Hermes Carsten
Hochschule für Angewandte Wissenschaften Hamburg (HAW Hamburg), Hamburg, Deutschland.
Studiengang "Erweiterte Klinische Pflege M.Sc. und B.Sc.", Akkon Hochschule für Humanwissenschaften, Berlin, Deutschland.
Med Klin Intensivmed Notfmed. 2024 Nov;119(8):629-633. doi: 10.1007/s00063-024-01192-2. Epub 2024 Oct 29.
Ensuring adequate and stable hemodynamic conditions is an essential component of patient care in emergency and intensive care units. The assessment of circulatory status is complex and influenced by patient-specific characteristics, medical staff experience, and available equipment. Hemodynamic monitoring encompasses both invasive and noninvasive methods to monitor circulatory parameters. It supports patient management and ensures therapeutic success by alerting healthcare providers to deviations, including critical values. In practice, numerical data often receive more emphasis than comprehensive patient observation, potentially leading to misinterpretation. Advanced practice nurses (APNs) are highly qualified nursing professionals who work largely autonomously due to their advanced training. However, there is currently no uniform legal regulation for these professions in Germany. Clear definitions and nationwide regulations for related academic programs are necessary. Interprofessional collaboration, as well as the qualifications and numbers of nursing staff, significantly impact therapeutic outcomes. Hemodynamics involves the physical principles of blood flow and the assessment of vital parameters to ensure organ perfusion and oxygenation. The competence and knowledge of nursing staff are crucial for safe patient care. Local standard operating procedures (SOPs) should consider interprofessional collaboration and the qualifications of team members.
确保充足且稳定的血流动力学状况是急诊科和重症监护病房患者护理的重要组成部分。循环状态的评估很复杂,且受患者个体特征、医护人员经验及现有设备的影响。血流动力学监测包括有创和无创方法来监测循环参数。它通过提醒医护人员注意偏差(包括危急值)来支持患者管理并确保治疗成功。在实际操作中,数值数据往往比全面的患者观察更受重视,这可能导致误解。高级实践护士(APN)是高素质的护理专业人员,因其接受过高级培训,在很大程度上能够自主工作。然而,目前德国对这些职业没有统一的法律法规。为相关学术项目制定明确的定义和全国性法规是必要的。跨专业协作以及护理人员的资质和数量对治疗结果有重大影响。血流动力学涉及血流的物理原理以及对生命参数的评估,以确保器官灌注和氧合。护理人员的能力和知识对于患者的安全护理至关重要。当地的标准操作程序(SOP)应考虑跨专业协作和团队成员的资质。