Técnico en

Enfermería

Entidades primarias

NOMBRE: Miliam Avila – Gabriela Ledezma – Marcela Marín – Bárbara Morales – Francesca Pinto – Deisy
Rodríguez
CARRERA: Técnico en enfermería
ASIGNATURA: salud familiar y comunitaria
PROFESOR: Roció Márquez
FECHA:1-4-2019
Índice
 Introducción

In this report we will present how is the role of TENS in the different areas to be treated, since work can
be very exhausting and performance is an honest and vocation work.
Desarrollo
discharge profile

English I is a teaching subject, belonging to the area of Training for Employability, which
introduces the student to the global language and culture. At the end of the course, the student
will be able to understand and use frequently used rudimentary everyday expressions, as well as
simple phrases designed to satisfy needs of an immediate type. The purpose of the subject is to
develop the initial communicative skills in English, on which the students will be able to build their
future learning, reaching half of level A1 of the Common European Framework of Reference for
Foreign Languages. The methodological strategy will be active and in English, through
collaborative work, giving students the greatest possible exposure to the language, making them
actively participate in their learning and evaluation.

ROL DE TENS

The SeniorTechnician of Nursingplays a vital role withinhealthinstitutions, sincethisiswho has the

closeness and providesdirectsupport to theirpatients. He isqualified to
performvarioustaskswithinwhich the areas of education, prevention, promotion, recovery and
maintenance of health are contemplated. Although, the SeniorTechnician of Nursingisunder the
supervision of a nurse, this can performproceduresindependently, and performfunctions of
support and collaborationwithvarioushealthprofessionals. A goodnursingtechnicianmust master
basicnursingtechniques and procedures, carefor the sickorpatients in charge of them in a
responsible, safe and alwaysrespectfulmanner

Some of itsfunctions are:

 Toilet and patientconfort
 Administration of oral medications
 Administration of intramuscular drugs
 Administration of drugsviaEndovenous
 Patient education in everything related to safety standards and their illness
 Collaborationwith the medical team / Health in procedures and / orspecificexams
 Providefirstaid
 Takingexams and / orlaboratorysamples
 Applystandards of Asepsis and Antisepsis
 Grantbasicnursingcareaccording to medical indication
 Promote self-care in health
whatis the role of a tension in the medical service

Entry to shift:Mark entry, eithercardorbook

Uniform use:Use the uniformaccording to the correspondingarea, (Medicine

SpecialCare, ADULTS) and protectivebarriers (gloves, masks, etc)

Learnaboutpreviousshift:Findoutabout the patientsthey are in charge of and

theircurrenthealth status; improvement, change of somemedication, oranyindication in
relation to the patient'swell-being

Prepare procedure room:Prepare instrumentation, whether stretcher, doctor's

clothing, prepare the probe, depending on the requirement and present it to the
professional for the procedure
Makesigntakingvital:Itconsists of pressure, temperature, saturation, etc.

Toilet and Comfort:It consists of the daily corporal cleaning of each patient: facial,
buccal, genital, shave, cut of nails, cleaning of ears, etc
Make beds, according to the different techniques, depending on the disease and degree
of prostration

Hydration and MoisturizationStaff must take care to hydrate the patient as many
times as necessary, depending on the pathology that this has, water, serum, moisturize
and moisturize the skin, either with Vaseline, creams,

Prevention of ulcers and bedsoresScales, lubricate the patient's skin as many times
as necessary to prevent it from escaping, constantly changing position to the patient,

-In case of probe patients constantly move the probe to avoid attachment to the mucous
membranes and thus cause an ulcer

Feeding:Depending on the pathology of the patient, different feeding should be given,

either orally (assisted or not) or via a tube: nasogastriaca (nose to the stomach)
nasoyeyunar (nose to the jejunum), probe in yeyustomia (goes directly to the jejunum),
catheter gastrostomy (goes straight to the stomach)

Medicine administration:Verify the doses of the medications indicated by the doctor

and administer them to the patient. Seeing the patient's tolerance to these

Preparation of injectable solutions:Prepare the injectable solution according to the

medical indication, prepare the area to be injected and administer.

Verify expiration date and cold chain:See expiration date, keep the stock of these
and verify the temperature of those that should remain refrigerated
 Give notice of the patient's condition:Check and see if there is any abnormality and
immediately notify the doctor or nurse so that he is authorized to make any necessary
changes and avoid any complications in the patient's condition.

In case of decompensationIn the case of decompensation of the patient at the end of the
shift, the technician must remain until the patient stabilizes or another partner takes his
turn.

