Academic Year 2017/2018
- Docente: Grazia Antonella Tura
- Credits: 2
- SSD: MED/45
- Language: Italian
- Teaching Mode: Traditional lectures
- Campus: Rimini
- Corso: First cycle degree programme (L) in Nursing (cod. 8475)
Learning outcomes
The student at the end of the course will be able to:
- Indicate the main healthcare associated infection (HAI)
- Identify and discuss the etiology, mode of transmission, risk factors implicated in the transmission of HAI and nursing interventions to control endemic and epidemic spread
-
Indicate
areas/departments at increased risk of HAI
Distinguish which are the most representative HAI, in hospitals and territorial settings
Identify, for each infection, prevention measures strongly recommended and the specific BUNDLES: infection of intravascular devices, surgical infections, urinary tract infections, ventilator associated infection and respiratory care. - Implement the hand hygiene and provide support during the process of the correct application of the isolation precautions (standard, contact, droplet, airborne)
- Manage a patient colonized or infected with a MDRo and/or shin infection in each setting of care
- to know and use the tools for the risk assessment and the nursing assessment
- to know and use the nursing diagnoses NANDA International NIC NOC (with particular regard to risk of infection and impairment of skin integrity)
Course contents
1) Epidemiology of
HAI with regard to infection of the skin and soft
tissue ; diagnostic criteria according to the ECDC,
in hospitals and residential facilities;
2) Standard isolation precautions and contact precautions (intact
skin, broken skin) syndromic isolation
3) Hygiene skin's healthcare workers with particular emphasis on hand hygiene
4
) The bundles
to prevent the
HAI; (surgical site infection, intravascular device associated
infection, ventilator acquired pneumonia (VAP), urinary tract
infection catheter
related)
5) Patients colonized/infected by
microorganisms multi-drug resistant
(MDRo): CRE,
MRSA, ESBL, Acinetobacter, Clostridium difficile; measures to prevent the
transmission of MDRo and nursing management
6 ) Role and precautions in the use of detergents and antiseptics for skin, undamaged and damaged (infant/child, adult);
7 ) Aspects of nursing: skin's hygiene of the patient hospitalized / institutionalized: measures to protect and maintain the integrity; pre-operative preparation, intra-operative preparation to reduce the infection's risk; performing diagnostic tests (eg, blood culture) using aseptic technique;
8) The
risk assessment
scales; skin, wounds,
and soft tissues (braden, asepsis wound, push tool, etc.).
9) The NANDA-I
diagnoses, NIC,
NOC, (NNN) related to the compromised
skin integrity;
10) Special conditions of skin infections,
and parasitic
diseases: scabies, pediculosis, varicella
zooster, aspergillosis; mode of transmission, prevention and
control measures.
Readings/Bibliography
Guidelines and other documentation:
· Compendio CCM Ministero salute
· Linee Guida OMS- Clean care- Igiene mani versione italiana
· Raccomandazioni MRSA Ministero salute
· Indicazioni sui CRE Ministero salute e RER
· Memo 6 Antisepsi e disinfezione RER
· Definizioni e criteri di infezione delle ICA ECDC
· Dossier 190 Infezioni delle vie urinarie RER
· Dossier 123 Epidemie di infezioni correlate all'assistenza RER
· Diagnosi NANDA NIC NOC (NNN)
Teaching methods
Lectures
Case study
Simulations
reading and discussion of scientific papers
Assessment methods
written , with multiple-choice questions
Teaching tools
Personal Computer
Slides
scientific papers
Office hours
See the website of Grazia Antonella Tura