Part A:
Primary retrieval involves moving a patient from a site of injury or illness to specialist medical services, whereas secondary, or interfacility transfer relates to transporting patients from one hospital facility to another(1), without compromising the quality of care or stability of the patient(2). This involves a specialized aeromedical retrieval team. Establishing an aeromedical retrieval base is a complex matter; retrieval is inherently dangerous for both staff and patients(3). Staff work in unfamiliar environments in moving vehicles such as helicopters or fixed wing aircraft, with restrictions on space and available resources(3). Patient’s themselves are frequently moved from one mode of transportation to another, which can destabilize
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Staff involved in aeromedical retrieval may only be temporarily employed, or may be liaising with other services such as referring hospital doctors and nurses, paramedical teams, aircraft services and those at retrieving hospitals(3). Hence, there is large scope for error, given the communication between disparate groups and potential differences in procedures and policies between each working group. There is thus a need for clearly documented systems of operation, with contingency plans in place for when things go awry(3). In over 12% of aeromedical retrievals, a major adverse event occurs(7), most often due to poor or rushed patient assessment or stabilization(8) or inadequately trained staff members(9). Operating procedures aim to minimize these adverse events and should aim to familiarize staff, in a concise manner, with procedures of retrieval (3). These operating procedures should be devised through consensus by people who are trained in retrieval protocol in order to ensure relevant procedures(3). They should not be static, however, and should change with any new occurrences or incidents(3).Operating procedures would encompass referral policy, including lines of communication, fixed-wing and helicopter …show more content…
Impact 731
Carefusion revel
Hamilton T1
HT 70 plus
LTV 1200
Oxylog 3000
Table 1 – Comparison of various devices
Device Technology FiO2 range (range/%) Built in PEEP Weight kg Tidal volume <10% sea/at altitude Maximal autonomy FIO2 100% cylinder E (min) Electrical autonomy (min)
Oxylog 3000 Pneumatic 100/40 Yes 5.0 Yes/Yes 96 483
Impact 731 Compressor 100/21 Yes 4.4 Yes/Yes - 550
Carefusion Revel Blower 100/21 Yes 4.5 Yes/No - -
Hamilton T1 Turbine 100/21 Yes 6.5 No/No 66 408
HT 70 plus Piston 100/21 Yes 6.9 No/- 88 488
LTV 1200 Turbine 100/21 Yes 6.3 No/- 54
This assignment seeks to discuss three key themes in relation to Manual handling in the health care sector and will describe the literature which supports this. This topic has been chosen as the handling of patients plays an important role in Health and Social care. NHS, (2010, p. 3) states that 'Manual handling is a core competency for staff caring for patients'. This assignment will look at the importance of training that is required to ensure competent and safe use of equipment and the moving and handling of patients. Secondly this assignment will go on to describe how poor manual handling can affect Patients. There are many problems that can arise from incorrect manual handling, therefore this assignment will focus on the risk of
In this task I will be describing how health and safety legislation, policies and procedures promotes the safety of individuals in a Hospital. Quality care is an important issue for both health care workers and their partners. Government continue to work on implementing staffing law that will upgrade the medical systems. Hospitals are required to provide security for patients and staff. Mechanical equipment, housekeeping, administrative and food staff play important roles in preventing all environmental hazards. Safety concerns surrounding these hazards include injury, illness, disease exposure, disaster
Bedside handover using ISBAR frameworks has proven in promotion of patient satisfaction, especially for the patient’s safety. However, there are some barriers that were identified in the effectiveness of bedside handover. These barriers may involve different factors such as environmental and human.
