KURUM İÇİ VE KURUMLAR ARASI KRİTİK HASTA TRANSFERİNDE HEMŞİRELİK BAKIMI

Abstract

Genellikle yoğun bakım ünitelerinde takip edilen kritik hastalar; görüntüleme birimi,  acil servis, ameliyathane gibi alanlar arası nakil ya da özel ekipman/merkez gereksinimleri nedenleriyle kurum içi ve kurumlar arası sıklıkla transfer edilmektedirler. Fakat kritik hasta transferi, taşıma sürecinde istenmeyen olay ve komplikasyonların yaşanması, yoğun bakım ünitesinde kalış süresi ve mortalite oranlarının artışı gibi sonuçlara yol açtığından yüksek risk taşımaktadır. Kritik hasta transferinin güvenli bir şekilde gerçekleştirilebilmesi ve istenmeyen olay ve komplikasyonların önlenebilmesi için, hastaların transfere hazırlanması, koordinasyon ve iletişim, eşlik edecek sağlık personelleri, gerekli ekipman, transfer süresince izlem ile kayıt ve raporlama unsurlarına uyulması ve özen gösterilmesi gerekmektedir. Bu derlemenin amacı, kurum içi ve kurumlar arası kritik hasta transferinde benzer olan bu unsurların incelenmesi ve hemşirelik bakım uygulamalarının tartışılmasıdır.   

Keywords

• Hasta transferi,Hemşirelik,Kritik bakım,Kritik hasta

Nursing Care in Intra- and Inter-Hospital Transfer of Critically Ill Patients

Abstract

Critically ill patients, who are usually followed up in an intensive care unit, are often transferred intra- and inter-hospital due to transport between areas such as imaging unit, emergency room, operating room, or special equipment/center requirements. However; since adverse events and complications experienced during the transport lead to an increase in mortality and length of stay in the intensive care unit, transfer of the critically ill patient carries high risks. It is necessary that attention is paid and follows to the preparation of patients for transfer, coordination and communication, health personnel accompanying the patient, equipment, monitoring during transfer, and documentation and reporting components in order to ensure the safe transfer of critically ill patients and to prevent adverse events/ complications. This review aims to examine these components common to intra- and inter-hospital transfer of critically ill patients and to discuss nursing care practices.

Keywords

• Critical care,Critically ill patient,Nursing,Patient transfer

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