Qualifications Framework level

EQF level

European Qualifications Framework (EQF) has 8 levels (1 – the lowest, 8 – the highest).

Levels reflect the complexity level of acquired knowledge, skills and competences (learning outcomes).


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LQF level

Latvian Qualifications Framework (LQF) has 8 levels (1 – the lowest, 8 – the highest).

Levels reflect the complexity level of acquired knowledge, skills and competences (learning outcomes).

LQF covers stages of education starting from the basic education (level 1 – special basic education) to the highest education (level 8 – doctoral studies).


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Level of professional qualification
Latvia has a system of five professional qualifications levels (PQL, 1 – the lowest, 5 – the highest).

PQL system covers only professional qualifications (basic education, secondary and higher education stages).

PQL reflects readiness of a person to perform work of certain stage of complexity and responsibility.
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Learning outcomes

Learning outcomes are knowledge, skills and competences acquired during a certain period of learning.

In Latvia, learning outcomes are stipulated by state education standards and occupational standards (for the professional qualifications).

Learning outcomes of higher education are defined by higher education institutions.


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Nursing assistant

  • Knowledge

    PROFESSIONAL knowledge:
    At the concept level:
    1. Sterilisation and disinfection.
    2. Infection control.
    3. Basics of the care process.
    4. Principles of the care process in cases of different illnesses.
    5. Levels of patient care.
    6. Structure and physiology of the human body.
    7. Essence of patient care and its stages.
    8. Patient care products and materials.
    9. Acquisition of general information on patient’s health condition.
    10. Observation and evaluation of the patient.
    11. Patient’s response to the current and potential health disorders.
    12. Patient’s response to the quality of provided care.
    13. General knowledge of infectious diseases.
    14. General knowledge of the epidemic process.
    15. Vital indicators of patients of different age groups: normal ranges, influencing factors, and specific character.
    16. Principles of observing and evaluating patient’s health condition.
    17. Anthropometric indicators and their changes in relation to patient’s age and underlying illness.
    18. Anthropometric indicator measuring instruments.
    19. Theories of basic human needs.
    20. Principles of assessing basic needs of the patient.
    21. Diseases of organ systems (respiratory, cardiovascular, etc.).
    22. Pathological conditions and functional disorders of the body.
    23. Causes, treatment, and prevention of diseases.
    24. Basics of digestive diseases.
    25. Basics of urogenital system diseases.
    26. Nutrient absorption processes and their disorders.
    27. Fluid absorption processes and their disorders.
    28. Types of the supply of oxygen.
    29. Safety measures during the supply of oxygen.
    30. Illnesses affecting elimination and urinary excretion processes.
    31. Pathological processes after elimination and urination.
    32. Principles of body thermoregulation.
    33. Sleep hygiene.
    34. Resting regime.
    35. Basics of psychology of personality development.
    36. Basics of general psychology.
    37. Skin, its structure and functions.
    38. Skin diseases and pathologies.
    39. Skin damages.
    40. Oral diseases.
    41. Structure of nails and common diseases.
    42. Scalp, hair, and common diseases.
    43. Skin infection diseases, their signs.
    44. Pathological conditions and the associated excretions.
    45. Infectious diseases.
    46. Musculoskeletal system.
    47. Blood circulatory system.
    48. Tissue and cell structure.
    49. Respiratory system.
    50. Shock and its types.
    51. Pain and its types.
    52. Basics of propaedeutics.
    53. Infectious diseases.
    54. Skin and sexually transmitted diseases.
    55. Surgical diseases.
    56. Therapeutic diseases.
    57. Gynaecological diseases.
    58. Urinary system diseases.
    59. Neurological diseases.
    60. Endocrine diseases.
    61. Types of diagnostic examinations.
    62. Types of therapeutic procedures.
    63. Sterilisation process in the preparation of surgical instruments.
    64. Disinfection in the preparation of surgical instruments.
    65. Basic principles of maternal and child care.
    66. Basic principles of care for an adult.
    67. Basic principles of care for a geriatric patient (senior).
    68. Oncological diseases.
    69. Satisfaction of patients and customers with the care process.
    70. Procedures for examining complaints.
    71. Procedures for reporting incidents.
    At the comprehension level:
    1. Hygiene standards.
    2. Legal basis of professional activity.
    3. Personal data protection.
    4. Types of positive interaction and barriers of communication.
    5. Signs of bleeding.
    6. Vital signs.
    7. Self-care and factors affecting it.
    8. Healthy human body. Abnormalities in the functioning of human organs and systems, their origin, and mechanisms of development.
    9. Identification of patient care problems in case of acute and chronic illnesses.
    10. Significance of fluid in the human body.
    11. Fluid balance disorders and their consequences.
    12. Diets.
    13. Wholesome nutrition.
    14. Types of artificial nutrition.
    15. Structure and functions of the digestive system.
    16. Metabolic processes and their relation to the age of the person.
    17. Structure and functions of the urogenital system.
    18. Structure and functions of the urinary system.
    19. Structure and functions of the gastrointestinal tract.
    20. Infection control.
    21. Biological risk factors.
    22. Basics of psychology of interaction.
    23. Basics of medical ethics.
    24. Provision of psychosocial support.
    25. Rules for the storage of laundry.
    26. Flow of the clean and dirty laundry.
    27. Hygiene requirements.
    28. Environmental cleanliness requirements.
    29. Infection control.
    30. Hygiene and epidemiological standards.
    31. Hygiene requirements.
    32. Infection control requirements.
    33. Modes of transmission of infectious diseases.
    34. Analysis of the risk of infection, modes of transmission, and risk management.
    35. Infection control.
    36. Pathological conditions of the body.
    37. Significance of exercise and its positive effect on the body in patients of different age groups at all levels of care.
    38. Sedentary lifestyle, its effect on the body.
    39. Principles of ergonomics in the patient transportation and movement process.
    40. Resuscitation measures.
    41. Basic principles of desmurgy.
    42. Immobilisation.
    43. Pathology: deviation of the vital functions of the body from their normal range.
    44. Specific character of patient care in cases of different illnesses: tracheostomy care, cold and heat treatment procedures, NG tube care, drain care, etc.
    45. Materials to be examined.
    46. Types of express diagnostics.
    47. Basics of diagnostic and therapeutic procedures.
    48. Self-examination methods.
    49. Fluid balance measurements.
    50. Basic principles of processing surgical instruments.
    51. Basic principles of sterilisation.
    52. Means of immobilisation.
    53. Types of surgeries.
    54. Positions of the patient during the surgery.
    55. Surgical immobilisation of the patient.
    56. Planning of resources and time of care.
    57. Peculiarities of oncological disease treatment.
    58. Chemotherapy.
    59. Radiation therapy.
    60. Safety data sheets.
    61. Environment and contamination.
    62. Hygiene and epidemiological standards.
    63. Infection control in different cases.
    64. Requirements for observing personal hygiene.
    65. Safe work practices at all stages of care work.
    66. Principles of maintaining safe environment in patient care.
    67. Toxic substances: marking, designations, rules for use.
    68. Accident and pre-accident situations.
    69. Burns, their types and degrees.

