Assessment of Intrahospital Transportation of Pediatric Emergency Patient for MRI at Vietnam National Children's HospitalJournal: International Journal of Science and Research (IJSR) (Vol.10, No. 9)
Publication Date: 2021-09-05
Authors : Pham Ngoc Toan; Dao Ngoc Phuc;
Page : 1506-1509
Keywords : Intrahospital transportation; incident; MRI;
Background: Intrahospital transportation of emergency pediatric patients for MRI scans takes place frequently during treatment and complications may occur during transportation. Objective: To assess about the transportation of emergency patients undergoing MRI at the National Children's Hospital. Methods: A cross - sectional descriptive study at the Transportation Department of the Emergency Center. Results: Collected on 101 pediatric patients, mainly under 12 months of age (69.3%), boys (54.5%) and brain scans (49.5%); contacting before transport (100%) and making a plan (100%). Prepare equipment: do not check the amount of oxygen (16.8%), the batteries of the machines are not fully charged (19.8%), have not checked other equipment and supplies (12.9%), have not inspecting and handing over drugs (5.9%). More than 60% of patients have to wait for their turn compared to the original appointment, the number of patients having to use sedation during the MRI scan (84.2%), sedation ? 2 times (16.9%). After the patient is transported to the department: hand over the patient (99%), the drug (95%), and medical records (88.1%) directly to the medical staff of the department. Transport time is mainly from 60 - 90 minutes (49.5%). Incident occurred: the patient's condition worsened (22.8%), oxygen ran out (11.9%), vomiting (11.9%), monitor battery ran out (10.9%), hypoglycemia blood (5%). Conclusion: Emergency transportation for MRI scans is mostly for children under 12 months of age, mainly for cranial scan. Focus on strengthening the preparation of equipments and patients before transporting and building a checklist for safe transportation. Transport - related complications were mainly due to the patient's equipment and clinical problem.
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