GfNA II.

6 ECVET Learning Agreement – 2020

2020-1-RO01-KA102-079272

Learning Agreement

1. Information about the participants

Contact details of the home organisation

Name of organisation Scoala Postliceala Sanitara Piatra Neamt

Address Str. Stefan cel Mare, 4, Piatra Neamt, Neamt, România

Telephone/fax +40233230182

admin@spspnt.ro
E-mail
secretariat_pss@yahoo.com

Website https://www.spspnt.ro/

Contact person Mihai Floroaia

Telephone/fax +40751212811

E-mail mihaifloroaia@gmail.com

Contact details of the host organisation

Name of organisation CLINICA SANTA ELENA, SA

Address C/Sardinero s/n, 29620 Málaga, Spain

Telephone/fax +34952237591

E-mail csantaelena@csantaelena.com

Website https://santaelenahospital.com/

Contact person Seara Torres Antonio

Tutor/mentor Seara Torres Antonio

Telephone/fax +34952237591

E-mail csantaelena@csantaelena.com

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Contact details of the learner

Name Bursuc Flaviu Cristinel

Address Jud. Neamt, Com Rediu, Sat Poloboc, Str Coserelor NR49

Telephone/fax 0783039170

E-mail flaviu.bursuc@spspnt.ro

Date of birth 14.06.2000

☐ Male
Please tick

Contact details of parents or legal guardian of the learner, if applicable

Name N/A

Address

Telephone

E-mail

If an intermediary organisation is involved, please provide contact details

Name of organisation Universal Mobility SL

Address Calle Santa Maria Micaela 18, pta 119, Valencia, Spain

Telephone/fax +34 649450754

E-mail projects@mobilityprojects.com

Website www.mobilityprojects.com

Contact person Florin Manole

Telephone/fax +34 649450754

E-mail projects@mobilityprojects.com

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2. Duration of the learning period abroad

Start date of the training
09.01.2022
abroad

End date of the training

05.02.2022
abroad

Length of time abroad 4 weeks

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3. The qualification being taken by the learner – including information on the learner’s
progress (knowledge, skills and competence already acquired)
Title of the
qualification being
taken by the learner
(please also provide
Nurse Assistant
the title in the
language of the
partnership, if
appropriate)

EQF level (if

Level 5
appropriate)

NQF level (if Professional qualification Level 5 – post-secondary classroom education with a duration of 3
appropriate) years
Analyze the data from the clinical case presented on the neurology department
Identify the manifestations of addiction in the case
Diagnose the necessary care based on the case data, using terminology
Formulates specific objectives for nursing diagnoses
Analyze the data from the clinical case presented on the psychiatric ward.
Identify mental disorders and diagnose the care needed for people with mental disorders
Plan, organize and implement personalized care in different clinical situations
Formulate medium and long-term goals
Analyze and plan specific, autonomous and delegated interventions
Presents the nursing process in diseases specific to the elderly
Diagnoses independently the care needed by the elderly
Plan and implement individualized and personalized care for the elderly
Information on the Classify treatment modalities in cancer
learner’s progress in Identify the principles of treatment according to the treatment modalities
relation to the It has advantages and disadvantages of treatment methods
learning pathway Describe the types of cancer prevention
(Information to Presents care in the final phase of life
indicate acquired Identify the changes that the patient undergoes in the last hours of life
knowledge, skills, Apply spiritual care near death according to religious beliefs and values
competence could Collects the information needed to identify changes
be included in an Evaluate emotional reactions to death
annex ) Organizes and plans the care of patients in emergency situations
Apply asepsis, antisepsis and occupational safety and security measures
Apply basic care: hygiene, nutrition, disposal, supervision, mobilization, transportation
Monitors and notes physical parameters and vital and vegetative functions.
Participate in harvests, specific investigations and treatments under supervision
Performs educational actions with patients / family for a healthy lifestyle.
Apply interventions in various emergencies
Establish nursing diagnoses, analyze the quality of care and complete the care plan

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☐Europass Certificate Supplement

