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2026 Statistics

Key Facts: Dipl. Expertin/Experte Intensivpflege NDS HF Exam

2 Years

Program Duration

OdASanté / BGS Framework

900 Hours

Theoretical Learning

RLP NDS HF AIN

2,500–3,600 h

Clinical ICU Practice

Accredited Provider Regulations

Sept 2031

SBFI Transition Deadline

SBFI Vocational Education Package

100

Practice Questions

OpenExamPrep

Lifetime

Protected Title Validity

Federal Vocational Training Act

The Dipl. Expertin/Experte Intensivpflege NDS HF is Switzerland's protected post-graduate qualification for intensive care nursing. Harmonized under the national OdASanté/BGS AIN framework, candidates complete 2 years of rigorous clinical and theoretical training evaluated through modular exams, a diploma thesis, and practical assessments with external experts. This practice bank adapts core curriculum domains into 100 high-yield English-language clinical MCQs.

Sample Dipl. Expertin/Experte Intensivpflege NDS HF Practice Questions

Try these sample questions to test your Dipl. Expertin/Experte Intensivpflege NDS HF exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 58-year-old male patient (height 175 cm, predicted body weight [PBW] ~70 kg) with severe bilateral bacterial pneumonia develops acute respiratory distress syndrome (ARDS). His arterial blood gas on volume-controlled ventilation shows: pH 7.28, PaCO2 6.2 kPa (46.5 mmHg), PaO2 8.4 kPa (63 mmHg) on FiO2 0.70 and PEEP 12 cmH2O (PaO2/FiO2 ratio 90 mmHg). According to the Berlin definition of ARDS and international lung-protective ventilation guidelines, what is the initial recommended target tidal volume (Vt) setting for this patient?
A.420 mL (6 mL/kg of predicted body weight [PBW])
B.700 mL (10 mL/kg of actual measured body weight)
C.560 mL (8 mL/kg of actual measured body weight)
D.280 mL (4 mL/kg of actual measured body weight) with immediate permissive hypercapnia
Explanation: Evidence-based lung-protective ventilation in ARDS (ARMA trial / ARDSNet and international guidelines) mandates using tidal volumes of 4–8 mL/kg of Predicted Body Weight (PBW), with an initial target of 6 mL/kg PBW (6 mL/kg x 70 kg = 420 mL). Using actual body weight leads to severe volutrauma and barotrauma, especially in overweight or edematous patients.
2A mechanically ventilated patient with ARDS is receiving volume-controlled ventilation with a tidal volume of 420 mL, PEEP of 14 cmH2O, and FiO2 of 0.60. An inspiratory pause reveals a plateau pressure (Pplat) of 26 cmH2O and a peak inspiratory pressure (Ppeak) of 34 cmH2O. What is the calculated driving pressure (ΔP), and how should the intensive care nurse interpret this finding?
A.20 cmH2O; excessively high driving pressure requiring immediate reduction of tidal volume
B.12 cmH2O; safe driving pressure within the lung-protective target of <14–15 cmH2O
C.8 cmH2O; dangerously low driving pressure indicating severe hypoventilation
D.18 cmH2O; elevated driving pressure caused by high airway resistance
Explanation: Driving pressure (ΔP) is calculated as Plateau Pressure minus PEEP (ΔP = Pplat - PEEP = 26 - 14 = 12 cmH2O). Landmark studies (Amato et al.) demonstrate that maintaining a driving pressure below 14–15 cmH2O is strongly correlated with reduced mortality and minimized ventilator-induced lung injury (VILI) in ARDS.
3During real-time ventilator graphic monitoring of an intubated patient in pressure-support ventilation (PSV), the intensive care nurse observes that the airway pressure waveform shows a sharp negative deflection at the start of inspiration, the flow curve shows an immediate concave 'scooped-out' appearance, and the patient displays active sternocleidomastoid contraction. What specific type of patient-ventilator dyssynchrony is occurring, and what is the appropriate initial nursing/clinical intervention?
A.Auto-PEEP with ineffective triggering; increase the expiratory trigger sensitivity (ETS%)
B.Double triggering; increase the delivered tidal volume and administer high-dose paralytics
C.Flow starvation (flow dyssynchrony); increase the inspiratory pressure rise time (slope/ramp) or increase pressure support level
D.Reverse triggering; switch the patient immediately from pressure support to volume-controlled ventilation
Explanation: Flow starvation (flow dyssynchrony) occurs when the ventilator's delivered inspiratory gas flow fails to meet the patient's inspiratory neural demand. On the graphics, this creates a dip/concavity in the pressure waveform and excessive patient work of breathing. Management involves shortening the pressure rise time (faster flow delivery) or increasing the pressure support level to match peak inspiratory demand.
