Upload
mythee
View
225
Download
0
Embed Size (px)
DESCRIPTION
ร่าง มาตรฐานรถพยาบาล
Citation preview
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 1/51
( ) 8 . 3- 1
( )
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 2/51
( ) 8 . 3- 2
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 3/51
( ) 8 . 3- 3
1
3-5
3-6
3-6
3-7
3-7
2 3-10
3-10
3-13
3-14
3-17
3-18 3-19
3-20
3-21
3-23
3-24
3 3-26
3-26
3-27
4
3-28
. 3-28
. 3-29
- 3-31
- 24 3-35
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 4/51
( ) 8 . 3- 4
- Checklist : 3-36
- 3-40
- SOP 3-44- 3-48
3-52
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 5/51
( ) 8 . 3- 5
1
120,000
FR, BLS,
ILS, ALS 15,000
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 6/51
( ) 8 . 3- 6
(Risk)
(Safety) " "
" " [dB(A)]
( Accident)
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 7/51
( ) 8 . 3- 7
. (88%)
. (10%)
.
(2%)
.
3
(FR, EMT-I, EMT-B)
Working Job 5
- ( )
-
-
-
-
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 8/51
( ) 8 . 3- 8
-
. SRRT
- ( )
-
-
-
- -
- ( )
-
-
- -
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 9/51
( ) 8 . 3- 9
- ( )
- -
-
-
- after shock
-
-
- -
-
-
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 10/51
( ) 8 .3- 10
2
- UV
- Spotlight . (
) - /
-
- SCBA (Self Contained Breathing
Apparatus )-
- ( )-
- Lock Belt
-
Helicopter
-
Universal Precaution (UP) TT, HBV,
/
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 11/51
( ) 8 .3- 11
- (
)
MCATT (Mental Crisis Assessment Treatment and Team)
-
- Scene Safety
- GPRS
-
-
-
- .
- -
Ambulance
-
- Universal Precaution (UP)
- Safety Safety
- Scene Safety
-
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 12/51
( ) 8 .3- 12
@
@
@
@
@ (GPS)
@
@
@
(Safety First)
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 13/51
( ) 8 .3- 13
1.
-
2. - ( ) .
3. - 500,000 7
4. - 24 10,000
5.
- /
6. 2
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 14/51
( ) 8 .3- 14
1. -
– ( )
- . /LED
55 4
10 –
2. - - 55 ( )
3. - 10 1
4. -
5. / 1. .
2.
3. 4. 5.
6.
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 15/51
( ) 8 .3- 15
6. - 3
7. - – ( )
8. (Wig-wag: left and right
Front headlights
alternate on high beam)
- 1
9. (Intersection
Strobes)
1. – 1
2. – 2
3 ( Side Box Lights) 1
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 16/51
( ) 8 .3- 16
10.
- -
11.
- 55
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 17/51
( ) 8 .3- 17
- 10 . A 7
1. -
2. 3.
10
1.
2. -
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 18/51
( ) 8 .3- 18
1. - VHF/UHF / .
2. 1. 120
(Hi - Low)
2. 80
3. - 100 / /
4. (GPS)
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 19/51
( ) 8 .3- 19
-
85dB(A)
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 20/51
( ) 8 .3- 20
1. / 1. (Support)
2. 1 3. 4.
2. - 1. O2
2. 3.
Valve –
- 4. 5.
3.
1. 2.
/
.
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 21/51
( ) 8 .3- 21
1. / - –
/
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 22/51
( ) 8 .3- 22
2.
-
• M/L
• /
• • / / ( / / ) • PPE ( /
) •
•
• urinal/bedpan
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 23/51
( ) 8 .3- 23
1. - - ,
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 24/51
( ) 8 .3- 24
/
1. 50 3
70 50
2. 2
3. ≥ 500
4.
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 25/51
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 26/51
( ) 8 .3- 26
3
1. 1. 2 25 55
3. -
-
- -
-
- - -
Sleep Apnea (COPD, Chronic obstructive pulmonary disease)
4.
5. 6. 2 7.
2. - / /
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 27/51
( ) 8 .3- 27
1.
-
2.
1.
2.
3.
3.
-
4.
1.
2.
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 28/51
( ) 8 .3- 28
4
. 1.
2 ( ) 1 ( )
0 2.
3. 2 ( )
2 ( )
4. 1 ( )
5. 0 ( )
6.
7. 2 ( ) speed limit
15 . / .
8. (15 ./ .)
9.
10.
11. 12. 30 . / .
13. ( 2)
14. 75 .2550
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 29/51
( ) 8 .3- 29
.
1.
2.
3.
4.
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 30/51
( ) 8 .3- 30
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 31/51
( ) 8 .3- 31
1.
2.
3. 6
1.
2.
3.
4.
5.
6 .
7.
8.
9. ( )
10.
11.
12.
13.
1.
2.
3.
4.
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 32/51
( ) 8 .3- 32
•
•
•
•
•
•
•
1.
2.
3.
4.
