Why is inclined foot economical?

Sense and purpose. Structure of the training manual

Transcript

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2 Meaning and purpose The training manual was created for the professional trainer of the medical practice assistant EFZ. It is a working tool with the help of which those to be reached are checked. The training manual informs the vocational trainer about the point in time during the three-year apprenticeship period at which the theoretical and practical professional knowledge will be imparted to the learners. Structure of the training manual The training manual is based on the training plan for the Ordinance on Basic Vocational Training for Medical Practitioners EFZ () and the sample curriculum for inter-company courses (version May 4, 2010, revised April 30, 2014). It is divided into guiding, straightening and. This concretises the competencies. - The main objectives describe the learning areas of the training in a general form and explain why they have to be dealt with in the training. - Indicative goals specify the main goals and describe attitudes, attitudes or overarching behavioral characteristics and determine what should be learned. - They describe the individual competencies and determine how exactly something should be learned. The education plan with the guiding and indicative goals is posted on the website. This training manual specifically lists the vocational subjects for all three learning locations (,, training company). They are classified using the K-level model (taxonomy according to B. S. Bloom), which is constructed in such a way that each higher level includes the content of all lower levels. Level Designation Meaning K1 Knowledge Reproduce information and retrieve it in similar situations (enumerate, know) K2 Understand Not only reproduce information, but also understand it (explain, describe, explain, show) K3 Apply Apply information about facts in different situations K4 Analyze facts in individual elements structure, uncover the relationship between elements and recognize connections K5 Synthesis Combine individual elements of a situation and combine them into a whole or design a solution to a problem K6 Assessment Assess certain information and facts according to criteria 2

3 Content 1.1 Leading objective: dealing with patients Page objective: Basics of communication.Online objective: patient relationship 1.2. General objective: diagnostic therapeutic processes.page.Online objective: laboratory diagnostics.page.Online objective: diagnostic imaging; Indicative goal quality Indicative goal time management Indicative goal information management Indicative goal internal and external communication Indicative goal material management 1.4 Key objective Medical principles Page Indicative objective Scientific principles (chemistry / physics / mathematics) Page Indicative objective Anatomy, physiology, biology Page Indicative objective Medical principles, pathology / pathology Page Indicative objective Pharmacology / Pharmacotherapy Page Indicative objective Terminology Page Leading objective hygiene, occupational safety, health protection and Environmental protection Page 29 Use of the training manual The vocational trainer has precise control over the consolidation and the achievement of a learning objective. The vocational trainer is responsible for ensuring that a performance target has been deepened. This is confirmed in the respective fields. The professional trainer confirms the achievement of the learning objective in the respective field with the date and visa. 3

4 1.1 Main objective of dealing with patients Guideline objective Basics of communication Guideline objective Patient relationship 2nd semester Medical practice assistants explain the basic forms and principles of coherent communication using the message square. They analyze typical communication situations and classify messages based on what they say. (K5) - Verbal and non-verbal communication - Communication patterns - Active listening Medical practice assistants describe the causes, characteristics and effects of difficult communication situations and typical communication disorders. They react appropriately in posed situations. (K5) I am able to communicate consciously according to the needs of those involved and the requirements of the situation. In doing so, I use my knowledge in a functional and target-oriented manner and adhere to the general principles of successful communication. (K5) I am able to perceive communication disorders and to react appropriately to the situation and the addressee. (K5) Medical practice assistants demonstrate the fundamental aspects of a good patient relationship. They explain the steps to building a relationship and how to maintain it. (K2) I am able to build and maintain good relationships with patients. (K5) 4th semester Medical practice assistants are able to set up conversations with patients in a structured and target-oriented manner and to conduct them in typical situations. (K5) - Conducting goal-oriented conversations - Basics of the course of illness / coping with illness - Basics of dealing with death in practice / phases of dying I am able to structure and conduct conversations with patients and their relatives in a structured and target-oriented manner. (K5) 4

