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Als APN im ärztlichen Team in Southampton (GB)
O. Stamm, Southampton/GB
Friday, May 18, 2018 · 11:24 a.m. · 11m 59s
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done for the i know i do and resume is acted out by theme ignition should be done on the
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present talk to and stuff and we still don't have it to present that an ignition her um
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so i'm i'm in advance duration nurse practitioner um because that by the
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mouthful and we usually call ourselves a in in p. and americans
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goes beyond that and then he hadn't found out by that which is
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thought we need an advanced anyway we're and points uniqueness practitioners
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um about may as already mentioned um id might and you don't get that you can
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just training at the children's hospital um in zurich that was called thin fry um
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now changed um i worked compensated into tall for six years as in it
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and knows um did my bachelor's degree at the time maybe the top
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before i moved inland and in two thousand and fifteen to
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start my master's degree for and indigenous petitioner and
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i broke their initially as a trainee um and scenes um two thousand sixteen
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as qualified a and p. and i've just finished my mouth dissertation
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i i'm still o. a.'s the program and we talked already it's very important to
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have a good education and to try to write a good qualified people and
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i think it's very important to hospitals um and warts and all what people
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what what are they getting what qualification is behind people um it
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we just joining the unit cell um i've done a martin
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signs in advance clinical practically is um any special
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and specialist on advanced in eighteen a space station so the whole program a specialist in anything methane
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um that was a pretty cool was basic signs package which
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took twelve weeks um it consisting mostly of chemistry biochemistry
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anatomy physiology and data physiology because and the creators of the
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programme thought that is what this is actually on
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the thing and compared to doctors we have a lot of so says gives you have a lot of
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and this is to procedures but well what we'll me thing is
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actually to a fixed signs and taxable day off of
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off and before the program in started it was tested by a multiple choice question of korea cost and the
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models are um again terry nichols fake mostly and teach fine
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you need to come down and give a lot a
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lot of experience um it focuses on a and has
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determined pen thick preterm and sick and term infant
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and decision making is a a quite interesting and big part of the
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program and again space packed is i think is even more
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practised in the u. k. compared to what we what are you
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from switzerland pharmacology that make it far off the program and
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in parsing the pharmacology and describing what you i am able to and the
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car scribe independently and all imitation of a british national for mary
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so i don't have to ask the doctors risk like me anything i am able to prescribe my fed and all the medication
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we need on any anything you need for moving to fan to to process everything i am able to piece got myself
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um actually neatly packed is a big pause well so in in at the beginning
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we usually spend one day a um a week on the neonatal unit
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we need to have a senior a. l. p. and the medical supplies that during the whole program who supports us
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um and towards the end of the program the clinical type um talk gets bigger and bigger and takes move time
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um the that if you you do program full time it's one year um which is quite a whole lot
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of ah caught walk and you're that qualifies to work in that um the call for a and p. and
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you can then do you marcy station afterwards one and a half year if you do it part time
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um program aimed at university of southampton started in nineteen ninety two
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as in stand they allow um hundreds of um a in peace graduated from
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the university and am please affix part on the on a few units
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across the u. k. from scotland to wait for an open our land to
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an inland all the neonatal unit have somehow out that some have
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a big up team some of small team of nurse practitioners involved on
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the new in eighty eight and i don't have to explain and
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i'm in a new p. everyone knows we need peace so we are already established and in the u. k.
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and the american um academy off to get trick recommend that nurse practitioners to be implemented on
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the native unit in nineteen seventy three something interesting that we try to be behind um
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so what does it mean well what or why i'm blocking s. n.
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p. that's the hostage number canned peaches and hospital lot of
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hospitals in england has prints all roy all queen name i'm i'm
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missing now the royal backed into more old because i'm here
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um we all levels we neonatal intensive care unit which means we're taking babies from twenty three weeks of
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gestation out what's we have specialised to the attic so if you knew anything medicine and surgery
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we include speciality thing in it to surgery cartilage enough
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protein nor new of surgery and clinical genetics
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and we also the hard fought southampton cokes for munich transports of the soviet doing transport
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together with our hands is the host of the um directly fostered in oxford
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um we at the hospital embarking they have a round six thousand
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delivery three year plus the whole um no clever year round
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we have forty bed which twenty three hour intensive care unit and we had surgery done on the unity
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of cardio for ethics surgery x. p. allocations or emergency sectors to me only male make unit
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um we have an innate to surgery done on an innately unit like macro to me
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um all classes i sees silo insertion closer um and some small things as well
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um that are just key points out of my job description
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so um as a nurse practitioner i'm leading um recitation of the newborn i'm
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leading that nation of sick and preterm infants to the neonatal unit
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i mean you don't find the need and and take it once clean because get this that means i'm
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integrating i'm i'm a uh doing centre lines like
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umbilical artery and vein catheters i'm inserting and
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part of a long lines i'm doing just train and needed percent teases and
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doing at peace venus and up to s. s. x. s. s.
