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

Health and safety promotion [Matricole pari] (2016/2017)

Course code
4S000035
Credits
7
Coordinator
Albino Poli

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
MICROBIOLOGIA CLINICA 2 MED/07-MICROBIOLOGY AND CLINICAL MICROBIOLOGY INF VR - 1° anno 2° sem Davide Gibellini
METODOLOGIA EPIDEMIOLOGICA, IGIENE E PROBLEMI PRIORITARI DI SALUTE 2 MED/42-HYGIENE AND PUBLIC HEALTH INF VR - 1° anno 2° sem Albino Poli
PROMOZIONE DELLA SALUTE E DELLA SICUREZZA IN CONTESTI ASSISTENZIALI 2 MED/45-NURSING INF VR - 1° anno 2° sem Federica Bonato
SICUREZZA NEGLI AMBIENTI DI LAVORO 1 MED/44-OCCUPATIONAL MEDICINE INF VR - 1° anno 2° sem Luigi Perbellini

Learning outcomes

The course introduces the student to the understanding of the determinants of health, risk factors, prevention strategies both individual and collective, and of interventions to promote the health and safety of their users. It also aims to understand the causes, the pathogenic mechanisms, and methods of prevention and control of infectious diseases

Syllabus

Module: METODOLOGIA EPIDEMIOLOGICA, IGIENE E PROBLEMI PRIORITARI DI SALUTE
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Introduction to epidemiology:
- Definitions, objectives and features epidemiology;
- Measures in epidemiology.
The concept of health, disease and causes of disease.
Criteria for assessing the causal link.
Epidemiological studies: descriptive, analytical, and experimental studies.
Elements for the assessment of the main problems of health of a population:
- Major diseases in the general population;
- Main causes of death in the general population.

Epidemiology and Prevention of Infectious Diseases:
- Epidemiological chain and transmission mode: endemic, sporadic, epidemic diseases;
- The direct and indirect prophylaxis of infectious diseases;
- The specific prophylaxis: vaccine and vaccinations, elements of serum and chemo-prophylaxis;
Epidemiology, primary and secondary (screenings) prevention of main chronic-degenerative diseases: ischemic heart disease, diabetes and most frequent malignant neoplastic diseases;



Module: PROMOZIONE DELLA SALUTE E DELLA SICUREZZA IN CONTESTI ASSISTENZIALI
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The infections related to care processes:
epidemiology, localization, etiology, transmission routes
Epidemiological surveillance and interventions to stop the chain of infection
• Standard precautions
Hand hygiene
- Indications and technique of washing hands
- Indications and technique of surgical hand
Barrier measures
- Use of gloves
- Use of the visor / goggles - use surgical mask
Antiseptics
- Characteristics of products (chlorhexidine, types of solutions and concentrations, amuchina, povidone-iodine, time, keeping, deadlines)
• The Deans Management, Tools and Equipment
- The classification of the principals in a critical, semi-critical and non-critical.
- Decontamination, cleaning,
- Processes and disinfection practices,
- Sterilization Processes,
- Types of disinfectants (chlorine and derivatives polyphenols)
- Criteria of effectiveness of disinfection high level to instruments that can not be sterilized (concentration, time, temperature)
- Some operational contextualisation as the management of shopping therapy, the material for the hygiene of the patient, the sterile field, use of sterile gloves..
• Disposal of the different types of waste
• Lingerie management

• Principles and environmental health criteria
• Health education to patients and visitors
• Additional precautions for transmission by contact
- Guidelines for the adoption of contact precautions;
- Correct use of additional security devices contact: coat, gloves, patient positioning, patient and family education.
• Additional precautions for transmission by air
- Indications for taking precautions by air;
- Correct use of additional security devices: FFP2-FFP3 masks.
• Additional precautions for the transmission for Droplet
- Guidelines for the adoption of precautions for droplet;
- Correct use of additional security devices: surgical mask;
Respiratory hygiene / cough etiquette

Bibliografia:Saiani e Brugnolli. Trattato di Cure Infermieristiche, 2011, Ed. Sorbona Napoli



Module: SICUREZZA NEGLI AMBIENTI DI LAVORO
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- Definition of Risk and Hazard
- General aspects of industrial toxicology related to the use of disinfectants in hospital.
- The biological risk (virus hepatitis B and C, HIV, TB) and possible prevention.
- How work shifts interfere on biological rhythms and pathological conditions related to work-shifts.
- The risk prevention system in the "Azienda Ospedaliero Universitaria Integrata di Verona".
- The risks for the manual handling of patients or loads
- Occupational allergies.



Module: MICROBIOLOGIA CLINICA
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Introduction to Medical Microbiology. General information on infectious diseases. Prophylaxis of infection by microbial agents. Structure of bacteria. Bacterial pathogenesis. Antimicrobial therapy and antimicrobial resistance mechanisms. Staphylococci, Streptococci, Enterococci, Mycobacteria, Neisseriae, Enterobacteriaceae, Haemophilus influenzae, Pseudomonas. Sepsis and nosocomial infections. Opportunistic Infections. Structure and replication of viruses. Viral pathogenesis. Antiviral therapy. Herpesviridae, Viral hepatitis (HAV, HBV, HCV, HDV, HEV), Orthomyxoviridae, Papillomaviridae, Retroviridae (HIV). General information on protozoa, fungi and helminths. Diagnosis methods of bacterial and viral infections.

Assessment methods and criteria

Module: METODOLOGIA EPIDEMIOLOGICA, IGIENE E PROBLEMI PRIORITARI DI SALUTE
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Writing Test


Module: PROMOZIONE DELLA SALUTE E DELLA SICUREZZA IN CONTESTI ASSISTENZIALI
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Writing Test


Module: SICUREZZA NEGLI AMBIENTI DI LAVORO
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Written tests in the form of questions with multiple answers and possible oral integration. All questions are related to the topics discussed during the lectures in order to understand if the students have read the provided noted and learn the main aspects of job security.


Module: MICROBIOLOGIA CLINICA
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Written examination with multiple choice quiz

Reference books
Author Title Publisher Year ISBN Note
La Placa Principi di Microbiologia Medica Edises 2014
Franco G. Compendio di Medicina del Lavoro e Medicina preventiva degli operatori sanitari. Ed. Piccin, Padova 2005




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