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.
|
Code
|
90209 |
Language
|
ENG |
Type of certificate
|
Profit certificate
|
Module: Pharmacology
|
Language
|
ENG |
Type of certificate
|
Profit certificate
|
Credits
|
2
|
Scientific Disciplinary Sector Code
|
BIO/14
|
Contact Hours
|
28
|
Type of Activity
|
Basic compulsory activities
|
Teacher
|
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)
Professor’s notes.
|
Dates of beginning and end of teaching activities
|
From to |
Delivery mode
|
Traditional
|
Attendance
|
Mandatory
|
Evaluation methods
|
Written test
Oral exam
|
|
|
Module: Internal Medicine – Emergency Medicine
|
Language
|
ENG |
Type of certificate
|
Profit certificate
|
Credits
|
1
|
Scientific Disciplinary Sector Code
|
MED/09
|
Contact Hours
|
14
|
Type of Activity
|
Core compulsory activities
|
Teacher
|
Bonini Sergio
(syllabus)
Lipothymia and syncope. Shock. Heart failure. Arrythmias. Acute abdomen. Stroke. Bleeding. Poisonings. Traumas. Epidemics and pandemics. Disaster Medicine.
(reference books)
• Bersten, A. D., Soni, N. (2015). Oh. Manuale di terapia intensiva (6° ed.). Elsevier Masson. • Tintinalli, J. E., Ma, O. J., Yealy, D. M., Meckler, G. D., Stapczynski, J. S., Cline, D. M., Thomas, S. H., (2019). Tintinalli's Emergency Medicine: A Comprehensive Study Guide (9° ed.). McGraw-Hill Education.
|
Dates of beginning and end of teaching activities
|
From to |
Delivery mode
|
Traditional
|
Attendance
|
Mandatory
|
Evaluation methods
|
Written test
Oral exam
|
|
|
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.
|
Language
|
ENG |
Type of certificate
|
Profit certificate
|
Credits
|
2
|
Scientific Disciplinary Sector Code
|
MED/45
|
Contact Hours
|
28
|
Type of Activity
|
Core compulsory activities
|
Teacher
|
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, Primary Nursing in the intensive care unit (ICU). Patient and family response to the critical care experience: The critical care environment, The critically ill patient, Family members of the critically ill patient, Transfer of the critically ill patient. TOOLS FOR THE CRITICAL CARE NURSE The use of Early Warning Scores (EWS) for the identification of clinical deterioration Comfort and Sedation in critical care: Assessment of pain and anxiety, Pain measurement tool, Anxiety and sedation Measurement tools, Continuous monitoring of sedation, Management of pain and anxiety, Substance abuse. The risk of falls in the ICU 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. Hemodynamic Monitoring: Hemodynamic monitoring modalities (invasive, non invasive), Direct arterial pressure monitoring. Central venous pressure monitoring. Ventilatory Assistance in critical care: 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 nursing in the critical care setting (PAI – Professional Assessment Instrument). NURSING CARE DURING SPECIFIC CRITICAL SITUATIONS The nursing role in the Covid-19 ICU, Chest trauma and nursing management of pleural drainage.
(reference books)
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.
|
Dates of beginning and end of teaching activities
|
From to |
Delivery mode
|
Traditional
|
Attendance
|
Mandatory
|
Evaluation methods
|
Written test
Oral exam
|
|
|
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
|
Language
|
ENG |
Type of certificate
|
Profit certificate
|
Credits
|
1
|
Scientific Disciplinary Sector Code
|
MED/41
|
Contact Hours
|
14
|
Type of Activity
|
Basic compulsory activities
|
Teacher
|
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)
Professor’s notes.
|
Dates of beginning and end of teaching activities
|
From to |
Delivery mode
|
Traditional
|
Attendance
|
Mandatory
|
Evaluation methods
|
Written test
Oral exam
|
|
|
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.
|
Language
|
ENG |
Type of certificate
|
Profit certificate
|
Credits
|
1
|
Scientific Disciplinary Sector Code
|
MED/18
|
Contact Hours
|
14
|
Type of Activity
|
Core compulsory activities
|
Teacher
|
Lombardi Celestino Pio
(syllabus)
- SHOCK - DIGESTIVE HEMORRHAGE - ACUTE ABDOMEN - THORACIC-ABDOMINAL TRAUMA - NURSING FRAMEWORK OF EMERGENCY SURGUICAL PATIENTS
(reference books)
• Oh. Manuale di terapia Intensiva Bersten AD, Soni NElsevier Masson Editore • Compendio di Chirurgia per le professioni sanitarie. ESDD – A. Divizia C. Fiorani G. Maggi F. Romano
|
Dates of beginning and end of teaching activities
|
From to |
Delivery mode
|
Traditional
|
Attendance
|
Mandatory
|
Evaluation methods
|
Written test
Oral exam
|
|
|
|