Unit SURGICAL CLINICAL NURSING
- Course
- Nursing
- Study-unit Code
- 50696707
- Curriculum
- In all curricula
- Teacher
- Carlo Boselli
- CFU
- 7
- Course Regulation
- Coorte 2020
- Offered
- 2021/22
- Type of study-unit
- Obbligatorio (Required)
- Type of learning activities
- Attività formativa integrata
ANATOMICAL PATHOLOGY
| Code | 50147501 |
|---|---|
| CFU | 1 |
| Teacher | Carlo Boselli |
| Learning activities | Altro |
| Area | Altre attività quali l'informatica, attività seminariali ecc. |
| Academic discipline | MED/08 |
| Type of study-unit | Obbligatorio (Required) |
Canale A
- CFU
- 1
- Teacher
- Rachele Del Sordo
- Teachers
- Rachele Del Sordo
- Hours
- 15 ore - Rachele Del Sordo
- Language of instruction
- Italian
- Contents
- Role of Pathology Anatomy in the health system. Main diseases of cardiovascular system.
Main tumours of the colon-rectal and breast. - Reference texts
- "Le basi patologiche delle malattie" di Cotran - Kumar - Robbins, Edizioni Piccin (2 volumi) o Edizioni EMSI (1 volume).
- Educational objectives
- Knowledge of main activities of Pathological Anatomy. Knowledge of risk factors and pathological bases of main deseases of cardiovascular system. Knowledge of risk factors of colon-rectal cancer and breast cancer. The main skills will be: how send a sample to pathological anatomy and how to intepret a histology and citology report.
- Prerequisites
- Knowledge of human anatomy
- Teaching methods
- Lectures on all subjects of the program
- Learning verification modality
- Oral questions
- Extended program
- Pathologic Anatomy: role and importance in the modern medicine and biotechnology. Autopsy: legal bases and objectives. Epicrisis. the anatomical-clinical method. Biopsies and cytology: methodhs of collection, storage, fixation and sending the material. Biopsy for intraoperative diagnosis
Atherosclerosis. Heart failure.
Ischemic heart disease.
Pulmonary embolism and infarction.
Tumour of the colon-rectum. Tumour of the breast carcinoma.
Canale B
- CFU
- 1
- Teacher
- Rachele Del Sordo
- Teachers
- Rachele Del Sordo
- Hours
- 15 ore - Rachele Del Sordo
- Language of instruction
- Italian
- Contents
- Role of Pathology Anatomy in the health system. Main diseases of cardiovascular system.
Main tumours of the colon-rectal and breast. - Reference texts
- "Le basi patologiche delle malattie" di Cotran - Kumar - Robbins, Edizioni Piccin (2 volumi) o Edizioni EMSI (1 volume).
- Educational objectives
- Knowledge of main activities of Pathological Anatomy. Knowledge of risk factors and pathological bases of main deseases of cardiovascular system. Knowledge of risk factors of colon-rectal cancer and breast cancer. The main skills will be: how send a sample to pathological anatomy and how to intepret a histology and citology report.
- Prerequisites
- Knowledge of human anatomy
- Teaching methods
- Lectures on all subjects of the program
- Learning verification modality
- Oral questions
- Extended program
- Pathologic Anatomy: role and importance in the modern medicine and biotechnology. Autopsy: legal bases and objectives. Epicrisis. the anatomical-clinical method. Biopsies and cytology: methodhs of collection, storage, fixation and sending the material. Biopsy for intraoperative diagnosis
Atherosclerosis. Heart failure.
Ischemic heart disease.
Pulmonary embolism and infarction.
Tumour of the colon-rectum. Tumour of the breast carcinoma.
ANESTHESIOLOGY AND ANALGESICTHERAPY
| Code | 50147401 |
|---|---|
| CFU | 1 |
| Teacher | Carlo Boselli |
| Learning activities | Caratterizzante |
| Area | Interdisciplinari e cliniche |
| Academic discipline | MED/41 |
| Type of study-unit | Obbligatorio (Required) |
Canale A
- CFU
- 1
- Teacher
- Edoardo De Robertis
- Teachers
- Edoardo De Robertis
- Hours
- 15 ore - Edoardo De Robertis
- Language of instruction
- Italian
- Educational objectives
- - To frame anesthesia as "perioperative medicine" aimed at protecting the patient from surgical trauma.
- Run BLS-D.
- Know the strategies to stabilize vital functions and prevent post-anoxic brain damage
- Monitor the patient and manage respiratory support.
- Be able to monitor acute and chronic algic syndromes. - Prerequisites
- In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.
- Teaching methods
- Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine.
