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P. 12
Review and CME Lecture
mask (*1), sterile liquid paraffin (*2), sputum suction tube When the patient get radiation inspection, fix the patient,
(12#*2), bite block (*1), 20ml syringe (*1), bandage (*1), and let the monitor screen face the inspection window.
tape (*1), oropharyngeal airway (*1), gauze (*5). Normally Timely terminate the transport in case of any abnormalities
the two kits were placed at a specific site. When there is during the inspection.
need of transport, the nurse in charge of the transport
will put the two boxes to the bedside. After the patient was 3. After the transport
moved to the transport bed, the two boxes will then be put After the patient safely returned to the ICU, the
on the transport bed. transport nurse should switch the module to the monitor
host. Check the monitor screen to make sure connection
Formulation of department transport correct. After moving the patient to the bed, make sure
specifications the vital signs steady. The transport nurse should make
bedside handover with the nurse about conditions during
1.Before transport the transport, and check the tubes and fluids. After the
(1)Assessment of transport risk handover, the transport nurse leaves and return the
Detailed assessment and sufficient clarification of the transport kits return to the storage place.
transport risk is compulsory. The relatives of the patient 4. Items management
have to sign an informed consent form [2]. The instruments and equipments of the mobile ICU
(2)Assessment of physical conditions should be maintained by the disinfection nurse. Daily
The doctors and nurses should assess the physical check of instrument status and counting should be made
conditions of the patient together, and specify the type of and make necessary registration. After the mobile ICU
support during transport, including the ventilator, oxygen returns safely, the disinfection nurse should urge and assist
bag, oxygen tank, or nothing. The nurse in charge of the the responsibility nurse to place all the items to its original
transport will prepare the IntelliVue MMS X2 portable place. Check the oxygen tank if it needs reinfusion, and
monitor or pulse oximeter, and communicate with the duty arrange one nurses to make necessary reinfusion to ensure
nurse about the conditions of the patient, tubes, and fluids. the next use. The outside medicine kit and the outside
Prepare the necessary materials for the transport (micro- tracheal intubation kit should be placed at fixed places in
pumps, transport ventilators, transport beds, sputum the therapeutic room and timely checked by the treatment
aspiration materials, transport kits, oxygen bags, etc), as nurse. In nights and weekends, the nursing team leader will
well as special materials for procedures like angiography, be responsible for all the nursing work of the mobile ICU.
puncture and other necessary materials.
(3)Inform related departments A review of the practice of mobile ICU
Inform the elevator to prepare, inform the related
department or destination departments, and ask whether Since initiation of mobile in February 2010 to August
ready. 2012, we transported in total 1345 patients. The patients
Make sure all the preparation was ready and then start aged from 3 years old to 101 years old, with average of
the transport. Move the patient to the transport bed, make 72.1 years. The transportation time ranged from 15-180
sure the monitor works well, the tube runs well, and the mins. Among the transports, 877 cases were for inspection,
vital signs steady. Then set out. and 468 times were for transfer of wards. 654 cases used
2.During the transport transport ventilator, 28 cases used oxygen tank, and 663
In the transport, the transport nurse should stand cases used oxygen bags. The sputum aspirator was used in
by the side of the monitor and central venous pathway, 276 transports, while other 1069 cases didn’t use sputum
and observe the monitor. The transport nurse directs the aspiration. 890 cases used micro-pump and 455 cases didn’t
parade. In the transport, the nurse should stop the parade use. The Phillips IntelliVue MMS X2 monitor was used in
and inform the physician in case of any abnormalities. Take 1021 transports and other 324 transports used only pulse
out the transport kit quickly and get ready for the rescue. oximeter. There are 8 cases of oxygen saturation below 85%.
After rapid checking, the reasons include oxygen probe
LaboratoryRaenvdieCwlinanicdalCIMnvEesLteicgtautrioen 39 FAM 2013 Jan/Feb Vol.20 Issue 1
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