    At the application level:
    1. Occupational safety of nurse’s assistant, physical, chemical, biological, and social factors affecting it.
    2. Safety signs and signals.
    3. Evacuation plan of the site.
    4. Occupational safety regulations to be complied with when working with oxygen.
    5. Occupational safety regulations to be complied with when working with toxic substances.
    6. Occupational safety regulations to be complied with when working with radioactive radiation.
    7. Interaction between human, health, environment, and care.
    8. Types of care products, principles of their selection, and their application.
    9. Processing of information.
    10. Ensuring of the care process at all its stages.
    11. Types of technical equipment and facilities, their use during the care process.
    12. Medical devices.
    13. Hygiene standards for the premises of medical treatment institutions.
    14. Rights of the patient.
    15. Personal data protection.
    16. Patient care activities.
    17. Professional ethics.
    18. Establishment of cooperation with the immediate family of the patient and medical practitioners.
    19. Provision of care to ensure the meeting of the basic needs of patients of different age groups.
    20. Determination of the self-care abilities of the patient.
    21. Support to patients with limited self-care abilities.
    22. Care for a newborn, infant, child, and adult, including a geriatric patient.
    23. Safe moving of the patient.
    24. Ergonomics.
    25. Care for a trauma patient.
    26. Care for a geriatric patient.
    27. Care for a newborn, infant, child.
    28. Care for a patient with functional disorders.
    29. Care for a patient with psychical, behavioural, and neurodevelopmental disorders.
    30. Care for therapeutic patients.
    31. Care for neurological patients.
    32. Patient care during the preoperative period.
    33. Patient care during the postoperative period.
    34. Patient care in cases of acute and chronic illnesses.
    35. Patient care in cases of surgical and oncological diseases.
    36. Prevention and care for bedsores.
    37. Rules for the storage of food products.
    38. Types of fluid and nutritional intake in accordance with the level of patient care and age of the patient.
    39. Methods for promoting breathing and expectoration of the patient.
    40. Hygienic and anti-epidemic measures.
    41. Types of enemas and their application technique.
    42. Types of catheters and stomas, their application and care.
    43. Precautionary measures when working with biohazardous materials: antimicrobial, chemotherapeutic agents, radioactive materials, potentially infectious body excretions, etc.
    44. Methods for measuring temperature.
    45. Types of cold applications and their use.
    46. Ways of maintain body heat and their use.
    47. Ensuring of comfort to the patient.
    48. Daily routine of the medical treatment institution.
    49. Culture of interaction.
    50. Standards of general and professional ethics.
    51. Ensuring that patient’s comfort and hygiene requirements are met.
    52. Laundry used during the care process.
    53. Determination of the level of care.
    54. Dressing technique, taking into account the special needs of the patient.
    55. Hygiene requirements.
    56. Hygiene products.
    57. Cosmetic products.
    58. Inventory for ensuring hygiene procedures.
    59. Technical auxiliaries for ensuring hygiene procedures.
    60. Rules for the care, maintenance, and storage of the inventory and technical auxiliaries.
    61. Rules for the storage of laundry.
    62. Flow of the clean and dirty laundry.
    63. Technique for changing the bed linens of an occupied bed and making a bed.
    64. Technique for making an unoccupied bed.
    65. Types of patient hygiene procedures (washing in the bed, bathtub, shower). Equipment, inventory, and technical auxiliaries for ensuring hygiene procedures of the patient. Disinfectants for the inventory and technical auxiliaries.
    66. Technique, products, and equipment for the care for patient’s face (eyes, ears, nose).
    67. Technique, products, and equipment for the care of patient’s oral cavity.
    68. Technique, products, and equipment for the care of patient’s denture.
    69. Technique and equipment for patient’s hair-do.
    70. Technique, products, and equipment for nail care.
    71. Products, equipment, and technique for hygienic care for perineum.
    72. Incontinence hygiene products.
    73. Personal and collective protective equipment.
    74. Signs of pediculosis.
    75. Signs of scabies.
    76. Medicine for treatment of skin in case of scabies.
    77. Medicine for treatment of scalp and hair in case of pediculosis.
    78. Specificity of treatment of patient’s scalp and hair in case of pediculosis.
    79. Specificity of treatment of skin in case of scabies.
    80. Types of patient’s excretions and options for their utilisation.
    81. Technique for removing patient’s excretions in accordance with the type of excretions.
