Nursing in Emergency Medicine and Surgery and Critical Care
(objectives)
Aim of the Teaching is to: • provide knowledge of the principles of advanced nursing care for the early recognition, management, monitoring and re-evaluation of the person in a vitally critical condition with reference to the main medical-surgical emergencies and clinical problems in conditions of high complexity of care. • Provide knowledge of pharmacological concepts including an overview of the history of drugs along with current issues. The topics discussed will include: pharmacotherapeutics, pharmacodynamics, pharmacokinetics, along with drugs contraindications and precautions. Major emphasis will be placed on the drugs used in the nursing field, as well as the nurse’s role in pharmacological research. • provide students with knowledge on the approach to acute patients in the emergency setting, from clinical presentation, diagnostic work-up and therapeutic options. • Provide knowledge on: general and peripheral anesthesia in surgical specialties, monitoring in Intensive Care Unit, organ failure, physiopathology and treatment, mechanical ventilation, extracorporeal removal techniques, the patient in shock, stupor and coma. • provide students with knowledge of surgical diseases. In addition, general knowledge on diagnostic approaches is required. Moreover, general information concerning surgical approach on emergency will be explained.
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Code
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90209 |
Language
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ENG |
Type of certificate
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Profit certificate
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Module: Pharmacology
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Language
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ENG |
Type of certificate
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Profit certificate
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Credits
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2
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Scientific Disciplinary Sector Code
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BIO/14
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Contact Hours
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28
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Type of Activity
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Basic compulsory activities
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Teacher
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De Martino Matteo
(syllabus)
General principles of pharmacology Pharmacokinetics Pharmacodynamics Principles of therapy Principles of toxicology Active drugs on synapsis and neuroeffective junctions Neurotransmission Agonist antagonist muscarinic receptor Catecholamines, sympathomimetic and adrenergic receptor antagonists Principles of anesthesiology Analgesics, opioids Diuretics Renine and angiotensin Drugs for cardiac ischemia treatment Anti-hypertensive drugs Pharmacology of gastrointestinal tract Chemotherapy of infectious diseases Autacoids, pharmacologic therapy of inflammation
(reference books)
Pharmacology text books, professor’s notes.
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Dates of beginning and end of teaching activities
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From to |
Delivery mode
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Traditional
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Attendance
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Mandatory
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Evaluation methods
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Written test
Oral exam
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Module: Internal Medicine – Emergency Medicine
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Language
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ENG |
Type of certificate
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Profit certificate
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Credits
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1
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Scientific Disciplinary Sector Code
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MED/09
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Contact Hours
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14
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Type of Activity
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Core compulsory activities
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Teacher
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De Vincentis Antonio
(syllabus)
Organization of the emergency department. Definition of emergency. The triage procedure. Approach to the patient with chest pain, dyspnoea, headache, shock, alteration or loss of consciousness. Therapeutic management of the patient with acute coronary syndrome, stroke, pulmonary embolism, deep vein thrombosis, shock, respiratory failure, acute kidney injury, hypo and hyperglicaemia.
(reference books)
McGraw-Hill Education - O. John Ma, Judith Tintinalli, Donald Yealy, Garth Meckler, J. Stapczynski, David Cline, Stephen Thomas - Tintinalli's Emergency Medicine: A Comprehensive Study Guide ISBN 9781260019933
Saunders - ENA - Emergency Nurses Association Emergency Nursing Core Curriculum ISBN: 9780323443746
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Dates of beginning and end of teaching activities
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From to |
Delivery mode
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Traditional
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Attendance
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Mandatory
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Evaluation methods
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Written test
Oral exam
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Module: Nursing Sciences - Clinical Nursing Critical Care
(objectives)
The aim of the subject of Nursing Sciences - Critical Area Clinical Nursing within the module of Nursing in Emergency Medicine and Surgery and Critical Care is to provide knowledge of the principles of advanced nursing care for the early recognition, management, monitoring and re-evaluation of the person in a vitally critical condition with reference to the main medical-surgical emergencies and clinical problems in conditions of high complexity of care. These objectives will be achieved through lectures, seminars and interactive teaching activities, aimed at facilitating learning and improving the ability to address and solve the main questions of Clinical Nursing Critical Care.
