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Table 3 Recommendations from ICU physicians and ICU nurses

From: A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients

 

Recommendations

Team

Ventilated patient at least one ICU physician and one ICU nurse

Not ventilated patient and:

o ≤ 1 inotropic, one ICU nurse

o ≤ 1 inotropic, respiratory insufficient and arrhythmia, one ICU physician and one ICU nurse

Education

Focus on how to operate equipment of transport trolley

More education for ICU physicians and ICU nurses to execute transport of ICU patients

Equipment and materials

Equipment on trolley is equal to equipment in the ICU

Check equipment and materials prior to transport

Check extra length of intravenous lines for magnetic resonance imaging prior to transport

Check and calculate oxygen level in oxygen tank

Defibrillator is standard equipment on transport trolley

Check all equipment on transport trolley

Batteries are fully charged prior to transport

Organization and procedure

Introduction of an intra-hospital checklist

Formal training in transport procedure to MRI

Standard Operating Procedure

Standardization of IHT procedure

Communication

Confirm appointment with the other department prior to transport

Improve communication with the other department to prevent incidents during transport

Debriefing with ICU physician and ICU nurse after transport

Medication

Check and prepare intravenous medication prior to transport

Extra intravenous medication and intravenous fluids

  1. Recommendations suggested by ICU physicians and ICU nurses when they were interviewed to discuss safety and hazards of IHT and the findings from the literature and the collected incidents.