Flight nurse

I am going to talk about a flight nurse.

For becoming a flight nurse

In order to become a flight nurse, a registered nurse's qualification is required. They need to graduate from a junior college, a university, or a vocational school after the graduation from a high school, and need to acquire nurse license in response to a state examination. However, the qualification for becoming a flight nurse does not exist. The conditions for becoming a flight nurse vary with a hospital. However, in almost all cases, the years of service to the company for five years or more have been one standard. And in almost all hospitals, the nurse who becomes a flight nurse by a desire system is selected. Now, there is "target which the Japanese Society for Aeromedical Services flight nurse committee has proposed." There, things typical as conditions required since it becomes a flight nurse are the following conditions. "The experience as a nurse is for five years or more. And those who are experienced in the emergency care for three years or more. Furthermore, the nurse who can act as the leader as an emergency nurse" A suitable experience is required in order to work at the severe spot. The person who became a flight nurse has various reasons. However, emergency lifesaving is carried out as long as there is power which it can have as a flight nurse.

A flight nurse's places of work are two places, the inside of a hospital and a helicopter. Only a flight nurse's inside of a helicopter is not a place of work. The flight nurse is nursing the conveyed patient as a nurse usually in the critical care center of the House. The organization of emergency care is divided according to three severity of illness. Moreover, the organization of emergency care corresponds even in the secondary-medical-care area based on the medical scheme drawn up by all prefectures. The emergency lifesaving center where a flight nurse works is one of "the third emergency care.” The critical patient who cannot respond by secondary emergency care is accepted on a 24-hour basis. A flight nurse stands by in the emergency lifesaving center as a flight nurse several times per month, working at the spot accepted on a 24-hour basis. The flight nurse is nursing the always critical patient.

What kind of one day does the flight nurse of helicopter service pass?

They attend their office a little early in the morning. Because, it is for checking medical implements, medicine, and its own property so that a helicopter can be mobilized at any time. Moreover, a flight nurse's work also checks the contents of the doctor bag. If it becomes operating time of onset, a meeting will start. There is connection of the existence of the weather of the day, sunset time, and helicopter training, etc. They are helping the emergency visit between under standby.

If a mobilization request starts, the contents of the mobilization request will be checked at an operation measure room, and it will go to a heliport with a doctor. It takes only several minutes until a doctor helicopter flies away from a mobilization request. Within a helicopter, since sound is uncanny, a headset is attached, and information is exchanged. The equipment which will be considered to be required by the time it arrives at the spot is prepared, and it makes arrangements with a doctor. If it arrives at the spot, a doctor will hear a patient's appearance from a rescue crew. And the hospital of a conveyance place is contacted. Taking a measure, they ride on a doctor helicopter and go to a hospital. Required measures are taken also within the doctor helicopter which goes to the hospital of a conveyance place. Moreover, I get the family of attendance to speak about a detailed condition. If it arrives at a hospital, the appearance of the patient within a doctor helicopter will be reported to an emergency visit's doctor and nurse.

And it prepares for the next mobilization request and fills up medical implements, medicine, etc. which were used. If standby time is completed, a flight nurse will write record of the mobilized helicopter to a diary. Moreover, the flight staff of the day gathers and there is also a hospital which is holding the meeting.

Hello, everyone.

Today, I am going to talk about the helicopter first aid of Japan.

 The doctor helicopter business which started in earnest in 2001 increased that it became 4,444 number of dispatch, 4,253 medical treatment numbers of people in 11 places of the whole countryin2006. The number of dispatch increased by 8.4 percent in compared with 2005. The number of dispatch of the doctor helicopter increases year by year.

The dispatch request of doctor helicopter is three cases.

