PRACTICAL NURSING TUTORIALS (FIRST YEAR)

Course Sheet

Course code:

INF11L1

Academic Year of enrolment:

2023

Year of supply:

2023/2024

Degree:

Course of 1st Cycle Degree in NURSING

Is part of:

PRACTICAL NURSING TUTORIALS (FIRST YEAR)

Location:

PESCARA

Credits:

Programme Year:

Professor and Collaborators:

MOSCA PAOLA

Cycle:

First semester

Obligatory attendance:

Yes

Hours of classroom activity:

Prerequisites:

For more effective participation in learning, it is important that the student has acquired theoretical knowledge in the clinical field (C.I. of Nursing Sciences Applied to Health and Social Education I)

Objectives

The professionalizing laboratory helps to acquire, in a protected and equipped environment, some technical skills/competences. The objective is to allow the student to implement the following principles: Knowing-in-Action (knowing while practicing) Stop-and-Think Reflect-in Action Specific training objectives and expected skills: Apply the knowledge acquired relating to basic technical, gestural, relational and educational skills relating to Gordon's Functional Models of health. Develop methodological skills relating to care planning. Promotes the execution of the fundamental techniques/procedures of nursing action Promote active learning through operational activities with simulation Ensure students learn objective evaluation processes through direct observation for each planned training setting Guarantee processes and methods of individual self-assessment of students through debriefings, guided by laboratory tutors Prepare the student not only for the internship but also for the evaluation. Acquire the following skills: Clinics, that is, identifying and deciding on patient problems; Psychomotor (procedural), i.e. carrying out procedures safely for the patient and the operator; Relational, i.e. communicating effectively through verbal and non-verbal strategies to help the patient understand/resolve.

EXPECTED LEARNING OUTCOMES KNOWLEDGE AND ABILITY TO UNDERSTAND Identify preventive behavioral measures for the risk of biomechanical overload during manual handling of loads in healthcare settings Identify healthcare aids for the manual handling of loads based on the patient's clinical conditions and posturing/transfer assistance activities Identify preventive interventions for infection control related to care processes Identify the standard precautions to be adopted to reduce infections related to healthcare processes in healthcare settings (hand hygiene, PPE) Identify methods of safe disposal of biologically hazardous waste (sharp, pungent, contaminated, infected) Identify a model for conducting the assessment for taking care of the patient

ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING Ascertain the clinical conditions of the patient to apply the appropriate procedures according to the degree of collaboration and the presence of neuromotor/physical disorders/pathologies Safely apply postures for the patient, respecting the principles of ergonomics for the operator and using major and minor aids Implement posture changes (bed posture, side rotation maneuvers and grip points, bed-wheelchair transition) Apply standard/additional precautions, according to the infectious risk (airborne transmission routes, contact, biological fluids) by carrying out; to. hand hygiene respecting the methods and times foreseen by the recommendations, b dressing with PPE in the correct sequence to avoid contamination Dispose of special biohazardous waste according to the safety procedure, in the appropriate containers Apply systematic assessment and surveillance of patients' current psychological, physical, social, and spiritual problems and risks Collect and organize objective and subjective data Develop diagnostic hypotheses based on the data collected Identify priority problems and related interventions consistent with the patient's clinical situation Simulate the administration of oxygen using the relevant devices INDEPENDENCE OF JUDGMENT Develop decision-making skills in managing movement according to disabilities Choose the appropriate aids and postures to ensure movement and prevent a) for the patient, falls, accidental injuries, compression injuries b) for the operator, falls and spinal injuries Develop decision-making skills in choosing individual protection measures according to the infectious risk in order to prevent infections and exposure to biological risk of operators Develop skills in choosing significant data to support the patient's real or risk problems and designing the care plan

ABILITY TO LEARN Acquire critical thinking and diagnostic reasoning skills by applying the nursing care process to create personalized care plans referring to people assisted during the apprenticeship COMMUNICATION SKILLS Simulate communication with the patient through simple and sequential orders to coordinate movement in postural passages and convey safety Apply effective communication methods (Verbal: shared verbal codes, choice of words, silences; Non-verbal: posture, proximity, gaze, touch; Para-verbal: tone of voice, facial expressions Identify barriers to listening Develop the ability to adapt professional communication methods in care contexts based on the person's needs, ensuring understanding, reformulation and assertive message-

Contents

Understand and deepen your knowledge to increase the level of skills before tackling the clinic; Identify the needs of nursing assistance for people with problems related to the topics addressed during the lectures; Integrate knowledge, skills and attitudes to provide safe, effective and evidence-based nursing care; Apply and manage the diagnostic and therapeutic paths addressed in class, with the aid of simulations, videos and films, and then analyze them critically; Provide communicative/relational, methodological/instrumental skills to identify the physical, psychological and social needs of the person at different ages of life, integrating theoretical knowledge with practical ones. Develop nursing conceptuality with the principles of the profession in the care situations envisaged by the training project, in relation to the responsibilities required for the 1st year of the course

