AMC Reviewer 1

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Transcript of AMC Reviewer 1

AMC FAN OUT LIST Sn Abishek

CONCOURSE A

Extension terminal 3

CONCOURSE B

Terminal 3

CONCOURSE C

Terminal 1: MAIN CLINIC

CONCOURSE D

September

*on terminal 2 NO CLINIC : will be brought to terminal 1

EMT 1st responder

NOT to keep patient for 4 HOURS: discharge & transout

TRANSIT OF CARE: DHA & UAE hospitals

CONCOURSE C B7 & F7

Observation room

4 bed capacity

4 hours maximum

2-RT female; 2-LT male

Bed bounded pts

Treatment room

NSG. STATION

Consultation rm 1

Consutation rm 2

Admin. Room

Charge nurse rm

Private room

Isolation

Medical fitness

7:30am to 2:30 pm

Medical Records

CONCOURSE B

Observation room

4 bed capacity

4 hours maximum

2-RT female; 2-LT male

Bed bounded pts; NSG. STATION

Treatment room

Consultation rm 1

Admin. Room

Charge nurse rm

Private room

Isolation

Medical Records

CONCOURSE A

Observation room

4 bed capacity

4 hours maximum

2-RT female; 2-LT male

Bed bounded pts

Treatment room

Consultation rm 1

Admin. Room

Charge nurse rm

Private room

Medical Records

TETRA ALPHA 1 AMC calling airport medical cases

HOTLINE CHECKLIST every morning

TRANSPORT of PATIENT to AIRLINE (bed bounded)

-Hilux bed

- 2 transport bags: Fernon & oxygen

Joining

DXB to destination

incoming

BKK TO DXB

Transit

BKK to DXB to CPT

INTERNATIONAL PATIENT SAFETY GOAL

Goal 1: I dentify patients correctly

Goal 2: I mprove effective communication

Goal 3: I mprove the safety of HAM

Goal 4: E nsure correct Site

Correct Procedure

Correct Patient surgery

Goal 5: R educe the risk of HC assoc. Infxn

Goal 6: R educe the risk of patient harm resulting from falls

FIRE

CONCOURSE A

62999

CONCOURSE B

62999

CONCOURSE C

2999

CONCOURSE D

*DIAL the hotline

* state your NAME

* State PROBLEM

* State LOCATION

WHAT TO DP IN FIRE:

R

ESCUE

Anyone in immediate danger fr. Fire if it doesnt endanger ur life

A mbulatory

S emi-ambulatory

N on- ambulatory

A

LARM

BLACK lift

RED -pull down

C

ONFINE

Close doors and windows

E

XTINGUSIH

VACUATE

P

ULL

A

IM

6 feet / 2meters : distance

S

QUEEZE

L) hand : squeeze

R) hand : hose

S

WEEP

Alarm system

RED break glass boxes to sound the alarm

Detection system

Smoke detectors & heat detectors

Sprinkler system

Will release water when, temp. Reaches a certain level.

Water flow in system will also activate an alarm

Fire extinguisher

Fire exits

Medical gas isolating valves in the unit

Fire evacuation plan in the unit

Nearest assembly point in event of evacuation

R

ESCUE

Pts in immed. Vicinity of fire or affected by fire

A mbulatory

S emi-ambulatory

N on- ambulatory

A

LERT

Alert staff members of fire

Lift the flap & pull the nearest fire alarm

C

ONTAIN

Contain the fire.

Close all doors & windows adj to fire

Shut off all fans, AC (spread smoke)

E

XTINGUSIH

VACUATE

Using fire extinguisher, fire hose reel or fire blanket

P

ULL

The pin

A

IM

6 feet / 2meters : distance

The nozzle of extinguisher at base of fire

S

QUEEZE

Squeeze the handle

S

WEEP

Sweep the nozzle slowly at base of fire from side to side

MEMBERS OF FIRE RESPONSE TEAM

Fire warden

Safety officer in his absence during fire emergency

Switch Board

Responsible for communication process during emergency

Escort

Escort all people in site of fire, emergency to safe exits, helping them to reach assembly points

Sweeper

Searcher, makes tour in the floor or location to verify people have evacuated location of fire

