The professional caregiver autonomously and independently applies monitoring systems and invasive medical devices according to the treatment plan and if applicable places medical devices on the patient/client. | The professional caregiver is able to:
- apply vital monitoring (e.g. portable monitor),
- provide ultrasound devices for attendant physician,
- apply a manual defibrillator (e.g. connect electrodes) (see also CA.3.6),
- apply vacuum bandages and change waste containers (see also CA.3.3),
- perform a functional check before using medical technology for complex applications (e.g. hardware check for ventilation machines),
- check medical devices for administering medicines or gavage during use for correct function and accurate application quantities (e.g. infusion pumps, nutritional pumps) (see also CA.3.2),
- apply all types of monitors for monitoring patients/clients (e.g. set and activate alarms on monitors),
- connect all types of venous and/or arterial lines/sets to catheters for administering drips/medications and elevate all possible measurement (e.g. fluid-filled arterial blood pressure system onto an arterial catheter, fluid-filled manifold with infusion sets onto a central venous catheter, arterial blood pressure, Picco®, CVP),
- make breathing machines ready (e.g. portable machines, fixed ventilators),
- apply breathing machines and care for mechanically ventilated patients/clients (e.g. for mask CPAP, for intubated patients/clients),
- set up and apply dialysis (e.g. via CVVHDF, dialysis machines),
- choose different dialysis liquids (e.g. peritoneal dialysis, dialysis liquids with different potassium),
- use different patient warmer/cooler systems (e.g. heating/cooling mat, special cooling systems for patients/clients after cardiac arrest),
- set up and apply different invasive support systems (e.g. IABP, Impella®),
- set up and apply procedures of extra corporal oxygenation (e.g. ECMO, ECLA),
- prepare and work with equipment for intubation and tracheotomy (e.g. laryngoscope, different respiratory tubes),
- assist in intubation of patients/clients or perform intubation of patients/clients,
- use laboratory machines (e.g. blood gas analyser),
- set up and use special systems and machines for sedation of patients/clients (e.g. AnaConDa®),
- set up and use contrast agent applicators,
- set up and run machines for imaging procedures (e.g. for bronchoscopy, colonoscopy),
- set up and apply mechanical reanimation equipment (e.g. Lifeguard®),
- apply surgical tables and surgical lamps,
- apply special monitoring methods (e.g. BIS®, relaxometry),
- set up and apply electro coagulator,
- assist in the promotion of X-ray-devices (e.g. portable, C-arm),
- set up and apply a heart-lung machine,
- set up and apply anaesthesia machines.
| The professional caregiver is able to: - explain the normal values and deviations of an ECG (e.g. sinus rhythm, P wave, QRS complex) (see also CA.1.1),
- name situations that require monitoring of patient/client (e.g. life-threatening situation, after surgery),
- explain the check on medical products regarding durability and sterility (see also CA.A.3),
- name equipment on monitors (e.g. ECG cable, RR cable, cable for measuring various pressures),
- describe different sets/types of lines for invasive measurement methods (e.g. for CVP, arterial blood pressure, ICP),
- describe normal and abnormal values of invasive measurements (e.g. arterial middle blood pressure, CVP),
- describe the anatomy and physiology of lungs and breathing,
- describe the anatomy and physiology of heart and circulatory system,
- name and explain diseases that can lead to necessity of artificial respiration (e.g. pulmonary oedema, sepsis),
- describe different ventilation modes (e.g. CPAP, BIPAP, SIMV),
- name different parameters and settings on breathing machines and explain their meaning (e.g. PEEP, ASB, breathing rate),
- describe side effects of mechanical ventilation of patient/client,
- describe anatomy and physiology of the kidneys,
- name diseases that can lead to need for dialysis (e.g. acute and chronic kidney failure),
- describe diseases of the kidneys,
- explain how dialysis works,
- explain anticoagulation with citrate in dialysis (e.g. treatment with CVVH),
- explain how invasive support systems work (e.g. IABP, Impella®),
- explain pathophysiology of acute respiratory deficiency syndrome,
- explain how extra corporal oxygenation procedures work (e.g. ECMO, ECLA),
- describe the procedure of intubation (e.g. oral, nasal),
- name values within blood gas analysis and describe deviations (e.g. pH shifts, increase of bicarbonate),
- explain sedation regimes,
- explain range of application of contrast agents and their risks and side effects,
- explain special monitoring methods (e.g. BIS®, relaxometry),
- explain electrocoagulation,
- explain dealing with X-rays (e.g. self-protection, use of gonad protection),
- explain working method and application area of heart-lung machines,
- explain the necessity for contrast agent application,
- explain the preparation of anaesthesia machines.
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