Nursing REPLICA V-ASL VITERBO

LEARNING GOAL The professional internship is designed to prepare the 1st year student to be able to identify the physical, psychological and social needs of the person in the different ages of life, integrating theoretical knowledge with practical ones. To develop the nursing concept with the principles of the profession in the care situations envisaged by the training project, in relation to the responsibilities required by its training level TARGET 1st year students AVERAGE OBJECTIVES The 1-year student must be able to relate to the assisted person and his / her family members, identify the physiological and pathological processes in people with medium / low complexity care needs, preparing an individualized care plan based on scientific evidence , in the medical and surgical area. SPECIFIC OBJECTIVES  Knowing and acquiring technical, practical, communicative and relational skills to identify the person's low / medium complexity care needs;  Know and promote the concept of safety with reference to Law 81/2008 and subsequent amendments, with regard to the assisted person and operators during the assistance acts;  Know the concept of prevention and management of infections related to care in hospitals and community facilities;  Know the concept of the person according to the different theorists;  Know the concept of health and nursing care needs in the different age stages of the person through assessment methods and tools;  Use the nursing care process in taking care of users;  Evaluate the results of the assistance provided and reshape nursing planning based on the evolution of the patient's problems;  Define the phases of Problem Solving, of the organizational process and of the nursing care process, Nursing Process;  Know the factors that influence the needs for: safety, breathing, elimination, mobilization, temperature, hygiene, nutrition, sleep-wake, as well as knowing the diagnostic process applied to care;  Know the indications and techniques for administering the therapy;  Guarantee and organize a therapeutic environment in relation to the microclimate;  Knowing how to identify patients at risk of immobilization syndrome and implement all preventive, curative, and rehabilitative measures;  Knowing how to transmit information completely and correctly;  Knowing how to integrate with the health and nursing team of the operating unit to achieve common goals;  Know the privacy legislation and identify behaviors that comply with ethical and legal obligations;  Know and know how to manage health records;  Know the strategies for health promotion and primary, secondary and tertiary disease prevention;  To welcome, inform, educate and support the person in the various care settings;  Sanitize and disinfect the devices used in care procedures; NEED TO BREATHE Recognize and detect the factors that influence the person's need to breathe; Detect the respiratory rate, position the person to facilitate breathing and expectoration; Ensure a suitable microclimate to promote breathing; Detect the sputum characters, prepare the material and collect sputum samples; Administer therapeutic agents by inhalation; Administer oxygen therapy. NEED POWER Recognize and detect the factors that influence the need to eat; Prepare the material, know the technique according to scientific principles in detecting body weight and height; Evaluate the adequacy of the hospital diet in relation to the person's condition; Provide a suitable environment by controlling ventilation, lighting and temperature; Prepare and help the person to eat and accept that the meal has been taken; Assist the person during the emesis and detect their characteristics; Assist the person with dysphagia or nausea. NEED OF ELIMINATION Recognize and detect the factors that influence the need for elimination; Detect the characteristics of the excreta (urine and faeces); 24-hour urine collection; Collect urine samples for examination: chemical-physical, cultural and cytological; Collect stool samples for examination: coproculture, occult blood, parasitological; Position the aids for the collection of urine and feces; Position the bladder catheter intermittently and permanently; Manage the indwelling bladder catheter; Teach self-catheterization; Apply a condom catheter; Urine examination with immersion stick and knowing how to recognize changes; Apply the rectal probe; Administer a small and large volume enema; Assist the person with impaired intestinal function: diarrhea, constipation and incontinence; Assist the person with impaired urinary function. NEED OF HYGIENE Recognize and detect the factors influencing the need for hygiene; Ensuring partial and total personal hygiene: hand washing, eye hygiene, ear hygiene, oral cavity hygiene, intimate hygiene, shower, bath, bed bath, foot care, hair washing; Making the bed empty and occupied; Assist the person during the hygienic treatments and help him to carry out the change of personal linen according to the degree of dependence of the person; NEED OF ELIMINATION Recognize and detect the factors that influence the need for elimination; Detect the characteristics of the excreta (urine and faeces); 24-hour urine collection; Collect urine samples for examination: chemical-physical, cultural and cytological; Collect stool samples for examination: coproculture, occult blood, parasitological; Position the aids for the collection of urine and feces; Position the bladder catheter intermittently and permanently; Manage the indwelling bladder catheter; Teach self-catheterization; Apply a condom catheter; Urine examination with immersion stick and knowing how to recognize changes; Apply the rectal probe; Administer a small and large volume enema; Assist the person with impaired intestinal function: diarrhea, constipation and incontinence; Assist the person with impaired urinary function. NEED OF HYGIENE Recognize and detect the factors influencing the need for hygiene; Ensuring partial and total personal hygiene: hand washing, eye hygiene, ear hygiene, oral cavity hygiene, intimate hygiene, shower, bath, bed bath, foot care, hair washing; Making the bed empty and occupied; Assist the person during the hygienic treatments and help him to carry out the change of personal linen according to the degree of dependence of the person; NEED FOR SECURITY Recognize and detect the influencing factors of the need for security; ensure an effective physical and psychosocial environment for patient safety use physical, chemical and biological risk protection practices in the workplace adopt the precautions for the manual handling of loads adopt infection risk prevention strategies (standard precautions) in hospital and community facilities Ensure privacy; Implement risk prevention activities of nature: physical, chemical, mechanical; Prevent hospital infections by cleaning, disinfecting and sterilizing care facilities; Wear and remove personal protective equipment; Put on and remove sterile gloves; Perform hand washing (social, antiseptic, surgical and alcoholic friction); Know the correct use of the type of glove during care activities; Properly dispose of waste NEED TO MOVE AND KEEP THE ADEQUATE POSITION Recognize and detect the influencing factors of the need to move and maintain an adequate position; Assist the person in walking with the help of any aids; Know and know how to position the person in: supine, prone, lateral decubitus, Sims, trendelemburg and antitrendelemburg, fowler and semi fowler, lithotomy, genopectoral; Knowing how to prevent the complications of bed rest by mobilizing the passive and active person; Transfer of the person from the bed to the wheelchair and vice versa; Assist the person during transport. ASSESSMENT OF THE VITAL PARAMETERS Recognize and detect the influencing factors of the need to maintain normal temperature, heart rate, blood pressure; Detect the body temperature in the various locations; Detect heart rate through palpation of peripheral pulses; Detect blood pressure; The pain measurement scales; Assist the person with temperature rise and lysis of fever, crisis; Assist the person with hypotensive hypertensive crisis, with bradycardia and tachycardia. NEED FOR COMMUNICATION Recognize and detect the factors that influence the need to communicate; Participate in welcoming the person in the various care settings by planning the times, spaces to encourage and facilitate communication; Listening, informing, respecting the principle of confidentiality in the use of personal data; Use verbal and non-verbal language based on the psycho-physical condition of the person. NEED FOR REST AND SLEEP Recognize and detect the influencing factors of the need for sleep and rest; Provide a suitable environment to promote sleep by controlling the noise and lighting of the room NEED FOR PHARMACOLOGICAL TREATMENTS Know the procedure for requesting and storing drugs; Know the techniques of preparation of the therapy; Know the methods of drug administration (oral, subcutaneous, intramuscular and intradermal and intravenous) Knowing how to administer the therapy orally, subcutaneously (insulin and low molecular weight heparin); Knowing how to perform capillary sampling; Knowing how to apply topical drugs, ocular instillations, applications of ovules of vaginal candles and rectal suppositories; Knowing how to identify adverse events related to drug administration. MAINTAIN SKIN INTEGRITY AND HEALING OF LdD Knowing how to use pain, pressure injury risk and fall risk scales Collaborate in the execution and perform a simple dressing (including compression injuries) Know the scientific principles of sterility and apply them in the preparation of a sterile field