5 Medical practice assistants describe the characteristics of professional instruction and show the importance of the individual steps. You will use the instructions and rules in typical situations. (K3) I am able to instruct patients and / or their relatives in a professional manner and in a manner appropriate to the addressee and ensure that they understand the instructions. I take all possible measures to ensure that patients and relatives apply the prescriptions correctly. (K5) 4th semester 5th semester Medical practice assistants use examples to show the individual characteristics of patients in their environment. They differentiate between the following characteristics: - Elderly patients - Addiction patients - Chronically ill patients - Physically and mentally impaired - Mentally impaired - Blind and deaf patients - Patients from other cultures - Children For different patients Patients derive the requirements for counseling and care in a well-founded manner. (K5) Medical practice assistants describe typical role conflicts of patients in their environment and explain the consequences for advice and care. (K2) - Teamwork: types of conflict in a team, roles in a team, conflict discussion, giving feedback in a team - basics of developmental psychology - stress management - patient observation Medical practice assistants explain the fundamental rights of patients and their relatives and their importance for their work. (K2) I am able to recognize special patient situations in my work. I pay attention to the specific requirements. I assess the situation and make a well-founded assessment. I act correctly within the scope of my skills and possibilities. (K6) I recognize typical role conflicts among patients and take this into account when providing advice and support. I recognize my limits and if in doubt I inform my superiors. (K3) I name the fundamental rights of patients and relatives and their importance at work. (K1) 5

6 1.2 Main objective of diagnostic and therapeutic processes Guideline objective of laboratory diagnostics 1st semester Medical practice assistants describe the techniques for obtaining, storing and transporting test material in accordance with the current regulations of the external laboratory. They explain the regulations for the storage of sample materials and describe the disposal of test material using specific examples. (K2) Medical practice assistants explain the techniques of taking blood samples. They explain the risks of infection and contamination, describe the routes of infection and explain the precautionary measures. (K2) Medical practice assistants list disruptive factors in laboratory diagnostics and describe their influence on laboratory values. (K1) Medical practice assistants use the techniques for obtaining examination material in a professional manner. (K3) - Acquisition of a urine sample with medium-jet technology - Dispatch of sample materials to various special laboratories - Storage and disposal of test material Medical practice assistants carry out capillary and venous blood withdrawals in a professional manner. In doing so, they comply with all hygiene and occupational health and safety requirements. (K2) I explain to the patients and their relatives how the examination material is obtained in a professional and understandable manner. - Acquisition of a urine sample with medium-jet technology - Dispatch of sample materials to various special laboratories - Storage and disposal of test material I take capillary and venous blood samples independently. In doing so, I carefully and dutifully adhere to the hygiene regulations and occupational safety regulations I explain the necessary measures to patients and relatives to minimize the patient factors that can be influenced. Medical practice assistants name the analysis and volume measurement devices, which are used in more than 10 % of the practice laboratories are used and describe their structure. (K2) Medical practice assistants determine the analyzes that are listed in the Basic Care chapter of the Federal Analysis List. (K5) You are familiar with common laboratory instruments and devices. You can operate piston-operated pipettes correctly, use various volumetric instruments, the rpm. Determine (rpm) of the laboratory centrifuge based on the g-number and the radius as well as centrifuge various test materials. You are familiar with phase contrast and bright field microscopy. I know the laboratory instruments and devices used in teaching and can use and maintain them correctly: - piston-operated pipettes - various volumetric instruments - rpm. Determine (rpm) of the laboratory centrifuge on the basis of the g-number and the radius - centrifugation of various test materials - bright field setting on the microscope 6

7 1st semester 2nd semester (continuation) Urine status - chemical parameters: - Macroscopic evaluation using a device (reflection measurement) Urine status: - Prepare and assess sediment Practice assistants name the analysis devices that are used in more than 10% of practice laboratories and describe their structure. (K2) Urine status - chemical parameters: - evaluation macroscopically and by means of a device (reflection measurement) Urine status: - produce and assess sediment Hematological analyzes: - hematocrit determination - manual cell counting with counting chamber - sedimentation reaction - sedimentation reaction Introduction to devices Afinion, Reflotron, Spotchem Introduction to chem. Practice laboratory equipment of the teaching company Clinical chemical analyzes from serum or plasma: - CRP determination (Afinion) Clinical chemical analyzes from serum or plasma: - CRP determination Introduction / implementation of internal quality control Implementation of internal quality control Determination of medical practice assistants I analyze samples independently with all analyzes, which are listed in the chapter on basic supply devices, which are available in the federal analysis list. (K5) stand. Detection of parasites and bacteria in the microbiological laboratory: - Determination of the germ count using immersion culture medium (Uricult) - Sampling and detection of occult blood in the stool (rapid test) - Stool sampling for the detection of parasites and bacteria in the microbiological laboratory - Dispatch of sample material Microbiology: - Gram stain of a bacteriological preparation Detection of parasites and bacteria in the microbiological laboratory: - Determination of the germ count using immersion culture medium - Sampling and detection of occult blood in the stool - Stool sampling for the detection of parasites and bacteria in the microbiological laboratory - Dispatch of sample material Microbiology: - Gram staining of a bacteriological preparation 7th

