The Operating Room and the Assisted Reproduction Consultation for Nursing

A Postgraduate Diploma created so that you can offer the best nursing care in the most demanding Assisted Reproduction Units"

The Postgraduate Diploma student will learn in detail the operation of an Assisted Reproduction Clinic. Special emphasis will be placed on all those basic tests necessary for the initiation and continuation of treatment, finding out the fundamental role of the nursing service: assistance, management and education. 

In addition, we will study the different techniques performed in the AR Laboratory, aimed at achieving pregnancy in patients with fertility problems both female and male, the characteristics of the surgical area and the work in it and the intervention of the nursing staff in preoperative, intraoperative and postoperative moments.

In this Postgraduate Diploma, special importance will be given to the intervention in surgical procedures carried out in Assisted Reproduction Units and to all aspects of the work that nursing professionals perform in this environment. From the most complex protocols to the simplest ones, equipment, clothing, etc.

With this Postgraduate Diploma you will be able to combine a high intensity specialization with your professional and personal life, achieving your goals in a simple and real way"

This Postgraduate Diploma in The Operating Room and the Assisted Reproduction Consultation for Nursing offers the characteristics of a high-level scientific, teaching and technological course. These are some of its most notable features:

• The latest technology in online teaching software
• A highly visual teaching system, supported by graphic and schematic contents that are easy to assimilate and understand 
• Practical cases presented by practising experts
• State-of-the-art interactive video systems.
• Teaching supported by telepractice 
• Continuous updating and recycling systems
• Autonomous learning: full compatibility with other occupations
• Practical exercises for self-evaluation and learning verification
• Support groups and educational synergies: questions to the expert, debate and knowledge forums
• Communication with the teacher and individual reflection work
• Content that is accessible from any fixed or portable device with an Internet connection
• Supplementary documentation databases are permanently available, even after the course

Acquire the specific skills of nursing in the surgical environment in Assisted Reproduction and perform with the solvency of a high-level professional"

Our teaching staff is made up of professionals from different fields related to this specialty. In this way, TECH makes sure to offer the training update objective it intends. A multidisciplinary team of professionals trained and experienced in different environments, who will develop the theoretical knowledge efficiently, but, above all, will put at the service of the course the practical knowledge derived from their own experience: one of the differential qualities of this specialization.

This mastery of the subject is complemented by the effectiveness of the methodological design of this Postgraduate Diploma in The Operating Room and the Assisted Reproduction Consultation for Nursing. Developed by a multidisciplinary team of experts, it integrates the latest advances in educational technology. In this way, you will be able to study with a range of comfortable and versatile multimedia tools that will give you the operability you need in your specialization. 

The design of this program is based on Problem-Based Learning: an approach that conceives learning as a highly practical process. To achieve this remotely, TECH will use telepractice: with the help of an innovative interactive video system and Learning from an Expert, the student will be able to acquire the knowledge as if they were facing the scenario they are learning at that moment. A concept that will allow students to integrate and memorize what they have learnt in a more realistic and permanent way.

The learning of this Postgraduate Diploma is supported by the best didactic means and the best online resources to guarantee that your efforts will have the best possible results"

Our innovative telepractice concept will give you the opportunity to learn through an immersive experience: “Learning from an expert”. A system of recognized effectiveness for the integration of knowledge"

The contents of this Postgraduate Diploma have been developed by the different experts involved in the program, with a clear purpose: to ensure that our students acquire each and every one of the necessary skills to become true experts in this field. 

A complete and well-structured program that will take you to the highest standards of quality and success. 

A comprehensive teaching program, structured in well-developed teaching units, oriented towards learning that is compatible with your personal and professional life" 

Module 1. Assisted Reproduction Consultation and Donor Bank

1.1. Importance of the Nurse in the Assisted Reproduction Clinic

1.1.1. Nursing Consultation. An Emerging Requirement
1.1.1. Work Areas Assistance, Management and Education
1.1.3. The Integral Continuum of Care

