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CONCOURSE A

CONCOURSE B
CONCOURSE C
CONCOURSE
D

Extension terminal 3
Terminal 3
Terminal 1: MAIN CLINIC
September

*on terminal 2 NO CLINIC : will be brought to terminal 1


EMT 1st responder
NOT to keep patient for 4 HOURS: discharge & transout

TRANSIT OF CARE: DHA & UAE hospitals

CONCOURSE C B7 & F7
Observation room

Treatment room
Consultation rm 1
Consutation rm 2
Admin. Room
Charge nurse rm
Private room
Medical fitness
Medical Records

4 bed capacity
4 hours maximum
2-RT female; 2-LT male
Bed bounded pts
NSG. STATION

Isolation
7:30am to 2:30 pm

CONCOURSE B
Observation room

Treatment room
Consultation rm 1
Admin. Room
Charge nurse rm
Private room
Medical Records

4 bed capacity
4 hours maximum
2-RT female; 2-LT male
Bed bounded pts; NSG. STATION

Isolation

CONCOURSE A
Observation room

4 bed capacity
4 hours maximum
2-RT female; 2-LT male
Bed bounded pts

Treatment room
Consultation rm 1
Admin. Room
Charge nurse rm
Private room
Medical Records

TETRA ALPHA 1 AMC calling airport medical cases


HOTLINE CHECKLIST every morning

TRANSPORT of PATIENT to AIRLINE (bed bounded)


-Hilux bed
- 2 transport bags: Fernon & oxygen

Joining
incoming
Transit

DXB to destination
BKK TO DXB
BKK to DXB to CPT

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AMC FAN OUT LIST Sn Abishek

INTERNATIONAL PATIENT SAFETY GOAL


Goal 1: I dentify patients correctly
Goal 2: I mprove effective communication
Goal 3: I mprove the safety of HAM
Goal 4: E nsure correct Site
Correct Procedure
Correct Patient surgery
Goal 5: R educe the risk of HC assoc. Infxn
Goal 6: R educe the risk of patient harm resulting from falls

CONCOURSE A
CONCOURSE B
CONCOURSE C

2
62999
62999
2999

evacuation

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FIRE

ESCUE

LERT

ONTAIN

E
P
A

XTINGUSIH
VACUATE
ULL
IM

S
S

QUEEZE
WEEP

CONCOURSE D

*DIAL the hotline


* state your NAME
* State PROBLEM
* State LOCATION
WHAT TO DP IN FIRE:
R

ESCUE

LARM

C
E
P
A
S

ONFINE
XTINGUSIH
VACUATE
ULL
IM
QUEEZE

WEEP

Anyone in immediate danger fr.


Fire if it doesnt endanger ur life
A mbulatory
S emi-ambulatory
N on- ambulatory
BLACK lift
RED
-pull down
Close doors and windows

6 feet / 2meters : distance


L) hand : squeeze
R) hand : hose

Detection
system
Sprinkler
system

Fire
extinguisher
Fire exits
Medical gas
isolating valves
in the unit
Fire evacuation
plan in the unit
Nearest
assembly point
in event of

RED break glass boxes to sound


the alarm
Smoke detectors & heat detectors
Will release water when, temp.
Reaches a certain level.
Water flow in system will also
activate an alarm

6 feet / 2meters : distance


The nozzle of extinguisher at base of
fire
Squeeze the handle
Sweep the nozzle slowly at base of
fire from side to side

MEMBERS OF FIRE RESPONSE TEAM


Safety officer in his absence during fire
Fire
emergency
warden
Responsible for communication process
Switch
during emergency
Board
Escort all people in site of fire, emergency
Escort
Sweeper

Alarm system

Pts in immed. Vicinity of fire or


affected by fire
A mbulatory
S emi-ambulatory
N on- ambulatory
Alert staff members of fire
Lift the flap & pull the nearest fire
alarm
Contain the fire.
Close all doors & windows adj to fire
Shut off all fans, AC (spread smoke)
Using fire extinguisher, fire hose reel
or fire blanket
The pin

to safe exits, helping them to reach


assembly points
Searcher, makes tour in the floor or
location to verify people have evacuated
location of fire

NARCOTICS
Substance defined by federal law as a narcotic meds
DD drugs : keys with CN & OBS nurse
MEDS
Morphine
Tramal
Pethidine
Pethidine

dose
10 mg/2ml
100 mg/2ml
100mg/2ml
50mg/2ml

#
10
10
5
10

AMC-1 charge nurse - duplicate key of narcotics; in


SEALED

NARCOTIC KEY LOST: ALL locks shall be changed


ALL documents regarding narcotics stored for 2 YEARS
White copy NDO CSC drug store w/ empty vials
Pink copy NDO
Pharmacy for 2 years
Yellow copy
Units & wards 2 years
NDO
ALL DHA physicians except residents & interns are
ALLOWED PRESCRIBE NARCOTICS

