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Patient Transport: Principles and Practice, 6th Edition

ISBN: 9780443105708
Διαστάσεις 28 × 22 cm



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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.
New to this edition
  • NEW! New Aviation for Medical Personnel chapter is written from the perspective of a veteran transport pilot, and provides valuable information on the idiosyncrasies, tips, and tricks about transport aircraft transport.
  • NEW! Updated and new content on diversity and inclusion covers this timely issue — both among colleagues and patients.
  • NEW! Additional information on technology used in transport nursing/critical care includes topics such as point-of-care ultrasound (POCUS).
  • NEW! Content on COVID-19 as it relates to trauma transport is included.
  • NEW! More philosophical, psychological, and wellness-associated content is added.
Key Features
  • 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
    List of Tables
    List of Illustrations
SECTION I. History and the Current Role of Air and Ground Transport Personnel
1.  History of patient transport
    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
2.  Members of the transport team and preparation for practice
    Transport team members (air and surface)
    The transport nurse
    The transport paramedic
    Respiratory therapist
    Oversight of medical control physicians
    Communication specialists
    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
3.  Aviation for medical personnel
    Introduction to aviation terminology
    Aviation fundamentals
    Aviation regulations
    Weather considerations
    Overview of aircraft instruments
    Air medical resource management
4.  Military patient transport
    Roles of care
    Patient movement
    Intratheater vs. intertheater transport and activation
    Types of patient movement
    Special operations teams
SECTION II. General Principles of Practice
5.  Transport physiology
    Gas laws
    Stresses of transport
    Additional stresses of transport
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
    Law enforcement–related situations
7.  Communications
    Communication centers
    Communications specialist
    Communications operations
    Policies and procedures
    Communicating (radio language)
    Aircraft radios
    Emergency procedures
8.  Teamwork and human performance
    Clear leader intent
    Know your team
    Human performance
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
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
SECTION III. Patient Care Principles
11.  Patient assessment
    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
    Preparation for the transport of the bariatric patient
    Patient assessment and reassessment during transport
    Fixed-wing patient transport
12.  Airway management
    Patient assessment
    Advanced airway management techniques
    Surgical airway
    Pediatric management
    Medication-assisted airway management
    Monitoring airway patency during transport
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
14.  Shock
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
16.  Neurologic trauma
    Traumatic brain injury
    Blunt head injuries
    Spinal cord injury
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
18.  Musculoskeletal and soft tissue trauma
    Musculoskeletal system and soft tissue
    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
19.  Burn trauma
    Etiology and epidemiology
    Pathophysiology of burn wounds
    Management of burn injury
    Impact of transport
20.  Point-of-care ultrasound
    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
    Inferior vena cava
    Lung ultrasound
    Aortic ultrasound
    Obstetric ultrasound
    Cardiac arrest
    The rush protocol
    Ultrasound-guided procedures
SECTION V. Professional Issues
21.  Legal and professional issues in critical care transport
    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
22.  Quality
    Domains of quality
    Integrated quality systems
    Improvement frameworks
    Quality tools
    Considerations for medical quality improvement
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
24.  Mental health and wellness for the provider
    Importance of wellness
    Types of stressors
    Types of strain
    Causes of stress
    Moderators of stress
    Tools to mitigate stress (Box 24.3)
    Promoting wellness
25.  Post-incident and emergency response planning
    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
    Longer term considerations