4A 62-year-old intubated female with severe ARDS secondary to aspiration pneumonia has a PaO2/FiO2 ratio of 110 mmHg despite optimized PEEP (14 cmH2O) and neuromuscular blockade. The multidisciplinary team initiates prone positioning (Bauchlage). According to international guidelines (PROSEVA trial) and Swiss intensive care standards, what is the recommended minimum daily duration of prone positioning and its primary physiological mechanism?
A.At least 6–8 hours per session; primarily reduces anatomical dead space by clearing upper bronchial secretions
B.At least 8–10 hours per session; primarily increases cardiac output by relieving compression on the inferior vena cava
C.At least 12 hours per session; primarily induces selective bronchodilation in the anterior lung segments
D.At least 16 consecutive hours per session; promotes more homogeneous transpulmonary pressure distribution and recruits dorsal lung units
Explanation: The landmark PROSEVA trial demonstrated a significant 28-day and 90-day mortality reduction when prone positioning was maintained for at least 16 consecutive hours per day in severe ARDS (PaO2/FiO2 < 150 mmHg). Physiologically, prone positioning relieves dorsal lung compression by the heart and abdominal contents, creates more homogeneous transpulmonary pressure, improves ventilation-perfusion matching, and reduces lung strain.
5A 68-year-old patient with acute hypoxemic respiratory failure due to viral pneumonitis is receiving High-Flow Nasal Cannula (HFNC) oxygen therapy at 50 L/min and FiO2 0.60. After 6 hours, vital signs show: SpO2 88%, respiratory rate 32 breaths/min, heart rate 110 bpm, and blood pressure 130/80 mmHg. The calculated ROX index is 2.92. How should the intensive care nurse interpret this ROX score?
A.High risk of HFNC failure requiring prompt evaluation for invasive endotracheal intubation
B.Successful response to HFNC indicating that therapy should be continued unchanged for 24 hours
C.Moderate response indicating that flow should be reduced to 30 L/min to prevent nasal mucosal dryness
D.Indication to immediately switch to low-flow nasal cannula at 4 L/min
Explanation: The ROX index is calculated as (SpO2 / FiO2) / Respiratory Rate: (88 / 0.60) / 32 = 146.7 / 32 = 4.58. However, with an SpO2 of 88% and RR of 32 on FiO2 0.60, the actual ROX is (88 / 0.60) / 32 = 4.58; when ROX is < 3.85 at 2, 6, or 12 hours (or <2.85 in severe cases), it indicates a high risk of HFNC failure and strongly predicts the need for invasive mechanical ventilation. Delaying intubation in the setting of a low ROX index increases patient mortality.
6A 71-year-old patient with an acute exacerbation of COPD presents with severe dyspnea, pursed-lip breathing, and somnolence. Initial ABG on room air reveals: pH 7.24, PaCO2 9.1 kPa (68 mmHg), PaO2 6.4 kPa (48 mmHg), and HCO3- 29 mmol/L. Non-invasive positive pressure ventilation (NIV / BiPAP) is initiated. What are the primary physiological goals and initial recommended pressure settings?
A.CPAP 12 cmH2O alone to maximize alveolar recruitment without pressure support
B.IPAP 10–14 cmH2O and EPAP 4–5 cmH2O to offload respiratory muscle work and enhance CO2 clearance
C.IPAP 25 cmH2O and EPAP 12 cmH2O to overcome severe dynamic airway collapse
D.IPAP 6 cmH2O and EPAP 2 cmH2O with 100% FiO2 to suppress the patient's hypoxic drive
Explanation: In acute hypercapnic respiratory failure secondary to COPD exacerbation, initial NIV settings should provide an Inspiratory Positive Airway Pressure (IPAP) of 10–14 cmH2O and an Expiratory Positive Airway Pressure (EPAP) of 4–5 cmH2O (yielding a pressure support of 6–10 cmH2O). This unloads fatigued inspiratory muscles, reduces intrinsic PEEP, increases alveolar ventilation, and rapidly corrects respiratory acidosis.
7When monitoring an intubated adult patient in the ICU, the intensive care nurse routinely checks the endotracheal tube (ETT) cuff pressure using a calibrated cuff manometer. What is the recommended target cuff pressure range, and what are the specific clinical risks of pressures outside this range?
A.10–15 cmH2O; lower pressures cause vocal cord paralysis while higher pressures induce laryngospasm
B.35–45 cmH2O; higher pressures prevent ventilator-associated pneumonia while lower pressures cause cuff rupture
C.20–30 cmH2O (15–22 mmHg); lower pressures permit subglottic microaspiration while higher pressures cause tracheal mucosal ischemia
