FNOPI Congress, Sicily and Calabria: nurses organize assistance

Sicily and Calabria: two regions “affected” by plans to reimburse health deficits and police stations. Two regions where the shortage of nurses has arisen and will be felt, especially after the final approval of the so-called “DM71”, the Council of Ministers’ resolution of 21 April 2022, which sets the new model – and the related standards also of staff – for assistance in the area.

The two regions represent the final phase of the traveling congress of the National Federation of the Orders of Nursing Professions (FNOPI), which began its journey on May 12, 2021 in Florence, the hometown of Florence Nightingale, mother of modern nursing, to end it May. 12, 2022 in Palermo, having already touched 17 regions and met with local and national health leaders.

The last two stages, which will be attended by the Presidents of Sicily and Calabria, Nello Musumeci and Roberto Occhiuto, together with parliamentarians and local authorities, are scheduled for 11 May in Catanzaro Lido (9.30 am at Hotel Perla Del Porto) and 12 May in Palermo (11 a.m. at the Politeama Garibaldi Theater).

The health service in the two regions had to face cuts and rationalisations, which of course involved the entire staff and in a consistent way the nurses.

Calabria lost 15.7% of dependent nurses (-1.318) from 2009 (last year of a regular contract) to 2019 (last year for which data are available), while Sicily stops at -1%.

The situation is different with the wages that suffer during the ten-year suspension of contracts. The so-called “contractual holiday” shows from 2009 to 2019 an increase for Calabria and Sicily of 1,383 and 1,396 euros / year per year, respectively. per capita, but given the loss of purchasing power over the ten years, the reality is a loss of – 2,290 and – 2,430 euros / year per capita. inhabitant.

Then there are the new local standards to be respected, and in light of a shortage of nurses estimated by FNOPI at 5,707 nurses in Sicily and 2,140 nurses in Calabria (half of whom are in the territory), the new “DM 71” (resolution). from the Council of Ministers of 21 April 2022) certifies the need in the two regions, at least on average, for 3,910 nurses in Sicily (of whom 1,686 are the new family / community nurses, 405 for communal hospitals and 1,011 for communal homes) and 1,520 nurses, again on average, in Calabria (655 family nurses, 157 to community hospitals and 393 to community homes).

It will then be necessary, again according to the new standards, to dedicate over 5 thousand nurses in Sicily and over 2 thousand in Calabria to integrated home care. The shortcoming that the Association has stated therefore risks being greatly underestimated.

However, nurses have given their all over the years and have performed best practice experiments, which will also be awarded during the phases of the FNOPI Congress.

In Calabria, Pugliese Ciaccio hospital formed the first PICC team (Peripherally inserted central catheter) of Calabria. Five nurses experts in implantation of a central venous catheter inserted peripherally on onkohematological patients with “poor” venous inheritance, enabling long-term administration of antibiotics, chemotherapy, parenteral nutrition, both in the hospital and at home with the help of qualified staff.

Always in the same hospitalFor example, the Pediatric Triage project has enabled the identification of situations at immediate risk or potentially life-threatening and the assignment of a severity code for each patient who arrives, with the aim of also improving the reception of the patient, child and family group.

I Catanzaro Nurses are trained thanks to the Advanced Media Simulation Center, which organizes training activities in which realistic clinical scenarios are recreated using sophisticated computer-controlled mannequins capable of reproducing normal and pathological physiological signs and responding to treatments.

In the Dermatology Operative Unit of the Territorial Health Center in Squillace (CZ), nurses and dietitian have set up a team that is able to handle the specificity of the individual case in diabetic patients. The relationship with the patient is characterized by typical elements that distinguish him from other nursing tasks and professions.

In Sicily, in Palermo, prevention of symptomatic relapses and repeated hospitalizations over time is one of the primary objectives of mental health, and an ad hoc clinical protocol provides for the implementation of proactive measures to be taken to avoid dropouts of patients in long-term effective therapy. Adherence to drug treatment is considered to be the most important parameter to prevent relapse and hospitalizations over time.

In Sicilian, “VIRI” means “see” and at ISMETT in Palermo a project with this name intends to represent precisely the importance of direct observation in the field of implementation of iinfection control in the departments. The Specialist Infectious Risk Nurse (ISRI) has designed and built this innovative counseling aimed at patients, family members and clinical staff, aimed at reducing the number of HAIs (infections related to Assistance) through the planning of a detailed schedule, the definition of a workflow and building adequate advice.

And always on ISMETT The LEAN project was presented, which aims to improve the accuracy and timeliness of nursing documentation on risk assessment and therefore improve compliance with a specific requirement (JCI IPSG.6), which allows for the implementation of preventive strategies for the risk of injuries after falls .

The first territorial nursing clinic a Partinico (Palermo) aims to become a reference point in the field and in the assistance of all geriatric, chronic degenerative and oncological pathologies and in pain treatment. Designed by Gaspare Caruso, a nurse since 1993, for the purpose of providing “quality nursing”.

ONE regional regulation about the organizational and operational model of the Nursing Unit was prepared by the Sicilian OPI to ensure the quality of care and patient safety, measurement of processes and outcomes. A service aimed at patients who, after an acute episode or for the aggravation of chronic diseases, need low-intensity health interventions that can potentially be delivered at home, but who are admitted to such facilities in the absence of a suitable home, or because they needs continuous nursing care. care / monitoring, even at night.


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