MEDICATIONS

NARCOTICS

Substance defined by federal law as a narcotic meds

DD drugs : keys with CN & OBS nurse

MEDS

dose

#

Morphine

10 mg/2ml

10

Tramal

100 mg/2ml

10

Pethidine

100mg/2ml

5

Pethidine

50mg/2ml

10

Narcotic drug order

Narcotic request / drug requisition

Narcotic stock check

Narcotic incident report

Narcotic register

Morphine

Opioid analgesic/Narcotic analgesic

Relief of moderate to moderately severe acute and chronic pain

relief of pain of MI; dyspnea of acute left ventricular failure and pulmonary edema

promote venous pooling of blood in periphery, venous return to heart

REPORT; severe nausea & vomiting

CI: pancreatitis spasm Oddis sphincter

ANTIDOTE: Naloxone/ Narcan

Tramadol

Opioid analgesic

Relief of moderate to moderately severe pain

Contraindicated: raised ICP

Pethidine

Opioid analgesic

Short-term treatment of moderate to moderately severe pain before or during surgery (eg, to support anesthesia), for pain relief during labor and delivery,

ANTIDOTE: Naloxone/ Narcan

PASSENGER

STAFF

TRAVEL: (e.g. MNL-DXB)

Passport no.

Mobile no.

Address + P.O. box (optional)

COMPLETE PRESCRIPTION:

PATIENT

MEDS

PRESCRIBER

Name & address

Health card number

Passport/ staff number

Travel details

Age & sex

Name

Formulation

Strength w/ dose

Frequency

Route & duration

Name

Stamp

Address

Signature

PHARMACIST responsible for narcotic medications

BLUE or BLACK ink correct stock issues;

RED INK receipts

AMC-1 charge nurse - duplicate key of narcotics; in SEALED

ENVELOPE & in secure place

OPENING of NARCOTIC CABINET:

2 on duty registered nurse

Charge nurse

NARCOTIC KEY LOST: ALL locks shall be changed

ALL documents regarding narcotics stored for 2 YEARS

White copy NDO

CSC drug store w/ empty vials

Pink copy NDO

Pharmacy for 2 years

Yellow copy NDO

Units & wards 2 years

ALL DHA physicians except residents & interns are

ALLOWED PRESCRIBE NARCOTICS

STAT / SINGLE ORDER narcotics : VALID once ONLY

EMERGENCY: narcotic drug order completed w/in 1 HOUR

or when EMERGENCY is OVER

WASTAGE: any unused remainder shall be recorded in

NARCOTIC DRUG REGISTER & discarded in WASH

BASIN flushed w/ H20 in presence of SN or Dr.

WASTAGE: any expired meds exchange w/ pharmacy

NARCOTIC INCIDENT REPORT: discrepancy, unused vial,

accidental breakage & should be filed up by:

N urse signed by a witness

N ursing supervisor

N ursing Director

H ead of Pharmacy section

H ospital Director

WHITE & PINK COPIES-pharma; YELLOW unit

HIGH ALERT MEDICATIONS

-no verbal or telephone orders for HAM

7 RIGHTS

Right P atient

M edication

D ose

R oute

T ime

R efuse

R eceive education

Hypertonic MgSo4 50% 50mL

C rash cart

S pare tray

C rash bag

Hypertonic CaCl10% 10mL

C rash cart

S pare tray

Hypertonic KCL 2meq/10mL

C rash cart

S pare tray

Insulin

BEFORE opening: med fridge

AFTER opening: med cupboard

EPILEPTIC CASES

T riage in OBSERVATION room on BED

P roper history collecting from EMT 2

A B- C

R BS

A pply tag for high risk of fall if not alert

H igh flow of O2 at 10LPM NRB

P ut pt. in monitor, pulse Ox; ECG

I nsert cannula at wrist

I f convulsing, call for help

P rotect pt fr. harm, EXTRA cushion

O bserve pt

PHENYTOIN

P atency of IV line

P henytoin by infusion pump

W atch pt. & monitor

I nform Dr. of changes noticed in monitor

C heck BP q15 mins x 1 hour

ACUTE BRONCHIAL ASTHMA

A ssess severity

V S

P EF

S pO2

O xygen 10L/min NRB if required

M ed admin: Neb, oral, IM, IV

H ealth Educ.

REASSESSMENT

V /S

P EF

S pO2

1. AdenosineAn endogenous nucleoside, slows conduction down through the AV node. Treats tachycardia. Extremely short half life-