Healthcare Operator (O.S.S. Certification)

Psychorelational aspects

• Psychology and the difference between psychology and psychiatry
• The "pillars" of caregiving: emotions and communication
• Caregiving in various work areas (residential, daycare, home, hospital)
• The target audience (children, adolescents, the elderly, disabled, terminal patients, families)
• Grief processing (Elisabeth Kubler Ross)
• Stress and burnout
• Frustration, anxiety, and stress and coping strategies
• Managing sexuality (how to address and manage it in different users)
• Disability and handicap
• Psychological disorders in childhood and adolescence. For each pathology, short pharmacological notes and how to modify communication accordingly
• Psychopathologies in adults. For each pathology, short pharmacological notes and how to modify communication based on the problem will be reported
• Psychotic disorders (schizophrenia, dissociative disorders, affective and bipolar disorders). For each pathology, short pharmacological notes and how to modify communication accordingly
• The structural organization of psychiatric services
• Addictions: for each pathology, short pharmacological notes and how to modify communication accordingly
• Addressing and communicating with AIDS patients
• Addressing and communicating with terminal patients
• Practical part: clinical cases related to the various pathologies studied during the course will be discussed. The cases will also be analyzed based on what the caregiver should expect and observe, what their tasks are, and the risks for both the patient and the caregiver.

Introduction to caregiving

• Definition of caregiving
• The skills of the caregiver in satisfying primary needs (needs analyzed by M. Cantarelli and Maslow) and in the differential analysis of the degree of autonomy
• Assessment scales of autonomy: Barthel, ADL, IADL
• Care planning: reception and observation, data collection and transmission methods, implementation of the planned goals, evaluation
• Recording data in documents: handovers, forms.
• Knowledge of documentation related to the healthcare system
• Hospitalization and reception in the ward
• Need for rest: preparation of the environment, bed, and patient
• Need for movement: assistance during walking, checking patient’s gait, balance and shoes, and environmental safety
• Fall risk factors: interventions on the person and environment
• Assistance to the bedridden person
• Assistance during meals
• Notes on enteral nutrition: feeding through nasogastric and percutaneous endoscopic gastrostomy tubes
• Need for urinary elimination: characteristics of urine and related alterations
• Need for bowel elimination: characteristics and related alterations of feces, monitoring of bowel movements
• Recognizing the signs and symptoms related to worsening in patient’s condition
• Single emergency number (NUE)

Introduction to practical assistance

• Review of medical documentation; knowledge of relevant records regarding OSS skills
• Remaking of empty and occupied bed
• Assisting a bedridden person
• Procedures for feeding
• Aids for elimination and their use.

Basic assistance for OSS

• Hospital activity and specialized care units.
• The functions of a urinary catheter.
• Cardiovascular activity, respiratory activity, thermoregulation: recognition of signs and symptoms related to alterations of vital functions.
• Pain assessment: observing the patient, knowledge of pain location and possible spreading, mode of manifestation.
• Consciousness assessment: the AVPU scale and recognition of alterations.
• Grief processing (Elisabeth Kuble Ross)
• Assisting a person with diabetes.
• Methods for collecting biological samples for laboratory tests.
• Assisting a person with a urostomy and enterostomy.
• Disability and handicap

Practical basic assistance for OSS

• Viewing and understanding of different types of urinary catheters and collection bags.
• Procedure for measuring vital parameters and related tools.
• Procedure for measuring capillary glucose and related tools.
• Knowledge of containers for collecting biological samples.
• Viewing and understanding of collection bags for urostomies and enterostomies.

Advanced assistance

• Artificial nutrition: definition and purpose.
• Electrocardiogram: purpose of the investigation.
• Perioperative assistance.
• Preoperative phase: welcoming and preparation for surgical intervention in relation to internal protocols and type of surgery
• Postoperative phase: monitoring of vital parameters and pain, assessment of consciousness, evaluation of blood loss and diuresis, prevention of early and late complications
• Simple dressings: definition and purpose.
• Health emergency: hospital services (DEA), territorial services (AREU)
• Intra and extra-hospital triage.
• The single emergency number (NUE) and activation of basic and advanced rescues.
• Emergency management in the department, equipped cart, defibrillator.
• BLSD (basic life support and defibrillation): the necessary techniques to support vital parameters.
• Airway obstruction: partial and total obstruction.
• Traumatic injuries.
• Stroke: recognition of signs with CSS and NIHSS evaluation scales
• ALS: onset symptoms of the disease

