生命线:通讯中心
重症监护运输的协调方法
One of the most vital components of the 生命线 program is the communications center, which provides centralized coordination of all transportation activities for 约翰霍普金斯医疗系统. 位于约翰霍普金斯医院的能力指挥中心, the 生命线 communications personnel work directly with care team members from the referring facility, 约翰霍普金斯医疗系统, and our transportation partners to provide appropriate medical transportation in a safe and efficient manner. The dedicated communications center operates 24/7 to coordinate medical ground and air transportation services for domestic and international transport.
Requests for interfacility transport are initiated by the Hopkins Access Line (HAL) via a toll-free number (1-800-765-5447)，然后转送到通讯中心，以便立即调度. This system allows for a patient transport to be initiated by a “one-call” method for referring physicians and is a cornerstone in the transport process.
生命线 communications personnel are medically trained emergency medical technicians and paramedics, who have extensive knowledge of all aspects of patient transport and 约翰霍普金斯医疗系统.
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The attending physician should contact the Hopkins Access Line (HAL) to request a transfer: 1-800-765-5447.
请提供以下资料:
- 主治医师姓名、专业和联系电话
- 初级保健医生姓名和地址(如果有的话)
- 推荐十大正规网赌平台的位置. 如果在医院, 请提供单位, floor, 护士站的房间号码和电话号码
- 诊断和治疗计划或程序(e.g., cardiac catheterization, coronary artery bypass grafting, neurosurgery, etc.)
一旦推荐十大正规网赌平台被接受:
- 向HAL协调员提供患者人口统计表的副本, 包括用于财务结算的保险信息. 请将资料传真至1-410-614-2183.
- A 生命线 coordinator will contact the nursing unit for brief clinical triage information to determine appropriate method of transport. (Factors such as clinical acuity, weather, distance and traffic patterns will be considered.)
- 加快转移速度，限制推荐十大正规网赌平台住院时间, 当运输队到达时，下列物品准备好了吗.
- 放电/转移的总结
- 病史及体格检查
- 药物列表
- Emergency Medical Treatment and Labor Act (EMTALA)/Consolidated Omnibus Budget Reconciliation Act (COBRA) transfer forms completed and signed from referring hospital/institution
- Certificate of medical necessity (CMN)/physician certification statement (PCS) forms completed and signed
- Any hard copies of X-rays/films that will be needed by the receiving physician
Please visit the 约翰霍普金斯医学院 website for additional information about directions and parking for The Johns Hopkins Hospital for families.
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将患者从霍普金斯医院转移到其他机构;
请联系HAL热线5-5447，并提供以下信息:Please provide the name and pager number of the staff member that is requesting the transport (nurse, 社会工作者).
- 运输日期和时间.
- 推荐十大正规网赌平台的人口统计
- Pick up location and full address of the destination with phone number to the receiving floor.
- 交通资讯:这是单程吗? 多个旅行? etc.
- 护理级别:BLS, ALS, CCT，轮椅，乘飞机?
- 非医疗运输由出租车，轿车，行政轿车?
- 医疗信息:入院/出院诊断, 药物, IV's, O2, 隔离, 心脏监视器, 限制, 用证书说明DNR, 患者体重, 和任何步骤?
- 对于医保推荐十大正规网赌平台，推荐十大正规网赌平台能坐起来吗? 是或否.
- 推荐十大正规网赌平台保险-主要，次要和付款信息.
- Yellow Taxi Transports: Account number for ALL transports with and authorized caller name from the referring department.
- 所有医疗费用均可通过支票、现金或信用卡支付.
- A 生命线 Communications Staff member will then call the floor and provide ETA
或根据需要提供进一步的信息.
If a patient is not going to another in-patient facility (such as going home), 可直接透过电话联络生命线通讯办公室 410-614-7777 交通安排.
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要求运输
联系儿科运输小组 410-955-9444 并要求与运输人员或护士通话. 需要下列资料:
- 推荐十大正规网赌平台的姓名、年龄和体重
- 临床表现及主诉
- 在你们医院做的诊断研究
- 在你的机构提供的治疗
- 目前生命体征
- 推荐十大正规网赌平台的既往病史和过敏史
- 常规家庭用药
- 隔离状态和最后一次口服情况
- 运输供应商的推荐十大正规网赌平台保险信息
准备转移表
以减少运输队在你的设施的时间, prepare copies of all medical records and a hard copy of all radiology studies. The radiology department at Johns Hopkins is not always able to open up all types of electronically stored images, 因此，最好使用硬拷贝. The transport team does not like to transport lab specimens due to the risk of breakage or potential alteration of lab results. The transport team or admitting physician will contact the lab at your facility for lab results.
For non-emergent transfers a signed consent form must be available in the chart. A telephone consent may be documented by the attending physician if the parent or guardian is not present. 紧急情况下, two physicians may document in the chart the emergency need for transfer and the reason consent cannot be obtained (e.g. 父母是无意识的). 必要时，第二医师可以是接受治疗的医师. In emergency situations, transport will not be delayed to obtain consent.
为推荐十大正规网赌平台转移做准备
- 确保所有管线和管道安全. 如果可能的话，不稳定的推荐十大正规网赌平台应该有两个大口径静脉输液管.
- Confirm ET tube placement with exhaled carbon dioxide detector (capnography preferred) and a chest x-ray if possible. CXR对幼儿尤为重要.
- 所有的推荐十大正规网赌平台都应该是NPO的. Patients who are transferred may need sedation and a maintenance IV fluid. The PICU transport team can give these recommendations when consultation is initially obtained.
- Patients who are coming to the pediatric trauma center will need to be immobilized with a collar and backboard prior to transfer. The team will immoblize the patient upon arrival however if this has already done, 这将减少你在医院的时间.
- 儿童有体温过低的危险, therefore a recent temperature is helpful in determining appropriate warming measures during the transport.
为家庭迁移做准备
If possible, the transport team will transport one family member with the patient. 如果推荐十大正规网赌平台是用直升机运送的, the team will have to consider the weight of the entire team to determine if a family member will be allowed to go with the patient. 兄弟姐妹不会被转移. Recorded driving directions to Hopkins if needed are available by calling 410-955-0166.
患者随访
Staff who cared for the patient at the sending facility may call the Transport Office at 410-502-2961 并给推荐十大正规网赌平台结果信息留言或发邮件到 (电子邮件保护). ANY CONCERNS RELATED TO THE PEDIATRIC TRANSPORT SERVICE MAY BE DIRECTED TO THE Transport Team Coordinator, 菲洛梅娜 (电子邮件保护)，或团队医疗主任. 克里斯汀·尼尔森·麦克米兰 (电子邮件保护)，或主任，博士. 布鲁斯·克莱因 (电子邮件保护).