1.2. Assistance Area. Follow-Up Consultation

1.2.1. Patient Care in Stimulation Cycles
1.2.2. Folliculometry
1.2.3. Cytology

1.3. Blood Tests for Fertility Study. Programming, Interpretation and Extraction

1.3.1. Hypophyseal Hormones or Gonadotropins

1.3.1.1. FSH
1.3.1.2. LH
1.3.1.3. Prolactin
1.3.1.4. TSH 

1.3.2. Ovarian Hormones

1.3.2.1. Estradiol
1.3.2.2. Progesterone 
1.3.2.3. Antimullerian (HAM)

1.3.3. Other Hormones

1.3.3.1. Free Triiodothyronine (T3)
1.3.3.2. Free Thyroxine (T4)
1.3.3.3. Total Testosterone (T)
1.3.3.4. Inhibin B 

1.3.4. Implantation Failure Study. Interpretation and Extraction

1.3.4.1. Definition
1.3.4.2. Immunological Profile
1.3.4.3. Thrombophilias
1.3.4.4. Endometrial Biopsy 
1.3.4.5. Endocervical and Vaginal Culture

1.3.5. Serologies. Interpretation and Extraction

1.3.5.1. Introduction and Necessity
1.3.5.2. HBV
1.3.5.3. HCV 
1.3.5.4. HIV
1.3.5.5. Syphilis (RPR)
1.3.5.6. Rubella
1.3.5.7. Toxoplasmosis

1.3.6. Karyotypes

1.4. Patient Education Area

1.4.1. Effective Communication
1.4.2. Basic Hygienic-Dietetic Measures. Importance of BMI
1.4.3. Self-Administration of Medications

1.5. Management Area

1.5.1. Medical History
1.5.2. Informed Consents
1.5.3. Gamete Request

1.5.3.1. Male Gamete Petition
1.5.3.2. Female Gamete Petition

1.5.4. Transfer of Genetic Material

1.6. Patient Follow-up after BHCG Result

1.6.1. Introduction. Interpretation of the Result
1.6.2. First Consultation after BHCG Result

1.6.2.1. Negative Result
1.6.2.2. Positive Result

1.6.3. Food Education for Pregnant Women
1.6.4. Follow-Up of the Pregnant Woman. Medication and Ultrasound Follow-Up. High
1.6.5. Obstetrical Control after Delivery

1.7. Donor Bank

1.7.1. Donor Requirements. Testing and Compatibility. Importance of Blood Type
1.7.2. Limits on the Number of Stimulations and/or Donations
1.7.3. Limit on the Number of Pregnancies
1.7.4. International Donations
1.7.5. Anonymity
1.7.6. Financial Compensation
1.7.7. Donor Registration
1.7.8. Additional Tests.

1.8. SIRHA: Assisted Human Reproduction Information System

1.8.1. Introduction
1.8.2. Data Insertion
1.8.3. National Donor Registry
1.8.4. National Registry of Recipients

1.9. Frequently Asked Questions
1.10. Conclusions

Module 2. Assisted Reproduction Techniques

2.1. Artificial Insemination

2.1.1. Definition
2.1.2. Types
2.1.3. Indications
2.1.4. Requirements
2.1.5. Procedure
2.1.6. IVF/ICSI Results and Pregnancy Probability
2.1.7. Definition and Differences
2.1.8. IVF/ICSI Indications
2.1.9. Requirements
2.1.10. Advantages and Disadvantages.
2.1.11. Probability of Pregnancy
2.1.12. Procedure

2.1.12.1. Oocyte Puncture
2.1.12.2. Oocyte Evaluation.
2.1.12.3. Oocyte Insemination (IVF/ICSI)

2.1.12.3.1. Other Insemination Techniques: IMSI, PICSI, ICSI+MACS, Use of Polarized Light

2.1.12.4. Evaluation of Fertilization
2.1.12.5. Embryo Culture

2.1.12.5.1. Types
2.1.12.5.2. Cultivation Systems
2.1.12.5.3. Time-Lapse Culture Equipment

2.1.13. Possible Risks

2.2. Preimplantation Genetic Test (PGT)

2.2.1. Definition
2.2.2. Types
2.2.3. Indications
2.2.4. Procedure
2.2.5. Advantages and Disadvantages

2.3. Embryo Transfer

2.3.1. Definition
2.3.2. Embryo Quality and Selection

2.3.2.1. Transfer Day
2.3.2.2. Number of Embryos to Be Transferred

2.3.3. Assisted Eclosion
2.3.4. Procedure

2.4. Freezing and Vitrification

2.4.1. Differences
2.4.2. Sperm Freezing

2.4.2.1. Definition

2.4.3. Egg Vitrification

2.4.3.1. Definition
2.4.3.2. Procedure
2.4.3.3. Devitrification
2.4.3.4. Advantages: Preservation and Donation

2.4.4. Embryo Vitrification

2.4.4.1. Definition
2.4.4.2. Indications
2.4.4.3. Vitrification Day
2.4.4.4. Procedure
2.4.4.5. Devitrification
2.4.4.6. Advantages

