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KURUM İÇİ VE KURUMLAR ARASI KRİTİK HASTA TRANSFERİNDE HEMŞİRELİK BAKIMI

Yıl 2019, Cilt: 23 Sayı: 2, 123 - 130, 31.08.2019

Öz

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.   

Kaynakça

  • 1. Yava A, Koyuncu A. Acil serviste kritik bakım. İçinde: Aslan FE, Olgun N. Erişkinlerde acil bakım. Ankara: Akademisyen Tıp Kitabevi; 2014. s. 215-22.
  • 2. Bodur HA. Kritik hastanın transportu. Yoğun Bakım Dergisi 2005;5(1):36-41.
  • 3. Babayiğit M, Tutal ZB, Dereli N, Güleç H, Babayiğit MA, Horasanlı E. Yoğun bakıma hasta transferinde doğru bilgilendiriliyor muyuz? J Turk Soc Intens Care 2016;14:54-8.
  • 4. Blakeman TC, Branson RD. Inter-and intra-hospital transport of the critically ill. Respir Care 2013;58(6):1008-23.
  • 5. Australasian College for Emergency Medicine, Australian and New Zealand College of Anaesthetists, College of Intensive Care Medicine of Australia and New Zealand. Guidelines for transport of critically ill patients. 2015. http://www.anzca.edu.au/documents/ps52-2015-guidelines-for-transport-of-critically-i Son Erişim Tarihi 29.07.2019
  • 6. Intensive Care Society. Guidance on: The transfer of the critically ill adult. May, 2019. http://www.ics.ac.uk/ICS/GuidelinesAndStandards/ICSGuidelines.aspx Son Erişim Tarihi 29.07.2019
  • 7. Gimenez FMP, Camargo WHBD, Gomes ACB, Nihei TS, Andrade MWM, Valverde MLDA, et al. Analysis of adverse events during intrahospital transportation of critically ill patients. Crit Care Res Pract 2017;6847124.
  • 8. Jia L, Wang H, Gao Y, Liu H, Yu K. High incidence of adverse events during intra-hospital transport of critically ill patients and new related risk factors: a prospective, multicenter study in China. Crit Care 2016;20(12).
  • 9. Almeida ACGD, Neves ALD, Souza CLBD, Garcia JH, Lopes JDL, Barros ALBLD. Intra-hospital transport of critically ill adult patients: complications related to staff, equipment and physiological factors. Acta Paulista de Enfermagem 2012;25(3):471-6.
  • 10. Mueller S, Zheng J, Orav EJ, Schnipper JL. Inter-hospital transfer and patient outcomes: a retrospective cohort study. BMJ Qual Saf 2018;1-9.
  • 11. Kulshrestha A, Singh J. Inter-hospital and intra-hospital patient transfer: Recent concepts. Indian J Anaesth 2016;60(7):451-7.
  • 12. South Western Sydney Local Health District; Liverpool Hospital. Clinical guidelines intra-hospital transfer of ICU patient. 2015. https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0018/306450/liverpoolIntra-Hospital_Transfer_of_ICU_Patients.pdf Son Erişim Tarihi 29.07.2019
  • 13. Everest ER, Fischer R. Transport of critically ill patient. In: Bersten AD, Handy JM, editors. Oh’s intensive care manual. 8th ed. China: Elsevier Limited; 2019. p. 34-44.
  • 14. Choi HK, Shin SD, Ro YS, Kim DK, Shin SH, Kwak YH. A before-and after-intervention trial for reducing unexpected events during the intrahospital transport of emergency patients. Am J Emerg Med 2012;30(8):1433-40.
  • 15. Warren J, Fromm RE, Orr RA, Rotello LC, Horst HM. Guidelines for the inter- and intrahospital transport of critically ill patients. Crit Care Med 2004;32(1):256-62.
  • 16. Beckmann U, Gillies DM, Berenholtz SM, Wu AW, Pronovost P. Incidents relating to the intra-hospital transfer of critically ill patients. Intensive Care Med 2004;30(8):1579-85.
  • 17. Sun YK, Shih WC, Cheng KH. An electronic handover system to improve information transfer for surgical patient. Comput Inform Nurs 2018;36(12):610-4.
  • 18. Bergman L, Pettersson M, Chaboyer W, Carlström E, Ringdal M. Improving quality and safety during intrahospital transport of critically ill patients: A critical incident study. Aust Crit Care 2019. doi:10.1016/j.aucc.2018.12.003.
  • 19. Ignatyeva Y, Nguyen AP, Schmidt U, Barak R, Agarwal R, Davidson JE. Transport of critically ill cardiovascular patients. Crit Care Nurs Q 2018;41(4):413-25.
  • 20. Droogh JM, Smit M, Absalom AR, Ligtenberg JJ, Zijlstra JG. Transferring the critically ill patient: are we there yet? Crit Care 2015;19(1):62.
  • 21. Day D. Keeping patients safe during intrahospital transport. Crit Care Nurs 2010;30(4):18-32.
  • 22. Brunsveld-Reinders AH, Arbous MS, Kuiper SG, de Jonge E. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. Crit Care 2015;19(1):214.
  • 23. Uhrenfeldt L, Aagaard H, Hall EOC, Fegran L, Ludvigsen MS, Meyer G. A qualitative meta-synthesis of patients′ experiences of intra- and inter-hospital transitions. J Adv Nurs 2013;69(8):1678-90.

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

Yıl 2019, Cilt: 23 Sayı: 2, 123 - 130, 31.08.2019

Öz

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.

