Nursing

Aurora Altissimi

The third-year professional internship is designed to foster the consolidation and advancement of the competencies acquired by nursing students during the first and second years.

750 hours of internship

Emergency patient nursing care:
- managing emergencies using guidelines, protocols, and procedures;
- assisting polytrauma patients;
- assisting patients in shock or cardiac arrest;
- knowledge of first aid and cardiopulmonary resuscitation (CPR) techniques: performing external cardiac massage and mouth-to-mouth/mouth-to-nose ventilation, and/or ventilating the patient using a bag-valve mask (AMBU bag);
- knowledge of triage assessment and color-coding systems;
- initial interventions for burn patients (management, assessment, and treatment – ​​Wallace scale);
- dressings, bandaging, and immobilization systems;
- gastric lavage;
- anterior nasal packing;
- knowledge and use of the defibrillator;
Nursing care for the critical care patient:
- recognize levels of acuity (level of consciousness, respiratory instability, hemodynamic instability) and
develop care plans
- measure and monitor CVP (Central Venous Pressure);
- measure and monitor systemic arterial pressure using invasive methods;
- assist the comatose patient by assessing the depth of coma using various assessment scales;
- be familiar with devices such as: endotracheal tubes, airways (cannulas), laryngoscopes, laryngeal tubes, and intraosseous access devices;
- be familiar with orotracheal intubation techniques;
- manage tracheostomies, including proper suctioning of secretions;
- ventilate and manage the patient using an automatic ventilator;
- perform oral hygiene for unconscious and/or intubated patients;
- be familiar with arterial blood gas (ABG) analysis procedures;
- manage controlled substances (narcotics);
- provide end-of-life care;
- prepare the body after death and understand medico-legal procedures.

Nursing care for the neurological patient:
- recognize signs and symptoms in neurological patients;
- care for patients with head trauma, Parkinson's disease, and Alzheimer's disease;
- be familiar with neurological diagnostic and instrumental techniques (lumbar puncture, EMG, EEG) and
collaborate with the physician in performing diagnostic and therapeutic procedures;
- recognize and care for a person experiencing an epileptic seizure.

Nursing care for the psychiatric patient:
- patient admission and multidimensional mental health assessment;
- implementation of individual and environmental measures for persons with psychopathological disorders (psychological,
pharmacological, environmental, and physical restraint);
- issues regarding treatment adherence and specific aspects of pharmacological therapy in psychiatry
Patient care in the operating room:
- be familiar with the positions the patient must assume on the operating table depending on the type of procedure;
- assist the patient in the pre-anesthesia area;
- be knowledgeable about the various types of anesthesia, medical devices, medications, and biomedical equipment;
- recognize surgical instruments and key medical devices;
- understand and apply operating room conduct protocols;
- be familiar with all equipment used for sterilizing materials and surgical instruments;
- know and apply guidelines, protocols, procedures, and checklists;
- understand the methods for and perform patient monitoring during the various phases of anesthesia;
- be familiar with regulations regarding narcotic substances and the associated inventory logs (stock-in and stock-out records);
- be familiar with storage and maintenance procedures for anesthesia materials and equipment.

positive assessment

Maria, who has a central venous catheter (CVC) for total parenteral nutrition (TPN), is admitted to a rehabilitation clinic following an ischemic stroke. She has an indwelling urinary catheter (Foley). Her treatment regimen includes anticoagulants, TPN, and a high-protein diet. She presents with a Stage III sacral pressure injury covered by a layer of fibrin. Her vital signs are within normal limits.
 Description of the pathophysiological aspects of ischemic stroke
 Nursing assessment and patient care management
 Pressure injury treatment: procedure, nursing competencies, and responsibilities