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首页> 外文期刊>Southern African Journal of Critical Care >The capabilities and scope-of-practice requirements of advanced life support practitioners undertaking critical care transfers: A Delphi study
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The capabilities and scope-of-practice requirements of advanced life support practitioners undertaking critical care transfers: A Delphi study

机译：Delphi研究表明，进行重症监护转移的高级生命支持从业人员的能力和实践要求

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BACKGROUND. Critical care transfers (CCT) refer to the high level of care given during transport (via ambulance, helicopter or fixed-wing aircraft) of patients who are of high acuity. In South Africa (SA), advanced life support (ALS) paramedics undertake CCTs. The scope of ALS in SA has no extended protocol regarding procedures or medications in terms of dealing with these CCTs. AIM. The aim of this study was to obtain the opinions of several experts in fields pertaining to critical care and transport and to gain consensus on the skills and scope-of-practice requirements of paramedics undertaking CCTs in the SA setting. METHODS. A modified Delphi study consisting of three rounds was undertaken using an online survey platform. A heterogeneous sample (n=7), consisting of specialists in the fields of anaesthesiology, emergency medicine, internal medicine, critical care, critical care transport and paediatrics, was asked to indicate whether, in their opinion, selected procedures and medications were needed within the scope of practice of paramedics undertaking CCTs. RESULTS. After three rounds, consensus was obtained in 70% (57/81) of procedures and medications. Many of these items are not currently within the scope of paramedics' training. The panel felt that paramedics undertaking these transfers should have additional postgraduate training that is specific to critical care. CONCLUSION. Major discrepancies exist between the current scope of paramedic practice and the suggested required scope of practice for CCTs. An extended scope of practice and additional training should be considered for these practitioners.
机译：背景。重症监护转移（CCT）是指在运输过程中（通过救护车，直升机或固定翼飞机）对高敏锐度患者进行的高水平护理。在南非（SA），高级生命支持（ALS）护理人员进行CCT。 SA中ALS的范围没有关于处理这些CCT的程序或药物的扩展协议。目标。这项研究的目的是获得有关重症监护和运输领域的几位专家的意见，并就在SA环境中进行CCT的医护人员的技能和实践范围要求达成共识。方法。使用在线调查平台进行了修改后的德尔菲研究，包括三轮研究。要求由麻醉学，急诊医学，内科医学，重症监护，重症监护运输和儿科领域的专家组成的异类样本（n = 7），以表明他们认为是否需要在特定范围内使用选定的程序和药物进行CCT的护理人员的业务范围。结果。三轮后，在70％（57/81）的程序和药物中获得了共识。这些项目中的许多目前不在医护人员的培训范围内。小组认为，进行这些转移的护理人员应接受针对重症监护的额外研究生培训。结论。当前的护理人员执业范围与建议的CCT执业范围之间存在重大差异。对于这些从业者，应考虑扩大实践范围并进行额外的培训。

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