Specialized nurse for intensive care and anesthesia

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Workplace: intensive care bed with appropriate monitoring devices

Fachgesundheits- and nurses (specialist nurses) for anesthesia and intensive care are health and nurses , in the intensive care or anesthesia care work, and in addition to three years of basic training two years usually specialized training have been completed.

Advanced training as a specialist nurse for intensive care and anesthesia

requirements

This article or paragraph presents the situation in Germany . Help us to describe the situation in other countries.

A specialist nursing standard of the German Society for Specialized Nursing and Functional Services has existed for specialist training since 2009 . The implementation of the specialist training is based on the respective specialist training regulations of the federal states. The prerequisite for participating in the advanced training is a completed training in health and nursing, or an exam as a nurse and a job in intensive or anesthetic care. Professional experience is usually no longer required since 2009. In most federal states, a second state exam is taken, which is why the term specialist nurse or specialist nurse is a protected professional title.

Duration and structure

The two-year specialist training takes place alongside work at so-called specialist training centers that are affiliated with hospitals or hospital associations. A total of up to 780 hours of theoretical and 1,800 hours of practical training are offered in accordance with the “further training and examination regulations for nursing professions” of the respective federal state. The number of hours and scope of the specialist training are comparable to the training for master craftsmen in skilled trades. Successful completion of the course entitles you to study subject-related subjects (master's degree entrance qualification). The internship is planned by the training center in the following areas:

  • Operative intensive care units or anesthesiological intensive care unit
  • Neurosurgical intensive care units or cardiac, thoracic or vascular surgery intensive care units, general surgery or interdisciplinary anesthesiological intensive care units
  • Internal intensive care units
  • Dialysis department
  • Anesthesia department: operating theaters and recovery room
  • Intensive home care

The areas of application can vary depending on the possibilities of the respective hospital.

Part of the lessons are given by the full-time teachers in the deployment areas.

graduation

The advanced training concludes with a state examination, which consists of a practical, a written and an oral part. Instead of the written exam, a three-month thesis can also be written. The participants receive an examination certificate and a certificate which entitles them to use the professional title of specialist nurse / specialist nurse for intensive and anesthetic care .

History of advanced training

From around 1950, there were calls for specially trained anesthesia nurses in Germany, as they had been in the USA and other countries for several decades. In the early 1960s, z. For example, clinics in Munich and Freiburg and the German Armed Forces Central Hospital in Koblenz held the first anesthesia courses for nurses to compensate for the shortage of anesthetists.

The first systematic further training over 2 years began in 1964 at the University Hospital Mainz under the direction of the nurse Therese Valerius and the anesthesia professors Hálmagyi and Nolte. In 1974 the " German Society for Specialized Nursing and Functional Services eV (DGF)" was founded, and Valerius became its chairman. In 1976, the German Hospital Society (DKG), in cooperation with the DGF and three intensive care professional associations, developed a recommendation for further specialist training (model for a state-based regulation of further training and examination for nurses, nurses and pediatric nurses in intensive care - recommendation of the DKG). Since then, this has formed the basis for regulations and laws relating to specialist training.

The first courses began in the GDR in 1969, and the Council of Ministers established a mandatory curriculum for one-year specialist training in 1983. After the fall of the Berlin Wall, advanced training courses in the new federal states were largely adapted to the recommendations of the DGF.

Areas of activity

Intensive care

Intensive care supervision by an intensive care nurse (USA)

The tasks of intensive care include, in addition to the basic care of the patient, in particular the monitoring of the vital functions, the operation of the monitoring devices or the dialysis and ventilation devices and the treatment care as directed by a doctor. This includes, for example, the administration of medication, assistance with various smaller interventions such as bronchoscopy or the installation of a central venous catheter and other measures such as the insertion of a gastric tube , endotracheal suction or dressing changes. Other tasks include transport support, the psychological care of the patient or his family and the dying . Intensive care is not necessarily tied to a clinical environment, but can also take place in the home, for example as part of home ventilation .

Anesthetic care

Main article: Anesthesia care

In the field of anesthesia, the main task is to look after the patient before induction of anesthesia, i. H. To answer questions (if in the nursing competence area, otherwise forwarding to the anesthetist), depending on the hospital also the establishment of a peripheral venous access as well as assistance and monitoring during the introduction and discharge, intraoperative monitoring of the vital functions as well as observing the patient, monitoring and Observation in the recovery room as well as the professional acceptance and handover of the patient from and to the ward. It is also the responsibility of the nurse to carry out the perioperative documentation, with the exception of the medical anesthesia protocol.

literature

Web links

Individual evidence

  1. ↑ http://www.pflegewiki.de/wiki/DGF-Fachkrankenpflegestandard
  2. ↑ Some of the further training regulations are available here: http://www.dgni.de/weiterbildung/fachweiterbildung-intensivpflege.html
  3. ↑ Some of the further training regulations are available here: http://www.pflegewiki.de/wiki/Fachweiterbildung_An%C3%A4sthesie_/_Intensivpflege#cite_note-1
  4. ↑ http://www.pflegeweiterbildung.uniklinikum-jena.de/Geschichte.html