Unit SURGICAL CLINICAL NURSING

ANATOMICAL PATHOLOGY

Code	50147501
CFU	1
Teacher	Rachele Del Sordo
Teachers	Rachele Del Sordo
Hours	15 ore - Rachele Del Sordo
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	Edoardo De Robertis
Teachers	Edoardo De Robertis
Hours	15 ore - Edoardo De Robertis
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)
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	Francesco Barberini
Hours	15 ore - Francesco Barberini
Learning activities	Caratterizzante
Area	Scienze medico-chirurgiche
Academic discipline	MED/18
Type of study-unit	Obbligatorio (Required)

GENERAL SURGERY - II

Code	50157501
CFU	1
Teacher	Carlo Boselli
Teachers	Carlo Boselli
Hours	15 ore - Carlo Boselli
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

Italian
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. Chest drain management34. Application of anti-embolism stockings
3. Assistance during bronchoscopy
4. Enema administration
5. Colostomy and ileostomy irrigation
6. Management of jejunostomy and gastrostomy tube
7. Enteral nutrition administration
8. Administration of drugs through enteral route
9. Ileostomy/colostomy care
10. Care of trans-abdominal nutrition device
11. Insertion and removal of nasogastric tube.
12. Care of urostomy
13. Wound care and dressing
14. Management of dehiscence and evisceration of surgical wound.

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. Chest drain management34. Application of anti-embolism stockings
3. Assistance during bronchoscopy
4. Enema administration
5. Colostomy and ileostomy irrigation
6. Management of jejunostomy and gastrostomy tube
7. Enteral nutrition administration
8. Administration of drugs through enteral route
9. Ileostomy/colostomy care
10. Care of trans-abdominal nutrition device
11. Insertion and removal of nasogastric tube.
12. Care of urostomy
13. Wound care and dressing
14. Management of dehiscence and evisceration of surgical wound.