICOURSE INFO

Block : First Aid

Semester : I

Credits : 2 credits

Duration : 1 week

Started : October 6, 2008

Ended : October 10, 2008

Coordinators : Norberta Dessy N.,dr.

Christine T.U Banjarnahor, dr.

FIRST AID 4

Herfina Yohanna N., dr.

CHAPTER IICOMPETENCIES

1. Components of Competencya. Effective Communication The students should be able to:

o Explore and exchange information verbally and non-verbally in the first aid

settings.

b. Clinical skillsThe students should be able to:

o Collect and record accurate and important information about the patient

c. Area of scientific basic of medical knowledge The students should be able to:

FIRST AID 5

o Apply the concepts and principles of biomedical, clinical, and behavioural

science, appropriate to the delivery of first aid

2. Learning outcomes a. Effective communications

The students should be able to:

Summarize the patient’s problems

Treat the patient as an equal and ask for his/her agreement in deciding on

treatment and medical procedures

Give information about the patient’s problem and further referral

b. Clinical skills The students should be able to:

Identify the patient’s problems (physical signs and record them clearly and

correctly)

Perform first aid appropriately

c. Area of scientific basic of medical knowledgeThe students should be able to:

Explain the health problem in terms of the principles of the basic medical

sciences of first aid

Justify the chosen intervention based on first aid knowledge

CHAPTER IIITEACHING AND LEARNING METHOD

1. Lecture : 6 hours/week

2. Clinical skill laboratory : 12 hours/week

3. Self learning : 4 hours/week

4. Character development : 2 hours/week

5. Leadership : 2 hours/week

6. Religion Lecture : 3 hours/week

FIRST AID 6

CHAPTER IVWEEK OBJECTIVES

Lecture 1 : IntroductionLectures : Herfina Yohanna Nababan, dr.

Instructors : First Aid Team

Lecture Objectivesa. First aid concepts

The student should be able to:

Know the definition of first aid

Understand the principle of first aid

Know who can perform first aid

Understand the responsibilities of the first-aider

b. Body system The students should be able to understand basic anatomy and physiology of the body

c. Assessment

FIRST AID 7


Understand initial assessment

Response

Airway and breathing

Circulation

Neurological

Know the type of the case (trauma or non-trauma)

Clinical Skill Objectives:The students should be able to do primary survey

Evaluate response (alert/respond to voice/respond to pain/unresponsive)

Evaluate airway, breathing, and circulation

Protect cervical spine (in-line traction)

Evaluate Big 5 (Conscious level, respiratory rate, pupil, extraoccular movement,

and lateralization)

Lecture 2 : Respiratory Emergencies Lectures : Christine T. U. Banjarnahor., dr.


Lecture Objectivesa. Airway Obstruction


Know the causes of obstruction

Know the signs and symptoms of obstruction

Understand the first aid of obstruction

b. Acute SOBThe students should be able to:

Know the definition of acute SOB

Know the causes of acute SOB

Know the signs and symptoms of acute SOB

Understand the first aid of acute SOB

Clinical Skill Competency:a. Obstruction

FIRST AID 8

The students should be able to :

Perform the management of choking ( Heimlich Maneuver, Chest Thrust )

Maintain the airway ( Head – Tilt / Chin – Lift )

b. Acute SOBThe students should be able to :

Evaluate airway and casualty positioning

Lecture 3 : Wounds, Bleeding, & ShockLectures : Norberta Dessy N., dr.


Lecture Objectives:a. Wounds & Bleeding The students should be able to :

Know the definition and types of wounds

Understand the first aid of wounds

Know the definition of bleeding

Know the source of bleeding (artery, vein, or capillary)

Understand the classification of bleeding (external and internal)

Understand the first aid of external bleeding

b. Shock The students should be able to :

Know the definition of shock

Know the sign and symptoms of shock

Understand the first aid of hypovolemic shock

Clinical Skill Competency: a. Wounds & Bleeding


Perform the first aid of wounds (how to bandage)

Manage the external bleeding (compression, apply tourniquet)

b. ShockThe students should be able to :

Evaluate Airway, Breathing, Circulation

FIRST AID 9

Perform simple handling for shock before the patient is brought to the hospital (by

position)

Lecture 4 : Musculoskeletal injuriesLectures : Herfina Yohanna Nababan, dr.


Lecture Objectives: The students should be able to:

Know the definition, causes, and clinical signs of fracture, dislocation, strain,

sprain, and muscle cramps

Understand the first aid of musculoskeletal injuries

Clinical Skill Competency:The students should be able to:

Identify musculoskeletal injuries

Perform simple splinting for immobilization

Apply sling

Manage cramped muscles by stretching technique

Lecture 5 : Head Injury & Spinal InjuryLectures : Norberta Dessy N., dr.