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9 Medical practice assistants name the analysis devices that are used in more than 10% of practice laboratories and describe their structure. (K2) Medical practice assistants determine the analyzes that are listed in the Basic Care chapter of the Federal Analysis List. (K5) Urine status including urine sediment I analyze samples independently with all devices available to the. Urine status including urine sediment 3.

10 3rd semester 5th semester Medical practice assistants describe the indication and the medical significance of pathological results for all analyzes that may be carried out in the practice laboratory. (K2) Medical practice assistants describe the implementation of internal and external quality control in the practice laboratory in accordance with the applicable legal provisions. (K2) Medical practice assistants identify analytical problems with the help of the evaluation of internal and external quality control. (K4) Medical practice assistants create control sheets for internal quality control. (K5) Internal quality control: - Create control cards and carry out controls (except BSR, occult blood, urine status and immunological rapid tests) External quality control: - Round-robin test Medical practice assistants determine the analyzes that are listed in the Basic Care section of the Federal Analysis List. (K5) - Repetition of all analyzes including test run QV I check the plausibility of laboratory results before I send the values ​​to the doctor I carry out internal and external quality controls professionally and in accordance with company specifications I check the entries of the internal quality control in the teaching company and report errors my supervisor I analyze samples independently with all devices available to me. 10

11 1.1.2 Indicative objective of diagnostic imaging It should be noted that learners who have not yet reached the age of 16 may not be employed exposed to radiation. (Radiation Protection Ordinance Art. 33 Para. 3) Medical practice assistants carry out practical X-ray settings (conventional and digital X-ray) in a professional manner and assess the results. Depending on the required recording, you determine the right aids, the appropriate procedure and the correct choice of the values ​​to be taken into account. In doing so, they observe the principles of radiation protection. (K6) - Preparing the patient, informing the patient, asks about possible pregnancy. I assess and combine all the elements of the X-ray setting technology and implement these in the context of the patient's X-ray work. In this way I ensure that I receive flawless and easily interpretable X-rays. - Prepare the patient, inform the patient, ask about possible pregnancy - Use lead protection - Use lead protection 1st semester - Fade in, use L / R letters - Fade in, use L / R letters - Handle the X-ray system, set the control panel and exposure values ​​X-ray anatomy , Practice setting technique and image assessment of: - finger dv, 2-3 fingers lat, 4-5 fingers lat - handling the X-ray system, setting the control panel and exposure values ​​I perform the following x-rays correctly under supervision and assess the x-ray images according to technical criteria: - finger dv, 2-3 fingers lat, 4-5 fingers lat - thumb vd, thumb lat - thumb vd, thumb lat - hand dv, hand inclined - hand dv, hand inclined - wrist dv, wrist lat - wrist dv, wrist lat - forearm vd , Forearm lat - forearm vd, forearm lat - elbow vd, elbow lat - elbow vd, elbow lat - foot dp, foot lat, foot inclined - foot dp, foot lat, foot inclined - ankle joint ap, ankle joint lat - ankle joint ap, OSG lat - thorax pa, thorax lat - thorax pa, thorax lat 11

