1077 THE ROLE OF MILITARY NURSE IN THE CARDIAC AMBULATORY OF MILITARY HOSPITAL IN MILAN

Abstract

Abstract Military nurses have a fundamental role in taking care of all military personnel, both in preventive medicine and direct health care, to be effective and competent during his duty, both in national settings and in operations abroad. The military nursing, in a cardiac ambulatory setting, aim to guarantee, collaborating with the cardiologist medical officer, the fitness for military service, i.e. the possession of physical and psycho-attitudinal requirements needed to carry out military service that requires specific and dynamic efforts that could solicit determined organs or body systems. Among the different visits that the military personnel have to attend, the cardiac ambulatory is specialized in: Personnel selection for volunteers recruitment;Evaluation for those soldiers that suffered from cardiovascular diseases that has to be visited by Military Legal Medical Facilities;Medical periodic visits for military personnel on duty to check the maintenance of psycho-physical requirements;Medical visits for military personnel ready to be deployed in missions abroad or that are just coming from them;Definition of diagnostic protocol and evaluation of those soldiers that suffered from cardiovascular disease. In details, the main specific competences of the military nurse in a cardiology ambulatory are: assessment of cardiovascular health (cardiac anamnesis and physical evaluation), diagnostic exams procedures (ECG, supporting in sonography examination, positioning and management of Holter for blood pressure and ECG, cardiopulmonary test), evaluation of medication prescription per cardiovascular disease (antihypertensives, antiplatelet agents, antithrombotic, thrombolytics, antiarrhythmics, with focus on the initiation of therapy, mode of action and interactions). The military nurse in cardiovascular ambulatory, in addition to the many activities, typical of being a warrant officer deployable in national activities or in operations abroad, must acquire competences and knowledge specific for cardiac setting, through basic training courses, continuous medical education, ensuring a constant synergy with all the équipe members, even at international level, also acting independently in all those complex situations that may arise to meet patients’ needs.