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DIVYAJYOTI TRUST Ophthalmic Nursing
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COURSE DESIGN
Table of Contents
INTRODUCTION ..................................................................................... ERROR! BOOKMARK NOT DEFINED.
COURSE DESIGN TEMPLATE............................................................................................................................... 4
Eye Program ………………………………………………………………………………….
Objectives of
Training……………………………………………………………………………...
Outcomes Of The
Training………………………………………………………………………… CHAPTER 1………………………………………………………………………………………………………………..7 ORIEANATION CHAPTER 2…………………………………………………………………………………………………………………7
Admission Procedure Of patient
Chapter 3………………………………………………………………………………….8 PRE OPERATIVE PREPARATION CHAPTER 4…………………………………………………………………………………………………………………..9 OT PREPARATIONERROR! BOOKMARK NOT DEFINED.
Chapter 5……………………………………………………………………………..9-12
Information About Clincs
Cornea
Retien
Glaucoma
Sonography And Laser Clinic
Paediatric
Low Vision
Emergency
Cousnseling
Eye Bank
OT Orientation
*Wards
General
Septic
Special
Semi Special
Day Care
Paid
Pre- Operative
Chapter 6……………………………………………………………………………………13
Post Oprative complication……………………………………………………………………..
Management of emergencies
Cases……………………………………………………………….
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Laboratory
Investigation……………………………………………………………………………
Information about
Injection………………………………………………………………………
Chapter 7……………………………………………………………………………………14
Management Of Genearal
Cases……………………………………………………………………
Management Of Pre oprative & Post Oprative Complication in
GA………………………………
Chapter 8…………………………………………………………………………………..15
Sterilization And Disinfection…………………………………………………………………..
Infection Control………………………………………………………………………………..
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Introduction
Divyajyoti Trust is a voluntary development organisation involved in eye care
activities in rural tribal areas of Surat district of south Gujarat. Divyajyoti
Trust endeavors to reach out & assist the poorest of poor for eye care through
base hospital & outreach programmes based upon the community needs &
available manpower. Student-centered course design
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Eye Programme
More and more people are taking advantage of the services provided by hospital
covering population of 2.5 million and diagnostic camps in interior rural areas.
The programme, which treats 3000 patients in OPD and operates more than 400
patients, every month, has facilities like operating microscopes, Diode & Yag
lasers, auto refractor, OCT, clinical specular microscope, A-B scan. Photo slit
lamp, Phaco-emulsification & automated perimeter. Surgeries like cataract with
intraocular lense implantation & Keratoplasty are regularly performed. About
75% patients get free treatment for which financial assistance from organization
and local community is available
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Objectives of the training
The major objective of the training is to develop a cadre of trained professionals
and thereby increase people’s participation in the eye care programme. This will
naturally lead to spread of the awareness of eye health & cataract surgeries.
Ultimately, curable blindness will be controlled to a large extent
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Outcomes of the training
After training candidates will be able to assist an ophthalmologist for various
kind of eye surgeries. He/she will be able to take care of pre & post-operative
patients as well as counsel them in effective manner. In nutshell, overall
ophthalmic nursing care will be taken by the candidate
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Orientation:
Orientation of about course & clinics
Clinics Wards
1 Cornea 1 General 2 Retina 2 Septic
3 Glaucoma 3 Special 4 Sonography & laser Clinic 4 Semi special
5 Pediatric 5 Day care 6 Low vision 6 Paid
7 Emergency 8 Pre-operative
8 Counseling 9 Eye Bank
10 OT orientation (Instrument & procedure identification)
Admission Procedures:
Patient Consent – General & Special
Receiving the patients including Pre OP photo
Case sheet checking and other procedures (Advance payment)
Room Allotment
Bed Making
House keeping
Patient care
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Pre- Operative preparation:
Morning (Day of surgery) Evening (Previous day)
Visual acuity Pre OP painting & instill eye drops Dusting in ward/emergency room during morning
Intra ocular pressure
Preparation of trolley – surgery wise Lacrimal duct patency
Dilatation Blood Pressure Examination urine Sugar Examination
A-Scan- keratometry
E.C.G. 60+
OPD medicines
Fundus Exam
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OT Preparation:
OT documentation
Block
Circulation
Eye OT Cleaning (a) Daily (b) Weekly (c) Monthly
Scrubbing & Gowning
Instrument cleaning & maintenance
Medical & Surgical Instrument – Introduction, Method of use & uses
RL Solution clarity checking
OT equipment maintenance, calibration & documentation
Fumigation
Biological indicator controlling
Types of cases
(a)Cataract (e) Retina, Vitreous
(b)Glaucoma (f) Cornea
(c)Orbit (e) Squint
(d)Ulcer
Tray set up
(a) Clear ward (b) Septic ward (c) Orbit ward (d) Pediatric
Assisting Doctors in room round and assisting them in slit lamp examination in Duty room.
