FIRST AID AND CRITICAL CARE NURSING

Course Sheet

Course code:

IN31C1E

Academic Year of enrolment:

2021

Year of supply:

2023/2024

Divisions:

CANALE B

Type of Course:

Characterising

Degree:

Course of 1st Cycle Degree in NURSING

Disciplinary Sector:

General, Clinical and Pediatric Nursing

Is part of:

FIRST AID AND CRITICAL CARE NURSING

Location:

PESCARA

Credits:

Programme Year:

Professor and Collaborators:

CIFARATTI NICOLA

Cycle:

First semester

Obligatory attendance:

Yes

Hours of classroom activity:

Individual study hours:

Prerequisites:

Understanding the discipline requires sufficient knowledge of:
1. knowledge of anatomy and physiology
2.knowledge of respiratory pathophysiology
3. knowledge of general and medical pathology
4.knowledge of asepsis procedures and CDC guidelines on hand washing
5.regulationsregulations on risk management
6. knowledge of microbiology
7. knowledge of basic nursing care
8.valid BLSD health certificate for the operator for access to the exams
To have taken and passed all first and second year exams as required by the study plan.

Objectives

LEARNING OBJECTIVES
The teaching of nursing in critical care contributes as an educational objective for the student to:
• Recognize and describe the nursing care needs of the person in critical life situations
• Manage the main nursing interventions aimed at maintaining respiratory and cardiovascular function in complex clinical situations.
Expected learning outcomes – Dublin indicators
(Learning outcomes)
Teaching contributes to the achievement of the following learning outcomes:
■ Regarding knowledge and understanding:
(knowledge and understanding) through classroom lessons the student learns the management of urgent/emergency situations; understands how to manage the necessary interventions in acute and/or critical situations; understands how to supervise and monitor the clinical situation of patients.
■ Regarding applied knowledge and understanding:
(applying and understanding) through practical exercises the student is able to recognize and manage cardiorespiratory arrest situations with basic cardiopulmonary resuscitation maneuvers and use of the semi-automatic defibrillator.
■ Regarding autonomy of judgement:
(Making judgements) the student is able to activate decision-making processes based on the patient's conditions and expected outcomes.
■ Regarding communication skills: communication skills) the student develops the ability to support relational dynamics with patients and family members in contexts and in critical vital situations.
■ Regarding the ability to learn: (learning skills) the student acquires the indispensable methodological tools to be able to autonomously provide adequate updating and research of the best available evidence.

Contents

Know the healthcare specificities of critical area facilities;
-Organize patient care in critical areas;
-Know the legal-legislative issues relating to the critical area;
-Identify and evaluate the needs of the patient at risk of survival and manage it both independently and in interdisciplinary collaboration;
- Establish an informative relationship with the family members of the patient at risk of survival.

Extended Syllabus

Definition of:
- Critical area, critical patient, intensive care.
- Structural and architectural aspects of the emergency room and intensive care unit.
- The organizational aspect in the critical area. Evaluation and monitoring of the person in critical life condition.
- Specific emergency medicines. Cardiorespiratory resuscitation.
-Invasive and non-invasive monitoring of cardiovascular function: (P.A, PVC, Swan Ganz, EGA from arterial cannula).
- Monitoring of respiratory function: respiratory supports, mechanical ventilation, (nursing management of endotracheal tube and suction of bronchial secretions).
- Management of the tracheotomized patient. Rapid emergency response systems in hospitals (Medical emergency team alert - Met al).
- Shock: hypovolemic, anaphylactic, cardiogenic.
-Pain management in critical areas.
- The nutritional needs of the critically ill person.
- Definition of brain death and organ donor problems. Assistance to the patient in a coma.
- The need to communicate in critical situations.
- Triage.
- 118: laws, organisation, structure, personnel, means and safeguards.
- Role of the nurse in the 118 Operations Center (C.O.): the Dispatch, the computer system, crews, primary and secondary interventions, the use of radios, cartography, health cards, color codes.
- Role of the nurse on the type A resuscitation ambulance: operational protocols, timing, team leader, tools supplied, vehicle furnishings, individual protective devices.
- Local rescue: patient with illness, psychiatric patient, neutological patient, polytraumatized patient, with chest pain, with heart attack, patient with cardiac arrest:
-standard procedures for patients with burns and hemorrhagic patients.
-Poisonings.
-Shockable rhythms: use of the AED, algorithms according to the American Heart Association guidelines.
- Role of the nurse in the team in the stabilization, immobilization, loading and transport of a victim.
- Immobilization devices, techniques and procedures.
- Life-saving devices: intraosseous infusion system and supraglottic devices.

