transport Flashcards
whhat are the Critical Elements of Transport
Pre transport :
- Risk/ benefit assessment of need for transport
- Pre transport coordination and communication
- Interdisciplinary team
During transport:
- Appropriate equipment and medications
- Monitoring
Post-transport:
6. Documentation
What are the contraindication of transport
- unstable patient
- unsecured airway
- increase difficult of transport due to change in weather/environemnt
- unable to provide
- therapy
- monitoring
- personnel
What are the hazards, precaution of transportating patients?
Inaccurate Therapies during transport
–>difficulty wit bagging patient
Communication difficulties
Equipment
- Failure
- Disconnection
- ->secure equipment on beds
Infection control
Environmental factors
- Space (equipment should be within arms reach)
- Temperature
- Altitude
- ->decrease pressure and increase volume
What are the resources required for transporting patient
- therapeutic equipment
- mediation
- monitoring devices
- personnel
What are some therapeutic equipment needed
- ventilator
- oxygen
- medication device
- ->SVN
- ->LVN
- BVM
- airway managment supplies
What features should a mechanical ventilator equipped with for transporting
- backup power supply
- ->battery
- ->compressor
- has CMV or IMV mode
- disconnect alarm
- peep
- full range of FIO2
- airway pressure monitoring and alarm
What are some medication devices for transportation?
- pmdi
- SVN
- ultrasonic Suction
- IV pump
what are some airway equipment that should be brought with for transportaiton
Suction
- ->yankeur
- ->suction catheter
Emergency replacement of Airway
–>LMA
Appropriate sizes of Airways and equipment
–>ETT, TT
Non Invasive Airway management
–>mask
Difficult airway equipment
–>bougie, exchanger, stylet
Cricothyroidotomy
–>percutaneous
what personnel is needed for transportation?
- 1 member must be proficient at airway management
- Enough people to move all of the equipment
- Optimally RN/ RRT
- May add MD dependent upon acuity