- Learning verification modality
- writte/oral examination
- Extended program
- Pharmacological basis anesthesia (Clinical pharmacology of intravenous and inhalation anesthetics, opioids, benzodiazepines, NSAIDs, local anesthetics)
Perioperative medicine
Preoperative evaluation and preparation
General and locoregional anesthesia techniques
Anesthesia work station and intraoperative monitoring
Airway management
Management of acute postoperative and first aid pain
Cardiac arrest (BLS-D, ALS)
Respiratory insufficiencies
Oxygen therapy and respiratory support bases
Shock: possible causes and treatment
Nosocomial infections in UTI and Sepsis
Transplants and organ donation
Canale B
- CFU
- 1
- Teacher
- Gianmaria Cammarota
- Teachers
- Gianmaria Cammarota
- Hours
- 15 ore - Gianmaria Cammarota
- Language of instruction
- Italian
- Educational objectives
- objectives:
- To frame anesthesia as "perioperative medicine" aimed at protecting the patient from surgical trauma.
- Run BLS-D.
- Know the strategies to stabilize vital functions and prevent post-anoxic brain damage
- Monitor the patient and manage respiratory support.
- Be able to monitor acute and chronic algic syndromes. - Prerequisites
- In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.
- Teaching methods
- Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine.
- Extended program
- Pharmacological basis anesthesia (Clinical pharmacology of intravenous and inhalation anesthetics, opioids, benzodiazepines, NSAIDs, local anesthetics)
Perioperative medicine
Preoperative evaluation and preparation
General and locoregional anesthesia techniques
Anesthesia work station and intraoperative monitoring
Airway management
Management of acute postoperative and first aid pain
Cardiac arrest (BLS-D, ALS)
Respiratory insufficiencies
Oxygen therapy and respiratory support bases
Shock: possible causes and treatment
Nosocomial infections in UTI and Sepsis
Transplants and organ donation
GENERAL SURGERY - I
| Code | 50157401 |
|---|---|
| CFU | 1 |
| Teacher | Carlo Boselli |
| Learning activities | Caratterizzante |
| Area | Scienze medico-chirurgiche |
| Academic discipline | MED/18 |
| Type of study-unit | Obbligatorio (Required) |
Canale A
- CFU
- 1
- Teacher
- Francesco Barberini
- Teachers
- Francesco Barberini
- Hours
- 15 ore - Francesco Barberini
- Language of instruction
- Italian
- Contents
- Etiology, clinical aspects and therapy of the most common diseases of surgical interest of the chest, breast, thyroid, esophagus, stomach and bile ducts, colon-rectum. Inflammation. Shock.
- Reference texts
- Mario Lise: CHIRURGIA PER LE PROFESSIONI SANITARIE. Piccin Ed.
- Educational objectives
- Students will acquire basic knowledge on pathophysiology, on the most frequent pathologies and on the essential principles of their professionalizing training activity. In particular, the nurse-patient relationship and their new professional identity (complementary and substitute)
- Prerequisites
- Anatomical, pathophysiological and technological notes.
- Teaching methods
- face to face
- Learning verification modality
- oral test
- Extended program
- vedi contenuti
Canale B
- CFU
- 1
- Teacher
- Francesco Barberini
- Teachers
- Francesco Barberini
- Hours
- 15 ore - Francesco Barberini
- Language of instruction
- Italian
- Contents
- Etiology, clinical aspects and therapy of the most common diseases of surgical interest of the chest, breast, thyroid, esophagus, stomach and bile ducts, colon-rectum. Inflammation. Shock.
- Reference texts
- Mario Lise: CHIRURGIA PER LE PROFESSIONI SANITARIE. Piccin Ed.
- Educational objectives
- Students will acquire basic knowledge on pathophysiology, on the most frequent pathologies and on the essential principles of their professionalizing training activity. In particular, the nurse-patient relationship and their new professional identity (complementary and substitute)
- Prerequisites
- Anatomical, pathophysiological and technological notes.
