Nursing REPLICA P - CASSINO - PONTECORVO

THE NURSE PROTAGONIST OF PREVENTION AND PROMOTER OF HEALTH History of radiation protection Biological effects of ionizing radiation Radiation protection in health activities Personnel classification Dose limitation according to Legislative Decree 241/2000 Workers exposed and not exposed Classification of working areas: controlled area and supervised area Physical surveillance Medical surveillance The X-ray tube Sources of risk in radiological activity Risk of external irradiation Availability of shielding The dosimeter Traditional radiographic procedures Tac Mammography Dental Radiology Radioimmunology: RIA Nuclear medicine Prevention and protection measures in nuclear medicine Radioactive waste Radioactive waste: solid and liquid EX LEGISLATIVE DECREE 626/94 "PROTECTION OF THE HEALTH OF WORKERS IN WORKPLACE" - T.U. N. 81/2008 AND SUBSEQUENT INTEGRATIONS. Introduction Evaluation of health risks Biological risk Chemical risk Physical Risk Identification of risk prevention strategies Identification of the D.P.I. Correct use of the D.P.I. LEGISLATIVE DECREE NO. N ° 187 OF 26 MAY 2000 "IMPLEMENTATION OF DIRECTIVE 97/43 IN THE NATURE OF HEALTH PROTECTION OF PERSONS AGAINST THE HAZARD OF IONIZING RADIATION CONNECTED TO MEDICAL EXHIBITIONS". definitions Principle of justification Optimization principle Responsibility procedures Training equipment Special practices LEGISLATIVE DECREE 241/2000: GENERAL ASPECTS, PRINCIPLES CONCERNING THE PRACTICES (ARTICLE 2), OBLIGATIONS OF THE EMPLOYER (ARTICLE 61), OBLIGATIONS OF WORKERS (ARTICLE 68), OBLIGATIONS FOR WORKERS OF MOTHERS (ART.69), NOTES FOR THE CLASSIFICATION OF STAFF. Radiation protection card Changes in work activity Temporary suspension of work activity Resumption of work activity Termination of work activity RADIOTHERAPY definitions Types of radiotherapy: IORT, Radiosurgery, Roengistherapy, TBI (total body irradiation), Brachytherapy, Hyperthermia. PATIENT PATH IN RADIOTHERAPY The reservation The constitution of the clinical dossier Radiotherapy advice or first visit The location of the target volume Detection of the body section to be treated Care plan Verification simulation Taking charge by the nurse Radiotherapy sessions Inspection visits Leave of absence NURSING IN RADIOTHERAPY Clinical care role Therapeutic education Pain Evaluation of pain Classification The antalgic therapy service The fatigue The quality of life The Simonton method Complications and care priorities: head and neck: epileptic seizure, alopecia, radio necrosis, carcinoma of the oral cavity, xerostomia. Breast: the burn, lymphedema. Chest district: assistance to the patient who has difficulty breathing. Abdominal-pelvic district: hemorrhage and metastasis TBI (total body irradiation) Complications Psychological aspect Proposal of one

Knowledge of medical physics of ionizing radiation. Having attended the mandatory courses relating to safety in the workplace organized remotely by the University. Knowledge of the main regulations regarding radiation protection of exposed personnel, patients and the general population

Gardes M.P., “ Nursing in radioterapia: l’infermiere e la tecnologia”, casa editrice Piccin , Padova, 2007

In order to take the exam relating to a specific course, it is necessary to have documented presence in the classroom equal to at least 67% of the hours required by the teaching system.

The student must be able to master for each question the scientific aspect and the rationale according to updated evidence, the clinical aspect, the prevention and initial evaluation of complications, the nursing care aspect and the relationship with the care team that identifies specific technical, relational, educational, intellectual and managerial skills. The extension of the knowledge acquired, the understanding and the variables of application of the knowledge, the skills of analysis and argumentative synthesis, the skills of evaluation and decision-making of clinical-care situations are taken into account. The validity of the arguments and the logical process are taken into account. Interactive ongoing tests. Evaluations of group work. Final interview.