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AMBULANCE SERVICE
INTRODUCTION
An ambulance is a vehicle for transportation of sick or injured peopleto,
from or between places of treatment...
Equipment
In addition to the equipmentdirectly used for the treatment of patients,
ambulancesmay be fitted with a rangeof ...
Audible warnings
In addition to visualwarnings, ambulancescan be fitted with audible
warnings, sometimes known as sirens, ...
Cardiac Ambulance
Cardiac Ambulance provides a network of Fully Equipped Life Support Ambulances in the
city of Mumbai. In...
108 Emergency Service
Howit works:-
When an emergency is reported through 108, the call taker gathers the needed basic
inf...
AMBULANCE SERVICES IN R.N. COOPER HOSPITAL
The CooperHospital isa public hospital located in Juhu, Mumbai, India. Itis own...
There are only 2 BMC ambulance in R.N. copper
hospital24/7.
Early there was 4 ambulance but right now there is only 2
ambu...
Extentionno.:-116
It is free of cost service for patients means
the hospital not charging a single rupees
for transportat...
Than r.m.o. call to the service department
and arrange the required ambulance.
After that the shift the patient in respe...
MANPOWER/STAFFS
STAFF MORNING SHIFT
7.AM TO 3.PM
AFTERNOON SHIFT
3.PM TO 11.PM
NIGHT SHIFT
11.PM TO 7.AM
DRIVER
=06
02 02 ...
Record maintainance
In cooper hospital they are maintaining the
records of ambulance services provided to the
patients fo...
Repairing of mechanical parts of
ambulance/ servicing
 If any problem occurs in ambulance
then they send the ambulance fo...
PROBLEMS in AMBULANCE SERVICE OF R.N.
COOPER HOSPITAL
1. The hospital should increase the no. of
ambulance.
2.There is no ...
Ambulance service
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Ambulance service

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Ambulance service

  1. 1. AMBULANCE SERVICE
  2. 2. INTRODUCTION An ambulance is a vehicle for transportation of sick or injured peopleto, from or between places of treatment for an illness OR injury and in some instances will also provideoutof hospital medical care to the patient. The word isoften associated with road going emergency ambulances which form part of an emergency medical service, administeringemergency care to those with acute medical problems. The term ambulance does, however, extend to a wider rangeof vehicles other than those with flashing warninglights and sirens. The term also includesa large number of non-urgentambulanceswhich are for transportof patients without an urgentacute condition. The term ambulance comes from the Latin word "ambulare"as meaning"to walk or moveabout which is a referenceto early medicalcare where patients were moved by lifting or wheeling. The word originally meant a moving hospital, which followsan army in its movements. TYPES OF AMBULANCES Ambulancescan be grouped into types dependingon whether or not they transportpatients, and under whatconditions.  Emergency ambulance – The most common type of ambulance, which provide care to patients with an acute illness or injury. These can be road-going vans, boats, helicopters, fixed-wing aircraft (known as air ambulances).  Patient transport ambulance – A vehicle, which has the job of transporting patients to, from or between places of medical treatment, such as hospital or dialysis center, for non-urgent care. These can be vans, buses or other vehicles.  Response unit – Also known as a fly-car or a [Quick Response Vehicle], which is a vehicle which is used to reach an acutely ill patient quickly, and provide on scene care.  Bariatric ambulance – A special type of patient transport ambulance designed for extremely obese patients equipped with the appropriate tools to move and manage these patients.
  3. 3. Equipment In addition to the equipmentdirectly used for the treatment of patients, ambulancesmay be fitted with a rangeof additionalequipmentwhich is used in order to facilitate patient care. This could include Two-way radio – Oneof the most importantpieces of equipmentin modern emergency medical services as it allowsfor the issuingof jobs to the ambulance, and can allow the crew to passinformation back to controlor to the hospital. Traumalighting – In addition to normalworking lighting, ambulancescan be fitted with special lighting. Air conditioning – Ambulancesare often fitted with a separate air conditioningsystem to servethe workingarea from that which servesthe cab. This helps to maintain an appropriatetemperaturefor any patients being treated, but may also feature additionalfeatures such as filtering against airborne pathogens. Data Recorders – These are often placed in ambulancesto record such information as speed, braking power and time, activation of active emergency warningssuch as lights and sirens, as well as seat belt usage. Active visual warnings The active visual warnings are usually in the form of flashing lights. These flash in order to attract the attention of other road users as the ambulance approaches, or to provide warning to motorists approaching a stopped ambulance in a dangerous position on the road. Common colors for ambulance warning beacons are blue, red, amber, and white (clear).