- Teaching methods
- face to face
- Learning verification modality
- oral test
- Extended program
- vedi contenuti
GENERAL SURGERY - II
| Code | 50157501 |
|---|---|
| CFU | 1 |
| Teacher | Carlo Boselli |
| Learning activities | Caratterizzante |
| Area | Interdisciplinari e cliniche |
| Academic discipline | MED/18 |
| Type of study-unit | Obbligatorio (Required) |
Canale A
- CFU
- 1
- Teacher
- Carlo Boselli
- Teachers
- Carlo Boselli
- Hours
- 15 ore - Carlo Boselli
- Language of instruction
- Italian
- Contents
- Peritoniti
Occlusioni Intestinale
Ferite
Neoplasie del colon
Neoplasie della Mammella
Diverticoli intestinali - Reference texts
- Lois White, Gena Duncan, Wendy Baumle
Fondamenti di Infermieristica
EfiSES - Educational objectives
- preparazione dello Studente alle principali diagnosi infermieristiche in Chirurgia
- Prerequisites
- nobody
- Teaching methods
- Lezione frontale
- Learning verification modality
- Colloquio e/o quiz a risposta multipla
- Extended program
- - Inflammatory bowel diseases: Crohn's disease, ulcerative ulceros- Proctology: hemorrhoids, fistulas, fissures, pilonidal cyst
- Abdomen: acute abdomen, blunt trauma, acute diffuse peritonitis, localized peritonitis, intestinal obstruction, diseases of the abdominal wall
- Breast: Clinical and instrumental semiotics, fibrocystic disease, benign and malignant neoplasms
- Venous vessels: semiotics and instrumental esamim, varices, thrombo embolic disease (thrombophlebitis and venous thrombosis)
- Arterial vessels: semiotics and instrumental tests, emboli, aneurysms, arterial leg
- Endocrine system: thyroid gland (thyroiditis, hyperthyroidism, goiter, tumors), adrenal (of surgical diseases), the parathyroid glands (hyperparathyroidism)
- Chest: trauma, benign and malignant diseases tracheobronchial broncho-pulmonary, diseases of the mediastinum, pneumothorax, pleural empyema and payments
- Notes on the short-stay surgery: day surgery, outpatient surgery and weekend surgery
Canale B
- CFU
- 1
- Teacher
- Carlo Boselli
- Teachers
- Carlo Boselli
- Hours
- 15 ore - Carlo Boselli
- Language of instruction
- Italian
- Contents
- Peritoniti
Occlusioni Intestinale
Ferite
Neoplasie del colon
Neoplasie della Mammella
Diverticoli intestinali - Reference texts
- Lois White, Gena Duncan, Wendy Baumle
Fondamenti di Infermieristica
EfiSES - Educational objectives
- preparazione dello Studente alle principali diagnosi infermieristiche in Chirurgia
- Prerequisites
- nobody
- Teaching methods
- Lezione frontale
- Learning verification modality
- Colloquio e/o quiz a risposta multipla
- Extended program
- - Inflammatory bowel diseases: Crohn's disease, ulcerative ulceros- Proctology: hemorrhoids, fistulas, fissures, pilonidal cyst
- Abdomen: acute abdomen, blunt trauma, acute diffuse peritonitis, localized peritonitis, intestinal obstruction, diseases of the abdominal wall
- Breast: Clinical and instrumental semiotics, fibrocystic disease, benign and malignant neoplasms
- Venous vessels: semiotics and instrumental esamim, varices, thrombo embolic disease (thrombophlebitis and venous thrombosis)
- Arterial vessels: semiotics and instrumental tests, emboli, aneurysms, arterial leg
- Endocrine system: thyroid gland (thyroiditis, hyperthyroidism, goiter, tumors), adrenal (of surgical diseases), the parathyroid glands (hyperparathyroidism)
- Chest: trauma, benign and malignant diseases tracheobronchial broncho-pulmonary, diseases of the mediastinum, pneumothorax, pleural empyema and payments
- Notes on the short-stay surgery: day surgery, outpatient surgery and weekend surgery
SURGICAL CLINICAL NURSING
| Code | 50157503 |
|---|---|
| CFU | 3 |
| Teacher | Carlo Boselli |
| Learning activities | Caratterizzante |
| Area | Scienze infermieristiche |
| Academic discipline | MED/45 |
| Type of study-unit | Obbligatorio (Required) |
Canale A
- CFU
- 3
- Teacher
- Gabriella Lucarini
- Teachers
- Gabriella Lucarini
- Hours
- 45 ore - Gabriella Lucarini
- Language of instruction
- italian
- Contents
- Reference texts
- dispenses material teacher
- Educational objectives
- PHASES perioperative nursing :
1. PRE-OPERATIVE,NURSING
2. INTRAOPERATIVE NURSING
3. POSTOPERATIVE NURSING
post- SURGICAL complications
STRUCTURAL ORGANIZATION AND TECHNOLOGY DEPARTMENT OF SURGERY - Prerequisites
- Teaching methods
- Lectures, exercises, group work
Lecture on line - Other information
- Tuesday and Thursday h. 14,30 – 15,30
- Learning verification modality
- Examination questionnaire with 4 answer options with closed questions, open questions and short-care plan on a surgical pathology
Oral Examination - Extended program
- HEALT PROFESSIONAL AND BEHAVIOUR IN THE OPERATING ROOM
_SUTURE MATERIALS AND DRAINAGE SYSTEMS
_ SURGICAL INSTRUMENTS
NURSING CARE PLANS FOR PATIENTS OPERATED:
- CRITICAL LIMB ISCHAEMIA
carotid stenosis
ANEURISM abdominal aorta
Pathology gastro-esophageal
BOWEL DISEASE (BEARERS ostomy)
PATHOLOGY OF THE LIVER AND BILE
