Imisebenzi yabahlengikazi ababhalisiweyo abafuna ukuba ngaphandle
AbaParamics abathintelayo kwimisebenzi yabo yonyango kunye nokubhalisa kwisikolo soongikazi bavame ukuzifumanisa kumashishini ekuthutha izigulane xa befumana ilayisenisi. Ziyazi kakuhle kwaye ziyakulungeleka kakuhle umsebenzi. AbaParamedics bafunda ukucinga ngokuzimeleyo ngexesha leengxaki kwaye banokusabela ngokukhawuleza xa imeko yesigulane iyancipha.
Abaqhelekanga basebenza njengama-paramedics. Esikhundleni saloo ndlela, abadala be-paramedics bafumana ezikhundleni eziza kubongikazi ngaphandle kweengqungquthela ze-RN ezifana nezo zibhedlele kunye neeklinikhi. Ngokungafani nendima ye-ambulance eyimfuneko ye-paramedic, elawulwayo ngokuphendula iifowuni ezingu-911 kunye neminye imisebenzi engxamisekileyo, imisebenzi yokunakekelwa kwabahlengikazi igxininise ekuthuthweni kwezigulane phakathi kwezibonelelo.
Ukuba yi-paramedic ngaphambi kokuba ngumongikazi akuyena mfuneko yokuthutha unesi. Uninzi lwabahlengikazi ababhalisiweyo lufaneleke ngokufanelekileyo kule shishini. Abahlengikazi abaninzi abawaziyo le mi sebenzi ikhona okanye abaqinisekanga ukuba bangene njani kubo.
IiSilo zezoNyango kunye noThutho loKhuseleko lweZithuthi
Ukuze unikezele ngononophelo oluninzi lwezigulane kwaye ziqulethe iindleko, izibhedlele ziye zagxininisa ngakumbi kwiinkonzo ezibonelela kwiziko ngalinye. Ngama-1990, izibhedlele zaqala ukusuka kwiinkonzo eziqhelekileyo ezazisetyenziswe ngokubanzi kwaye ziphuhliswe ezizodwa eziza kuthatha lonke iziko.
Izibhedlele zezingane ziyaziwa ngokugqithisa ngokupheleleyo izigulane zabantu abadala-okanye ukukhawulela kuphela ukunakekelwa kwabantu abadala kumagqabantshintshi kunye neenkonzo zobomi.
Kukho izibhedlele ezizinikezele kwi-neurology kunye nabanye abazinikezele kwi-cardiology. Ngamanye amaxesha, isibhedlele siya kwahlula zibe zimbini okanye ngaphezulu kwiinkampu ukubonelela ngenkxaso efanelekileyo kwinkathalo eyodwa okanye ezimbini.
Zonke ezi zizodwa zifuna ukusetyenziswa kweenkonzo zokuthutha ukuhambisa izigulane phakathi kwezibonelelo. Yintoni eyaziwa kwishishini le-ambulensi njengoko kuhanjiswa kwe-interfacility (IFTs) .
Ii-ambulance zinikezela ngeenkonzo ze-IFT iminyaka emininzi zisebenzisa i-paramedics kunye neengcali zezonyango zongxamisekileyo (EMTs). Kwezinye iimeko, izigulana zifuna ukunakekelwa ngaphandle kwendlela yokusebenza kwe- paramedic okanye i-EMT . Xa oko kwenzeka, ngokuqhelekileyo isibhedlele siza kunika umongikazi okanye ugqirha ukuba ahambisane nesigulane kwindawo eya kuyo.
Abanikezeli abasebenzela izibhedlele abakhwela ngasemva kwe-ambulensi ukubonelela ngononophelo kakhulu kakhulu namhlanje. Ukuxhalabisa uxanduva kunye nenqanaba lothungelwano lwababoneleli ngokujongana nesigulane nokunyamekela kwimeko engafanelekanga kubangele ukuba izibhedlele ezininzi azivumeli ukuba abagxininisi bahambe ne-ambulensi. Ngoko, ii-ambulensi zaqala ukuzisa abahlengikazi babo, kwaye i-ambulensi yezokuthutha ezikhuselekileyo (CCT) yazalwa.