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Language
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ENG |
Type of certificate
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Profit certificate
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Credits
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2
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Scientific Disciplinary Sector Code
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MED/45
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Contact Hours
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28
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Type of Activity
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Core compulsory activities
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Teacher
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Cesare Manuele
(syllabus)
FUNDAMENTAL CONCEPTS Overview of critical care nursing: Definition of critical care nursing, Evolution of critical care, Professional organizations, Critical care nurse characteristics, Nursing care models in critical care settings. Patient and family response to the critical care experience: The critical care environment, The critically ill patient, Family members of the critically ill patient. Ethical and legal issues in critical care nursing: Ethical decision making, Ethical principles, Selected ethical topics in critical care. End-of-life care in the critical care unit: Effects on nurses and the healthcare team, Dimensions of end-of-life care. TOOLS FOR THE CRITICAL CARE NURSE Comfort and Sedation: Assessment of pain and anxiety, Pain measurement tool, Anxiety and sedation Measurement tools, Continuous monitoring of sedation, Management of pain and anxiety, Substance abuse, Restraining devices. Management of enteral nutrition in critical Care: Nursing assessment of Nutritional Status, Enteral Nutrition and enteral access devices, Administering a tube feeding, Drug-Nutrient Interactions, Complications of Nutritional Support. Management of fluid in critical care: Composition and regulating of body fluid, Intravenous solutions, Intravenous catheters (peripheral and central catheters), Management of venous catheters’ exit site, Intravenous infusion equipment, Devices to control infusions, Adverse events from infusion catheters. Dysrhythmia interpretation and management: Overview of electrocardiogram monitoring, Causes of dysrhythmias, Dysrhythmia analysis, Basic dysrhythmias, Cardiac pacemakers. Hemodynamic Monitoring: Hemodynamic monitoring modalities (invasive, non invasive), Arterial pressure monitoring, Right atrial pressure/Central venous pressure monitoring, Pulmonary artery pressure monitoring, Cardiac output monitoring, Esophageal doppler monitoring. Ventilatory Assistance: Physiology of breathing and respiratory mechanics, Nursing respiratory assessment, Arterial blood gas test and its interpretation, Oxygen administration, Oxygen delivery devices, Airway management, Endotracheal intubation, Tracheostomy, Endotracheal suctioning, Mechanical ventilation, Positive-pressure ventilation, Noninvasive positive-pressure ventilation, Respiratory monitoring during mechanical ventilation, Complications of mechanical ventilation, Nursing care during mechanical ventilation, Communication during mechanical ventilation, Weaning patients from mechanical ventilation, Extubation. Rapid response teams and clinical emergency management: Rapid response teams, Basic life support, Advanced cardiac life support, Recognition and treatment of dysrhythmias, Electrical therapy, Pharmacological interventions during an emergency, Documentation of the emergency situation, Care of the patient after resuscitation, Therapeutic hypothermia after cardiac arrest. CLINICAL MANIFESTATIONS AND NURSING CARE DURING CRITICAL ILLNESS Shock, sepsis and multiple organ dysfunction syndrome (MODS); Cardiovascular alterations (Angina, Heart failure, Aortic aneurysms); Nervous system alterations (Acute stroke, Seizures and status epilepticus, Central nervous system infections, Spinal cord injury); Acute respiratory failure (Acute respiratory distress syndrome (ARDS), Acute respiratory secondary to chronic obstructive pulmonary disease (COPD)/asthma/pneumonia/pulmonary embolism, Ventilator-associated pneumonia); Acute gastrointestinal bleeding; Endocrine alterations (Hyperglycemia and hypoglycemia in the critically ill patient); Trauma and management of specific organ injuries; SARS-CoV-2.