12 2nd semester Medical practice assistants explain the legal provisions in connection with X-rays using meaningful examples. They show their importance for safe work in the doctor's office. (K2) Medical practice assistants show the differences between ionizing and non-ionizing radiation. They name their properties, effects, hazards and the measures to avoid them. (K2) Medical practice assistants describe the images according to the defined image catalog for the thorax and extremities. as well as for the extended conventional recordings (high-dose X-rays: not relevant for the practical test). You are able to assess specific x-ray images according to technical criteria. (K6) You are able to explain all work for the professional preparation, execution and follow-up of recordings. Medical practice assistants carry out practical X-ray settings (conventional and digital X-ray) and assess the results. Depending on the required recording, you determine the right aids, the appropriate procedure and the correct choice of the values ​​to be taken into account. In doing so, they observe the principles of radiation protection.(K6) Apply lead protection, fade in, use L / R letters Handle the X-ray system, set the control panel and exposure values ​​Practice X-ray anatomy, setting technology and image assessment of the following X-rays: - Scaphoid status dv Pos I implement the legal requirements by doing all administrative work in connection with carry out the X-ray work swiftly and dutifully I take the requirements of radiation protection seriously. I apply the provisions of the Radiation Protection Ordinance and assess the patient situation according to the criteria of the Radiation Protection Ordinance and act accordingly in accordance with the situation. I assess and combine all the elements of the X-ray setting technology and implement them in the X-ray work on the patient as appropriate. In this way I ensure that I receive flawless and easily interpretable X-rays. I use the lead protection correctly, fade in correctly and use L / R letters. I handle the X-ray system correctly and set the exposure values ​​precisely on the control panel. I carry out the following X-rays correctly under supervision and assess the X-rays according to technical criteria: - Scaphoid status dv pos. 1 - upper arm ap / lat - upper arm ap / lat - shoulder ap without tilt - shoulder ap without tilt - shoulder Sweden status - shoulder Sweden status - Neer shoulder - Neer shoulder 12

13 (continued) - Clavicula pa / tangential - Clavicula pa / tangential 2nd semester Medical practice assistants explain the processes when the X-rays hit the film and intensifying screen as well as the photochemical processes during development. They name the components of a darkroom facility and know the measures to monitor them. They assess specific recordings, determine possible sources of error and suggest suitable measures for quality assurance. (K2) Medical practice assistants name the main differences between analog and digital systems. (K1) - Forefoot dp / oblique - Forefoot dp / oblique - Calcaneus lat / axial - Calcaneus lat / axial - lower leg with ankle joint ap / lat - lower leg with ankle joint ap / lat - knee ap / lat, patella axial - knee ap / lat , Patella axial Medical practice assistants know the process of digital x-rays and can create technically correct digital x-rays. They carry out digital post-processing and archive the images. (K3) I pay attention to the correct darkroom light and avoid light artifacts on undeveloped films. I label and develop X-ray films correctly and keep the X-ray journal without any distortion. I process X-ray films professionally and according to specifications. I periodically carry out various quality assurance tests. I assess their results and take or initiate the necessary corrective measures. 13th

14 3rd semester Medical practice assistants describe the recordings according to the defined recordings catalog for the thorax and extremities. as well as for the extended conventional recordings (high-dose X-rays: not relevant for the practical test). You are able to assess specific x-ray images according to technical criteria. (K6) You are able to explain all work for the professional preparation, execution and follow-up of recordings. Medical practice assistants carry out practical X-ray settings (conventional and digital X-ray) and assess the results. Depending on the required recording, you determine the right aids, the appropriate procedure and the correct choice of the values ​​to be taken into account. In doing so, they observe the principles of radiation protection. (K6) Explain and prepare X-ray images (the following images are not relevant for the practical examination): - Skull pa or pa, skull lat, skull ½-axial (paranasal sinuses) - cervical ap, cervical lat - cervical ap, cervical lat - thoracic spine ap, BWS lat - BWS ap, BWS lat I assess and combine all the elements of the X-ray setting technology and implement them in the context of the patient's X-ray work. In this way I ensure that I receive flawless and easily interpretable X-rays. I prepare the following X-rays correctly under supervision (these images are not relevant for the practical test): - Skull pa or pa, skull lat, skull ½-axial (paranasal sinuses) - lumbar spine ap or pa, lumbar spine lat - lumbar spine ap or pa, Lumbar spine lat - pelvis ap lying - pelvis ap lying 5th sem. - hip joint ap, femur with hip joint ap, hip joint according to Lauenstein - abdomen empty, abdomen empty Medical practice assistants know how to prepare for external examinations and tell the difference from CT and MRI, know the function and side effects of contrast media and are able to correctly pass the instructions on to patients (continued) - Repetition X-ray physics internship - X-ray examination of all acquired images - Repetition adjustment technique for all acquired images - hip joint ap, femur with hip joint, hip joint according to Lauenstein - Abdomen lying empty, abdomen standing empty I explain to the patients or their relatives, the external examination and its preparation are understandable and appropriate to the target group. 14th