  4. 4. Audible warnings In addition to visualwarnings, ambulancescan be fitted with audible warnings, sometimes known as sirens, which can alert peopleand vehicles to the presenceof an ambulance before they can be seen. Service providers Government Ambulance Service – Operating separately from (although alongside) the fire and police service of the area, these ambulances are funded by local or national government. Volunteer Ambulance Service – Charities or non-profit companies operate ambulances, both in an emergency and patient transport function. Private Ambulance Service – Normal commercial companies with paid employees, but often on contract to the local or national government. Private companies may provide only the patient transport elements of ambulance care. Charity Ambulance – This special type of ambulance is provided by a charity for the purposeof taking sick children or adultson other hospital .
  5. 5. Cardiac Ambulance Cardiac Ambulance provides a network of Fully Equipped Life Support Ambulances in the city of Mumbai. In case of a medical emergency, any Mumbai resident may accessing a fully equipped Advanced Life Support Ambulance within the shortest possible time. Ambulances are located in strategic locations. After recieving the call in the shortest possible time, the nearest free Ambulance will reach at your place to rescue the patient / victim. Cardiac Ambulances are equipped with international quality instruments for international standards of service & care. The Emergency physicianon board are trained usually working in the city ICU's and Emergency department and are adequately experienced to handle all kinds of Emergencies. Cardiacambulancecontains:-  Doctor   Trained Nurse  E. C. G.   Cardiac Monitor  Defibrillator   Portable Ventilator  Suction machine   Pulse Oxymeter  Oxygen   Emergency Medicines  Resuscitation kit   Nebuliser  Syringe Pump   Bipap  Pace Maker   Spine Board The Ambulance has air-conditioning, mild sound proofing and silicon sealing in joints. It also has on board a collapsible trolley stretcher and a stair chair. The Ambulance crew usually consists of a physician, nurse, driver and a helper. Cardiac Ambulance are available for transferring the patients all over India.
  6. 6. 108 Emergency Service Howit works:- When an emergency is reported through 108, the call taker gathers the needed basic information and dispatches appropriate services. Basic information obtained includes:-  Where the call is placed from. ( district / taluka /city / town/ exact location/ landmark)  The type of emergency.  Number of people injured and the condition of the injured.  The caller's name and contact number – for location guidance if required. Emergency help dispatched through this process is expected to reach the site of the emergency in an average of 18 minutes. Pre-hospital care will be given to patients being transported to the nearest hospital. The service is normally free to patients. 108 is managed by the EMRI ( Emergency Management and Research Institute) across more than ten states in India. During an emergency situation, knowing what to do might save someone’s life. Here are a few tips on what you should tell the emergency dispatcher while calling for an ambulance: 1. Be calm and tell the emergency operator the details about the type of emergency 2. You will be asked to tell him/her the address to where the ambulance should reach, including postal code. 3. Your phone number may also be asked for, in case the operator needs to contact you for directions. 4. He/she will also require the patient’s age, sex and any medical history you might remember. 5. The operator will also need to know if the person is bleeding, if he/she is conscious, has chest pain and is breathing. 6. You will also be asked to explain the type of injury or emergency and what caused the incident.
  7. 7. AMBULANCE SERVICES IN R.N. COOPER HOSPITAL The CooperHospital isa public hospital located in Juhu, Mumbai, India. Itis owned by the Brihanmumbai Municipal Corporation and is operated under a public-private partnership. It was started in 1969 as a maternity home before it was converted into a fullfledged general hospital in 1970. The hospital underwent massive reconstruction after the original building was declared unfit for use in 1999. The new upgrade, at a cost of ₹321 crore, includes more beds, as well as systems for rainwater harvesting and sewerage treatment.[1] The new hospital design includes an infection controldesignto prevent doctors from contracting tuberculosis while on duty. A medical college has been planned at the hospital by the BMC. Since the hospital does not have the required 800 bed strength, it has been proposed to jointly run it at Cooper as well as the Bal Thakeray Trauma Care Hospital in Jogeshwari.