Bandage tying and untying
Drugs Administration
Basic Pharmacology
Drug classification
Route of Administration of tray
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Medical abbreviations
Drops and its types
Ointment
Tablets
Administering different kinds of Injection
Counseling
(a) Pre- Operative counseling (b) Post- Operative counseling (c) Discharge Counseling
Cataract
(a) Definition
(b) Type of cataract
(c) Pre-operative medication & preparation
Type & choice of cataract surgical techniques
a) intra capsular Cataract extraction b) Extra capsular Cataract extraction c) Intra Ocular Lens d) Small Incision Sutureless Cataract Surgery e) Phaco
Postoperative management after cataract operation Complication of cataract surgery & their management
Glaucoma
Introduction,Definition & classification of glaucoma
Type of glaucoma surgery
(a) Trabeculactomy (b) Combined Surgery (c) Trab with phaco (d) Artificial drainage shunt operation
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(e) Cyclo-destructive procedure
Retina
Introduction,Definition & types of retinal surgery
(a) Retinal detachment (b) Vitrectomy (c) Membranectomy (d) Intra Vitreal Injection Cat + Retina (e) Glaucoma + Retina (f) DR
Cornea Introduction,Definition & types of corneal surgery
(a) Corneal transplant/ Karetoplasty – Full thickness & Lemenar (b) Corneal tair repair (c) Scleral tair repair (d) C3R procedure (e) Amoitic membrane grafting
Orbit
(a) Introduction to Orbit (b) Anatomy (c) Orbital Disease and its Management
Uvea :
(a) Introduction to Uvea (b) Types of Uveitis and its management
Neuro- Ophthalmology :
(a) Introduction to Neuro Ophthalmology (b) Diseases associated with Neuro Ophthalmology
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Pediatric Ophthalmology
(a) Congenital Cataract (b) Surgical Treatment
Squint:
Types of Squint and its management
Oculoplasty
a) Dacryocystitis b) Ptosis c) Entropion d) Ectropion e) Tarsorrhaphy f) Lid retraction
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Post Operative Complications
IOL malalignment Choroidal detachment Cataract / IOL drop Wound Leak Severe lritis Iris Prolapse Hypopyon Suture gap Hyphema Endophthalmitis Corneal Oedema Panophthalmitis Shallow AC Striate Keratitis Pupillary Block
Management of Emergencies Cases
(a) Chemical burns (e) Blunt Injury (b) Injury (f) Foreign Body (c) Perforating injury (g) Lens Induced Glaucoma (d) Penetrating injury
Tonometry and Lacrimal Passage Patency
(a) Setting up of tray (b) Theory (c) Practical
Laboratory Investigation
(a) Blood collection Method (b) Urine Test (c) Blood collection Method (d) Urine Test (e) Blood Test (f) HB, RBC, TC , DC, ESR
Injection
(a) Types of Injection (b) Sites, Procedures & Complications (c) Subcutaneous (d) Intradermal
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Vital Sings
(a) Temperature (b) Pulse (c) Respiration (d) Blood Pressure
Management of General Cases
(a) Fever (b) Diarrhea (c) Diabetes (d) Hypertension (e) Asthma (f) Cardiac
ECG Recording
Administration of O2
Management of preoperative and post- operative Complication in GA
Patient
(a) Investigation (b) Instruction (c) NBM (d) post – operative Observation
Management of Corneal Ulcer Cases
(a) Types of Ulcer Cases (b) Investigation
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Sterilization & Disinfection
(a) Plazma & Gama sterilization (b) Autoclaving (c) Gas Sterilization
Management of Ocular Emergencies
Management of General Emergencies
Ocular Pharmacology
Maintenance of Asepsis
Specific Discharge Instruction to all cases
Responsibility of night duty nurses
Orientation in Refractive Errors
ICU Management
Bio medical waste management
BLS
Infection control
Definition
Transmission of infection
Infection prevention & control
Universal precautions
Standard precautions - o Use of Personal Protect Devices o Hand Hygiene o Spillage management o Niddle stick injury
General Anatomy & Physiology
Transmission based precautions, airborne, droplet & contact strick isolations.
Soft skills
Exposure to eye camp activity
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Organizational Behavior
(a) Communication (b) Leadership (c) Motivation (d) Teamwork (e) Time Management (f) Problem Solving (g) Decision making (h) Organization culture and values.
Theory & Practical Training:
There will be one or two periods of theory daily. Thereafter, demonstration and
observation will be arranged. On completion of aforesaid both stages, trainees
will have to do practical.
Language: Mainly - Gujarati (Hindi and English depending upon the
trainees)
Posting: Postings will be done as per syllabus.
Fees: Ophthalmic nursing training for 1 year – Rs. 2400/-
Accommodation & Food, breakfast, Tea charges will be Rs. 6000/-
per year.
Qualification: Minimum qualification required is 12th pass from all
background (Science preferable).
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Accommodation: Three – five trainees will be accommodated in
one room ordinarily. In case of large size room the number of trainees
may be more than three.
Food:Rice, Dal, Chapati and Vegetables.
Morning Tea with breakfast, Afternoon – Only Tea, Extra Tea will be at
extra cost.
Library:
Textbooks are available as reference books in the library. Course material &
Video cassettes are available.
Whatever extra facility is availed by the trainee, extra charges will be
levied.
S.T. Buses are available at an interval of every hour from Surat & Kim for coming to Mandvi.
Leave: One weekly off will be given at our convenience. On sundays, it is compulsory to attend eye camps. During training period, trainees will not be allowed to visit their homes.
In case of problems / difficulties, trainees are advised to contact training
in-charge
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BIO DATA
To be submitted by the trainee to join training course at Divyajyoti Trust, Mandvi
Full Name : ……………………………………………………………………...
Postal Address : …………………………………………………………………
Pin Code : …………………. Phone (With STD Code) : ………………...
Date of Birth : ……………………..
Educational Qualifications :
Examination Passed Year of passing Board /
University
Percentage
of marks
Remarks
Previous work experience in ophthalmology / paramedical worker :
Name of hospital or NGO Nature of work done Period (Dates)
From To
Reason why applicant wants training in ophthalmological work / paramedical
work ?
Please read carefully general information about Divyajyoti Trust and facilities
available for trainees before sending this form.
Name of organisation:
Full postal address:
Phone No : Fax No :
Email Address :
Signature of candidate Signature & seal of the ponsoring
Organisation Place:
Date :
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Syllabus Helpful reminders:
o The syllabus is a form of learning contract. o The syllabus is a resource that can pique students’ interest o Including more rather than less reduces anxiety and can be a learning tool.
End the syllabus on a positive upbeat note.