Unit SURGICAL CLINICAL NURSING
- Course
- Nursing
- Study-unit Code
- 50696707
- Curriculum
- In all curricula
- Teacher
- Carlo Boselli
- CFU
- 7
- Course Regulation
- Coorte 2022
- Offered
- 2023/24
- Type of study-unit
- Obbligatorio (Required)
- Type of learning activities
- Attività formativa integrata
ANATOMICAL PATHOLOGY
| Code | 50147501 |
|---|---|
| CFU | 1 |
| Teacher | Rachele Del Sordo |
| Teachers |
|
| Hours |
|
| Learning activities | Altro |
| Area | Altre attività quali l'informatica, attività seminariali ecc. |
| Academic discipline | MED/08 |
| Type of study-unit | Obbligatorio (Required) |
| Language of instruction | Italian |
| Contents | Role of Pathology Anatomy in the health system. Main diseases of cardiovascular system. Characteristics and differences of benign and malignant neoplasms 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). There are courses, materials and / or assessment methods consistent with the needs of students with disabilities and / or SLD ". For information on support services for students with disabilities and / or SLD, visit the page http://www.unipg.it/disabilita-e-dsa |
| 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 There are courses, materials and / or assessment methods consistent with the needs of students with disabilities and / or SLD ". For information on support services for students with disabilities and / or SLD, visit the page http://www.unipg.it/disabilita-e-dsa |
| Other information | For information rachele.delsordo@unipg.it Reception hours: Wednesday 15:00 p.m.-18:00 p.m. |
| Learning verification modality | Oral questions There are courses, materials and / or assessment methods consistent with the needs of students with disabilities and / or SLD ". For information on support services for students with disabilities and / or SLD, visit the page http://www.unipg.it/disabilita-e-dsa |
| 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. Characteristics of benign and malignant neoplasms. Tumour of the colon-rectum. Tumour of the breast carcinoma. |
| Obiettivi Agenda 2030 per lo sviluppo sostenibile | 3-Good health and well-being |
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
- Contents
- Reference texts
- 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.
- Other information
- Learning verification modality
- Oral test lasting approximately 15 minutes divided into 1 question on a clinical picture/case and more technique. A further question on the minimum necessary knowledge may be asked in the event of an unsatisfactory answer to the 2 previous questions.
TESTING OF CLINICAL SKILLS: interpretation of clinical picture
VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: description of a technology or procedure - 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
- Edoardo De Robertis
- Teachers
- Edoardo De Robertis
- Hours
- 15 ore - Edoardo De Robertis
- Language of instruction
- Italian
- Contents
- Reference texts
- 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.
- Other information
- Learning verification modality
- Oral test lasting approximately 15 minutes divided into 1 question on a clinical picture/case and more technique. A further question on the minimum necessary knowledge may be asked in the event of an unsatisfactory answer to the 2 previous questions.
TESTING OF CLINICAL SKILLS: interpretation of clinical picture
VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: description of a technology or procedure - 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 | Francesco Barberini |
| Teachers |
|
| Hours |
|
| Learning activities | Caratterizzante |
| Area | Scienze medico-chirurgiche |
| Academic discipline | MED/18 |
| Type of study-unit | Obbligatorio (Required) |
| Language of instruction | Italian |
| Contents | ESOPHAGEAL DIVERTICLES - ACALASIA - DIAPHRAMMATIC HERNIAS - MRGE - ESOPHAGE CANCER - PEPTIC ULCER - STOMACH CANCER (EGC) - BILIARY LITHIASIS - ACUTE PANCREATITIS - CANCER HEAD OF PANCREAS - ENDOCRINE PANCREAS TUMORS - CHRON'S DISEASE - RCU - COLORECTAL CANCER - APPENDICITES - MEKEL FUN - PERITONITES - INTESTINAL OCCLUSIONS - HERNIAS AND LAPAROCELI - PROCTOLOGY - PORTAL HYPERTENSION |
| Reference texts | R. Dionigi: Chirurgia. Basi teoriche e chirurgia generale-Chirurgia specialistica: 1-2 (ed. 2017) |
| 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 exam |
| Extended program | vedi contenuti |
GENERAL SURGERY - II
| Code | 50157501 |
|---|---|
| CFU | 1 |