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there is no clinical procedure i'm not allowed to do only need any community
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i'm managing the care of sick and unix enough families in collaboration with all those
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i'm responsible for the ventilation managing flip managing
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and has already said i'm prescribing medications
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i'm planning an undertaking and i can of sticking to protect us uses as appropriate
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i'm requesting x. rays bought it not just requesting it i'm also need to be able
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two into packed x. ray and if necessary to act on it so if
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there is a new forks i need to see that as new forward
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but i'm also need to be able to act only um we are requesting and
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interpret the e. g. e. v. g. m. right kind of out of town
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and the whole set of plots which you do they you on unique unit
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um i'm reading the extermination um and management of the new born baby i have to take um
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throughout physical assessment and history taking um uh we are responsible for discharge um
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of the new born baby from the post natal at uni for
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example or if babies with concerns from the community come to anything we
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and assess them as well and all those clinical unpacked is all
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of course and with a comes out clean the background so if there are any questions coming up if they're
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especially very very sick babies if the colouration between a in peace junior doctors and it comes out and
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but there are no off um decisions i have to make with that
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band the faust um but the more experienced i get the
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what decisions i'm making cell we ah up automatically rota so that
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and just to show 'em apart for the next medical water
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for the next couple of weeks i highlighted um a a piece for the orange ones that you can see the rest
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of the names out to new doctors um and we are doing
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every shift so we are doing intensive care registrar individual
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shift good with the special care they've unit shaved it intangible post natal boards and night shift as well so
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just looking at the medical rotate you can't differentiate between whose name p. and losing
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and a junior doctor because we have the same competencies anything with possibilities about
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i'm doing the night we don't have a consultant on side so it can be that you are
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the most experienced medical person if you want i few registrar and it's quite a big responsibility
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um so that was the night team over christmas um
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we also have heavily involved in education development and
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good thing is we can go both directions so we can do nurses
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training but we do a lot of and junior doctors trading
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i've just changed from the f. h. over top which is junior doctors you want three
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to being a registrar on the registrar hotel which is to know doctors you fought tooth
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two eight and my role change as an essay joe i was the
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learning of listening to procedures that was doing this decision making
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and now i mean the opposite side and i actually teaching it off to
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new junior doctors could just turned our unit how to do everything
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and it's quite interesting they usually come first ah stated piece if they have questions
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before they go to turns out and stuff because yeah hierarchies there as well
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and because we are staying on the unit to new doctors are changing every six months that it in if you are staying on
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the unit for using using yes you're heavily involved in development of
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the unit as well in the the sheep the management
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yeah really involved in difficulty at these different tempo checked transport special care unit
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and we are doing research and all this is about i've just an f. ed finish my um dissertation
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in pharmacological structure teased in chains celtic functional system kept attention
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in a predetermined time intensive p. picture of words um and together with my medical supervisor
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we just and submit the abstract to european academy of pediatrics aside in paris
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things cost i might be able to um have the oral presentation or maybe a
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pulse presentation so we are publishing is valiantly are heavily involved in auditing
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um and all to kind of bring our unit for what's because i think it
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at me as lightly i'm identifying myself with the unit i i want i
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you need to be depressed i'm into the dots obviously they they they ousted heavily involved in that training so i think we're part
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and as a quite positive point we're doing administration so we do anything that admission into the starch documentation
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weaver left if necessary um and we need for um have portfolio and keeping a
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tenth of what we're doing and a for quite right to do it
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uh that's a really really sure all of you have access to any of his eyes devilish
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um i've just just positive things parents night cost cost me coming from nursing background
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and the nurses like asked again the commercial menacing background we maybe understand them
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