臨牀透析 Vol.29 No.12(4-3)


特集名 透析スタッフの教育と診療レベルの向上
題名 各職種の現場でのスタッフ教育 (3) 臨床工学技士
発刊年月 2013年 11月
著者 村上 淳 東京女子医科大学臨床工学部・臨床工学技士
【 要旨 】 当院臨床工学部では,多岐にわたる業務に部門横断的に対応可能な人材を育成するべく,血液浄化,体外循環系,手術室・集中治療・ME機器管理の3部門ローテーションを開始した.ローテータは3部門を4カ月ごとにローテーションし,教育を受けることになる.血液浄化部門では,4カ月間で到達すべき目標の明確化,標準化された手技・知識の教育およびローテーション後の再教育のための電子化マニュアルの開発に取り組んでいる.目標管理(MBO)は,適切に取り入れることで組織強化,個人の能力・意欲の開発などを実現するため効果がある.教育において,競争意識は教育効果を高めるために有効な要素である.学会等での発表は,準備期間も含めて能力を飛躍的に向上させる良い機会である.
Theme Education of the dialysis staff to achieve better quality care
Title Training for clinical engineering technicians
Author Jun Murakami Department of Clinical Engineering, Tokyo Wemen's Medical University
[ Summary ] In large medical institutions such as university hospitals, many duties are given to clinical engineering technicians (CETs). These duties include the operation of life-support devices, CET support of respirator therapy including hyperbaric oxygenation, assisted circulation using heart-lung machines, cardiac catheterization, pacemaker heart stimulation and blood purification therapies such as hemodialysis. Maintenance and management of medical devices in ME centers, operating rooms, intensive care units and general care wards is another important role for CETs. Technicians must check, adjust, exchange, repair and operate medical devices including respirators, syringes and infusion pumps, as well as defibrillators or AEDs. They must also provide safety education to medical staffs especially information pertaining to medical devices. In our hospital, all the above-mentioned duties are required of CETs.
Ideally all CETs in an institution can safely perform the all required duties. However, this is impossible in practical terms because performing job related duties and job-training are often incompatible. In this paper, the education system for younger CETs in our CET department is introduced.
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