IV) Guidelines for Shifting Patients of H1N1 on Mechanical Ventilator

1. Pretransport Coordination and Communication

2. Accompanying Personnel: Qualified personnel to accompany (certified physician)

3. Accompanying Equipment: A blood pressure monitor (or standard blood pressure cuff), pulse oximeter, and cardiac monitor/defibrillator accompany every patient. Equipment for airway management, sized appropriately for each patient, is also transported with each patient, as is an oxygen source of ample supply to provide for projected needs plus a 30-min reserve. Basic resuscitation drugs, including epinephrine and antiarrhythmic agents, are transported with each patient in the event of sudden cardiac arrest or arrhythmia. An ample supply of appropriate intravenous fluids and continuous drip medications regulated by battery-operated infusion pumps) is ensured. All battery-operated equipment is fully charged and capable of functioning for the duration of the transport. In mechanically ventilated patients, endotracheal tube position is noted and secured before transport, and the adequacy of oxygenation and ventilation is reconfirmed.

4. Monitoring During Transport: All critically ill patients undergoing transport receive the same level of basic physiologic monitoring during transport as they had in the intensive care unit. This includes, at a minimum, continuous electrocardiographic monitoring, continuous pulse oximetry and periodic measurement of blood pressure, pulse rate, and respiratory rate.

5. Interhospital patient transfers should occur when the benefits to the patient exceed the risks of the transfer. A decision to transfer a patient is the responsibility of the attending physician at the referring institution. Once this decision has been made, the transfer is effected as soon as possible. Good medical practice requires that a competent patient, guardian, or the legally authorized representative of an incompetent patient give informed consent before interhospital transfer. The informed consent process includes a discussion of the risks and benefits of transfer.

Reference:

GUIDELINE TITLE

Guidelines for the inter- and intrahospital transport of critically ill patients.

Available from: http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=4912&nbr=3509

 

DISCLAIMER:

Please note that these guidelines are based on date=a and recommendations available as of September 10, 2009 and any changes in these need to be taken into consideration before instituting treatment or mangement at a future data. This document is only for reference purposes.

Daily Reporting of Influenza A (H1N1) patients on Mechanical Ventilator

Sr No	Name of patient	Indoor registration No/ Hospital	Age/ Sex	Date of instituting mechanical ventilation	Mode of ventilation	Antibiotics	Pre-morbid conditions