在风险患者的文档和纳洛分散农村全州EMS"纳洛留下"计划
Jesse Naumann1, Jamie Benson2,3, Miles Lamberson1
1Department of Emergency Medicine Larner College of Medicine, University of Vermont Burlington Vermont USA.
概括
佛蒙特州的一个州.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗服务 紧急医疗服务
- 预防阿片类药物过量服用
背景情况:
- 纳洛离开 (NLB) 计划对于预防阿片类药物过量服用至关重要.
- 成功实施需要紧急医疗服务 (EMS) 准确识别有风险的患者.
研究的目的:
- 评估佛蒙特州NLB计划的第一年.
- 报告EMS识别率和NLB套件分发给那些拒绝紧急部门 (ED) 运输的危险患者.
主要方法:
- 一年内对EMS遭遇的回顾性队列审查.
- 现场EMS文档与回顾性图表审查的比较,用于识别有风险的患者.
- 对NLB套件分散到拒绝ED运输的合格患者的分析.
主要成果:
- 在110,701次EMS遭遇中,有2.4%涉及有风险的患者.
- 在793名拒绝运输的危险患者中,EMS记录了51.3%的人符合NLB的资格.
- 只有34.6%的符合条件的患者获得了NLB套件,48.7%的患者错过了机会.
结论:
- EMS记录了超过一半的符合条件的NLB患者,但只有不到一半的患者获得了套装.
- 许多潜在的NLB分散机会都被错过了.
- 改进的EMS识别,文档和套件提供对于成功的NLB计划至关重要.
相关概念视频
Discharge Summary Forms
751
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
751
Drug Delivery: Enteral Route
420
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
420
Specialized Care Centers and Settings-II
721
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
721
Documentation in Long-Term and Home Healthcare Setting
882
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
882
Prevention of Further Absorption of Poison
817
In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
817
Drug Delivery: Miscellaneous Routes
338
Drug delivery methods like oral inhalation, nasal sprays, transdermal patches, eye drops, intravitreal injection, and rectal administration provide localized effects with reduced toxicity.
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
338