Lecture Objectives:a. Head Injury The students should be able to:

Know definition of head injury

Know causes of head injury (penetrated and blunted injury)

Know the classification of head injury

Assess unconsciousness (GCS)

Know the sign and symptoms of head injury

Know the first aid for head injury

b. Spinal Injury The students should be able to:

FIRST AID 10

Know the definition of spinal injury

Know the causes of spinal injury

Understand the sign and symptoms of spinal injury

Understand the first aid of spinal injury

Clinical Skill Competency:a. Head InjuryThe students are able to :

Evaluate GCS

Evaluate Airway, Breathing, Circulation, and Big 5

Perform airway management (Jaw Thrust Maneuver)

Perform simple handling for head injury before the patient is brought to the

hospital

b. Spinal InjuryThe students are able to :

Perform airway management (Jaw Thrust Maneuver)

Perform protection cervical spine by in line traction or sand bag

Apply the collar neck

Transport the patient without collar neck

Lecture 6 : EmergenciesLecturers : Christine T. U. Banjarnahor., dr.


Learning Objectives:The students should understand about:

a. Seizures Students should be able to:

Understand the clinical manifestation of seizures

Know the causes of seizures

Understand the first aid of seizures

b. Poisoning Know the general signs and symptoms of poisoning

Understand the causes of poisoning (ingested, inhaled, insect bite, snake bite,

drugs overdoses)

FIRST AID 11

Understand the types of chemical poison (acid or base)

Understand the first aid of poisoning

c. Diabetic Emergency Know the general signs and symptoms of diabetic emergency

Know the causes of diabetic emergency

Understand the first aid of diabetic emergency

d. Burns Know the general signs and symptoms of burns

Know the causes of burns

Understand the first aid of burns

Clinical Skill Competency:a. Seizure


Evaluate the airway

b. PoisoningThe students should be able to :

Perform first aid for snake bite (tourniquet)

c. Burns Understand the first aid of burns (cooling and bandaging)

FIRST AID 12

CHAPTER VREFERENCES

1. Pedoman Pertolongan Pertama Edisi Ke-2, 2004, Jakarta: PMI

2. Canadian Red Cross : First Aid the Vital Link 2nd edition, 2004, The Canadian Red Cross

Society

FIRST AID 13

CHAPTER VIASSESSMENT

1. Attendance requirements:100% attendance at lectures and clinical skill laboratories

Exceptions:

medical illness

special social circumstances

2. Assessment of Student Performance

a). Knowledge assessmentStudent’s applied knowledge will be assessed at the end of each block using Multiple

Choice Questions (MCQ)

b). Skills AssessmentStudent’s applied clinical skills will be assessed at the end of semester using

Objective Structured Clinical Examination (OSCE)

Relative values:The relative value of each component is as follows:

Component Percentage MCQ 30%

OSCE 70%

Grading system

Grade Range ValueA 90,00 – 100 4,00

A - 80,00 – 89,99 3,70

B + 75,00 – 79,99 3,30

B 68,00 – 74,99 3,00

FIRST AID 14

B - 65.00 – 67,99 2,70

C + 60,00 – 64,99 2,30

C 56,00 – 59,99 2,00 (pass)

C - 50,00 – 55,99 1,50

D 40,00 – 49,99 1,00

E 00,00 – 39,99 0,00

Passing grade is C = 56.00 (GPA = 2.00)

FIRST AID 15

CHAPTER VIITIMETABLE

Block coordinators : Norberta, dr., Christine, dr. , Herfina, dr.

FIRST AIDAcademic week 8

Week 1 6-Oct 7-Oct 8-Oct 9-Oct 10-OctTime Monday Tuesday Wednesday Thursday Friday

07.15 - 08.10Introduction :

Herfina,dr. Chapel for staffsHead-Spine Injury :

Norberta, dr Leaderships MCQ08.10 - 09.05 Clinical skill Clinical skill Lecture

09.05 - 10.00 All tutors Bleeding&Shock : Norberta, dr. All tutors Clinical skill Religions

10.00 - 10.55 Clinical skill Review Lecture

10.55 - 11.50 Self learning All tutors Self learningCharacter

development

11.50 - 12.45 Lunch break lunch break lunch break LectureChapel for students

12.45 - 13.40Respiratory : Christine, dr.

Musculoskeletal : Herfina,dr.

