CLINICAL NURSING IN CRITICAL CARE
Academic year and teacher
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- Versione italiana
- Academic year
- 2022/2023
- Teacher
- RICCARDO RAGAZZI
- Credits
- 8
- Didactic period
- Secondo Semestre
Training objectives
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Modulo: 006051 - RADIOPROTEZIONE (mutua dall'attività formativa RADIOPROTEZIONE - 53298 del CdS TECNICHE DI RADIOLOGIA MEDICA, PER IMMAGINI E RADIOTERAPIA (abilitante alla professione sanitaria di Tecnico di radiologia medica) - 1063)
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RADIATION PHYSICS and EQUIPMENT
Capability of the evaluation of an analogue image quality by using its objective characterizing parameters and understanding of the possibilities offered by the digital image. Knowledge of the physical principles of the usual methods used in morphologic and functional investigations for health purposes by external energy fields and of the nature of the physical quantities observed. Understanding of the radiobiological and clinical bases of the radiotherapy and of the procedures to implement them.
MEDICAL RADIATION PROTECTION
To revive and deepen basic knowledge in the field of radiobiology applied to health professions sciences. Moreover to introduce basic principles of radiation protection that can be divided into occupational radiation protection, which is the protection of workers; medical radiation protection, which is the protection of patients; and public radiation protection, which is protection of individual members of the public and of the population as a whole. The types of exposure, as well as government regulations and legal exposure limits are different for each of these groups and are discussed separately during the course.
SAFETY IN THE WORKPLACE
Knowledge of fundamental principles of risk prevention in the workplace concentrating on risks of health workers: biological, ergonomic and psycho-social hazards and risks.
Knowledge and application of the individual and general preventive strategies.
GENERAL PATHOLOGY
Understanding the main causes and mechanisms of disease, and the protective and/or pathogenetic role of the defense mechanisms of the organism (immune system, inflammation)
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Modulo: 53456 - INFERMIERISTICA CLINICA IN AREA CRITICA
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CLINICAL NURSING IN CRITICAL AREA
Use the nursing process in solving the problems of the person in critical vital.
Recognize life-threatening clinical situations and acquire the knowledge needed for the management of critically ill patients in normal environments in hospital, in environments with high technology and in-extrahospital environment.
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Modulo: 53469 - LE URGENZE MEDICO CHIRURGICHE
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THE MEDICAL SURGICAL EMERGENCIES
1. In order to assist, administer the prescribed therapies, monitor the state of health and the progress of care in patients suffering from medical-surgical pathologies included in the "Course Contents":
- Provide notions on epidemiology and etiology and deepen the pathophysiology, clinical presentation and diagnostic and therapeutic principles of these pathologies;
- Discuss the clinical approach to the patient (history, physical examination, communication).
2. Frame the in-hospital approach to the polytrauma patient
3. Addressing the physiopathology derangements, injuries and principles of diagnosis and therapy in thoracic, abdominal and musculoskeletal trauma.
RESUSCITATION
The course aims at teaching the student to recognize life threatening clinical situations and acquire the basics of management of the critical patient in hospital wards, high tech wards and facilities external to the hospital.
RADIOPROTECTION
Knowledge and understanding: Knowledge of physics in ionizing radiation both electromagnetic and corpuscolate; radiation interaction with matter, in particular with living matter. Order of size, units of measure and detectors.
Applying knowledge and understanding: Knowledge of fundamental principles of radiation protection, and the effects of ionizing radiation on the living. Skills in protection of workers, patients and population from harmful effects of ionizing radiations. Knowledge of national and european regulation concernig radiation protection.
Making judgements: critical knowledge of professional operating conditions in presence of ionizing radiation, related to protection of workers, patients and population. Ability to detect and evaluate operational risk in presence of ionizing radiation.
Communication skills: Knowledge of safety signs. ability of relating with the competent authorities and the emergency staff consciously and with appropriate terminology.
Learning skills: knowledge of the access and consultation modalities to scientific data base and regulation in ionizing radiation protection field.
CLINICAL NURSING IN CRITICAL AREA + SEMINAR
Use the nursing process in solving the problems of the person in critical vital.
