Bachelor's degree in Nursing (to qualify as a nurse) (Vicenza)

Critical nursing care (2017/2018)

Course code
4S000102
Credits
8
Coordinator
Andrea Rossi

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
CHIRURGIA D'URGENZA 2 MED/18-GENERAL SURGERY INF VI - 3° anno 1° sem Maurizio Canale
MEDICINA D'URGENZA 1 MED/09-INTERNAL MEDICINE INF VI - 3° anno 1° sem Luca Giuseppe Dalle Carbonare
INFERMIERISTICA CHIRURGICA SPECIALISTICA 1 MED/45-NURSING INF VI - 3° anno 1° sem Greta Marzari
RIANIMAZIONE 2 MED/41-ANAESTHESIOLOGY INF VI - 3° anno 1° sem Katia Donadello
INFERMIERISTICA IN SITUAZIONI DI CRITICITA' 1 MED/45-NURSING INF VI - 3° anno 1° sem Riccardo Erle
INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA 1 MED/45-NURSING INF VI - 3° anno 1° sem Andrea Rossi

Learning outcomes

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MM: CHIRURGIA D'URGENZA
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The course aims to study the physiopathological, clinical and nursing aspects in emergency situation, selected on their epidemiological and paradigmatic importance in different situations (territory, hospital, home). The course is focused on risks’ individuation, on intervention’s complexity and compliance and on patient’s urgent and complex nursing need identifying the priorities.
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MM: MEDICINA D'URGENZA
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The course is aimed to increase the knowledge on pathophysiological and clinical aspects of the more relevant emergency problems in the nursing clinical practice.
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MM: INFERMIERISTICA CHIRURGICA SPECIALISTICA
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The course aims to expand on the care aspects concerning the management of the candidate patient to specialist surgery. Specifically he examined the patient undergoing on chest surgery with particular attention to typical aspects, clinical and surgical, that characterize the taking charge pre and post-operative, providing the elements necessary to analytically assess the possible problems defining priorities, seriousness and interventions.
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MM: RIANIMAZIONE
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The course aims to provide the students with the adequate knowledge related to medical emergencies. Particular attention is paid to the clinical-diagnostic pathway of specific pathologies, so as to provide the students with the information which are required to differentiate them and partecipate to an appropriate and rapid diagnostic procedure. Single treatments are individualized within their specific context (territory, home, ambulante, E.R., floor, I.C.U, etc). Furthermore, all treatments are proposed on the basis of available Evidence Based Medicine. Course Objectives include principal intensive care medicine pathologies/syndromes, from the territory to the ICU.
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MM: INFERMIERISTICA IN SITUAZIONI DI CRITICITA'
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The aim of the course is to investigate physiopathologic, clinical and emergency aspects on emergency situations selected according to their epidemiological relevance and exemplarity for nursing practice in the hospital context; focuses on identifying the risks and complexity of interventions and post-intervention complications, on patient urgency and complexity by identifying intervention priorities.
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MM: INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA
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Provide knowledge on the health emergency organization system in and out of hospital, and the clinical care pathways about frameworks, epidemiologically and clinically relevant

Syllabus

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MM: CHIRURGIA D'URGENZA
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Approach to patient with severe abdomen’s pain Acute abdomen Intestinal infarction Abdominal trauma with liver or spleen lesions Pancreatitis Etiology, Diagnostic and surgical approach to the patients with: Esophagus’s disease, esophagus and stomach cancer and its complications Sever gastrointestinal hemorrhages Pulmonary oncological disease Surgical disease of the pleura (empyema) Thoracic trauma with, hemothorax and/or pneumothorax
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MM: MEDICINA D'URGENZA
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Diagnostic and therapeutic approach to patients with chest pain. Diagnostic and therapeutic approach to patients with pulmonary embolism, pulmonary edema, metabolic coma, diabetic coma, intoxication and poisoning.
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MM: INFERMIERISTICA CHIRURGICA SPECIALISTICA
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- Educational and rehabilitative care approach to the patient undergoing thoracotomy and sternotomy - Patient's cardiac surgery care management - The chest drainage: clinical and walfare aspects - Management of patients with trasfusion
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MM: RIANIMAZIONE
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- shock - politrauma - brain and spine trauma - sepsis - VAP - NIV - CA and target temperature management - open ICU
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MM: INFERMIERISTICA IN SITUAZIONI DI CRITICITA'
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Recovery of the stability in the critical patient Supervision and monitoring of patients with neurological and cardio-respiratory instability: - Respiratory Monitoring: Non invasive (NIMV) and invasive ventilation Surveillance and response to treatments and / or complexes (amines, expected effects, control of side effects, interactions). Neurological function evaluation indicators Nutritional approach to the critical patient Tracheostomy Care: Stomach Care and Communication Techniques Impact of stay in intensive care environment and ways to foster patient adaptation and family needs Hemodynamic changes related to nursing maneuvers (positioning, hygiene care)
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MM: INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA
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The emergency health system - 1.1.8. and Emergency Room - The Triage Reading, interpretation and monitoring of major cardiac rhythms Management of multiple trauma patients The immobilization and extrication techniques First aid situations: burn patient, hypothermia, drowning, insect bites

Assessment methods and criteria

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MM: CHIRURGIA D'URGENZA
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Multiple choice questions / open questions.
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MM: MEDICINA D'URGENZA
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Multiple choice test.
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MM: INFERMIERISTICA CHIRURGICA SPECIALISTICA
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Written exam multiple choice
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MM: RIANIMAZIONE
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Written and unique. Multiple choice and open questions.
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MM: INFERMIERISTICA IN SITUAZIONI DI CRITICITA'
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Written Exam
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MM: INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA
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Integrated written exam course with single or multiple answers

Reference books
Author Title Publisher Year ISBN Note
Lise M. Chirurgia per infermieri (Edizione 5) Piccin 2016 978-88-299-2752-4
Gentili A., Nastasi M., Rigon L.A., Silvestri C., Manganelli P. Il Paziente critico: clinica ed infermieristica in Anestesia e Rianimazione Casa Ed. Ambrosiana, Milano. 1997
Maurizio Chiaranda Urgenze ed emergenze. Istituzioni PICCIN 2016
saiani, brugnolli Saiani e Brugnolli. Trattato di Cure Infermieristiche, 2011, Ed. Sorbona Napoli Sorbona, Napoli 2011
Saiani-Brugnolli Trattato di medicina e infermieristica Sorbona 2017
Marino PL The ICU book-terapia intensiva Ed. Masson, Milano 1999




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