Registration of proceduresAll tasks performed must be recorded in the nursing sheet in a

clear and detailed manner; Since in case it is not registered it is because it did not happen

Turn delivery:Verify that everything is in order and clean to deliver to the shift, and
inform changes of the patient who enters

BASIC OCCUPATIONAL PROFILE OF TENS

ComplywithAdministrative rules andprocedures
 Mark in and out
 Wearuniform
 Prepare workplace and maintainorder and cleanliness of it.
 Maketeamwork.
 Make medical and nursinginstructions.
 Inform, comply and keepupdatedon the information and technical and
administrativeprovisions of the establishment.
 Attendpublic.
 Identifyhierarchical line of yourservice.
 Proceedinterconsultation and exams.
 Control inventory of clinicalclothesinside the room
. Compliancewithbiosafetystandards, I.I.H and Sterilization
 Makecleaning and disinfection.
 Verify and maintain the cleanliness, order and safety of the workunit, delimitingclean and
dirtyareascomplyingwithisolation and aseptictechniques.
 To dispose of sharppuncture material according to protectiontechnique.
 Use protectivebarriers (gloves, masks, lenses, specificclothing as required, etc.)
 Collect andlabelcontaminated material.
 Carrysterile material record, date of vcto and classifyaccording to sterilizationmethod.
 To receive material verifyingquality and quantity, according to the deliveryform of the
servicesorunits.
 Wash, dry, wrap and sealdifferenttypes of material according to the standard.
 Prepare manuallyvarioustypes of clinicalsupplies to sterilize: dressings, gauze, gloves,
bandages, tórulas, etc., accordingto requirements and standards.
 Prepare, sterilize and store the materials and clinicalequipment and surgicalinstruments to
sterilize.
 Distribute and / ordeliversterile material.
 Collect material used to resterilize.

Basic care and comprehensive care of the adult patient

 Maintain privacy, modesty, patient safety.
  Keep patient's temperature and adequate thermal environment.
 To perform hygiene and patient comfort techniques, as required: morning cleaning, foot
washing, nail cutting, hair washing, genital hygiene, sponge bath, change of clothes or
cradle as appropriate, change, etc.
 Make different types of beds.
 Make changes in position and prevention of eschar.
 Observe, record and report signs and symptoms.
 Preparate physically and psychologically the patient in the preoperative period and / or
various exams.
 Keep the patient with permeable airways (aspiration of secretions, cleaning of cavities,
etc.)
 Assist the patient in the intake of water and food.
 Install and monitor enteral nutrition.
 Assist disabled patients in motor functions, evacuations and elimination.
 Collaborate in rehabilitation tasks.
 Give nursing care to the dying and terminal patient.

Medicine administration
 Prepare medication for administration, according to medical indication; Verifying the
doses, time, routes of administration, name and condition of medication, tolerance of the
patient and inform the professional. Register in the nursing sheet.
 Make control and maintenance of phleboclysis.
 Inform the room assistant, medications and treatments administered to patients under
their care.
 Manage medications intravenously
Sampling for laboratory tests
 Prepare material (tubes or bottles with or without anticoagulants, half cultures,
preservatives or others) according to standards and according to type of sample.
 Require the patient and report on the procedure of taking the sample.
 Extract sample for examination (blood, urine, stools, tears and secretions of skin, mucous
or other)
 Register data and label tubes and / or label the extracted sample (patient's name, date,
service, type of sample, etc.).
 Develop daily record sheets of the exams taken.
 To count and separate exams for your office.
 Send the samples in a timely manner to the laboratory and verify compliance with
transportation regulations.
 Coordinate the delivery of the test result and / or quote the patient, as appropriate
Collaborationwithprofessionals
 Revise and maintain box forpatientcare.
 Callpatients and prepare themforcare.
 Collaboratewith the professional in the visit, physicalexamination and execution of
specialprocedures of the patient.
 Prepare traywithsterile material and assistance in carryingoutspecial cures, removal of
drainages and others.
 Prepare the patient and assist the professional in invasiveprocedures and /
oraccuracyfordiagnosticpurposes and / ortreatments.
 Participate in the maintenance of probes, drainages and others, according to the norm.
 Observe, verify, record and reportrecovery of anesthesia of the surgicalpatient and the
woman of the immediatepuerperiumperiod.
 Help the professional in urgentcare.
 Prepare and immobilizepatientsforspecialtreatments.
Reception and delivery of shift

 Review the condition and observe the patient'sphysicalconditions.

 Takeawareness of the nursingcare plan.
 Leave a written record of the degree ofcompliancewithnursingcare.
 Deliverinformationwhenwithdrawingfrom the shift.
 Revise interconsultation and exams.
 Inform in the Book of News.
 Review and deliver the existence of materials, supplies, medicines.

