Registered nurses in out-of-hospital intensive care
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 in out-of-hospital intensive care look after people who need ventilation or intensive nursing care where they live, often in their own home. Care requires constant readiness to intervene because life-threatening situations can occur. For this the professional society describes a team of carers who observe the person continuously, document vital signs such as pulse, blood pressure and temperature as well as all nursing measures, and are to be instructed in the devices used. According to an information sheet from a health insurer, the presence of a specialised professional nurse provides assurance that the devices are operated competently and that emergencies are handled expertly. Care is usually organised by a specialised home care service with a fixed team for each person. The work takes place in a private household, which means closeness to relatives and an intrusion into their privacy.
Profession by country
Fields of use and typical tasks
ambulante Intensivpflege
Evidence from: DE, AT, CH
- Constant presence with the person in care for individual monitoring and immediate intervention in life-threatening situations
- Changing the tracheostomy tube, independently only with delegation by a physician and after adequate training
- Supporting relatives of long-term ventilated people on site, in a team of an intensive care nurse and a specialist in internal medicine
- Accompanying the care pathway from the hospital intensive care unit to the home by intensive care nursing experts
- Coordination with care service providers as well as inpatient and rehabilitation facilities
- Point of contact for patients and relatives
Specializations
Devices and systems they use
Who they work with
- General practitioners
- Medical specialists
- Speech and language therapists
- Occupational therapists
- Physiotherapists
- Physicians and staff of a ventilation centre
Frequently asked questions
Who operates the ventilator in everyday care?
According to an information sheet from a health insurer, the presence of a specialised professional nurse provides assurance that the devices are operated competently and that emergencies are handled quickly and expertly. According to the professional society, staff are to be instructed in the devices used and trained in their application.
Who procures the devices and consumables?
The discharging hospital organises and initiates the supply of medical aids. At discharge the bed space should be equipped with medical devices, consumables for initial care and aids.
How large is the team in one-to-one care?
For one-to-one care in the person's own home the care service puts together a team of up to ten carers. The source speaks of carers and does not specify that all of them are registered nurses. The person concerned has some say in the selection.
Which additional qualification is common?
A basic course in out-of-hospital ventilation is aimed at nurses with completed nursing training. Topics include the basics of ventilation, tracheostomy care, secretion management, weaning, monitoring and emergency management.
What should be considered for appointments in the household?
Care takes place in a private home where someone from outside the family is present at all times. The sources describe this as an intrusion into privacy and a strain on relatives.
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Related target groups
Same work area
Same specialty
Sources
- Die 1:1-Versorgung von Menschen mit Beatmung und/oder Intensivpflegebedarf in der eigenen Häuslichkeit, Deutsche Interdisziplinäre Gesellschaft für Außerklinische Beatmung und Intensivversorgung (DIGAB) e.V. (DE)
- Basiskurs Pflegefachkraft für außerklinische Beatmung (ArGe) 2024, Stiftung St.-Marien-Hospital Lünen, Weiterbildungsstätte (DE)
- PfiFf-Themenblatt Nr. 9: Beatmung und Intensivpflege, AOK, Projekt PfiFf (Pflege in Familien fördern) (DE)
- Merkblatt Außerklinische Intensivpflege: Versorgung tracheotomierter und/oder beatmungspflichtiger Klient*innen, Landeshauptstadt München, Gesundheitsreferat (DE)
- Außerklinische Intensivpflege, Kassenärztliche Bundesvereinigung (KBV) (DE)
- Langzeitbeatmung in Oberösterreich, Amt der Oö. Landesregierung (AT)
- Außerklinische Intensivpflege: Station für Langzeitbeatmung und Entwöhnung, Caritas Oberösterreich (AT)
- Langzeitbeatmung, Caritas Oberösterreich (AT)
- Isabelle (12) needs artificial respiration, but plays hockey and skis, Universitäts-Kinderspital beider Basel (UKBB) (CH)
- Kinderbetreuung in der Nacht: Damit Eltern schlafen können, die Spitex für Kinder, Schweizer Radio und Fernsehen (SRF), Sendung Espresso (CH)
- Pflegeberatung chronische Atemunterstützung, Universitäts-Kinderspital Zürich (CH)
- Private Duty Nursing, Home Care Services, Cincinnati Children's Hospital Medical Center (US)
- Home Ventilation Program Guide, Riley Children's Health, Indiana University Health (US)
- Tracheostomy and Home Ventilator Program: Community services, Children's Wisconsin (US)