    82. Disinfection of infectious laundry of the patient.
    83. Use of hygiene products to remove patient’s excretions.
    84. Disinfectants and their use.
    85. Use of the bactericidal lamp.
    86. Techniques for positioning the patient.
    87. Prevention of bedsores.
    88. ABC algorithm for resuscitation.
    89. Provision of first aid.
    90. Basic principles of providing respiratory support.
    91. Basic principles of stabilising the cardiovascular system.
    92. Burns.
    93. Heat loss and overheating.
    94. Frostbites.
    95. Drowning.
    96. Types of traumas.
    97. Pain relief.
    98. Animal and insect bites.
    99. Chemical and toxic substances and compounds in the work environment.
    100. Radioactive substances, their effect.
    101. Electrical injuries.
    102. Pre-analytical laboratory process.
    103. Transportation rules.
    104. Express diagnostics.
    105. Specific character of patient care before diagnostic and therapeutic procedures and examinations.
    106. Specific character of patient care after diagnostic and therapeutic procedures and examinations.
    107. Measuring instruments and ways of measuring.
    108. Basic principles of preventive healthcare.
    109. Basic principles of rehabilitation.
    110. Life quality: restoration, maintenance, and preservation of health.
    111. Basics of patient education.
    112. Types of means of surgical immobilisation.
    113. Documentation for ensuring the continuity of the care process.
    114. Specific care activities in care for oncological patients.
    115. Palliative patient care.
    116. End-of-life care.
    117. Post-mortem care.
    118. Occupational safety regulations at the medical treatment institution.
    119. Working conditions and human health as a precondition for life quality.
    120. Personal data protection.
    121. Human rights.
    122. Patient safety.
    123. Types of waste and their sorting.
    124. Rules for utilisation of waste.
    125. Classification of premises in cleanliness areas.
    126. Measures for washing and disinfecting premises at medical treatment institutions.
    127. Procedures for cleaning up premises.
    128. Safe environment.
    129. Safe ward set-up.
    130. Basic principles of treatment of hands.
    131. Procedures for isolation in cases of different infections.
    132. Hygienic and anti-epidemic regime plan of the medical treatment institution.
    133. Storage of medical devices and materials.
    134. Infection control for safe patient care.
    135. Infection prevention measures for safe patient care.
    136. Isolation measures in cases of infections.
    137. Fire safety regulations.
    138. Action in the event of ignition and smoke.
    139. Fire-fighting equipment.
    140. Action in an emergency.
    GENERAL knowledge:
    At the concept level:
    1. Nursing care theories.
    2. Development of the nursing sector.
    At the comprehension level:
    1. Language styles and characteristics of intonation.
    2. Culture of interaction.
    3. Language culture.
    4. Intercultural interaction.
    5. Barriers of communication.
    6. Opportunities offered by information technologies and potential risks.
    7. Information systems security.
    8. Rights, obligations, and liability of the employee.
    9. Basics of business interaction.
    10. Specific character of mutual communication in different generations.
    11. Critical thinking.
    12. Principles of transferring/ receiving information in accordance with the organisational structures and operating principles of the medical treatment institution.
    13. Principles of effective planning of work.
    14. Delegation of duties when working in a team.
    15. Subculture and its differences.
    16. Verbal and non-verbal communication.
    17. Adult learning strategies.
    18. Self-assessment principles.
    At the application level:
    1. Standards of orthography.
    2. Literary language standards.
    3. Professional terminology in the official language.
    4. Usage of foreign language.
    5. Professional terminology.
    6. Computer literacy.
    7. Preparation of documents.
    8. Office equipment.
    9. Personal data protection.
    10. Computer programmes (text processing, electronic spreadsheets, storage of information).
    11. Communication devices, their types, and application.
    12. Employment legal relationship.
    13. Employment contract, job description, and collective agreement.
    14. Legal relationship between the employer and the employee.
    15. Cooperation and argumentation skills.
    16. Principles of team work.
    17. Time planning.
    18. Work (care) plan, its development and implementation.
    19. Conflicts and ways to settle them.
    20. Stress management.
    21. Theory of motivation.
    22. Intercultural communication.
    23. Dressing style and etiquette at the medical treatment institution.
    24. Professional and general ethics.
    25. Culture of professional interaction.
    26. Communication skills.
    27. Planning of professional career development.