15 1.2.3 Indicative goal of general diagnostics Indicative goal of therapeutic processes Indicative goal of medical assistance Indicative goal of advisory activities ATMB 1st semester Medical practice assistants explain the technique of taking blood samples. They explain the risks of infection and contamination, describe the routes of infection and explain the precautionary measures. (K2) Medical practice assistants describe selected types of fever and possible accompanying symptoms. They explain therapeutic countermeasures in general and are able to use the various clinical thermometers correctly. (K3) Medical practice assistants name the principles of blood pressure and pulse measurement. They explain the weaknesses and strengths of the various blood pressure measuring devices and how the stethoscope works and use them correctly. (K3) Medical practice assistants describe the properties of dressing materials as well as of dressing techniques used to treat wounds or calm injuries. They name the signs of wound infections and the measures to prevent them. (K2) Medical practice assistants professionally take venous blood samples (vacutainer or monovette system). In doing so, they comply with all hygiene and occupational health and safety requirements. (K3) Medical practice assistants carry out blood pressure and pulse measurements (manually and electronically) in a professional manner and note the results. (K3) Medical practice assistants gently and technically correctly apply a wound dressing and a support bandage to a figurine. (K3) Medical practice assistants, alone and in teams of two, carry out life-saving immediate measures correctly in accordance with the applicable standards. (K3) I take venous blood samples myself. In doing so, I carefully and dutifully adhere to the hygiene regulations and occupational health and safety regulations. I show the principles of temperature measurement. I measure independently with the various possible measuring instruments, both conventionally and electronically and comply with the specifications. I document the result in the crane history. I measure my blood pressure and pulse independently and document the result in the medical history. I adhere to all technical regulations I carry out the arranged wound and support bandages in a technically correct manner on my own. On the basis of the applicable standards of "Basic Life Support", I am able to provide first aid and so a short time until the arrival of Bridge doctor or ambulance service. 15th

16 1st semester Medical practice assistants describe the measures for cleaning and maintaining the devices and instruments in a practice. You name the sterilization standards. (K2) Medical practice assistants explain how disinfection works and describe the most important types and means of disinfection. For a meaningful example from practice, they design a hygiene or Cleaning schedule. (K5) Medical practice assistants comprehensively and correctly explain all the processes involved in the most important interventions possible in a doctor's practice. They provide a comprehensive list of the instruments and materials required for this. (K2) Medical practice assistants use the work clothing for various minor surgical interventions in a professional manner. (K3) Medical practice assistants name the principles of sterility and the processes and storage techniques that guarantee sterility. (K1) Medical practice assistants correctly carry out an operation from cleaning to disinfection to sterilization of surgical instruments. (K3) Medical practice assistants correctly prepare all the various work surfaces with all the instruments and materials required for the planned procedure and store patient-specific procedures. (K3) You provide shipping utensils for any sample material, which can be sent to an external laboratory if required. You create sterile fields for: - ear irrigation I disinfect, clean, sterilize and maintain instruments and devices and thus ensure that they are ready for use. In doing so, I observe the hygiene and occupational health and safety requirements, as well as the manufacturer's instructions. I clean and disinfect the practice inventory in accordance with the requirements of the hygiene plan. I create the solutions to be used in the correct mixing ratio and carry out the necessary work independently and on time. I prepare all interventions that arise in the practice in a professional manner. If necessary, I work sterile, position the patients correctly and comfortably and assist the doctor effectively and discreetly. I will ensure that any sample material taken is sent to the correct laboratory with a fully completed form. I prepare sterile fields / tables for: - ear rinsing - routine gynecological control - routine gynecological control - nasal packing - nasal packing - thread / staple removal - thread / staple removal - administration of eye drops - administration of eye drops Medical practice assistants set the work clothes for different operations professionally. (K3) Medical practice assistants ensure sterility and observe the correct storage techniques. This ensures sterility. (K3) I dress correctly for minor surgical interventions: work clothing, face mask, sterile gloves (K3) I ensure sterility and observe the correct storage techniques. This is how I guarantee sterility. 16