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S.M. Nettina, "The Nurse's Manual", 7th ed. volumes 1 and 2, Piccin, 2001, Padua. A.Berman, S. Snyder, C. Jackson, “Clinical Nursing: Kozier's Techniques and Procedures”, II Edition, EdiSES, 2011, Naples. R. Craven, C. Hirnel, S. Jensen, "Fundamental Principles of Nursing Care", Fifth Edition, Ambrosiana Publishing House, September 2013, Milan, vol. 1 and 2 C. Taylor, C. Lillis, P. Lynn "Fundamental principles of nursing", Piccin 2018, Padua

the clinical internship foresees the presence in care settings, and at a distance according to the indications of the university

compulsory attendance 15 CFU equal to 450 hours

the method of evaluation will be decided from time to time

S.M. Nettina, "The Nurse's Manual", 7th ed. volumes 1 and 2, Piccin, 2001, Padua. A.Berman, S. Snyder, C. Jackson, “Clinical Nursing: Kozier's Techniques and Procedures”, II Edition, EdiSES, 2011, Naples. R. Craven, C. Hirnel, S. Jensen, "Fundamental Principles of Nursing Care", Fifth Edition, Ambrosiana Publishing House, September 2013, Milan, vol. 1 and 2 C. Taylor, C. Lillis, P. Lynn "Fundamental principles of nursing", Piccin 2018, Padua

the clinical internship foresees the presence in care settings, and at a distance according to the indications of the university