Profesional behaviour Study Guide Blok Urinary Semester 6 tayang 8 mei 2015

melakuka n perasat, 4. memperh atikan kenyama nan pasien melakuka n perasat, 4. memperh atikan kenyama nan pasien melakuka n perasat, 4. memperh atikan kenyama nan pasien melakuka n perasat, 4. memperh atikan kenyama nan pasien Total Global Rating Score lingkari: tidak lulus, borderline, lulus, superior Urethral Catheterization Learning task Title : Urethral Catheterization Objective : Student is competent to perform Urethral Catheterization on maniquine. Competency bold letter : 1. Anamnesis skill 2. Physical examination skill 3. Skill in clinical procedure or interpret data from laboratory finding andor imaging to making a diagnosis or differential diagnosis 4. Management 5. Patient education and communication

6. Profesional behaviour

Instruction for the students : Clinical Scenario: A 60 years old male patient, come to Primary Health Care Center with unable to urinate. Instruction: Perform Urethral Catheterization on this patient. Instruction for the facilitators : 1. Facilitator will allow student to perform urinary catheterization on mannequin in sequence. 2. Facilitator must observe and evaluate each of student performance with checklist provided below. 3. Facilitator must give feedback to each student based on their individual performance and also encourage each student to give feedback to their own performance. CATHETERIZATION CHECK LIST Male Udayana University Faculty of Medicine, DME 39 | P a g e No Skills Score 1 2 1 Introduce your self, explain what you would like to do and obtain concent 2 Hand washing before and afterprocedure 3 Lie the patient comfortably with his legs slightly separated 4 Choose a catheter, open the catheterization pack, pour antiseptic into the reciever and put on gloves 5 Clean the penis throughly, retract the prepuce and clean around the meatus 6 Drape, so that only penis is in sterile field 7 Hold the penis with a gauze swab; squeeze anaestheticlubricant jelly into the urethra and occlude it with pressure from the gauze 8 Advance the catheter tip from its sleeve and introduce to urethra, Advance the catheter using a “no touch technique”, or with sterile forceps, until the end arm of the catheter is up to the meatus 9 Inflate the baloon: inject about 5ml of water and check that it does not cause pain before fully inlating it 10 Attach the bag, gently extend the catheter into position, reposition the prepuce 11 Record the volume of urine in the bag residual volume Total Score Total Score Final score = --------------- x 100 = 22 Female No Skills Score 1 2 1 Introduce your self, explain what you would like to do and obtain concent 2 Hand washing before and after procedure 3 Lie the patient comfortably with his legs slightly Udayana University Faculty of Medicine, DME 40 | P a g e separated 4 Choose a catheter, open the catheterization pack, pour antiseptic into the reciever and put on gloves 5 Clean the vulva 6 Drape, so that only vulva is in sterile field 7 Advance the catheter tip from its sleeve and introduce to urethra, Advance the catheter using a “no touch technique”, or with sterile forceps 8 Inflate the baloon: inject about 5ml of water and check that it does not cause pain before fully inlating it 9 Attach the bag, gently extend the catheter into position, reposition the prepuce 10 Record the volume of urine in the bag residual volume Total Score Total Score Final score = --------------- x 100 = 20 Urinalysis Learning Task 1 1. There are 5 urinalysis results provided. Analyze and conclude each of it? 2. Explain correctly and completely the technique of urine collection? Learning task 2 Title : Anamnesis , physical examination and interpret data from urinalysis in urinary system disorders Objective : Student can do structured anamnesis, physical examination and make a right interpretation from urynalisis in lower urinary tract disorders Competency bold letter :

1. Anamnesis skill