Page 13 - 麻醉与监护论坛2015年第10期

Review and CME Lecture
loss (1 case), insufficient supply of oxygen (6 cases), and
disconnection of oxygen tube (1 case). All patients returned
to ICU timely after proper treatment.
Thirty months after the establishment of mobile ICU,
we handed out a survey form to the ICU medical staff,
including 6 doctors and 12 nurses, all with 4 year and above duration of waiting and inspection time, etc., to obtain the
working experience, and have participated in former ways
of patient transport. All 18 forms were retrieved (100%).
The questions in the form include: Do you participate in
the transport? Is “mobile ICU” superior than old ways
of transport? Is “mobile ICU” better for the safety of
the patient? Are you familiar with the specifications of
mobile ICU? The results of the survey revealed that the
medical staff of our ICU were 100% satisfactory about the
establishment of mobile ICU, and agreed on it superiority
over traditional ways of transport. The transport was
more efficient, convenient and safe after the establishment
of mobile ICU. In addition, we randomly released 100
satisfaction questionnaires to the family members of
patients, which were all retrieved. The results showed
that the family members were 94% satisfactory about our
transport work, and believed that we were equipped with
professional staff, profession equipment and professional
specifications, and reliable.
Discussion
1.The advantages of mobile ICU
The practice of mobile ICU improved the transport
efficiency, guaranteed the transport safety and established
optimal procedure, which was conducive to the
standardized management of ICU patient transport [3]. A
study showed that the motility of patient during traditional with profession staff and whole-course monitoring, have
ways of transport could be as high as 7.7%, while that
under mobile ICU practice can drop to 3% [4]. In summary,
the mobile ICU was a safe and reliable way of in-hospital
transport.
2.Matters needing attention in mobile ICU
(1)The evaluation work before the transport was
extremely important
Adequate evaluation before the transport could help
identify the proper mode of transport, and necessary
preparation. It could effectively reduce the risks during
the transport, and avoid any accident due to inadequate
preparation.
LaboratoryRaenvdieCwlinaincdalCInMvEesLteigcatutiroen 40
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(2)Humanistic care in transport
The patient may feel fear due to the change of
environment and the hurry of the medical team. So, sober
patients should be informed of the transport to reduce
the psychological fear. And proper communication was
also important, informing the patient of the location, the
cooperation of the patient.
(3)Keeping warm
Emphasis should be placed on keeping warmth of the
patient, as the patient would be placed outside the ward or
the building. Determine the thickness of the quilt according
to the season and let the patient wear masks and hats.
(4)Teamwork
The mobile ICU is a unit that embodies the emergency
ability and nursing work level at times. In this unit,
teamwork of well-trained medical care staff was very
important. When performing the transport, division of
work should be very clear, and emphasis properly placed.
The team should not only prevent major adverse events,
but also pay attention to the details of transportation,
avoid absent-minded, disordered state, in order to show
organized ICU image to the public.
Summary
ICU patients are characterized with severe illness, rapid
changes, and the transport of ICU patients is a process that
combines transport, monitoring and treatment. Accidents
and dangers may occur at any time. The establishment
of mobile ICU fulfilled this need and converts dreams to
concrete work [5]. Mobile ICU, guided by standard transport
specifications and various emergency plans, equipped
provided a professional mobile transport unit, and become
a indispensable part of modern ICU.
REFERENCES
[1] Warren J, Fromm R E Jr, Orr R A, et al. Guidelines for the inter-and-intra hospital transport of critically ill
patients [J]. Crit Care Med, 2004, 32(1):256- 262.
[2] Fang F. The application of nursing care risk management in the in-hospital transport of emergency critical ill
patients [J]. Journal of Nursing (Chinese). 2008, 23 (9):22-23.
[3] Wang HR, Chen JY, Tang LJ. The status quo and prospective of process management in hospital nursing care
management [J]. Chinese Journal of Nursing. 2008, 43 (12):1140-1141.
[4] Velmahos GC, Demetriades D, Ghilard M, et al. Life support for trauma and transport: a mobile ICU for safe in-
hospital transport of critically injured patients [J] . J Am Coll Surg, 2004,199 (1):62-80.
[5] Liu DW. The specialization of critical ill patient transport: a mobile ICU [J]. Chinese Journal of Critical and
Emergency Medicine. 2010, 22 (6):321-322.
FAM 2013 Jan/Feb Vol.20 Issue 1