Kaynakça

  • 1. Yava A, Koyuncu A. Acil serviste kritik bakım. İçinde: Aslan FE, Olgun N. Erişkinlerde acil bakım. Ankara: Akademisyen Tıp Kitabevi; 2014. s. 215-22.
  • 2. Bodur HA. Kritik hastanın transportu. Yoğun Bakım Dergisi 2005;5(1):36-41.
  • 3. Babayiğit M, Tutal ZB, Dereli N, Güleç H, Babayiğit MA, Horasanlı E. Yoğun bakıma hasta transferinde doğru bilgilendiriliyor muyuz? J Turk Soc Intens Care 2016;14:54-8.
  • 4. Blakeman TC, Branson RD. Inter-and intra-hospital transport of the critically ill. Respir Care 2013;58(6):1008-23.
  • 5. Australasian College for Emergency Medicine, Australian and New Zealand College of Anaesthetists, College of Intensive Care Medicine of Australia and New Zealand. Guidelines for transport of critically ill patients. 2015. http://www.anzca.edu.au/documents/ps52-2015-guidelines-for-transport-of-critically-i Son Erişim Tarihi 29.07.2019
  • 6. Intensive Care Society. Guidance on: The transfer of the critically ill adult. May, 2019. http://www.ics.ac.uk/ICS/GuidelinesAndStandards/ICSGuidelines.aspx Son Erişim Tarihi 29.07.2019
  • 7. Gimenez FMP, Camargo WHBD, Gomes ACB, Nihei TS, Andrade MWM, Valverde MLDA, et al. Analysis of adverse events during intrahospital transportation of critically ill patients. Crit Care Res Pract 2017;6847124.
  • 8. Jia L, Wang H, Gao Y, Liu H, Yu K. High incidence of adverse events during intra-hospital transport of critically ill patients and new related risk factors: a prospective, multicenter study in China. Crit Care 2016;20(12).
  • 9. Almeida ACGD, Neves ALD, Souza CLBD, Garcia JH, Lopes JDL, Barros ALBLD. Intra-hospital transport of critically ill adult patients: complications related to staff, equipment and physiological factors. Acta Paulista de Enfermagem 2012;25(3):471-6.
  • 10. Mueller S, Zheng J, Orav EJ, Schnipper JL. Inter-hospital transfer and patient outcomes: a retrospective cohort study. BMJ Qual Saf 2018;1-9.
  • 11. Kulshrestha A, Singh J. Inter-hospital and intra-hospital patient transfer: Recent concepts. Indian J Anaesth 2016;60(7):451-7.
  • 12. South Western Sydney Local Health District; Liverpool Hospital. Clinical guidelines intra-hospital transfer of ICU patient. 2015. https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0018/306450/liverpoolIntra-Hospital_Transfer_of_ICU_Patients.pdf Son Erişim Tarihi 29.07.2019
  • 13. Everest ER, Fischer R. Transport of critically ill patient. In: Bersten AD, Handy JM, editors. Oh’s intensive care manual. 8th ed. China: Elsevier Limited; 2019. p. 34-44.
  • 14. Choi HK, Shin SD, Ro YS, Kim DK, Shin SH, Kwak YH. A before-and after-intervention trial for reducing unexpected events during the intrahospital transport of emergency patients. Am J Emerg Med 2012;30(8):1433-40.
  • 15. Warren J, Fromm RE, Orr RA, Rotello LC, Horst HM. Guidelines for the inter- and intrahospital transport of critically ill patients. Crit Care Med 2004;32(1):256-62.
  • 16. Beckmann U, Gillies DM, Berenholtz SM, Wu AW, Pronovost P. Incidents relating to the intra-hospital transfer of critically ill patients. Intensive Care Med 2004;30(8):1579-85.
  • 17. Sun YK, Shih WC, Cheng KH. An electronic handover system to improve information transfer for surgical patient. Comput Inform Nurs 2018;36(12):610-4.
  • 18. Bergman L, Pettersson M, Chaboyer W, Carlström E, Ringdal M. Improving quality and safety during intrahospital transport of critically ill patients: A critical incident study. Aust Crit Care 2019. doi:10.1016/j.aucc.2018.12.003.
  • 19. Ignatyeva Y, Nguyen AP, Schmidt U, Barak R, Agarwal R, Davidson JE. Transport of critically ill cardiovascular patients. Crit Care Nurs Q 2018;41(4):413-25.
  • 20. Droogh JM, Smit M, Absalom AR, Ligtenberg JJ, Zijlstra JG. Transferring the critically ill patient: are we there yet? Crit Care 2015;19(1):62.
  • 21. Day D. Keeping patients safe during intrahospital transport. Crit Care Nurs 2010;30(4):18-32.
  • 22. Brunsveld-Reinders AH, Arbous MS, Kuiper SG, de Jonge E. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. Crit Care 2015;19(1):214.
  • 23. Uhrenfeldt L, Aagaard H, Hall EOC, Fegran L, Ludvigsen MS, Meyer G. A qualitative meta-synthesis of patients′ experiences of intra- and inter-hospital transitions. J Adv Nurs 2013;69(8):1678-90.
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Hemşirelik
Bölüm DERLEME
Yazarlar

Ümmü Yıldız Fındık 0000-0003-4120-394X

Duygu Soydaş Yeşilyurt 0000-0001-6276-2930

Ayşe Gökçe Işıklı 0000-0003-3785-1020

Yayımlanma Tarihi 31 Ağustos 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 23 Sayı: 2

Kaynak Göster

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