Opioid analgesic/Narcotic analgesic


Relief of moderate to moderately severe acute
and chronic pain
relief of pain of MI; dyspnea of acute left
ventricular failure and pulmonary edema
promote venous pooling of blood in periphery,
venous return to heart
REPORT; severe nausea & vomiting
CI: pancreatitis spasm Oddis sphincter

ANTIDOTE: Naloxone/ Narcan


Opioid analgesic
Relief of moderate to moderately severe pain

Contraindicated: raised ICP


Pethidine

BLUE or BLACK ink correct stock issues;


RED INK receipts

ENVELOPE & in secure place

drug order
Narcotic request / drug requisition
Narcotic stock check
Narcotic incident report
Narcotic register

Tramadol

PHARMACIST responsible for narcotic medications

OPENING of NARCOTIC CABINET:


2 on duty registered nurse
Charge nurse

Narcotic

Morphine

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MEDICATIONS

Opioid analgesic
Short-term treatment of moderate to
moderately severe pain before or during
surgery (eg, to support anesthesia), for pain
relief during labor and delivery,

STAT / SINGLE ORDER narcotics : VALID once ONLY


EMERGENCY: narcotic drug order completed w/in 1 HOUR
or when EMERGENCY is OVER
WASTAGE: any unused remainder shall be recorded in
NARCOTIC DRUG REGISTER & discarded in WASH
BASIN flushed w/ H20 in presence of SN or Dr.
WASTAGE: any expired meds exchange w/ pharmacy
NARCOTIC INCIDENT REPORT: discrepancy, unused vial,
accidental breakage & should be filed up by:
N urse signed by a witness
N ursing supervisor
N ursing Director
H ead of Pharmacy section
H ospital Director
WHITE & PINK COPIES-pharma; YELLOW unit

HIGH ALERT MEDICATIONS


-no verbal or telephone orders for HAM

ANTIDOTE: Naloxone/ Narcan


PASSENGER

STAFF

TRAVEL: (e.g. MNL-DXB)


Passport no.

Mobile no.
Address + P.O. box (optional)

COMPLETE PRESCRIPTION:
PATIENT
MEDS
Name & address
Health card number
Passport/ staff
number
Travel details
Age & sex

Name
Formulation
Strength w/ dose
Frequency
Route & duration

7 RIGHTS
P atient
M edication
D ose

Right

R oute

PRESCRIBE
R
Name
Stamp
Address
Signature

T ime
R efuse
R eceive education

Hypertonic MgSo4 50%


50mL
Hypertonic CaCl10%
10mL
Hypertonic KCL
2meq/10mL
Insulin

C rash cart
S pare tray
C rash bag
C rash cart
S pare tray
C rash cart
S pare tray
BEFORE opening: med fridge
AFTER opening: med
cupboard

T
P
A
R
A
H
P
I
I
P
O

riage in OBSERVATION room on BED


roper history collecting from EMT 2
B- C
BS
pply tag for high risk of fall if not alert
igh flow of O2 at 10LPM NRB
ut pt. in monitor, pulse Ox; ECG
nsert cannula at wrist
f convulsing, call for help
rotect pt fr. harm, EXTRA cushion
bserve pt

PHENYTOIN
P atency of IV line
P henytoin by infusion pump
W atch pt. & monitor
I nform Dr. of changes noticed in monitor
C heck BP q15 mins x 1 hour

ACUTE BRONCHIAL ASTHMA


A ssess severity
V S
P EF
S pO2
O xygen 10L/min NRB if required
M ed admin: Neb, oral, IM, IV
H ealth Educ.
REASSESSMENT
V /S
P EF
S pO2

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EPILEPTIC CASES

1.

Adenosine
An endogenous nucleoside, slows conduction
down through the AV node. Treats tachycardia.
Extremely short half life- <10 seconds.

2. Amiodarone
Antiarrhythmic that effects the sodium,
potassium, and calcium channels.Vasodilates.
Used in V tach, V fib, and sinus tachycardia.
3. Atropine
Anticholinergic, enhances the conduction in the
AV nodes. Drug of choice in treating
bradycardia.
4. Epinephrine
Potent catecholamine. Increases heart rate,
blood pressure. Used to treat Asystole, V tach, V
fib, bradycardia.
5.

Lidocaine
Antiarrhythmic use alternatively to Amiodarone.
Treats V fib, and V tach,

6. Procainamide
Antiarrhthmia, This is used to treat sustained V
Tach.
7.

Sotalol
Beta Blocker. Treats A fib or A flutter.

8. Vasopressin
Synthetic antiarrhythmia. Used to treat asystole,
v tach, v fib.

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