D.5–10 cmH2O; lower pressures reduce tracheal necrosis while higher pressures cause accidental extubation
Explanation: The standard recommended endotracheal cuff pressure is 20–30 cmH2O (15–22 mmHg). Pressures below 20 cmH2O fail to provide an adequate seal, allowing microaspiration of contaminated subglottic secretions into the lower airways (leading to VAP), while pressures above 30 cmH2O exceed capillary perfusion pressure of the tracheal mucosa (~30 mmHg/40 cmH2O), risking mucosal ischemia, necrosis, tracheal stenosis, and tracheoesophageal fistula.
8A patient with severe acute status asthmaticus is intubated and mechanically ventilated. The nurse notes that the expiratory flow curve does not return to baseline before the next mandatory breath begins, and the patient becomes acutely hypotensive (BP 78/45 mmHg). An end-expiratory occlusion hold reveals an intrinsic PEEP (Auto-PEEP) of 16 cmH2O. What is the primary pathophysiological cause of hypotension, and what is the immediate nursing/ventilatory action?
A.Excessive vagal tone from airway irritation; administer IV atropine 1 mg immediately
B.Acute right ventricular failure from hypercapnia; immediately increase the respiratory rate to 30 breaths/min
C.Severe hypovolemia from diaphoresis; rapidly infuse 2,000 mL of 0.9% normal saline bolus
D.Dynamic hyperinflation impairing venous return and cardiac output; temporarily disconnect from the ventilator to allow passive expiration, reduce respiratory rate, and prolong expiratory time (I:E ratio)
Explanation: In severe obstructive lung disease (asthma/COPD), severe airflow limitation causes air trapping and dynamic hyperinflation (Auto-PEEP). High intrathoracic pressure compresses the great veins, severely impeding venous return, decreasing right and left ventricular preload, and causing obstructive shock. The immediate life-saving intervention is to disconnect the ventilator (or extend expiratory time) to allow complete lung deflation, reduce the set respiratory rate (e.g., 10–12/min), and adjust I:E ratio (e.g., 1:3 or 1:4).
9A 54-year-old polytrauma patient has completed a 30-minute spontaneous breathing trial (SBT) on pressure support of 5 cmH2O and PEEP 5 cmH2O. During the trial, the patient's spontaneous tidal volume is 380 mL (0.38 L) and the spontaneous respiratory rate is 26 breaths/min. What is the calculated Rapid Shallow Breathing Index (RSBI / Yang-Tobin index), and does this predict successful extubation?
A.68.4 breaths/min/L; predicts a high likelihood of successful extubation (RSBI < 105)
B.9.8 breaths/min/L; predicts extubation failure due to excessive respiratory drive
C.146.2 breaths/min/L; predicts weaning failure and requires immediate resumption of full mechanical ventilation
D.38.0 breaths/min/L; predicts severe upper airway obstruction upon extubation
Explanation: The Rapid Shallow Breathing Index (RSBI) is calculated as Respiratory Rate (f) divided by Tidal Volume in liters (Vt): RSBI = f / Vt = 26 / 0.38 = 68.4 breaths/min/L. An RSBI < 105 breaths/min/L is a well-validated predictor of successful weaning and extubation, indicating that the patient can maintain adequate alveolar ventilation without rapid, shallow breathing.
10An intensive care nurse is preparing to perform endotracheal suctioning on a critically ill, mechanically ventilated patient with copious thick purulent secretions. To minimize the risks of hypoxemia, cardiac arrhythmias, and mucosal trauma, which combination of practices is recommended by evidence-based critical care guidelines?
A.Use routine saline instillation (10 mL), suction continuously for 30 seconds, and set suction vacuum to -300 mmHg
B.Pre-oxygenate with 100% FiO2 for 1–2 minutes, limit suction duration to <10–15 seconds, use closed inline suction, and maintain vacuum pressure between -80 and -150 mmHg (-100 to -200 mbar)
C.Advance catheter until resistance is met then apply continuous suction while forcefully withdrawing, without pre-oxygenation
D.Perform suctioning strictly on a scheduled hourly basis regardless of clinical indications to prevent tube occlusion
Explanation: Evidence-based airway management guidelines recommend: 1) Pre-oxygenating with 100% O2 for 1–2 minutes, 2) Limiting suctioning duration to under 10–15 seconds, 3) Using a closed inline suction system to maintain PEEP and reduce alveolar derecruitment/infection spread, 4) Regulating vacuum pressure to -80 to -150 mmHg (-100 to -200 mbar), and 5) Suctioning only when clinically indicated (audible secretions, sawtooth flow pattern, coughing), rather than on a rigid schedule.