  8. 8. There are only 2 BMC ambulance in R.N. copper hospital24/7. Early there was 4 ambulance but right now there is only 2 ambualnce and one 108 ambulance is there. 1. Basic Life Support (BLS) Ambulance 2. Advanced Life Support (ALS) Ambulance also called as Cardiac Care Ambulance Basic Life Support (BLS) Ambulance A basic life support ambulance is equipped with life support equipment like an oxygen cylinder, BP monitor and stethoscope. This type of ambulance can be used for emergencies when the patient can be transported to the hospital quickly. Advanced Life Support (ALS) Ambulance This ambulance is fitted with advance life support machines such as defibrillators (a machine used to restart the heart), ECG machine (used to keep a check on the heart rate of a person), Ventilators, Oxygen cylinders, Pulseoxymeter(used to check for the mount of oxygen in the blood) , Resuscitation kit, suction machine, Nebuliser and BP apparatus. This kind of ambulance can be used in cases where the patient is either unconscious, has had a heart attack or is a known patient of heart disease. It can also be used in cases the patient has to be transferred to a hospital that is far away, or he/she is immobile and on life support.
  9. 9. Extentionno.:-116 It is free of cost service for patients means the hospital not charging a single rupees for transportation. If patients have to shifted in any other government hospital in Mumbai it is free of cost service for them. If patients have to shifted in any private hospital then ambulance service is not applicable for them. Than The patients relatives have to arrange private ambulance service and have to pay the decided charges. Process of arranging ambulance for patients in cooper hospital:- If patient is admitted in ward or in casualty and he/she have to shifted in other government hospital than the respected Dr. given in written that the patients have to shifted in respected hospital to the medical officer or to the r.m.o.
  10. 10. Than r.m.o. call to the service department and arrange the required ambulance. After that the shift the patient in respected hospital.  If the oxygen cylinder is not working in the BLS ambulance then they take oxygen cylinder form wards. There is one 108 emergency cardiac ambulance in cooper hospital. Which is a the araea ambulance. If there is no ambulance available at the time of emergency than the hospital again call the 108 and they provide the another cardiac ambulance. Ambulance reach at the site within 10 to 15 min.
  11. 11. MANPOWER/STAFFS STAFF MORNING SHIFT 7.AM TO 3.PM AFTERNOON SHIFT 3.PM TO 11.PM NIGHT SHIFT 11.PM TO 7.AM DRIVER =06 02 02 02 ATTENDENT =3 TO 4 01 01 02 DOCTOR AND NURSES it is dependent upon the patient’s condition. If patient’s condition is more critical then three is 1 doctor and 2 staff nurse. Generally there is one Dr. and one nurse should be there in the ambulance with patients till the patient is shifted to another hospital. The no. of Attendants is also dependent upon the patient’s condition. All the audio visuals (sirens) are working properly.
  12. 12. Record maintainance In cooper hospital they are maintaining the records of ambulance services provided to the patients for translocation in the other municipal hospital. It is free service for patients. The record book In cooper hospital the driver and attendant are using mobile phone for conversation with hospital department about the current status of ambulance means where it reaches. DAT E PATIENT S NAME WARD/REGI NO. OF PTS VAN NO. OUT TIME INTIME DESTINATIO N FREE AMBUA LCE TYPE SIGN 12- 04- 16 SOMUBAI JADAV GYN/0258 MHO2 58 10.30 AM 12.45 PM KEM - BLS -
  13. 13. Repairing of mechanical parts of ambulance/ servicing  If any problem occurs in ambulance then they send the ambulance for servicing and repairing in the garage.  There is a municipal garage in Bandar east where they send the ambulance for servicing and repairing.  It is free service for cooper hospital means they are not charging money for servicing of ambulance.  They get the funds from government.
  14. 14. PROBLEMS in AMBULANCE SERVICE OF R.N. COOPER HOSPITAL 1. The hospital should increase the no. of ambulance. 2.There is no machine/equipment properly working in Cardiac Ambulance. 3.If any patient is in sever condition then they call/use 108 emergency ambulance service. 4.Because it is easily available that’s why the hospital n not increasing the no. of ambulance. 5. The payment of Driver and attendant is not paid on time.

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