First, when the communication order person in charge of the firefighting headquarters order center judges the need of the doctor helicopter from perception content.
Secondly, when an ambulance crew observes the sick and wounded on the spot, and judges the need of the doctor helicopter.
Thirdly, when a doctor judges the transfer to a more highly advanced emergency care engine or a specialized medical institution to be necessary.When the disabled is dangerously ill. The doctor who gets into a doctor helicopter performs required treatment at the emergency spot. And the doctor conveys patient information using radio to conveyance medical institution. The doctor corresponding to the radio convenes man power and prepares for the necessary examination and treatment. The staff of the hospital becomes able to in this way accept the disabled by the perfect system. The staff of the hospital becomes able to in this way accept the disabled by the perfect system. In this way, a lifesaving rate of the seriously ill patient improves, and aftereffects are reduced. The navigation of the doctor helicopter requires pilot, mechanic, three people of the navigation manager at least. In the case of the dispatch, pilot, mechanic, doctor, four people of the nurse are dispatched. A doctor and a nurse boarding a helicopter have charge. On a charge day, doctor helicopter dispatch is placed as top priority duties. For the time to takeoff from a dispatch request, it takes an average of 3.1 minutes in Chiba and for an average of 3.79 minutes of the whole country. It may be said that it is under the quick dispatch system in each place. The navigation is the 365 days system, but bad weather and the night navigation do not. In Chiba, It set the navigation time from 8:30 a.m. to sunset and navigate. The place of the taking off and landing chooses a safe place. In Chiba, the heliport for emergency owns 980 places now.The main place is a park, the ground of the elementary and junior high school, a sports stadium. But when there is distance from the spot to the heliport, If security is secured by the cooperation of the firefighting organization, The space where the pilot judged that taking off and landing is possible can take off and land. In addition, about the lifesaving activity of the disabled by the traffic accident on the expressway, examination is pushed forward in each place.In Chiba, taking off and landing was enabled on the expressway Main Line which met the standard that was more constant than April, 2007.

another county’s condition~United States of America~

Hello, everyone.

Today, I am going to talk about another county’s condition. This time, I am goigto talk about the helicopter first aid of United States of America.

The helicopter first aid of America was tried by the armed forces and the police. However, the armed forces and the police were not able to do only first aid, because they had another mission. Therefore, the emergency helicopter stood by as based in a hospital, and a method that the emergency helicopter picked up medical staff, and flied to the spot began in 1972.The hospital of the beginning set up the heliport on the roof. And it charters a private helicopter and a private helicopter wait day and night. Then, a private helicopter is sent according to request from the fire department headquarters. At first, a doctor and a nurse boarded the helicopter. However, the boarding of the doctor to a helicopter was canceled to cost. And only paramedic and a flight nurse made to get into a helicopter. Therefore, medical control developed with an important meaning. The model of a helicopter first aid of America is a flight range is wide, so it fly to a radius of 200km.It also flies by night. Recently, when the weather is bad, it does instrument flight. The navigation costs are benefit principle. It is the burden on patient, but, actually, it is paid by medical insurance. Furthermore, it is paid by relief insurance "Medicaid" of the public medical insurance "Medicare" and life poor for an elderly person and people with a disability. By the way, the United States is said that there are few members of the medical insurance. However, recently, the uninsured decreased to around 15% when it included such a public insurance. It was revealed that it was advantageous by the aspect of the hospital management when they used a helicopter in this way. Most of the patients were only the people near the hospital till then. However, inpatients increased as a range spread by a helicopter. And the availability of the bed improved. Besides, a patient calling a helicopter is the person of the rich person or affiliate to medical insurance. Furthermore, the treatment regimen has much high treatment because a patient is seriously ill. Therefore the length of stay becomes long more than normal double. Therefore the incomes of the hospital increase, too.

The helicopter first aid was thought that it was too expensive to put into practice. However, while it passed for several years, not only a doctor but also the hospital manager noticed that it have the advantage. And, in the 1980s, the emergency helicopter of the hospital base has begun to increase suddenly. And the emergency helicopter program increased to approximately 200 places by the mid-1990s.

The patient who received first aid by the helicopter first aid system is approximately 250,000 people a year. In other words, it shows that one helicopter helps more than 700 people.

 

I am going to talk about the present conditions of our country next week.

See you.