(reference books)
Title: Introduction to Critical Care Nursing (6th ed.), Elsevier/Saunders. Authors: Mary Lou Sole, Deborah G. Klein, Marthe J. Moseley
Title: Kozier & Erb’s fundamentals of nursing: concepts, process, and practice (10th ed.), Pearson. Authors: Audrey Berman, Shirlee Snyder, Geralyn Frandsen.
Scientific papers, procedures and guidelines provided by the professor.
APA: Sole, M. L., Klein, D. G., & Moseley, M. J. (2013). Introduction to Critical Care Nursing (6th ed.). St. Louis, Mo: Elsevier/Saunders.
Berman, A., Snyder, S. J., & Frandsen, G. (2016). Kozier & Erb’s fundamentals of nursing: concepts, process, and practice (10th ed.). Boston: Pearson.
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Dates of beginning and end of teaching activities
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From to |
Delivery mode
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Traditional
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Attendance
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Mandatory
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Evaluation methods
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Written test
Oral exam
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Module: Anesthesiology
(objectives)
Aim of the course of Anesthesiology within the integrated course of Clinical Medicine, Surgery, Pharmacology is to provide students with knowledge on: General and peripheral anesthesia. Monitoring in Intensive Care Unit Organ failure. Physiopathology and treatment Mechanical ventilation Extracorporeal removal techniques The patient in shock Stupor and coma
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Language
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ENG |
Type of certificate
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Profit certificate
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Credits
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1
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Scientific Disciplinary Sector Code
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MED/41
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Contact Hours
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14
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Type of Activity
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Basic compulsory activities
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Teacher
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Caricato Anselmo
(syllabus)
Preparation of environment and patient to surgical procedures Use of anesthetics. Management of preanesthesia phase. Intra and post-surgical phase Management of central and peripheral venous lines and surgical drainages Management of surgical wounds and post-surgical pain. Monitoring in Intensive Care Unit Organ failure. Physiopathology and treatment Mechanical Ventilation Extracorporeal removal techniques The patient in shock Stupor and coma
(reference books)
AACN Essentials of Critical Care Nursing, 4th Ed. Authors: S. Burns, S. Delgado McGraw Hill Editor Critical Care Nursing: Science and Practice di Sheila Adam, Sue Osborne, e al. OUP Oxford Ed
Assistenza infermieristica in anestesia. Giorgio Torri, Elena Moizo. Antonio Delfino Editore
L'infermiere strumentista. Procedure in chirurgia specialistica Alessandro Peruzzi Elsevier Masson Editore
Guida al monitoraggio in area critica. GD Giusti Maggioli Editore
Oh. Manuale di terapia Intensiva Bersten AD, Soni N Elsevier Masson Editore
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Dates of beginning and end of teaching activities
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From to |
Delivery mode
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Traditional
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Attendance
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Mandatory
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Evaluation methods
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Oral exam
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Module: General Surgery – Emergency surgery
(objectives)
Aim of the course of Emergency Surgery is to provide students with knowledge of surgical diseases. In addition, general knowledge on diagnostic approaches is required. Moreover general information concerning surgical approach on emergency will be explained. These objectives will be achieved through frontal lectures and interactive teaching activities, designed to facilitate learning and improve the ability to address and solve the main questions of a surgical patient.
Student will be asked to recognise main signs and symptoms, diagnostic flow chart, risk and complication of an emergency surgical patient; to describe surgery principles and techniques.
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Language
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ENG |
Type of certificate
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Profit certificate
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Credits
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1
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Scientific Disciplinary Sector Code
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MED/18
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Contact Hours
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14
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Type of Activity
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Core compulsory activities
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Teacher
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LOmbardi Celestino Pio
(syllabus)
• SHOCK • DIGESTIVE HEMORRHAGE • ACUTE ABDOMEN • THORACIC-ABDOMINAL TRAUMA • NURSING FRAMEWORK OF EMERGENCY SURGUICAL PATIENTS
(reference books)
Titolo: Compendio di Chirurgia per le professioni sanitarie Autori: ESDD – A. Divizia C. Fiorani G. Maggi F. Romano
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Dates of beginning and end of teaching activities
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From to |
Delivery mode
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Traditional
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Attendance
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not mandatory
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