Recognize life-threatening clinical situations and acquire the knowledge needed for the management of critically ill patients in normal environments in hospital, in environments with high technology and in-extrahospital environment.
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Modulo: 53471 - RIANIMAZIONE
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THE MEDICAL SURGICAL EMERGENCIES
1. In order to assist, administer the prescribed therapies, monitor the state of health and the progress of care in patients suffering from medical-surgical pathologies included in the "Course Contents":
- Provide notions on epidemiology and etiology and deepen the pathophysiology, clinical presentation and diagnostic and therapeutic principles of these pathologies;
- Discuss the clinical approach to the patient (history, physical examination, communication).
2. Frame the in-hospital approach to the polytrauma patient
3. Addressing the physiopathology derangements, injuries and principles of diagnosis and therapy in thoracic, abdominal and musculoskeletal trauma.
RESUSCITATION
The course aims at teaching the student to recognize life threatening clinical situations and acquire the basics of management of the critical patient in hospital wards, high tech wards and facilities external to the hospital.
RADIOPROTECTION
Knowledge and understanding: Knowledge of physics in ionizing radiation both electromagnetic and corpuscolate; radiation interaction with matter, in particular with living matter. Order of size, units of measure and detectors.
Applying knowledge and understanding: Knowledge of fundamental principles of radiation protection, and the effects of ionizing radiation on the living. Skills in protection of workers, patients and population from harmful effects of ionizing radiations. Knowledge of national and european regulation concernig radiation protection.
Making judgements: critical knowledge of professional operating conditions in presence of ionizing radiation, related to protection of workers, patients and population. Ability to detect and evaluate operational risk in presence of ionizing radiation.
Communication skills: Knowledge of safety signs. ability of relating with the competent authorities and the emergency staff consciously and with appropriate terminology.
Learning skills: knowledge of the access and consultation modalities to scientific data base and regulation in ionizing radiation protection field.
CLINICAL NURSING IN CRITICAL AREA + SEMINAR
Use the nursing process in solving the problems of the person in critical vital.
Recognize life-threatening clinical situations and acquire the knowledge needed for the management of critically ill patients in normal environments in hospital, in environments with high technology and in-extrahospital environment.
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Modulo: 53472 - SEMINARIO DI INFERMIERISTICA CLINICA NELLA CRITICITA' VITALE
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CLINICAL NURSING SEMINAR IN VITAL CRITICISM
Use the nursing process in solving the problems of the person in critical vital.
Recognize life-threatening clinical situations and acquire the knowledge needed for the management of critically ill patients in normal environments in hospital, in environments with high technology and in-extrahospital environment. Prerequisites
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Modulo: 006051 - RADIOPROTEZIONE (mutua dall'attività formativa RADIOPROTEZIONE - 53298 del CdS TECNICHE DI RADIOLOGIA MEDICA, PER IMMAGINI E RADIOTERAPIA (abilitante alla professione sanitaria di Tecnico di radiologia medica) - 1063)
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Knowledge of the basic in Radiation Physics and interaction with matter. Knowledge of eukaryote cell biology, expecially the cellular cycle. Knowledge of anatomy, physiology, pathophysiology of organs and systems. Principles of medical pharmacology.
Application of the Nursing Process.
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Modulo: 53456 - INFERMIERISTICA CLINICA IN AREA CRITICA
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The knowledge acquired in the previous teachings is fundamental, in particular: Knowledge of anatomy, physiology, pathophysiology of organs and systems.
Application of the nursing process.
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Modulo: 53469 - LE URGENZE MEDICO CHIRURGICHE
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THE MEDICAL AND SURGICAL EMERGENCIES
The knowledge acquired in the areas covered by the previous exams are fundamental, in particular: Morphological bases of life, Functional bases of life and General clinical nursing and clinical nursing in the surgical area
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Modulo: 53471 - RIANIMAZIONE
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Knowledge of the basic in Radiation Physics and interaction with matter. Knowledge of eukaryote cell biology, expecially the cellular cycle. Knowledge of anatomy, physiology, pathophysiology of organs and systems. Principles of medical pharmacology.