Advanced practical assistance

• Performing simple dressings: materials and procedures
• Collaboration with the nurse in positioning a nasogastric tube.
• Viewing gastrostomy tubes and their location.
• Placing electrodes for performing an electrocardiogram.
• Airway clearance maneuvers (interscapular blows and Heimlich maneuver).
• External chest compressions on the mannequin and artificial ventilation with Ambu bag and oropharyngeal cannula.

Dietetics and Food Hygiene

• Dietetics
• Food Hygiene

Ethics

• Definition of Ethics, Morals and Bioethics
• Ethical Committees and the National Bioethics Committee
• The concept of health
• Human and patient rights: Alma Ata Conference 1978; Ottawa Charter 1996
• Global Health Declaration 1998
• Universal Declaration of Human Rights
• European Charter of Fundamental Rights
• European Charter of Patient Rights
• Professional Deontology and Ethics
• Analysis of the deontological codes for nurses and doctors
• Ethical principles
• The process for making ethical choices
• Problem solving
• Informed consent
• Professional secrecy
• Containment

Pharmacology

• Briefs on pharmacology: definition of drug, active ingredient, excipients
• Classification of drugs
• Pharmacovigilance and drug adverse reactions
• Principles to be respected before therapy is started
• General principles to be respected before therapy is administered. The 6G rule
• • Role of the O.S.S. in helping with drug administration through inhalation (aerosol, puff, including oxygen therapy and anaesthesia), oral, enteral (including the execution of micro-enemas), sublingual, topical, percutaneous, ear, eye drops, ointments, transdermal drugs.
• • Help with oral, rectal, sublingual, percutaneous, inhalation (aerosol and puff) administration: pros and cons, different pharmaceutical forms, administration methods (environment, material, patient, operator)
• Oxygen therapy definition, general principles, devices, surveillance
• Surveillance of intravenous infusion therapy (including blood transfusions)
• Preservation of drugs, the leaflet, characteristics of pharmaceutical cabinets and pharmacy rooms
• Supply, preservation, monitoring of drugs
• Toxicology and poisoning notions
• Drug trials and therapeutic obstinacy

Environmental and domestic hygiene

• Definition of hygiene and health
• Definition of primary, secondary and tertiary prevention.
• Definition of microclimate: factors that influence and microclimate monitoring (spoiling and pollution factors in the environment)
• Definition of microbiology
• Definition of infectious disease
• Personal protective equipment; usage of gloves
• Different types of hand washing
• Sanitization, disinfection and sterilization
• Definition of disinfectant, antiseptic, detergent and methods for proper use and preservation of disinfectants
• Preparation of material for sterilization
• Classification of waste and medical waste
• Hospital units
• Domestic accidents
• Caregiver’s role in domestic accidents, telephone number of the local emergency service and behaviors to adopt

Environmental hygiene practice

• Remaking a free bed
• Remaking an occupied bed (depending on patient's symptoms and medical-surgical problems)
• Social and antiseptic hand washing
• Arterial Blood Pressure Measurement
• Heart Rate Measurement

Personal Hygiene

• Definition and purpose of hygiene.
• The integumentary system and its functions: skin, mucous membranes, and skin appendages
• Observing alterations in the characteristics of the skin: color, tension, hydration, sensory perception, local temperature, integrity.
• Introduction to hygiene care as a care need.
• Goals of hygiene care and patient assessment: age, individual needs, degree of autonomy
• The hygiene care cart: materials, aids, products.
• The hygiene care environments: ward room, bathroom and shower, assisted bathroom.
• Partial hygiene care, descriptive procedures in various body regions.
• Total hygiene care: bed bath, bath, shower, preoperative antiseptic hygiene.
• Clothing and appearance care.
• Dressing of people with special disabilities
• Pressure injuries.
• Prevention.
• The terminal stage, assistance to the dying person.
• Body hygiene: removal of medical equipment, dressing, respect for privacy.