17 2nd semester Medical practice assistants explain the different leads of the EKG. They show the structure and functionality of the ECG machine and are able to identify any sources of error. (K2) Medical practice assistants explain the processes involved in a lung function test and how a spirometer works. (K2) Medical practice assistants describe the different types of injection, the material required for each and the different injection solutions. They name the application sites and indicate the possible complications as well as their preventive measures. (K2) Medical practice assistants describe the properties of bandages, padding and fixation materials as well as bandage techniques with which wounds are treated or injuries are immobilized. They name the signs of wound infections and the measures to prevent them. (K2) Medical practice assistants independently record an ECG curve. They instruct patients correctly and prepare them professionally. They ensure that the technical implementation is flawless. (K3) Medical practice assistants independently and correctly carry out both a peak flow measurement and a spirometry. You instruct the patients professionally and value their cooperation. (K3) Medical practice assistants are able to technically draw up injection solutions from break and puncture ampoules and to dissolve dry substances. You prepare pre-filled syringes according to the manufacturer's instructions. You will find out where to inject and perform a subcutaneous injection that is technically correct. (K3) Medical practice assistants know the materials for wound treatment and can use various dressing techniques. You apply a wound dressing to a figurine in a gentle and technically correct manner. They instruct patients professionally about dressing changes and signs of infection. (K3) I inform patients correctly and prepare them for the examination. I record ECGs myself and deliver a high-quality strip. I recognize sources of error on the EKG strip and can correct them. I perform spirometry tests myself and deliver a usable result. In doing so, I pay particular attention to the correct cooperation of the patients. I draw injection solutions from break and puncture ampoules to dissolve dry substances. I pay attention to the sterility. I prepare pre-filled syringes correctly according to the manufacturer's instructions. I am giving a subcutaneous injection as directed. In doing so, I adhere to the regulations for hygiene and aseptic measures as well as occupational safety and have mastered the technically correct procedure. I know various dressing techniques and independently apply the wound dressings quickly and technically correctly. I instruct patients about dressing changes and signs of infection and also pay attention to self-protection. 17th

18 2nd semester Medical practice assistants explain the basic life support measures in accordance with the applicable standards. For the most important special emergency situations, they describe the causes, symptoms and help measures. (K2) Medical practice assistants comprehensively and correctly explain all the processes involved in the most important interventions possible in a doctor's practice. They provide a comprehensive list of the instruments and materials required for this. (K2) Medical practice assistants are able to prepare and document vaccinations correctly. (K3) Medical practice assistants are able to explain the various methods of anesthesia, show the types and effects and describe their applications. (K2) Medical practice assistants carry out life-saving immediate measures alone and in a team of two correctly in accordance with the applicable standards. They know how to behave at the scene of an emergency, how to deal with back injuries, neck brace grip, removing helmet, shoulder and pelvic stabilization grip, putting on Stifneck neck collars, working with a scoop stretcher and vacuum mattress. (K3) Medical practice assistants correctly prepare all the various work surfaces with all the instruments and materials required for the planned procedure and store patients for each procedure. They provide shipping utensils for any sample material, which can be sent to an external laboratory if necessary. (K3) You create sterile fields for: - wound care - minor surgical interventions (wart excision, nail wedge extraction, abscess opening) - catheterization - catheterization - joint puncture - joint puncture Medical practice assistants are able to correctly prepare and document vaccinations. They check the vaccination cards and make the new entries. At the doctor's order, they carry out vaccinations independently. (K3) Medical practice assistants prepare local anesthesia, taking sterility into account. (K3) On the basis of the valid standards of Basic Life Support, I am able to provide first aid and thus bridge a short period of time until the arrival of a doctor or ambulance service. I prepare all interventions that arise in the practice in a professional manner. If necessary, I work sterile, position the patients correctly and comfortably and assist the doctor effectively and discreetly. I will ensure that any sample material taken is sent to the correct laboratory with a fully completed form. I prepare sterile fields / tables for: - wound care - minor surgical interventions (wart excision, nail wedge extraction, abscess opening) I answer vaccination requests independently based on the current Swiss vaccination plan or reliable travel medical information. I use the patient's vaccination card to prepare the vaccine and material for the current vaccination required and document a completed vaccination in the vaccination card. I am able to prepare a local anesthetic and state the contraindications of adding adrenaline to the local anesthetic. 18th

