Placement Year 1
A.Y. 2023/2024
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.
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
CLINICAL - PRACTICE AREA
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
- 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
CLINICAL - PRACTICE AREA
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
Lesson period: year
Assessment methods: Esame
Assessment result: voto verbalizzato in trentesimi
Single course
This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.
Course syllabus and organization
Single session
Course syllabus
Welcome the child / boy and his family and / or reference people by introducing himself and specifying his role
Communicate with the child / boy adapting the language so that it is understandable and verifies that the information provided has been understood
Practice active listening towards parents and the child / boy
Use feedback to strengthen parental communication
Promote the sense of trust of parents and child / youngster to support their skills
Use words and gestures that show interest
Understand both words and feelings of parents without expressing value judgments
Establish professional relationships with health and non-health interlocutors
Promptly communicate useful information to members of the nursing team
Recognize the importance of the child / boy / family relationship
Encourage the socialization of the child / boy, recognizing the importance of the game, ensuring its development
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
Scientifically motivate clinical decisions made
Identify responsibilities and spaces of autonomy of your nursing services
Organize your own activity within the care planning according to care priorities
Accept comments constructively and change behavior
Always identify and communicate gaps or limitations of your training regarding the assistance activity
Promptly explain any mistakes made
Perform continuous data collection in a complete, reliable way, using scientific language and analyze them
Identify needs of nursing care
Plan nursing care activity according to priorities
Implement effective care interventions, in compliance with principles and rules of hygiene, infection prevention and control
Evaluate the effectiveness of your work after each intervention
Always report and record services performed using the health documentation in use
Respect rules of asepsis
Choose and implement different procedures for hand washing: social washing, antiseptic washing
Use non-sterile and sterile gloves in a manner pertinent to activity to be carried out and use personal protective equipment
Ensures a peaceful environment for the respect of newborn's sleep-wake rhythm
Ensures compliance with the indications useful for SIDS prevention
Provide for total / partial hygiene of the infant / child and / or provide the necessary material to parents
Provides for diaper change
Medical umbilical cord
Ensures periodic change of the newborn's linen and of the cot
Proceed with the remaking of the occupied bed
Transfer child / teenager from the bed to the chair, armchair or stretcher
Performs capillary sampling
Detect and record anthropometric parameters (weight, length / height, head circumference)
Detect and record heart rate
Detect and record respiratory rate
Detect and record blood pressure
Detect and record body temperature
Detect and record skin color
Detects and records muscle tone
Detect and record hydration status of skin and mucous membranes
Detects and records values of cutaneous bilirubin
Observe and record feeding characteristics
Assist in mastosuctor use
Observe and record vomiting / regurgitation characteristics
Detect nipple trauma due to incorrect attack and record
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
Observe and record urine characteristics
Observe and record stool characteristics
Manage oximeter
Perform scotch test
Apply urine bag
Collect, store and send urine and stool samples for chemical-physical examination and for cultural examination
Manages phototherapy
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
Communicate with the child / boy adapting the language so that it is understandable and verifies that the information provided has been understood
Practice active listening towards parents and the child / boy
Use feedback to strengthen parental communication
Promote the sense of trust of parents and child / youngster to support their skills
Use words and gestures that show interest
Understand both words and feelings of parents without expressing value judgments
Establish professional relationships with health and non-health interlocutors
Promptly communicate useful information to members of the nursing team
Recognize the importance of the child / boy / family relationship
Encourage the socialization of the child / boy, recognizing the importance of the game, ensuring its development
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
Scientifically motivate clinical decisions made
Identify responsibilities and spaces of autonomy of your nursing services
Organize your own activity within the care planning according to care priorities
Accept comments constructively and change behavior
Always identify and communicate gaps or limitations of your training regarding the assistance activity
Promptly explain any mistakes made
Perform continuous data collection in a complete, reliable way, using scientific language and analyze them
Identify needs of nursing care
Plan nursing care activity according to priorities
Implement effective care interventions, in compliance with principles and rules of hygiene, infection prevention and control
Evaluate the effectiveness of your work after each intervention
Always report and record services performed using the health documentation in use
Respect rules of asepsis
Choose and implement different procedures for hand washing: social washing, antiseptic washing
Use non-sterile and sterile gloves in a manner pertinent to activity to be carried out and use personal protective equipment
Ensures a peaceful environment for the respect of newborn's sleep-wake rhythm
Ensures compliance with the indications useful for SIDS prevention
Provide for total / partial hygiene of the infant / child and / or provide the necessary material to parents
Provides for diaper change
Medical umbilical cord
Ensures periodic change of the newborn's linen and of the cot
Proceed with the remaking of the occupied bed
Transfer child / teenager from the bed to the chair, armchair or stretcher
Performs capillary sampling
Detect and record anthropometric parameters (weight, length / height, head circumference)
Detect and record heart rate
Detect and record respiratory rate
Detect and record blood pressure
Detect and record body temperature
Detect and record skin color
Detects and records muscle tone
Detect and record hydration status of skin and mucous membranes
Detects and records values of cutaneous bilirubin
Observe and record feeding characteristics
Assist in mastosuctor use
Observe and record vomiting / regurgitation characteristics
Detect nipple trauma due to incorrect attack and record
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
Observe and record urine characteristics
Observe and record stool characteristics
Manage oximeter
Perform scotch test
Apply urine bag
Collect, store and send urine and stool samples for chemical-physical examination and for cultural examination
Manages phototherapy
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
- 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
For gestural skills acquisition, exercises, simulations, laboratory experiences are carried out during the degree course
Teaching Resources
Bibliografia di riferimento:
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
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
The first year Placement exam consists of:
- 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
- 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: 18
Practicals - Exercises: 540 hours
Educational website(s)