  • Skills

    PROFESSIONAL skills:
    1. To clarify the conditions for carrying out a care activity.
    2. To select care products appropriate for the provision of care.
    3. To check the technical condition of the technical equipment and facilities necessary for the provision of care.
    4. To check the sufficiency of care products, their expiry date, and readiness for work.
    5. To prepare the care products necessary to perform work.
    6. To use the technical equipment and care products rationally.
    7. To handle medical devices, technical equipment, and facilities with care.
    8. To evaluate the complications that may occur during the care process.
    9. To coordinate the care activities with the medical practitioner.
    10. To explain to the patient the essence of the intended care activities and their necessity.
    11. To provide the patient with understandable information about the expected outcome of the intended care activity.
    12. To observe patient’s health conditions and its changes.
    13. To determine the anthropometric indicators of the patient.
    14. To perform pulse palpation.
    15. To determine the respiratory rate.
    16. To measure the non-invasive arterial blood pressure.
    17. To measure the body temperature.
    18. To distinguish between the physiological condition and the pathological one in accordance with the normal range of the vital indicators and vital signs.
    19. To immediately report the changes in patient’s health condition to the medical practitioner.
    20. To record/ document data on patient’s health condition and its changes.
    21. To support patients of all age groups in meeting/ ensuring their basic needs and the self-care process in general.
    22. To observe the physiological, mental, psychical, and social functions of the patient.
    23. To determine the disorders of the physiological, mental, psychical, and social functions of the patient.
    24. To assess self-care abilities and care needs of the patient.
    25. To provide the patient with the necessary technical auxiliaries for mobilisation.
    26. To support the patient in carrying out daily activities (getting to examinations, other premises, bathroom, etc.).
    27. To move the patient from/to the bed, chair, etc. To comply with patient safety measures while moving the patient.
    28. To provide high-quality care in cases of different illnesses to patients of all age groups at all care levels.
    29. To care for the patient before and after therapeutic procedures.
    30. To care for the patient before and after surgical procedures.
    31. To care for the patient before and after diagnostic procedures.
    32. To care for the patient before and after examinations.
    33. To perform the prevention of bedsores of the patient.
    34. To position the patient, as instructed by the care team.
    35. To assist the medical practitioner in ensuring immobility of the patient.
    36. To care for an immobilised patient.
    37. To provide high-quality care to patients in cases of functional disorders.
    38. To identify fluid and nutritional intake disorders.
    39. To assess the sufficiency of nutrients ingested by the patient.
    40. To assess the sufficiency of fluid ingested by the patient.
    41. To ensure to the patient sufficient fluid intake in accordance with the age of the patient and the level of care.
    42. To ensure to the patient sufficient food intake in accordance with the age of the patient and the level of care.
    43. To promote breathing and expectoration of the patient.
    44. To provide oxygen supply to the patient, as instructed by the medical practitioner.
    45. To select the type of oxygen supply, as instructed by the medical practitioner.
    46. To adjust the rate of oxygen supply, as instructed by the medical practitioner.
    47. To find out whether the patient has the need for elimination.
    48. To find out whether the patient has the need for urination.
    49. To perform the hygienic care for perineum.
    50. To care for a patient with an indwelling urinary catheter.
    51. To care for a patient with incontinence.
    52. To remove urine and excrements of bedridden patients, patients in a wheelchair, infants, toddlers, etc. To administer enemas.
    53. To identify pathological processes after defecation/ urination: melena, blood admixture in faeces/ urine, etc.
    54. To collect biological material for laboratory examinations.
    55. To process the care products after the excretion of urine and faeces.
    56. To determine patient’s body temperature with different methods (axillary, rectal, etc.), as instructed by the medical practitioner.
    57. To undertake the measures prescribed to the patient in case of elevated body temperature.
    58. To undertake the measures prescribed to the patient in case of low body temperature.
    59. To undertake the measures prescribed to the patient in case of overheating of the body.
    60. To undertake the measures prescribed to the patient in case of heat loss of the body.
    61. To undertake measures to ensure wholesome sleep to patients in all age groups.
    62. To undertake measures to ensure patient’s rest.
    63. To carry out care activities to follow through with patient’s daily regime at the medical treatment institution.
    64. To carry out care activities to ensure patient’s daily activities.
    65. To undertake measures to ensure patient’s comfort.
    66. To ensure positive interaction with the patient during the care process.
    67. To ensure empathic approach to the patient during the care process.
    68. To maintain safe and tidy environment to ensure psycho-emotional wellbeing of the patient.
    69. To provide psychosocial support to the patient.
    70. To carry out care activities which contribute to sustaining the psycho-emotional independence of the patient.
    71. To provide support to the patient in improving the health condition.
    72. To provide support to the patient in preserving the current the health condition.
    73. To evaluate patient’s abilities to get dressed and undressed.
    74. To assess the functional and cognitive disorders of the patient.
    75. To take into account the special needs of the patient during the dressing process.
    76. To take into account the flow of the clean and dirty laundry at the medical treatment institution.
    77. To assess the health condition and age-appropriate cooperation skills of the patient when performing hygiene procedures.
    78. To assess self-care abilities of the patient and the necessary assistance.
    79. To select hygiene products appropriate for the patient.