☐Europass CV
☐Europass Mobility
Enclosures in annex
- please tick as ☐Europass Language Passport
appropriate
☐ European Skills Passport
☐ (Unit[s] of) learning outcomes already acquired by the learner
☐Other: please specify

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4. Description of the learning outcomes to be achieved during mobility
Title of unit(s)/groups of
learning outcomes/parts of
units to be acquired
Number of ECVET points
to be acquired while
abroad
Learning outcomes to be
achieved
1. professional ethics and multiculturalism
2. pedagogy
3. health management and legislation
4. quality of care and patient safety
5. anesthesia, intensive care and specific nursing
6. obstetrics, gynecology and specific nursing
7. childcare, pediatrics and specific nursing
8. specific neurology and nursing
9. mental health, psychiatry and specific nursing
10. gerontology, geriatrics and specific nursing
11. specific oncology and nursing
12. palliative care
13. community nursing and care of patients with disabilities
14. conduct in medical-surgical emergencies, crisis situations and disasters
15. nursing research
Total clinical hours: 160 hours, over 4 weeks, of which:
Quality of nursing services - 32 h clinical education (practical internship)
Neurology and nursing in neurology - 64 hours of clinical education (practical internship)
Gerontology, geriatrics and specific nursing -64 hours of clinical education (practical
internship)
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Skills:
1. Identify methods of quality control of health care
2. Develops the SWOT analysis of the quality of care provided for a patient
3. Fill in documents to record and monitor the quality of care
4. Develop a quality improvement plan
5.Organizes and plans patient care activities in the ATI service.
6. Apply asepsis, antisepsis and protection and safety measures at work
7. Monitors and notes physical parameters and vital and vegetative functions.
8 Apply basic care: hygiene, nutrition, disposal, supervision, mobilization, transportation
9. Participate in harvesting, investigations and treatments under supervision
10. Participate in specific care of the ATI service.
11. Establish nursing diagnoses, analyze the quality of care and complete the care plan
for 2 patients.
12.Organizes and plans patient care activities in the obstetrics and gynecology
department
13. Apply asepsis, antisepsis and occupational safety and security measures
14. Monitors and notes physical parameters and vital and vegetative functions
15. Apply basic care: hygiene, nutrition, disposal, supervision, mobilization, transportation
16. Participate in harvesting, investigations and treatments under supervision
17. Participate in the specific care of patients in the obstetrics department and complete
the care plan
18. Participate in the specific care of patients with gynecological diseases and complete a
care plan
19.Organizes activities for the care of patients with neurological disorders:
20.Knows the basic care and applies it: hygiene, nutrition, mobilization, elimination,
patient supervision
21. Knows and applies educational and relationship care: communication with
the patient / relatives and building a therapeutic relationship in the context of care,
guiding patients in carrying out daily activities
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22. Knows and applies technical care: monitoring vital and vegetative functions,
harvesting biopathological products, administering drugs in various ways, controlling
sphincters, establishing nursing diagnoses and designing the care plan, analyzing the
quality of care and improving professional practice, registration and transmission of
information about the patient
23. Organizes activities for the care of patients with mental disorders, namely:
- Basic care: hygiene, nutrition, mobilization, disposal, behavioral monitoring
-Educational and relationship care: communication with the patient / relatives and building
a therapeutic relationship in the context of care, guiding patients in carrying out daily
activities
- Technical care: supervision of vital and vegetative functions, harvesting of bio
pathological products, administration
medicines in different ways, establishing nursing diagnoses and designing the care plan,
analyzing the quality of care and improving professional practice, enrolling and
transmitting information about the patient
24. Organizes activities for the care of the elderly, namely:
- Basic care: hygiene, nutrition, mobilization, disposal, behavioral monitoring
- Educational and relationship care: communication with the patient / relatives and building
a therapeutic relationship in the context of care, guiding patients in carrying out daily
activities
-Technical care: supervision of vital and vegetative functions, harvesting of bio
pathological products, administration of medicines, establishing nursing diagnoses and
designing the care plan, analysis of the quality of care and improvement of professional
practice, registration and transmission of patient information
25.Organizing and planning the activity of caring for patients with oncological diseases
-Apply asepsis, antisepsis and protection and safety measures at work
-Apply basic care: hygiene, nutrition, disposal, surveillance, mobilization, transportation
-Monitor and note physical parameters and vital and vegetative functions.