PULMONARY DISEASE AND THYROID
PATHOLOGY OF THE BREAST CANCER
NURSING CARE PLAN Cardiac Surgery
NURSING CARE PLAN IN NEUROSURGICAL WARD
DRESSINGS AND WOUND HEALING
aseptic procedures
BANDAGES
Canale B
- CFU
- 3
- Teacher
- Stefania Naglieri
- Teachers
- Stefania Naglieri
- Hours
- 45 ore - Stefania Naglieri
- Language of instruction
- ITALIAN
- Contents
- CONTENTS
General aspects of nursing in surgery;
Nursing activity and organizational aspects in an operating unit;
Aims and classification of surgical procedures;
Nursing care for the patient undergoing surgery: preoperative, intraoperative,
post-operative period;
Care plans for the main pathologies of surgical interest with the related nursing care;
Major post-operative complications and related nursing care. - Reference texts
- Infermieristica clinica in Chirurgia
Rosanna Alloni, Anne Destrebecq, Lucia Giannotti, Ilvano Poma. Hoepli
I principi fondamentali dell'assistenza infermieristica
R.F Craven, C.J. Hirlie. Casa Ambrosiana Milano
Assistenza infermieristica in sala operatoria, linee guida e procedure
Eleonora Tiene E Luisa Anna Rigon. Casa Editrice Ambrosiana
Piani di assistenza infermieristica:
«linee guida per un assistenza personalizzata»
M.E. doenges - M.F. Moorhouse - A.C. Murr Minerva Medica.
Infermieristica medico-chirurgica
Barbara K. Timby e Nancy E. Smith. Mc Graw Hill Education
Assistenza Infermieristica Clinica:«Tecniche, procedure, emergenze»
Volume secondo: A.G. Perry e P. A. Potter. - Educational objectives
- LEARNING OBJECTIVES
At the end of the course the student must be able:
to know the organizational aspects of an operating unit;
to develop nursing care plans for the person who is to undergo general and specialized surgery;
to ensure post-operative pain relief for the patient;
to ensure the correct execution of surgical wound dressing and management of surgical drains;
to ensure patient safety in the prevention of the main surgical complications;
to ensure patient safety in infection prevention related to health care in surgery;
to educate the patient in the correct management of the colostomy / ileostomy /urostomy. - Prerequisites
- PREREQUISITES
Good knowledge of:
• basic nursing,
• anatomy,
• physiology
• and general pathology. - Teaching methods
- TEACHING METHODS
Frontal and interactive lessons with students;
Laboratory activities (exercises in the individual thematic units and integrated activities
related directly or indirectly to nursing in surgery). - Other information
- Contact: Stefano.nch@gmail.com
- Learning verification modality
- METHOD OF EXAMINATION
Written test: examination of the student’s knowledge acquired during the lessons and his
ability to formulate and apply a care plan starting from the assessment, then identifying
nursing diagnoses, collaborative problems and potential complications in surgical care
situations. - Extended program
- EXTENDED PROGRAM
The path of the surgical patient in election and in urgency: organizational models.
Structural and technological organization of the surgical department:
• location;
• environment and route
planning;
• dimensions and construction
system;
• lighting;
• furniture;
• temperature and aeration
systems;
• accessory rooms;
• standard equipment of an
operating room.
Organization of the staff of a surgical department
Specific skills:
• nurse anesthetist;
• circulating nurse;
• scrub nurse.
Paths and behavior in the operating room:
Personnel responsibilities in the operating room;
Clinical risk management in the surgical field for the prevention of adverse events management of documentation in the operating theater;
Preparation of the setting and of the staff for surgery;
knowledge of surgical instruments, suture materials and electrosurgical systems;
Management of reconditioning of surgical instruments
Standard care plan for the person undergoing surgery:
Standard care plan in the preoperative phase;
Standard care plan in the intraoperative phase;
Standard care plan in the post-operative phase;
Hints on the management of surgical pain;
Identification and management of post-operative complications.
Care plans for operated patients of:
• gastro-esophageal pathology
• intestinal pathology
• pathology of the liver and
biliary tract
• pulmonary and thyroid
pathology
• breast disease
• lower limb arterial disease
• carotid stenosis
• abdominal aorta aneurysm
• pathologies related to cardiac
surgery
• pathologies of neurosurgical
relevance
Nursing management of the main surgical procedures
•Management of a surgical wound dressing according to aseptic criteria,identification and prevention of major complications;
•Management of surgical drainage, types of drainage, their characteristics and
purposes, in particular thoracic and abdominal drainage;
•Knowledge and management of ostomies (colostomy, ileostomy, urostomy),
identification and prevention of their main complications nursing management of the main surgical procedures.