Interhospital patient packaging

Introduction

This tutorial provides a comprehensive guide on preparing a critically ill patient for interhospital transport. It focuses on managing patients attached to vasoactive infusions, monitoring equipment, and ventilators. Proper preparation is crucial to ensure patient safety and stability during transport.

Step 1: Assess the Patient's Condition

• Conduct a thorough assessment of the patient's current condition.
• Review vital signs and ensure they are stable.
• Identify any immediate concerns that need to be addressed before transport.
• Gather all relevant medical history and current medications.

Step 2: Prepare Monitoring Equipment

• Ensure all monitoring equipment is functioning properly.
• Connect the patient to the following devices:
  • Cardiac monitor
  • Pulse oximeter
  • Blood pressure monitor
• Verify that alarms are set at appropriate thresholds to alert staff of any changes.

Step 3: Manage Vasoactive Infusions

• Confirm that all vasoactive infusions are correctly set up and running.
• Ensure the infusions are being administered via an appropriate IV access point.
• Double-check the infusion rates and titration protocols as per the physician's orders.
• Prepare a backup infusion in case of pump failure.

Step 4: Secure Ventilator Settings

• Review and adjust ventilator settings according to the patient's needs:
  • Ensure the mode of ventilation is appropriate (e.g., assist-control, CPAP).
  • Check the tidal volume, respiratory rate, and oxygen concentration.
• Confirm that the ventilator is connected to a reliable power source and has a backup battery.

Step 5: Prepare Transport Equipment

• Gather necessary transport equipment, including:
  • Transport stretcher
  • Oxygen supply
  • Emergency medications and equipment (e.g., airway management tools)
• Ensure that the stretcher is equipped with safety straps to secure the patient during transport.

Step 6: Communicate with the Receiving Facility

• Contact the receiving hospital to provide an update on the patient's condition and transport details.
• Share pertinent medical information, including diagnosis, treatments, and current status.
• Confirm arrival time and any specific protocols required by the receiving facility.

Step 7: Ensure Team Coordination

• Assign roles to each member of the transport team to optimize efficiency.
• Conduct a brief team briefing to review the transport plan and ensure everyone is on the same page.
• Establish communication protocols for the duration of the transport.

Conclusion

Preparing a critically ill patient for interhospital transport involves careful assessment, equipment management, and effective communication. By following these steps, healthcare providers can ensure a safe and efficient transfer process. Always prioritize patient stability and readiness, and be prepared for any unforeseen circumstances during transport.