    80. To select cosmetic products appropriate for the patient to perform hygiene procedures.
    81. To select the necessary inventory to perform hygiene procedures of the patient.
    82. To select the necessary technical auxiliaries to ensure daily hygiene procedures of the patient.
    83. To select the necessary work clothing and footwear.
    84. To select the necessary detergents and disinfectants.
    85. To clarify the applicable type of bed-making.
    86. To select equipment in accordance with the type of bed-making.
    87. To change the bed linen of the patient.
    88. To assess the cooperation abilities of the patient.
    89. To explain to the patient the intended hygiene procedures and their necessity.
    90. To bring the work environment in order in accordance with the daily hygiene procedure of the patient.
    91. To select the necessary (hygienic, cosmetic, medical) products in accordance with the age of the patient and the level of care.
    92. To use the inventory and technical auxiliaries necessary to ensure the hygiene procedures of the patient.
    93. To perform hygienic care for patient’s face (eyes, ears, and nose).
    94. To perform the care for patient’s oral cavity and denture.
    95. To perform the care for patient’s facial hair (shaving of beard).
    96. To perform the care for patient’s scalp and wash and do patient’s hair.
    97. To perform the care for patient’s hands and nails.
    98. To perform the care for patient’s feet and nails.
    99. To perform the hygienic care for patient’s perineum.
    100. To wash patient’s body.
    101. To perform patient’s perineal care.
    102. To care for a patient with incontinence.
    103. To utilise incontinence hygiene products.
    104. To wash and disinfect the inventory and technical auxiliaries.
    105. To assess patient’s skin.
    106. To assess the condition of patient’s scalp and hair.
    107. To identify the signs of pediculosis or scabies.
    108. To explain to the patient the course and necessity of the procedure to be performed.
    109. To select appropriate medicine in case of a specific skin infection disease.
    110. To assess the risks of the spread of pediculosis, scabies, and other infectious diseases.
    111. To treat the skin of the patient in case of scabies.
    112. To treat the scalp and hair of the patient in case of pediculosis.
    113. To use personal protective equipment for the treatment of the skin, scalp, and hair of the patient in case of specific skin infections.
    114. To assess the risk of infection during the removal of patient’s excretions.
    115. To select the appropriate equipment and inventory for the removal of patient’s excretions.
    116. To use personal protective equipment during the removal of patient’s excretions.
    117. To follow the sequence of removing patient’s excretions (body, clothing, surrounding environment).
    118. To utilise patient’s excretions and the used hygiene products and personal protective equipment.
    119. To clean up and disinfect the surrounding environment after the removal of patient’s excretions.
    120. To ventilate the premises after the removal of patient’s excretions.
    121. To assess patient’s abilities to move.
    122. To assess the body position of the patient.
    123. To use technical auxiliaries and equipment for the positioning of the patient.
    124. To preserve the integrity of skin during the positioning of the patient.
    125. To place the patient in a comfortable position during the positioning.
    126. To recognise life-threatening conditions.
    127. To use the ABC algorithm for resuscitation.
    128. To assist the medical practitioner in providing emergency medical aid.
    129. To apply the Heimlich manoeuvre in case of choking for patients of all age groups.
    130. To provide first aid in case of traumas.
    131. To perform the immobilisation of the patient in case of traumas.
    132. To provide first aid to the patient in case of exposure to toxic substances.
    133. To provide first aid to the patient in case of exposure to radiation.
    134. To recognise patient’s health pathologies.
    135. To document the observations of patient’s health condition.
    136. To ensure the necessary interdisciplinary cooperation.
    137. To provide information and necessary care to the patient before collecting laboratory examinations.
    138. To assist the medical practitioner in collecting urine, faeces, and sputum samples.
    139. To transport urine, faeces, and sputum samples.
    140. To ensure the preparation of patients for diagnostic and therapeutic procedures.
    141. To assist the medical practitioner in diagnostic and therapeutic procedures for the examinations of the digestive tract.
    142. To assist the medical practitioner in diagnostic and therapeutic procedures for the examinations of the urinary system.
    143. To assist the medical practitioner in diagnostic and therapeutic procedures for the examinations of eyes, ears, and nose.
    144. To assist the medical practitioner in procedures related to the examinations of the blood circulatory system.
    145. To assess patient’s health condition after the diagnostic and therapeutic procedures.
    146. To care for the patient after the diagnostic and therapeutic procedures.
    147. To care for the patient after examinations during the diagnostic and therapeutic procedures.
    148. To ensure the measuring of patient’s fluid intake and excretion.
    149. To document the obtained measuring results.
    150. To assist the medical practitioner in promoting and ensuring preventive healthcare.
    151. To assist the medical practitioner in measures for patient rehabilitation.
    152. To engage the patient in measures for health preservation and improvement and maintenance of life quality.
    153. To engage the patient in the treatment process and achievement of the goals of care.
    154. To help the patient acquire the knowledge, skills, and competences necessary for self-care.
    155. To perform the pre-sterilisation processing of surgical instruments.
    156. To prepare the surgical dressing material for sterilisation.
    157. To sterilise surgical instruments and the dressing material.
    158. To store surgical instruments and the sterile material appropriately.
    159. To use a sterile hospital gown and gloves in the surgical block.
    160. To provide patients with appropriate laundry for operative manipulations.
    161. To prepare the surgical field before operations.
    162. To ensure patient care during the postoperative period.