•
•
•
“ ”
30
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 33/51
( ) 8 .3- 33
1.
2. 50
1.
85
2. ( 1 2 )
3.
4.
5. 60
6. 2 7.
8.
. . . . . 2522 4 “ ”
. . .
75 (1)
(2) (3) (4)
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 34/51
( ) 8 .3- 34
5)
76
(1)
(2)
(3) (2) (3)
148 76
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 35/51
( ) 8 .3- 35
24
1. /
2.
3. /
4.
5.
6.
7.
/
8.
9.
10.
11. /
12.
13.
14. / /
15.
16. -
17.
18.
19.
20.
21.
22.
23.
24.
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 36/51
( ) 8 .3- 36
checklist :
.. .... .... ......... ........ .... .... ..... .... .... ... . ..... ......... .... .... .... ..... .... ..........………. ..........................
( )
( /
)
-
-
-
-
–
-
-
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 37/51
( ) 8 .3- 37
( )
( /
)
–
–
–
–
/
/ .
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 38/51
( ) 8 .3- 38
( )
( /
)
( – )
– /
,
/
CO2
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 39/51
( ) 8 .3- 39
( )
( /
)
/
–
/ /
/
70 %
/
………………………………………………………….. ………………………………………………………
……………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 40/51
( ) 8 .3- 40
1.
1. 3 1
2. Long spinal board – 3. (Hard collar) 3 / 4. /Vacuum Splint
5. : 6. (
Elastic bandage
4 6 ( Tourniquet)
)
7. Pocket mask
8. 9. :- Umbilical cord clamp Umbilical
cord tape 4x 4
10. (Suction Pump)
11. Air way 12. Gluco-meter
13. Pulse Oximeter Finger Clip sensor
14. Laryngoscope
15. Endotracheal tube
16. Portable respirator
17. Ambu bag 18. Magill Forceps
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 41/51
( ) 8 .3- 41
19. KED
20. (AED / Defibrillator ) /
21. Volume Respirator ( ) 22. (Cuff)
(Stethoscope)
23.
- 1
- - 2 (400 ) 2 1 1
(Regulators)- Digital
- (Stethoscope)- - (Suction Tube)- (Endotracheal tube with connectors)
- (Magill Forceps) - (Bandage scissor)
- 10 (Syringe 10 cc.)- (Adhesive plaster)
23. (Stair chair)
24. (Kendrick Extrication Device)
25. /Adrenaline 10amp, Atropine 5amp, Calcium chloride
2amp, Dextrose 50% 2amp,
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 42/51
( ) 8 .3- 42
Diazepam ( 10mg) 2amp, Furosemide 2amp, Sodium
Bicarbonate 2amp, Nitroglycerine ( ) 5tab, Nitroderm
( ) 2 , Lactated Ringer Solution ( 500ml) 2 ,
Normal Saline Solution ( 500ml.) 2 , 5 %D / N / 2 500ml. 2 ,
Xylocard 100mg. 1amp Caudarone 150mg. 4amp, ASA grV
5tab, Morphine 2amp, Pethidine 2amp, Salbutamol
3nebules, Naloxone 2amp
26.
- - Pocket Mask- - - -
- Oro pharyngeal airway
27. **
- Defibrillator
- Volume Respirator 2.
1. / 2.Long spinal board (Head
Immobilizer)
3. (Hard collar) 3 4. 5. :
6. (
Elastic bandage 4 6
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 43/51
( ) 8 .3- 43
7.Pocket mask
8. / 9. 10. Gluco-meter
11. Oro pharyngeal airway
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 44/51
( ) 8 .3- 44
SOP
SOP
- -
1.
1. 2. (
)
3.4.
Flow Chart (4W+1H)
Who
What
Where
When 1. 2556
2. 2556 3. 2556
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 45/51
( ) 8 .3- 45
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 46/51
( ) 8 .3- 46
.
1.
2. ()
Flow Chart .
Who 1. .
2. ( , . ) 3.
4.
What .
Where
When 1. 2556
2. 2556 3. 2556
How 1. 2.
3. 4. 5. 6.
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 47/51
( ) 8 .3- 47
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 48/51
( ) 8 .3- 48
1.
2.
1.
2.
3. ( .)
4. . 5. .
6.
7.
8. .
9. .
10. 11. .
12.
13. . . .
14. . . . 15. .
16.
17 18
19 9 .
20 (. )
21 (. )
22
23
24
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 49/51
( ) 8 .3- 49
25
26 .
27
28
29
30
31
32 .
33 .
34
35
36
37
38
39
40 31
41 42
43
44
45
46
47
48
49 .
50
51
52
53 .
54
55
56 .
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 50/51
( ) 8 .3- 50
57
58
59 .
60
61
62
7/21/2019
http://slidepdf.com/reader/full/-5695cff21a28ab9b02903b44 51/51
.
. 2556, :
. . 2556, :
Office of Personal Management United States. Emergency Vehicle Operator (Ambulance)
Training Course National Standard Curriculum, 1995