Patient Care Protocols and Quality Assurance

The medical director of the program should develop patient care protocols. They should reflect the institutional standards of care for the full range of emergencies likely to be encountered. The program should also document the techniques for training personnel and certifying competency.

During the conduct of a transport, the team should be supervised by a physician with expertise in the care of pediatric emergencies. If such an individual is not in attendance, phone or radio communication with an appropriate physician is advisable at some point during the transport.

To ensure quality of care, the program should also have a systematic plan to review transports. This plan should involve all disciplines represented by the team. CHAPTER REFERENCES

1. McCloskey KA, Orr RA: Pediatric transport issues in emergency medicine. Emerg Med Clin North Am 9:475, 1991.

2. Bose CL: The transport environment, in MacDonald MG, Miller MK (eds): Emergency Transport of the Perinatal Patient. Boston, Little, Brown, 1989, pp 194-211.

3. Berens R, Day S: Airway management, in Jaimovich DG, Vidyasagar D (eds): Handbook of Pediatric and Neonatal Transport Medicine. Philadelphia, Hanley and Belfus, 1996, pp 157-178.

4. Fletcher MA: Tracheal intubation, in Fletcher MA, MacDonald MG (eds): Atlas of Procedures in Neonatology. Philadelphia, Lippincott, 1993, pp 253-269.

5. Klaus MH, Martin RJ, Fanaroff AA: The physical environment, in Klaus MH, Fanaroff AA (eds): Care of the High Risk Neonate, 4th ed. Philadelphia, Saunders, 1993, pp 114-129.

6. Kliegman RM: Problems in metabolic adaptation: glucose, calcium, and magnesium, in Klaus MH, Fanaroff AA (eds): Care of the High Risk Neonate, 4th ed. Philadelphia, Saunders, 1993, pp 282-301.

7. Bolte R: Responsibilities of the referring physician and hospital, in McCloskey KAL, Orr RA (eds): Pediatric Transport Medicine. St Louis, Mosby, 1995, pp 33-42.

8. Schneider C, Gomez M, Lee R: Evaluation of ground ambulance, rotor-wing, and fixed-wing aircraft services. Crit Care Clin 8:533, 1992.

9. Bose CL: An overview of the organization and administration of a perinatal transport service, in MacDonald MG, Miller MK (eds): Emergency Transport of the Perinatal Patient. Boston, Little, Brown, 1989, pp 34-75.

10. AAP Task Force on Interhospital Transport: Guidelines for Air and Ground Transport of Neonatal and Pediatric Patients. Elk Grove, IL, American Academy of Pediatrics, 1993.

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