8.Patient Transport

8/3/2019 8.Patient Transport

1/30


2/30


3/30


4/30

Basic under standing ofPatients flow from

reception to discharge.


5/30

Patient enters casualty

or EMD


6/30

Receiving medical team willevaluate the patient

Primary Survey is done

Initial Survey will reveal the

nature of diseases or injury


7/30

Patient is resuscitated

Secondary survey isSecondary survey is

donedone


8/30

Patient is classified into

medical, surgical andallied specialty cases.


9/30

Specific cause isSpecific cause is

determineddetermined

Patient is diagnosed andPatient is diagnosed and

appropriate management isappropriate management is

initiated.initiated.


10/30

Appropriate investigations

are advised like

MRI, CT Scan X Ray BloodInvestigation etc.


11/30

Patient is kept in casualty orEMD until patient is

stabilized (approximately, six

hours to twelve hours )


12/30

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.


13/30

The stable patients are

TRANSFERRED to therespective intensive care.

>From intensive care toa. Step down care

b. Room or general wards

c. Discharge


14/30


15/30

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.


16/30


17/30

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.


18/30


19/30

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.


20/30


21/30

Ordinary stretchers

Long spine board

Scoop

Hypothermic Stretchers with insulation or

heating elements


22/30

Wheelchair is a mobility

device in which the patientsits.

It can be an automated ormanually propelled.

Different type of wheelchairs

are available with comfort.


23/30

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.


24/30

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.


25/30

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.


26/30

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


27/30

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.


28/30

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.


29/30

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.


30/30

8.Patient Transport

Documents