21348 - Nursing in the Surgery Area (BO2)

Learning outcomes

At the end of the module the student possesses the knowledge relating to taking care of the person/family in the context of priority health problems in the surgical area. Identifies, plans and evaluates healthcare interventions and collaborates with other professional figures in diagnostic-therapeutic paths.

Course contents

 

-INTRODUCTORY TOPICS

-The classification of surgical interventions
-THE ERAS Protocol
-Safety in the operating room and in the surgical field
-Informed consent in surgery
-Asepsis 

1. NURSING ASSISTANCE TO PERSONS SUBJECT TO DIAGNOSTIC AND INSTRUMENTAL INVESTIGATIONS, ENDOSCOPIC AND INTERVENTIONAL RADIOLOGICAL PROCEDURES

2. PERIOPERATIVE NURSING CARE

2a. Preoperative phase

-Nursing care planning in the pre-operative phase
-pre-operative nursing assessment
-Identification of healthcare problems
-Nursing interventions (with particular reference to the prevention of the main post-operative complications)
-Management of pre-operative fasting periods
-Blood tests and pre-anesthetic drugs
-Trichotomy
-Risk factors for surgical complications.

 

2b. Intra-operative phase

-Structural and care characteristics in the operating block
-Multi-professional team in the operating block
- Sterilization process
-Surgical hand washing and dressing of the surgical team
-Notes on surgical instruments

-Reception and admission of the person to the operating room
-Intraoperative nursing assessment and compilation of the Surgical Safety Checklist
-Assistance during anesthesia (general, loco-regional, local)
-Assistance during the surgical procedure.
-Assistance during the awakening phase
-Nursing care in the Recovery Room.
-Management of potential immediate post-operative complications.

2c. Post-operative phase

Planning of nursing care in the post-operative phase

-Reception and initial assessment of the operation in the surgical inpatient unit.
-Planning post-surgical care problems
-Evaluation of post-operative pain through unidimensional and multidimensional scales
-Blood transfusion
-Classification of surgical wounds.
-Purposes and dressing techniques.
-Management of surgical drains.
-Management of potential post-operative complications.
-The resignation.

3. ASSISTANCE IN THE PRE AND POST-OPERATIVE PHASE TO THE PERSON UNDERGOING intervention of:

-Gastric surgery
Management of artificial nutrition (NE – NPT)
-Intestinal surgery (colon rectum)
Management of enterostomies
-Liver and pancreatic surgery
-Lung surgery
Management of chest drainage
-Breast surgery
-Cardiac surgery
-Orthopedic surgery
Management of the patient with per-trochanteric femur fracture, hip and knee arthroplasty

Readings/Bibliography

Brunner Suddarth “Infermieristica Medico-Chirurgica “ V edizione, Casa Editrice Ambrosiana, Milano 2021.*

NANDA International “Diagnosi Infermieristiche definizione e classificazione 2021 2023”, Casa Editrice Ambrosiana, Milano 2021.

Rossana Alloni et al, “Infermieristica clinica in chirurgia”, casa editrice Hoepli , edizione 2010

Lynda Juall Carpenito, “Piani di assistenza infermieristica e documentazione- diagnosi infermieristiche e problemi collaborativi” Casa editrice CEA,” 2004

Rossana Alloni, “Manuale per l’assistenza infermieristica in chirurgia generale e specialistica” Tomo I e II, Casa editrice Aracne, !° edizione: Settembre 2020

Galvagni M., Perini C., “L’infermiere in sala operatoria”, McGraw-Hill Italia,2010.

Ministero del Lavoro, della Salute e delle Politiche Sociali "Manuale per la sicurezza in sala operatoria: Raccomandazioni e check list”, Ottobre 2009

Regione Emilia Romagna Agenzia Sanitaria e Sociale Regionale "Raccomandazioni per la sicurezza in sala operatoria", Febbraio 2010.

Regione Emilia Romagna Direzione Generale Sanità e Politiche Sociali Servizio Presidi Ospedalieri "Ospedale per Intensità di Cura: strumenti per la classificazione dei pazienti", Febbraio 2015.

*Recommended main reference text. The other texts for further information.

Teaching methods

The frontal lessons will be alternated with collaborative learning methodologies based on the "case method".

Assessment methods

Written test (multiple choice test) preparatory to accessing the Oral Test

Teaching tools

Powerpoint slide presentation

Published educational material

Clinical cases in "vitro"

Equipment for laboratory activities

Office hours

See the website of Omar Govoni