Income, discharge and transfer of patients

 Remove, receive and prepare chips.

 Requestforsuppliesforhospitalization to the patient'scompanions.
 Inform the diagnosis and condition of the patient and the careneedsrequired.
 Takepatient data, record patient'sbelongings
 Prepare materials, equipmentfortreatment and entranceexams.
 Orient the patient in the hospitalizationprocess and entranceexams.
 Informaboutspecialsituations of the patient.
 Followdirections of nurse or doctor as appropriate.
 Orientate in procedures and giveemotionalsupport to relatives of the
patientwhoishospitalized.
 Control hydration of the patient.
 Derivar or transfer patients to otherservices.
 Giveguidance to family membersabout the administrativeprocess of the discharge.
 To reinforceindications and date of subsequentcontrols.
 Identify and removesupportroutesfordeceasedpatients.
 Givepsychologicalsupport and guide family members of deceasedpatientsonprocedures.
 Receivingpatients in emergencycare.
 Accompany and assistpatients in nursingtasksduring the transfer.
Management of Materials and Clinical
 Equipment
 Keepprepared stop cart.
 Install, review and use monitors (aspirators, diffusion, respirators, saturators, etc.).
 Make and communicatedisinfection of equipment to a nurse orhierarchical superior.
 Maintain stock of medicines, supplies, instruments and materials. Inventing input and
output of these
 To givenotice of equipment and infrastructuremalfunction to a nurse orhierarchical
superior.

ColdChain and VaccineAdministration

 Control minimum and maximumrefrigeratortemperature, record temperature in graphics.
 Prepare and load thermoswithvaccines.
 Managevaccinesaccording to thenorm. -Removewaste material.
 Makeorder of vaccines to keep stock of refrigerantunits.
 Keeptoiletrefrigerators. -Transportvaccinesaccording to standards.
 Inform and communicateaboutsituations and alterations of the coldchain and the
administration of vaccines.

FirstAidCare–
 Payattention to burns, accidents and injuries.
 Place cervical neck, stop and immobilizationtable.
 Apply manual ventilationtechniques.
Role of TENS in SAMU.

 We can say that its main function is to provide timely and quality pre-hospital emergency care or
rescue. Evaluation or transfer of patient.

Objective

Recover and maintain the anatomical and physiological stability of the patient in the place and in the
transfer to the emergency service.

Types of ambulance:

 Traditional mobile
 Basic mobile.
 Advanced mobile.

What are the functions of the TENS SAMU.

 Regulator to record exact point of emergency.

 Check scene security.
 Evaluate the patient's conditions.
 Carry out rapid patient care during the transfer.
 Make shift delivery.
 Daily review of basic ambulance.
 Make transfers in and out of the city.
 Present disposition in front of a contingency.

TENS responsibility

 Know, apply standards and SAMU protocol.

 Keep order and clean the mobiles.
 Report to headquarters about lost or damaged equipment.
 Verify oxygen levels.
 Maintain permanent contact with regulator
 Stay with the patient
 Provide human, timely and safe attention.
 Provide emergency care.

Occupational hazards

 Risks of physical aggressions.

 Risks of sharp puncture accidents.
 Risks of musculoskeletal diseases.
 Traffic accident risks.
 Role of a TENS in the emergency area.

Comply with the indications that emanate from the care planning of the Emergency Nurse in an attempt
to fulfill them effectively and efficiently

 Know and comply with the rules and instructions of the establishment, always ensuring the care
and attention of the patient.
 Participate in the execution of benefits inherent to the Emergency Unit
 Know the follow-up protocols of patients in the Unit
 Comply with the Quality and Patient Safety protocols. Learn about the Technical-Administrative
Provisions of the Establishment and the Unit.
 Know and train in the computer processes prevailing in the unit
 Carry out and / or participate in the shift delivery-reception, take notice of the general state of
the
 Patient, managed treatment, pending exams, review of the plan of care scheduled the previous
day and clarifies doubts about its compliance.
 Learn about the general operation of the unit during the previous shift.
 Prevent and control IAAS by applying correct standards in the procedures performed on each
patient.
 Registration in ad-hoc sheets of the procedures performed and the news in evaluation.
 Perform invasive and non-invasive nursing procedures if appropriate.
 Inform clinical nurse of pending exams, reports and / or medical evaluations.
 Collaborate with the guidance and training of their peers
 Collaborate in the maintenance of the information systems of the healthcare unit.
 Informs the clinical nurse about the operational status of the medical equipment.
 Collaborate with the registers of the needs in terms of quantity and quality of the supplies and
materials for nursing care. Coordination with the other units of the institution.
 Carry out the tasks entrusted by its Headquarters, which are related to issues of its competence