Intra-hospital Paediatric Transfer Guidelines.pdf - St-marys ...

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Intra-hospital Paediatric Transfer Checklist from Theatres,A+E, Radiology and PICUAirway + BreathingFacemaskOropharyngeal airwayETTs (same size + size below)Laryngoscope + bladeAyre’s T-Piece/ Adult circuitHMEPortable ventilator (optional)Full oxygen cylinder (minimum E size)Portable suction unitSedation (boluses or infusion)/ Intubation drugsParalysis (boluses or infusion)CirculationResuscitation drugs (suxamethonium, atropine, adrenaline minijet)Resuscitation box (paediatric/adult)Secure IV accessSaline flushesMonitoring – Philips paediatric transport monitorCharging leadSaO2 + probeETCO2- mainstream/sidestreamECGNIBP (auto mode 3-5min cycles/manual mode if IABP in use)IABPTemperatureAirway pressure gauge (necessary when hand ventilating)Paediatric Transfer PackNotes, anaesthetic chart, drug charts, X-raysLift key (if porter not present)
Paediatric Transfer BagAimsPolicyTo ensure that all staff understand the content andpacking of the equipment bagsTo provide continuity and familiarity between departments.The same bag design will be utilised by Theatres, PaediatricA+E and PICU.To provide rapid access to equipment required for theimmediate management of an anaesthetised or critically illchild.To reduce duplication and variability of equipment carried onthe bedThere are four Paediatric Transfer Packs in SMH at all timesonein the Paediatric theatre (main theatres), one in WEHtheatres, one in Paediatric A+E and one in PICU.The responsibility for re-stocking a used bag lies with thedoctor and ODP/nurse that used the bag.The bag should be checked and restocked by a two-personprocess of challenge and response:o Check all sections for intact toggles. If the main sectionhas a toggle intact there is no need to check inside.o Only those sections with missing or no toggles (ie frontpouch and inside pouches if main pouch breached) Resealwith toggles once re-stocked.Each month a full inspection of the bag takes place bynominated ODPs/ nursing staff.All sections of the bag must be checked using the contentslist. It is important to check the expiry dates of drugs andsterile equipment.Soiled bags must be cleaned.The contents of the bag are listed below.
Page 1: St Mary’s Hospital Anaesthetic De
Page 5 and 6: Infusion Bag1x 14G venflon1x 16G ve
Page 7 and 8: Main Section1x burette giving set1x

Intra-hospital Paediatric Transfer Guidelines.pdf - St-marys ...

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