Because of the limited space in the ambulance compartment, the first aid equipment, drugs and disposable medical supplies in the compartment are equipped according to the routine situation, such as special circumstances, such as large-scale car accidents, food poisoning and emergency tasks such as maternal emergency nurses should be based on the scene to increase the number of appropriate medical equipment and medicines, such as fracture fixation devices, surgical first aid kits, gastric lavage and delivery kits. The nurse should be well prepared for the battle.
2. Guide the scene of self-help
On the way out of the car, the pre-hospital emergency nurse can through the car phone timely and correct guidance to the scene of the alarm as early as possible to the injured and sick people to carry out some assistance, such as trauma patients do not casually move, in order to prevent secondary injuries; by the strong acid and alkali burns, the patient should be immediately removed from the clothes, and with a large number of water rinse; carbon monoxide poisoning patients, the patient immediately open the doors and windows, move the patient to the outdoors. Doors and windows, move the patient to the outdoor ventilation, unlock the collar, etc., for the first aid personnel to arrive to provide conditions for treatment.
3. On-site treatment and tacit cooperation
Because of the unpredictability of the situation on the scene, the pre-hospital emergency nurses should give full play to their ability to take the initiative to assist the scene and the ability to respond to the scene, strictly abide by the principle of tacit cooperation with the pre-hospital emergency physicians to do a good job in the treatment of the sick and injured, and to try to make every sick and injured to get a reasonable treatment. In special cases, the work procedures should be temporarily adjusted according to the situation on the scene, and early rescue should be carried out, such as rapid opening of airway, early establishment of venous channel, and rapid bandaging and hemostasis. Long-term fixed group of emergency unit members, pre-hospital emergency nurses to pre-hospital emergency physician's body language comprehension as God, which for the treatment of the sick and wounded to win more resuscitation time.
4. Monitoring of transit
Pre-hospital emergency patients because of its many diseases, miscellaneous conditions, and due to the ambulance diagnostic and treatment equipment, a considerable part of the patient diagnosis can not be clear on-site first aid, which increases the difficulty of monitoring the patient on the way to the hospital. Pre-hospital emergency nurses should be responsible for monitoring the patient's condition, in addition to monitoring the patient's vital signs, should also pay attention to other changes in the patient's body, such as facial expression and skin color. If it is found that the display value of ECG monitoring is not in line with the actual condition, then manual monitoring should be carried out immediately and reported to the pre-hospital emergency physician, so that the patient can get timely treatment.
5. Psychological care on the way to transit
Pre-hospital emergency patients have a considerable portion of family members are not on the scene, the psychological care on the way to transit is particularly important. Emergency nurses in addition to careful nursing operations, to give the patient a sense of security, should also be based on the patient's condition of different psychological guidance, so that the patient has a "home" sense of belonging.
such as car accident amputation patients, emergency nurses at this time less words, more body language comfort patients, like tucking, wipe the skin dirt; for patients with acute abdominal pain without a clear diagnosis, it should be patient to explain the patient's questioning, to the patient to explain the temporary use of medication, in order to observe. The importance of the situation, to provide a basis for further diagnosis; for patients with heart attack, should take the initiative to ask about their living habits, informed of self-care and self-help knowledge, to reduce the probability of heart attack.
6. The patient's handover
After the patient was safely sent to the emergency department, the pre-hospital emergency nurse should do a good job with the emergency department nurses to the patient's condition, including the patient's life, four signs, the use of medication, a variety of guided drainage, the location of the trauma and the disposal of the situation, in order to the emergency department nurses to develop the patient's nursing program.