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Table 1 Goals, scope, and training for medical students supporting critical care management

From: Students Supporting Critical Care – A contention plan to prevent the decompensation of ICUs in the COVID-19 pandemic:Translating Bjorn Ibsens’ polio-lessons to modern times

Overall goal
• Care and monitoring of ICU patients including COVID-19 patients under supervision of senior ICU nurses
Scope of responsibility
• Monitoring and reporting on:
o Clinical status (temperature, GCS, heart-frequency, blood-pressure, respiratory-frequency, arterial BGA)
o Respiratory support via nasal cannula, bag mask, high flow or NIV (oxygen flow and ventilation settings)
o Respiratory support of intubated patients under direct supervision
• Control, maintenance, and reporting on installations and infusions (central venous lines, drains, urinary catheter, etc.)
• Support in emergency situations (cardiac/respiratory arrest)
• Support during patient transport and medical interventions
• Care of patients
o Management and nursing of the conscious patient (assistance in primary needs)
o Management and nursing of the unconscious patient
o Bedding and mobilization
o Ensuring standard hygiene and preventive measures
• General support of nurses
Theoretical and hands-on training focus
• Confidentiality, documentation, reporting
• Infectology, self-protection, hygiene, and management of infectious patients
• Catheters and ICU installations
• Infusions and nutrition in the ICU
• Microbiological sampling, including blood samples and arterial blood gas collection
• Hemodynamics
o Anatomical and physiological considerations
o Non-invasive and invasive blood pressure, heart-frequency assessment
o Basic vasopressor and inotropic management
o Cardiac and respiratory arrest
• Ventilation
o Anatomical and physiological considerations
o High-Flow and NIV
o VAP prevention
o Basic mechanical ventilation management
o Ventilation via bag-valve mask
• Correct mobilization and bedding-position techniques (prone position)
• Basic communication, ethical aspects, patient safety, and self-care in crisis situations
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