Nursing

Activity type

Primo soccorso

SSD

MED/09

Year

3rd year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

LORENA CIPOLLONE

Activity type

Primo soccorso

SSD

MED/18

Year

3rd year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

ALESSANDRO COPPOLA

Activity type

Primo soccorso, Interdisciplinari e cliniche

SSD

MED/41, MED/41

Year

3rd year

Semester

1st semester

CFU

2

Hours distribution

24 classroom hours

Lecturers

SILVIA FIORELLI

Activity type

Scienze infermieristiche

SSD

MED/45

Year

3rd year

Semester

1st semester

CFU

2

Hours distribution

24 classroom hours

Lecturers

Alessandro Menghini
Fabrizio Zocchi

The course aims to provide students with the fundamental theoretical and practical knowledge for managing critically ill patients in the perioperative, emergency, and intensive care settings.
The course aims to develop specific nursing skills in recognizing, monitoring, and treating conditions of hemodynamic and respiratory instability, as well as in managing the main life support techniques.
⸻

Basic knowledge of human anatomy and physiology, general pharmacology, and fundamental principles of nursing care

Module: EMERGENCY MEDICINE
At the end of the Emergency Medicine and First Aid course, the student should be able to:
Understand the concepts of urgency and emergency
Be familiar with the territorial and hospital emergency-care networks
Understand the principles of triage according to the Lazio Region model
Identify the critically ill patient, interpret alterations in vital signs, monitor the critical patient, and maintain vital functions
Recognize the importance of communication and information in the field of emergency medicine
Understand the management and care procedures for patients presenting to the emergency department with internal medicine conditions
Interpret laboratory reports in the context of emergency medicine
Recognize the main abnormalities on an electrocardiogram
Interpret the main clinical “scores” used in emergency medicine



Module: EMERGENCY SURGERY
Peritonitic and traumatic acute abdomen
Intestinal obstructions
Upper and lower gastrointestinal bleeding
Management of stomas and open abdomen
Intestinal perforations
Intestinal ischemia
Management of thoracic and abdominal trauma
Pneumothorax


Module: ANESTHESIA AND RESUSCITATION
Principles of general and regional anaesthesia, techniques and drugs
Malignant hyperthermia and local anaesthetic toxicity
Airway management: intubation techniques and supraglottic devices
Invasive and non-invasive ventilation
Monitoring in the operating room and intensive care unit
Patient positioning and safety in the operating room
Interpretation of arterial blood gas analysis (ABG)
Management of acute pain
Peripheral and central venous access: approach and management
Artificial nutrition: enteral and parenteral feeding
Extracorporeal support techniques: ECMO, IABP, continuous renal replacement therapy (CRRT)


Module: NURSING IN THE CRITICAL AREA
At the end of the course, the student will have acquired knowledge of the main critical clinical conditions related to organ failure, intoxications, polytrauma, and burns, as well as of the corresponding care pathways. The student will also have developed the fundamental skills required for managing clinical and nursing issues in the critical care setting.
The course provides the theoretical knowledge necessary for designing evidence-based nursing care through the application of the nursing process. It also offers the tools to accurately analyze and interpret data collected during nursing assessment.

Module: EMERGENCY MEDICINE
AHA Guidelines 2020 for CPR and ECC
ESC and AHA Guidelines on the topics covered
Emergenze ed Urgenze Medico-Chirurgiche. Sintomo–Diagnosi e Terapia — M. Zagra, R. Pugliese et al., EDRA, May 2020
Tintinalli’s Emergency Medicine Manual — Rita K. Cydulka, Michael T. Fitch et al., Antonio Delfino Editore, 8th Edition, December 2019



Module: EMERGENCY SURGERY
Chirurgia per infermieri a cura di Mario Lise.