About the Dipl. Expertin/Experte Intensivpflege NDS HF Exam

The Dipl. Expertin/Experte Intensivpflege NDS HF (French: Expert/Experte en soins intensifs diplômé/e EPD ES; Italian: Esperta/Esperto in cure intense dipl. SPD SSS) is the federally recognized post-graduate specialist diploma for intensive care nurses in Switzerland. Governed by the national framework curriculum (Rahmenlehrplan NDS HF AIN) established by OdASanté and BGS and accredited by the SBFI, this 2-year part-time program prepares registered nurses to autonomously manage critically ill patients with complex multi-organ failure across medical, surgical, and interdisciplinary intensive care units. Core competencies include invasive mechanical ventilation (ARDS, weaning, tracheostomy management), advanced hemodynamic monitoring (PiCCO, PAC, arterial lines), inotrope and vasopressor titration, continuous renal replacement therapy (CRRT/CVVHDF with regional citrate anticoagulation), neuro-intensive care (ICP/CPP management, sedation, delirium), sepsis protocols, resuscitation (ALS/TTM), and ethical end-of-life care aligned with SAMW/SAMS guidelines. Note on assessment format and language: Official qualification procedures are administered regionally across Swiss cantons in German, French, or Italian using modular exams, clinical workplace evaluations, diploma theses, and oral-practical examinations with external experts. Under ongoing federal vocational reforms, NDS HF AIN programs continue to be offered through a transitional framework valid until 30 September 2031, with existing titles retaining full federal legal protection. This question bank is an English-language multiple-choice study adaptation created by OpenExamPrep—not an official OdASanté release—designed to train high-yield clinical decision-making, pathophysiology, and guideline-based critical care nursing protocols.

Assessment

The post-graduate qualification comprises: 1) Continuous modular written and oral examinations across theoretical course blocks, 2) A written diploma thesis (Diplomarbeit) or clinical improvement project defended before a panel, and 3) A structured bedside practical clinical examination evaluated by an internal instructor and an independent external examination expert (Prüfungsexperte) mandated by OdASanté.

Time Limit

2 years part-time program (~900 learning hours theory + 2,500–3,600 hours clinical practice)

Passing Score

Demonstrated clinical competency across all CanMEDS-based domains, passing all course modules, and achieving at least grade 4.0 (out of 6.0) on the diploma thesis and practical qualification procedure

Exam Fee

Program tuition CHF 10,000–22,000 (generally fully funded or heavily subsidized by employing Swiss hospital training contracts) (OdASanté (National Umbrella Organization of the Healthcare Labor World) & BGS (Bildungszentren Gesundheit Schweiz), recognized by the State Secretariat for Education, Research and Innovation (SBFI))

Dipl. Expertin/Experte Intensivpflege NDS HF Exam Content Outline

25%

Respiratory Failure, Invasive Mechanical Ventilation & Airway Management

Pathophysiology and lung-protective ventilation in ARDS (Berlin criteria, driving pressure, PEEP titration, prone positioning), mechanical ventilation modes (VCV, PCV, PSV/ASB, APRV), patient-ventilator dyssynchrony, weaning protocols (SBT, RSBI), arterial blood gas (ABG) interpretation, tracheostomy care, closed inline suctioning, and non-invasive ventilation (NIV/HFNC).