Unonophelo loLondolozo lwezoThutho
I-CCT (ngamanye amaxesha ibizwa ngokuba yi-SCT, ukuthuthwa kwezothutho loluncedo) yinkalo eyahlukeneyo yenkonzo kuneye-ambulensi ye-911. Iphondo ngalinye linemimiselo yalo xa lifika kwii-EMTs, i-paramedics kunye nabahlengikazi, kodwa izinto ezisisiseko zifana kakhulu.
Iiparamedics zisebenza kwiimimiselo zokuma (ngokuqhelekileyo zibizwa ngokuba zikhokelo okanye iinkqubo ) eziphuhliswa ngabalawuli bezonyango.
Kwamanye amazwe, i- paramedics ilayisenisi ngelixa ezinye iinjongo zibona ziqinisekisiwe. Abanye bathetha ukuba ukwahlukana akunakuncedo ngexesha lokwenza isicelo kwaye lusebenza kuphela kwindawo yomthetho. Andiyi kungena apha ngaphandle kokutsho ukuba ukulinganiselwa kwelayisenisi ye-paramedic kwiindawo ezininzi kubangelwa ngabahlengikazi abakhwela emva kwe-ambulensi ukulungiselela ukunakekelwa.
Abahlengikazi kukuqhubela phambili ababoneleli ngononophelo. Abahlengikazi baphatha izandla-kwiinkonzo zemihla ngemihla ezigulane zifuna kwisimo esibhedlele. Oogqirha benza izigqibo kwaye benza iinkqubo ezithile eziguqula ngokuthe ngqo imeko yesigulane-ukutyunjwa, njengomzekelo-kodwa ukunakekelwa kokulandelelweyo kuqhutywe ngokupheleleyo ngumongikazi.
Xa ugqirha enza isigqibo sokhathalela, unika umyalelo odla ngokuzaliseka ngumongikazi.
Ngabaphi abahlengikazi abanaloo-paramedics abanalo ukukwazi ukulungelelanisa iindlela zokunyamekela ezintsha. Iiparamedics zisoloko zichaze ngokucacileyo imiba yokusebenza ejolise ekuboneleleni ngononophelo lokugcina ubomi kunye nokuzinzisa kwizigulane ngexesha leemeko ezixakekayo. Ingcamango yonke yokungenelela kwe-paramedic kukuqinisekisa ukuba isigulane sithunyelwa ngokukhuselekileyo kwisebe elingxamisekileyo apho unokufumana unonophelo oluchanekileyo.
Iiparamedics ziyakwazi ukunyamekela ngokukhawuleza kwimeko yokuxakeka, ngokuqhelekileyo ngaphandle kokuhlolwa kwonyango othe ngqo. Baye baqeqeshwa kwisicelo soqhagamshelwano lwezempilo ukuze bafezekise iziphumo ezifunayo kummandla omncinci weendawo eziphuculayo. Ngakolunye uhlangothi, ngabahlengikazi, ziinkqubo zolawulo lwezempilo. Bangakwazi ukwenza nantoni na into ugqirha ababuza ngayo. Ukuba isilwanyana esitsha okanye isixhobo, umongikazi unokukwazi ukuyisebenzisa emva kokuqhelaniswa ne-in-service kwiindawo zayo ezithile kunye neengxaki. Ukuba le nkqubela yezona zizathu zokuba kufuneka abahlengikazi badinga ii-ambulensi ze-IFT.
