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

Critical nursing care (2018/2019)

Course code
4S000102
Credits
8
Coordinator
Joern Achim Weihprachtitzky

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
CHIRURGIA D'URGENZA 2 MED/18-GENERAL SURGERY INF BZ - 3° anno 1° sem Stefan Patauner
MEDICINA D'URGENZA 1 MED/09-INTERNAL MEDICINE INF BZ - 3° anno 1° sem Norbert Pfeifer
INFERMIERISTICA CHIRURGICA SPECIALISTICA 1 MED/45-NURSING INF BZ - 3° anno 1° sem Joern Achim Weihprachtitzky
RIANIMAZIONE 2 MED/41-ANAESTHESIOLOGY INF BZ - 3° anno 1° sem Manfred Woerz
INFERMIERISTICA IN SITUAZIONI DI CRITICITA' 1 MED/45-NURSING INF BZ - 3° anno 1° sem Pasquale Solazzo
INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA 1 MED/45-NURSING INF BZ - 3° anno 1° sem Paolo Berenzi

Learning outcomes

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.

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
- abdominale trauma with liver, spleen lesions
- pancreatitis Etiology, diagnostic and surgical approach to the patients with
- esophagu´s disease, esophagus and stomach cancer and it´s complications
- severe 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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Emergency medicine in general starting from the arrival of the patient in the emergency department, organization, diagnostics, triage, different types of urgency, personal. Polytrauma, definition, clinic, guidelines, emergency room, organization, work processes, principles of ATLS Head injury, definition, epidemiology, maxillofacial anatomy and skull, pathology, symptomatology, diagnosis, treatment Respiratory failure (pulmonary edema, pulmonary embolism, chest pain, PNX, myocardial infarction, etc..), definition, anatomy, pathology, symptomatology, differential diagnosis, diagnosis, treatment. Drowning, definition, epidemiology, pathophysiology, different types of drowning, diagnosis, treatment Burns, definition, epidemiology, causes, degrees, symptoms, treatments. Principles of a hospital emergency plan.
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MM: INFERMIERISTICA CHIRURGICA SPECIALISTICA
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Educative and rehabilitative nursing approach to a patient with:
- pulmonary neoplasia and other reasons
- valve substitution
- aorto coronary bypass thoracic drainage’s management
- management of patient with blood transfusion
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MM: RIANIMAZIONE
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I) Initial measures for admission to the intensive care unit:
1) Respiratory management and emergency breathing
2) Basism monitoring and vascular access
3) Circulatory drugs and circulatory therapy
4) Monitoring of the intensive patient
II) Regulation plan in the intensive care unit:
A) Basic measures:
1) Liquid supply (Water, electrolyte and acid-base)
2) Nutrition (Parenteral and enteral nutritional therapy)
3) Stress ulcer prophylaxis
4) Thromboembolism prophylaxis
5) Remedial measures
B) Further treatment:
1) Analgesia and pain therapy
2) Ventilation, bronchoscopy and tracheotomy
3) Extended hemodynamic monitoring
4) Radiological diagnostics in the intensive patient
5) Pharmacological therapy and antibiotic therapy
6) Blood transfusion and coagulation therapy
7) Intensive care
III) Special medical conditions
1) SIRS and sepsis
2) Shock and multiorgan failure
3) Acute lung failure, ARDS
4) Abdominal disorders
5) CNS disorders
6) Dreams and accidents
7) Renal disease
8) Hereditary diseases
9) Other intensive medical pictures (E.g. HELLP, eclampsia
IV) Important intensive medical topics:
1) Infections and hygiene in the intensive care unit
2) Transport of the intensive patient
3) Brain death diagnosis and organ donation
4) Fever in the intensive patient
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MM: INFERMIERISTICA IN SITUAZIONI DI CRITICITA'
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Instability’s marker Stability resuscitation Neurology and cardiology patient’s surveillance and monitoring Surveillance and response to complex treatments Neurological function’s marker Nutritional approach to a patient with tracheostomy Hemodynamic modifications due to nursing
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MM: INFERMIERISTICA CLINICA NEI SERVIZI DI EMERGENZA
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Primary and secondary emergency patient’s evaluation; Triage; Multi traumatic patient’s approach; Haemodynamic evaluation; First intervention’s situations; Wound and tampon’s measures; Emergency system’s precepts.

Assessment methods and criteria

examination with 15 multiple choice questions only one answer will be correct Cut off to get a sufficient evaluation is 9/15 To pass the integrated examination of all 6 moduls, the student have to pass all 6 parts with al sufficient evaluation. If only one part results insufficient tho hole exam is to repeat. If only one part resulta insufficient with 8/15 and all other parts are positiv the group of lectures will discuss to make pass the student downregulating the votation to 3 points. If the global votation results lower than 18/30 the hole exam is to repeat

Reference books
Author Title Publisher Year ISBN Note
Anna Maria Ferrari, Cinzisa Barletta MEDICINA DI EMERGENZA URGENZA (Edizione 1) Elsevier 2011 ISBN 978-88-214-3074-9 Il presente volume di Medicina di Emergenza-Urgenza, redatto dalla Faculty della Società Italiana di medicina di Emergenza-Urgenza - SIMEU, si propone come testo aggiornato, Evidence Based, per la gestione delle emergenze. Il paziente viene seguito dalla fase di allarme, sul luogo dell'evento, al trasferimento all'ospedale più appropriato fino al setting di cura definitiva, tracciando il percorso clinico assistenziale nella fase preospedaliera ed ospedaliera in continuità di soccorso.
Gai V. Medicina d'urgenza: pratica e progresso II Edizione C.G. Edizioni Medico Scientifiche, Torino 2013
John W. Kirklin-Brian G. Barratt-Boyes CARDIAC SURGERY (Edizione 4) CHURCHILL-LIVINGSTONE, 4th Edition 2013
Meriggi F. Manuale di Chirurgia Generale Selecta Medica 2001
Saiani Luisa-Brugnolli Anna Trattato di cure infermieristiche (Edizione 2) Idelson-Gnocchi 2013 8879475762
Hans Walter Striebel Anästhesie Intensivmedizin und Notfallmedizin (Edizione 9) 2016
Larson Anästhesie und Intensivmedizin für die Fachpflege (Edizione 9) 2016
Lothar Ullrich, Dietmar Stolecki Intensivpflege und Anästhesie (Edizione 3) Thieme 2015 9783131309136
Saiani, L., Brugnolli, A. Trattato di cure infermieristiche (Edizione 2) Idelson-Gnocchi 2014 978-88-7947-576-1




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