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MAHADI ISMAIL
PENOLONG PEGAWAI PERUBATAN U9
UNIT KESIHATAN PRIMER
PEJABAT KESIHATAN DAERAH DUNGUN
PATIENT TRANSFER IN AMBULANCE :
PREPARATION AND SAFETY
CONTENT
2.
3.
5. SAFETY FOR ALL
1. KEY TAKEAWAYS
4. PREPARATION FOR PATIENT
TRANSFER
6. CONCLUSION
INTRODUCTION
CATEGORIES OF TRANSFER
1.
KEY TAKEAWAYS
Learn the essential steps for safe and efficient patient transfer in ambulances
Understand the importance of preparation before transferring a patient
Explore best practices in ensuring patient safety during transit
2. KEY TAKEAWAYS
2. INTRODUCTION
2. INTRODUCTION
1
2
WHY ITS IMPORTANT?
2. INTRODUCTION
3. CATEGORIES OF TRANSFER
3. CATEGORIES OF TRANSFER
INTRAHOSPITAL TRANSPORT
Transport of a patient from one location to another within the hospital / facility
Transport of a patient between hospitals/ Facility
Transport of a patient from a non-medical site to
the nearest available or designated hospital/ Facility
INTERHOSPITAL TRANSPORT
PREHOSPITAL TRANSPORT
4. PREPARATION FOR
PATIENT TRANSFER
4.1 Procedure &
Protocol
4. PREPARATION FOR PATIENT TRANSFER
4.2 Staffing
4.3 Equipment
4.4 Pharmalogical
Agents
4.5 Monitoring
4.6 Pre Departure
Procedures
4.7 Patient Packaging &
Loading
4.8 Care During
Transportation
4.9 Arrival
Procedure
Decision Making
- Decision to Transfer
4.1 PROCEDURE AND PROTOCOL
Coordination & Communication
- Patient Condition & Management
Responsibility
Documentation
- Clinical Record
-Patient Clinical status, medical condition. Therapy given
4. PREPARATION FOR PATIENT TRANSFER
4.2 STAFFING
4. PREPARATION FOR PATIENT TRANSFER
The transport team should be selected based on the clinical
requirements of the patient.
There should be at least one member of the transport team who
is trained to initiate the emergency intervention.
There should be a minimum of two transport team members
at the patient compartment of the transport vehicle for the
purpose of monitoring and intervention.
areas visible
EQUIPMENT SELECTION
EQUIPMENT HANDLING DURING TRANSPORT
4.3 EQUIPMENT
01
4. PREPARATION FOR PATIENT TRANSFER
4.4. PHARMACOLOGICAL AGENTS
4. PREPARATION FOR PATIENT TRANSFER
Pharmacological agents necessary to manage patient’s specific clinical
condition
anticipated deterioration and acute life-threatening
medical emergencies will need to be brought along.
Include : Cardiac arrest, Hypotension, Cardiac Dysrhythmia, Pulmonary oedema, Anaphylaxis etc
4.5 MONITORING
4. PREPARATION FOR PATIENT TRANSFER
Documentation of monitoring is recommended at 15-minute
interval, or shorter when clinically appropriate
Direct observation
Continuous cardiac rhythm monitoring
- Non-invasive blood pressure, Heart rate, Respiratory rate, Oxygen saturation (SpO2), End-tidal CO2
Constant direct observation of patient by medical personnel
is essential during transport.
4.6 PRE- DEPARTURE PROCEDURES
4. PREPARATION FOR PATIENT TRANSFER
The transport team must be free from other duties upon activation.
The receiving person or staff at the destination must be
notified, and the arrival time must be clearly understood.
All pieces of equipment must be checked, and notes and
imaging films gathered using a check-list method.
A best route should be planned. Lifts should be secured or
reserved beforehand.
The patient must be reassessed at all steps of movement such
as after transfer to stretcher, and loading into ambulance
before transport begins.
