PEKERJAAN SUSTER DI RUMAH SAKIT JERMAN || Perbedaan Perawat di Jerman

Summary

The video is a nurse’s personal overview of nursing work in a German hospital, with comparisons to Indonesian hospitals. The speaker describes different nursing roles, shift arrangements, staffing, and the typical flow of a morning shift. Details reflect her workplace and experience; schedules and procedures may vary between hospitals.

Nursing Roles and Qualifications

• Hospital nurses work in hospital wards or clinics.
• Elder-care nurses care for older people.
• Nurses for people with special needs support patients who require specialized care.
• Nurses with a three-year qualification have broader responsibilities than assistants. The subtitles use unclear labels for some qualifications but distinguish these qualified nurses from GPA/assistant staff.
• Azubis are nursing trainees completing vocational training. The tasks they may perform depend on their training year, and they should receive appropriate supervision.
• Service staff handle patient meals, including asking patients what they would like to eat. Nursing staff may assist when needed.

Shifts and Handover

The speaker gives approximate shift times:

• Morning: 6:15 a.m.–2:00 p.m.
• Afternoon: 1:30 p.m.–9:00 or 9:30 p.m.
• Night: 9:15 p.m.–6:30 or 6:45 a.m.

At the start of a shift, staff hand over information about patients, including planned examinations or operations and significant events from the previous shift. The incoming team needs to understand each patient’s situation before beginning care.

Typical Morning-Shift Workflow

1. Receive handover and organize the team

   • Staff are assigned across wards or stations and divide responsibility for patients.
   • Qualified nurses, assistants, trainees, and service staff have different roles.
   • Staffing and patient numbers vary.

2. Begin patient care, usually around 7:00–7:15 a.m.

   • Administer prescribed medicines, antibiotics, and infusions.
   • Check vital signs, such as blood pressure, temperature, oxygen levels, and blood sugar.
   • Respond to unexpected changes, such as a high fever or very high blood pressure.
   • Ensure trainees are assigned only tasks appropriate to their training and level of supervision.

3. Join the doctors’ ward round

   • Nurses accompany doctors as they review patients, surgical wounds, and patients’ conditions.
   • Nurses should know relevant information about their patients, including diagnoses and operations, and be ready to answer questions or help address concerns.

4. Take a break when the work allows

   • The speaker describes a break of about 30 minutes, often around 9:00–10:00 a.m.
   • Urgent patient needs may interrupt the break or affect its timing.

5. Check what patients need

   • Ask patients what help they require.
   • Change soiled bedding and assist patients who have difficulty moving, using a wheelchair, or going to the toilet.
   • Provide practical help, such as bringing a basin so a patient can wash.
   • The speaker says bathing or washing patients is not routine in her hospital, but staff help when a patient needs it.

6. Prepare and document care

   • Prepare medicines or infusions ordered by doctors.
   • Record patient information and care. The speaker says her hospital, like many in Germany, uses digital documentation.
   • Check blood sugar before meals and recheck patients whose condition requires monitoring.

7. Prepare for handover

   • Before the next shift arrives, staff distribute or prepare medicines and infusions needed later.
   • When the afternoon team arrives, the morning team hands over updates about patients.

Key Comparisons and Lessons

• In the speaker’s experience, German hospitals rely on hospital staff to provide much of the day-to-day support because family members are not generally present to care for patients continuously. She contrasts this with her impression of Indonesian hospitals, where relatives may accompany patients and help with practical needs.
• The speaker describes visiting arrangements as restricted in her setting. She recalls visiting hours of roughly 2:00–8:00 p.m. before COVID, while saying that visits were not allowed at the time she recorded the video. This is her account of the rules at that time, not a universal policy.
• Hospital nursing work is not fully predictable. Emergencies such as bleeding, a fall, sudden unconsciousness, urgent transfers, or a patient’s death can interrupt routine tasks.
• Nurses need to know their patients, communicate clearly during handover, work within their qualifications, and respond promptly when a patient’s condition changes.

Speakers and Sources

• Ima Tuzzahroh is the video’s sole identifiable speaker, sharing her personal account of nursing work in a German hospital.
• Doctors, nurses, trainees, assistants, and service staff are mentioned as participants in the described hospital workflow, but they are not identifiable as separate speakers in the subtitles.