Extended Syllabus

The student will be able to indicate and explain the activities relating to assistance with reference to the "Gordon" functional model. You will have tried and repeated activities in simulation to satisfy the following needs: NEED TO BREATHE Breath frequency Preparation of material for sputum collection Preparation for the administration of therapeutic agents by inhalation and for oxygen therapy Activities and exercise: cardiovascular and respiratory: The student will be able to indicate and explain the activities relating to assistance with reference to the "Gordon" functional model. You will have tried and repeated the relevant activities in simulation: Detection of vital parameters Body temperature The heart rate Blood pressure The respiratory rate O2 therapy, aerosol therapy NEED FOR NUTRITION Recognize and detect the factors that influence the need to eat; Prepare the material, know the technique according to scientific principles in detecting body weight and height; Evaluate the adequacy of the hospital diet in relation to the person's condition; Prepare a suitable environment by controlling ventilation, lighting and temperature; Prepare and help the person in taking food and ensure that food has been taken; Assist the person during emesis and detect their characteristics; Assist the person with dysphagia or nausea;

Mobilisation, hygiene and self-care. The student will be able to indicate and explain the activities relating to assistance with reference to the "Gordon" functional model. You will have tried and repeated the relevant activities in simulation: Change of linen and tidying up of the occupied bed Mobilization and positioning of the patient inside the bed, positions that facilitate breathing Patient transfer: bed, transport equipment; importance of physical activity with respect to rehabilitation and prevention Partial and total body hygiene: bed bath, face, oral cavity care, hands, feet, genito-perineal hygiene Change of clothing and mobilization in the presence of a patient with medical and surgical equipment. Recognize and detect the factors influencing the need for hygiene; Ensure partial and total hygiene of the person: hand washing, eye hygiene, ear hygiene, oral hygiene, intimate hygiene, shower, bath, bed bath, foot care, hair washing; Empty and occupied bed making; Preparation of the operating bed; Assist the person during hygiene treatments and help them change personal linen according to the person's level of dependence;

NEED FOR SAFETY Recognize and detect the factors influencing the need for safety; Ensure privacy; Implement risk prevention activities of a physical, chemical and mechanical nature; Prevent hospital infections through cleaning, disinfection and sterilization of healthcare facilities; Wear and remove personal protective equipment; Put on and remove sterile gloves; Perform hand washing (social, antiseptic, surgical and alcoholic rub); Know the correct use of the type of glove during healthcare activities; Dispose of waste correctly- NEED TO MOVE AND MAINTAIN THE ADEQUATE POSITION Recognize and detect the factors influencing the need to move and maintain an adequate position; Assist the person in walking with the aid of any aids; Know and be able to position the person in: supine, prone, lateral decubitus, Sims, trendelemburg and antitrendelemburg, fowler and semi-fowler, lithotomy, genupectoral; Knowing how to prevent the complications of bed rest through the mobilization of the passive and active person; Transfer of the person from the bed to the wheelchair and vice versa; Assist the person during transportation. ASSESSMENT OF VITAL PARAMETERS Recognize and detect the factors influencing the need to maintain normal temperature, heart rate and blood pressure; Detect body temperature in various locations; Detect heart rate by palpating peripheral pulses; Detect blood pressure; Assist the person with temperature rise; fever lysis, crisis Assist the person with hypotensive hypertensive crisis, with bradycardia and tachycardia. NEED FOR COMMUNICATION Recognize and detect the factors that influence the need to communicate; Participate in welcoming the person in the different care settings by planning the times and spaces to encourage and facilitate communication; Listen, inform, respect the principle of confidentiality in the use of the person's data; Use verbal and para-verbal language based on the person's psycho-physical conditions;

NEED FOR REST AND SLEEP Recognize and detect the factors influencing the need for sleep and rest; Prepare an environment suitable for promoting sleep by controlling the noise and lighting of the room. NEED FOR PHARMACOLOGICAL TREATMENTS Know the procedure for requesting drugs; the storage of medicines; preparation of therapy; Know the methods of drug administration (oral, subcutaneous, intramuscular, intradermal and intravenous); Know how to administer therapy orally, subcutaneously (insulin therapy and low molecular weight heparin); Know how to perform capillary sampling for glycemic monitoring; Know how to apply topical drugs; Ocular instillations; applications of ovules and vaginal sticks; application of rectal suppositories; Know how to identify adverse events related to drug administration. MAINTAIN SKIN INTEGRITY AND WOUND HEALING Know how to use scales for assessing pain, risk of pressure injury and risk of falling; Collaborate in the execution and carry out a simple dressing (including compression injuries); Know the scientific principles of sterility and apply them in the preparation of a sterile field.

Recommended Bibliography

Brunner Suddarth. Infermieristica medico-chirurgica. Casa Editrice Ambrosiana
Badon P., Canesi M., Monterosso A., Pellegatta F. (2018) “Procedure Infermieristiche”, Casa Editrice Ambrosiana
Gulanic M., Myers J. “Piani di assistenza infermieristica”. Casa Editrice Ambrosiana

Teaching Methods

The laboratory is carried out on a full-time basis: the aim is to experiment in a guided and protected way with gestural, relational and cognitive skills to facilitate the student's insertion into the operational clinical contexts of the internship. The teaching methodology is carried out with small groups of students (approximately 6-10). Based on the theoretical contents learned, the student practices to acquire a technical-manual skill. The activity is conducted by an expert nurse by demonstrating it and subsequently carrying it out by the student on mannequins or even through exercises between the students themselves. In support, audiovisual material and aids can be viewed. A final eligibility is expected. The theoretical contents of the activity are part of the topics evaluated during the clinical nursing and internship exams.

Evaluation methods

Verification of learning:

Suitability acquired through 100% attendance of laboratory activities.

Contacts/More Information

Student reception: by appointment requested by email.

Università degli Studi
"G. d'Annunzio"

Chieti - Pescara

Aree