26. Establishes nursing diagnoses, analyzes the quality of care and completes the care
plan for a patient.
27 Providing care to terminally ill patients
GENERAL TECHNICAL COMPETENCES:
1. Quality assurance:
- Apply existing standards at work;
2. Customer relations:
- Has an adequate attitude and communicates efficiently in order to meet customer
requirements;
3. Occupational health and safety:
- Knows and applies the main safety and accident prevention standards;
SPECIALIZED TECHNICAL COMPETENCES
1. Apply the massage technique for patients with stroke sequelae, who have a motor
deficit
2. Knows the technique of performing the electrocardiogram and applies it.
3. Know the infusion technique and apply it
4. Know the technique of collecting blood and urine and apply them
5. Prepare the patient care plan
- Collects data, analyzes them and elaborates the nursing diagnosis according to the PES
formula (problem + source of difficulty + manifestation of dependence in patients with
neurological diseases (stroke, Parkinson's B, epilepsy, cerebral atherosclerosis)) and in
patients with heart disease.
-Plan and set goals
-performs autonomous interventions (communication, hydration, food, hygiene,
mobilization, transport, education) and delegated (preparation for investigations and
analyzes, administration of local and general treatment, administration of oxygen
TRANSFERABLE COMPETENCE
1. Teamwork skills:
a) It is integrated in a multi-national / cultural team.
2. Learning autonomy:
a) Is able to define goals, to fit in time and to plan the learning process;
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Description of the learning
activities (e.g. information
on location(s) of learning,
tasks to be completed
and/or courses to be
attended)
b) Looks for sources of information alone and uses them to achieve personal and
professional development goals;
Practical location: CLINICA SANTA ELENA, SA, C / Sardinero s / n, 29620 Málaga
Working hours:
Practical activities - 8h / day, 5 days / week, (Monday-Friday, 8: 00-17: 00, 1h lunch
break)
Practical activities - 8h / day, 5 days / week (Monday-Friday, 8: 00-17: 00, 1 h lunch
break);
Activities approach / working method:
Phase 1: The tutor explains / demonstrates the operation, the student observes
Phase 2: The student performs the operation under supervision or independently
Week 1
DAY 1– Training on risk prevention and safety at practice. Familiarization with the
practice location. Presentation of the unit, sections, medical equipment.
DAY 2 - Signing the conditions of presence. Introduce yourself and ensure the
microclimate: ventilate the room, check the temperature in the room, help patients
to adopt a comfortable position. Patient supervision. The student observes and
notes in the practice notebook: the skin (normally colored, pale, hyperemic, etc.),
muscle tone (normal, diminished, accentuated), posture: dynamic (the way the
patient supports his body position when moving) and static: how the patient
maintains his body position at rest, including during sleep. The student develops a
care plan, stage 1 (data collection)
DAY 3 - measurement of vital functions (temperature, blood pressure, pulse,
respiration). The student prepares the necessary materials (thermometer,
sphygmomanometer, secondary clock, colored pen, notebook), writes down the
values in the practice notebook, disinfects the used devices, reorganizes the
workplace. Stage 2 of the care plan (data analysis and interpretation)
DAY 4 - ensures the microclimate conditions, supervises the patients, measures
the vital functions. Change of bed linen, in case of unoccupied bed. Stage 3 of the
care plan, planning the objectives.
DAY 5 - ensures the microclimate conditions, supervises the patients, measures
the vital functions and changes the bed linen, in case of the unoccupied bed.
Supervises patients during active feeding. Feeds patients in case of passive
feeding. The fourth stage of the care plan-autonomous and delegated
interventions
The weekly evaluation is performed by the practice coordinator (practice book,
number of techniques performed and their quality).
Week 2
Day 1 - ensures the microclimate conditions, supervises the patients, measures
the vital functions and changes the bed linen, in case of the unoccupied bed.
Supervises and feeds patients during active and passive feeding. Transports
patients to wheelchair investigations (helps patients adopt the required position
for various radiological investigations), disinfects the wheelchair, notes the
technique in the practice book. Autonomous and delegated interventions
Day 2 - ensures the microclimate conditions, supervises the patients, measures
the vital functions and changes the bed linen, in case of the unoccupied bed.
Supervises and feeds patients during active and passive feeding. Transports
patients to investigations. Measures oxygen saturation with pulse oximeter
(student knows, performs technique and notes in the practice book). Performs
circular bandages and spike. Autonomous and delegated interventions
Day 3- ensures the microclimate conditions, supervises the patients, measures
the vital functions and changes the bed linen, in case of the unoccupied bed.
Supervises and feeds the patients during the active and passive feeding,
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transports the patients to investigations, measures the oxygen saturation. in bed