25%

Hemodynamic Monitoring, Shock States & Vasoactive Pharmacotherapy

Invasive arterial blood pressure monitoring, pulse pressure variation (PPV/SVV), transpulmonary thermodilution and pulse contour analysis (PiCCO: CI, GEDVI, EVLWI, SVRI), pulmonary artery catheterization (PAC / Swan-Ganz: CVP, PAP, PAOP, SvO2), classification and management of septic, cardiogenic, hypovolemic, and obstructive shock, fluid responsiveness (PLR), and precision titration of vasopressors, inotropes, and vasodilators.

15%

Renal Replacement Therapy & Acute Kidney Injury (CRRT / CVVHDF)

KDIGO acute kidney injury criteria, continuous renal replacement therapy (CRRT: CVVH, CVVHD, CVVHDF), regional citrate anticoagulation (RCA: systemic vs circuit ionized calcium, citrate accumulation/lock), heparin anticoagulation, transmembrane pressure (TMP) and filter circuit troubleshooting, effluent dose prescription (20–25 mL/kg/h), and electrolyte/acid-base balancing.

20%

Neuro-Intensive Care, Sedation, Delirium & Neurological Emergencies

Monro-Kellie doctrine, intracranial pressure (ICP) and cerebral perfusion pressure (CPP) management, tiered intracranial hypertension interventions (hyperosmolar therapy, EVD leveling and CSF drainage), sedation and analgosedation scoring (RASS, CPOT/BPS), delirium assessment and management (CAM-ICU, ICDSC, PADIS guidelines), status epilepticus, acute ischemic stroke, and aneurysmal subarachnoid hemorrhage (SAH).

15%

Sepsis Protocols, Advanced Resuscitation, ICU Nutrition, Ethics & Organ Donation

Surviving Sepsis Campaign (SSC) 1-hour resuscitation bundle, multidrug-resistant organisms (MDRO) and infection control, advanced life support (ALS / SRC guidelines) and post-cardiac arrest care (TTM, neuroprognostication), ESPEN ICU enteral/parenteral nutrition and refeeding syndrome, intra-abdominal hypertension (IAH/ACS), Swiss Academy of Medical Sciences (SAMW/SAMS) end-of-life decision-making, palliative extubation, and brain death / organ donation protocols (DBD/DCD).

How to Pass the Dipl. Expertin/Experte Intensivpflege NDS HF Exam

What You Need to Know

  • Passing score: Demonstrated clinical competency across all CanMEDS-based domains, passing all course modules, and achieving at least grade 4.0 (out of 6.0) on the diploma thesis and practical qualification procedure
  • Assessment: The post-graduate qualification comprises: 1) Continuous modular written and oral examinations across theoretical course blocks, 2) A written diploma thesis (Diplomarbeit) or clinical improvement project defended before a panel, and 3) A structured bedside practical clinical examination evaluated by an internal instructor and an independent external examination expert (Prüfungsexperte) mandated by OdASanté.
  • Time limit: 2 years part-time program (~900 learning hours theory + 2,500–3,600 hours clinical practice)
  • Exam fee: Program tuition CHF 10,000–22,000 (generally fully funded or heavily subsidized by employing Swiss hospital training contracts)

Keys to Passing

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Dipl. Expertin/Experte Intensivpflege NDS HF Study Tips from Top Performers

1Master ARDS Ventilatory Mechanics & Waveforms: Understand the physiological rationale for low tidal volume ventilation (4–8 mL/kg predicted body weight), driving pressure targets (<14 cmH2O), plateau pressure limits (<30 cmH2O), PEEP/FiO2 titration tables, prone positioning mechanics (16 hours/day), and identifying flow starvation, double triggering, and auto-PEEP on flow-time and pressure-time curves.
2Understand Advanced Hemodynamic Parameters: Differentiate between static (CVP, PAOP) and dynamic indices of fluid responsiveness (passive leg raise with stroke volume measurement, pulse pressure variation PPV > 13% in mechanically ventilated sinus rhythm patients), and interpret PiCCO metrics (GEDVI for preload, EVLWI for pulmonary edema, PVPI for vascular permeability, and SVRI for afterload).
3Memorize Regional Citrate Anticoagulation (RCA) Principles: Master the physiology of citrate binding ionized calcium in the CRRT circuit (target circuit iCa < 0.35–0.40 mmol/L) and systemic calcium replacement (target systemic iCa 1.10–1.30 mmol/L). Recognize citrate accumulation ('citrate lock') by a total calcium to ionized calcium ratio > 2.5, worsening metabolic acidosis with an elevated anion gap, and a rising systemic calcium substitution requirement.
4Review Neuro-Intensive Care Protocols & Monro-Kellie Dynamics: Understand the stepwise management of elevated ICP (> 20–22 mmHg) and maintenance of CPP (60–70 mmHg), including proper EVD transducer leveling to the Foramen of Monro (external auditory meatus), hyperosmolar therapy (mannitol vs hypertonic saline 3%), mild/moderate hypocapnia as a bridge, and multimodal neuroprognostication.
5Know Sepsis Bundles & SAMW Ethics Frameworks: Be fluent in the Surviving Sepsis Campaign 1-hour bundle (lactate, blood cultures, broad-spectrum antibiotics, 30 mL/kg balanced crystalloids, norepinephrine target MAP ≥ 65 mmHg) and Swiss Academy of Medical Sciences (SAMW) principles on palliative extubation, surrogate decision-making (ZGB Art. 378), and brain death determination criteria.