Emergencies : Christine, dr. lunch break

OSCEAll tutors

13.40 - 14.35 Clinical skill Clinical skill Clinical skill Clinical skill14.35 - 15.30 All tutors All tutors All tutors Review15.30 - 16.25

ContributorsLecturers and Tutors:

1. Christine T.U. Banjarnahor, dr

2. Norberta Dessy N., dr

3. Herfina Yohanna N., dr

4. Rhendy Wijayanto, dr

5. Sandraningrum T. Putranti, dr

6. Eka Kencana, dr

7. Deisy Budiono, dr

8. Haryanto Surijadi, dr., SpPK

9. Aileen Citradewi Laksmana, dr

10. Erna Kristiani, dr

11. Hartono Gunadi, dr., PAK

12. Jan Tambayong, dr., PHK

13. Secilia Virena Timothy, dr

14. Juliani, dr

FIRST AID 16

15. Fanny Hariadi, dr

16. Margaret Indirawati, dr

17. Novita Hianto, dr

18. Vian Setyawan, dr

Group of Tutors Group of students Tutors Time

B1 Christine T.U. Banjarnahor, dr 07.15 - 10.00

12.45 - 15.30

B2 Norberta Dessy N., dr 07.15 - 10.00

12.45 - 15.30

B3 Herfina Yohanna N., dr 07.15 - 10.00

12.45 - 15.30

B4 Rhendy Wijayanto, dr

Sandraningrum T. Putranti, dr

Eka Kencana, dr

07.15 - 10.00

12.45 - 15.30 (Monday,

Wednesday)

12.45 - 15.30 (Tuesday,

Thursday)

B5 Deisy Budiono, dr

Haryanto Surijadi, dr., SpPK

07.15 - 10.00

12.45 - 15.30

B6 Aileen Citradewi Laksmana, dr

Erna Kristiani, dr

07.15 - 10.00

12.45 - 15.30

B7 Jan Tambayong, dr., PHK

Hartono Gunadi, dr., PAK

07.15 - 10.00

12.45 - 15.30

B8 Secilia Virena Timothy, dr

Juliani, dr

07.15 - 10.00

12.45 - 15.30

B9 Fanny Hariadi, dr

Margaret Indirawati, dr

07.15 - 10.00

12.45 - 15.30

B10 Novita Hianto, dr

Vian Setyawan, dr

07.15 - 10.00

12.45 - 15.30

Group B1

No NIM Christine T.U Banjarnahor, dr.

1 07120080001 JOSE HADY PUTERA2 07120080002 GUNAWAN ALI

FIRST AID 17

3 07120080003 JEFFRY4 07120080004 MIN JOO PARK5 07120080005 TIFFANY6 07120080006 JUNAWATI INDRA7 07120080007 IVANNA DJAKARIA8 07120080008 GRAECIA BUNGARAN9 07120080009 ANASTASIA YANA10 07120080010 AIRO DHANARIS S

Group B2

No NIM Norberta Dessy N., dr.

1 07120070025 MARKUS ANTONIUS WIBISONO2 07120080011 ROBBY SURACHMAN3 07120080012 CYNTHIA SABRINA4 07120080013 KARTIKA5 07120080014 ELLEN SOEBIANTORO6 07120080015 MARIA KRISTINA SURYANTO7 07120080016 JEFFRY8 07120080017 CAROLINE BUDIMAN9 07120080018 THERESIA RISA DAVITA10 07120080019 CHARLES KURNIAWAN

Group B3

No NIM Herfina Yohanna N., dr.

1 07120080021 STEVEN WILSON2 07120080022 FRISKA LEONARDY3 07120080024 GIOVANNI SHELLA4 07120080025 ELVINA YULITA SOEGIARTO5 07120080026 ELISHAA6 07120080027 SHIRLEY ALIKAZIN7 07120080028 ERWIN K EDISON KOESWANTO8 07120080029 YURICHO ALEXANDER YOGIANTO9 07120080030 CYNTHIA FERNANDES

FIRST AID 18

10 07120080031 DONATUS APRIANTO TUMEDIA

Group B4

No NIM Rhendy Wijayanto, drSandraningrum T. Putranti, drEka Kencana, dr

1 07120080032 RHEMA WIGUNA2 07120080033 PUSPARINA OENIASIH3 07120080034 WINFREY PANGESTU4 07120080035 RUTH ANINDYA RATIH DEWI HARTONO5 07120080036 LAURA WIJAYA6 07120080037 GABRIELA SABATINI GUNAWAN7 07120080038 AMELIA TIRTA KRISTIONO8 07120080039 SHEILA STEPHANIE CHANDRA9 07120080040 SIMON GANESYA R10 07120080041 RYAN PUTRA