Application of the Nursing Process.
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Modulo: 53472 - SEMINARIO DI INFERMIERISTICA CLINICA NELLA CRITICITA' VITALE
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Knowledge of anatomy, physiology, pathophysiology of organs and systems.
Application of the Nursing Process. Course programme
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Modulo: 006051 - RADIOPROTEZIONE (mutua dall'attività formativa RADIOPROTEZIONE - 53298 del CdS TECNICHE DI RADIOLOGIA MEDICA, PER IMMAGINI E RADIOTERAPIA (abilitante alla professione sanitaria di Tecnico di radiologia medica) - 1063)
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RADIOPROTECTION
Radioactivity and Ionizing radiation. Atomic nucleus, Nuclear decay.
Interactions of ionizing radiation with matter. Measuring radioactivity. Order of size and units of measure.
Radiobiology basics.
Potential damages in livings. Deterministic and stochastic damages of ionizing radiations.. Fundamental principles of radiation protection.
National and european regulation concerning ionizing radiation protection.
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Modulo: 53456 - INFERMIERISTICA CLINICA IN AREA CRITICA
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CLINICAL NURSING IN CRITICAL AREA
Organizational and legislative aspects of the emergency medical service in Italy, in intra and in extra-hospital: the role of the nurse in the emergency 118 system in triage.
Nursing care responsibilities of the person with impairment of vital functions, use of tools and procedures for the control of the airways.
Primary Survey A-B-C-D-E and Secondary Survey
Responsibility of nursing care and peculiarities of the person subjected to invasive ventilatory treatment in the context of hospital care, use of the main monitors: cardiovascular, respiratory and neurological pain.
Body care in intensive care
Body care in intensive care
Body care in intensive care
Care of the patient with maxillofacial trauma.
Nursing Skills in disaster medicine
Role of intensive care nurse towards brain death and organ transplantation
Humanization of ICU care: open ICU
Courses Basic Life Support
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Modulo: 53469 - LE URGENZE MEDICO CHIRURGICHE
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THE MEDICAL AND SURGICAL EMERGENCIES
- Pulmonary thromboembolism (including prophylaxis and anti-thromboembolic therapy)
- Acute abdomen, Peritonitis, Acute appendicitis (including septic shock)
- Bowel obstruction
- Digestive bleeding
- Thoracic trauma
- Abdominal trauma (including fractures of the pelvis)
- Musculoskeletal trauma (including compartment syndrome)
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Modulo: 53471 - RIANIMAZIONE
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RESUSCITATION
Management of the helped
Heart monitoring
Introduction to nursing care in emergencies: role of the nurse. Role of the nurse in emergencies in hospital setting and outside the hospital
Nursing assessment: triage in hospital and external settings. Nursing assessment process.
Field Evaluation
Management of the respiratory pathways in non traumatic events
Intravenous accesses and Intravenous medicines for emergencies
Shock. Dyspnoea. Chest pain. Alterations in consciousness, Abdominal pain- Advanced Vital support systems in the adult
Polytrauma. Management of the respiratory pathways in a traumatic event
Haemodynamic and respiratory monitoring
-Shock- Heart Failure- Respiratory failure
Artificial ventilation
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Modulo: 53472 - SEMINARIO DI INFERMIERISTICA CLINICA NELLA CRITICITA' VITALE
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Organizational and legislative aspects of the emergency medical service in Italy, in intra and in extra-hospital: the role of the nurse in the emergency 118 system in triage.
Nursing care responsibilities of the person with impairment of vital functions, use of tools and procedures for the control of the airways.
Primary Survey A-B-C-D-E and Secondary Survey
Responsibility of nursing care and peculiarities of the person subjected to invasive ventilatory treatment in the context of hospital care, use of the main monitors: cardiovascular, respiratory and neurological pain.
Body care in intensive care unit.
Open the I.C.U.
Care of the patient with maxillofacial trauma.
