Key issues in transportation
- Introduction...
- 1. Transport of si...
- 2. Resources...
- 3. Pre transport s...
- 4. Communication a...
- 5. Care during tra...
Introduction
DR. COL K. VENKATNARAYAN
MD, DNB, MNAMS, DM (Neonatology)
Head & Associate Professor
Command Hospital
Pune
1. Transport of sick neonate
► Best transport of preterm baby is in-utero transfer before
delivery
► For ideal transport, ensure optimal
♦ Resources: personnel, equipment, vehicle
♦ Pre transport stabilization of baby
♦ Communication
♦ Documentation
2. Resources
► Human resources
♦ Doctors, nurses, ANM, ASHA worker
► Ambulance and equipments
♦ Oxygen, ventilator, power back up and infusion pumps
and essential drugs should be available
3. Pre transport stabilization
4. Communication and documentation
► Effective communication
♦ Between referring and referred units, parents, doctors,
feedback
► Documentation
♦ History, treatment given, diagnosis, reasons for transfer,
consents
5. Care during transport
► Ensure Temperature, Airway, Breathing and Circulation
► It is best to not attempt feeding sick babies with
abnormal sensorium or severe respiratory distress before
or during transfer
► Take baby to nearest facility by fastest mode of transport by
the shortest route