Study Guide

Objectives (course unit)

The objective of the course is to provide the skills for carrying out the basics of intravenous fluid therapy and clinical laboratory tests.

After completing the course, the student
• has a basic understanding of intravenous fluid therapy and blood transfusion
• can plan, implement and evaluate a patient's intravenous fluid therapy and blood transfusion
• can practice aseptic techniques and prioritize safety in intravenous fluid therapy and medication administration
• considers patient education and continuity of care
• is familiar with the most common clinical laboratory tests 
• knows the principles and stages of the clinical laboratory testing process 
• understands the preanalytical quality factors related to laboratory tests and their significance in their own practice 
• knows the basics of venous blood and skin puncture sampling
• can practice venous blood and skin puncture sampling effectively under supervision, ensuring patient and occupational safety 
• knows the key concepts and vocabulary of the course in Finnish
• can participate in patient guidance situations related to the course in Finnish according to their language proficiency level

Content (course unit)

• basics of intravenous fluid therapy and blood transfusion 
• planning, implementation, and evaluation of intravenous fluid therapy and blood transfusion 
• aseptic practice and safety in intravenous fluid therapy 
• patient education and ensuring continuity of care in intravenous fluid therapy and blood transfusion 
• most relevant clinical laboratory tests 
• laboratory testing process 
• test codes and names and the use of laboratory manuals 
• preanalytical quality factors 
• patient guidance for laboratory tests in Finnish, in accordance with their own language proficiency level  
• venous blood and skin puncture sampling
• key vocabulary and equipment needed for blood sampling, cannulation and intravenous fluid therapy in Finnish language

Assessment criteria, satisfactory (1-2) (course unit)

Intravenous Fluid Therapy
The student
• understands the basics of intravenous fluid therapy and blood transfusion
• develops skills to plan, implement, and evaluate intravenous fluid therapy and blood transfusion
• understands the basic principles of aseptic practice and safety in intravenous fluid therapy and medication administration
• knows the basics of patient education in implementing intravenous fluid therapy and blood transfusion

Assessment criteria, good (3-4) (course unit)

Intravenous Fluid Therapy
The student
• knows the basics of intravenous fluid therapy and blood transfusion
• can plan, implement, and evaluate intravenous fluid therapy and blood transfusion
• follows the basic principles of aseptic practice and safety in intravenous fluid therapy and medication administration
• can guide patients in the basics of implementing intravenous fluid therapy and blood transfusion

Assessment criteria, excellent (5) (course unit)

Intravenous Fluid Therapy
The student
• masters the basics of intravenous fluid therapy and blood transfusion 
• can plan, implement, and evaluate intravenous fluid therapy and blood transfusion in a patient-centered manner
• is able to analyze the basic principles of aseptic practice and safety in intravenous fluid therapy and medication administration
• can guide patients and justify the implementation of intravenous fluid therapy and blood transfusion

Assessment criteria, pass/fail (course unit)

Clinical Laboratory Tests
Pass:
The student
• is familiar with the most common clinical laboratory tests and preanalytical quality factors 
• can search for information in laboratory manuals
• can guide patients in and to laboratory tests 
• practices patient and occupational safety in their actions
• practices venous and skin puncture sampling under supervision
Fail:
The student
• does not know key laboratory tests or pre-analytical quality factors
• is unable to find information in laboratory manuals
-• is unable to guide patients for laboratory test
• compromises patient and occupational safety in their actions
• does not actively participate in venipuncture and skin puncture practice sessions

Location and time

TAMK CAMPUS + TAITOKESKUS

Assessment methods and criteria

Part 1: Theory intravenous fluid therapy: Written exam, which is assessed numerically (50% correct is required for a successful completion). In addition, successful completion of the theory part requires active participation (participation in group work and seminar presentations).

Part 2: Blood transfusion online test: Successful completion of the Finnish Red Cross blood transfusion ABO online test. The certificate must be returned to Moodle by week xx. Assessment passed/failed.

Parts 3–5: Workshop work: Active participation and 100% attendance at the skillslab session. Completion and return of the assigned preliminary assignments on time. If you are absent from the first lesson, you cannot participate in the latter lessons unless you have had time to make up the first lesson with another group. The first workshop session serves as the basis for the next two workshop sessions. If a student has to be absent, he/she will find another group in which he/she can complete the theme in question. Evaluation scale passed/failed.
PART 6: Theory: clinical laboratory tests. Evaluation scale passed/failed.
PART 7: Workshop work: sampling. Evaluation scale passed/failed.