(the student prepares the necessary materials, performs the technique,
reorganizes the workplace). Autonomous and delegated interventions
Day 4 - ensures microclimate conditions, monitors patients, measures vital
functions and changes bed linen, in case of occupied and unoccupied bed,
monitors and feeds patients during active and passive feeding, transports patients
to investigations, measures oxygen saturation. of the immobilized patient.
Autonomous and delegated interventions
Day 5 - ensures microclimate conditions, monitors patients, measures vital
functions and changes bed linen, in case of occupied and unoccupied bed,
monitors and feeds patients during active and passive feeding, transports patients
to investigations, measures oxygen saturation.
- administers the drugs orally, intramuscularly and intravenously (the student
knows the general rules of administration, performs the technique, supervises the
patient, notes in the technical notebook). Autonomous and delegated
interventions
- The weekly evaluation is performed by the practice coordinator (practice book,
number of techniques performed and their quality).
WEEK 3
DAY 1-ensures microclimate conditions, monitors patients, measures vital
functions; monitors and feeds patients during active and passive feeding,
transports patients to investigations, measures oxygen saturation, administers
oral medications. Toilet of the immobilized patient in bed the necessary materials,
performs the technique followed by changing the underwear and bedding). Knows
and performs the infusion technique. Autonomous and delegated interventions
DAY 2- ensures microclimate conditions, monitors patients, measures vital
functions; monitors and feeds patients during active and passive feeding,
transports patients to investigations, measures oxygen saturation, administers
oral medications. Passive patient mobilization (student performs patient flexion
and rotation of the head, mobilizes all joints gently, performs movements: flexion,
extension, abduction and adduction). Techniques for mobilizing bronchial
secretions and respiratory exercises and oxygen administration through the nasal
tube. Autonomous and delegated interventions
DAY 3
- ensures microclimate conditions, monitors patients, measures vital functions,
monitors and feeds patients during active and passive feeding, transports patients
to investigations, measures oxygen saturation, administers oral medications.
Executes the passive mobilization of the patient. Executes the lifting of the patient
in the sitting position in bed (the student passively helps the patient to get up,
supporting him with pillows or using the mobile support); Autonomous and
delegated interventions.
DAY 4
-ensures microclimate conditions, supervises patients, measures vital functions.
Supervises and feeds patients during active and passive feeding, transports
patients to investigations, measures oxygen saturation, administers oral
medications. Executes the passive mobilization of the patient, Executes the lifting
of the patient in the sitting position in bed. Executes the lifting of the patient at the
edge of the bed / placing the patient in the armchair. The student prepares the
necessary materials, performs the technique, constantly observes the patient's
facies. Autonomous and delegated interventions.
DAY 5- ensures the microclimate conditions, supervises the patients, measures
the vital functions. Supervises and feeds the patients during the active and
passive feeding. Performs patient transport for investigations. Performs oxygen