Recommendations were provided in the following areas: adequate standards for ambulance design, and the construction of equipment and supplies, standards for qualifications and supervision of ambulance personnel, state level adoption of policies and regulations in ambulance services, pilot programs for providing physician-staffed ambulances, and programs to evaluate the need to place automotive and helicopter ambulance services in remotely populated areas where there is a lack of hospitals (Council, 1966, p. 15). Now there are standards and specifications for ambulances, and the equipment that goes in them, outlined by NFPA 1917: Standard for Automotive Ambulances and
Will ensure the safety of the hospital premises. Helps in evacuation drives in times of fire and threats. Interacts with hospital staff of all departments with special emphasis on drug storage areas, infant care units, and ward for mentally ill patients and trauma care. Personnel Issues
Prepare gurney beds, oxygen tanks, resuscitation rooms by restocking and setting up supplies readily to be use
You inform the dispatcher that you’re en-route to the location responding in code three which is lights and sirens. When you arrive on the scene, you can see two seriously damaged vehicles and all you see is chaos. The two vehicles appear to be stuck together because they hit each other so hard. The coolant and oil is splattered all over the road and burning and boiling off of the still hot engines. You’re trained to give first aid and basic life support, you are silently thankful that an ambulance is already on the scene. You see a paramedic talking with a driver who is pinned inside the vehicle trying to keep them awake. You notice that the driver is covered in blood and has severe cuts all over his or her body. Firefighters arrive on the scene to use Jaws of Life to cut out the pinned in driver. The other driver in the other vehicle appears to be unresponsive and you see paramedics pulling the driver out of the vehicle to conduct CPR on the driver. The paramedics dispatch that they need flight care to pick up one of the seriously injured drivers. The ambulance takes the other driver to the hospital after being cut out of the vehicle. Flight care arrives on scene to pick up the severely injured driver. One of your main duties is to guard flight care from people and vehicles. Flight care
Visit your local Emergency Room on any given day and you are likely to witness a sort of controlled chaos: nurses, doctors, transporters, patient care technicians, and other ancillary staff members all darting about, attempting to meet the needs of increasingly sick patients in oft-overwhelmed and overpopulated hospitals. All around, various alarms sound. IV pumps signal fluid bags about to run dry. Vital sign monitors ping at differing volumes and intensities, in an electronic demand for staff to mind the out-of-normal-range
Maintaining a secure surrounding is a reflection of the organizational culture and an indicator of the level of compassion and vigilance that the organization has for the workers and the welfare of the patients. The management needs to improve safety and assess the causes of error during the handling of patients. As a matter of fact, the stakeholders and the policymakers need to intense their efforts to establish and structure conditions and process that will promote healthy working conditions and improve the patient safety. Health care staff need to be trained in the proper skills of handling patients with terminal and highly infectious diseases. The workers and the management should ensure that the workers are provided with the relevant protective gears while handling a patient. The cases of nonlethal activity injuries are the main reasons for sickness among the staff. Purchase and use of patient transfer and lifting facilities are the key elements of an efficient program to manage the danger of injury to patients and employees related to lifting, moving, locating or movement of patients. It will also show the level of management commitment to implement a secure patient handling program and to supply the health workers with applicable measures to avoid manual handling. The education and coaching of aid staff ought to be in gear towards assessment of hazards within the assistance work setting, choice and use of the acceptable patient lifting instrumentation and devices, and review of research-based practices of safe patient
In any rescue operation large or small, a number of agencies have to work together and respond quickly and efficiently to minimise the potential for loss of life. These agencies will face a series of challenges on the ground which will require immediate and concise evaluation. Regardless of the nature of the emergency, clear communication between agencies is imperative to obtain a favourable outcome.
Flight nurse’s and Flight Paramedics performs as members of an aeromedical crew on helicopters (rotor wing), and airplanes (fixed wing) aircraft, providing for in-flight management and care for all types of patients. Responsibilities of this job include the planning and preparation of flight, safety, evaluation of an individual patient's in-flight needs and request appropriate medications, supplies, and equipment to provide continuing care from origination to the destination facility. They act as liaisons between facilities during an interfacility transport and from scene location to trauma center during medical and trauma related emergencies. They also initiate emergency treatment in the absence of a physician during in-flight medical emergencies. Flight nurses and Flight Paramedics have training in mechanical ventilation, hemodynamic support, vasoactive medications, airway, and other intensive care skills.
The threat in the organization is that most of the medical equipment sets are outdated when compared to modern technology. For an analogy, the Automated Electric Defibrillators (AED) machines are large and stationary, very old and not portable compared to the modern one that are small, portable and gives guidance when applying to a cardiac arrest patient or arrhythmia patient. Although those defibrillators produce the same electrical shocks as the modern defibrillator, however, they are difficult to maneuver and it constitutes a problem for staff and
The goal of the information disaster recovery processes and a robust contingency plan is to maintain the resiliency of General Hospital during any type of data disruption. Continuation of essential functions at all times requires the ability to adapt to changes and risks. The disaster recovery and contingency plans consider risk management and other security and emergency management activities that are
This task was done by gathering necessary equipment and medication for incoming patients that were intubated prior to arriving at Vanderbilt.
To ensure the long term success of an organisation, strong clinical governance infrastructure needs to be put in place from the service’s inception. Clinical governance refers to the system by which a governing body, as well as the staff of an organisation share responsibility and accountability for patient care, managing risks and instituting a system which monitors and improves standards. Within healthcare organisations clinical governance aim to develop an environment and processes in which the quality of care delivered within a system is continuously improved(1) with a goal to maintaining and improving standards of clinical practice, while dealing with failures in standards of care and poor performance within the system. Many aspects fall under the umbrella of clinical governance, with the WHO defining quality into four aspects; professional performance (technical quality), resource use (efficiency), risk management (the risk of injury or illness associated with the service provided) and patient’s satisfaction with the service provided(2). This framework is appropriate in designing the clinical governance infrastructure required for the success of the new aeromedical retrieval service. This paper will look at the elements of clinical governance infrastructure that need to be developed prior to the new aeromedical service commencing operation, as well as reviewing the literature available for transport ventilators and analyse their suitability for this service.