Placement year 2

A.Y. 2021/2022
Overall hours
Learning objectives
- To respond independently to nursing care need and to collaborate within a multidisciplinary team to manage priority health problems, in all pediatric ages, in different social, family and multicultural contexts.
- To plan nursing care according to objectives, according to evidence base practice principles and professional ethics, adapting it to quality standards and clinical risk.
- To carry out preventive, curative, rehabilitative and palliative care interventions in all pediatric ages, using technical-relational and educational strategies and assessing achieved results.
Expected learning outcomes
Ability to apply knowledge and understanding
- plan the delivery of nursing care in collaboration with the family and the interdisciplinary care group;
- evaluate the progress of care in collaboration with the interdisciplinary group, guaranteeing continuity of care;
- be responsible for providing and evaluating pediatric nursing care in accordance with professional quality standards and considering legal indications and ethical responsibilities such as newborns' rights
Ability to apply knowledge and understanding
- integrate the knowledge and skills stemming from the nursing discipline, from biomedical, psychological, socio-cultural and humanistic features to recognize the care needs of the newborn and the family and provide appropriate, effective and evidence-based pediatric nursing care;
- apply the nursing care on the basis of the reference disciplinary theoretical models to assess and diagnose health status and care needs in their physical, psychological and socio-cultural dimensions, plan goals, implement and evaluate the care provided and outcomes achieved;
- conduct a complete and systematic evaluation of data relating to the care needs of the newborn to facilitate growth, development and adaptation in health promotion, maintenance and recovery;
- analyze and accurately interpret the data collected through clinical reasoning;
- interpret and apply the results of research to nursing practice and link research paths to the theoretical development of the nursing discipline;
- provide nursing care in different care settings, both in- and out- of-hospital settings
Course syllabus and organization

Single session

More specific information on the delivery modes of training activities for academic year 2021/22 will be provided over the coming months, based on the evolution of the public health situation.
Course syllabus
Welcomes the infant / child / boy and his family and / or reference persons by introducing himself and specifying his role
Communicate with the newborn using delicacy in tone of voice and touch
Communicate with the child / boy by adapting the language so that it is understandable and verify the understanding of the information provided
Pose himself in an attitude of active listening towards parents and the child / boy
Use feedback to strengthen parent communication
Promotes the sense of trust of parents and child / boy to support their skills
Ask open-ended questions and answer suggestions if necessary
Use words and gestures that show interest
Understand both words and feelings of parents, sharing emotions without criticism and judgment
Adapt the language so that it is understandable to parents
Recognizes and supports the importance of child / boy / family relationship
Favors socialization of the child / boy, recognizing the importance of the game, ensuring its development
Correctly manages an educational relationship with mother (parents and / family members) in simple and medium complexity situations
Establishes professional relationships with health and non-health interlocutors
Promptly communicate useful information to members of the nursing team
Respect professional secrecy, ex officio, the code regarding the protection of personal data
Respect the WHO International Code of Marketing Breastmilk Substitutes and ensure its application
Respect the Baby Friendly Hospital Initiative and ensure its application
Apply specific operating protocols of the operating unit
Scientifically motivates clinical decisions made
Identify responsibilities and areas of autonomy of your nursing services
Autonomously organizes its own activity within the care planning according to care priorities
Welcomes comments constructively and changes behavior
Always identifies and communicates gaps or limitations of its training regarding assistance activities
Promptly make clear any mistakes made
Performs continuous data collection in a complete, reliable way, using scientific language and analyzes them
Identify nursing care needs
Plan nursing care activity according to priorities
Implements effective care interventions, in compliance with principles and rules of hygiene, infection prevention and control
Evaluate effectiveness of his work after each intervention
Always reports and records services performed using health documentation in use
Respect rules of asepsis
Chooses and implements different procedures for hand washing: social washing, antiseptic washing
Prepares and sets temperature-humidity ranges of the thermal cradle
Ensures specific devices operation for monitoring vital signs and sets alarm ranges
Detect and record vital parameters (FC, FR, TC, PA), detecting their characteristics
Detect and record pain intensity and characteristics
Apply peripheral venous access
Manages peripheral venous access
Manages CVC and collaborates in removal
Inserts and manages nose / oro-gastric tube
Administer and manage enteral nutrition
Administer and manage parenteral nutrition
Prepares, administers and manages drug therapy
Administer transfusion therapy
Administer and manage oxygen therapy
Manages wound dressings
Manages of stomas
Apply tools that promote postural care (nest, lying mat, wrapping)
Use containment techniques suitable for neonatal age (holding -handling)
Provide kangaroo mother care
Observe and record feeding characteristics
Observe and record vomiting / regurgitation characteristics
Detect nipple trauma due to incorrect attack and record
Assists in mastosuctor use
Assists in the use of integration methods compatible with breastfeeding (Teaspoon, Baby Cup, Softcup Advanced Cup Feeder, Finger Feeder, DAS)
Feeds a child with baby bottle