Group B5No NIM Deisy Budiono, dr

Haryanto Surijadi, dr., SpPK

1 07120080042 NOVITA KUSUMAWATI2 07120080044 TAUFAN HERI ITANTO3 07120080046 FEBRITA PRIMA KURNIA4 07120080047 RAISYA TSAMARA5 07120080048 MAYA ANDRIANA6 07120080049 ARDISA PERMATA PUTRI7 07120080050 LUSIANA VIMALA 8 07120080051 JESSICA FREDELINA9 07120080052 HERLIANA ELIZABETH YUSUF10 07120080053 JONNY WIJAYA

Group B6No NIM Aileen Citradewi Laksmana, dr

FIRST AID 19

Erna Kristiani, dr

1 07120080055 DYKA WIHARDJ O2 07120080056 KEZIA TAALITA SYAFERAA PURWANTO3 07120080057 ANDRI KRISTANTO M4 07120080058 FIFI SETIAWATI5 07120080059 KRISTINA ASTUTI WINARTO6 07120080060 HARRY SUDARMA7 07120080061 RUTH DOMEASI NATASYA P8 07120080062 CHARLES GOCCIARDI9 07120080063 PATRICIA GABRIELLE TJIPTA JOEWANA10 07120080065 ALBERT SEDJAHTERA

Group B7No NIM Jan Tambayong, dr., PHK

Hartono Gunadi, dr., PAK

1 07120080066 BERNARD HARRY SANTOSO2 07120080067 GREGORY JOEY3 07120080069 ANITA DARMAWIJAYA4 07120080070 MALVIN SURYANTO5 07120080071 IVAN SUSANTO6 07120080072 WISNU ADIPUTRA7 07120080073 IVAN EDGAR8 07120080074 VERONICA9 07120080075 PATRICIA SUDARSANA10 07120080076 LIN TONY SALIM

Group B8No NIM Secilia Virena Timothy, dr

Juliani, dr

1 07120080077 ALDO VARIAN VINCHRISTO2 07120080079 FEBRIANTY3 07120080080 MAHA VIRA GUNTUR ATMANI WEDHANA4 07120080081 MARSHELLA GIANNI HARDIANTO5 07120080082 BENZ NAPOLI

FIRST AID 20

6 07120080083 RISTI SETIAWAN7 07120080084 ANASTASIA TJAN8 07120080085 EDLIN ANTONY SOLIHIN9 07120080086 LUVITA PEILOUW10 07120080087 WULANDARI ROSTYANTI

Group B9No NIM Fanny Hariadi, dr

Margaret Indirawati, dr

1 07120080088 AUDREY BUDIONO2 07120080089 MERYL JAYE KALLMAN3 07120080090 PRAISILA GLORY F. JONATHAN4 07120080091 ISA OSCARIO5 07120080092 RAIMON RINALDY6 07120080093 FELICIA NATHANIA KOSASIH7 07120080094 YONATHAN DJAJA8 07120080095 DODY9 07120080096 BOBBY SUTOJO10 07120080097 IRIN FILZAHA ISMAN

Group B10No NIM Novita Hianto, dr

Vian Setyawan, dr

1 07120070051 HIROHITO STEVANO GERALD SUMAYKU2 07120080098 IAN HUANG3 07120080099 BOBBY RIANTO ADI PUTRA4 07120080100 DAVID PRANATA RAHARJO5 07120080101 CYNTHIA CHRISTINE J6 07120080102 MICHAEL ADITYA MARJOTO7 07120080103 ANNASTASIA MARIYA8 07120080104 GLORIP B M MANGIRI9 07120080105 VELA ALTAIR AMALTHEA10 07120080106 MICHAEL SPICA RAMPANGILEI

FIRST AID 21

CHAPTER VIIIAPPROVAL

Block Book : First Aid

No. Document

FK/PRO-11.LAB.VII.05.P/REV-00 Date September, 22th

2008

Pages 1-23

Name Position Sign

FIRST AID 22

Written byNorberta Dessy N., dr.

Christine T.U. Banjarnahor, dr.

Herfina Yohanna N, dr.

Block Coordinator

Supervised by

Wahyuni L. Atmodjo dr., PAK, Ph.D Director

Medical Education Unit

Prof. Dr. Bambang Sutrisna dr., MHSc Vice Dean I

Approved byProf. David Fairholm, Neurosurgeon Executive Dean

Legalized byEka J. Wahjoepramono., dr., SpBS Dean

FIRST AID 23

Block Book Clinical Exposure S6

Documents

Transcript of Block Book Clinical Exposure S6