Patient Transport:Principles and Practice

6th Edition - December 18, 2023
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

Prepare for certification as a flight and ground transport nurse! ASTNA: Patient Transport: Principles & Practice, 6th Edition addresses the scenarios and injuries commonly… Read more

Patient Transport:Principles and Practice

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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.

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

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Patient Transport:Principles and Practice

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