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

Critical nursing care (2017/2018)

Course code
4S000102
Credits
8
Coordinator
Luca Giuseppe Dalle Carbonare

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
CHIRURGIA D'URGENZA 2 MED/18-GENERAL SURGERY INF LEG - 3° anno 1° sem Corrado Pedrazzani
MEDICINA D'URGENZA 1 MED/09-INTERNAL MEDICINE INF LEG - 3° anno 1° sem Luca Giuseppe Dalle Carbonare
INFERMIERISTICA CHIRURGICA SPECIALISTICA 1 MED/45-NURSING INF LEG - 3° anno 1° sem Valentina Guilarte
RIANIMAZIONE 2 MED/41-ANAESTHESIOLOGY INF LEG - 3° anno 1° sem Vinicio Danzi
INFERMIERISTICA IN SITUAZIONI DI CRITICITA' 1 MED/45-NURSING INF LEG - 3° anno 1° sem Elisa Sorio
INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA 1 MED/45-NURSING INF LEG - 3° anno 1° sem Sandro Baldo

Learning outcomes

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MM: CHIRURGIA D'URGENZA
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The teaching purpose is to discuss the clinical settings tipically observed in the context of emergency surgery. Main syndromes in emergency surgery setting will be considered and analyzed with a surgical and nursing approach. Diseases observed in emergency surgery will be reported considering the symptoms, diagnosis, treatment, indications to surgical treatment and type of surgery.
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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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da inserire
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MM: RIANIMAZIONE
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The teaching aims to study physiopathological aspects, clinical and nursing aspects in emergency situation, selected based on their epidemiological and exemplarity importance in different situations (territory, hospital, home); it focuses 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: INFERMIERISTICA IN SITUAZIONI DI CRITICITA'
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The student wil be able to recognize critical signs in patients recovered in different wards, to control and describe patient's clinical evolution supporting vital functions and prevent any complications, to assume and care patient and his family during permanence in Intensive Care Unit.
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MM: INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA
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1. recognition and assessment of the emergency patient 2. application of the extra-hospital triage system 3. recognition and evaluation of traumatized patient according to the ABCDE method 4. first aid in burned, drowned or fractured patient 5. management of external wounds and bleeding 6. knowledge and use of the emergency system suem 118

Syllabus

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MM: CHIRURGIA D'URGENZA
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1. Shock syndrome (hypovolemic shock, SIRS, sepsis, septic shock) Acute pancreatitis Burns 2. Acute abdomen and peritonitis Appendicites, cholecystitis, diverticulitis, bowel perforation, bowel ischemia 3. Bowel obstruction Upper and lower bowel obstruction Adhesions, volvolus, abdominal wall hernias, inflammatory bowel diseases (crohn and ulcerative colitis), colo-rectal tumors 4. Gastrointestinal bleeding Upper and lower gastrointestinal bleeding Mallory-Weiss, peptic ulcer, portal hypertension and esophageal varices, gastric tumors (adenocarcinoma e GIST), diverticular bleeding, other causes of colonic bleeding 5. Jaundice Metabolic and infective complications of jaundice Gallbladder and biliary tract lithiasis, chronic pancreatitis, pancreatic cancer, liver and biliary tract cancer 5. Trauma Abdominal and thoracic trauma Principles of damage control surgery Trauma of hollow and parenchymatous organs Thoracic wall, pulmonary and major vessels trauma. Pleural effusion, hemothorax and pneumothorax 6. Emergencies in vascular surgery Deep vein thrombosis Acute lower limb ischemia Abdominal aortic aneurysm rupture Visceral aneurysms rupture
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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 oedema, metabolic coma, diabetic coma, intoxication and poisoning.
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MM: INFERMIERISTICA CHIRURGICA SPECIALISTICA
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da inserire
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MM: RIANIMAZIONE
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Diagnostic approach to shocked patient Severe breathing insufficiency, ARDS Post-anoxia coma Hypothermic therapy Cranial trauma Post traumatic coma
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MM: INFERMIERISTICA IN SITUAZIONI DI CRITICITA'
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1. Critical care and critical patient: how to care him 2. Patient's surveillance and monitoring during neurological and cardio-respiratory instability 3. Surveillance, expected risults and side effects during administration of complex drug' treatments and therapies 4. Patient experience in Intensive Care Unit 5. Nutrition in Critical Care patient
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MM: INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA
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1. primary and secondary evaluation of the critical patient in a non-hospital environment 2. the triage system in a non-hospital environment: principles and methods 3. prehospital care trauma (PTC): ABCDE method, primary survey and secondary survey. 4. the burned, drowned and fractured patient: approach, evaluation and treatment including hymobilisation and transport 5. shocks, wounds, external bleeding: approach, assessment and treatment 6. brief history of extra-hospital rescue in Italy with particular reference to the establishment of suem 118

Assessment methods and criteria

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MM: CHIRURGIA D'URGENZA
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Ten multiple choice questions plus oral exam if sufficient results are obtained in at least 5 modules
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MM: MEDICINA D'URGENZA
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Multiple choice test followed by oral examination if multiple choice test is positive.
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MM: INFERMIERISTICA CHIRURGICA SPECIALISTICA
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da inserire
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MM: RIANIMAZIONE
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Writing Test
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MM: INFERMIERISTICA IN SITUAZIONI DI CRITICITA'
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Quiz + oral exam
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MM: INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA
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written and oral

Reference books
Author Title Publisher Year ISBN Note
Saiani-Brugnolli Trattato di medicina e infermieristica Sorbona 2017
Brugnolli A., Saiani L. Trattato di Medicina e Infermieristica. Un approccio di cure integrate. (Edizione 1) Idelson-Gnocchi 2017 9788879476379
Maurizio Chiaranda Urgenze ed emergenze. Istituzioni PICCIN 2016
Lise M. Chirurgia per infermieri, quinta edizione (2017) Ed Piccin. Padova 2017
Vittorio Bresadola Chirurgia per le professioni sanitarie EdiSES 2011
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
Smelzer SC, Bare BG Nursing Medico Chirurgico - Brunner e Suddarth 1 Casa Ed. Ambrosiana, Milano 2017 8840811893
Marino PL The ICU book-terapia intensiva Ed. Masson, Milano 1999




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