    163. To carry out the care process, as instructed by medical practitioners for all patients of all age groups.
    164. To ensure the continuity of the care process within the scope of own competence.
    165. To ensure maternal and child health care within the scope of own competence.
    166. To ensure the care for an adult.
    167. To ensure the care for geriatric patients (seniors).
    168. To take part in the care for oncological patients.
    169. To anticipate the outcome of provided care.
    170. To plan the care process and the results to be achieved.
    171. To plan the necessary resources to ensure high-quality care.
    172. To identify care process problems.
    173. To document the activities carried out in the course of care.
    174. To inform medical practitioners about the activities carried out and outcomes achieved.
    175. To assist in palliative patient care.
    176. To perform end-of-life care.
    177. To perform hygienic care for the body of a deceased person.
    178. To carry out specific activities before transporting a deceased person to the morgue.
    179. To respect patient’s rights to safe and high-quality care.
    180. To observe confidentiality in healthcare work.
    181. To create a healthcare environment safe for patients of all ages.
    182. To comply with sectoral laws and regulations for safe patient care.
    183. To comply with the internal procedure regulations of the medical treatment institution.
    184. To ensure high-quality care within the scope of own professional competence.
    185. To use different means intended for the collection and utilisation of waste.
    186. To sort waste.
    187. To comply with the requirements for the collection and storage of hazardous waste.
    188. To ensure immediate utilisation of hazardous waste.
    189. To supervise safe transportation of waste.
    190. To ensure timely utilisation of waste, biological materials, and other materials.
    191. To undertake daily disinfection measures.
    192. To clean up the premises in case of unexpected contamination.
    193. To use detergents and disinfectants for cleaning up the premises.
    194. To use inventory in accordance with the specificity of the premises to be cleaned up.
    195. To take into account the cleanliness areas.
    196. To take part in the preparation of medical facilities and instruments for processing.
    197. To perform wet cleaning of premises.
    198. To clean up premises after discharging an infected patient.
    199. To observe patient’s safety while cleaning up premises.
    200. To bring the ward in order before and after discharging a patient.
    201. To perform general cleaning of the premises.
    202. To prepare the premises before and after surgical procedures and surgeries within the scope of own competence.
    203. To undertake infection control and prevention measures for safe patient care.
    204. To take into account the cleanliness areas, as specified in the hygienic and anti-epidemic regimen plan.
    205. To clean transportation implements.
    206. To use personal protective work equipment.
    207. To take part in the processing of medical instruments.
    208. To use appropriate work clothing.
    209. To comply with personal hygiene requirements.
    210. To perform hygienic treatment of hands.
    211. To comply with the measures for the isolation of patients in cases of different infections.
    212. To comply with safety standards while working with technical equipment.
    213. To communicate with safety services, if necessary.
    214. To cooperate with occupational safety specialists.
    215. To undergo the compulsory health check.
    216. To use caution when working with toxic products.
    217. To comply with the procedure/ protective measures after exposure to biological material.
    218. To act in accordance with the instruction in case of patient’s health and environmental hazard.
    219. To handle fire-fighting equipment.
    220. To inform the patient about fire safety regulations.
    221. To inform the patient about the procedures for evacuation.
    222. To act in the event of fire in accordance with the instruction and the evacuation plan.
    223. To take part in the evacuation of patients.
    224. To accurately follow the instructions of the responsible person in the events of emergency situations.
    225. To cooperate with safety services.
    226. To inform the responsible persons and services about the action in emergency situations.
    GENERAL skills:
    1. To communicate in the official language.
    2. To use professional terminology in the official language.
    3. To communicate in one foreign language both orally and in writing.
    4. To use professional terminology in one foreign language.
    5. To fill in reports and other documentation.
    6. To find the information necessary for work.
    7. To use information technologies.
    8. To comply with the requirements for information technology security.
    9. To comply with personal data protection requirements in the internet environment.
    10. To comply with labour law requirements.
    11. To comply with the internal work procedure regulations of the company.
    12. To respect the duties and rights of the employee.
    13. To be loyal towards the medical treatment institution.
    14. To consult with medical practitioners involved in the care process.
    15. To carry out the delegated duties.
    16. To observe subordination.
    17. To evaluate work tasks responsibly.
    18. To keep track of the performance of work tasks.
    19. To plan activities in accordance with their priorities.
    20. To set specific aims.
    21. To take part in multidisciplinary team work.
    22. To evaluate own professional skills in multidisciplinary team work.
    23. To gather all necessary daily information.
    24. To use different means of communication to communicate the information necessary for the medical practitioner.
    25. To complete the tasks delegated by other persons in accordance with work organisation, within the scope of own competence.
    26. To select appropriate and understandable way of communication.
    27. To follow the basic principles of business correspondence.
    28. To observe dressing style appropriate for the work environment.
    29. To avoid conflict situations.
    30. To comply with professional ethics.
    31. To respect national values and cultural values of other nations.
    32. To evaluate own professional competence.
    33. To take part in activities for maintaining and improving the qualification.
    34. To respect the boundaries of professional competence.