2.4.5. Fertility Preservation (experimental)

2.4.5.1. Ovarian Tissue
2.4.5.2. Testicular Tissue

2.5. Donation 

2.5.1. Definition
2.5.2. Types of Donation

2.5.2.1. Egg Donation (OVODONATION)

2.5.2.1.1. Definition
2.5.2.1.2. Indications
2.5.2.1.3. Types of Ovodonation
2.5.2.1.4. Procedure

2.5.2.1.4.1 Donor Ovarian Puncture
2.5.2.1.4.2. Recipient Endometrial Preparation

2.5.2.1.5. Egg bank: Storage System
2.5.2.1.6. Advantages and Disadvantages

2.5.2.2. Sperm Donation

2.5.2.2.1. Procedure

2.5.2.3. Embryo Donation

2.5.2.3.1. Definition
2.5.2.3.2. Indications
2.5.2.3.3. Procedure
2.5.2.3.4. Advantages

2.5.2.4. Double Donation

2.5.2.4.1. Definition
2.5.2.4.2. Indications
2.5.2.4.3. Procedure

2.6. ROPA Method

2.6.1. Definition
2.6.2. Indications
2.6.3. Procedure
2.6.4. Legal Requirements

2.7. Traceability

2.7.1. Definition
2.7.2. Materials
2.7.3. Samples
2.7.4. Double Check
2.7.5. Technological Traceability Systems (Witness, Gidget)

2.8. Biovigilance
2.9. Other techniques

2.9.1. Endometrial Receptivity Test (ERA)
2.9.2. Study of the Vaginal Microbiome

Module 3. The Operating Room and the Assisted Reproduction Laboratory

3.1. The Surgical Unit

3.1.1. Surgical Area Zones
3.1.2. Surgical Clothing
3.1.3. Role of Nurses in the Assisted Reproduction Unit
3.1.4. Waste Management and Environmental Control

3.2. Follicular Puncture for Oocyte Collection

3.2.1. Definition
3.2.2. Features
3.2.3. Procedure and Material Required
3.2.4. Nursing Activities: Intraoperative
3.2.5. Nursing Activities: Post-Operative
3.2.6. Discharge Recommendations
3.2.7. Complications

3.3. Embryo Transfer

3.3.1. Definition
3.3.2. Features
3.3.3. Procedure and Material Required
3.3.4. Endometrial Preparation: Estrogens and Progesterone
3.3.5. Nursing Role during Embryo Transfer
3.3.6. Nursing Role after Embryo Transfer
3.3.7. Discharge Instructions
3.3.8. Complications

3.4. Sperm Collection in Patients with Azoospermia (Testicular Biopsy)

3.4.1. Sperm Introduction and Recovery
3.4.2. Methods

3.4.2.1. MESA
3.4.2.2. PESA
3.4.2.3. TESE
3.4.2.4. TESE
3.4.2.5. TEFNA

3.4.3. Conclusions

3.5. Surgical Treatments for Infertility

3.5.1. Laparoscopy in Infertility

3.5.1.1. Objectives
3.5.1.2. Techniques and Instrumentation
3.5.1.3. Indications

3.5.2. Hysteroscopy

3.5.2.1. Introduction
3.5.2.2. Diagnostic Techniques
3.5.2.3. Hysteroscopic Distention Devices
3.5.2.4. Operative Technique

3.6. The Laboratory as a Clean Room: Definition
3.7. Laboratory Structure

3.7.1. Andrology Laboratory
3.7.2. Embryology Laboratory
3.7.3. Cryobiology Laboratory
3.7.4. PGD Laboratory

3.8. Laboratory Conditions

3.8.1. Design
3.8.2. Pressure
3.8.3. Gas Control (CO2, O2, N2)
3.8.4. Temperature Control
3.8.5. Air Control (VOCs)
3.8.6. Lighting

3.9. Cleaning, Maintenance and Safety

3.9.1. Personnel Clothing and Hygiene
3.9.2. Laboratory Cleaning
3.9.3. Biosecurity
3.9.4. Quality Control

3.10. Laboratory Equipment

3.10.1. Bells
3.10.2. Incubators 
3.10.3. Microinjectors
3.10.4. Refrigerators
3.10.5. Nitrogen Tanks
3.10.6. Time-Lapse Equipment 
3.10.7. Control of Equipment, Breakdowns and Repairs

3.11. Laboratory Working Times

A very complete teaching program, structured in complete and specific didactic units, in a learning process that is totally compatible with your personal and professional life"