Personal Hygiene Practice

• Hygiene interventions on various body regions: knowledge of procedures and materials and their use.
• Hygiene of the bedridden person and change of bed linen.
• Steps to take in total hygiene care
• Hygiene in the presence of medical devices (catheters, probes, cannulas).

IT-related

• Introduction and platform management

Legislation and Labor Law

• Art. 32 of the constitution;
• L. 833/1978 National Health Service;
• D.lgs. 502/1992 reform;
• D.lgs. 229/1992 TER reform;
• Health programming tools;
• LEA;
• Healthcare service in Lombardy (Maroni law);
• Socio-health organization;
• ASL-ATS-ASST-AO;
• Social state Welfare;;
• Third sector;
• L.194/78 abortion;
• L 180/78 involuntary hospitalization;
• L 104/92 disabled persons;
• L. 328/2000 community services;
• Palliative care and pain management;
• Labor Law
• Notions, sources, and evolution of labor law;
• Employment contracts;
• Subordinate work;
• Workplaces;
• Performance and work;
• Powers or obligations of the employer;
• Compensation;
• Fornero Law and Jobs Act;
• Resolution of the employment contract, just cause and justified reason termination, protection and procedure regulation;

Social and Health Module

• Professional profile of the operator (O.S.S./A.S.A.)
• The professional figure
• The service network: access modalities to structures (how to request access, who to address)
• Formal and informal service network
• The caregiver
• Administrative, organizational, and care services
• The role of the municipality as a provider of social services
• Vouchers and Coupons
• PAI
• PEI
• Protected discharges

General Psychology

• The history of psychology (brief mentions: structuralism, Gestalt psychology, psychoanalysis, behavior psychology, cognitivism, systemic)
• Dynamic processes: need, motivation, emotion, affection
• Empathy
• Personality
• Discrimination and prejudice
• Communication and its aspects
• The group and its needs
• The dimensions of the group
• Sense of belonging
• Group work: activities, needs, goals, method, leadership

Patient Mobilization

• Rehabilitation
• Anatomy and Physiology Overview
• Kinesiology and Ergonomics
• Immobilization Syndrome and its Consequences
• Patient Assistance (nursing and handling)
• Pathological Conditions of Greatest Interest
• Respiration

Practical Mobilization

• Management of Different Types of Patients

Postural Prevention

• Principles of Postural Re-education
• Exercises for the Prevention of Postural and Professional Disorders
• Deeper Study of Previously Treated Pathologies

Practical Postural Prevention

• Self-Treatment and Prevention Techniques

Safety and Privacy

• Historical Legislation
• Art. 2087 c.c.
• Reference Law on Safety (D.Lgs. 81/2008)
• Safety Subjects: worker, employer, manager, supervisor, RSPP, MC, RLS
• The DVR
• Periodic Meeting
• Concepts of prevention, protection, risk and damage
• Accident, occupational disease
• Workplaces
• Equipment
• PPE and Collective Protection Devices
• Safety Signage
• Risks: biological, chemical, load handling, electrical, stress related
• Emergency Management (fire and first aid)
• Privacy

Apprenticeship Recap

• Comparison of the Apprenticeship experiences during the course
• Revision and in-depth study of the main subjects presented during the course
• Guidelines for preparing the thesis

The final price is comprehensive of:

•   4060€ Theoretical study + Apprenticeships
•   40€ Uniform/Workwear
•   1100€ Italian A2 Course + Italian B1 Course + Certificates
•   200€ Exam fee + Certificate
•   Mandatory health and safety course

• Be at least 18 years old.
• Basic knowledge of the Italian language (mandatory: A1).
• Have a High School or University Degree, with certificate of comparability or declaration of value.
• Applicants are also required to submit the following documents: valid passport, valid visa, Italian fiscal code (codice fiscale).

Certificate of Professional Qualification valid in Italy and in EU countries for the purposes of the law issued by Regione Lombardia

Mediadream s.r.l. is an accredited body of Regione Lombardia for the Professional Education - N° 264. and for Employment Services - N° 114.

•   -  Link: Albo Regionale Opertori accreditati per la Formazione Professionale
•   -  Link: Albo Regionale Opertori accreditati per i Servizi al Lavoro