  • Competences/ autonomy

    PROFESSIONAL competences:
    1. Ability to perform the assigned care work, selecting appropriate care products, technical equipment, and facilities.
    2. Ability to prepare the patient for care activities that have been coordinated with the medical practitioner and the care team.
    3. Ability to provide the patient with understandable information about the intended and performed activities.
    4. Ability to assess patient’s physiological condition.
    5. Ability to assess patient’s pathological health conditions affecting the vital indicators.
    6. Ability to determine the anthropometric indicators corresponding to the age group of the patient.
    7. Ability to support and engage in meeting the basic needs of the patient/ self-care processes and help the patient in daily activities.
    8. Ability to safely move a patient, assessing own health risk when moving heavy patients and following the basic principles of ergonomics.
    9. Ability to recognise patient care problems and correct them at all levels of care, in accordance with the illness of the patient.
    10. Ability to care for patients in cases of different diseases, as instructed by the medical practitioner and in compliance with hygiene requirements.
    11. Ability to ensure sufficient intake of fluid and balanced nutrients in accordance with patient’s health and physiological condition.
    12. Ability to ensure oxygen supply to the patient, as instructed by the medical practitioner.
    13. Ability to carry out care activities to enable patient’s urination and elimination.
    14. Ability to care for a patient with incontinence.
    15. Ability to ensure infection control and anti-epidemic measures.
    16. Ability to carry out care activities to ensure normal body temperature.
    17. Ability to carry out care activities to ensure wholesome sleep and rest of the patient.
    18. Ability to provide to the patient adequate psycho-emotional support within the care process.
    19. Ability to help the patient get dressed or undressed, taking into account the special needs and functional and cognitive disorders of the patient.
    20. Ability to independently ensure the meeting of patient’s daily hygiene requirements.
    21. Ability to apply inventory and technical auxiliaries to ensure the hygiene procedures of the patient.
    22. Ability to change bed linens and make the bed.
    23. Ability to perform patient’s daily hygiene procedures, applying hygiene and cosmetic products, inventory, and technical auxiliaries.
    24. Ability to ensure patient’s intimacy and comfort during the hygiene procedures.
    25. Ability to perform patient’s perineal care in accordance with the level of care (in bed, bathtub, shower).
    26. Ability to evaluate the patient, recognise the symptoms of specific skin infections, and control infections.
    27. Ability to perform hygiene procedures on the patient in case of specific skin infections, applying the appropriate medicine.
    28. Ability to observe and assess patient’s pathological condition and patient’s excretions, safely removing the excretions of the patient in accordance with the type of excretions.
    29. Ability to limit the spread of the infection related to the excretions of the patient (in case of infectious diseases), ensuring the cleaning up and disinfection of the surrounding environment after the removal of the excretions of the patient.
    30. Ability to safely move and position the patient, following the principles of ergonomics and using technical auxiliaries and equipment.
    31. Ability to recognise life-threatening conditions and their symptoms.
    32. Ability to provide first aid to the patient.
    33. Ability to assist the medical practitioner during the provision of emergency medical aid.
    34. Ability to recognise pathological conditions related to the illness of the patient.
    35. Ability to prepare the patient before laboratory examinations.
    36. Ability to assist the medical practitioner in collecting the material to be examined in the laboratory examinations and transport urine, faeces, and sputum samples.
    37. Ability to prepare the patient for performing diagnostic and therapeutic procedures and examinations.
    38. Ability to assist the medical practitioner in performing diagnostic and therapeutic procedures and examinations.
    39. Ability to care for patients after examinations during the diagnostic and therapeutic procedures.
    40. Ability to make fluid balance measurements.
    41. Ability to assist in preventive and rehabilitation measures for improving the quality of life of patients of all age groups.
    42. Ability to educate the patient on the care process and ensuring of self-care during the preventive healthcare and rehabilitation.
    43. Ability to carry out infection control and preventive measures while preparing surgical instruments and materials for sterilisation.
    44. Ability to prepare and process the surgical field, as instructed by the medical practitioner.
    45. Ability to ensure sterility in the surgical block.
    46. Ability to assist the medical practitioner in immobilising the patient during the surgery.
    47. Ability to provide preoperative and postoperative care to patients of all age groups.
    48. Ability to ensure the continuity of patient care process in cases of acute and chronic illnesses.
    49. Ability to plan resources and time to ensure the care process.
    50. Ability to anticipate the course, quality, and intended outcomes of the provided care.
    51. Ability to provide palliative and end-of-life care.
    52. Ability to carry out specific activities in ensuring post-mortem care of a deceased person before transporting the person to the morgue.
    53. Ability to respect the rights of the patient, keeping up with the current developments in the sectoral laws and regulations.
    54. Ability to respect the rights of the patient, ensuring confidentiality, comfortable conditions, and safe environment.
    55. Ability to undertake occupational safety measures during the patient care process.
    56. Ability to ensure the collection, sorting, and utilisation of waste, complying with the safety measures in accordance with the hygienic and anti-epidemic regime plan of the medical treatment institution.
    57. Ability to carry out the daily and general cleaning of premises in accordance with the requirements of the hygienic and anti-epidemic regimen.
    58. Ability to use inventory, detergents, and disinfectants in accordance with the classification of premises and the cleanliness areas of premises.
    59. Ability to ensure infection control and isolation of patients during the spread and epidemics of infectious diseases.
    60. Ability to ensure the necessary procedures and measures after exposure to potentially infectious biological materials.
    61. Ability to act in an emergency in compliance with occupational safety, labour protection, and fire safety regulations.
    62. Ability to assess own health risks related to the effects of toxic substances, microbiological factors, radioactive isotopes and radiation, and stressogenic factors.
    GENERAL competences:
    1. Ability to communicate with colleagues, patients, and their relatives in the official language both orally and in writing.
    2. Ability to communicate with patients and their relatives in foreign language, correctly using professional terminology.
    3. Ability to use information technologies to complete a work task successfully.
    4. Ability to comply with the internal work procedure regulations of the medical treatment institution.
    5. Ability to cooperate, meaningfully becoming engaged in the team work for the achievement of the common goal.
    6. Ability to complete work tasks in accordance with the principles of care, document observations and performed activities, and independently plan the time necessary to complete work tasks.
    7. Ability to respect the culture of communication and comply with the standards of professional ethics while carrying out work duties.
    8. Ability to evaluate own professional qualification and maintain professional competence.

