21348 - Nursing in the Surgery Area (BO1)

Learning outcomes

At the end of the module, the student possesses the knowledge related to the care of the person/family in the context of priority health issues in the surgical area. They identify, plan, and evaluate nursing interventions and collaborate with other professionals in diagnostic-therapeutic pathways.

Course contents

• Glossary and Classifications in the Surgical Field
• Current and Future Perspectives of Surgery. Fast-track Surgery (FT) or Enhanced Recovery After Surgery (ERAS)
  

Nursing Care in the Preoperative Phase

• Care interventions during the pre-admission phase
• Nursing and care interventions in the preoperative phase
• Antibiotic prophylaxis
• Bowel preparation: pros and cons
• Prevention of thromboembolic complications
• Managing postoperative nausea and vomiting
  

Nursing Care in the Intraoperative Phase

• Reception of the patient in the operating room
• Safety of the patient in the operating room
• Positioning the patient on the operating table
• Monitoring during the surgical procedure
• From the awakening phase to discharge for transfer to the ward
• Anesthetic management of the surgical patient
• Summary of types of incisions
• Minimally invasive surgical approaches
• Minimally invasive surgery, advantages and contraindications
• Laparoscopic surgery
• Overview of robotic surgery
• Endoscopy
  
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Nursing Care in the Postoperative Phase

• Reception in the ward
• Surveillance of the immediate postoperative period
• Management of postoperative pain
• Resumption of peristalsis and resolution of ileus
• Fatigue and postoperative recovery
• Healing of the surgical wound
• Discharge of the operated patient
• Characteristics and assessment of surgical drainage
• Surgical wounds
• Nursing care for the person with an intestinal stoma
  

Care Planning in the Surgical Field

• Breast surgery
• Thoracic surgery (Thoracic drains)
• Gastric surgery
• Intestinal surgery
• Femur fracture in elderly patients

 

Readings/Bibliography

• Brugnolli A., Saiani L.(2022) "Trattato di chirurgia e infermieristica". Sorbona, Edizioni Idelson Gnocchi
• Ljungqvist O., Francis N.K., Urman R.D., Messina L., Caliaro A., Donadello K., Paiella S., & Salvia R. (2024) "ERAS – Protocolli per il miglioramento del recupero dopo l’intervento chirurgico". Monduzzi Editoriale.

Teaching methods

Lectures
Interactive lesson with exercises and case planning

Assessment methods

Oral exam

Teaching tools

Computer with projector, books, and articles.

Office hours

See the website of Domenico Regano