51. Då patienten inte åker med ambulansen för fortsatt vård, en studie med aspekt på patientsäkerheten : En retrospektiv journalgranskningsstudie av 137 utlarmningar
- Author
-
Insulander Ahnmark, Kajsa, Wennberg, Jonny, Insulander Ahnmark, Kajsa, and Wennberg, Jonny
- Abstract
Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today’s high-tech caring facilities that enable qualified care to start already in the patient’s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care. At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital. Today this is, in Sweden, an accepted standard for by district nurses who are mandated to refer, even after only telephone consulting, the patients to self-care. Ambulance nurses lack this according to present guidelines. If a patient is to remain on-scene or home, a strict protocol of documentation has to be filled-in as well as the ambulance crew being in contact with a doctor. In this study, the authors visualize what patient categories stay on-scene or home, what types of examinations was performed and if the patient safety is ensured. Objective: The aim of this study was to visualize patient safety when the patient is not transported to hospital by ambulance. Method: A quantitative, descriptive and retrospective design and analysis of 137 ambulance medical records where the patient was left at home after the initial assessment. Results: The results demonstrate that the patients who wish to remain on-scene have various different conditions. The majority stayed home at their own request and with
- Published
- 2012