讲座摘要
ICU护士的必需技能   Required competencies for ICU nurses
Jean REIGNIER
       
Address correspondence to
  Dr Jean REIGNIER
  Service de reanimation polyvalente
  Centre Hospitalier Départemental
  85000 La Roche sur Yon
  E-mail: jean.reignier@chd-vendee.fr
   
Abstract
  Working in the ICU setting necessitates dealing with complex pathologies, using sophisticated techniques in context of emergency and life-threatening conditions, frequently accompanying patients at the end of life, cooperating with big ICU teams of colleagues and doctors and communicating with patients and their relatives.
  Thus, caring for critically ill patients in ICU requires specific competencies in treating life-threatening illness.
  Acquiring these competencies requires training in physiological and psychological concepts, clinical science and sophisticated technical skills.
  Doctors acquire this knowledge during a complex 10 year-course in the University of Medicine.
  After a 6-year-period dedicated to learning general medical knowledge, interns have access to intensive care medicine via several primary specialties including pneumology, cardiology, anesthesiology, nephrology.
  By contrast, nurses’ studies are 3 years without learning care of the critically ill patients.
  In France, official specific courses do not exist to become an ICU nurse after the general training course.
  Nurses are currently trained only on their arrival in an ICU with short educational programs performed by local experienced nurses.
  The duration of these programs does not exceed two months.
  Thus, there is a need to set up official structured training on ICU nursing care.
  The French professional society on Critical Care Medicine (SRLF) have established a working group on training of nurses in critical care medicine which aims to determine a learning program for the arrival in a specific ICU and a program for a future specific official diploma of critical care nurse.
  However, the first step was to define the specificity of critical care medicine and thus the competencies required for the best nursing care of critically ill patients.
  As recommended by the European Qualifications Framework, learning outcome was defined in terms of knowledge, skills and competence.
  A competence is the proven ability to use knowledge, skills and personal, social and/ or methodological abilities, in work or study situations and in professional and personal development.
  The SRLF working group identified 12 specific conditions of ICU care:
  circulatory failure, acute respiratory failure, acute renal failure, neurological failure, the sedated patient, the polytrauma patient, nutrition of a critically ill patient, installation and transport of a critically ill patient, accompanying a patient in life-threatening condition, end of life in ICU, the multi-organ donor and the prevention of nosocomial infection risks in the mechanically ventilated patient.
  The group has also to create a databank of technical datasheets that would be written with the collaboration of experienced ICU nurses and to help learn the competencies needed.
   
 
 
第二届中法危重病医学研讨会 暨 上海重症医学论坛 （2009年12月 中国 上海）
       
 
版权所有© 2006－2009，中国病理生理学会危重病医学专业委员会 Chinese Society of Critical Care Medicine