You are the LPN working on 2 east with adult medical surgical patients. Your unit has been instructed to perform a horizontal evacuation of your patients because there is a fire on 1 east.. 2 west

 You are the LPN working on 2 east with adult medical surgical patients. Your unit has been instructed to perform a horizontal evacuation of your patients because there is a fire on 1 east. Where will you evacuate your patients to?
- 3 west
- 3 east
- 2 west
- 1 west

Correct Response: C
You would evacuate your patients to west.
A horizontal evacuation is the movement of patients to another area of the same floor.
A vertical evacuation is the movement of patients to a different floor or level of the building.
Patient evacuations are done to prevent patient injury.
Under no circumstances should the elevators be used for evacuations.

Types of transfers:
There are several types of transports, often similar in the way they are used. The familiar mobility is in the ambulance, which has a fixed-height or movable wheel, has patient side inserts, a comfortable mattress, and sometimes shows wooden panels to provide a hard surface if CPR is needed.
Open Mobility Center (Renson, Sarol, Ogrin)
Open mobility from the center (Renson, Sarol, Ogrin) can be acceptable at times, but it is difficult to introduce them under the patient's body as in the plank. The advantages of these stretchers are that they are solid and have firm grips and they fold easily.
When used, divide the lengthwise into two parts. Each part is placed under the side of the victim. The parts are then joined together, and the patient should not be disturbed or held between the two parts of the mobile.
When the casualty is placed on the mobile and attached to the belts, it can be moved in the same position as it is, and it can also be moved on the narrow stairs without fear, even if the mobile is tilted 10-15 degrees.

Stoke Basket:
In some difficult cases, especially in the highlands or in the rubble, the Stoke basket, which has been used for many years by the army, especially the Coast Guard, is used. There is a barrier in the middle that makes the ends of the casualty apart. This is an excellent method for fractures of the legs. This basket has been redesigned these days without any barrier so that the patient can be placed first on a wooden board and placed in a stoke basket. When reaching an area where the transfer is facilitated, the casualty is removed from the basket, covered with a wooden plank and placed on an ambulance.
One of the characteristics of this basket is that it maintains the body's natural movement, and can be used to transport other infected because of the containment of the plank.

Folded Mobility:
The folded mobile is commonly used in ambulances these days. The structure is made of aluminum and can be folded down. It can be lowered to the ground level and a piece of tarpaulin is used which uses a second stretcher when needed to transport more than one injured person.

Army stretcher:
The military stretcher can be folded, characterized by having legs such as the ring body or letter D, and are commonly used by civil defense, firefighters, and most hospitals.
One of the advantages of this mobility is that it is used in emergency situations in disaster areas, in addition to many other features.
Many things have been added to the suspension of the vaccines and the fixation of the splinters.
Wood panels for fractures in the vertebral column are important equipment that should be present in ambulances. There are short and long wooden boards, and wooden panel measurements are as follows:
- Short panel, 18 inches wide, and 32 inches long.
- The long wooden board, 18 inches wide and 72 inches long.
Under each plate there are two sliders to facilitate the musk process well, placing the board under the injured, each board is equipped with two belts 2 x 9 inches.
Short panels are often used to transport disabled patients, and are sometimes used to transport any infected person and are a good way to transport the injured in general.

Metal Conveyors:
A stretcher can be prepared with two columns of wood and a round wound around the patient. The two wooden poles are pulled when the patient is admitted to the hospital.
We can work a stretcher using a rope between 40 and 50 feet long, where the rope is placed under the injured in the form of meandering, and lift the patient by holding the prominent side ends of the rope.
In the event of difficulty of transport, the casualty can be easily transported in this manner. Despite the primacy of this method, it can be used in the absence of sufficient transport, but there must be a large amount of ropes.
In exceptional cases, a stretcher can be placed with a rope that is placed under the injured person. This can easily lift the patient, even if it is heavy, but it needs several people. The rope must be held from all sides.
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