Specific transfer problems

A number of special measures should be considered prior to the final promulgation of an equipment list. Color-coded intravenous lines will help to sort out the inevitable 'spaghetti' which occurs when patients are moved any distance from the ICU bed space (Cookand Seayelj 1.996). Special racks or cradles may need to be individually manufactured for carrying heavy objects such as oxygen cylinders. A special bag or pocketed carrier is needed so that drugs and fluids can be carried in an easily retrievable display allowing quick access and preparation. A paper record of the patient's physiological variables should be kept so that the information can be incorporated into the ICU daily chart upon return. Occasionally the transfer will be complicated by a special requirement such as extracorporeal membrane oxygenation or high-frequency jet ventilation.

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