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

Health and safety promotion [Matricole pari] (2017/2018)

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 Stefano Porru

Learning outcomes

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MM: MICROBIOLOGIA CLINICA
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The student should know the structural and biological properties of bacteria, fungi, protozoa and viruses and the related mechanism of pathogenesis. Moreover, the student should know the major microorganisms involved in infectious diseases and the methods of infection diagnosis.
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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 methods of prevention and control of infectious diseases and the main chronic diseases as outcomes of lifestyles.
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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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To acquire basic knowledge and understanding on health and safety prevention and health promotion and management in workplaces. To acquire, through field examples, knowledge and understanding about general principles of occupational health, risk assessment, health surveillance, fitness for work, health education, legislation, with reference to different risk factors (e.g., chemicals, physical agents, biohazards, ergonomics, organization and psychosocial factors, injuries). Attention will be dedicated to let the student acquire knowledge and understanding about the roles of the different professionals and institutions committed to prevention. The student will acquire knowledge and awareness on the main risk factors, adverse effects and their prevention in the professional activities of nursing and will gain awareness on the role of nurse in educating persons on health and safety issues in workplaces.

Syllabus

MM: MICROBIOLOGIA CLINICA
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.
MM: METODOLOGIA EPIDEMIOLOGICA, IGIENE E PROBLEMI PRIORITARI DI SALUTE
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
MM: PROMOZIONE DELLA SALUTE E DELLA SICUREZZA IN CONTESTI ASSISTENZIALI
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
MM: SICUREZZA NEGLI AMBIENTI DI LAVORO
1) General principles of occupational health and safety and prevention in workplaces 2) National laws, rules and regulations on prevention, health and safety in the workplace 3) Occupational health and safety professionals and institutions 4) Occupational hazards and risks. Work-related diseases. Occupational injuries 5) Risk assessment. Health surveillance. Fitness for work. Health education. Medico-legal obligations. 6) Occupational Health for health care workers. Risk factors: chemicals, physical and biological agents, ergonomics, organizative and psychosocial. 7) Manual handling of patients. TEACHING MATERIALS 1) La Medicina del lavoro: medicina e salute occupazionale. Alessio L, Franco G. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 5, pag.63-73. 2) Valutazione del rischio. Manno M, Cavallo DM, Cattaneo A. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 15, pag.209-227. 3) Rischi tradizionali, attuali, emergenti. Alessio L, Farina G. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 60, pag.671-679. 4) Sorveglianza sanitaria. Soleo L, Basso A, Lovreglio P. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 23, pag.317-333. 5) Normativa attuale. Cantoni S. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 34, pag.437-447. 6) Relazioni professionali intra- ed extra-aziendali del medico competente. Biggi N, Farina G. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 50, pag.579-589. 7) Malattie muscolo-scheletriche. Generalità. Violante FS, Zanardi F, Bonfiglioli R. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 142, pag.1615-1627. 8) Malattie muscolo-scheletriche. Colonna vertebrale. Carta A, Porru S. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 143, pag.1629-1640. 9) Rischi in sanità. Introduzione. Bartolucci GB, Spatari G. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 162, pag.1885-1890. 10) Rischi in sanità. Fattori biomeccanici. Bonfiglioli R, Zanardi F, Violante FS. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 163, pag.1891-1897. 11) Rischi in sanità. Rischio biologico. Porru S, Tonozzi B. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 164, pag.1899-1914. 12) Rischi in sanità. Rischi psicosociali. Bartolucci GB, Marcuzzo GI. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 165, pag.1915-1921. 13) Patologie da stress. Perbellini L, Romeo L, Goio I, Baldo M. In: Trattato di Medicina del Lavoro. Alessio L, Franco G, Tomei F. Editori. Piccin Nuova Libraria, Padova, 2015, Capitolo 152, pag.1743-1756. TEACHING METHODS The course will be conducted by means of lectures, with constant pursue of students’ involvement in concept elaboration, with ample time for discussion and interaction. Lectures will include practical examples from the field.

Assessment methods and criteria

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MM: MICROBIOLOGIA CLINICA
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Written examination with multiple choice quiz.
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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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The examination is a multiple choice questionnaire integrated by an oral assessment.

Reference books
Author Title Publisher Year ISBN Note
Eudes Lanciotti Microbiologia clinica (Edizione 4) Ambrosiana 2017 9798808181855
La Placa Principi di Microbiologia Medica Edises 2014
Barbuti S, Fara GM, Giammanco G Igiene Medicina Preventiva Sanità pubblica (Edizione 3) EdiSES 2015 978-88-7959-827-9
Luisa Saiani, Anna Brugnolli Trattato di cure infermieristiche (Edizione 2) Sorbona 2014 capitolo 12




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