Technical anesthesia assistant

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The professional group anesthesia technician (ATA) is a three-year apprenticeship in Germany .

The job description is designed as an alternative to basic training as a health and nurse with specialist training in anesthesia care . In contrast to this, the ATA training does not include any qualification for nursing ; it is not intended to be used in normal wards or intensive care units in hospitals .

Related professions are the Surgical Technician Assistant (OTA) , Surgical Technician Assistant (CTA) and Bachelor of Science in Physician Assistance .

history

The history of the ATA training results from the cutbacks in training places in nursing in the eighties and nineties, fewer applications for nursing training and the change during the nursing training to get to know the anesthesia department very rarely. From the resulting shortage of skilled workers, in order to be able to continue to guarantee qualified work in anesthesia, the idea of ​​anesthesia-specific training independent of the nursing training was born. Initially, the ATA training pilot project was developed according to the training guidelines of the ATA school at the Johann Wolfgang Goethe University Hospital in Frankfurt am Main . The first school that practically took this step was the Martin Luther University Hospital in Halle Wittenberg . The following year, the Johann Wolfgang Goethe University Hospital in Frankfurt am Main opened the first ATA course. The pilot project has continued to establish itself to this day.

DBVSA

The Federal Working Group ATA (BAG ATA) was founded in coordination and cooperation with the German Hospital Society (DKG) on May 25, 2005 as an amalgamation of the (potential) ATA schools in Frankfurt am Main. The initiative paid attention to compliance with the normative principles of the training as well as the training content and worked with the DKG to obtain state recognition and to establish quality norms and standards. In 2016, the BAG ATA became the German Federal Association of Schools for Anesthesia Technical Assistants (DBVSA eV). The goals of the commitment of the DBVSA eV are the standardization and further development of the training of the ATA, as well as the exchange with other interest groups. The association currently represents 32 training institutions nationwide.

DKG

In 2011, the German Hospital Association (DKG) published a first “Recommendation on the training and testing of surgical and anesthetic assistants” (OTA / ATA). It includes requirements for applicants, requirements for practical and theoretical training, requirements for school and staff and the structure of exams. This training recommendation was amended at the end of 2013 and came into force on January 1, 2014. As long as there is no nationwide or state-wide regulation of training, the DKG recognizes training institutions according to this recommendation.

Federal regulation

A committee of experts set up at the federal level by the Federal Ministry of Health dealt with the design of the OTA and ATA professions and their financing. At the request of the Saarland, attempts are being made to link the results of this group of experts to a legislative procedure on the OTA profession at the German Bundestag .

The Federal Council adopted the draft of this law in its 921st meeting on April 11, 2014.

activities

Technical anesthesia assistants perform the same tasks as specialist nurses in anesthesia, such as B .:

  • Monitoring of patients before, during and after anesthesia / monitoring
  • Preparation, assistance and follow-up with anesthesia and pain therapy
  • Care of trauma patients in the emergency room
  • Rapid, targeted action in resuscitation and crisis situations
  • Transport of intensive care patients

education

For the training to / for anesthesia technical assistant / in is average level of education or the high school with a) successfully completed training or b) a one-year training to become Krankenpflegehelfer / elder care helper required. In addition, the health suitability must be determined by the company doctor of the respective hospital. Applicants under the age of 18 must have a medical certificate for the initial examination in accordance with Section 32 of the Youth Labor Protection Act before the start of their training .

The training comprises a total of 4,600 hours, which must be completed in full-time (three years) or part-time (five years) form. The theoretical part (1,600 hours) takes place in a vocational school as block lessons. Anesthesia and intensive care medicine, anatomy and physiology, drug theory, professional, legal and civic studies, physics, chemistry, microbiology, hospital management, psychology / sociology / social medicine, radiology and radiation protection, teaching and learning methodology, first aid, resuscitation and hygiene are taught .

Mandatory practical assignments during the training include abdominal surgery , traumatology / orthopedics , gynecology / delivery room and urology . In addition, at least three assignments must be completed in the following elective areas: neurosurgery , ENT , vascular surgery , maxillofacial surgery , eye surgery , cardiac surgery and / or. Thoracic surgery , plastic surgery and anesthesia in children.

Other mandatory areas of application are the surgical care unit / intensive care unit , outpatient departments / emergency rooms , the operation service, central sterilization , pain outpatient department , endoscopy , outpatient surgery and the recovery room .

The training ends with a practical final exam (4 hours), a written final exam (2 days) and an oral final exam (at least 30 minutes per candidate).

Areas of application

Possible areas of application for certified ATA are anesthesia, recovery room, pain clinic, premedication clinic, endoscopy, emergency room, outpatient clinics, specialist practices, sterilization. There are specialized tasks and further training opportunities, for example. B. to equipment officers, hygiene officers, quality management officers, to management positions in the operating theater and anesthesia area or operating theater management.

criticism

In addition to the German Medical Congress 2008, the Professional Association of German Anesthesiologists and the German Society for Anesthesiology and Intensive Care Medicine have issued statements warning against "falling below the specialist standard owed to the patient" or even "routine" parallel anesthesia with the new specialist staff (one anesthetist looks after several anesthetized patients at the same time Patient). Even under the condition that parallel anesthesia is legally permissible and quality assured, there remains a considerable residual risk and thus liability for damage to the hospital operator. The service union ver.di criticized the high degree of specialization of the ATA compared to anesthesiological nurses, which means that in practice it can only take on medical activities.

Web links

Individual evidence

  1. ↑ Ina Welk, Martin Bauer: Op-Management - From Theory To Practice . Springer DE, January 1, 2011, ISBN 978-3-642-16997-7 , pp. 128–129 (accessed July 16, 2013).
  2. ↑ ATA training centers in Germany accessed on February 25, 2020
  3. ↑ Archived copy ( memento of the original from February 19, 2014 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2Template: Webachiv / IABot / www.dkgev.de
  4. ↑ http://www.bundesrat.de/SharedDocs/downloads/DE/plenarprotocol/2014/Plenarprotokoll-921.pdf?__blob=publicationFile&v=3
  5. ↑ http://www.bundesrat.de/SharedDocs/TO/921/to-node.html
  6. ↑ Non-medical professions in hospitals: help or competition? Dtsch Arztebl 2010; 107 (13): A-596 / B-522 / C-514
  7. ↑ Münster declaration - joint statement by the BDA and the DGAI on parallel anesthesia. (PDF; 19 kB) BDA and DGAI, November 30, 2004
  8. ↑ Admissibility and limits of the parallel procedures in anesthesiology ("Münster Declaration II 2007") accessed on February 25, 2020
  9. ↑ J. Ennker: Risk Management in Operative Medicine . Springer, December 27, 2006, ISBN 978-3-7985-1737-0 , p. 77 (accessed July 15, 2013).
  10. ^ Nils C. Bandelow, Florian Eckert, Robin Rüsenberg: Health 2030: Quality orientation in the focus of politics, economy, self-administration and science . Springer DE, October 8, 2009, ISBN 978-3-531-91887-7 , p. 250 (accessed July 16, 2013).