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

Health and safety promotion (2016/2017)

Course code
4S000035
Credits
7
Coordinator
Marzia Boaretti

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

Learning outcomes

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MM: MICROBIOLOGIA CLINICA
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The aim of this course is providing the students with knowledges of general and clinical microbiology. First, the general characteristics of various microrganisms will be treated; also the mechanisms involved in their pathogenesis will be examined. Other subjects of this course will be: specific diseases caused by various microrganism and the indications about the collection and the storage of the most important microbiological samples .
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MM: METODOLOGIA EPIDEMIOLOGICA, IGIENE E PROBLEMI PRIORITARI DI SALUTE
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The course aims the student to know and study the main determinants of health and disease, the preventive strategies both individual and collective, and of interventions to promote the health and safety of their users. Particularly, it aims to understand the causes, the pathogenic mechanisms, and the methods of prevention and control of infectious diseases.
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MM: PROMOZIONE DELLA SALUTE E DELLA SICUREZZA IN CONTESTI ASSISTENZIALI
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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.
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MM: SICUREZZA NEGLI AMBIENTI DI LAVORO
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Aim of this course is the introduction of the student to understanding of the determinants of health, risk factors, prevention strategies both individual and collective, and of intervantions to promote the health and safety of their users, also considering the current legislation regulating safety and health in work places. It also aims to understand the causes, the pathogenetic mechanisms and methodof prevention and control of infection diseases.

Syllabus

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MM: MICROBIOLOGIA CLINICA
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Picture of biological word: position and characteristics of microrganisms. Bacteria: cell morphology, essential and optionals components. The bacterial wall, the cytoplasmic membrane, the genetic material. Flagella, fimbriae and pili, plasmids. Endospores. Pathogenic activity: conventional and opportunistic pathogens. Various determinants of virulence with reference to exotoxins and endotoxins. Some examples of diseases mediated by production of toxins. Antibacterial drugs: classification and main mechanisms of action. The antibiotic resistance. The antibiotic sensitivity test: antibiogram and multidrug resistant bacteria. Streptococci, Enterococci, Staphylococci, Neisserie, Mycobacteria, Enterobacteriaceae and Pseudomonas. Sepsis: symptoms and causes and blood culture. The nfections of central nervous system: causes, symptoms and microbiological sample. The infections of lower respiratory tract: microbiological sample. The urinary infections: specimen collection. Notices on Fungi. Viruses: morfology and organization of virions, biological behaviour. Viral replication: various replicative strategies of DNA and RNA viruses. Viral pathogenesis. Acute diseases and persistance. Latent and chronic infections. Herpesviruses, hepatitis viruses and HIV.
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MM: 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;
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MM: 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
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MM: SICUREZZA NEGLI AMBIENTI DI LAVORO
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Assessment methods and criteria

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MM: MICROBIOLOGIA CLINICA
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Written exam
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MM: METODOLOGIA EPIDEMIOLOGICA, IGIENE E PROBLEMI PRIORITARI DI SALUTE
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Writing Test
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MM: PROMOZIONE DELLA SALUTE E DELLA SICUREZZA IN CONTESTI ASSISTENZIALI
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Writing Test
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MM: SICUREZZA NEGLI AMBIENTI DI LAVORO
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Writing mode, with open questions.

Reference books
Author Title Publisher Year ISBN Note
Simona De Grazia, D. Ferraro, G. Giammanco Microbiologia e microbiologia clinica per infermieri Pearson 2017
Craven R.F., Hinrle C.J Principi fondamentali dell’assistenza infermieristica. (Edizione 2) Casa Ed. Ambrosiana, Milano 2004 8840812768
Saiani Luisa-Brugnolli Anna Trattato di cure infermieristiche (Edizione 2) Idelson-Gnocchi 2013 8879475762
Franco G. Compendio di Medicina del Lavoro e Medicina preventiva degli operatori sanitari. Ed. Piccin, Padova 2005




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