Moving Patients

https://rbroz.blogspot.com/2021/02/non-emergency-moves.html

1. how soon should move the patient? 
2. Must complete your assessment before moving the Patient?
3. How much time should spend on spinal protection?

Answer:      IT DEPENDS ON HE CIRCUMSTANCES: 

Generally, if there is no threat of injury, provide emergency care and then move the patient. If the scene is potentially unsafe or poses an immediate threat, you may have to move the patient. 

There are two types of Patient moving Techniques: 

EMERGENCY MOVES                 and             NON-EMERGENCY MOVES

NON-EMERGENCY MOVES

    Where there is no immediate threat to life, the patient should be moved only when ready for transport, using a non emergency move. Complete on scene assessment and treat the patient first. Prevent additional injury and try to avoid causing discomfort and pain to the patient. 

    Non emergency moves generally require minimal equipment. However, if suspect spinal injury, Provide Proper spinal immobilization prior to moving the patient. Often patient carrying devices can be utilized. 

Types pf Non- Emergency Moves: 

• Direct Ground
• Bed Lift
• Extremity Lift
• Two hand Lift
• Three Hand Lift
• Four Hand Lift

EMERGENCY MOVES

    Make an emergency move only when there is immediate danger to the patient. 

for examples: 

• in case of FIRE
• threat of FIRE 
• in case of EXPLOSION 
• threat of EXPLOSION
• Unstable BUILDING
• HOSTILE Crowd
• HAZARDOUS Materials (Haz-Mat)
• Spilled GASOLINE
• EXTREME Weather
• To Gain access to other Patients who need CARE
• When LIFE-SAVING care cannot be given due to patient's Location /Position

TYPES OF EMERGENCY MOVES: 

• Shirt Drag
• Blanket Drag
• Shoulder Drag
• Forearm Dram
• Sheet Drag
• Piggyback Cary
• One Rescuer Crutch
• Cradle Carry
• Fire fighter Drag

BODY MECHANICS

 1. BODY MECHANICS:

Objectives: 

the participants will be able to: 

• List three emergency moves and two non-
  
  
  emergency moves for lifting and moving a patient.
• Demonstrate the techniques for immobilizing and transporting a patient, using a backboard.
• Name five examples of situations that might require to make an emergency move with a patient. 

After you arrive at the scene a patient may need to be handled or transported. it is very important to act quickly and cautiously at a dangerous scene. If handle the patient improperly, it may cause further injury. 

So, it is most important to have to know that when and how a patient may be moved, generally only if the patient is in immediate danger. Incorrectly lifting and carrying equipment or patients could cause injury, and cause lifelong pain. 

When it comes to lifting, FOLLOW the basic rules to prevent injuries: 

1. 
   PLANE move before lifting an Patient.
2. USE LEGS to lift, not back.
   
3. KEEP THE WEIGHT of the patient as close to your body as possible. 
4. "STACK" move your body as a unit. 
5. REDUCE THE HEIGHT OR DISTANCE to move an patient.
6. REPOSITION and Lift in stages. 

Lifting and Moving Patients

1. body-mechanics

Expected Conduct of Radio Operators

 Expected Conduct of Radio Operators:

The primary responsibility for the Radio Room is security and safety of staff. Operational related communications are secondary. The operators need to bear this in mind and act accordingly. It is essential that all users perceive the service as a professional one that they can trust.

The Radio Operators must therefore:

·       Be form but polite at all times

·       Arrive on duty groomed as expected for staff

·       Maintain an organized and clean workspace

·       Always be vigilant

·       Not leave the workplace without a replacement

·       Not engage in discussions about radio policies, procedures etc. with users but direct this to ICT or in their absence the security officer on duty.

1.    Arriving on Duty:

·       Arrive on duty on time, every time

·       Ensure there is time for a proper handover prior to shift change.

·       Ensure all relevant information from the previous shift is passed on in the handover.

·       If there are any unsettled or unclear issues make sure you clarify all information related to this and address them promptly.

·       Make sure that all the radio room equipment is working properly.

·       Report any problem/fault to in charge.

2.    Finishing the Shift:

·       Make sure that you have briefed your colleague on all vehicles that you have checked during your shift.

·       Make sure that all the messages received will be followed up by the relieving radio operator.

·       Both radio operators, on change over, shall sign the voice log or complete the Database as applicable.

·       After signing (completion) the relieving radio operator on shift will be responsible from that point onward.

·       Report any irregularities to radio room supervisor or safety in charge.

3.    While on Duty:

·       Vehicle tracking:

                                                             i.      Make sure that vehicle tracking is done according to procedures and respect strict timing for contacts. All contacts with vehicles must be logged in the vehicle tracking sheet.

                                                          ii.      All “closed” vehicle tracking movements must be saved to Data Base or saved and put in the relevant folder if no database installed.

·       Voice Logs:

                                                             i.      All messages received either by phone or radio should be logged before being dispatched.

                                                          ii.      All outgoing sat phone calls should be logged in an appropriate sheet.

                                                       iii.      All contacts should mainly be on. If the vehicle or staff has non-serviceable radio equipment other means of communication must be tried, i.e. mobile phone, sat phone until the fault is repaired.

                                                       iv.      All telephone calls should be logged or entered in the database or manual record as applicable. 

·       Radio Checks:

                                                             i.      Radio checks are necessary for a number of safety reasons. First of all to test that the equipment is working but also to ensure staff are contactable.

                                                          ii.      The security officer defines the schedule for the radio checks.

                                                       iii.      The standard pattern is as follow:

Phase	Daily HF	Daily VHF	Weekly VHF
I	All offices		All staff
II	All offices	Sec focal point	All staff
III	All offices	All staff	All staff
IV	All offices	All staff	All staff
V	All offices	All staff	All staff

Radio Rooms's Staff Responsibilities

Staff Responsibilities:

1.    Security Officer:

a)    Security Officer(s) should be understood as staff designated as Security Officer(s) or the Security focal Point.

b)   The security officer is required to be contactable at all times and is responsible to ensure that the radio room is informed on how to contact them. At least two different means of contact should be available at all time.

c)    In the unlikely event that the Security officer is not reachable during an emergency, the radio room will then report directly to the Emergency Co-ordination and Head of Office, and also inform the officer on duty.

ICT Officer:

a)    Overall supervision of the radio room.

b)   Supervise preparation of guidelines and Standard Operating Procedure (SOP) for the radio room operation.

c)    Provide technical support as required.

d)   Can delegate part of their functions to one or more radio room staff.

1.    Radio room Supervisor:

Under the supervision of ICT Officer has responsibility for the following:

a)     Directly supervise and train radio room staff

b)   Liase with radio rooms to establish contact information databases such as call signs, sel-calls and telephone numbers.

c)    Assess status of the radio rooms and recommend upgrades to MOSS/MISTS compliance.

d)   Institutionalize Standard Operating Procedure for radio room.

e)    Ensure proper use of radios and procedures.

1

.    Radio Operators:

Under the general supervision staff, the Radio Operators performs the following duties.

a)    Maintain radio contact with all stations and vehicles under their responsibility.

b)   Ensure efficient communications and information flow for all staff and vehicles;

c)    Communicate with all applicable networks and relevant in the region/ area ensuring radio communications for operational and security purposes.

d)   Log all communications and dispatch them without delay to the receiving officer or stations.

e)    Keep all necessary messages sent/received by communications systems strictly confidential.

f)     Ensure that all network users are complying with proper radio procedures and that call signs, etc.

g)    Advice radio room supervisor immediately on faults in the telecommunication networks and undertake all necessary action to provide a prompt reestablishment of service.