LifeMed Alaska Complicated Transport Checklist

Equipment for Aircraft (located in red mesh bag) • NSR tie downs x4 • Ratchet strap x1 • Power strip x1 • Large carabineers to secure IV fluids x4

Extra Medical Supplies for Aircraft (located in yellow bag pictured to the right) Also laminated in this bag is the list Dr. Randall made for Anesthesia for transports. It’s lengthy but informative for the Providence staff. Pre-stocked (non expiring supplies)

• Blood tubing x3 • Pressure bag x1 • 4x4 gauze x10 • Alcohol swabs • Extra sharps container x1 • Large biohazard bags x2 • Gallon Ziploc for transfused blood docs x1 • Medium and Large gloves x15 each • Extra solidifier x1 • Suction tubing x1 • 5 in1 connectors x2 • Vent circuit x1 • ETCO2 x1

*You will need to grab from supply shelf and stock

• Saline Flushes x10 (then pull of 250cc bag) • 250cc bag NS x1 • Full set x2 • Half set x2 • 60cc syringe x2 • Twinpacks x10 • 1cc ABG syringes x8

 

 

 

• Cold bag o iStat cartridges (enough for q 30

min checks) x8 o Narc box x2 o Extra paralytics

Equipment for hospital (can use this bag)

• 2 A-line pressure cable bags for appropriate facility

• Extra half sets, full sets, & 60mL syringes • Empty 10mL syringes and 18g needles

to draw air out of IV tubing Prior to leaving hangar

• Top off aircraft tanks to as close to 2000 each ** Check status of main O2 tanks hourly. Continue to discuss O2 usage and if titrating FiO2 down or reducing flow is feasible to conserve O2. Have alternate airports in mind if need to refill O2.

• Remove unnecessary equipment o Peds bag o Deicer bucket (after talking with pilots) o Duffle (Already bringing specific equipment needed)

• Consider using only the bottom of the Dr. Down and covering pt with a blanket (easier to access and monitor lines and catheters.)

• As soon as flight dispatched, have dispatch notify ground supervisor of need for extra truck for hospital transfer/loading and at airport for offloading from ambulance and loading into aircraft.

• Dump zoll memory to ensure adequate space. • Consider options if pilots run out of duty time (commercial home vs.

stay in hotel). At Bedside

• Request (handwritten) list of IV drips currently in use with concentration, mL/hr, ordered titration range. *Bring at least 8 hours worth of additional premixed drips for PDX or SEA transport, more for longer distances. If additional drips are being considered for treatment plan bring those too.

• Label all IV lines and consider extension tubing for easier handling when moving pt in/out of aircraft.

• If scheduled meds due, keep close in easy to find bag. Handwrite list of times and dosages due if MAR is not user-friendly.

• Make sure CPP brings balloon pump extension tubing (greatly facilitates loading/offloading from aircraft).

 

• Transfer pt with head at foot of gurney. Easier to load balloon pump in ambulance.

• If given a big stack of paperwork crammed in one envelope, ask for additional envelopes to divide paperwork, makes it easier to find needed data.

• Communicate charting expectations at the beginning. (ie. Who charts what for all the special equipment)

• Count your blood products and make sure you count and document the remaining at the receiving facility!! They are all tracked and need to be accounted for. (take photos on phone if it’s easier to keep track)

• Discuss seating options (CPP jump, RT front, LM staff, MD in back) • When leaving the hospital have the LifeMed staff not

accompanying the patient pick up water and a snack for each team member for flight.

In Aircraft Prior to Leaving

• Lifemed staff going on flight should be the one to pack Lear with supplies in order to make it easier to find stuff during flight.

• Portable suction is easier to operate (pull and have ready), hard to reach Lifeport suction with all the equipment in the way.

• Check battery status; ensure all cords plugged in at door seal and at least every two hours. Helps prevent surprise of low critical battery (Zoll, Vent, portable suction, IV pumps).

• Consider having RT chart/ time stamp events if chaos occurs. • Consider having CPP run all iStats • When you call door seal ensure that the receiving ambulance is the

critical care ambulance with extra manpower for moving (at times the ICU team will meet you at the airport as well).