Patient Transport:Principles and Practice
- 6th Edition - December 18, 2023
- Imprint: Elsevier
- Editors: Air & Surface Transport Nurses Associati, Allen Wolfe, Michael Frakes, Danny Nayman
- Language: English
- Hardback ISBN:9 7 8 - 0 - 4 4 3 - 1 0 5 7 0 - 8
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 0 6 2 2 - 4
**American Journal of Nursing (AJN) Book of the Year Awards, 2nd Place in Critical Care-Emergency Nursing, 2024**Prepare for certification as a flight and ground transport nurse!… Read more
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Prepare for certification as a flight and ground transport nurse! ASTNA: Patient Transport: Principles & Practice, 6th Edition addresses the scenarios and injuries commonly encountered in transport nursing, and provides a comprehensive, one-of-a-kind study tool for taking certification exams including the CFRN®, CTRN®, FP-C®, and CCP-C®. Coverage includes the role of air and ground transport personnel, along with topics such as transport physiology, communications, teamwork, safety, airway management, shock, and the different types of trauma. New to this edition is an Aviation for Medical Personnel chapter. Written by the Air & Surface Transport Nurses Association, this resource helps you gain the knowledge and skills you need to succeed on your exam and to transport patients safely.
Prepare for certification as a flight and ground transport nurse! ASTNA: Patient Transport: Principles & Practice, 6th Edition addresses the scenarios and injuries commonly encountered in transport nursing, and provides a comprehensive, one-of-a-kind study tool for taking certification exams including the CFRN®, CTRN®, FP-C®, and CCP-C®. Coverage includes the role of air and ground transport personnel, along with topics such as transport physiology, communications, teamwork, safety, airway management, shock, and the different types of trauma. New to this edition is an Aviation for Medical Personnel chapter. Written by the Air & Surface Transport Nurses Association, this resource helps you gain the knowledge and skills you need to succeed on your exam and to transport patients safely.
- In-depth coverage of expert care delivery in transport meets the needs of all healthcare providers including registered nurses, paramedics, physicians, respiratory therapists, pilots, mechanics, and communication specialists.
- Real-life scenarios demonstrate how to apply concepts to situations similar to those seen in practice.
- Information on important safety regulations is based on the latest updates from the Federal Aviation Association and the National Transportation Safety Board.
- Coverage of injuries commonly encountered in flight and ground nursing includes discussions of pathophysiology, assessment, planning, implementation, and evaluation.
- Detailed coverage of management issues include scene management, communication, safety, disaster management/triage, quality management, and marketing/public relations.
- Focus on interprofessionalism and collaboration emphasizes the importance of teamwork in ensuring successful patient outcomes.
- Evolve website includes 350 questions and answers mapped to the CRFN®/CTRN® exams for additional preparation.
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Contributors
- Reviewers
- Foreword
- Preface
- Acknowledgments
- List of Tables
- List of Illustrations
- SECTION I. History and the Current Role of Air and Ground Transport Personnel
- 1. History of patient transport
- Introduction
- Origins of patient transport
- Origins of air medical transport
- Nursing in critical care transport
- Paramedics in critical care transport
- Recent patient transport history in the 20th and 21st centuries
- Associations
- Summary
- References
- 2. Members of the transport team and preparation for practice
- Transport team members (air and surface)
- The transport nurse
- The transport paramedic
- Respiratory therapist
- Physicians
- Oversight of medical control physicians
- Communication specialists
- Pilots
- Pilot-in-command qualifications
- Emergency vehicle operators
- Program manager
- Other members of the transport program
- Preparation for practice
- Adult learning principles
- Competency-based education
- Continuing professional development
- Commission on accreditation of medical transport systems recommendations
- Clinical decision-making
- Reflective practice
- Summary
- References