Nursing Skills in disaster medicine
Role of intensive care nurse towards brain death and organ transplantation
Courses Basic Life Support Didactic methods
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Modulo: 006051 - RADIOPROTEZIONE (mutua dall'attività formativa RADIOPROTEZIONE - 53298 del CdS TECNICHE DI RADIOLOGIA MEDICA, PER IMMAGINI E RADIOTERAPIA (abilitante alla professione sanitaria di Tecnico di radiologia medica) - 1063)
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frontal lessons
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Modulo: 53456 - INFERMIERISTICA CLINICA IN AREA CRITICA
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frontal lessons
Laboratory simulation in the BLSD
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Modulo: 53469 - LE URGENZE MEDICO CHIRURGICHE
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frontal lessons
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Modulo: 53471 - RIANIMAZIONE
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frontal lessons
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Modulo: 53472 - SEMINARIO DI INFERMIERISTICA CLINICA NELLA CRITICITA' VITALE
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frontal lessons
Simulation laboratory in the BLSD course Learning assessment procedures
- THE MEDICAL AND SURGICAL EMERGENCIES
- Single test of 30 multiple choice questions (5 choices, one exact), on the topics included in the "Course content"
- 1 point for each correct answer (+1) and 0 points for each answer NOT given, while 0.25 points will be subtracted for each incorrect answer (-0.25)
- The time available to complete the test will be 30 minutes
- The exam will take place in a computer room, on the computer, the order of the questions and the related answer options is random and varies for each candidate
- The mark of the written test will be out of thirty
- The passing score is 18/30
RESUSCITATION
Multiple choice quizzes with 28 question (4 replies). 0 points for no date answer, + 1 for right answer, -1 for wrong answer; 2 open questions (short text) from 0 to 2 points. Test duration 1 hour
RADIOPROTECTION
The exam will be held by means of a multiple choice test, with an allocated time of 45 minutes. The questions will be thirty-two, with four answers proposed, of wich only one is exact. The questions pertain to the topics carried out during the lectures. The evaluation criteria are: plus 1 point (+1) for each single correct answer; minus half point (-0,5) for each single wrong answer; no point (0) for each single missing answer.
A final score of "31" points or more implies the evaluation "cum laude". These evaluation criteria are reported in the test sheet along with the compilation instructions.
CLINICAL NURSING IN CRITICAL AREA + SEMINAR:
multiple choice test, 30 questions, four answers, one correct one. Time: 40 minutes.
THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TESTS. Reference texts
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Modulo: 006051 - RADIOPROTEZIONE (mutua dall'attività formativa RADIOPROTEZIONE - 53298 del CdS TECNICHE DI RADIOLOGIA MEDICA, PER IMMAGINI E RADIOTERAPIA (abilitante alla professione sanitaria di Tecnico di radiologia medica) - 1063)
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RADIOPROTECTION
Biagini C., Radiobiologia e Radioprotezione, Piccin, Padova, 1999
Marano P., Diagnostica per immagini, Casa Editrice Ambrosiana, Milano 1999
Cittadini G., Diagnostica per immagini e radioterapia, ECIG, Genova, 2002
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Modulo: 53456 - INFERMIERISTICA CLINICA IN AREA CRITICA
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-Chiaranda, Urgenze ed emergenze-Istituzioni, Ed. Piccin-Nuova Libraria Quinta Edizione 2022
-Manuale corso BLS-D
-L.J. Carpenito, Piani di assistenza infermieristica e documentazione, ed. Ambrosiana terza Edizione
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Modulo: 53469 - LE URGENZE MEDICO CHIRURGICHE
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THE MEDICAL AND SURGICAL EMERGENCIES
Andreoni B, Chiara O., Coen D, Vesconi S. Diagnosi e trattamento delle emergenze medico - chirurgiche. Elsevier-Masson, Milano 2009
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Modulo: 53471 - RIANIMAZIONE
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RESUSCITATION
material provided by teachers online
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Modulo: 53472 - SEMINARIO DI INFERMIERISTICA CLINICA NELLA CRITICITA' VITALE
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Chiaranda, Urgenze ed emergenze-Istituzioni, Ed. Piccin-Nuova Libraria
quinta edizione 2021
Manuale corso BLSD
L.J. Carpenito, Piani di assistenza infermieristica e documentazione, ed. Ambrosiana terza edizione