- Major emergencies: role of the nurse in the event of natural disasters, the COM, the PMA, MEDEVAC.
-Helicopter rescue: role of the nurse in a helicopter

Recommended Bibliography

- BLS (Basic Life Support) e BLSD (Basic Life Support Early Defibrillation) Secondo le Linee Guida Resuscitation Council e European Resuscitation Council 2021.
- Linee Guida del 2021 dell’American Heart Association per RCP ed ECC. Gentili A. et al.
- Assistenza infermieristica in area critica e in emergenza – Casa Editrice Ambrosiana 2022
- NAEMT – PHTLS Prehospital Trauma Life Support di Alberto Adducci Casa Editrice Italiana Elsevier di Milano – Nona Edizione 2021.
-Rivista Tecnico –Scientifica per il personale dei Servizi di Soccorso Sanitario, N&A Mensile Italiano del Soccorso di Pistoia – Anno 32°.
-Aspetti Giuridici della Professione Infermieristica di Luca Benci. Casa Editrice Italiana Mc Graw Hill Education – Settima Edizione 2015. Moggia F. et al.,
- Brunner-Suddarth, Infermieristica medico-chirurgica. Casa Editrice Ambrosiana 2017

Teaching Methods

The course will be carried out through interactive lectures with the aid of material in Power Point files for a total of 30 hours. In order to complete the frontal teaching activity, the Students will be able to improve their theoretical training through simulations in the Clinical Laboratory with advanced mannequins.

Evaluation methods

Verification of learning:

The learning assessment is based on an oral and/or written test. The evaluation is expressed in thirtieths. In determining the order in which students must be examined, particular account will be taken of the specific needs of working students.
The following indicators and descriptors will be taken into account for the evaluation:
INDICATORS:
CONTENTS: relevance and correctness
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DESCRIPTORS:
Complete: 30
In-depth: 29 - 27
Fair despite some gaps: 26 – 24
Fully sufficient: 11pm – 9pm
Just enough with obvious shortcomings: 20 - 18
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INDICATORS:
ARGUMENTS: breadth and coherence
DESCRIPTORS:
Rigorous and documented, highlighting the ability to use the knowledge acquired and connect it in the argument: 30
Precise and detailed: 29 - 27
Adequate: 26 – 24
Fully sufficient: 11pm – 9pm
Just enough: 20 - 18
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INDICATORS: Correctness of expression, ownership of scientific language, communication ability

DESCRIPTORS: Refined and original: 30
Clear, fluent and correct: 29 -27
Fair: 26 - 24
Sufficient: 23 - 21
Not fully adequate: 20 -18
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- To pass the exam you must achieve a grade of no less than 18/30. To achieve a score of 30/30 cum laude, the student must demonstrate that he has acquired excellent knowledge of all the topics covered during the course, being able to connect them in a logical and coherent way

Contacts/More Information

The timetable of lessons and educational programs is ensured by the website of the CdS and the University. The exam sessions are indicated on the student's personal page.
Dr. Nicola Cifaratti
E-mail: cifanico@virgilio.it
Student reception: by appointment requested by email.

Università degli Studi
"G. d'Annunzio"

Chieti - Pescara

Aree

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