4.7 PATIENT PACKAGING AND LOADING
Example of a brief check on the patient
4. PREPARATION FOR PATIENT TRANSFER
The status of the patient must be checked at regular intervals.
Any change in the patient’s condition, unexpected event, or critical incident, must be acted upon immediately.
4.8 CARE DURING TRANSPORT
4. PREPARATION FOR PATIENT TRANSFER
On arrival at the destination, the patient will need to be received at a designated area where
handover of clinical care can be done.
The transport staff must remain with the patient until an appropriate handover has been done.
4.9 ARRIVAL PROCEDURE
4. PREPARATION FOR PATIENT TRANSFER
5. SAFETY FOR ALL
Make sure patient condition is stable
Use of Patients transfer tools (If Needed)
Kesemua Senarai Semak rujukan kes telah dipatuhi
Ensuring effective treatment
01
02
03
04
5. SAFETY FOR ALL
5.1 TRANSFER OF PATIENT FROM BED TO STRETCHER
STREP
-Ambulance strap, Portable strap, Spider Strap, Dilekatkan pada stretcher
Transferring patient accordingly, Weight, Body Mechanic, Patient and staff safety
03
05
Kesemua Senarai Semak rujukan kes telah dipatuhi
Ensuring effective treatment
4
5. SAFETY FOR ALL
0
5
Checklist rujukan kes�Surat Pekeliling Rujukan Pengarah Kesihatan Malaysia Bil.2/2009�
AMBULANCE PASSENGER INDEMNITY FORM
Ensuring effective treatment
0
0
5. SAFETY FOR ALL
5.1 TRANSFER OF PATIENT FROM BED TO STRETCHER
PAT SLIDE –Medical patient
SPINAL BOARD – Trauma Patient
Ensuring effective treatment
0
0
5. SAFETY FOR ALL
STRAPPING
WHEN?
When patient ready to transport in stretcher
WHY?
- Allow quality care and safe transport
- Prevent any injuries on the way
HOW?
- Comfort position
- The supine position
-Appropriate position to maintain airway and prevent aspiration
- Strap on strecher
EQUIPMENT POSITION
- Equipment such as cardiac monitor with BP must be attach on stretcher over RT sided to allow stretcher get thru ambulance smooth
- Try to avoid placing things on Patient
- Place the equipment in a safe area/ zone without interfere with the treatment process.
- Place in the area that easy to access.
5. SAFETY FOR ALL
Ensuring effective treatment
0
0
5. SAFETY FOR ALL
DEMONSTRATION
Ensuring effective treatment
0
0
5. SAFETY FOR ALL
STAFF SAFETY
Make sure staff in a safe position.
Strapping Escort staff on chair.
Double check all document
To Access patient condition
Ensuring effective treatment
0
0
5. SAFETY FOR ALL
AMBULANCE DEPARTING
BEFORE TRANSPORTATION�- Communicate with team, and MECC
- Make sure team safe.
- Monitoring and reassess patient
ON TRANPORTATION
- Continous monitoring and reassess pt regularly
- Talk with patient to reaccess vital sign and GCS
Ensuring effective treatment
0
0
5. SAFETY FOR ALL
AMBULANCE DEPARTING
Ensuring effective treatment
0
0
5. SAFETY FOR ALL
AMBULANCE AT LOCATION
- Reassess patient
patient condition ( current vital sign)- documentation
with sign/cop receiving staff
6. CONCLUSION
6. CONCLUSION
Communicate effectively with both the receiving team and within the ambulance crew to ensure a smooth transfer process.
Prepare in advance to ensure the safety of both the patient and the healthcare providers.
Utilize appropriate equipment to facilitate safe and efficient patient movement.
Prioritize patient monitoring and adjust care as necessary throughout transport.
REFERENCES
THANK YOU
FOR ATTENDING
PPP MAHADI ISMAIL
UNIT KESIHATAN PRIMER, PKD DUNGUN
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