- 3. Aviation for medical personnel
- Introduction to aviation terminology
- Aviation fundamentals
- Aviation regulations
- Weather considerations
- Overview of aircraft instruments
- Air medical resource management
- Summary
- References
- 4. Military patient transport
- Introduction
- Roles of care
- Patient movement
- Intratheater vs. intertheater transport and activation
- Types of patient movement
- Special operations teams
- Summary
- References
- SECTION II. General Principles of Practice
- 5. Transport physiology
- Gas laws
- Stresses of transport
- Additional stresses of transport
- Summary
- References
- 6. Scene operations and safety
- Incident command system
- Scene management
- Transportation emergency scenes
- Industrial emergency scenes
- Wilderness emergency scenes
- Whitewater rescue
- Cave rescue
- Natural and human-made disasters
- Thunderstorms
- Law enforcement–related situations
- Summary
- References
- 7. Communications
- Communication centers
- Communications specialist
- Communications operations
- Policies and procedures
- Communicating (radio language)
- Aircraft radios
- Emergency procedures
- Summary
- References
- 8. Teamwork and human performance
- Introduction
- Teamwork
- Character
- Clear leader intent
- Know your team
- Human performance
- Conclusion
- References
- 9. Patient safety
- Organizational underpinnings of clinical risk management
- Building a clinical safety management system
- Striving for high reliability
- Building a culture of learning – just culture
- How to look at systems
- Human factors analysis and classification system
- Pestle analysis
- Human performance underpinnings in clinical risk management
- Pursuing individual accountability and peak performance
- Understanding human performance
- Team member health and wellness (see chapter on wellness)
- Human factors engineering
- Managing human factors – applying lessons from aviation
- Crew resource management (see chapter on CRM)
- “Critical phases” of clinical care
- Operationalizing a culture of learning
- Communicating within a culture of learning – reporting incidents, near-misses, and unsafe conditions
- Maximizing accessibility
- Minimizing anxiety: Understanding the second victim experience
- A roadmap to managing reports
- Managing events
- Event classification
- Applying lessons learned – process improvement
- Data collection and analysis
- Conclusion
- References
- 10. Operational safety and survival
- Definition of safety
- Safety management
- Safety in the transport environment
- Daily shift safety procedures
- In-flight emergencies
- Ground vehicle emergencies
- Safety attitude revisited
- Survival basics
- Summary
- References
- SECTION III. Patient Care Principles
- 11. Patient assessment
- Preparation
- Indications for patient transport
- A twenty-first-century patient transport challenge
- Patient assessment
- Scene assessment
- Laboratory and diagnostic testing interpretation
- Preparing the patient for transport
- Patient preparation: The family
- Documentation
- Preparation for the transport of the bariatric patient
- Patient assessment and reassessment during transport
- Fixed-wing patient transport
- Summary
- References
- 12. Airway management
- Patient assessment
- Intervention
- Advanced airway management techniques
- Surgical airway
- Pediatric management
- Medication-assisted airway management
- Monitoring airway patency during transport
- Summary
- References
- 13. Mechanical ventilation
- Ventilator-induced lung injury
- Ventilator settings
- Classification of positive pressure ventilation
- Noninvasive positive pressure ventilation
- Gases used in mechanical ventilation
- Ventilation strategies
- Troubleshooting
- Summary
- References
- Manuals
- 14. Shock
- Physiology
- Conclusion
- References
- SECTION IV. Trauma
- 15. General principles of trauma management
- Injury dynamics
- Kinematics of trauma
- Pathophysiologic factors
- Primary and secondary assessment
- Scoring of trauma patients
- Field triage
- Mass casualty incidents
- Triage patient transport
- Trends in trauma care
- Summary
- References
- 16. Neurologic trauma
- Introduction
- Traumatic brain injury
- Blunt head injuries
- Spinal cord injury
- Summary
- References
- 17. Thoracoabdominal trauma
- Airway obstruction
- Open pneumothorax
- Tension pneumothorax
- Massive hemothorax
- Flail chest
- Cardiac tamponade
- Blunt cardiac injury
- Blunt thoracic aortic injuries
