mercredi 1 mai 2019

A Summary Of Suggestions For NICU Evacuation

By Gregory Ward


There have been frequent disasters in the past years that have forced infirmaries to evacuate their patients to safer facilities. The intensive care unit has vulnerable patients that ought to be managed with the utmost care and with a high level of expertise. One of the most challenging processes during disasters is NICU evacuation. Here, patients are vulnerable and must be handled by trained personnel to prevent further tragedies. Hence, the staffs in this unit must receive proper training with the knowledge to handle the equipment. This article has given a synopsis of different proposals during the evacuation period.

Agreements ought to be made between different parties. For instance, an agreement should be between the hospital with the incident and other healthcare facilities. This ensures that the patients are received in these facilities without compromise. Again, an agreement between the hospital and transport agencies is vital to confirm that proper transport services will be available during this critical time.

Having proper equipment for this procedure is paramount. Hence, hospitals must be well-equipped and train their staff on disaster preparedness. The training will help the faculty to undertake the crucial methods that will facilitate proper and safe removal of the patients from the facility. On the ground, a leader needs to coordinate this process by categorizing the patients and communicate with the receiving facilities about the process.

Governing bodies should be included during this process. Their primary duty will be providing proper timing to undertake this process and give orders on the evacuation. As such, infirmaries must establish appropriate channels of communication. The mechanism must be reliable to make sure that the board of administration is contacted on time and orders are given promptly. This way, there will be no distractions on the ground. The authority is there to give orders on the best time for transporting the NICU patients before the overall population.

When it comes to patients who have respiratory difficulties, there is a need for surge ventilators that can run on low oxygen and have a battery backup. The equipment is necessary to ensure patients with such problems can breathe during transportation and when in the shelter. The ventilators must be convenient and portable to ensure the safety of patients and the staff.

In case there is ample time for the procedure, the most critical patients should be moved first followed by the less critically ill patients. Apart from making it easy for this process, receiving hospitals can provide a location so that the patients can continue receiving the same care. It is easy to cluster these patients based on their medical needs and disease resources.

It is recommended to conduct preparations of a patient before they are transported. This means that the condition of a person must be noted before transportation so that any changes that may come later are easily recognized and addressed. Preparations can include initial stabilization, diagnostic procedures, and methods of damage control, among others.

The medical details of a patient ought to be available in the receiving end. This is to confirm that the receiving hospitals can continue caring for the received patients. If an electronic record is not available, the hospital must produce a paper record containing the problem list and patient identification. This way, it becomes easy to handle patients.




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