19 3rd semester Medical practice assistants describe the properties of bandages, padding and fixation materials with which injuries are immobilized. (K2) Medical practice assistants explain the basic life support measures in accordance with the applicable standards. For the most important special emergency situations, they describe the causes, symptoms and help measures. (K2) Medical practice assistants name the differences between naturally and artificially acquired immunity and name the most important vaccinations according to the Swiss vaccination plan. They describe where to get the vaccination schedule. (K2) Medical practice assistants perform a fixation on a figurine in a gentle and technically correct manner. She knows how to work with different fixation materials. When applying a larger splint and a plaster cast, she assists a colleague technically flawlessly.(K3) Medical practice assistants carry out life-saving immediate measures, alone and in a team of two, correctly in accordance with the applicable standards. (K3) - "Basic Life Support" - AED basics - Carry out and delegate immediate measures yourself Medical practice assistants are able to correctly prepare and document vaccinations. (K3) I independently carry out the arranged fixation quickly and technically correctly. When applying splints and plaster casts, I provide sensitive and technically correct assistance. On the basis of the applicable standards of "Basic Life Support", I am able to provide first aid and thus bridge a short period of time until the doctor or ambulance service arrives. I answer Vaccination requests based on the current Swiss vaccination plan or reliable travel medical information independently. I use the patient's vaccination card to prepare the vaccine and material for the currently required vaccination myself and document a vaccination in the vaccination card. 5th semester. Medical practice assistants repeat and deepen all of the inter-company course ATMB in preparation for the QV. 19th

20 1.3 Main objective processes Guideline objective Work processes Guideline objective Quality Guideline objective Time management Guideline objective Information management Guideline objective Internal and external communication Guideline objective Material management Medical practice assistants explain the basics and principles of economic activity. (K2) I design my work economically and use resources sparingly. (K3) Medical practice assistants describe the structure and function of an organizational chart, a job description, the function diagram and the specification sheet. (K2) I use a specification sheet or a job description from our practice to show important tasks, work processes and responsibilities. I am able to describe the organization of teaching with an organizational chart. (K2) 1st semester Medical practice assistants are able to analyze typical work processes with the usual means and to document them appropriately. They describe critical points between those involved. (K5) Medical practice assistants explain the structure and use of the common forms and the usual documents of a doctor's practice and fill out the most important ones without errors. create or add to them. (K3) - ON certificate - prescription, BM prescription - referral forms - laboratory, histology, x-ray order forms I prepare prescriptions and other forms completely and without errors and keep them ready for checking and signature. I also update the patient dossier / KG. (K5) Medical practice assistants explain the regulations and practices that must be taken into account when dispensing medication. They explain the special features of self-dispensing and prescribing practice. (K2) I dutifully take over my duties in the distribution of medication and ensure the smooth flow of documents. In doing so, I follow the operational and legal regulations. (K3) 20

21 Medical practice assistants specifically request patient information and external data, check their completeness and receive them for further processing. (K4) I recognize the importance of the information and request patient data and process it according to specifications. I organize the information and patient data with the aim of creating a basis for optimal practice processes. (K5) Medical practice assistants explain the structure and the central importance of the filing system for patient files. You are able to assess common variants with regard to their advantages and disadvantages. (K6) I am handling our filing system properly. In doing so, I observe the company's internal customs and arrangements. (K3) 1st semester Medical practice assistants are able to assess information and pass it on as required. (K6) Medical practice assistants describe the various methods of recording services and proving that medication has been dispensed. They precisely track the relevant data. (K3) Medical practice assistants explain the most important elements of materials management and the principles of warehouse management using commercially available systems for drugs and medical consumables. (K2) I forward information in a targeted manner. In this way, I support the cooperation in the team as well as the operational and inter-company processes. (K3) I record performance and medication data without errors and ensure that this data is forwarded. I provide proof of receipt and issue of narcotics correctly and on a day-to-day basis. (K3) I check the general consumables as well as the medicines according to the guidelines of my es. (K4) Medical practice assistants describe the individual steps in the procurement of goods and the requirements for correct storage. In the event of discrepancies, they react adequately. (K2) Medical practice assistants compare prices and services by making economic and ecological considerations, making prices comparable and taking into account discounts and other delivery conditions. (K3) Medical practice assistants explain the regulations for the disposal of medical consumables and drugs using specific examples. (K2) I use the internal ordering system according to specifications and execute orders without errors. I check incoming deliveries, store materials according to regulations and respond to discrepancies. (K3) I consider economic and internal decision-making bases for procurements and suggest improvements if necessary. (K5) I take care of the proper disposal of expired medication. In doing so, I adhere to the company's internal and generally accepted regulations. (K3) 21

