TRANSPORT ORGANISATION OF SPECIFIC PATIENT GROUPS DIAGNOSED WITH COVID-19 IN PRE-HOSPITAL EMERGENCY HEALTHCARE

Öz

Transport of critically ill patients is very risky and difficult. This situation becomes even more important in specific patient groups diagnosed with COVID-19. Transport of COVID-19 suspected/diagnosed patients should be performed in accordance with “transport principles of critical patient” with infectious disease. It has become even more important than before the pandemic that the parties involved in the patient transport process draw clear road maps, accurately identify suspected/diagnosed COVID-19 cases, use existing resources in the most effective way, and reduce the risks to pre-hospital emergency health personnel. During transportation, continuous monitoring of the vital functions of critically ill patients, organization of the necessary equipment and personnel to intervene in risky situations, provision of personal protective equipment to the personnel, disinfection and decontamination of the ambulance are of great importance for the safety of patients and pre-hospital emergency health personnel. In this review, it is focused on how to transfer special patient groups with COVID-19 and what to pay attention to.

Anahtar Kelimeler

• Covid-19
• Patient Transport
• Pre-hospital
• İnfectious Disease

HASTANE ÖNCESİ ACİL SAĞLIK HİZMETLERİNDE COVID-19 TANILI ÖZELLİKLİ HASTA GRUPLARININ NAKİL ORGANİZASYONU

Öz

Kritik hasta nakli oldukça riskli ve zordur. COVID-19 tanılı özellikli hasta gruplarında bu durum daha da önem kazanmaktadır. COVID-19 şüpheli/tanılı hastaların nakilleri, bulaşıcı hastalığı olan “kritik hasta nakil ilkelerine” uyularak yapılmalıdır. Hasta nakli sürecinde görev alan tarafların net yol haritaları çizmesi, şüpheli/tanılı COVID-19 vakalarının doğru bir şekilde tespit edilmesi, var olan kaynakların en etkin şekilde yönetilerek kullanılması ve hastane öncesi acil sağlık personeline yönelik risklerin azaltılması salgın öncesine göre daha da önemli hale gelmiştir. Nakil sırasında, kritik hastalığı olan özellikli hastaların hayati fonksiyonlarının sürekli izlenmesi, riskli durumlarda müdahalenin yapılabilmesi için gerekli ekipman ve personelin organizasyonun yapılması, personele kişisel koruyucu ekipmanın sağlanması, ambulansın dezenfeksiyon ve dekontaminasyonu hasta ve hastane öncesi acil sağlık çalışanlarının güvenliği açısından büyük önem taşır. Bu derlemede, COVID-19’lu özellikli hasta gruplarının nakillerinin nasıl yapılması ve nelere dikkat edilmesi gerektiği üzerinde durulmuştur.

Anahtar Kelimeler

• Covid-19
• Hasta Nakli
• Hastane Öncesi
• Bulaşıcı Hastalık

Kaynakça

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