Baby Friendly University
Teaches mother:
Benefits of exclusive breastfeeding
The value of colostrum
The duration of exclusive breastfeeding
The importance of breastfeeding on request
The importance of skin-to-skin contact
The importance of rooming-in
To recognize early signs of hunger
Various possible positions for a correct attack and a valid feeding
The recognition of effective attack baby signs on the breast
The recognition of milk transfer signals (effective feeding)
To observe and evaluate the feeding with Breastfeeding Assessment Tools
Behaviors for SIDS prevention
How to Hand Express Breast Milk
How to Express Breast Milk with hands and / or mastosuctor
The conservation of breast milk
To use the methods of administration of squeezed milk that do not interfere with breastfeeding (Teaspoon, Baby Cup, Softcup Advanced Cup Feeder, Finger Feeder, DAS)
Various shapes and sizes of the breast, nipple and areola
How to recognize nipple trauma due to incorrect attack
How to manage nipple trauma
How to handle a traffic jam or mastitis
How to manage a nipple candida infection
Breastfeeding strategies if diabetic
To recognize the healthy infant who refuses to feed
To recognize the healthy infant who does not receive an adequate amount of milk
How to induce lactation in the presence of low milk production
Breastfeeding strategies of a newborn baby with jaundice
How to prevent neonatal hypoglycaemia
Recommendations for complementary feeding (weaning)
The importance of continuing breastfeeding even after complementary feeding
Which structures to contact for support groups (peer support) breastfeeding in the territorial network (after discharge)
The existence of breastfeeding consultants (after discharge)
Rare cases where breastfeeding is contraindicated
How to prepare formula milk safely
What are reasons for an addition with infant formula
Risks of artificial feeding
Risks of giving infant formula additions
The impact of using baby bottles or pacifiers on breastfeeding
Prerequisites for admission
The student will be able to access the placement exam in September if he has reached the expected number of hours and only after having delivered:
- Placement attendance sheets for each location that certify the achievement of the number of hours
- Evaluation form for each experience
- Copy of the Portfolio
- Nursing didactic record.
Teaching methods
Placement at Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico and affiliated healthcare facilities
For gestural skills acquisition, exercises, simulations, laboratory experiences are carried out during the degree course
Teaching Resources
Marisa Cantarelli Il modello delle prestazioni infermieristiche Masson 2018
Badon Pierluigi - Cesaro Simone Assistenza Infermieristica in Pediatria, ed. CEA 2015
Badon Pierluigi - Zampieron Alessandra Procedure infermieristiche pediatriche, ed. CEA 2010
UNICEF - Guide to the Unicef UK Baby Friendly Initiative university standards, July 2019
Assessment methods and Criteria
- an oral test consisting in the presentation of a nursing care plan, based on a real clinical case, elaborated independently by the student during the clinical Placement (presentation time 15 minutes);
- a practical test with simulation of a technical skill. For technical skills, refer to the list delivered during the year
MED/45 - NURSING - University credits: 25
Practicals - Exercises: 750 hours