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-