Transport Methods for Critically Ill Patients

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Course Overview
Healthcare professionals are an integral part of the transport system, stabilizing patients prior to transport, providing care in transport and ensuring the safety of the patient throughout the transport process. This course will provide information on the types of transport available, transport physiology (those stressors that impact the patient in transport), transport regulations, stabilization for transport, care in transport, and the general principles of transporting patients, including both safety and medical-legal issues. All healthcare professionals involved in caring for sick or injured patients must be aware of all of these concepts in order to provide optimal care.

Learning Outcomes 
Upon the completion of this course, the learner should be able to:

  • Compare the advantages and disadvantages of ground, fixed-wing, and helicopter transport.
  • Evaluate physiologic changes that occur during transport and list interventions to limit patient compromise.
  • Describe the current federal requirements and regulations in regard to transporting the ill or injured patient.
  • List, in order, the appropriate steps in arranging an interfacility transport.
  • Identify stabilization procedures to be undertaken for all patients requiring transport.
  • Describe the emotional impact of transport on the patient and/or the family and list interventions to provide psychosocial support for these individuals, taking into consideration cultural and linguistic variables.
  • List the baseline diagnostic studies to be performed prior to transport, if time and patient condition warrant their performance.
  • Cite physiologic changes that occur during transport and impact the neurologic, respiratory, and cardio¬vascular systems.
  • Summarize special considerations for transport of burn and multiple-trauma patients.
  • Identify the problems that may occur during transport of the pediatric patient.
  • Identify the stressors of transport that impact the older adult patient and cite how to best stabilize the patient to limit these complications.
  • Describe the impact of transport on the pregnant patient and her fetus and how these problems can be managed.
  • Describe the steps in caring for a patient in transport.
  • Describe how transport impacts the choice and use of biomedical equipment.
  • List actions to take to ensure the safety of the crew, the patient, and the personnel on the ground when performing both a helicopter and a fixed-wing transport.
  • Cite the medical-legal requirements of providing care to a patient outside of a hospital system.
     

About the Author/Presenter 
Susan Engman Lazear, RN, MN, received her undergraduate education at the Walter Reed Army Institute of Nursing in Washington, D.C. After completing her BSN, she served as an Army Nurse at Letterman Army Medical Center in San Francisco for four years. She then attended the University of Washington School of Nursing and received a Master’s in Nursing, specializing in Burn, Trauma and Emergency Nursing. After receiving her MN, she started Airlift Northwest, the air ambulance service based in Seattle which serves the entire Northwest region, including Alaska. Mrs. Lazear left the air ambulance service to start her own nursing education and consulting business, Specialists in Medical Education. For the past 20 years she has been teaching emergency nursing courses throughout the country. She lives in the Seattle area. Mrs. Lazear continues to teach and publish. She is both an editor and contributing author of Critical Care Nursing, published by W.B. Saunders Company, in June of 1992. She served as an author and reviewer of the Emergency Nursing Core Curriculum 6th Edition, published by W.B. Saunders Company in 2007. She has been named to the Who’s Who in American Healthcare list annually since 1992.

Audience/Accreditations and Approvals 
TRC Healthcare/ NetCE 
In support of improving patient care, this activity has been planned and implemented by TRC Healthcare/ NetCE. TRC Healthcare/NetCE is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 
This course is designed for the following healthcare professions (select your profession for details): 
Nursing, Physician

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