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    Intrahospital Transport of Critically Ill Patients

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    عزالدين الزوقري
    Arrhythmias and equipment problems. High ventilator support, many tubes and lines, hemodynamic instability. When, Why, What, Who, and Where. Airways, breathing equipment like oxygen and saturation monitor, cardiac monitor. Oxygen saturation and ECG/cardiac monitoring.

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    Intrahospital Transport of Critically Ill Patients

    Uploaded by

    عزالدين الزوقري
    121 views14 pages
    Arrhythmias and equipment problems. High ventilator support, many tubes and lines, hemodynamic instability. When, Why, What, Who, and Where. Airways, breathing equipment like oxygen and saturation monitor, cardiac monitor. Oxygen saturation and ECG/cardiac monitoring.

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    Very important in ICU

    Original Title

    16. Intrahospital transport of critically ill patients

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    Arrhythmias and equipment problems. High ventilator support, many tubes and lines, hemodynamic instability. When, Why, What, Who, and Where. Airways, breathing equipment like oxygen and saturation monitor, cardiac monitor. Oxygen saturation and ECG/cardiac monitoring.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    121 views14 pages

    Intrahospital Transport of Critically Ill Patients

    Uploaded by

    عزالدين الزوقري
    Arrhythmias and equipment problems. High ventilator support, many tubes and lines, hemodynamic instability. When, Why, What, Who, and Where. Airways, breathing equipment like oxygen and saturation monitor, cardiac monitor. Oxygen saturation and ECG/cardiac monitoring.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 14

    Intrahospital transport of the

    critically Ill patient


    Objectives

    ● Describe major risk factors and common problems


    associated with transport of critically ill patients.
    ● Explain the safe organized transport of critically ill
    patients using the “5 W’s”.
    ● List the most important equipment required for safe
    transport.
    ● Describe proper monitoring of patients for safe transport.
    Introduction
    Preventing common complications and maintaining
    physiologic stability is a challenge even in the controlled
    environment of the ICU.
    Safe transport requires thoughtful planning, organization,
    and interdisciplinary communication and cooperation.
    The goal during transport is to maintain the same level of
    care, regardless of the location in the hospital.
    Assessment of Risk for Complications
    Complications may arise from physiologic changes,
    environmental conditions outside the ICU that are difficult
    to control or inadvertent movement of equipment.
    • 76% risk of complications in critically ill patients
    • 84% of heart patients develop arrhythmias
    • 46% of problems related to equipment
    • 25.8% of problems related to lines.
    (Source: Critical Care Nurse, 2010, Health Science Journal
    volume (8) 2014)
    Major Risk Factors

    High ventilator support

    Many tubes and lines

    Hemodynamic instability
    Common Problems
    1. Related to equipment:
    • Monitor power failure
    • Ventilator disconnection
    • Depleted oxygen supply
    • Tubes getting kinked

    2. Related to patient condition:


    • Aspiration
    • Arrhythmias
    • Hypothermia
    • Pain
    Common Problems

    3. Related to staff:
    • Gaps in monitoring

    • Over-ventilation

    • Under-ventilation

    • Inadequate knowledge in interpretation and operation of

    equipment

    The most common problems were cardiac arrhythmias and


    equipment problems.
    Safe Organized Transport
    Remember the 5 W’s
    Why: Necessary, evaluating risk/ benefits, alternative
    Who: Patient, staff
    What: Equipment, ongoing interventions, facilities in the
    destination
    When: Time of procedure
    Where: Best route, special safety requirement
    Recommended Equipment
    Airway:
    • oral/nasal airways
    • soft wrist restraints and sedation
    • Intubation tray
    Breathing
    • Pulse oximeter
    • Oxygen delivery devices and bag-mask ventilator
    with positive end expiratory pressure (PEEP) valve
    • Full oxygen tank with adequate length tubing
    Recommended Equipment

    Circulation :
    • Cardiac monitor with defibrillator
    The most important equipment is:
    A- Airways
    B - Breathing: oxygen and saturation monitor
    C- Cardiac monitor with defibrillator
    Monitoring During Transport
    Continuously monitored
    Oxygen saturation
    ECG monitoring
    Intermittent monitored
    Blood pressure
    Breath sounds
    Key Points

    Major risk factors during intra-hospital transport are

    high ventilator support, numerous tubes/lines and


    hemodynamic instability.
    The most common problems encountered during

    intra-hospital transport are arrhythmias and equipment


    problems.
    Five W’s: When, Why, What ,Who, and Where.
    Continued

    Remember important equipment to take during

    transport: A- airways, B- oxygen and saturation


    monitors, C- cardiac monitor
    Continuous oxygen saturation and ECG/cardiac

    monitoring is mandatory for all ICU patient


    transports.
    Questions
     The most common problems encountered during
    intra-hospital transport of critically ill patients are
    ______ and _______ .
     The three major risk factors are____ , ____ and ____.
     The 5W’s stand for:
     What are the most important equipment required for
    safe intra-hospital transport?
     ______ and ______ are mandatory to monitor during
    intra-hospital transport.

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