| Teacher | Carlo Boselli |
| Teachers |
|
| Hours |
|
| Learning activities | Caratterizzante |
| Area | Interdisciplinari e cliniche |
| Academic discipline | MED/18 |
| Type of study-unit | Obbligatorio (Required) |
| Language of instruction | Italian |
| Contents | - 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 |
| Reference texts | Renzo Dionigi: Chirurgia Generale Mario Lise : Chirurgia per Infermieri V edizione |
| Educational objectives | The student must acquire knowledge on the main surgical pathologies .It must have theoretical and practical knowledge also in the field of procedures and surgical technologies |
| Prerequisites | nobody |
| Teaching methods | Frontal lessons - Exercises |
| Learning verification modality | Oral exam Following session METHOD OF CONDUCTING THE EXAM: Oral test divided into 2 questions, 1 of which is chosen by the candidate and one chosen by the commission, with a discussion aimed at ascertaining the level of knowledge, the ability to understand and summarize achieved by the student as well as verify the acquisition of method, language properties and exposition. The interview is divided into the different thematic areas that characterize the teaching with a duration varying from 15/30 minutes. which varies in relation to the progress of the test itself. Further questions on the minimum necessary knowledge may be asked in the case of unsatisfactory answers to the previous questions. TESTING OF CLINICAL SKILLS: interpretation of a clinical case presented verbally by the commission VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: description of a surgical procedure METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic average of the votes obtained in the individual disciplines For information on support services for students with disabilities and/or DSA visit the page http://www.unipg.it/disabilita-e-dsa |
| 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
- Stefania Naglieri
- Teachers
- Stefania Naglieri
- Hours
- 45 ore - Stefania Naglieri
- Language of instruction
- Italian
- 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
- Procedure infermieristiche
P . Badon, M. Canesi, A. Monterosso, F. Pellegatta. Casa Editrice Ambrosiana
Trattato di cure infermieristiche
L. Salani, A. Brugnolli. Trattato di cure infermieristiche - Idelson-Gnocchi
Infermieristica medico-chirurgica 2 Volume Brunner Suddarth - Casa Editrice Ambrosiana
Piani di assistenza infermieristica:
«Diagnosi infermieristiche, risultati di salute ed interventi infermieristi»
Meg Gulanick - Judith L. Myers - Casa Editrice Ambrosiana.
Infermieristica medico-chirurgica
Barbara K. Timby e Nancy E. Smith. Mc Graw Hill Education - Educational 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 and physiology
• general pathology. - Teaching methods
- Oral examination:
Check of the knowledge of the topics regarding the surgical patient's pathway. and related procedures. Description and building of nursing care plan for the standard and specific surgical patient. - Other information
- Contacti: stefania.naglieri@unipg.it
- Learning verification modality
- Oral 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
Elective and urgent surgical patient pathway: organizational models. Phases of preoperative care and building of a care plane for the surgical patient (investigations, nursing diagnoses, interventions, results)
1. Preoperative phase surgical techniques
2. Intraoperative phase. Management of surgical clinical risk to prevent adverse events, manual of operating room safety, objectives and checklist
3. Postoperative phase surveillance and postoperative complications. Structural technological organization of the surgical block, habits in the operating room, specific competences of the anesthesia nurse, of the circulating nurse, of the scrub nurse.
Surgical wound dressing, preparation of the sterile field, drains.
Surgical instruments and sutures.
management and reconditioning of surgical instruments.
Description and building of nursing care plan for the standard and specific surgical patient.
Caring plans for patient who underwent surgical intervention of:
- abdominal aorta aneurysm
Caring plans for patient who underwent surgical intervention of:
- gastroesophageal disease
bowel disease (patients with stoma)
- lung and thyroid disease
- breast disease
- caring plan for cardiac surgical patient
- caring plan for patient with fracture of the femur
Main procedures in surgery.
