Nursing specialist in outpatient care

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Nurses in outpatient care service, formerly known as community nurse who after specialized training as nurses in outpatient care or specialist nurse / Fachkrankenpfleger or specialist pediatric nurse / specialist pediatric nurses for outpatient care are called, are carers , mainly engaged in housework and family care work, patients and nursing care look after all ages. The main area of ​​application is predominantly the care of elderly and / or disabled people and chronically ill people in their homes.

Ambulance bus in the GDR (1965)
Community nurse in the GDR (1982)

You will carry out all necessary care measures after consulting the doctor. They take care of the basic care and take care of the treatment as prescribed by a doctor. This includes changing bandages and giving medication and injections . But also household chores, insofar as these are necessary for the personal care of the person to be cared for, as well as instructing and advising relatives in nursing, procurement and use of aids and the use of therapy services are part of their tasks.

As a rule, community nurses work as part of an outpatient care service or a social station .

As a rule, access to work as a community nurse for home and family care requires successful completion of relevant further training with state recognition on the basis of a qualification as a nurse, here for the area of ​​outpatient nursing, community nursing, home - and community nursing, outpatient care (other names of the specialist area possible). Depending on the area of ​​responsibility, it is also possible to employ specialists in child nursing and care for the elderly for this nursing specialist area, in some cases - alternatively - also experienced nurses.

If there is no treatment care part of the job profile, but primarily tasks of basic care and social and domestic care for families with children, house and family carers or village helpers have access to the job.

AGnES model project

However, the model of the community nurse has regained unexpected topicality , the first (among others) also called the model project AGnES , in order to ensure comprehensive basic health and care services in times of fewer and fewer rural doctors . The extent of the activities by the community nurse, the extent to which it should be supervised by a doctor and the type of financing (see resolutions of the 111th German Medical Association in Ulm) are controversial.

In Leipzig , however, AGNES is the model project “Activating health promotion through neighborly engagement in the east of Leipzig”. The names are based on the GDR television film Sister Agnes .

Model project agnes two

A new form of care, which takes up the idea of ​​the community nurse Agnes, is currently being tested in Brandenburg. agnes zwei stands for “medical assistants who relieve the burden on doctors to ensure sustainable, efficient patient care with special training in case management”. The form of care “implements a new interface between doctor and patient in the form of a medical specialist for individual patient care. This support implements an individual case management and is interdisciplinary and intersectoral. The specialists should support the doctors, improve medical care and support, and identify and realize potential savings ”. For this purpose, special training in case management is already offered, whereby the specialists must already have a medical training and should have professional experience.

Individual evidence

  1. AGnES = A RZT-relieving, G emeinde- n vicinity, E -Health-supported, S ystemische intervention
  2. AGNES Leipzig project website ( Memento of the original from December 18, 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.agnes-leipzig.de
  3. Results of the model projects based on the AGnES concept , explanations from the Brandenburg Ministry of Health.
  4. Development of a mobile electronic patient record for outpatient care in rural regions
  5. Information on training as an agnes two specialist ( memento of the original from April 8, 2015 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.kvbb.de