Module: ANESTHESIA AND RESUSCITATION
Updated handouts and teaching materials will be provided during the course by the instructor.
For further reading, we recommend:
• J. Fultz, P.A. Sturt, M.B. Pinna, C. Ronzani – Emergency Nursing (Nursing Care)
• M. Ranieri, L. Mascia, L. Tritapepe – Manual of Anesthesia, Resuscitation, and Intensive Care
• BLS – ALS – ATLS Manual


Module: NURSING IN THE CRITICAL AREA
Teaching material prepared by the professor

Module: EMERGENCY MEDICINE
N/D
Module: EMERGENCY SURGERY
N/D
Module: ANESTHESIA AND RESUSCITATION
N/D
Module: NURSING IN THE CRITICAL AREA
N/D

Module: EMERGENCY MEDICINE
N/D
Module: EMERGENCY SURGERY
N/D
Module: ANESTHESIA AND RESUSCITATION
N/D
Module: NURSING IN THE CRITICAL AREA
N/D

Attendance is mandatory and in-person. Students are required to attend at least 75% of scheduled teaching hours.

Learning assessment is based on the Miller Pyramid model, which distinguishes four progressive levels of competence:
• Knows – theoretical knowledge of fundamental principles;
• Knows-how – ability to apply acquired knowledge to clinical or simulated situations;
• Shows-how – practical demonstration of professional skills in controlled contexts (simulations, mannequin exercises);
• Does – integration of knowledge and skills into real clinical practice.

This course is assessed on multiple levels:
• Ongoing exam: assesses the knows and knows-how levels, verifying understanding of the theoretical principles of anesthesia, resuscitation, and critical care and the ability to apply them to clinical reasoning.
• Practical exercises and simulations: allow the shows-how level to be observed through the direct assessment of technical skills (BLS, airway management, monitoring).
• Final oral exam: consolidates the knows and knows-how levels, verifying mastery of fundamental concepts and the ability to integrate them into the nursing management of critically ill patients.

Describe the principles of general anaesthesia and the main drugs used.
Explain the differences between invasive and non-invasive ventilation.
Illustrate the nursing management of a patient treated with IABP or ECMO.
Interpret an arterial blood gas analysis (ABG) in a mechanically ventilated patient.
Discuss the nurse’s role in preventing anaesthesiological complications.

Module: EMERGENCY MEDICINE

• Cardiopulmonary resuscitation (CPR) according to AHA Guidelines (BLS and ACLS)


• Electrocardiogram and arrhythmias


• SEPSIS


• Emergency management of glucose homeostasis and acute complications of diabetes mellitus 


• Acid–base balance and interpretation of arterial blood gas (ABG) in emergency settings 


• Organization of Emergency Departments and Emergency Rooms, Hub-and-Spoke centers, and time-dependent care networks


• Chest pain and emergency management of Acute Coronary Syndrome (ACS) 


• SARS-CoV-2 pandemic and COVID-19

• Peritonitic and traumatic acute abdomen


• Intestinal obstructions


• Upper and lower
  gastrointestinal bleeding


• Management of stomas and open abdomen


• Intestinal perforations


• intestinal ischemia


• Management of thoracic and abdominal trauma


• Pneumothorax

• PRINCIPLES OF ANESTHESIA


• CRITICAL CARE 1


• CRITICAL CARE 2


• ALS-BLS EXERCISE


• IN-PROGRESS TEST

• Major emergencies and PEIMAF (Mass Casualty Incident Plan)


• Gender-based violence: management and the nurse’s role in the Emergency 


• Patient monitoring: methods and recognition of malignant arrhythmiasTypes of defibrillators herapeutic use of electrical current: cardioversion and defibrillation – nurse’s role


• Triage in mass casualty eventsDepartmentEmergency Medical Service (118) and the Single Emergency Number (NUE): the nurse’s role in the operations center and in the field


• NEWS Index and its applicationTrauma immobilization devices and their use


• Emergency network and time-dependent conditionsContinuity of care, transport of the critically ill patient, and the nurse’s role


• Modified EHERENWERTH classificationRisk Score for Transport Patients (RSTP


• ACLS/ALS algorithmsUniversal algorithmVentricular Tachycardia/Fibrillation (VT/VF) algorithmAsystole algorithm