1. NG tube inseretion
2. urine catheter
3. Chest drain management
4 Application of anti-embolism stockings 6. CVP measurement
5. Assistance during bronchoscopy
6. Enema administration sheet
7. Colostomy and ileostomy irrigation
8. Management of jejunostomy and gastrostomy tube
9. Enteral nutrition administration
10. Administration of enteral drugs
11. Ileostomy/colostomy care
12. Care of trans-abdominal nutrition device
13. Insertion and removal of nasogastric tube.
14. Care of urostomy
16. Management of dehiscence and evisceration of surgical wound.
17. Intermittent pneumatic compression
Canale B
- CFU
- 3
- Teacher
- Stefania Naglieri
- Teachers
- Stefania Naglieri
- Hours
- 45 ore - Stefania Naglieri
- Language of instruction
- ITALIAN
- Contents
- General features of surgical nursing care.
Aims and classification of surgical interventions. Highlight of the most important moments of nursing care in the 3 phases of preoperative period. Planning the nursing interventions and preparing the caring plans for the person undergoing the surgical intervention. recognizing postoperative complications and explaining nursing interventions to prevent them. Nursing activities and organization of the surgical block. - Reference texts
- Procedure infermieristiche
P . Badon, M. Canesi, A. Monterosso, F. Pellegatta. Casa Editrice Ambrosiana
Trattato di cure infermieristiche
L. Salani, A. Brugnolli. Trattato di cure infermieristiche - Idelson-Gnocchi Infermieristica medico-chirurgica 2 Volume Brunner Suddarth - Casa Editrice Ambrosiana
Piani di assistenza infermieristica:
«Diagnosi infermieristiche, risultati di salute ed interventi infermieristi» Meg Gulanick - Judith L. Myers - Casa Editrice Ambrosiana.
Infermieristica medico-chirurgica
Barbara K. Timby e Nancy E. Smith. Mc Graw Hill Education - Educational objectives
- LEARNING OBJECTIVES
At the end of the course the student will be able to:
Know the organizational, structural and technological sides of a surgery block;
Elaborate nursing care plans for the person undergoing a general and specialized surgical intervention;
Warrant the correct preoperative pathway of the surgical patient;
Know and correctly perform the procedures applied to the person undergoing a surgical intervention.
Manage correctly the main devices used for the surgical patient.
Warrant the safety of the patient by preventing the major surgical complications.
Warranty the safety of the patient in preventing surgical care-related infections.
Train the person in correct management of colonoscopy/ileostomy/urostomy - Prerequisites
- PREREQUISITES
Good knowledge of:
• basic nursing,
• anatomy,
• physiology
• and general pathology. - Teaching methods
- TEACHING METHODS
Frontal and interactive lessons with students;
Small-group exercitations - Other information
- Contact: Stefania.naglieri@unipg.it
- Learning verification modality
- METHOD OF EXAMINATION
Oral examination:
Check of the knowledge of the topics treated during the lessons, the surgical patient's pathway. and related procedures. Description and building of nursing care plan for the standard and specific surgical patient. - Extended program
- EXTENDED PROGRAM
Elective and urgent surgical patient pathway: organizational models.
Phases of preoperative care and building of a care plane for the surgical patient (investigations, nursing diagnoses, interventions, results)
1. Preoperative phase surgical techniques
2. Intraoperative phase manual of operating room safety, objectives and checklist
3. Postoperative phase surveillance and postoperative complications.
Structural technological organization of the surgical block, habits in the operating room, specific competences of the anesthesia nurse, of the circulating nurse, of the scrub nurse.
Surgical wound dressing, preparation of the sterile field, drains.
Surgical instruments and sutures.
management and reconditioning of surgical instruments.
Caring plans for patient who underwent surgical intervention of:
- abdominal aorta aneurysm
gastroesophageal disease
bowel disease (patients with stomy)
- lung and thyroid disease
- breast disease
- cardiac surgical disease
- orthopedic disease patient with fracture of the femur
Urinary tract diseases and urostomy.
Main procedures in surgery.
1. NG tube insertion
2. urine catheter
3. Chest drain management
4. Application of anti-embolism stockings
5. Assistance during bronchoscopy
6. Enema administration
7. Colostomy and ileostomy irrigation
8. Management of jejunostomy and gastrostomy tube
9. Enteral nutrition administration
10. Administration of drugs through enteral route
11. Ileostomy/colostomy care
12. Care of trans-abdominal nutrition device
13. Insertion and removal of nasogastric tube.
14. Care of urostomy
15. Wound care and dressing
16. Management of dehiscence and evisceration of surgical wound.
17. Intermittent pneumatic compression