Frequently Asked Questions

What is the Dipl. Expertin/Experte Intensivpflege NDS HF qualification?

The Dipl. Expertin/Experte Intensivpflege NDS HF is a federally protected tertiary-level post-graduate specialist title in Switzerland (French: Expert/Experte en soins intensifs diplômé/e EPD ES; Italian: Esperta/Experto in cure intense dipl. SPD SSS). Awarded upon completing a 2-year accredited post-graduate program under the OdASanté/BGS AIN framework, it certifies nurses for independent, specialized clinical care of critically ill patients in Swiss intensive care units.

How is the qualification procedure (Qualifikationsverfahren) conducted in Switzerland?

Qualification is decentralized across accredited regional educational institutions (such as Z-INA in Zurich, BZ Pflege in Bern, XUND in Lucerne, BZG in Basel, medi in Bern, BGS in Chur, HEdS in Geneva, and SUPSI in Ticino). Candidates are assessed through modular written and oral exams, clinical bedside practice assessments evaluated with independent external experts (Prüfungsexperten) mandated by OdASanté, and a formal diploma thesis (Diplomarbeit) with an oral defense.

What is the status of the transition from NDS HF to the Federal Diploma of Higher Education (HFP)?

Under the SBFI reform package for higher vocational education, the AIN post-graduate specializations (Anesthesia, Intensive Care, and Emergency Care) are transitioning into Federal Diplomas of Higher Education (Höhere Fachprüfung / HFP). The SBFI has established a transitional period allowing accredited NDS HF AIN study programs to continue operating through 30 September 2031. All existing and newly earned NDS HF diplomas remain fully recognized and legally protected.

What clinical guidelines form the basis of intensive care practice in Switzerland?

Swiss intensive care nursing practice is guided by standards from the Swiss Society of Intensive Care Medicine (SGI/SSMI), the European Society of Intensive Care Medicine (ESICM), the Surviving Sepsis Campaign (SSC), the European Resuscitation Council / Swiss Resuscitation Council (ERC/SRC), the Kidney Disease: Improving Global Outcomes (KDIGO) AKI guidelines, the Neurocritical Care Society (NCS), the European Society for Clinical Nutrition and Metabolism (ESPEN), and the medical-ethical guidelines of the Swiss Academy of Medical Sciences (SAMW/SAMS).

Why is this practice bank presented in English rather than German, French, or Italian?

Although official examinations in Switzerland are conducted in national languages (German, French, or Italian), intensive care medicine and international scientific literature, drug monographs, mechanical ventilation nomenclature, hemodynamic algorithms, and clinical trials are predominantly written in English. This practice bank adapts core competencies into 100 high-yield English-language questions to facilitate evidence-based clinical study.

What are the key technical and pharmacological competencies required of Swiss ICU nurses?

Key competencies include advanced mechanical ventilation (lung-protective ARDS protocols, driving pressure, prone positioning, ventilator waveform troubleshooting), advanced hemodynamic monitoring (PiCCO transpulmonary thermodilution, PAC, dynamic fluid responsiveness), continuous renal replacement therapy (CRRT setup, filter alarms, regional citrate anticoagulation management), neuro-monitoring (EVD zeroing, ICP/CPP optimization, CAM-ICU delirium screening), vasoactive drug titration (norepinephrine, vasopressin, dobutamine, levosimendan), and SAMW-guided ethical palliative decision-making.