Assessment scale

0-5

Teaching methods

SUBJECT TO UPDATE BEFORE ORIENTATION

Learning materials

Laskimonsisäinen nestehoito ja verensiirto:
Ala-Kokko T., Alahuhta S., Hyppölä H, Kaartinen J & Savolainen T. (toim.) 2020. Peruselintoimintojen häiriöt ja niiden hoito. Duodecim. E-kirja. Seuraavat luvut:
Neste-ja elektrolyyttitasapaino
Happo-emäsaineenvaihdunnan häiriöt
Elektrolyyttihäiriöt
Nestehoito: Nestehoidossa käytettävät valmisteet
Verisuoniyhteydet: ääreislaskimon kanylointi


Hedman K., Heikkinen T., Huovinen P., Järvinen A., Meri S., & Vaara M. (toim.) 2011. Infektiosairaudet - Mikrobiolologia, immunologia ja infektiosairaudet. Duodecim. E-kirja.
Vierasesineinfektiot: verisuonikanyyli-infektiot.

Iivanainen A.& Syväoja P.2016. Hoida ja kirjaa. Laskimonsisäiseen nestehoitoon liittyvät asiat (ei keskuslaskimokatetria koskevat asiat). SanomaPro

Saano S. & Taam-Ukkola M. 2020. Lääkehoidon käsikirja. SanomaPro. Sivut 165-180, 192-201.

SPR verensiirron verkkomateriaali. Opiskelijat huolehtivat merkinnästä lääkehoidon passiin (SPR:n ABO – verkkokurssi, tehnyt –merkintä)

Muu verkkomateriaali

Luentomateriaali ja opettajan osoittama muu opiskelumateriaali

Kliiniset laboratoriotutkimukset:

Soveltuva kirjallisuus:
Duodecim Oppiportti: Hoitotyön tietokanta, Preanalytiikka-artikkelit (poislukien virtsanäytteet, bakteeri- ja virusnäytteet).
Laboratorioiden ohjekirjat soveltuvin osin (näytteenoton yleisohjeet, verinäytteenottoputket, tutkimusohjekirja tmv)
Friman, Kuparinen, Lehto & Liikanen 2021. Laboratoriotutkimusten näytteenotto. Luvut 2, 3, 4, 7 ja 9

Student workload

Total credit for the course 4 ECTS = 108 hours of student work, of which 3 ECTS are theoretical studies and 1 ECTS is a workshop

Intravenous fluid therapy and blood transfusion:

Theory: 12 h of contact teaching, 42 h of independent work.
Workshop work: 10 h of contact teaching, 17 h of independent work.

Clinical laboratory tests:

Time management:

Theory: 6 h
Workshop work: 4 h
Independent study 17 h including Moodle assignments

Assessment criteria
Passed - student:
To able to meet with the patient and guide them in preparing for blood sampling
Search for information in the laboratorystudies manual
Knows the most common laboratory tests and test abbreviations
Takes a venous sample and a skin prick sample under supervision
Participates as team

Failed
Student:
Does not understand the importance of pre-analytics in laboratory tests
Cannot search for the information they need even under supervision
Does not recognize common laboratory test abbreviations
Does not participate in work
Absence from exercises

Further information

The course begins with an orientation, which requires mandatory attendance. Intravenous fluid therapy and blood transfusion and Clinical laboratory tests include their own orientations.

In intravenous fluid therapy and blood transfusion, the skills workshop work is carried out at the Skills Center. 100% attendance is required for the classes. If you are absent from the first class, you cannot participate in the second class unless you have made up for the first class with another group. The first skill workshop session serves as the basis for the next two practice sessions. If the student has to be absent, he or she will find another group with which to complete the theme in question.

Clinical laboratory tests include sample collection skills workshop work in Tamk's nursing classes. 100% attendance is required for the classes.

Course content:

• basics of intravenous fluid therapy and blood transfusion
• planning, implementation and evaluation of intravenous fluid therapy and blood transfusion
• asepsis and safety in intravenous fluid therapy
• patient guidance and ensuring continuity of care in fluid therapy and blood transfusion
• the most important clinical laboratory tests
• laboratory test process
• test items and use of the laboratory manual
• preanalytical quality factors
• patient guidance for laboratory tests
• venous blood and skin prick sampling