Nursing REPLICA ASL ROMA 3 - OSTIA

 The Concept of Critical Care and the Role of the Nurse  The Concept of Emergency and Urgency  The critically ill patient in emergency/urgency (DEA and Territory)  Organization of the out-of-hospital health system:  NUE (Single European Number) 112, Example of Organizational Model PSAP (Public-Safety Answering Point) I and II LEVEL  C.O. 118 (Operations Centre): purpose and organisation  Mobile roadside rescue units: vehicles and helicopter rescue  Maxi-emergencies: Triage and START Protocol (Simple Triage And Rapid Treatment), Advanced Medical Post (ART)  Decision-making in emergency/urgency situations  Organization for Intra-Hospital Emergencies:  Guidelines and Recommendations: ILCOR (International Liaison Committee On Resuscitation), SIIAARTI (Italian Society of Anesthesia Analgesia Resuscitation Intensive Care) and IRC (Italian Resuscitation Council)  SBAR (Situation – Background – Assessment – Reccomendation) method for communication  Rilevamento di EWS (Early Warning Signals) o MEWS (Modified Early Warning Signals)  Response to the in-hospital ACC: SIIAARTI/IRC Organizational Model and In- hospital Plans for Maxi-Emergencies  Primary and secondary assessment and stabilization: the ABCDE method  Triage: objectives, methods, training, evaluation, priority codes, example of "See and Treat" and "Fast Track" organizational models - Clinical-care pathways  ACC and CPR: Basic Life Support (BLSD) and Advanced Life Support (ACLS)  ATLS e PTC Base  Out-of-hospital rescue and in-hospital management of polytrauma  Management of comatose patients  Cerebrovascular emergencies and emergencies  Assistance for victims of violence  ICU Baseline Monitoring: HR, FR, SPO2, NPB, EXTERNAL CT, HGT control  Advanced monitoring in T.I: PA CRUENTA- ETCO2- PVC- PAP- PAS- INTERNAL BLADDER CT- PAD- PIC  Rating Scales: GCS- CAM-ICU- RASS- BRADEN OR NORTON- VIP SCORE- NRS- CPOT- BPS -MALLAMPATI  Emergency Trolley: Responsibility and Management  HFCN: Oxygen therapy with high-flow nasal cannulas  Non-invasive mechanical ventilation and the Role of the Nurse: CPAP – NIV  Invasive mechanical ventilation: types of ventilation and nursing management, Capnometry and Capnography, Evaluation of bronchial secretions, Closed and open system of suction  Basic Airway Management Procedures: oropharyngeal or nasopharyngeal cannulas, face masks, laryngeal masks, respiratory unit with valve  Advanced Airway Management Procedures: Orotracheal Intubation - Tracheostomy - Bronchoaspiration - Fibroscopy - Extubation - Pronation  Procedures for the evacuation of fluids in the pleural and peritoneal cavities: Thoracentesis- Paracentesis  Positioning procedures Pleural drainage and nursing management  Basic Invasive Monitoring Procedures: SNG Positioning - Bloody PA - CVC  Advanced Invasive Monitoring Procedures: Positioning Monitoring VIGILEO-PICCO - SWAN-GANZ (VIGILANS, EV1000)  Medication and Infusion Route Management Procedures  SNG Management Procedures: RG, NE Control and Management  DIVA Patient Assessment - Management, Monitoring and Complications of Vascular Access: peripheral and central (CVP- MINI-MIDLINE- MIDLINE-PICC- CICC-FICC)  Intraosseous vascular access  Management of the Acid-base Balance: Arterial sampling for blood gas analysis and its interpretation  Management of fecal incontinence: indwelling rectal probe placement and related  Management of the Hydro-electrolyte Balance in the critically ill patient  Hemodialyfiltration in the critically ill patient: CVC management from dialysis and controls related to CVVHD and CVVHDF treatment with heparin or calcium citrate.  Advanced Ventilatory Support Devices: HFOV (HIGH-FREQUENCY OSCILLATORY VENTILATION) - iNO (INHALED NITRIC OXIDE)  Advanced hemodynamic support devices: IABP (INTRA AORTIC BALLOON PUMP) – IMPELLA (COMPLEX CORONARY ANGIOPLASTY) – ECMO (EXTRA CORPOREAL MEMBRANE OXYGENATION)  Body care in the ICU: importance in care outcomes (Hygiene of the body - oral cavity - eyes)  Prevention and control of HAIs (vap – cr-bsi – cauti – ssi): Importance of hand hygiene – culture tests  LDP Prevention and Control: Patient Mobilization, Skin Inspection, MAD Management, and LDP Staging  Effective communication and humanization of care in ICU  Brain Death Assessment and Organ Transplant Procedures

Chiaranda M. -;Urgencies and Emergencies;. Institutions, V edition. Piccin - 2022  Giusti G.D. et al – ;Guide to monitoring in critical areas; – Aniarti - Maggioli Editore - 2014