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Registered Nurse (RN)
Outpatient Intensive Care

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.

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Countries with evidence
DE, AT, CH
Evidence records
5
Price per hour, Germany (net)*
96
to
165
€
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* Applies to Germany. Rates in other countries can differ considerably. The button opens the TechNurse target group calculator with this profile preselected for Germany.

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.

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This profile is based on public sources such as job descriptions, professional regulations and training curricula. Healthcare professionals from this group have not yet reviewed it on the TechNurse platform.
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Profession by country

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Germany
 
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Austria
 
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Switzerland
 

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

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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