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saturation measurement, administers oral medications. Performs passive and

active mobilization of the patient; Follows the patient's body weight (the student
measures the weight: at admission, once the waist is measured; weekly - to
determine the diet; to assess the state of malnutrition; women during pregnancy;
daily, to establish water balance).
The weekly evaluation is performed by the practice coordinator.
WEEK 4
DAY 1 - ensures microclimate conditions, monitors patients, measures vital
functions. Monitors and feeds patients during active and passive feeding.
Executes patient transport for investigations, measures oxygen saturation,
administers medication orally; Executes urine collection. The student prepares the
necessary materials, performs the technique according to the protocol, measures
the amount of urine eliminated and observes its appearance, notes in the practice
book the quantity and appearance of urine. Autonomous and delegated
interventions
DAY 2- ensures the microclimate conditions, supervises the patients, measures
the vital functions. Supervises and feeds the patients during the active and
passive feeding. Executes the transport of the patients to investigations.
Measures oxygen saturation administers oral medications. Urine collection. The
student monitors and notes the diuresis in the practice book, along with the
amount of fluid ingested and the amount of fluid lost through sweating, vomiting,
diarrhea. Recognizes and recognizes urinary disorders (pollakiuria, urinary
retention, nocturia, urinary incontinence and urinary volume disorders: polyuria,
oliguria and anuria). Autonomous and delegated interventions
DAY 3-ensures microclimate conditions, monitors patients, measures vital
functions. Monitors and feeds patients during active and passive feeding.
Executes patient transport for investigations, measures oxygen saturation,
administers oral medications. Performs techniques to prevent bedsores. The
student performs the massage of the regions exposed to bedsores after the
rigorous toileting of the skin. Change the bed to avoid moisture, wrinkles, crumbs.
Change the position of the patients according to a schedule established by the
doctor, install the anti-stair mattress, use rubber coil, with great caution, so as not
to become a triggering factor. Autonomous and delegated interventions
DAY 4 - ensures microclimate conditions, monitors patients, measures vital
functions. Supervises and feeds patients during active and passive feeding.
Executes patient transport for investigations, measures oxygen saturation,
administers oral medications. Perform techniques to prevent bedsores.
Accompany the patient prepared for discharge. The student transports the patient
with the stroller according to the protocol, at the door of the hospital unit, in order
to be taken over by the family. The fourth stage - evaluation of the care plan
DAY 5
Weekly and Final Evaluation (practical test, description of techniques used);
The final evaluation takes place on the last day of the clinical internship (practice)
and consists in the application of specific nursing techniques learned on the
course of the internship, in the case of a patient on a certain specialized
department in which they performed the practice. This will be done by the
internship tutor, together with the heads of the specialized sections.
The evaluation test will consist in simulating / performing a technical intervention
practiced during the internship (practice). Practitioners will execute / describe,
based on tickets with the subjects of the practical test (they will draw a ticket with
the subject), the clinical case present in the hospital.
The internship tutor will follow the way in which the practitioner approaches the
patient holistically, applying to him the specific nursing techniques and the degree