Njengoko izibhedlele ziye zaphuhliswa kwii-silos zonyango, izigulana ezifuna ukufuduswa kwiziko ukuya kwisiko ziye zagula kakhulu kwaye zifuna ukunakekelwa okunzima. Enye yeempawu ezigqithiseleyo ziza kubakho izigulane kwi- membrane oxygenation (ECMO ) . Ezi zigulane zinomshishini othabatha igazi lawo emzimbeni wazo, ezithinta umoya ngaphandle, abuyisele kubo. Kanye nje kuphela ukuhlolwa kwengqondo, i-ECMO imashishini isetyenziselwa ukugcina izigulane ziphila kwiimeko ezininzi ezahlukahlukeneyo kwixesha elide. Xa ezi gulane kufuneka zifuduke ukusuka kwenye indawo ukuya kwenye, oongikazi, kunokuba abe-paramedics, banikezele ngononophelo.
Ukulindela abahlengikazi beCCT okanye abahlengikazi be-SCT
Esinye sezizathu ezenza abahlengikazi be-paramedics benze kakuhle abahlengikazi be-CCT kukuba banempendulo efanelekileyo kwiinguqu ezibalulekileyo kwisimo somguli. Bayakwazi ukubona iimeko eziphuthumayo kwaye baphendule ngokukhawuleza ukujongana nabo.
Yiloo nto ibaluleke kakhulu kulindeleke kumongikazi weCCT: isenzo esinqumayo. Abahlengikazi be-CCT kufuneka bakwazi ukwenza izigqibo ezingafaniyo kunye nokuthatha isenzo egameni lesigulane. Kumele ukuba alungele ukwenza izinto ngaphandle kwegalelo lonyango. Kwiimeko ezininzi, abahlengikazi be-CCT basebenza bodwa okanye nge-EMT ngasemva kwe-ambulensi. Kwihlabathi lokusebenzisana, ubuchule be-EMT bobuchule bunzima. Ii-EMTs ziqeqeshelwa iimfuno ezikhawulezileyo, iziganeko ezisongela ubomi. Utshintsho oluninzi olusisigxina lweemeko oluqhelekileyo ekuthuthweni kwe-CCT kufuna umhlengikazi onamandla ukuba aqaphele aze alungise.
Abahlengikazi be-CCT kufuneka bathuthuke ngokubalwa kwezibalo ezinobunzima. Phantse zonke izigulane ze-CCT ziza ne-IV kwaye ezininzi zinokungeniswa kwamachiza omnye ngexesha lokuthutha. Ukuze uphumelele, umongikazi we-CCT kufuneka akwazi ukusingatha i-spangle ye-spaghetti efana neendandatho ze-IV ezikhupha izigulane ezinzima kakhulu. Uya kuba noxanduva lokuxhaswa ngexesha lokuthutha kwaye nayiphi na intsebenziswano edibeneyo loo ntsholongwane ebangela isigulane. Ukwenza izinto zibe zibi nakakhulu, uxinzelelo lwesigulane esivela kwisimo esibhedlele esifana nesibhedlele, esikhulu se-ambulance singakwazi ukutshintsha indlela ethile imishanguzo.
Uninzi lwezigulane ezidinga ukukhwela kwi-ambulensi yeCCT ziyi-intubated kunye nexhomekeke kwintsholongwane. Ngokungafaniyo esibhedlele, abahlengikazi be-CCT abanqabile ukuba babe nomphefumli wokuphefumula ukuncedisa. Umongikazi we-CCT kufuneka alungele ukusetha i-ventilator kwaye ayikhathaze xa izinto zingahambi kakuhle. Ngaphezu koko, abahlengikazi beCCT kufuneka babe nako ukuqhuba i-endotrachial intubation. Enye inzuzo yabanye balabo bangaphambili be-paramedics; Baye baxhamla ukususela kwinqanaba le-paramedic. Ungakhathazeki ukuba ucinga malunga nokufaka umsebenzi, nangona kunjalo. Abahlengikazi beCCT bavame ukufundiswa ukuba bafunde ngeenkampani ze-ambulensi njengenxalenye yenkqubo yokuqhelanisa.