Qualification acquisition requirements

Previous education
Certificate of general secondary education or Diploma of vocational secondary education
Ways to acquire 
Qualifications can be acquired in the framework of education programs or in the evaluation and recognition of non-formal knowledge, skills and competences acquired (in vocational education LKI Levels 2-4).
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Formal (through education programmes) or
Formal (through non-formal education acquired competence recognition process, completing the qualifications professional examination)
ECTS credit points 
The unit of the volume of Latvian higher education studies - 1 credit point corresponds to one week of study work in full-time studies (40 credit points per study year).

1 The credit point of Latvia corresponds to 1,5 ECTS (European Credit Transfer and Accumulation System) credit point.
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0
Duration of study 
Duration of qualification in full-time studies
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1 year

Qualification document

Qualifications Framework level

EQF level

European Qualifications Framework (EQF) has 8 levels (1 – the lowest, 8 – the highest).

Levels reflect the complexity level of acquired knowledge, skills and competences (learning outcomes).


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LQF level

Latvian Qualifications Framework (LQF) has 8 levels (1 – the lowest, 8 – the highest).

Levels reflect the complexity level of acquired knowledge, skills and competences (learning outcomes).

LQF covers stages of education starting from the basic education (level 1 – special basic education) to the highest education (level 8 – doctoral studies).


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Level of professional qualification

Latvia has a system of five professional qualifications levels (PQL, 1 – the lowest, 5 – the highest).

PQL system covers only professional qualifications (basic education, secondary and higher education stages).

PQL reflects readiness of a person to perform work of certain stage of complexity and responsibility.


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Qualification field, stage and type

Thematic field (ISCED 2013)
International Standard Classification of Education (ISCED) developed by UNESCO.
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Health (091)

Detailed field: (ISCED 2013)

Nursing and midwifery (0913)

Education
Stages of Latvian education system included in the LQF:
- basic education
- secondary education
- higher education
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Secondary education

Qualification type
ITypes of Latvian education:
-General education
-Professional education
-Academic education
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Vocational

Full or partial

Full qualification

Other information

National Education Information System

National Database of Education Opportunities

Active qualification

Last changes: 14.02.2022

Posted: 07.05.2016