And thank you i can use english, i nearly had a headache of writing in german.
First of all our dutch course:
Its about 3 to 3.5 years long depends on if you are a nurse (its 3 years then otherwise 3.5 year), since some years its in the netherlands not a course striktly for nurses anymore because of large shortages of personell and great job differences.
First 6 months is pure school, then you start working in your hospital and slowly working your way up from small operations to the big AAA.
Each year you have to do an exam and in the last year a paperwork about an anesthetics problem and your final exam.
We learn about everything that the docter knows about anasthesia and learn all skills except Spinal and Epidural, under supervision of the doctor we are allowed to do everything, the sitiation in our hospital is usually so : the doctor is writing the paperwork, and I give the medication (that i like, sufentanyl you rock my world ) and do the intubation ect, and in emergency situations (AAA, Solutio, etc) we cooperate, the doctor does the head site, we the medication, infusion, artertial lines , etc.
The job situation very much depends on where you work, if you work as i do in a big but not university (no interns and med students) hospital.
We have the policy of one anasthesioloog on 2 or 3 operating tabels, which means that there is always a doctor in prencense when making a patient in sleep or spinal anesthesia ect, but we as assistents have personell direct controll of the patient during the operation and can run complete alone within some predefined borders and when awakenming of the patient mostly we do that without the doctor because of the 2 table system.
In short therms WE DO THE WORK they get the money :p
About the money we earn in holland 2.600 to 3.200 bruto a month + compensation and overtime must be counted ontop of that, not a bad at all, we have together with the ICU the highest sallary of nursing personell in the hospital.
Also our function in most hospitals is that we are a member of the reanimation/resusitation team, with speciality on A(airway) B(breating) and can fully operate in that team without an anesthesioloog , and sometimes we are also a member of traumateams for function on the ER or sometimes outside the hospital on the road.
Why i,m I interested in germany, here the politicians are destroying our public health systems, hospitals are becoming more and more fabrics with one goal making money, this isn,t why i choose my proffession so i,m looking for a job outside the netherlands, germany was my first thought.
Hope that i explained it all,
Tjuss
Robin
Kommentar