22 medical practice assistants explain typical elements of a consultation and explain the organization of a consultation hour. (K2) - General and internal practice guidelines for carrying the patient - Efficient work processes - Emergency service organization I am able to care for patients efficiently before and after the consultation and to prepare and follow up the necessary documents completely and quickly. (K3) Medical practice assistants explain the characteristics and advantages of a well-managed agenda. They show the effects of waiting times on the basis of inter- and intrapersonal effects. (K2) I manage the agenda according to the principles that apply in the company. I react safely and professionally to events that change the planning. (K5) Medical practice assistants are able to keep several work pending at the same time without losing the overview. (K3) I am able to set priorities correctly in the event of work that has to be done at the same time and unforeseeable incidents. (K5) 2nd semester Medical practice assistants show the requirements and elements of a successful home visit. (K2) - Know the indications - Directions - Aids for the doctor - Instructions and advice on emergency aid to the patient Medical practice assistants name common methods for calling patients for periodic consultations. (K1) I prepare all necessary documents, utensils and medication for planned or emergency home visits. I take suitable precautions for possible conflict situations with the practice. (K5) I independently ensure that check-up appointments are kept by the patient. To do this, I use the system used in practice on my own. (K3) Medical practice assistants explain the local organizations for the emergency service. (K2) I provide competent information about the options available to our patients when the practice is closed. (k3) Medical practice assistants describe the social security system in Switzerland. You have in-depth knowledge in the areas of UVG, MVG, IVG and KVG. (K2) Medical practice assistants are able to manage the cash register and cash book independently. (K3) - Fundamentals of payment transactions - Fundamentals of dunning and debt enforcement systems I am familiar with the various insurance systems and use the relevant tariff systems correctly. (K2) I manage the cash register and the cash book correctly and without errors in accordance with the internal guidelines. (K3) 22

23 5th semester 6th semester Medical practice assistants apply the billing tariff safely and without errors: (K3) - TARMED - analysis list (AL), list of specialties (SL) - medium and item list (MIGEL) - physiotherapist tariff Medical practice assistants put in verbal and written communication confidently and correctly use the technical language. (K3) Medical practice assistants name the relevant topics of medical correspondence and draft the relevant documents correctly, without errors and efficiently. (K5) - General correspondence (inquiry, order, revocation of an order, notification of defects, reminder) - Letters by key word Medical practice assistants are able to write a complex medical letter grammatically and orthographically correct after dictation. You name the sources where you can look up in case of doubt. (K5) Medical practice assistants name the relevant topics of medical correspondence and draft the relevant documents correctly, without errors and efficiently. (K5) - Two-page medical reports - letters by keyword. Medical practice assistants have the knowledge of the programs relevant for the doctor's practice (office programs, practice software). (K3) Medical practice assistants explain the common means of communication that are used to transmit data to suppliers, pharmacies or other institutes. (K2) Medical practice assistants describe the functions and use of common office equipment and industry-specific data collection devices. (K2) I record our billable services without errors in accordance with the applicable tariff regulations. (K3) I understand the medical terms and can use them correctly both orally and in writing. (K3) I am able to independently write short letters and fill out forms in the context of medical correspondence. I am using the appropriate terminology correctly. (K5) I am able to correctly write a complex medical letter after dictation. I use spelling programs, dictionaries and medical reference works profitably. (K5) I am able to independently write short letters and fill out forms in the context of medical correspondence. I am using the appropriate terminology correctly. (K5) I work professionally with the PC and secure computer-aided data in a professional manner. (K3) I transmit electronic data to the relevant addressees using the appropriate communication tools. I fix minor malfunctions on my own. (K3) I use our communication aids professionally and ensure that they work on a daily basis. (K3) 23