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Sunday, April 28, 2019

By Gregory Ward


Frequent evacuating of patients in hospitals may be necessary considering the rate of recent disastrous incidents. In the hospitals, there are patients receiving intensive care and must be handled with maximum expertise and the right equipment. NICU evacuation is often considered the most challenging procedure considering the vulnerability of these patients. If handled by untrained personnel, it may be the beginning of another disaster. As such, the staff on the NICU must receive proper training including how to control equipment as well as patients. Here is a summary of the top suggestions when evacuating patients.

Before the process commences, agreements ought to be made between infirmaries and the transport bodies. Here, the hospital with the incident must make and contract with the local or regional facilities so that they can transfer their patients to these safe places. Additionally, a deal between the facility and the transport agency is paramount since a healthcare facility requires transportation services for the ill people.

A hospital should be equipped with the necessary equipment for moving patients safely. It should have a detailed preparedness plan that directs the staff on what to do during such a time. There should also be a leader who will coordinate the process by categorizing the ICU patients and communicating with the other hospitals supporting the removal.

The hospital administration should make sure they have a clear channel of communicating with the governing bodies. This is because it is these bodies that control the issuance and timing of removal orders. It is crucial for the organization in authority to coordinate the schedule of the process to ensure that there will be no obstructions of the ground medical transportation. This process can be facilitated by giving a period for evacuating the NICU patients before removing the general population.

There are patients with respiratory difficulties who need an uninterrupted flow of oxygen to remain alive. Therefore, hospitals must have surge ventilators that run on electric power. These machines ought to be available for every patient with breathing problems during and after transportation. They should have the convenience of use and portable. Safety for the staff as well as patients is essential when operating these machines.

Should there be adequate time for the evacuation, it is advisable to remove the critically ill patients first before going for the less-sick ones. This will not only make it easy for transport but will also give the receiving facilities time to categorize these patients and get a suitable location for them based on the diseases or medical needs.

The preparation of the patient in the intensive care unit must be done before the hospital to hospital transfer. It should include diagnostic procedures, initial stabilization, medical interventions, and damage control techniques to make sure that any change during transportation can be addressed.

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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