Nursing REPLICA A.O. S. CAMILLO

**TRAINING OBJECTIVES:** - Conduct system-based and model-based assessments in adults and a comprehensive general physical examination. - Prioritize nursing diagnoses and integrated management problems using the NNN taxonomy (NANDA-I, NOC, and NIC) and M. Gordon’s theoretical model. - Plan primary interventions related to clinical care conditions encountered during the course of study related to identified nursing diagnoses and integrated management problems. - Understand the correct application of diagnostic-therapeutic prescriptions. - Define the evaluation criteria for the outcomes of nursing care provided to the patient. - Correlate instrumental and laboratory test results with the clinical conditions covered during the training program. - Know and apply the main legal and ethical references of the nursing profession. - Develop and enhance relational competence within nursing care. --- **EXPECTED KNOWLEDGE AND SKILLS** The student should demonstrate the following knowledge and skills: - Assess and manage pain; - Manage and treat pressure ulcers; - Handle simple and complex surgical wounds; manage drains (especially lung drainage); - Manage lower limb ulcers, apply compressive and protective dressings; - Prepare the patient for surgery; - Perform hair removal; - Understand different postures and positioning techniques according to the clinical condition; - Record a 12-lead ECG in adults and recognize major ECG abnormalities; - Apply anti-thrombotic elastic stockings; - Use techniques to prevent pulmonary stasis (postural drainage, clapping, and vibrations); - Assist the patient in the postoperative phase; - Apply and monitor cardiac function monitoring devices; - Administer oxygen therapy with all types of devices; - Manage and administer therapy via oral, topical, intramuscular, intradermal, subcutaneous, rectal, intravenous, inhaled, ophthalmic, auricular, and nasal routes; - Manage insulin therapy; - Insert a peripheral vein cannula (PVC) and manage PVCs; - Manage central venous catheters (CVC) for short, medium, and long-term use; - Operate mechanical infusion pumps; - Perform and understand indications for blood culture collection; - Interpret and evaluate major diagnostic tests; - Prepare, manage, and monitor the patient undergoing diagnostic investigations (radiological, ultrasound, endoscopic, scintigraphic, biopsy, etc.); - Prepare, manage, and monitor the patient undergoing endoscopic procedures; - Prepare and monitor patients during blood product administration; - Handle chemotherapeutic drugs; - Prepare, manage, and monitor the patient during exploratory punctures: thoracentesis, lumbar puncture, paracentesis, aspirate, and bone marrow biopsy; - Manage patients at risk of or with diabetic foot complications; - Insert and manage a nasogastric tube (NGT); - Manage PEG and other digestive stomas; - Manage and administer total parenteral and enteral nutrition; manage nutritional pumps; - Understand and apply dietary recommendations in major clinical conditions; - Perform techniques for hydro-electrolytic monitoring; - Perform and manage transurethral urinary catheterization in men and women; - Manage urinary and intestinal stomas.

To access the first internship of the 2nd year, the Internship I exam must be passed.

Badon, P., Canesi, M., Monterosso, A., & Pellegatta, F. (2018). Nursing Procedures. CEA. Berman, A., & Snyder, S. (2019). Clinical Nursing: Techniques and Procedures of Kozier. Edises. Craven, R., Hirnle, C., & Henshaw, C. (2023). *Fundamentals of Nursing Care*. 7th Edition. CEA. Gulanick, M., & Myers, K. (2019). *Nursing Care Plans: Nursing Diagnoses, Health Outcomes, and Nursing Interventions*. CEA.

Specialized Medicine and Surgery Psychiatric Diagnosis and Care Service (SPDC) Pediatrics Outpatient Clinics 100%

In-Progress Learning Assessment Evaluation of each internship stage through the verification of the objectives set by the student and the tutor: Evaluation through a behavioral and relational skills sheet Evaluation of any care plans drafted by the student during the internship experiences Evaluation of the Oral Exam Final Exam Written Test: Discussion of the nursing assessment on a clinical case, examination by systems and models Discussion of the nursing diagnoses and integrated management problems identified Discussion of the assistance objectives identified for the nursing diagnoses and integrated management problems identified Discussion of the prescribed interventions and evaluation criteria indicated by the student in the care planning Assessment of knowledge of the patient's clinical picture Oral and Practical Test: Simulation on a technical table and/or description of nursing techniques For each topic discussed, specify: Definition Purpose Preparation Description of actions in chronological order Organization

Specialized Medicine and Surgery Psychiatric Diagnosis and Care Service (SPDC) Pediatrics Outpatient Clinics