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Enclosures in annex -
please tick as appropriate
of empathy with him. The knowledge, skills and competences acquired by the
students participating in the internship are targeted.
The individual worksheets that the practitioners filled in during the internship
period and the practice notebook will be analyzed.
At the end, the internship tutor will provide the practitioner with the feedback and
assessment sheet for the entire period of the clinical internship performed.
☐Description of unit(s)/groups of learning outcomes which are the focus of the
mobility
☐Description of the learning activities
☐Individual’s development plan when abroad
☐Other: please specify
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5. Assessment and documentation
Person(s) responsible for
assessing the learner’s
performance
Assessment of learning
outcomes
How and when will the
assessment be recorded?
Please include
Name: Seara Torres Antonio
Organisation, role: CLINICA SANTA ELENA, SA, Director
Date of assessment: xx/xx/2022
Method: analysis of individual files, test, interview, specialized questionnaires,
focus group, practical tests in the nursing room on the topic addressed in the
internship, etc.
Evaluation practice test consists in simulating / performing a technical intervention
practiced during the practice stage (practice test). Practitioners perform /
describe, based on tickets with the subjects of the practical test, a clinical case
present in the hospital. The way in which the practitioner empathizes with the
patient will be recorded by the interns.
Transcript staff signed by the internship tutor and the host organization, on the
last day of the mobility internship, respectively 09.07.2021. Specific nursing plans
and the ways in which practitioners perform nursing techniques will be evaluated.
Specialized practical tests will be used (application of specific nursing
techniques). Participants will describe / explain how to prepare and implement the
specific nursing plan. The evaluation criteria will aim at adapting to the created
situations, speed, creativity, originality, the way of empathizing with the patient,
acquiring specific skills, ways to correctly perform specific nursing techniques,
skills and specialized knowledge accumulated, etc.
☐Detailed information about the assessment procedure (e.g. methods, criteria, assessment grid)
☐Template for documenting the acquired learning outcomes(such as the learner’s transcript of
record or Europass Mobility)
☐Individual’s development plan when abroad
☐Other: Please specify
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6. Validation and recognition

Person(s) responsible for Name:

validating the learning
outcomes achieved abroad

How will the validation

process be carried out? Organization, role: Scoala Postliceala Sanitara Piatra Neamt

The Europass Mobility document, issued by the sending organization, will be

Recording of validated completed by the latter together with the person in charge / coordinator of the host
achievements
organization, who has constantly observed the student's activity.

ECVET document - issued by Scoala Postliceala Sanitara Piatra Neamt

Data: xx/xx/2022 (after returning from mobility)

Person(s) responsible for
recognising the learning
outcomes achieved abroad Method: Personal Transcripts / Personal Portfolio for specialized vocational

training

Supporting the evaluation portfolio which includes: analysis of the worksheets /

internship, analysis of the practice portfolio, support of some specialized tests.

How will the recognition be The practical test consists in the simulation / reproduction of a concrete situation /
conducted?
clinical cases on the sections of gerontology, neurology, psychiatry and specific

nursing. Finally, follows the description, by the participant, in the comparison, of

the various nursing techniques made in Spain and Romania, etc.

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7. Signatures
Home organisation/country Host organisation/country Learner

Scoala Postliceala Sanitara Piatra Clinica Santa Elena SA, Scoala Postliceala Sanitara Piatra
Neamt Malaga Neamt

Name, role Name, role Name

Mihai Floroaia, Director Seara Torres Antonio, Director Bursuc Flaviu Cristinel

Place, date Place, date Place, date

Piatra-Neamt, 17/11/2021 Malaga, 07/12/2021 Piatra-Neamt, 17/11/2021

If applicable: Intermediary organisation If applicable: Parent or legal guardian

Universal Mobility SL

Name, role Name, role

Florin Manole, Director

Place, date Place, date

Malaga, 07/12/2021

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8. Additional information
Assessment of learning outcomes
Method: Intermediate (weekly) and final evaluations
Week 1 - Simulation / Group discussions / practice
Weeks 2, 3, 4 - Probation practice
Evaluation: Probationary practice / presentation
Student tasks
Week 1
Practice demonstration / group discussion:
- Presentation of the cases encountered.
- Describing techniques and care plans.
- Development of a practice portfolio.
Week 2 - Practical demonstration. Execution of specific care techniques
Week 3 - Drawing up a care plan
Week 4 - Presentation and explanation of the care plan, nursing techniques, etc.
Final Evaluation
The evaluation of the unit / internship carried out is based on the competencies and the specific performance
standard.
The evaluation is performed orally and practically consists in the presentation, description, explanation of the
cases encountered, of the applied nursing techniques and of the care plans drawn up (plans can be drawn up for
several times, depending on the specifics and the evolution of the disease).
Depending on the specifics of each hospital unit, the evaluation can also be performed on the patient's / patient's
bed (if it is accepted).
Execution of an operation / product presentation in front of the instructor / evaluator / colleagues in the group.
Practical demonstration.

9. Annexes

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