8.patient transport
TRANSCRIPT
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Basic under standing ofPatients flow from
reception to discharge.
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Patient enters casualty
or EMD
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Receiving medical team willevaluate the patient
Primary Survey is done
Initial Survey will reveal the
nature of diseases or injury
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Patient is resuscitated
Secondary survey isSecondary survey is
donedone
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Patient is classified into
medical, surgical andallied specialty cases.
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Specific cause isSpecific cause is
determineddetermined
Patient is diagnosed andPatient is diagnosed and
appropriate management isappropriate management is
initiated.initiated.
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Appropriate investigations
are advised like
MRI, CT Scan X Ray BloodInvestigation etc.
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Patient is kept in casualty orEMD until patient is
stabilized (approximately, six
hours to twelve hours )
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The optimal health and well-being of the
patient should be the principal goal of
patient transfer.
Emergency physicians and hospitalpersonnel should abide by applicable
laws regarding patient transfer.
All patients should be provided amedical screening examination (MSE)
and stabilizing treatment within the
capacity of the facility before transfer.
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The stable patients are
TRANSFERRED to therespective intensive care.
>From intensive care toa. Step down care
b. Room or general wards
c. Discharge
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A Medical lift is a car which
can hold a stretcher andon either side will have 3 ft.
Space.
Medical lift has a provisionof code blue system.
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The elevator will arrive atthe floor with its door wide
open and will disable thelift for others use.
Once the patient is insidethe lift code blue is to be
activated again forappropriate floor.
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A ramp is an inclined plane and isinstalled in addition to stairs and
lifts.
Ramps permit stretchers,wheelchair, carts to be dragged
to different floors.
Ramps are useful during electricityfailures. Lift services and nonemergencies.
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Ordinary stretchers
Long spine board
Scoop
Hypothermic Stretchers with insulation or
heating elements
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Wheelchair is a mobility
device in which the patientsits.
It can be an automated ormanually propelled.
Different type of wheelchairs
are available with comfort.
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Stretcher Patients.
Patients who require continuous oxygen
or other medical gases. Patients who require continuous
intravenous support
Patients on mobile ventilators Patients on monitoring equipments etc.
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Patients with psychiatric or learning
difficulties who are unable to use public
transport. Patient with a medical ,behavioral or
condition that would compromise their
dignity or cause public concern if publictransport is used.
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1. From ambulance to EMD
2. From EMD to intensive care
3. From Intensive care to step down care.
4. From step down care to rooms or wards.
5. From wards to discharges facilities.
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1. Between ambulance parking & casualty
with a capacity to hold 25 stretchers
and 25 wheelchairs.2. At EMD 10 stretchers and 10
wheelchairs.
3. At step down care 5 stretchers and 5wheelchairs.
4. At Rooms and wards level 5 stretchers
and 5 wheelchairs
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Paramedics are trained in handling
emergency patients
Paramedics are BLS trained Paramedics are trained to transfer
patients from one venue to others.
Paramedics can perform CPR andmonitor patients vitals.
Paramedics are provided with talkies tocommunicate with the doctor incharge.
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The principle for all aspects of patient
transfer is matching patient needs with
adequate technical knowledge andskills,
Equipment and an infrastructure thatprovides seamless patient flow during
transport.
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To address multiple consideration in
providing optimal patient care.
Patient should be closely monitored andappropriately managed.
The patient transfer requires a unique set
of skills that is distinct from the training ofmost hospital based or prehospital
providers.
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