Marga Hoogendoorn

153 BASIC ACTIVITIES NAS-points 7a Support and care of either relatives or patient requiring full dedication for about one hour in any shift such as: to explain clinical condition, dealing with pain and distress, difficult family circumstances 4.0 7b Support and care of either relatives or patient requiring full dedication for 3 hours or more in any shift such as: death, demanding circumstances (e.g. large number of relatives, language problems, hostile relatives) 32.0 8 Administrative and managerial tasks 8a Performing routine tasks such as: processing of clinical data, ordering examinations, professional exchange of information (e.g. ward rounds) 4.2 8b Performing administrative and managerial tasks requiring full dedication for about 2 hours in any shift such as: research activities, protocols in use, admission and discharge procedures. 23.2 8c Performing administrative and managerial tasks requiring full dedication for about 4 hours or more of the time in any shift such as: death and organ donation procedures, co-ordination with other disciplines. 30.0 VENTILATORY SUPPORT 9 Respiratory support Any form of mechanical ventilation/assisted ventilation with or without positive end-expiratory pressure, with or without muscle relaxants; spontaneous breathing with or without positive end-expiratory pressure (e.g. CPAP or BiPAP), with or without endotracheal tube; supplementary oxygen by any method 1.4 10 Care of artificial airways Endotracheal tube or tracheostomy cannula 1.8 11 Treatment for improving lung function. Thorax physiotherapy, incentive spirometry, inhalation therapy, intratracheal suctioning 4.4 CARDIOVASCULAR SUPPORT 12 Vasoactive medication , disregard type and dose 1.2 13 Intravenous replacement of large fluid losses . Fluid administration > 3 lit/m 2 /day, irrespective of type of fluid administered 2.5 14 Left atrium monitoring . Pulmonary artery catheter with or without cardiac output measurement 1.7 15 Cardiopulmonary resuscitation after arrest ; in the past period of 24 hrs (single precordial thump not included) 7.1 RENAL SUPPORT 16 Hemofiltration techniques . Dialysis techniques 7.7 17 Quantitative urine output measurement (e.g., by indwelling urinary catheter) 7.0 NEUROLOGICAL SUPPORT 18 Measurement of intracranial pressure 1.6 METABOLIC SUPPORT 19 Treatment of complicated metabolic acidosis/alkalosis 1.3