Michele Cotti

Nurse in: Orthopaedic emergency room, Emergency medicine ward and Discharge room.

- Orthopaedic emergency room

• Provided specialized care in an orthopaedic emergency room, treating patients with bone fractures, serious wounds, luxation, trauma, distortion and sprain in adults and children.
• Demonstrated proficiency in applying plaster casts, fiberglass casts, splints; conducting bandaging, dressing, plastering and positioning of orthopaedic braces.
• Set up sterile fields in case of serious wounds, excelled in simple suturing techniques and collaboration in Kirschner wires and traction positioning.
• Supported and reassured individuals of different nationalities, utilizing effective communication skills in their own language.
• Oversaw painkiller and sedative administration for discomforting treatments, like fracture reduction. Contributed to the reduction process, after that close monitoring of vital signs and GCS subsequent to sedation.

- Emergency medicine ward:

• Provided intensive care treatment to patients admitted from the general emergency room for various acutes medical conditions such as cardiological, neurological, orthopaedic, pneumological, diabetic, hepatic, and oncologic problems.
• Implemented effective strategies for patient management and provided comprehensive care using various treatment methods such as NIV, High Flux Cannulae, Whisper flow, Tracheostomy, CPAP, oxygen and aerosol therapy.
• Administered pharmaceutical therapy through various venous accesses (central or peripheral) including medications, painkillers, sedation drugs, and blood transfusions. Additionally management and placement of urinary catheter and flexisonde.
• Execution of simple and complex dressing, including pressure ulcers, CVC, wounds, burns, orthopaedic external fixators.
• Management of emergency situation and good coping in stress condition.
• Mobilization of critical patient in bed, wheelchair and walker; interaction with patient and caregivers, supporting and reassuring them during a difficult moment.
• Using of computer to record all checks and to consult clinical documents.
• Collaboration with medic, physiotherapist, nutritionist, speech therapist, administrative offices, social workers and other healthcare figures.

• Discharge room:

• Treatment of patients from all the hospital's wards, more or less stable, waiting to be discharged to nursing home, rehabilitation or their own home.
• Nurse assistance using primary nursing, vital signs evaluation, pharmaceutical therapy administration, dressing execution, discharge organization, education of patient and caregiver to be as most as possible autonomous after discharge.

• In Ravenna cruise ship port escorting of passengers with mobility difficulties using wheelchair from the terminal to the cruise ship or vice versa.
• Landshore First Aid to passengers in case of necessity

- Electrophysiology Operating Theater Nurse :

• Knowledge and active participation during ablation procedures (conventional, cryoablation, Carto, Farapulse), electrophysiological studies, pacemaker's implantation ( unicameral, bicameral, biventricular, transcatheter Micra, CRTP), ICD's implantation ( subcutaneous, CRTD, unicameral and bicameral), Loop recorder's implantation, Ajmalin test, Electrical cardioversion.
• Ability to read electrocardiograms with modification.
• Applied maneuvers for endotracheal intubation, deep sedation and emergency intervention.
• Preparation with operatory drape in the pre-operative part and sterile fields composition.
• Intraoperative monitoring of vital signs,instrumentation during surgery and collaboration in sterile devices opening, ACT checks, arterial blood gas sampling and analysis, clinical condition checking.
• Promptness in intervening in case of complication and if necessary support to cardiosurgery or emodynamic equipe in the emergency procedure.
• Use of computer programs for insertion of interventions, characteristics of the procedure and material used.
• Care and management of the operatory documentation.
• Removal of venous and arterial introducers post-operatively, application of compressive dressings, management of Angioseal and Vasculade, use of external hemostasis devices (TR-Band).

- Intensive Care Nurse:

• Assistance to high intensive patients posts: heart attack, open heart cardiosurgery, TAVI, neurosurgery, difficult angioplasty.
• Knowledge about ventilator using, AED, temporary pacemakers, monitors.
• Care of patient in daily activities from critical situation to stable condition;
• Venous and Arterial blood sampling, tracheostomy care, intravenous and radial intrarterial catheter placement, urinary catherer placement.
• Monitoring of vital signs and awareness of significant and critical changes;
• Collaboration with anesthesiologists during emergencies, use of SOS drugs.
• PEG and tracheostomy managing.
• Administration of IV/IM/SC/OS therapy, oxigent therapy, syringe pumps, blood transfusions.

Nurse in the general medicine department.

• Mainly treatment to patients with pathologies related to incorrect eating habits or stable patient from Verbania's hospital emergency room.
• Carrying out of ward activities: venous and arterial blood sampling, preparation and administration of IV/IM/SC/OS therapy, monitoring of vital parameters, positioning of IVC, management of CPAP, NIV and ventilators, simple and complex medications, positioning of urinary catheter and related management.
• Use of IT health support to create to the patient an individual care plan, objectives, register improvement and evaluate the best discharge.
• Collaboration with multidisciplinary team.

Nurse at the SERT in Borgomanero at the SS Trinità hospital.

• Preparation and administration of methadone;
• Check of correct therapeutic plan and prescription;
• Use of computer folder and dedicated program to record administrations.
• Applied extensive understanding of medical-legal practices and procedures, specifically relating to the drug administered.
• Developed effective relationships with patients struggling with substance abuse.

Occupational Medicine Nurse :

• First aid nurse in Amazon fulfillment center MXP3 (Vercelli and Novara) and Lavazza (Gattinara - VC);
• Annual employee's health checks schedule and execution, necessary to have work suitability: blood sampling, ECG, DRAB test;
• Management of medical reports and clinical documentation;
• Medical check and exams schedule;
• Carrying out rapid and molecular COVID-19 swabs;
• Hair sample collection on behalf of the licensing commission;
• Patient triage.

• Onboard nurse on Costa Crociere and Aida cruise ships for 3 contracts;
• Tasks execution and documentation upload/download from Sea Care system;
• Passengers or crew member triage at the arrival in hospital;
• Management of Covid + patients (swabs, isolation, cabin transfer, follow up);
• Crew embarking and disembarking;
• Daily/weekly/monthly tasks execution;
• Inventory of drugs and medical devices;
• XRay performing;
• Schedule and execution of rapid and PCR swab test that employee have to do during the embarkation period or to disembark;

Nurse in nursing home of 109 guests:

• Management of oral, intramuscular, intravenous, subcutaneous, ophthalmic and inhalation therapy;
• Management of guests with oxygen therapy;
• Management of the patient in palliative care in collaboration with a palliative care doctor;
• Work experience in quarantine zone during Covid.
• Simple and complex dressings, positioning and management of bladder catheters and IV catheters (also PICC, Midline)and management of PEG.
• Sterilization of surgical instruments;
• Use of IT supports.

Nurse in nursing home:

• Dressing of pressure ulcers and vascular ulcers;
• Management of the patient with tracheostomy;
• Management and administration of oral, intramuscular, intravenous, subcutaneous, ophthalmic, inhalator and oxygen therapy;
• Carrying out simple and complex dressings;
• Positioning and management of bladder catheters and IV catheters;
• Management of PEG, PICC, Midline.

Nurse in nursing home:

• Dressing of pressure ulcers and vascular ulcers;
• Management of oral, intramuscular, intravenous, subcutaneous, ophthalmic and inhalator and oxygen therapy;
• Carrying out simple and complex dressings;
• Positioning and management of bladder catheters and IV catheters;
• Management of PEG, PICC, Midline;
• Use of IT supports;
• Evaluation of the critical patient and call for ambulance when necessary;
• Preparation of documentation and reception of new admissions, management of resignations and deaths;