• Introduction, historical notes of nursing in critical care; definition of the current context and mission of the nursing staff;

• Structural and organizational requirements of the D.E.A., the T.I. and of the S.O. Regional emergency-urgency network (definition of Hub-Spoke system);
staffing, definition of workloads and "core competence" of nursing staff operating in the Critical Area;

• Competence, autonomy and professional responsibility of the critical care nurse:
o reference regulatory sources;
o fields of responsibility of the nurse in critical care;
o the passage of health information to the critical area (SBAR method);
o limits of the nurse's activity in the critical area;
• Hemodynamic monitoring of critically ill patients: monitoring instruments and devices compared: CVC, PICC, arterial access, catheter
Swan-Ganz venous system, PICCO System, Vigilance System, EV1000, patient undergoing advanced monitoring with C.E.C.; body care in
intensive care, nursing roles and responsibilities;

• Respiratory and neurological monitoring; critical patient assessment scales; hydroelectrolyte and blood gas monitoring. Skills e
nursing responsibility;

• Oral-nose tracheal intubation and supraglottic devices. Equipment and correct use of the emergency trolley/backpack. Nursing management of
difficult airway. Skills and responsibilities; Tracheo-broncho aspiration: necessary aids and nursing technique. Nursing
to thoracic endoscopy procedures;

• Notes on mechanical ventilation and related ventilation methods. Assistance and nursing role regarding weaning procedures
artificial ventilatory assistance patient;

• Definition of the rescue chain. Cardio-Pulmonary Resuscitation: B.L.S., B.L.S.-D. and notes on ALS and airway unblocking techniques
upper parts from a foreign body. F.A.S.T. method (preliminary aspects of emergency/urgent nursing ultrasound);
• Tracheostomy and Tracheotomy: definition, purposes, management, care and nursing responsibilities. Notes on the packaging of T.L.T. on the patient
critic according to the Ciaglia, Griggs, Frova, Fantoni method; role of the nurse and related responsibilities.

• Artificial nutritional intake in critically ill patients: NE and parenteral.

• Infections related to nursing care in the Intensive Care Unit and OR.

• Pain monitoring and control; legislative aspects and nursing responsibilities;

• Organ and tissue donation:

- Italian legislative aspects of reference on still-heart and beating-heart donation;
- assessment of brain death: laws and procedures;
- observation of brain death: nursing role and skills;
- Procurement: organ procurement and transplantation activities;
- the Procurement Nurse: skills and responsibilities;
- communication and relational aspects with family members within the donation process;
- advance treatment orders;

• Hospital and extra-hospital triage:
o triage objectives;
o triage nurse (training path and skills);
o methodological triage process: patient assessment, data collection, triage decisions, subsequent reassessments;
o patient coding systems;
o nursing responsibilities;
o medico-legal aspects of nursing triage;
o Shock-Room: the emergency in the ED: clinical cases;

• 118 Operations Center:
or legislative acts;
o functions and roles of the C.O. ;
o objectives and purposes of decree 118;
o purposes of the Dispatch;
o codes and emergency vehicles (medical ambulance, nurse and medical car);
o notes on PHTLS (adult and pediatric)
o Helicopter rescue;
•Maxiemergency:
or classifications;
o chain of medical aid (phases);
o triage in disasters (START method and CESIRA method);
or P.E.I.M.A.F. hospital plan;
o psychological aspects and post-traumatic stress disorder;
o aspects of communication with the family and mourning processing;

• Intra-hospital and out-of-hospital transfer of critically ill patients:
o Nursing interventions and responsibilities;
o Nursing discharge form;
o Variables and particular conditions: clinical cases.