Abahlengikazi beenqanawa
Ama-ambulance ayifuni nje ukuhamba endleleni. Baphinde bahlawule umzila. Ngokumalunga nabahlengikazi beCCT, abahlengikazi beemoto banakekelwa ngokufanayo emoyeni.
Kukho iintlobo ezimbini zemisebenzi yolondolozo lokuhamba: iphiko elincinci kunye nephiko elijikelezayo (i-helicopter). Abahlengikazi be-flight wing abahamba ngeenqwelo-moya baya kuba baziwa kakhulu. Le yimi sebenzi efana neyiphi i-paramedics eyenziwa kwii-ambulensi ezingama-911. Ii-helicopter zezokwelapha zibonelela ngononophelo kokudluliselwa kwe-interfacility nakwimeko yesimo esiphuthumayo, ngokuqhelekileyo kwindawo ezisemaphandleni okanye kwintlango.
Ii-helicopter zezokwelapha, ubuncinci abo basabela kwiimeko ezixakeka, zihlala ziquka umongikazi kunye ne-paramedic, kunye nomqhubi. Umongikazi ukhokela xa umsebenzi unesimo sokusebenzisana-isigulane sisuswe kwisibhedlele esinye siya kwesinye-kwaye amanyathelo okuphazamiseka ukuba aholele xa isigulane sithunyelwa ngaphandle kweentaba.
Abadlali bezonyango abazinzileyo bahlukeneyo kwiindima zabo. Kudla ngokuba ngumhlengikazi wendiza kwaye ngamanye amaxesha i-paramedic yendiza. Amagumbi aphilileyo anokwenzela iiprospiratory therapists, oogqirha bezindiza, oogqirha bezonyango, kunye nee-EMTs zendiza. Laba basebenzi banembopheleleko yokuhambisa abagulane kwimimitha ende.
Izigulane eziphambili zihlala zifana nezigulane kwii-ambulensi zeCCT. Ngamanye amaxesha, i-ambulensi yeCCT ihambisa isigulane esibhedlele kwisikhumulo sezindiza ukuze ihlangabezane nabasebenzi beenqwelo ezindizayo. Ngokuphindaphindiweyo, i-ambulance rhoqo ye-paramedic iya kuthatha abasebenzi bezabelo ize ibenze kwisigulane. Baya kulungiselela isigulane kwi-flight kwaye i-ambulensi iya kuthutha lonke iqela, isigulane kunye nabo bonke, babuyele kwisikhululo se-moya ukuze bathathe indawo.
Amaqela Okunakekelwa Kwimfuno
Njengabasebenzi bezonyango zonyango, amaqela okunyamekela okhethekileyo anika inkxaso ngoncedo olulodwa lwezigulane emva kwe-ambulensi yomhlaba. Iyona nto ixhaphakileyo kula maqela okunyamekela okhethekileyo yinkampani yokunakekelwa kakhulu yonyango (NICU). Ngokuqhelekileyo, unonsazi onguchwepheshe we-neonatal, umbeletha wokuphefumula, kunye nomgqirha we-neonatal ezi zi-ambulensi. I- EMT iya kwenza ukunyamekela nokunyamekela. Kwezinye iimeko, kuya kuba ne-EMT yesibini.
Amacandelo okunyamekela okhethekileyo awaphelelanga kwiNICU ukunakekelwa. Kukho amaqela okhethekileyo okunyamekela unyango, ukunakekelwa kwenhliziyo, ukunakekelwa kwezilwanyana-phantse naluphi na isiguli esisigxina esisigxina onokucinga ngaso. La maqela aqheleke kakhulu kwiindawo ezinezibhedlele zokufundisa, kodwa njengoko imigangatho yokunyamekela iphuhliswa kwaye ihlanjululwe, amaqela atyala kwiindawo ezingaphandle ngaphandle kweempembelelo zezikolo zonyango. Amaqela e-NICU aqhelekileyo ngokubanzi kulo lonke ilizwe.