- Tracheobronchial injuries
- Esophageal injuries
- Diaphragmatic injury
- Pulmonary contusion
- Resuscitative endovascular balloon occlusion
- Specific abdominal injuries
- Abdominal evisceration
- Gastroesophageal trauma
- Abdominal vascular injuries
- Genitourinary trauma
- Renal and ureter trauma
- Bladder and urethral trauma
- Genital trauma
- Bariatric considerations
- Summary
- References
- 18. Musculoskeletal and soft tissue trauma
- Introduction
- Musculoskeletal system and soft tissue
- Definitions
- Mechanisms of injury
- Hemorrhage management
- Soft tissue wound management
- Traumatic amputations
- Classification of orthopedic injuries
- Assessment of an orthopedic injury
- Management of orthopedic injuries
- Pelvic fractures
- Fat embolism
- Compartment syndrome
- Summary
- References
- 19. Burn trauma
- Etiology and epidemiology
- Pathophysiology of burn wounds
- Assessment
- Management of burn injury
- Antibiotics
- Evaluation
- Impact of transport
- Summary
- References
- 20. Point-of-care ultrasound
- Introduction
- Fundamentals of point-of-care ultrasound
- Applications of POCUS in prehospital and transport medicine
- Trauma: The fast exam
- Right upper quadrant
- Left upper quadrant
- Pelvic view
- Cardiac view
- EFAST – lung ultrasound
- Limitations of the fast exam
- Cardiac ultrasound
- Parasternal long axis
- Parasternal short axis
- Apical four chamber
- Subxiphoid/subcostal
- Inferior vena cava
- Pathology
- Lung ultrasound
- Aortic ultrasound
- Obstetric ultrasound
- Cardiac arrest
- The rush protocol
- Ultrasound-guided procedures
- Conclusion
- References
- SECTION V. Professional Issues
- 21. Legal and professional issues in critical care transport
- Introduction
- Legal issues
- An overview of the law
- Discussion of liability
- Legal issues in critical care transport
- Medical direction during interfacility patient transfers
- Scope of practice and standards of care
- Ethical issues
- Additional legal issues regarding transportation
- Patient- and family-centered care
- Family considerations in the transport environment
- Litigation
- Conclusion
- References
- 22. Quality
- History
- Domains of quality
- Integrated quality systems
- Improvement frameworks
- Quality tools
- Considerations for medical quality improvement
- Conclusion
- References
- 23. Accreditation for air and ground medical transport
- History of the joint commission
- The white paper calls for improved emergency medical services
- Accreditation organization founded for air medical transport
- Other accreditation bodies
- Summary
- References
- 24. Mental health and wellness for the provider
- Introduction
- Importance of wellness
- Types of stressors
- Types of strain
- Causes of stress
- Moderators of stress
- Tools to mitigate stress (Box 24.3)
- Promoting wellness
- Summary
- References
- 25. Post-incident and emergency response planning
- Introduction
- Emergency response plan and post-accident and incident plan
- The incident/accident – immediate response
- Notifications and people support
- Near-term considerations
- Learning from history – commercial aviation
- Preparation
- Longer term considerations
- Conclusion
- References
- Index
- Edition: 6
- Published: December 18, 2023
- Imprint: Elsevier
- Language: English
- Hardback ISBN: 9780443105708
- eBook ISBN: 9780443106224
AW
Allen Wolfe
Senior Director of Education Allen Wolfe is a Clinical Nurse Specialist at Life Link III, Minneapolis, Minnesota, USA
Affiliations and expertise
Senior Director of Education, Clinical Nurse Specialist, Life Link III, Minneapolis, Minnesota, USAMF
Michael Frakes
Michael Frakes is Chief Quality Officer and Director of Clinical Care at Boston MedFlight, Bedford, Massachusetts, USA.
Affiliations and expertise
Chief Quality Officer and Director of Clinical Care, Boston MedFlight, Bedford, Massachusetts, USADN
Danny Nayman
Danny Nayman is Vice President, Board of Directors, International College of Advanced Practice Paramedics, Washington, DC; Paramedic, Life Flight Duke University Hospital System, Durham, North Carolina; Product Manager, Patient Care, ZOLL Data Systems, Broomfield, Colorado, USA.
Affiliations and expertise
Vice President, Board of Directors, International College of Advanced Practice Paramedics, Washington, DC; Paramedic, Life Flight Duke University Hospital System, Durham, North Carolina; Product Manager, Patient Care, ZOLL Data Systems, Broomfield, Colorado, USA