Bader G B, Terhorst M, Heilman P, DePalma J A
Allegheny General Hospital, Pittsburgh, PA 15214, USA.
Air Med J. 1995 Oct-Dec;14(4):214-8. doi: 10.1016/1067-991x(95)90005-5.
The purpose of this study was to describe the roles, levels of responsibility and backgrounds of flight nurses employed in flight programs across the country and to determine if the role of the flight nurse varied as a function of crew configuration or size of program.
In 1991, a retrospective statistical questionnaire was sent to 105 programs with 50 or more flights per month.
This survey provides national data regarding description of programs, evidence of the critical-care environment, professional profiles of flight nurses and practice differences between nurse and paramedic personnel. A difference in the practice for nurses existed in the larger programs (> or = 1,100 flights) with nurse/paramedic flight configurations. Nurses more frequently performed interventions regarding initiating and discontinuing medications (p = 0.00023)--especially paralyzing agents (p = 0.012) and blood (p = 0.0016)--and recognizing by physical exam the need for interventions to decrease intracranial pressure (p = 0.0194). In the larger programs, nurses also were more responsible for decision making regarding titration of medications (p = 0.027).
Flight nurses practice in advanced autonomous roles, performing duties and skills consistent with critical care and emergency medicine in air medical transport.
本研究的目的是描述全国飞行项目中飞行护士的角色、职责水平和背景，并确定飞行护士的角色是否因机组配置或项目规模而有所不同。
1991年，向每月飞行50次或更多次的105个项目发送了一份回顾性统计调查问卷。
这项调查提供了有关项目描述、重症护理环境证据、飞行护士专业概况以及护士与护理人员之间实践差异的全国性数据。在护士/护理人员飞行配置的大型项目（≥1100次飞行）中，护士的实践存在差异。护士更频繁地进行启动和停止用药的干预（p = 0.00023）——尤其是麻痹剂（p = 0.012）和血液（p = 0.0016）——并通过体格检查识别降低颅内压干预的必要性（p = 0.0194）。在大型项目中，护士在药物滴定决策方面也更具责任（p = 0.027）。
飞行护士以高度自主的角色开展工作，在航空医疗运输中履行与重症护理和急诊医学一致的职责和技能。
