Registered nurses on the intermediate care unit
Who they are, what they do and which devices they use: a research-based profile for recruiting this target group for MedTech and pharma projects.
Overview
Registered nurses on the intermediate care unit care for patients who need more monitoring than on a general ward. The focus is clinical and device-based monitoring of respiration, circulation and excretion, invasive and non-invasive, and early recognition of deterioration. They care for patients on non-invasive ventilation and in weaning, give drugs and infusions via intravascular access and look after tubes, drains and wounds. This includes recognising measurement artefacts and device malfunctions, hygiene measures as well as admission, transport, handover and documentation. Frequent situations are delirium, neurological disorders and palliative care.
Profession by country
Fields of use and typical tasks
Intermediate Cate
Evidence from: DE, CH
- Monitor vital signs continuously and record them at short intervals
- Administer drugs and fluids via central or peripheral lines using syringe pumps
- Keep the fluid balance
- Take blood samples via the arterial line
- Care for patients on non-invasive ventilation and high-flow therapy
- Provide nursing care during renal replacement therapy and low-dose catecholamine therapy
Specializations
Devices and systems they use
- Non-invasive ventilation (BiPAP) device
- Patient monitor
- Telemetry monitoring system
- CPAP device
- Haemodialysis machine
- High-flow nasal oxygen device
- Implantable pacemaker
- Implantable cardioverter defibrillator (ICD)
- Introducer sheath / guidewire set
- Oxygen delivery interface
- Syringe pump
- Transcutaneous blood gas monitor (tcpCO2/tcpO2)
Who they work with
- Physicians (delegation of medical tasks)
- Hospital hygiene and infection control staff
Frequently asked questions
Which devices do nurses on the IMC operate?
Invasive and non-invasive monitoring of circulatory and respiratory parameters, devices for non-invasive ventilation and infusion therapy via intravascular access.
Who recognises false alarms and measurement artefacts?
Recognising measurement artefacts and technical device malfunctions is an explicit learning objective of IMC nursing.
Which patient groups are typical?
Patients with respiratory, cardiovascular or metabolic disorders, neurological patients, people with delirium or dementia and patients in palliative situations.
Does medical device law matter in daily work?
Yes, medical device law and operator obligations are part of the legal basics of IMC training.
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Related target groups
Same work area
Same specialty
Sources
- Anlage III: Fachmodule Intermediate Care Pflege, Deutsche Krankenhausgesellschaft (DKG) (DE)
- Intermediate Care Station der Klinik für Innere Medizin I (Flyer), Universitätsklinikum Ulm (DE)
- Intermediate-Care-Station: Informationen für Patient:innen und Angehörige, Marienhospital Gelsenkirchen GmbH (DE)
- Intermediate Care (IMC), Swiss Medical Network (Spital Zofingen) (CH)
- IMC-Zertifikat Interdisziplinäre IMC, IG-IMC, Interessensgemeinschaft für die Anerkennung von Intermediate Care Units (CH)
- Kantonsspital bekommt eine neue Abteilung, Südostschweiz (CH)
- A progression in care at UCH, UCHealth, University of Colorado Hospital (US)
- Progressive Care Staffing Standards Published, American Association of Critical-Care Nurses (AACN) (US)
- First Scope and Standards for Progressive Care Nursing, American Association of Critical-Care Nurses (AACN) (US)
- Progressive Care Nursing, Texas Health Resources (Karriereseite der Einrichtung), Texas Health Dallas (US)